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

Role
Chief Scientific Officer
Signature
/s/ Briana Benz, attorney-in-fact
Issuer symbol
TIVC
Transactions as of
14 Dec 2021
Net transactions value
$0
Form type
4
Filing time
16 Dec 2021, 19:38:48 UTC
Previous filing
10 Nov 2021
Next filing
08 Feb 2022
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
transaction TIVC Employee Stock Option (Right to Buy) Award $0 +82,500 $0.000000 82,500 14 Dec 2021 Common Stock 82,500 $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.