0001228924-21-000079.txt : 20211116 0001228924-21-000079.hdr.sgml : 20211116 20211116114706 ACCESSION NUMBER: 0001228924-21-000079 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211115 FILED AS OF DATE: 20211116 DATE AS OF CHANGE: 20211116 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Sullivan John James CENTRAL INDEX KEY: 0001305784 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-11740 FILM NUMBER: 211414863 MAIL ADDRESS: STREET 1: 12100 W. 6TH AVENUE CITY: LAKEWOOD STATE: CO ZIP: 80228 FORMER NAME: FORMER CONFORMED NAME: Sullivan John J DATE OF NAME CHANGE: 20041013 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MESA LABORATORIES INC /CO/ CENTRAL INDEX KEY: 0000724004 STANDARD INDUSTRIAL CLASSIFICATION: INDUSTRIAL INSTRUMENTS FOR MEASUREMENT, DISPLAY, AND CONTROL [3823] IRS NUMBER: 840872291 STATE OF INCORPORATION: CO FISCAL YEAR END: 0331 BUSINESS ADDRESS: STREET 1: 12100 W 6TH AVE CITY: LAKEWOOD STATE: CO ZIP: 80228 BUSINESS PHONE: 3039878000 MAIL ADDRESS: STREET 1: 12100 W 6TH AVE CITY: LAKEWOOD STATE: CO ZIP: 80228 FORMER COMPANY: FORMER CONFORMED NAME: MESA LABORATORIES INC /CO DATE OF NAME CHANGE: 19951117 FORMER COMPANY: FORMER CONFORMED NAME: MESA MEDICAL INC DATE OF NAME CHANGE: 19921123 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2021-11-15 0 0000724004 MESA LABORATORIES INC /CO/ MLAB 0001305784 Sullivan John James 12100 W. 6TH AVENUE LAKEWOOD CO 80228 1 0 0 0 Common Stock 2021-11-15 4 M 0 438 89.7 A 22295 D Common Stock 2021-11-15 4 M 0 4754 97.78 A 27049 D Common Stock 2021-11-15 4 S 0 5192 308.02 D 21857 D Common Stock 30000 I By Trust Non Qualified Stock Option 89.7 2021-11-15 4 X 0 438 0 D 2015-04-01 2022-04-01 Common Stock 438 37165 D Non Qualified Stock Options 97.78 2021-11-15 4 X 0 4754 0 D 2017-04-01 2022-04-01 Common Stock 4754 32411 D 1/7 exercisable on each anniversary date of the 04/01/2014 grant date 1/5 exercisable on each anniversary date of the 04-01-2016 grant date Sale reported on this Form 4 was effected pursuant to a Rule 10B5-1 trading plan, adopted by the reporting person on February 25, 2021 Represents gift of shares to a spousal lifetime access trust John Sakys under Power of Attorney by John Sullivan 2001-11-16