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