0000899243-21-016840.txt : 20210422 0000899243-21-016840.hdr.sgml : 20210422 20210422210750 ACCESSION NUMBER: 0000899243-21-016840 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20210422 FILED AS OF DATE: 20210422 DATE AS OF CHANGE: 20210422 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: HAMILTON LAWRENCE W CENTRAL INDEX KEY: 0001326586 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-40355 FILM NUMBER: 21846476 MAIL ADDRESS: STREET 1: 2002 SUMMIT BOULEVARD STREET 2: SUITE 101 CITY: ATLANTA STATE: GA ZIP: 30319 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: TREACE MEDICAL CONCEPTS, INC. CENTRAL INDEX KEY: 0001630627 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 471052611 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 3107 SAWGRASS VILLAGE CIRCLE CITY: PONTE VEDRA BEACH STATE: FL ZIP: 32082 BUSINESS PHONE: (904) 373-5940 MAIL ADDRESS: STREET 1: 3107 SAWGRASS VILLAGE CIRCLE CITY: PONTE VEDRA BEACH STATE: FL ZIP: 32082 3 1 doc3.xml FORM 3 SUBMISSION X0206 3 2021-04-22 0 0001630627 TREACE MEDICAL CONCEPTS, INC. TMCI 0001326586 HAMILTON LAWRENCE W C/O TREACE MEDICAL CONCEPTS, INC. 203 FORT WADE RD., SUITE 150 PONTE VEDRA FL 32081 1 0 0 0 Stock Option (Right to Buy) 5.84 2030-11-17 Common Stock 114177 D The stock option vests over three years in substantially equal monthly installments with the first vesting to occur on December 17, 2020. Exhibit 24 - Power of Attorney /s/ Jaime A Frias, as Attorney-in-fact for Lawrence W. Hamilton 2021-04-22 EX-24 2 attachment1.htm EX-24 DOCUMENT
                                                                      Exhibit 24

                               POWER OF ATTORNEY

        With respect to holdings of and transactions in securities issued by
Treace Medical Concepts, Inc.. (the "Company"), the undersigned hereby
constitutes and appoints the individuals named on Schedule A attached hereto and
as may be amended from time to time, or any of them signing singly, with full
power of substitution and resubstitution, to act as the undersigned's true and
lawful attorney-in-fact to:

        1.  prepare, execute in the undersigned's name and on the undersigned's
            behalf, and submit to the United States Securities and Exchange
            Commission (the "SEC") a Form ID, including amendments thereto, and
            any other documents necessary or appropriate to obtain and/or
            regenerate codes and passwords enabling the undersigned to make
            electronic filings with the SEC of reports required by Section 16(a)
            of the Securities Exchange Act of 1934, as amended, or any rule or
            regulation of the SEC;

        2.  execute for and on behalf of the undersigned, Forms 3, 4, and 5 in
            accordance with Section 16 of the Securities Exchange Act of 1934,
            as amended, and the rules thereunder;

        3.  do and perform any and all acts for and on behalf of the undersigned
            which may be necessary or desirable to complete and execute any such
            Form 3, 4, or 5, complete and execute any amendment or amendments
            thereto, and timely file such form with the SEC and any stock
            exchange or similar authority; and

        4.  take any other action of any type whatsoever in connection with the
            foregoing which, in the opinion of such attorney-in-fact, may be of
            benefit to, in the best interest of, or legally required by, the
            undersigned, it being understood that the documents executed by such
            attorney-in-fact on behalf of the undersigned pursuant to this Power
            of Attorney shall be in such form and shall contain such terms and
            conditions as such attorney-in-fact may approve in such attorney-in-
            fact's discretion.

        The undersigned hereby grants to each such attorney-in-fact full power
and authority to do and perform any and every act and thing whatsoever
requisite, necessary, or proper to be done in the exercise of any of the rights
and powers herein granted, as fully to all intents and purposes as the
undersigned might or could do if personally present, with full power of
substitution and resubstitution or revocation, hereby ratifying and confirming
all that such attorney-in-fact, or such attorneys-in-fact substitute or
substitutes, shall lawfully do or cause to be done by virtue of this Power of
Attorney and the rights and powers herein granted.

        The undersigned acknowledges that the foregoing attorneys-in-fact, in
serving in such capacity at the request of the undersigned, are not assuming,
nor is the Company assuming, any of the undersigned's responsibilities to comply
with Section 16 of the Securities Exchange Act of 1934, as amended.

        This Power of Attorney shall remain in full force and effect until the
undersigned is no longer required to file Forms 3, 4, and 5 with respect to the
undersigned's holdings of and transactions in securities issued by the Company,
unless earlier revoked by the undersigned in a signed writing delivered to the
foregoing attorneys-in-fact.

        IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney to
be executed as of this 7th day of April, 2021.

                              Signature:  /s/ Lawrence W. Hamilton
                                          -----------------------------
                              Print Name: Lawrence W. Hamilton


                                  Schedule A

        Individuals Appointed as Attorney-in-Fact with Full Power of
Substitution and Resubstitution

Jaime Frias
Mark Hair
Lisa Taylor