0001437749-24-021572.txt : 20240628
0001437749-24-021572.hdr.sgml : 20240628
20240628161617
ACCESSION NUMBER: 0001437749-24-021572
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240627
FILED AS OF DATE: 20240628
DATE AS OF CHANGE: 20240628
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: LaMontagne Grant J
CENTRAL INDEX KEY: 0001466010
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39537
FILM NUMBER: 241085970
MAIL ADDRESS:
STREET 1: 1221 BROADWAY
CITY: OAKLAND
STATE: CA
ZIP: 94612
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Laird Superfood, Inc.
CENTRAL INDEX KEY: 0001650696
STANDARD INDUSTRIAL CLASSIFICATION: FOOD & KINDRED PRODUCTS [2000]
ORGANIZATION NAME: 04 Manufacturing
IRS NUMBER: 474373641
STATE OF INCORPORATION: OR
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 275 W. LUNDGREN MILL DR.
CITY: SISTERS
STATE: OR
ZIP: 97759
BUSINESS PHONE: (541) 548-0577
MAIL ADDRESS:
STREET 1: 275 W. LUNDGREN MILL DR.
CITY: SISTERS
STATE: OR
ZIP: 97759
FORMER COMPANY:
FORMER CONFORMED NAME: Laird Superfood, LLC
DATE OF NAME CHANGE: 20150811
4
1
rdgdoc.xml
062724 LAMONTAGNE
X0508
4
2024-06-27
0001650696
Laird Superfood, Inc.
LSF
0001466010
LaMontagne Grant J
5303 SPINE ROAD
SUITE 204
BOULDER
CO
80301
1
0
Common Stock
2024-06-27
4
A
0
20000
0
A
75792
D
Represents shares of common stock, par value $0.001 per share, issuable upon settlement of 20,000 restricted stock units (the "RSUs") granted by Laird Superfood, Inc. (the "Issuer") pursuant to the Laird Superfood, Inc. 2020 Omnibus Incentive Plan, as amended, to the reporting person. The RSUs will vest in full on June 27, 2025, provided that the reporting person is providing certain services to the Issuer through such date.
/s/ Anya Hamill as Attorney-in-Fact for Grant J LaMontagne
2024-06-28