0001567619-23-003530.txt : 20230222
0001567619-23-003530.hdr.sgml : 20230222
20230222170628
ACCESSION NUMBER: 0001567619-23-003530
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230217
FILED AS OF DATE: 20230222
DATE AS OF CHANGE: 20230222
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: DaCosta Albert
CENTRAL INDEX KEY: 0001887925
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40902
FILM NUMBER: 23654440
MAIL ADDRESS:
STREET 1: C/O PARAGON 28, INC.
STREET 2: 14445 GRASSLANDS DRIVE
CITY: ENGLEWOOD
STATE: CO
ZIP: 80112
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Paragon 28, Inc.
CENTRAL INDEX KEY: 0001531978
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 273170186
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 14445 GRASSLANDS DRIVE
CITY: ENGLEWOOD
STATE: CO
ZIP: 80112
BUSINESS PHONE: 720-912-1332
MAIL ADDRESS:
STREET 1: 14445 GRASSLANDS DRIVE
CITY: ENGLEWOOD
STATE: CO
ZIP: 80112
4
1
doc1.xml
FORM 4
X0306
4
2023-02-17
0
0001531978
Paragon 28, Inc.
FNA
0001887925
DaCosta Albert
C/O PARAGON 28, INC.
14445 GRASSLANDS DRIVE
ENGLEWOOD
CO
80112
1
1
0
0
See Remarks
Common Stock
2023-02-17
4
S
0
75000
17.00
D
404136
D
Common Stock
2023-02-17
4
S
0
75000
17.00
D
25000
I
By Spouse
Common Stock
5280610
I
See footnote
Common Stock
5000000
I
See footnote
Includes 206,246 RSUs.
Shares are held by The DaCosta Family Trust, of which the Reporting Person is trustee.
Shares are held by DaCosta Investment Company, LLC, of which the Reporting Person is a manager.
President & Chief Executive Officer
/s/ Jonathan Friedman, as Attorney-in-Fact for Albert DaCosta
2023-02-21