0001567619-23-004285.txt : 20230302
0001567619-23-004285.hdr.sgml : 20230302
20230302200717
ACCESSION NUMBER: 0001567619-23-004285
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230228
FILED AS OF DATE: 20230302
DATE AS OF CHANGE: 20230302
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Mickelson Erik E
CENTRAL INDEX KEY: 0001923156
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40902
FILM NUMBER: 23701284
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
2023-02-28
0
0001531978
Paragon 28, Inc.
FNA
0001923156
Mickelson Erik E
C/O PARAGON 28, INC.
14445 GRASSLANDS DIVE
ENGLEWOOD
CO
80112
0
1
0
0
Chief Accounting Officer
Common Stock
2023-02-28
4
A
0
9983
0
A
9983
D
Constitute restricted stock units ("RSUs") for which the Reporting Person is entitled to receive one (1) share of Common Stock for each RSU upon vesting. 25% of the RSUs shall vest on each anniversary of February 28, 2023, subject to the Reporting Person's continued service to the Issuer.
Includes 9,983 RSUs.
/s/ Jonathan Friedman, as Attorney-in-Fact for Erik E. Mickelson
2023-03-02