Ryan Sabia - Dec 14, 2021 Form 4 Insider Report for Tivic Health Systems, Inc. (TIVC)

Role
VP of Sales and Operations
Signature
/s/ Briana Benz, attorney-in-fact
Stock symbol
TIVC
Transactions as of
Dec 14, 2021
Transactions value $
$0
Form type
4
Date filed
12/16/2021, 07:37 PM
Previous filing
Nov 10, 2021
Next filing
Feb 8, 2022

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 Buy) Award $0 +25K $0.00 25K Dec 14, 2021 Common Stock 25K $4.59 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% one year from the grant date, and (ii) the remaining 75% in equal monthly installments over the next 36 months.