0001567619-21-017869.txt : 20211004
0001567619-21-017869.hdr.sgml : 20211004
20211004214313
ACCESSION NUMBER: 0001567619-21-017869
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211001
FILED AS OF DATE: 20211004
DATE AS OF CHANGE: 20211004
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Hanna Betsy
CENTRAL INDEX KEY: 0001885957
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40355
FILM NUMBER: 211305025
MAIL ADDRESS:
STREET 1: C/O TREACE MEDICAL CONCEPTS, INC.
STREET 2: 203 FORT WADE RD #150
CITY: PONTE VEDRA BEACH
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]
IRS NUMBER: 471052611
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 203 FORT WADE ROAD
STREET 2: SUITE 150
CITY: PONTE VEDRA
STATE: FL
ZIP: 32081
BUSINESS PHONE: (904) 373-5940
MAIL ADDRESS:
STREET 1: 203 FORT WADE ROAD
STREET 2: SUITE 150
CITY: PONTE VEDRA
STATE: FL
ZIP: 32081
4
1
doc1.xml
FORM 4
X0306
4
2021-10-01
0
0001630627
TREACE MEDICAL CONCEPTS, INC.
TMCI
0001885957
Hanna Betsy
C/O TREACE MEDICAL CONCEPTS, INC.
203 FORT WADE ROAD, SUITE 150
PONTE VEDRA
FL
32081
1
0
0
0
Stock Option (Right to Buy)
26.52
2021-10-01
4
A
0
17750
0
A
2031-10-01
Common Stock
17750
17750
D
The stock option vests over three years in substantially equal monthly installments with the first vesting to occur on November 1, 2021 such that the stock option will be fully vested and exercisable on October 1, 2024, subject to Reporting Person's providing continued service to Issuer through each vesting date.
/s/ Jaime A. Frias as Attorney-in-fact for Betsy Hanna
2021-10-04