Bronwyn Evans - 19 Jun 2025 Form 4 Insider Report for EBR Systems, Inc. (EBRCZ)

Role
Director
Signature
/s/ Gary W Doherty, Attorney-in-Fact
Issuer symbol
EBRCZ
Transactions as of
19 Jun 2025
Net transactions value
+$30,000
Form type
4
Filing time
20 Jun 2025, 20:22:24 UTC
Previous filing
22 May 2025
Next filing
19 Aug 2025
SEC
View on sec.gov

Reporting Owners (1)

Name Relationship Address Signature Signature date CIK
Evans Bronwyn Director 480 OAKMEAD PARKWAY, SUNNYVALE /s/ Gary W Doherty, Attorney-in-Fact 20 Jun 2025 0002037266

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction EBRCZ Common Stock Exercise of in-the-money or at-the-money derivative security $30,000 +30,000 +9.2% $1.00 355,783 19 Jun 2025 By Bronwyn Evans and Peter Douglas Gordon F1, F2

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Underlying Class Amount Exercise Price Ownership Footnotes
transaction EBRCZ Subscription Rights (right to buy) Exercise of in-the-money or at-the-money derivative security $0 -30,000 -100% $0.000000 0 19 Jun 2025 Common Stock 30,000 $1.00 By Bronwyn Evans and Peter Douglas Gordon F1, F2
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
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.
F2 The CDIs were issued in connection with a entitlement offer or rights offering, pursuant to a Security Purchase Plan on ASX.