Branislav Vajdic - Nov 10, 2021 Form 3 Insider Report for HeartBeam, Inc. (BEAT)

Role
Chief Executive Officer, 10%+ Owner
Signature
/s/ Branislav Vajdic
Stock symbol
BEAT
Transactions as of
Nov 10, 2021
Transactions value $
$0
Form type
3
Date filed
11/12/2021, 02:38 PM
Next filing
Nov 16, 2021

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
holding BEAT Common Stock 795K Nov 10, 2021 Direct F1

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 BEAT Convertible Promissory Note Nov 10, 2021 Common Stock 116K Direct F2
holding BEAT Common Stock warrant (right to buy) Nov 10, 2021 Common Stock 5.82K $2.75 Direct F3
holding BEAT Common Stock warrant (right to buy) Nov 10, 2021 Common Stock 364K $0.00 Direct F4
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 32,727 shares are held in the name of his spouse, Marijana Rakic.
F2 Represents $485,347.80 of outstanding principal and interest calculated through November 10, 2021. The note will convert into 115,559 shares of Common Stock upon the closing of the Issuer's initial public offering of Common Stock (the "IPO").
F3 All of the shares subject to the warrant are fully vested and exercisable as of the date hereof.
F4 The shares subject to the warrant are exercisable upon the earliest to occur of several events, including the closing of the IPO and the Issuer having a market capitalization of at least $50,000,000 for five consecutive business days.