| Name | Relationship | Address | Signature | Signature date | CIK |
|---|---|---|---|---|---|
| Verghese Vikram | Chief Financial Officer | C/O HEARTFLOW, INC., 331 E. EVELYN AVENUE, MOUNTAIN VIEW | /s/ Angela Ahmad, Attorney-in-Fact for Vikram Verghese | 2025-08-11 | 0002079946 |
| Type | Sym | Class | Transaction | Value $ | Shares | Change % | * Price $ | Shares After | Date | Ownership | Footnotes |
|---|---|---|---|---|---|---|---|---|---|---|---|
| transaction | HTFL | Common Stock | Award | $0 | +21.1K | +18.34% | $0.00 | 136K | Aug 7, 2025 | Direct | F1 |
| transaction | HTFL | Common Stock. | Conversion of derivative security | +9.52K | +7% | 145K | Aug 11, 2025 | Direct | F2 |
| Type | Sym | Class | Transaction | Value $ | Shares | Change % | * Price $ | Shares After | Date | Underlying Class | Amount | Exercise Price | Ownership | Footnotes |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| transaction | HTFL | Stock Option | Award | $0 | +111K | $0.00 | 111K | Aug 7, 2025 | Common Stock | 111K | $19.00 | Direct | F3 | |
| transaction | HTFL | Convertible Promissory Note | Conversion of derivative security | $0 | -9.52K | -100% | $0.00 | 0 | Aug 11, 2025 | Common Stock | 9.52K | $15.20 | Direct | F2 |
| Id | Content |
|---|---|
| F1 | Represents restricted stock units ("RSUs"), with a vesting commencement date of August 7, 2025 (the "Vesting Commencement Date"). 1/16th of the RSUs vest on each quarterly anniversary of the Vesting Commencement Date, subject to continued service through the applicable vesting date. |
| F2 | Upon the closing of Heartflow, Inc.'s ("Heartflow") initial public offering, the convertible promissory notes automatically converted into shares of Heartflow's common stock at a conversion price of 80% of the price per share in Heartflow's initial public offering, subject to a valuation ceiling of $2.0 billion. The shares of Heartflow's common stock that were issuable upon conversion of the convertible promissory note had no expiration date. These shares are reported in Table II above on an as-converted basis. |
| F3 | The option vests 1/48 on each monthly anniversary of the Vesting Commencement Date, subject to continued service through the applicable vesting date. |