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

Role
Exec Chm of the BOD, Director
Signature
/s/ Richard Ferrari
Issuer symbol
BEAT
Transactions as of
10 Nov 2021
Net transactions value
$0
Form type
3
Filing time
12 Nov 2021, 19:13:57 UTC
Previous filing
11 Jun 2021
Next filing
15 Nov 2021
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
holding BEAT Convertible Promissory Note 10 Nov 2021 Common Stock 65,653 See Footnote F1, F2
holding BEAT Stock option (right to buy) 10 Nov 2021 Common Stock 27,272 $0.2800 Direct F3
holding BEAT Stock option (right to buy) 10 Nov 2021 Common Stock 181,818 $2.50 Direct F4
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Represents $275,742.60 of outstanding principal and interest calculated through November 10, 2021. The note will convert into 65,653 shares of Common Stock upon the closing of the Issuer's initial public offering of Common Stock (the "IPO").
F2 The Convertible Promissory Note is held by the Ferrari Living Trust, of which the Reporting Person is the trustee.
F3 Five forty-eighth of the shares vested on date of grant, May 12, 2020, one forty-eighth of the shares subject to the option vested June 11, 2020 and each one-month anniversary thereafter, subject to the Reporting Person continuing as a service provider through each such date.
F4 One forty-eighth of the shares subject to the option vest on July 15, 2021 and each one-month anniversary thereafter, subject to the Reporting Person continuing as a service provider through each such date.