Karen Drexler - Jun 14, 2022 Form 4/A - Amendment Insider Report for Tivic Health Systems, Inc. (TIVC)

Role
Director
Signature
/s/ Jennifer Ernst, attorney-in-fact
Stock symbol
TIVC
Transactions as of
Jun 14, 2022
Transactions value $
$0
Form type
4/A - Amendment
Date filed
6/21/2022, 05:23 PM
Date Of Original Report
Jun 16, 2022
Previous filing
Jun 1, 2022
Next filing
Nov 18, 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 +40K $0.00 40K Jun 14, 2022 Common Stock 40K $1.75 Direct F1
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 This Amendment No. 1 ("Form 4/A") to the Form 4 filed by the reporting person on June 16, 2022 (the "Original Form 4") is being filed to correct an administrative error, resulting in the incorrect versting schedule being included for the option. As reflected in this Form 4/A, the option vests as follows: (i) 50% on the first anniversary of the grant date, (ii) 25% on the second anniversary of the grant date, and (iii) 25% on the third anniversary of the grant date.