Christopher Nave - 30 Sep 2024 Form 3/A - Amendment Insider Report for EBR Systems, Inc. (EBRCZ)

Role
Director
Signature
/s/ Gary W Doherty, Attorney-in-Fact
Issuer symbol
EBRCZ
Transactions as of
30 Sep 2024
Net transactions value
$0
Form type
3/A - Amendment
Filing time
22 May 2025, 21:33:21 UTC
Date Of Original Report
30 Sep 2024
Next filing
22 May 2025

Reporting Owners (1)

Name Relationship Address Signature Signature date CIK
Nave Christopher Director 480 OAKMEAD PARKWAY, SUNNYVALE /s/ Gary W Doherty, Attorney-in-Fact 22 May 2025 0002037312

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
holding EBRCZ Common Stock 0 30 Sep 2024 See Footnote F1, F2

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 EBRCZ Stock Option (right to buy) 30 Sep 2024 Common Stock 100,100 $0.7992 MRCF BTF Service (BCPIT) Pty Ltd as trustee for the MRCF BTF (BCP Investment) Trust F3, F4
holding EBRCZ Stock Option (right to buy) 30 Sep 2024 Common Stock 182,159 $0.4400 MRCF BTF Service (BCPIT) Pty Ltd as trustee for the MRCF BTF (BCP Investment) Trust F4, F5
holding EBRCZ Stock Option (right to buy) 30 Sep 2024 Common Stock 163,637 $0.5500 MRCF BTF Service (BCPIT) Pty Ltd as trustee for the MRCF BTF (BCP Investment) Trust F4, F6
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 On September 30, 2024, the reporting person mistakenly filed a Form 3 reporting the indirect ownership of 20,923,126 shares of common stock. As of September 30, 2024, the reporting person owned 0 shares of the Issuer's common stock underlying the same amount of Chess Depositary Interests ("CDIs"). The CDIs are traded on the Australian Securities Exchange (the "ASX") and are held by CHESS Depositary Nominees Pty, Limited, a subsidiary of ASX Limited, the company that operates the ASX.
F2 MRCF3 Services (H) Pty Ltd, MRCF3 Services (HP) Pty Ltd, MRCF3 Services (AS) Pty Ltd, MRCF3 Services (SW) Pty Ltd, MRCF3 Services (CSL) Pty Ltd and MRCF3 Pty Ltd are the Registered Holders of Brandon Capital Partners and as such may be deemed to have indirect beneficial ownership of an indeterminate amount of such CDIs. Christopher Nave is a member of MRCF3 Services (H) Pty Ltd, MRCF3 Services (HP) Pty Ltd, MRCF3 Services (AS) Pty Ltd, MRCF3 Services (SW) Pty Ltd, MRCF3 Services (CSL) Pty Ltd and MRCF3 Pty Ltd and share voting and investment power over the CDIs held by Brandon Capital Partners. After further analysis, it was determined that Mr. Nave does not have indirect beneficial ownership over the CDIs held by MRCF3 Services (H) Pty Ltd, MRCF3 Services (HP) Pty Ltd, MRCF3 Services (AS) Pty Ltd, MRCF3 Services (SW) Pty Ltd, MRCF3 Services (CSL) Pty Ltd and MRCF3 Pty Ltd.
F3 1/3 of the shares subject to the stock option vest on the one-year anniversary as measured from 11/22/2021, and the remainder of the shares vest in 24 equal monthly installments thereafter, subject to continued employment or service through each such date.
F4 A trustee for the MRCF BTF (BCP Investment) Trust.
F5 1/12 of the Option vests in equal monthly installments as measured from 5/22/2023, subject to continued employment or service through each such date.
F6 1/12 of the Option vests in equal monthly installments as measured from 5/29/2024, subject to continued employment or service through each such date.

Remarks:

Exhibit List: Exhibit 24.1 - Power of Attorney.