Bronwyn Evans - Sep 30, 2024 Form 3 Insider Report for EBR Systems, Inc. (EBRCZ)

Role
Director
Signature
/s/ Gary W Doherty, Attorney-in-Fact
Stock symbol
EBRCZ
Transactions as of
Sep 30, 2024
Transactions value $
$0
Form type
3
Date filed
9/30/2024, 06:40 PM
Next filing
Oct 17, 2024

Transactions Table

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 100K $0.80 Direct F2
holding EBRCZ Stock Option (right to buy) Sep 30, 2024 Common Stock 182K $0.44 Direct F3
holding EBRCZ Stock Option (right to buy) Sep 30, 2024 Common Stock 164K $0.55 By Bronwyn Evans and Peter Douglas Gordon F4
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Represents 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 1/3 of the shares subject to the stock option vest on the one-year anniversary as measured from 9/30/2021, and the remainder of the shares vest in 24 equal monthly installments thereafter, subject to continued employment or service through each such date.
F3 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.
F4 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.