Christopher Nave - 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, 06:45 PM

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
holding EBRCZ Common Stock 20.9M Sep 30, 2024 See Footnote F1, F2

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 MRCF BTF Service (BCPIT) Pty Ltd as trustee for the MRCF BTF (BCP Investment) Trust F3, F4
holding EBRCZ Stock Option (right to buy) Sep 30, 2024 Common Stock 182K $0.44 MRCF BTF Service (BCPIT) Pty Ltd as trustee for the MRCF BTF (BCP Investment) Trust F4, F5
holding EBRCZ Stock Option (right to buy) Sep 30, 2024 Common Stock 164K $0.55 MRCF BTF Service (BCPIT) Pty Ltd as trustee for the MRCF BTF (BCP Investment) Trust F4, F6
* 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 MRCF3 Services (H) Pty Ltd, MRCF3 Services (HP) Pty Ltd, MRCF3 Services (AS) Pty Ltd, MRCF3 Services (SW) Pty Ltd, MRCF3 Services (CSL) Pty Ltd and MRCF3 Pty Ltd are the Registered Holders of Brandon Capital Partners and as such may be deemed to have indirect beneficial ownership of an indeterminate amount of such CDIs. Christopher Nave is a member of MRCF3 Services (H) Pty Ltd, MRCF3 Services (HP) Pty Ltd, MRCF3 Services (AS) Pty Ltd, MRCF3 Services (SW) Pty Ltd, MRCF3 Services (CSL) Pty Ltd and MRCF3 Pty Ltd and share voting and investment power over the CDIs held by Brandon Capital Partners. Mr. Nave does not have voting or investment power over the CDIs held by MRCF3 Services (H) Pty Ltd, MRCF3 Services (HP) Pty Ltd, MRCF3 Services (AS) Pty Ltd, MRCF3 Services (SW) Pty Ltd, MRCF3 Services (CSL) Pty Ltd and MRCF3 Pty Ltd.
F3 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.
F4 A trustee for the MRCF BTF (BCP Investment) Trust.
F5 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.
F6 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.