Bronwyn Evans - 25 Nov 2024 Form 4 Insider Report for EBR Systems, Inc. (NONE)

Role
Director
Signature
/s/ Gary W Doherty, Attorney-in-Fact
Issuer symbol
NONE
Transactions as of
25 Nov 2024
Transactions value $
$66,000
Form type
4
Filing time
26 Nov 2024, 16:32:53 UTC
Previous filing
17 Oct 2024
Next filing
22 May 2025
SEC
View on sec.gov

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction NONE Common Stock Options Exercise $66K +150K $0.44 150K 25 Nov 2024 Direct F1
holding NONE Common Stock 176K 25 Nov 2024 By Bronwyn Evans and Peter Douglas Gordon F1

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 NONE Employee Stock Option (right to buy) Options Exercise $0 -150K -82.35% $0.00 32.2K 25 Nov 2024 Common Stock 150K $0.44 Direct F2
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Represents shares of the Issuer's common stock underlying the same amount of Chess Depositary Interests ("CDIs"). The CDIs are traded on the Australian Securities Exchange (the "ASX") and are held by CHESS Depositary Nominees Pty, Limited, a subsidiary of ASX Limited, the company that operates the ASX.
F2 1/12 of the Option vests in equal monthly installments as measured from 5/22/2023, subject to continued employment or service through each such date.