0001593968-20-002328.txt : 20201204
0001593968-20-002328.hdr.sgml : 20201204
20201204173243
ACCESSION NUMBER: 0001593968-20-002328
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 2
CONFORMED PERIOD OF REPORT: 20201203
FILED AS OF DATE: 20201204
DATE AS OF CHANGE: 20201204
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Ballinger Kevin J.
CENTRAL INDEX KEY: 0001566080
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38847
FILM NUMBER: 201370794
MAIL ADDRESS:
STREET 1: C/O BOSTON SCIENTIFIC CORPORATION
STREET 2: 300 BOSTON SCIENTIFIC WAY
CITY: MARLBOROUGH
STATE: MA
ZIP: 01752-1234
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Silk Road Medical Inc
CENTRAL INDEX KEY: 0001397702
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 208777622
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1213 INNSBRUCK DR.
CITY: SUNNYVALE
STATE: CA
ZIP: 94089-2918
BUSINESS PHONE: 6505669060
MAIL ADDRESS:
STREET 1: 1213 INNSBRUCK DR.
CITY: SUNNYVALE
STATE: CA
ZIP: 94089-2918
3
1
primary_01.xml
PRIMARY DOCUMENT
X0206
3
2020-12-03
1
0001397702
Silk Road Medical Inc
SILK
0001566080
Ballinger Kevin J.
1213 INNSBRUCK DRIVE
SUNNYVALE
CA
94089
true
false
false
false
/s/Mhairi Jones, by power of attorney
2020-12-04
EX-24
2
silk-section16poa_ballinger.txt
EX-24 DOCUMENT
POWER OF ATTORNEY
The undersigned,as a Section 16 reporting person of Silk Road
Medical, Inc. (the "Company"), hereby constitutes and appoints Erica J.
Rogers, Lucas W. Buchanan, Mhairi L. Jones and Nga T. Van, and each of
them, 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 Securities and Exchange Commission
(the "SEC") a Form ID, including amendments thereto, and any other
documents necessary or appropriate to obtain EDGAR 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 (the "Exchange Act"), or any rule or regulation of the SEC;
2. Complete and execute Forms 3, 4 and 5 and other forms and all
amendments thereto as such attorney-in-fact shall in his or her discretion
determine to be required or advisable pursuant to Section 16 of the
Exchange Act and the rules and regulations promulgated thereunder, or any
successor laws and regulations, as a consequence of the undersigned's
ownership, acquisition or disposition of securities of the Company; and
3. Do all acts necessary in order to file such forms with the SEC,
any securities exchange or national association, the Company and such other
person or agency as the attorney in-fact shall deem appropriate.
The undersigned hereby ratifies and confirms all that said
attorneys-in-fact and agent shall do or cause to be done by virtue hereof.
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 Exchange Act.
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 Company and the foregoing attorneys-in-fact.
IN WITNESS WHEREOF, the undersigned has caused this Power of Attorney
to be executed as of this 3 day of Dec, 2020.
Signature: /s/Kevin Ballinger
Print Name: Kevin Ballinger