0001209191-24-001590.txt : 20240112
0001209191-24-001590.hdr.sgml : 20240112
20240112210014
ACCESSION NUMBER: 0001209191-24-001590
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240110
FILED AS OF DATE: 20240112
DATE AS OF CHANGE: 20240112
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Treace John T.
CENTRAL INDEX KEY: 0001856380
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40355
FILM NUMBER: 24533390
MAIL ADDRESS:
STREET 1: C/O TREACE MEDICAL CONCEPTS, INC.
STREET 2: 203 FORT WADE ROAD, SUITE 150
CITY: PONTE VEDRA
STATE: FL
ZIP: 32081
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: TREACE MEDICAL CONCEPTS, INC.
CENTRAL INDEX KEY: 0001630627
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
ORGANIZATION NAME: 08 Industrial Applications and Services
IRS NUMBER: 471052611
STATE OF INCORPORATION: FL
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 100 PALMETTO PARK PLACE
CITY: PONTE VEDRA
STATE: FL
ZIP: 32081
BUSINESS PHONE: (904) 373-5940
MAIL ADDRESS:
STREET 1: 100 PALMETTO PARK PLACE
CITY: PONTE VEDRA
STATE: FL
ZIP: 32081
4
1
doc4.xml
FORM 4 SUBMISSION
X0508
4
2024-01-10
0
0001630627
TREACE MEDICAL CONCEPTS, INC.
TMCI
0001856380
Treace John T.
C/O TREACE MEDICAL CONCEPTS, INC.
100 PALMETTO PARK PLACE
PONTE VEDRA
FL
32081
1
1
1
0
Chief Executive Offer
0
Common Stock
2024-01-10
4
A
0
178325
0.00
A
5800180
D
Common Stock
1605000
I
By Spouse
Common Stock
1471250
I
By Spouse as cotrustee of a trust
Common Stock
1839063
I
As Trustee of a trust
Common Stock
408816
I
As Co-Trustee of a trust
Represents restricted stock units ("RSUs") for which the Reporting Person is entitled to receive one (1) share of issuer's Common Stock for each
RSU upon vesting. The RSUs vest in equal annual installments over 4 years, with the first installment vesting on January 10, 2025 with the last installment vesting on January 10, 2028; subject to Reporting Person's providing continued service to Issuer through each vesting date.
Includes 203,731 restricted stock units.
The Reporting Person disclaims beneficial ownership of shares held by his wife directly or in trusts for which his wife serves as trustee or co-trustee.
The Reporting Person disclaims beneficial ownership of shares held in trust for which he serves as trustee or co-trustee.
/s/ Lisa O. Taylor as Attorney in fact for John T. Treace
2024-01-12