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