0001228924-21-000081.txt : 20211206 0001228924-21-000081.hdr.sgml : 20211206 20211206120723 ACCESSION NUMBER: 0001228924-21-000081 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211202 FILED AS OF DATE: 20211206 DATE AS OF CHANGE: 20211206 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GUILLEMIN EVAN CENTRAL INDEX KEY: 0001246295 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-11740 FILM NUMBER: 211472533 MAIL ADDRESS: STREET 1: 380 LAFAYETTE STREET STREET 2: SIXTH FLOOR CITY: NEW YORK STATE: NY ZIP: 10003 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 2021-12-02 0 0000724004 MESA LABORATORIES INC /CO/ MLAB 0001246295 GUILLEMIN EVAN 380 LAFAYETTE STREET SIXTH FLOOR NEW YORK NY 10003 1 0 0 0 Common Stock 2021-12-02 4 M 0 1200 89.7 A 30958 D Common Stock 2021-12-02 4 M 0 120 58.51 A 31078 D Common Stock 2021-12-02 4 M 0 1000 97.78 A 32078 D Common Stock 2021-12-02 4 S 0 2320 310.61 D 29758 D Non Qualified Stock Option 89.7 2021-12-02 4 X 0 1200 0 D 2015-04-01 2022-04-01 Common Stock 1200 3890 D Non Qualified Stock Option 58.51 2021-12-02 4 X 0 120 0 D 2015-10-02 2022-10-02 Common Stock 120 3770 D Non Qualified Stock Option 97.78 2021-12-02 4 X 0 1000 0 D 2017-04-01 2022-04-01 Common Stock 1000 2770 D 1/7 exercisable on each anniversary date of the 04-01-2014 grant date 1/7 exercisable on each anniversary date of the 10-02-2014 grant date 1/5 exercisable on each anniversary date of the 04-01-2016 grant adte John Sakys under Power of Attorney by Evan Guillemin 2021-12-06