Bronwyn Evans - 19 Jun 2025 Form 4 Insider Report for EBR Systems, Inc. (EBRCZ)

Reporting relationship: Director
Issuer ticker: EBRCZ
Reported as of: 19 Jun 2025
Net transaction value: +$30,000
SEC form: 4
Accepted by SEC: 20 Jun 2025, 20:22:24 UTC
Prior SEC filing: 22 May 2025
Next SEC filing: 19 Aug 2025
Source filing: View source filing
Reporting owner signature: /s/ Gary W Doherty, Attorney-in-Fact

Key filing fact

Bronwyn Evans filed Form 4 for EBR Systems, Inc. (EBRCZ) on 20 Jun 2025.

Key facts

This page summarizes Bronwyn Evans's Form 4 filing for EBR Systems, Inc. (EBRCZ).
2 reported transactions and 1 derivative row are listed below.
Accepted by SEC: 20 Jun 2025, 20:22.

Change

Previous filing in this sequence was filed on 22 May 2025.
Current net transaction value: +$30,000.

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

Filed on Form 4

Ownership activity is grounded in SEC Form 4 disclosures.

View source filing

Reporting Owners (1)

CIK 0002037266 Primary reporting owner

Evans Bronwyn

Relationship: Director
Address: 480 OAKMEAD PARKWAY, SUNNYVALE
Signature: /s/ Gary W Doherty, Attorney-in-Fact
Signature date: 20 Jun 2025

Reported non-derivative transactions

Shares, units, or other non-derivative securities reported in this filing.

EBRCZ transaction

Common Stock

Exercise of in-the-money or at-the-money derivative security

Transaction value: $30,000
Shares: +30,000
Change %: +9.2%
Price: $1.00
Shares after: 355,783
Date: 19 Jun 2025
Ownership: By Bronwyn Evans and Peter Douglas Gordon
Footnotes: F1, F2

Reported derivative securities

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

EBRCZ transaction Derivative

Subscription Rights (right to buy)

Exercise of in-the-money or at-the-money derivative security

Transaction value: $0
Shares: -30,000
Change %: -100%
Price: $0.000000
Shares after: 0
Date: 19 Jun 2025
Ownership: By Bronwyn Evans and Peter Douglas Gordon
Underlying class: Common Stock
Underlying amount: 30,000
Exercise price: $1.00
Footnotes: F1, F2

^* marks a reported price that did not pass the local price check.

Additional SEC filing notes

Filing notes and footnotes

Explanation of responses 2 footnotes

Footnote 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.

Footnote F2

The CDIs were issued in connection with a entitlement offer or rights offering, pursuant to a Security Purchase Plan on ASX.