# EDGAR Filing Document

**Accession Number:** 0001365737
**File Stem:** 0001437749-23-007969
**Filing Date:** 2023-3
**Character Count:** 10349
**Document Hash:** 8f3e86e9e4017553bfabf9dec3657ef5
**Contains OCR:** False
**Source Format:** 

## Filing Content

## Filing Summary
**0001437749-23-007969.hdr.sgml**: 20230327

**ACCESSION NUMBER**: 0001437749-23-007969

**CONFORMED SUBMISSION TYPE**: 4

**PUBLIC DOCUMENT COUNT**: 2

**CONFORMED PERIOD OF REPORT**: 20230323

**FILED AS OF DATE**: 20230327

**DATE AS OF CHANGE**: 20230327

**REPORTING-OWNER**: 

**OWNER DATA:**
- **COMPANY CONFORMED NAME:** LeMaitre George W
- **CENTRAL INDEX KEY:** 0001365737

**FILING VALUES:**
- **FORM TYPE:** 4
- **SEC ACT:** 1934 Act
- **SEC FILE NUMBER:** 001-33092
- **FILM NUMBER:** 23761514

**MAIL ADDRESS:**
- **STREET 1:** 342 BUNKER HILL STREET, #2B
- **CITY:** CHARLESTOWN
- **STATE:** MA
- **ZIP:** 02129
**ISSUER**: 

**COMPANY DATA:**
- **COMPANY CONFORMED NAME:** LEMAITRE VASCULAR INC
- **CENTRAL INDEX KEY:** 0001158895
- **STANDARD INDUSTRIAL CLASSIFICATION:** SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
- **IRS NUMBER:** 000000000
- **FISCAL YEAR END:** 1231

**BUSINESS ADDRESS:**
- **STREET 1:** 63 SECOND AVENUE
- **CITY:** BURLINGTON
- **STATE:** MA
- **ZIP:** 01803
- **BUSINESS PHONE:** 781-221-2266

**MAIL ADDRESS:**
- **STREET 1:** 63 SECOND AVENUE
- **CITY:** BURLINGTON
- **STATE:** MA
- **ZIP:** 01803

## Ex-24

```

EXHIBIT 24.1
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS, that the person whose signature appears
below hereby constitutes and appoints each of John Pitfield, Val Gertz,
Alison Newman and Secil Kantarci O'Neil, signing singly and each acting
individually, as the undersigned's true and lawful attorney-in-fact and
agent, with full power of substitution and resubstitution, for the
undersigned and in the undersigned's name, place, and stead, in any and
all capacities to sign any and all instruments, certificates, and
documents approved by the undersigned that, as a result of the
undersigned's service as an executive officer or director of LeMaitre
Vascular, Inc. (the "Company"), are required to be executed on behalf
of the undersigned pursuant to Sections 13 and 16 of the Securities
Exchange Act of 1934, as amended (the "Exchange Act"), and any and all
regulations promulgated thereunder, and to file the same, with all
exhibits thereto, and any other documents in connection therewith, with
the Securities and Exchange Commission, and with any other entity when
and if such is mandated by the Exchange Act, granting unto said
attorney-in-fact and agent full power and authority to do and perform
each and every act and thing requisite and necessary fully to all intents
and purposes as the undersigned might or could do in person thereby
ratifying and confirming all that said attorney-in-fact and agent, or
her substitute or substitutes, may lawfully do or cause to be done by
virtue hereof.

The undersigned acknowledges that this Power of Attorney
authorizes, but does not require, each such attorney-in-fact to act in
their discretion on information provided to such attorney-in-fact without
independent verification of such information; any documents prepared
and/or executed by any such attorney-in-fact on behalf of the undersigned
pursuant to this Power of Attorney will be in such form and will contain
such information and disclosure as such attorney-in-fact, in her
discretion, deems necessary or desirable; neither the Company nor any
such attorneys-in-fact assumes (i) any liability for the undersigned's
responsibility to comply with the requirement of the Exchange Act,
(ii) any liability of the undersigned for any failure to comply with
such requirements, or (iii) any obligation or liability of the undersigned
for profit disgorgement under Section 16(b) of the Exchange Act; and this
Power of Attorney does not relieve the undersigned from responsibility
for compliance with the undersigned's obligations under the Exchange Act,
including without limitation the reporting requirements under Section 16
of the Exchange Act.

This Power of Attorney shall remain in effect until it is revoked in
writing or the undersigned has ceased to serve as an executive officer
or director of LeMaitre Vascular, Inc.

IN WITNESS WHEREOF, this Power of Attorney has been signed
as of January 18, 2023.

/s/ George W. LeMaitre

Print Name: George W. LeMaitre

```

### UNITED STATES SECURITIES AND EXCHANGE COMMISSION
**Washington, D.C. 20549**

## FORM 4

### STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

[ ] Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).

[ ] Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan for the purchase or sale of equity securities of the issuer that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10.

---

| | | |
|:---|:---|:---|
| **1. Name and Address of Reporting Person**<sup>*</sup><br>LeMaitre George W<br><sub>(Last) (First) (Middle)</sub><br>C/O LEMAITRE VASCULAR, INC.<br>63 SECOND AVENUE<br><sub>(Street)</sub><br>BURLINGTON, MA 01803<br><sub>(City) (State) (Zip)</sub> | **3. Date of Earliest Transaction (Month/Day/Year)**<br>2023-03-23 | **5. Relationship of Reporting Person(s) to Issuer**<br>(Check all applicable)<br>[X] Director [X] 10% Owner<br>[X] Officer (give title below) [ ] Other (specify below)<br>_Chairman and CEO_ |
| **2. Issuer Name and Ticker or Trading Symbol**<br>LEMAITRE VASCULAR INC [ LMAT ] | **4. If Amendment, Date of Original Filed (Month/Day/Year)**<br>  | **6. Individual or Joint/Group Filing (Check Applicable Line)**<br>[X] Form filed by One Reporting Person<br>[ ] Form filed by More than One Reporting Person |

---

## Table I - Non-Derivative Securities

---

|  |  |  |  |  |  |  |  |  |  |  |
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| 1. Title of Security | 2. Transaction Date | 2A. Deemed Execution Date | 3. Transaction Code (V) | 3. Transaction Code (V) | 4. Securities Acquired (A) or Disposed of (D) | 4. Securities Acquired (A) or Disposed of (D) | 4. Securities Acquired (A) or Disposed of (D) | 5. Amount of Securities Beneficially Owned | 6. Ownership Form | 7. Nature of Indirect Beneficial Ownership |
| 1. Title of Security | 2. Transaction Date | 2A. Deemed Execution Date | Code | V | Amount | (A) or (D) | Price | 5. Amount of Securities Beneficially Owned | 6. Ownership Form | 7. Nature of Indirect Beneficial Ownership |
|  |  |  |  |  |  |  |  |  |  |  |

---

## Table II - Derivative Securities

---

|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| 1. Title of Derivative Security | 2. Conversion or Exercise Price | 3. Transaction Date | 3A. Deemed Execution Date | 4. Transaction Code (V) | 4. Transaction Code (V) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) | 5. Number of Derivative Securities Acquired (A) or Disposed of (D) | 6. Date Exercisable and Expiration Date | 6. Date Exercisable and Expiration Date | 7. Title and Amount of Underlying Securities | 7. Title and Amount of Underlying Securities | 8. Price of Derivative Security | 9. Number of Derivative Securities Beneficially Owned | 10. Ownership Form | 11. Nature of Indirect Beneficial Ownership |
| 1. Title of Derivative Security | 2. Conversion or Exercise Price | 3. Transaction Date | 3A. Deemed Execution Date | Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares | 8. Price of Derivative Security | 9. Number of Derivative Securities Beneficially Owned | 10. Ownership Form | 11. Nature of Indirect Beneficial Ownership |
| Dividend Equivalent Rights | <sup>(1)</sup> | 2023-03-23 |  | A |  | 4.4914 |  | <sup>(1)</sup> | <sup>(1)</sup> | Common Stock | 4.4914 | $0 | 75.9334 | D |  |
| Dividend Equivalent Rights | <sup>(2)</sup> | 2023-03-23 |  | A |  | 5.8906 |  | <sup>(2)</sup> | <sup>(2)</sup> | Common Stock | 5.8906 | $0 | 73.20340 | D |  |
| Dividend Equivalent Rights | <sup>(3)</sup> | 2023-03-23 |  | A |  | 8.30 |  | <sup>(3)</sup> | <sup>(3)</sup> | Common Stock | 8.30 | $0 | 65.7189 | D |  |
| Dividend Equivalent Rights | <sup>(4)</sup> | 2023-03-23 |  | A |  | 11.9712 |  | <sup>(4)</sup> | <sup>(4)</sup> | Common Stock | 11.9712 | $0 | 59.002 | D |  |
| Dividend Equivalent Rights | <sup>(5)</sup> | 2023-03-23 |  | A |  | 16.3088 |  | <sup>(5)</sup> | <sup>(5)</sup> | Common Stock | 16.3088 | $0 | 16.3088 | D |  |

---

### Footnotes:

(1) These dividend equivalent rights accrued on a restricted stock unit award granted on 12/19/2018 and vest proportionately with such award. Each dividend equivalent right is the economic equivalent of one share of the Issuer's common stock.

(2) These dividend equivalent rights accrued on a restricted stock unit award granted on 12/20/2019 and vest proportionately with such award. Each dividend equivalent right is the economic equivalent of one share of the Issuer's common stock.

(3) These dividend equivalent rights accrued on a restricted stock unit award granted on 12/2/2020 and vest proportionately with such award. Each dividend equivalent right is the economic equivalent of one share of the Issuer's common stock.

(4) These dividend equivalent rights accrued on a restricted stock unit award granted on 12/11/2021 and vest proportionately with such award. Each dividend equivalent right is the economic equivalent of one share of the Issuer's common stock.

(5) These dividend equivalent rights accrued on a restricted stock unit award granted on 12/12/2022 and vest proportionately with such award. Each dividend equivalent right is the economic equivalent of one share of the Issuer's common stock.

**Signature:** /s/ Val Gertz  
**Date:** 2023-03-24

### Remarks:

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.

* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).

** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).

Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.

**Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.**