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

Role
VP of Sales and Operations
Signature
/s/ Ryan Sabia
Stock symbol
TIVC
Transactions as of
Nov 10, 2021
Transactions value $
$0
Form type
3
Date filed
11/10/2021, 08:12 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 50K $1.60 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 as follows: (i) 25% on March 1, 2022, and (ii) the remaining 75% in equal monthly installments over the next 36 months.