Bronwyn Evans - 18 Aug 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
18 Aug 2025
Transactions value $
$104,150
Form type
4
Filing time
19 Aug 2025, 18:11:16 UTC
Previous filing
20 Jun 2025

Reporting Owners (1)

Name Relationship Address Signature Signature date CIK
Evans Bronwyn Director 480 OAKMEAD PARKWAY, SUNNYVALE /s/ Gary W Doherty, Attorney-in-Fact 19 Aug 2025 0002037266

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction EBRCZ Common Stock Options Exercise $90K +164K +45.99% $0.55 519K 18 Aug 2025 By Bronwyn Evans and Peter Douglas Gordon F1
transaction EBRCZ Common Stock Options Exercise $14.1K +32.2K +6.19% $0.44 552K 18 Aug 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 Employee Stock Option (right to buy) Options Exercise $0 -164K -100% $0.00 0 18 Aug 2025 Common Stock 164K $0.55 By Bronwyn Evans and Peter Douglas Gordon F3
transaction EBRCZ Employee Stock Option (right to buy) Options Exercise $0 -32.2K -100% $0.00 0 18 Aug 2025 Common Stock 32.2K $0.44 Direct F4
* 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 32,159 shares previously owned directly which were contributed to Bronwyn Evans and Peter Douglas Gordon.
F3 The option vested in 12 equal monthly installments as measured from 05/29/2024, subject to continued employment or service through each such date.
F4 The option vested in 12 equal monthly installments as measured from 5/22/2023, subject to continued employment or service through each such date.