Karen Drexler - Nov 10, 2021 Form 3 Insider Report for Tivic Health Systems, Inc. (TIVC)

Role
Director
Signature
/s/ Karen Drexler
Stock symbol
TIVC
Transactions as of
Nov 10, 2021
Transactions value $
$0
Form type
3
Date filed
11/10/2021, 08:11 PM
Previous filing
Jun 4, 2021
Next filing
Nov 22, 2021
SEC
View on sec.gov

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Underlying Class Amount Exercise Price Ownership Footnotes
holding TIVC Stock Option (Right to Buy) Nov 10, 2021 Common Stock 6.25K $0.12 Direct F1
holding TIVC Stock Option (Right to Buy) Nov 10, 2021 Common Stock 6.25K $1.00 Direct F2
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 The option vests in equal monthly installments over 24 months, commencing on July 1, 2017.
F2 The option vests in equal monthly installments over 48 months, commencing on October 1, 2019.