Bronwyn Evans - Nov 25, 2024 Form 4 Insider Report for EBR Systems, Inc. (NONE)

Role: Director
Signature: /s/ Gary W Doherty, Attorney-in-Fact
Stock symbol: NONE
Transactions as of: Nov 25, 2024
Transactions value $: $66,000
Form type: 4
Date filed: 11/26/2024, 04:32 PM
Previous filing: Oct 17, 2024

Transactions Table

Type	Sym	Class	Transaction	Value $	Shares	Change %	* Price $	Shares After	Date	Ownership	Footnotes
transaction	NONE	Common Stock	Options Exercise	$66K	+150K		$0.44	150K	Nov 25, 2024	Direct	F1
holding	NONE	Common Stock						176K	Nov 25, 2024	By Bronwyn Evans and Peter Douglas Gordon	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
transaction	NONE	Employee Stock Option (right to buy)	Options Exercise	$0	-150K	-82.35%	$0.00	32.2K	Nov 25, 2024	Common Stock	150K	$0.44	Direct	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	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.