Karen Drexler - Dec 31, 2022 Form 5 Insider Report for Tivic Health Systems, Inc. (TIVC)

Role
Director
Signature
/s/ Jennifer Ernst, attorney-in-fact
Stock symbol
TIVC
Transactions as of
Dec 31, 2022
Transactions value $
$0
Form type
5
Date filed
2/14/2023, 05:34 PM
Previous filing
Nov 18, 2022
Next filing
Feb 3, 2023

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction TIVC Common Stock Other $0 -15.1K -45.53% $0.00 18.1K May 16, 2022 By Drexler Family Trust U/D/T dated May 23, 1996 F1, F2
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Represents a pro rata distribution from Astia Angels Tivic LLC, of which the reporting person was a member, in connection with the dissolution of such entity.
F2 These shares are owned directly by the Drexler Family Trust U/D/T dated May 23, 1996, and indirectly by the reporting person as trustee of such trust.