Bronwyn Evans - 21 May 2025 Form 4 Insider Report for EBR Systems, Inc. (EBRCZ)

Role
Director
Signature
/s/ Gary W Doherty, Attorney-in-Fact
Issuer symbol
EBRCZ
Transactions as of
21 May 2025
Transactions value $
$0
Form type
4
Filing time
22 May 2025, 20:33:09 UTC
Previous filing
26 Nov 2024
Next filing
20 Jun 2025
SEC
View on sec.gov

Reporting Owners (1)

Name Relationship Address Signature Signature date CIK
Evans Bronwyn Director 480 OAKMEAD PARKWAY, SUNNYVALE /s/ Gary W Doherty, Attorney-in-Fact 22 May 2025 0002037266

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
holding EBRCZ Common Stock 326K 21 May 2025 By Bronwyn Evans and Peter Douglas Gordon F1, F2

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 EBRCZ Stock Option (right to buy) Award $0 +176K $0.00 176K 21 May 2025 Common Stock 176K $1.04 By Bronwyn Evans and Peter Douglas Gordon F3, F4, F5
* 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 Includes 150,000 shares previously owned directly which were contributed to Bronwyn Evans and Peter Douglas Gordon.
F3 The exercise price was determined and approved by the Board of Directors on March 18, 2025, subject to approval by the Company's stockholders at the 2025 annual meeting of stockholders (including any adjournment or postponement thereof) in accordance with the Listing Rules of the ASX.
F4 The Board of Directors approved the grant on March 18, 2025, subject to approval by the Company's stockholders at the 2025 annual meeting of stockholders (including any adjournment or postponement thereof) in accordance with the Listing Rules of the ASX.
F5 The option vests in 1/12 equal monthly installments as measured from 5/21/2025, subject to continued employment or service through each such date.