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