Michael Hendricksen - 25 Jun 2025 Form 4 Insider Report for EBR Systems, Inc. (EBRCZ)

Reporting relationship: Chief Operating Officer
Issuer ticker: EBRCZ
Reported as of: 25 Jun 2025
Net transaction value: $0
SEC form: 4
Accepted by SEC: 27 Jun 2025, 18:08:30 UTC
Prior SEC filing: 30 Sep 2024
Next SEC filing: 07 Jul 2026
Source filing: View source filing
Reporting owner signature: /s/ Spencer Lott, Attorney-in-Fact

Key filing fact

Michael Hendricksen filed Form 4 for EBR Systems, Inc. (EBRCZ) on 27 Jun 2025.

Key facts

This page summarizes Michael Hendricksen's Form 4 filing for EBR Systems, Inc. (EBRCZ).
1 reported transaction and 1 derivative row are listed below.
Accepted by SEC: 27 Jun 2025, 18:08.

Change

Previous filing in this sequence was filed on 30 Sep 2024.
Current net transaction value: $0.

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 0002035931 Primary reporting owner

Hendricksen Michael

Relationship: Chief Operating Officer
Address: 480 OAKMEAD PARKWAY, SUNNYVALE
Signature: /s/ Spencer Lott, Attorney-in-Fact
Signature date: 27 Jun 2025

Reported derivative securities

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

EBRCZ transaction Derivative

Stock Option (right to buy)

Award

Transaction value: $0
Shares: +500,000
Change %
Price: $0.000000
Shares after: 500,000
Date: 25 Jun 2025
Ownership: Direct
Underlying class: Common Stock
Underlying amount: 500,000
Exercise price: $0.7500
Footnotes: F1

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

Additional SEC filing notes

Filing notes and footnotes

Explanation of responses 1 footnote

Footnote F1

1/48 of the Option vests in equal monthly installments as measured from 06/25/2025, subject to continued employment or service through each such date. If applicable, vesting accelerates as provided in, and subject to the terms and conditions of, that certain Severance and Change of Control Agreement between the Issuer and the Reporting Person, as may be amended from time to time.