Allan R. Will - 21 May 2025 Form 4 Insider Report for EBR Systems, Inc. (EBRCZ)

Role
Director
Signature
/s/ Gary W Doherty, Attorney-in-Fact
Issuer symbol
EBRCZ
Transactions as of
21 May 2025
Transactions value $
$0
Form type
4
Filing time
22 May 2025, 20:35:28 UTC
Previous filing
02 Jan 2025
SEC
View on sec.gov

Reporting Owners (1)

Name Relationship Address Signature Signature date CIK
Will Allan R Director 480 OAKMEAD PARKWAY, SUNNYVALE /s/ Gary W Doherty, Attorney-in-Fact 22 May 2025 0001367902

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
holding EBRCZ Common Stock 5.94M 21 May 2025 By the Allan Will U/A DT 6/14/2012 F1, F2
holding EBRCZ Common Stock 600K 21 May 2025 By Taphne Ann Lux F3

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 Stock Option (right to buy) Award $0 +215K $0.00 215K 21 May 2025 Common Stock 215K $1.04 Direct F4, F5, 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 Includes 110,000 shares previously owned directly which were contributed to Allan Will U/A DT 6/14/2012.
F3 Family Member.
F4 The exercise price was determined and approved by the Board of Directors on March 18, 2025, subject to approval by the Company's stockholders at the 2025 annual meeting of stockholders (including any adjournment or postponement thereof) in accordance with the Listing Rules of the ASX.
F5 The Board of Directors approved the grant on March 18, 2025, subject to approval by the Company's stockholders at the 2025 annual meeting of stockholders (including any adjournment or postponement thereof) in accordance with the Listing Rules of the ASX.
F6 The option vest in 1/12 equal monthly installments as measured from 5/21/2025, subject to continued employment or service through each such date.