Blake Gurfein - 18 Dec 2024 Form 4 Insider Report for Tivic Health Systems, Inc. (TIVC)

Role: Chief Scientific Officer
Signature: /s/ Jennifer Ernst, attorney-in-fact
Issuer symbol: TIVC
Transactions as of: 18 Dec 2024
Net transactions value: $0
Form type: 4
Filing time: 20 Dec 2024, 17:15:08 UTC
Previous filing: 22 Mar 2024
SEC: View on sec.gov

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	TIVC	Restricted Stock Units	Award	$0	+225,000		$0.000000	225,000	18 Dec 2024	Common Stock	225,000		Direct	F1, F2

* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id	Content
F1	Each Restricted Stock Unit is convertible into one share of Common Stock.
F2	Fifty percent (50%) of the Restricted Stock Units will vest upon the one (1) year anniversary of the Vesting Commencement Date, and the balance of the Restricted Stock Units will be vested in a series of eight (8) successive equal quarterly installments measured from the first anniversary of the Vesting Commencement Date such that one hundred percent (100%) of the Restricted Stock Units shall have vested on the third anniversary of the Vesting Commencement Date.

Content

Each Restricted Stock Unit is convertible into one share of Common Stock.

Fifty percent (50%) of the Restricted Stock Units will vest upon the one (1) year anniversary of the Vesting Commencement Date, and the balance of the Restricted Stock Units will be vested in a series of eight (8) successive equal quarterly installments measured from the first anniversary of the Vesting Commencement Date such that one hundred percent (100%) of the Restricted Stock Units shall have vested on the third anniversary of the Vesting Commencement Date.