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