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

Source evidence Original filing metadata and source links for verification. 4 source fields
SEC form
3
Accepted by SEC
30 Sep 2024, 18:43:52 UTC
Next SEC filing
27 Jun 2025
Source filing
View source filing
Reporting owner 1 detail
Reporting owner signature
/s/ Gary W Doherty, Attorney-in-Fact
Filing notes and source

Key filing fact

Michael Hendricksen filed Form 3 for EBR Systems, Inc. (EBRCZ) on 30 Sep 2024.

Key facts

  • This page summarizes Michael Hendricksen's Form 3 filing for EBR Systems, Inc. (EBRCZ).
  • 0 reported transactions and 3 derivative rows are listed below.
  • Accepted by SEC: 30 Sep 2024, 18:43.

Change

  • No earlier filing in this sequence is available for direct comparison.
  • Current net transaction value: $0.

Research use

  • This tells you what this filing adds before you inspect full transaction and derivative tables.
  • You can trace every row back to the original SEC filing document.

Evidence

Official SEC source

Ownership activity is grounded in SEC Form 3 disclosures.

View source filing

Reported derivative securities

Options, warrants, convertible securities, or similar derivative positions disclosed in the filing.

EBRCZ holding Derivative

Stock Option (right to buy)

No transaction description listed

Transaction value
Shares
Change %
Price
Shares after
Date
30 Sep 2024
Ownership
Direct
Underlying class
Common Stock
Underlying amount
1,600,000
Exercise price
$0.4900
Footnotes
F1
EBRCZ holding Derivative

Stock Option (right to buy)

No transaction description listed

Transaction value
Shares
Change %
Price
Shares after
Date
30 Sep 2024
Ownership
Direct
Underlying class
Common Stock
Underlying amount
150,000
Exercise price
$0.6600
Footnotes
F2
EBRCZ holding Derivative

Stock Option (right to buy)

No transaction description listed

Transaction value
Shares
Change %
Price
Shares after
Date
30 Sep 2024
Ownership
Direct
Underlying class
Common Stock
Underlying amount
250,000
Exercise price
$0.7700
Footnotes
F3
* marks a reported price that did not pass the local price check.

Additional SEC filing notes

Filing notes and footnotes

Explanation of responses 3 footnotes

Footnote F1

Twenty-five percent (25%) of the shares subject to the stock option vest on the one-year anniversary as measured from 11/15/2021, 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.

Footnote F2

1/48 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.

Footnote F3

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.

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