Karen Drexler - 31 Dec 2022 Form 5 Insider Report for Tivic Health Systems, Inc. (TIVC)

Role
Director
Signature
/s/ Jennifer Ernst, attorney-in-fact
Issuer symbol
TIVC
Transactions as of
31 Dec 2022
Net transactions value
$0
Form type
5
Filing time
14 Feb 2023, 17:34:22 UTC
Previous filing
18 Nov 2022
Next filing
03 Feb 2023
SEC
View on sec.gov

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction TIVC Common Stock Other $0 -15,111 -46% $0.000000 18,076 16 May 2022 By Drexler Family Trust U/D/T dated May 23, 1996 F1, F2
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Represents a pro rata distribution from Astia Angels Tivic LLC, of which the reporting person was a member, in connection with the dissolution of such entity.
F2 These shares are owned directly by the Drexler Family Trust U/D/T dated May 23, 1996, and indirectly by the reporting person as trustee of such trust.