0001228924-22-000045.txt : 20221214 0001228924-22-000045.hdr.sgml : 20221214 20221214112627 ACCESSION NUMBER: 0001228924-22-000045 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20221115 FILED AS OF DATE: 20221214 DATE AS OF CHANGE: 20221214 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Ladiwala Shiraz Shabanali CENTRAL INDEX KEY: 0001715573 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-11740 FILM NUMBER: 221461475 MAIL ADDRESS: STREET 1: C/O THERMO FISHER SCIENTIFIC INC. STREET 2: 168 THIRD AVENUE CITY: WALTHAM STATE: MA ZIP: 02451 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 2022-11-15 0 0000724004 MESA LABORATORIES INC /CO/ MLAB 0001715573 Ladiwala Shiraz Shabanali C/O THERMO FISHER SCIENTIFIC INC. 168 THIRD AVENUE WALTHAM MA 02451 1 0 0 0 Restricted Stock Units - 3 2022-11-15 4 A 0 40 0 A Common Stock 40 40 D Each RSU represents a contingent right to receive one share of the Issuer's common stock RSUs granted in lieu of cash compensation for Board Services that vest on August 15, 2023 Not Applicable John Sakys under Power of Attorney by Shiraz Ladiwala 2022-12-14