Bronwyn Evans - 18 Aug 2025 Form 4 Insider Report for EBR Systems, Inc. (EBRCZ)

Reporting relationship: Director
Issuer ticker: EBRCZ
Reported as of: 18 Aug 2025
Net transaction value: +$104,150
SEC form: 4
Accepted by SEC: 19 Aug 2025, 18:11:16 UTC
Prior SEC filing: 20 Jun 2025
Next SEC filing: 28 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 19 Aug 2025.

Key facts

This page summarizes Bronwyn Evans's Form 4 filing for EBR Systems, Inc. (EBRCZ).
4 reported transactions and 2 derivative rows are listed below.
Accepted by SEC: 19 Aug 2025, 18:11.

Change

Previous filing in this sequence was filed on 20 Jun 2025.
Current net transaction value: +$104,150.

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: 19 Aug 2025

Reported non-derivative transactions

Shares, units, or other non-derivative securities reported in this filing.

EBRCZ transaction

Common Stock

Options Exercise

Transaction value: $90,000
Shares: +163,637
Change %: +46%
Price: $0.5500
Shares after: 519,420
Date: 18 Aug 2025
Ownership: By Bronwyn Evans and Peter Douglas Gordon
Footnotes: F1

EBRCZ transaction

Common Stock

Options Exercise

Transaction value: $14,150
Shares: +32,159
Change %: +6.2%
Price: $0.4400
Shares after: 551,579
Date: 18 Aug 2025
Ownership: By Bronwyn Evans and Peter Douglas Gordon
Footnotes: F1, F2

Reported derivative securities

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

EBRCZ transaction Derivative

Employee Stock Option (right to buy)

Options Exercise

Transaction value: $0
Shares: -163,637
Change %: -100%
Price: $0.000000
Shares after: 0
Date: 18 Aug 2025
Ownership: By Bronwyn Evans and Peter Douglas Gordon
Underlying class: Common Stock
Underlying amount: 163,637
Exercise price: $0.5500
Footnotes: F3

EBRCZ transaction Derivative

Employee Stock Option (right to buy)

Options Exercise

Transaction value: $0
Shares: -32,159
Change %: -100%
Price: $0.000000
Shares after: 0
Date: 18 Aug 2025
Ownership: Direct
Underlying class: Common Stock
Underlying amount: 32,159
Exercise price: $0.4400
Footnotes: F4

^* 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 the same amount of Chess Depositary Interests ("CDIs"). The CDIs are traded on the Australian Securities Exchange (the "ASX") and are held by CHESS Depositary Nominees Pty, Limited, a subsidiary of ASX Limited, the company that operates the ASX.

Footnote F2

Includes 32,159 shares previously owned directly which were contributed to Bronwyn Evans and Peter Douglas Gordon.

Footnote F3

The option vested in 12 equal monthly installments as measured from 05/29/2024, subject to continued employment or service through each such date.

Footnote F4

The option vested in 12 equal monthly installments as measured from 5/22/2023, subject to continued employment or service through each such date.