Jon Patrick Hunt - Nov 10, 2021 Form 3 Insider Report for HeartBeam, Inc. (BEAT)

Role
Chief Business Officer
Signature
/s/ Jon Hunt
Stock symbol
BEAT
Transactions as of
Nov 10, 2021
Transactions value $
$0
Form type
3
Date filed
11/12/2021, 07:15 PM
Next filing
Nov 16, 2021

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 24K See Footnote F1, F2
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Represents $100,699.20 of outstanding principal and interest calculated through November 10, 2021. The note will convert into 23,976 shares Common Stock upon the closing of the Issuer's initial public offering of Common Stock (the "IPO").
F2 Convertible Promissory Note is held by the Jon P and Christine M Hunt.