0001415889-24-013998.txt : 20240521
0001415889-24-013998.hdr.sgml : 20240521
20240521173817
ACCESSION NUMBER: 0001415889-24-013998
CONFORMED SUBMISSION TYPE: 3/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230810
FILED AS OF DATE: 20240521
DATE AS OF CHANGE: 20240521
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Martin George Kelly
CENTRAL INDEX KEY: 0001982607
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 3/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39813
FILM NUMBER: 24970925
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: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
ORGANIZATION NAME: 08 Industrial Applications and Services
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
3/A
1
form3a-05212024_090509.xml
X0206
3/A
2023-08-10
2023-08-14
0
0001826667
TriSalus Life Sciences, Inc.
TLSI
0001982607
Martin George Kelly
6272 W. 91ST AVENUE
WESTMINSTER
CO
80031
true
false
false
false
Common Stock
247185
I
By Varka LLC
These shares were inadvertently omitted from the Reporting Person's original Form 3.
The securities reported herein were acquired by the Reporting Person prior to the Reporting Person becoming a director of the Issuer. The Reporting Person was appointed as a director of the Issuer effective immediately after the effective time of the Merger (as defined in that certain Agreement and Plan of Merger, dated as of November 11, 2022, as amended, by and among the Issuer, MTAC Merger Sub, Inc., and TriSalus Operating Life Sciences, Inc.).
The shares are held by Varka LLC. The Reporting Person may be deemed to have beneficial ownership of the shares held directly by Varka LLC.
/s/ Sean Murphy, Attorney-in-Fact
2024-05-21