Jennifer Ernst - 04 Feb 2022 Form 4 Insider Report for Tivic Health Systems, Inc. (TIVC)

Role
Chief Executive Officer, Director, 10%+ Owner
Signature
/s/ Briana Benz, attorney-in-fact
Issuer symbol
TIVC
Transactions as of
04 Feb 2022
Net transactions value
$0
Form type
4
Filing time
08 Feb 2022, 16:34:19 UTC
Previous filing
15 Nov 2021
Next filing
10 May 2023
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
transaction TIVC Employee Stock Option (Right to Buy) Award $0 +200,000 $0.000000 200,000 04 Feb 2022 Common Stock 200,000 $1.83 Direct F1
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 The option vests as follows: (i) 25% one year from the grant date, and (ii) the remaining 75% in equal monthly installments over the next 36 months.