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