Karen Drexler - 14 Jun 2022 Form 4/A - Amendment Insider Report for Tivic Health Systems, Inc. (TIVC)

Role: Director
Signature: /s/ Jennifer Ernst, attorney-in-fact
Issuer symbol: TIVC
Transactions as of: 14 Jun 2022
Net transactions value: $0
Form type: 4/A - Amendment
Filing time: 21 Jun 2022, 17:23:54 UTC
Date Of Original Report: 16 Jun 2022
Previous filing: 01 Jun 2022
Next filing: 18 Nov 2022
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	+40,000		$0.000000	40,000	14 Jun 2022	Common Stock	40,000	$1.75	Direct	F1

* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id	Content
F1	This Amendment No. 1 ("Form 4/A") to the Form 4 filed by the reporting person on June 16, 2022 (the "Original Form 4") is being filed to correct an administrative error, resulting in the incorrect versting schedule being included for the option. As reflected in this Form 4/A, the option vests as follows: (i) 50% on the first anniversary of the grant date, (ii) 25% on the second anniversary of the grant date, and (iii) 25% on the third anniversary of the grant date.

Content

This Amendment No. 1 ("Form 4/A") to the Form 4 filed by the reporting person on June 16, 2022 (the "Original Form 4") is being filed to correct an administrative error, resulting in the incorrect versting schedule being included for the option. As reflected in this Form 4/A, the option vests as follows: (i) 50% on the first anniversary of the grant date, (ii) 25% on the second anniversary of the grant date, and (iii) 25% on the third anniversary of the grant date.