Juan Jose Chacon Quiros - 03 Aug 2025 Form 4 Insider Report for ESTABLISHMENT LABS HOLDINGS INC. (ESTA)

Reporting relationship: Director
Issuer ticker: ESTA
Reported as of: 03 Aug 2025
Net transaction value: $0
SEC form: 4
Accepted by SEC: 09 Jan 2026, 16:41:03 UTC
Prior SEC filing: 27 May 2025
Next SEC filing: 19 Dec 2025
Source filing: View source filing
Reporting owner signature: /s/ Rajbir S. Denhoy, Chief Financial Officer, by power of attorney

Key filing fact

Juan Jose Chacon Quiros filed Form 4 for ESTABLISHMENT LABS HOLDINGS INC. (ESTA) on 09 Jan 2026.

Key facts

This page summarizes Juan Jose Chacon Quiros's Form 4 filing for ESTABLISHMENT LABS HOLDINGS INC. (ESTA).
2 reported transactions and 1 derivative row are listed below.
Accepted by SEC: 09 Jan 2026, 16:41.

Change

Previous filing in this sequence was filed on 27 May 2025.
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 0001742429 Primary reporting owner

Chacon Quiros Juan Jose

Relationship: Director
Address: C/O MOTIVA USA LLC, 16192 COASTAL HIGHWAY, LEWES
Signature: /s/ Rajbir S. Denhoy, Chief Financial Officer, by power of attorney
Signature date: 09 Jan 2026

Reported non-derivative transactions

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

ESTA transaction

Common Shares

Award

Transaction value: $0
Shares: +10,285
Change %: +4.8%
Price: $0.000000
Shares after: 224,433
Date: 03 Aug 2025
Ownership: Direct
Footnotes: F1

ESTA holding

Common Shares

No transaction description listed

Transaction value
Shares
Change %
Price
Shares after: 1,078,264
Date: 03 Aug 2025
Ownership: See Footnote
Footnotes: F2

Reported derivative securities

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

ESTA transaction Derivative

Stock Option (Right to buy)

Award

Transaction value: $0
Shares: +14,906
Change %
Price: $0.000000
Shares after: 14,906
Date: 03 Aug 2025
Ownership: Direct
Underlying class: Common Shares
Underlying amount: 14,906
Exercise price: $36.46
Footnotes: F1, F3

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

Additional SEC filing notes

Filing notes and footnotes

Explanation of responses 3 footnotes

Footnote F1

Represents an award of stock units under the Issuer's 2018 Equity Incentive Plan. One-fourth of the shares subject to the award shall vest on June 1, 2026 and each one-year anniversary thereafter, subject to the Reporting Person continuing as a service provider through such date. The grant was contingent upon execution of a post-employment agreement, which was signed on August 3, 2025. Concurrently, the Reporting Person entered into a consulting agreement effective June 1, 2025.

Footnote F2

The shares are held by Sariel Group Ltd. The Reporting Person is a shareholder of Sariel Group Ltd and has voting and dispositive power over the shares owned by Sariel Group Ltd. The Reporting Person disclaims beneficial ownership of the shares held by Sariel Group Ltd, except to the extent of his pecuniary interest therein.

Footnote F3

One-fourth of the shares subject to the option shall vest on June 1, 2026 and each one-year anniversary thereafter, subject to the Reporting Person continuing as a service provider through each such date.