Bronwyn Evans - 29 Jun 2026 Form 4 Insider Report for EBR Systems, Inc. (EBRCZ)

Reporting relationship: Director
Issuer ticker: EBRCZ
Reported as of: 29 Jun 2026
Net transaction value: $0
SEC form: 4
Accepted by SEC: 01 Jul 2026, 17:39:23 UTC
Prior SEC filing: 01 Jul 2026
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 01 Jul 2026.

Key facts

This page summarizes Bronwyn Evans's Form 4 filing for EBR Systems, Inc. (EBRCZ).
3 reported transactions and 2 derivative rows are listed below.
Accepted by SEC: 01 Jul 2026, 17:39.

Change

Previous filing in this sequence was filed on 01 Jul 2026.
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 0002037266 Primary reporting owner

Evans Bronwyn

Relationship: Director
Address: 480 OAKMEAD PARKWAY, SUNNYVALE
Signature: /s/ Gary W Doherty, Attorney-in-Fact
Signature date: 01 Jul 2026

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
Shares: +27,579
Change %: +32%
Price: $3.80^*
Shares after: 112,737
Date: 29 Jun 2026
Ownership: By Bronwyn Evans and Peter Douglas Gordon
Footnotes: F1, F2, F3, F4

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
Shares: +27,579
Change %
Price: $0.000000^*
Shares after: 27,579
Date: 29 Jun 2026
Ownership: By Bronwyn Evans and Peter Douglas Gordon
Underlying class: Common Stock
Underlying amount: 27,579
Exercise price: $3.80
Footnotes: F1, F2, F3

EBRCZ transaction Derivative

Subscription Rights (right to buy)

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

Transaction value
Shares: -27,579
Change %: -100%
Price: $0.000000^*
Shares after: 0
Date: 29 Jun 2026
Ownership: By Bronwyn Evans and Peter Douglas Gordon
Underlying class: Common Stock
Underlying amount: 27,579
Exercise price: $3.80
Footnotes: F1, F2, F3

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

Additional SEC filing notes

Filing notes and footnotes

Explanation of responses 4 footnotes

Footnote F1

Represents shares of the Issuer's common stock underlying 275,790 Chess Depositary Interests ("CDIs"). The CDIs are traded on the Australian Securities Exchange (the "ASX") and are held by CHESS Depository Nominees Pty, Limited, a subsidiary of ASX Limited, the company that operates the ASX.

Footnote F2

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

Footnote F3

The price is reported in Australian dollars.

Footnote F4

Represents shares of the Issuer's common stock underlying 1,127,370 CDIs. The CDIs are traded on the ASX and are held by CHESS Depository Nominees Pty, Limited, a subsidiary of ASX Limited, the company that operates the ASX.