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