Allan R. Will - 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, 06:42 PM
Previous filing: Feb 1, 2024

Transactions Table

Type	Sym	Class	Transaction	Value $	Shares	Change %	* Price $	Shares After	Date	Ownership	Footnotes
holding	EBRCZ	Common Stock						5.83M	Sep 30, 2024	By the Allan R. Will Trust U/A Dtd 6/14/2012	F1
holding	EBRCZ	Common Stock						628K	Sep 30, 2024	By the Matthew Standen Will Special Needs Trust Dtd 1/16/2013	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	EBRCZ	Stock Option (right to buy)							Sep 30, 2024	Common Stock	2.31M	$0.14	Direct	F2
holding	EBRCZ	Stock Option (right to buy)							Sep 30, 2024	Common Stock	58.5K	$0.16	Direct	F2
holding	EBRCZ	Stock Option (right to buy)							Sep 30, 2024	Common Stock	171K	$0.80	Direct	F3
holding	EBRCZ	Stock Option (right to buy)							Sep 30, 2024	Common Stock	182K	$0.44	Direct	F4
holding	EBRCZ	Stock Option (right to buy)							Sep 30, 2024	Common Stock	164K	$0.55	Direct	F5
holding	EBRCZ	Warrant (right to buy)							Sep 30, 2024	Common Stock	63.8K	$0.59	By the Allan R. Will Trust U/A Dtd 6/14/2012
holding	EBRCZ	Warrant (right to buy)							Sep 30, 2024	Common Stock	63.8K	$0.59	By the Allan R. Will Trust U/A Dtd 6/14/2012
holding	EBRCZ	Warrant (right to buy)							Sep 30, 2024	Common Stock	25.5K	$0.59	By the Allan R. Will Trust U/A Dtd 6/14/2012
holding	EBRCZ	Warrant (right to buy)							Sep 30, 2024	Common Stock	48.4K	$0.59	By the Allan R. Will Trust U/A Dtd 6/14/2012
holding	EBRCZ	Warrant (right to buy)							Sep 30, 2024	Common Stock	48.4K	$0.59	By the Allan R. Will Trust U/A Dtd 6/14/2012

* 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	Fully Vested.
F3	1/3 of the shares subject to the stock option vest on the one-year anniversary as measured from 10/1/2021, and the remainder of the shares vest in 24 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.
F4	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. 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.
F5	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. 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.