0001209191-21-068154.txt : 20211206
0001209191-21-068154.hdr.sgml : 20211206
20211206174715
ACCESSION NUMBER: 0001209191-21-068154
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20191206
FILED AS OF DATE: 20211206
DATE AS OF CHANGE: 20211206
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Afsari Nasym
CENTRAL INDEX KEY: 0001817851
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39394
FILM NUMBER: 211474132
MAIL ADDRESS:
STREET 1: 1 PARK PLAZA
STREET 2: SUITE 1000
CITY: IRVINE
STATE: CA
ZIP: 92614
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Montrose Environmental Group, Inc.
CENTRAL INDEX KEY: 0001643615
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MANAGEMENT CONSULTING SERVICES [8742]
IRS NUMBER: 464195044
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1 PARK PLAZA, SUITE 1000
CITY: IRVINE
STATE: CA
ZIP: 92614
BUSINESS PHONE: (949) 988-3500
MAIL ADDRESS:
STREET 1: 1 PARK PLAZA, SUITE 1000
CITY: IRVINE
STATE: CA
ZIP: 92614
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2019-12-06
0
0001643615
Montrose Environmental Group, Inc.
MEG
0001817851
Afsari Nasym
5120 NORTHSHORE DR
NORTH LITTLE ROCK
AR
72118
0
1
0
0
General Counsel and Secretary
Common Stock
2021-12-06
4
M
0
23277
6.03
A
40027
D
Stock Option (Right to Buy)
6.03
2021-12-06
4
M
0
23277
0.00
D
2026-06-23
Common Stock
23277
43348
D
50% of the shares subject to the option vested on June 9, 2017 and the remaining 50% vested on June 9, 2019.
/s/ Nasym Afsari
2021-12-06