Trevor J. Moody - 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, 06:43 PM
Previous filing
Aug 4, 2023

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 By the Australian Medtech Services Pty Ltd F1
holding EBRCZ Stock Option (right to buy) Sep 30, 2024 Common Stock 182K $0.44 Direct F2
holding EBRCZ Stock Option (right to buy) Sep 30, 2024 Common Stock 164K $0.55 Direct F3
holding EBRCZ Warrant (right to buy) Sep 30, 2024 Common Stock 854K $0.41 By M. H. Carnegie & Co. Pty Ltd
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 1/3 of the shares subject to the stock option vest on the one-year anniversary as measured from 11/22/2021, and the remainder of the shares vest in 24 equal monthly installments thereafter, subject to continued employment or service through each such date.
F2 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.
F3 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.