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

Role
Director
Signature
/s/ Sheryle Bolton
Issuer symbol
TIVC
Transactions as of
10 Nov 2021
Net transactions value
$0
Form type
3
Filing time
17 Nov 2021, 16:01:38 UTC
Next filing
16 Dec 2021
SEC
View on sec.gov

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) 10 Nov 2021 Common Stock 6,250 $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.