Branislav Vajdic - Nov 10, 2021 Form 3/A - Amendment Insider Report for HeartBeam, Inc. (BEAT)

Role
Chief Executive Officer
Signature
/s/ Branislav Vajdic
Stock symbol
BEAT
Transactions as of
Nov 10, 2021
Transactions value $
$0
Form type
3/A - Amendment
Date filed
10/14/2022, 04:03 PM
Date Of Original Report
Nov 10, 2021
Next filing
Nov 16, 2021

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
holding BEAT Common Stock 795K Nov 10, 2021 Direct 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
holding BEAT Convertible Promissory Note Nov 10, 2021 Common Stock 116K Direct F2
holding BEAT Common Stock warrant (right to buy) Nov 10, 2021 Common Stock 5.82K $2.75 Direct F3
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 32,727 shares are held in the name of his spouse, Marijana Rakic.
F2 Represents $485,347.80 of outstanding principal and interest calculated through November 10, 2021. The note will convert into 115,559 shares of Common Stock upon the closing of the Issuer's initial public offering of Common Stock (the "IPO").
F3 All of the shares subject to the warrant are fully vested and exercisable as of the date hereof.

Remarks:

This amendment is being filed to correct the number of Derivative Securities Beneficially Owned by Branislav Vajdic on November 10, 2021. The initial filing incorrectly overstated the number of Derivative Securities Beneficially Owned by Branislav Vajdic following the transfer to his ex-wife of 363,636 Common Stock Warrants to purchase shares of common stock of the issuer by 363,636. Consequently, the initial filing overstated the number of Derivative Securities Beneficially Owned by Branislav Vajdic following the transactions subsequently disclosed by the same amount.