0001610717-24-000156.txt : 20240312
0001610717-24-000156.hdr.sgml : 20240312
20240312180008
ACCESSION NUMBER: 0001610717-24-000156
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240308
FILED AS OF DATE: 20240312
DATE AS OF CHANGE: 20240312
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: DaCosta Albert
CENTRAL INDEX KEY: 0001887925
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40902
FILM NUMBER: 24743759
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]
ORGANIZATION NAME: 08 Industrial Applications and Services
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
form4.xml
X0508
4
2024-03-08
0001531978
Paragon 28, Inc.
FNA
0001887925
DaCosta Albert
C/O PARAGON 28, INC.
14445 GRASSLANDS DRIVE
ENGLEWOOD
CO
80112
true
true
true
See Remarks
false
Common Stock
2024-03-08
4
A
0
166924
0
A
643336
D
Common Stock
25000
I
By Spouse
Common Stock
5311110
I
See footnote
Common Stock
5000000
I
See footnote
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 March 8, 2024, subject to the Reporting Person's continued service to the Issuer.
Includes 398,388 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/ Robert McCormack, as Attorney-in-Fact for Albert DaCosta
2024-03-12