Jennifer Ernst - Aug 6, 2025 Form 4/A - Amendment Insider Report for Tivic Health Systems, Inc. (TIVC)

Role: Chief Executive Officer, Director
Signature: /s/ Jennifer Ernst
Stock symbol: TIVC
Transactions as of: Aug 6, 2025
Transactions value $: $0
Form type: 4/A - Amendment
Date filed: 8/22/2025, 08:00 PM
Date Of Original Report: Aug 8, 2025
Previous filing: Dec 20, 2024
Next filing: Sep 24, 2025
SEC: View on sec.gov

Reporting Owners (1)

Name	Relationship	Address	Signature	Signature date	CIK
Ernst Jennifer	Chief Executive Officer, Director	47685 LAKEVIEW BOULEVARD, FREMONT	/s/ Jennifer Ernst	2025-08-22	0001889915

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	Employee Stock Option (Right to Purchase)	Award	$0	+85K		$0.00	85K	Aug 6, 2025	Common Stock	85K	$3.32	Direct	F1

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

Explanation of Responses:

Id	Content
F1	This Amendment No. 1 ("Form 4/A") to the Form 4 filed by the reporting person on August 8, 2025 (the "Original Form 4") is being filed to correct an administrative error, resulting in the incorrect vesting schedule for the stock option being included in the Original Form 4. As reflected in this Form 4/A, the stock option vests as follows: (i) 25% upon the first anniversary of the grant date, and (ii) the remaining 75% in a series of twelve (12) successive equal quarterly installments, rounded downward to the nearest whole share, measured from the first anniversary of the grant date, such that 100% of the stock option will be vested upon the fourth anniversary of the grant date.

Content

This Amendment No. 1 ("Form 4/A") to the Form 4 filed by the reporting person on August 8, 2025 (the "Original Form 4") is being filed to correct an administrative error, resulting in the incorrect vesting schedule for the stock option being included in the Original Form 4. As reflected in this Form 4/A, the stock option vests as follows: (i) 25% upon the first anniversary of the grant date, and (ii) the remaining 75% in a series of twelve (12) successive equal quarterly installments, rounded downward to the nearest whole share, measured from the first anniversary of the grant date, such that 100% of the stock option will be vested upon the fourth anniversary of the grant date.