0001209191-23-045692.txt : 20230814
0001209191-23-045692.hdr.sgml : 20230814
20230814175429
ACCESSION NUMBER: 0001209191-23-045692
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230810
FILED AS OF DATE: 20230814
DATE AS OF CHANGE: 20230814
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Martin George Kelly
CENTRAL INDEX KEY: 0001982607
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39813
FILM NUMBER: 231172407
MAIL ADDRESS:
STREET 1: C/O TRISALUS LIFE SCIENCES, INC.
STREET 2: 6272 W. 91ST AVENUE
CITY: WESTMINSTER
STATE: CO
ZIP: 80031
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: TriSalus Life Sciences, Inc.
CENTRAL INDEX KEY: 0001826667
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MEDICAL LABORATORIES [8071]
IRS NUMBER: 853009869
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 6272 WEST 91ST AVENUE
CITY: WESTMINSTER
STATE: CO
ZIP: 80031
BUSINESS PHONE: 415 336 8917
MAIL ADDRESS:
STREET 1: 6272 WEST 91ST AVENUE
CITY: WESTMINSTER
STATE: CO
ZIP: 80031
FORMER COMPANY:
FORMER CONFORMED NAME: MedTech Acquisition Corp
DATE OF NAME CHANGE: 20200930
4
1
doc4.xml
FORM 4 SUBMISSION
X0508
4
2023-08-10
0
0001826667
TriSalus Life Sciences, Inc.
TLSI
0001982607
Martin George Kelly
6272 W. 91ST AVENUE
WESTMINSTER
CO
80031
1
0
0
0
0
Stock Option (right to buy)
11.34
2023-08-10
4
A
0
35000
0.00
A
2033-08-09
Common Stock
35000
35000
D
The shares subject to this stock option vest in three equal annual installments from the vesting commencement date of August 10, 2023, subject to the Reporting Person's continued service with the Issuer on each respective vesting date.
/s/ Sean Murphy, Attorney-in-Fact for George Kelly Martin
2023-08-14