Bronwyn Evans - Oct 16, 2024 Form 4 Insider Report for EBR Systems, Inc. (EBRCZ)

Role
Director
Signature
/s/ Gary W Doherty, Attorney-in-Fact
Stock symbol
EBRCZ
Transactions as of
Oct 16, 2024
Transactions value $
$4,520
Form type
4
Date filed
10/17/2024, 07:19 PM
Previous filing
Sep 30, 2024
Next filing
Nov 26, 2024

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction EBRCZ Common Stock Exercise of in-the-money or at-the-money derivative security $4.52K +8.37K +5% $0.54 176K Oct 16, 2024 By Bronwyn Evans and Peter Douglas Gordon 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
transaction EBRCZ Subscription Rights (right to buy) Exercise of in-the-money or at-the-money derivative security $0 -8.37K -100% $0.00 0 Oct 16, 2024 Common Stock 8.37K $0.54 By Bronwyn Evans and Peter Douglas Gordon F1, F2
* 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 The CDIs were issued in connection with a 1-for-20 pro-rata entitlement offer, or rights offering, on ASX that closed on October 16, 2024.