SEC Form 4 · accession 0001818626-26-000002
EBR Systems, Inc. · NONE.
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Gary W. Doherty
Officer — Chief Financial Officer
Period of report
Jun 24, 2026
Accepted (ET)
Jul 7, 2026 · 5:48 pm EDT
Rule 10b5-1 plan
box not checked
Issuer CIK
0001347123
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (right to buy)F1 | $2.6727 | Jun 24, 2026 | A | 60,000 | A | — | Jun 23, 2036 | Common Stock | 60,000 | 60,000 | D |
Explanation of responses
- F11/48 of the shares subject to the option shall vest on July 24, 2026 and each month thereafter, subject to the Reporting Person continuing as a service provider through each such date.