Juan Jose Chacon Quiros - 17 Dec 2025 Form 4 Insider Report for ESTABLISHMENT LABS HOLDINGS INC. (ESTA)

Role
Director
Signature
/s/ Rajbir S. Denhoy, Chief Financial Officer, by power of attorney
Issuer symbol
ESTA
Transactions as of
17 Dec 2025
Net transactions value
$0
Form type
4
Filing time
19 Dec 2025, 16:48:02 UTC
Previous filing
09 Jan 2026
SEC
View on sec.gov

Reporting Owners (1)

Name Relationship Address Signature Signature date CIK
Chacon Quiros Juan Jose Director C/O MOTIVA USA LLC, 16192 COASTAL HIGHWAY, LEWES /s/ Rajbir S. Denhoy, Chief Financial Officer, by power of attorney 19 Dec 2025 0001742429

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction ESTA Common Shares Gift $0 -50,000 -4.4% $0.000000 1,078,264 17 Dec 2025 See Footnote F1, F2
holding ESTA Common Shares 214,148 17 Dec 2025 Direct
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Represents a bona fide gift of shares to Chrysalis Enterprises LLC, an entity controlled by Manuel Enrique Chacon Quiros, the brother of the Reporting Person. The Reporting Person does not have a pecuniary interest in the shares held by Chrysalis Enterprises LLC and expressly disclaims beneficial ownership of these securities.
F2 The shares are held by Sariel Group Ltd. The Reporting Person is a shareholder of Sariel Group Ltd and has voting and dispositive power over the shares owned by Sariel Group Ltd. The Reporting Person disclaims beneficial ownership of the shares held by Sariel Group Ltd, except to the extent of his pecuniary interest therein.