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