Blake Gurfein - 18 Dec 2024 Form 4 Insider Report for Tivic Health Systems, Inc. (TIVC)

Reporting relationship: Chief Scientific Officer
Issuer ticker: TIVC
Reported as of: 18 Dec 2024
Net transaction value: $0
SEC form: 4
Accepted by SEC: 20 Dec 2024, 17:15:08 UTC
Prior SEC filing: 22 Mar 2024
Source filing: View source filing
Reporting owner signature: /s/ Jennifer Ernst, attorney-in-fact

Key filing fact

Blake Gurfein filed Form 4 for Tivic Health Systems, Inc. (TIVC) on 20 Dec 2024.

Key facts

This page summarizes Blake Gurfein's Form 4 filing for Tivic Health Systems, Inc. (TIVC).
1 reported transaction and 1 derivative row are listed below.
Accepted by SEC: 20 Dec 2024, 17:15.

Change

Previous filing in this sequence was filed on 22 Mar 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

Reported derivative securities

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

TIVC transaction Derivative

Restricted Stock Units

Award

Transaction value: $0
Shares: +225,000
Change %
Price: $0.000000
Shares after: 225,000
Date: 18 Dec 2024
Ownership: Direct
Underlying class: Common Stock
Underlying amount: 225,000
Exercise price
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

Each Restricted Stock Unit is convertible into one share of Common Stock.

Footnote F2

Fifty percent (50%) of the Restricted Stock Units will vest upon the one (1) year anniversary of the Vesting Commencement Date, and the balance of the Restricted Stock Units will be vested in a series of eight (8) successive equal quarterly installments measured from the first anniversary of the Vesting Commencement Date such that one hundred percent (100%) of the Restricted Stock Units shall have vested on the third anniversary of the Vesting Commencement Date.