Lisa G. Wolf - 06 Aug 2025 Form 4/A - Amendment Insider Report for Tivic Health Systems, Inc. (TIVC)

Reporting relationship: Chief Financial Officer
Issuer ticker: TIVC
Reported as of: 06 Aug 2025
Net transaction value: $0
SEC form: 4/A - Amendment
Accepted by SEC: 22 Aug 2025, 20:00:41 UTC
Original report date: 08 Aug 2025
Prior SEC filing: 20 Dec 2024
Next SEC filing: 22 Dec 2025
Source filing: View source filing
Reporting owner signature: /s/ Jennifer Ernst, attorney-in-fact

Key filing fact

Lisa G. Wolf filed Form 4/A - Amendment for Tivic Health Systems, Inc. (TIVC) on 22 Aug 2025.

Key facts

This page summarizes Lisa G. Wolf's Form 4/A - Amendment filing for Tivic Health Systems, Inc. (TIVC).
1 reported transaction and 1 derivative row are listed below.
Accepted by SEC: 22 Aug 2025, 20:00.

Change

Previous filing in this sequence was filed on 20 Dec 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/A - Amendment disclosures.

View source filing

Reporting Owners (1)

CIK 0001861556 Primary reporting owner

Wolf Lisa G

Relationship: Chief Financial Officer
Address: 47685 LAKEVIEW BLVD., FREMONT
Signature: /s/ Jennifer Ernst, attorney-in-fact
Signature date: 22 Aug 2025

Reported derivative securities

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

TIVC transaction Derivative

Employee Stock Option (Right to Purchase)

Award

Transaction value: $0
Shares: +80,000
Change %
Price: $0.000000
Shares after: 80,000
Date: 06 Aug 2025
Ownership: Direct
Underlying class: Common Stock
Underlying amount: 80,000
Exercise price: $3.32
Footnotes: F1

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

Additional SEC filing notes

Filing notes and footnotes

Explanation of responses 1 footnote

Footnote F1

This Amendment No. 1 ("Form 4/A") to the Form 4 filed by the reporting person on August 8, 2025 (the "Original Form 4") is being filed to correct an administrative error, resulting in the incorrect vesting schedule for the stock option being included in the Original Form 4. As reflected in this Form 4/A, the stock option vests as follows: (i) 25% upon the first anniversary of the grant date, and (ii) the remaining 75% in a series of twelve (12) successive equal quarterly installments, rounded downward to the nearest whole share, measured from the first anniversary of the grant date, such that 100% of the stock option will be vested upon the fourth anniversary of the grant date.