Gary W. Doherty - Sep 30, 2024 Form 3 Insider Report for EBR Systems, Inc. (EBRCZ)

Role: Chief Financial Officer
Signature: /s/ Spencer Lott, Attorney-in-Fact
Stock symbol: EBRCZ
Transactions as of: Sep 30, 2024
Transactions value $: $0
Form type: 3
Date filed: 9/30/2024, 06:39 PM

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)							Sep 30, 2024	Common Stock	3.62M	$0.54	Direct	F1
holding	EBRCZ	Stock Option (right to buy)							Sep 30, 2024	Common Stock	250K	$0.77	Direct	F2

* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id	Content
F1	Twenty-five percent (25%) of the shares subject to the stock option vest on the one-year anniversary as measured from 9/11/2023, and the remainder of the shares vest in 36 equal monthly installments thereafter, subject to continued employment or service through each such date. If applicable, vesting accelerates as provided in, and subject to the terms and conditions of, that certain Severance and Change of Control Agreement between the Issuer and the Reporting Person, as may be amended from time to time.
F2	1/48 of the Option vests in equal monthly installments as measured from 7/18/2024, subject to continued employment or service through each such date. If applicable, vesting accelerates as provided in, and subject to the terms and conditions of, that certain Severance and Change of Control Agreement between the Issuer and the Reporting Person, as may be amended from time to time.

Content

Twenty-five percent (25%) of the shares subject to the stock option vest on the one-year anniversary as measured from 9/11/2023, and the remainder of the shares vest in 36 equal monthly installments thereafter, subject to continued employment or service through each such date. If applicable, vesting accelerates as provided in, and subject to the terms and conditions of, that certain Severance and Change of Control Agreement between the Issuer and the Reporting Person, as may be amended from time to time.

1/48 of the Option vests in equal monthly installments as measured from 7/18/2024, subject to continued employment or service through each such date. If applicable, vesting accelerates as provided in, and subject to the terms and conditions of, that certain Severance and Change of Control Agreement between the Issuer and the Reporting Person, as may be amended from time to time.