Dean Zikria - Nov 10, 2021 Form 3 Insider Report for Tivic Health Systems, Inc. (TIVC)

Role
Director
Signature
/s/ Dean Zikria
Stock symbol
TIVC
Transactions as of
Nov 10, 2021
Transactions value $
$0
Form type
3
Date filed
11/10/2021, 08:10 PM
Next filing
Dec 16, 2021

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
holding TIVC Stock Option (Right to Buy) Nov 10, 2021 Common Stock 6.25K $1.00 Direct F1
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 The option vests in equal monthly installments over 48 months, commencing on October 1, 2019.