0001228924-21-000077.txt : 20211109 0001228924-21-000077.hdr.sgml : 20211109 20211109104457 ACCESSION NUMBER: 0001228924-21-000077 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211108 FILED AS OF DATE: 20211109 DATE AS OF CHANGE: 20211109 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: KELLY DAVID M CENTRAL INDEX KEY: 0001191768 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-11740 FILM NUMBER: 211390577 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: MESA LABORATORIES INC /CO/ CENTRAL INDEX KEY: 0000724004 STANDARD INDUSTRIAL CLASSIFICATION: INDUSTRIAL INSTRUMENTS FOR MEASUREMENT, DISPLAY, AND CONTROL [3823] IRS NUMBER: 840872291 STATE OF INCORPORATION: CO FISCAL YEAR END: 0331 BUSINESS ADDRESS: STREET 1: 12100 W 6TH AVE CITY: LAKEWOOD STATE: CO ZIP: 80228 BUSINESS PHONE: 3039878000 MAIL ADDRESS: STREET 1: 12100 W 6TH AVE CITY: LAKEWOOD STATE: CO ZIP: 80228 FORMER COMPANY: FORMER CONFORMED NAME: MESA LABORATORIES INC /CO DATE OF NAME CHANGE: 19951117 FORMER COMPANY: FORMER CONFORMED NAME: MESA MEDICAL INC DATE OF NAME CHANGE: 19921123 4 1 primary_doc.xml PRIMARY DOCUMENT X0306 4 2021-11-08 0 0000724004 MESA LABORATORIES INC /CO/ MLAB 0001191768 KELLY DAVID M 1 0 0 0 Common Stock 2021-11-08 4 M 0 18 58.51 A 2618 D Common Stock 2021-11-08 4 S 0 18 324.07 D 2600 D Non Qualified Stock Option 58.51 2021-11-08 4 X 0 18 0 D 2015-10-02 2022-10-02 Common Stock 18 569 D 1/7 exercisable on each anniversary date of the 04-01-2014 grant date John Sakys under Power of Attorney by David Kelly 2021-11-09