Michael Hendricksen - 30 Sep 2024 Form 3 Insider Report for EBR Systems, Inc. (EBRCZ)

Role
Chief Operating Officer
Signature
/s/ Gary W Doherty, Attorney-in-Fact
Issuer symbol
EBRCZ
Transactions as of
30 Sep 2024
Transactions value $
$0
Form type
3
Filing time
30 Sep 2024, 18:43:52 UTC
Next filing
27 Jun 2025
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 EBRCZ Stock Option (right to buy) 30 Sep 2024 Common Stock 1.6M $0.49 Direct F1
holding EBRCZ Stock Option (right to buy) 30 Sep 2024 Common Stock 150K $0.66 Direct F2
holding EBRCZ Stock Option (right to buy) 30 Sep 2024 Common Stock 250K $0.77 Direct F3
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Twenty-five percent (25%) of the shares subject to the stock option vest on the one-year anniversary as measured from 11/15/2021, and the remainder of the shares vest in 36 equal monthly installments thereafter, subject to continued employment or service through each such date. If applicable, vesting accelerates as provided in, and subject to the terms and conditions of, that certain Severance and Change of Control Agreement between the Issuer and the Reporting Person, as may be amended from time to time.
F2 1/48 of the Option vests in equal monthly installments as measured from 5/22/2023, subject to continued employment or service through each such date. If applicable, vesting accelerates as provided in, and subject to the terms and conditions of, that certain Severance and Change of Control Agreement between the Issuer and the Reporting Person, as may be amended from time to time.
F3 1/48 of the Option vests in equal monthly installments as measured from 7/18/2024, subject to continued employment or service through each such date. If applicable, vesting accelerates as provided in, and subject to the terms and conditions of, that certain Severance and Change of Control Agreement between the Issuer and the Reporting Person, as may be amended from time to time.