Lisa G. Wolf - 06 Aug 2025 Form 4/A - Amendment Insider Report for Tivic Health Systems, Inc. (TIVC)

Role: Chief Financial Officer
Signature: /s/ Jennifer Ernst, attorney-in-fact
Issuer symbol: TIVC
Transactions as of: 06 Aug 2025
Net transactions value: $0
Form type: 4/A - Amendment
Filing time: 22 Aug 2025, 20:00:41 UTC
Date Of Original Report: 08 Aug 2025
Previous filing: 20 Dec 2024
Next filing: 22 Dec 2025
SEC: View on sec.gov

Reporting Owners (1)

Name	Relationship	Address	Signature	Signature date	CIK
Wolf Lisa G	Chief Financial Officer	47685 LAKEVIEW BLVD., FREMONT	/s/ Jennifer Ernst, attorney-in-fact	22 Aug 2025	0001861556

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	+80,000		$0.000000	80,000	06 Aug 2025	Common Stock	80,000	$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.