0001593968-20-002330.txt : 20201204 0001593968-20-002330.hdr.sgml : 20201204 20201204175054 ACCESSION NUMBER: 0001593968-20-002330 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 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: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38847 FILM NUMBER: 201370846 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 4 1 primary_01.xml PRIMARY DOCUMENT X0306 4 2020-12-03 0001397702 Silk Road Medical Inc SILK 0001566080 Ballinger Kevin J. 1213 INNSBRUCK DRIVE SUNNYVALE CA 94089 true false false false Option (right to buy) 56.13 2020-12-03 4 A false 6723 0 A 2021-12-03 2030-12-03 Common Stock 6723 6723 D One third of the shares subject to the option shall vest on December 3, 2021 and each one-year anniversary thereafter, subject to the Reporting Person continuing as a service provider through each such date. /s/Mhairi Jones, by power of attorney 2020-12-04