Michael Hendricksen - 25 Jun 2025 Form 4 Insider Report for EBR Systems, Inc. (EBRCZ)

Signature
/s/ Spencer Lott, Attorney-in-Fact
Issuer symbol
EBRCZ
Transactions as of
25 Jun 2025
Transactions value $
$0
Form type
4
Filing time
27 Jun 2025, 18:08:30 UTC
Previous filing
30 Sep 2024

Reporting Owners (1)

Name Relationship Address Signature Signature date CIK
Hendricksen Michael Chief Operating Officer 480 OAKMEAD PARKWAY, SUNNYVALE /s/ Spencer Lott, Attorney-in-Fact 27 Jun 2025 0002035931

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 +500K $0.00 500K 25 Jun 2025 Common Stock 500K $0.75 Direct F1
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 1/48 of the Option vests in equal monthly installments as measured from 06/25/2025, 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.