SEC Form 4/A · accession 0002037266-26-000006
EBR Systems, Inc. · NONE.
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
This is an amendment (Form 4/A). It replaces an earlier filing for the same period.
Reporting owner
Bronwyn Evans
Director
Period of report
May 6, 2026
Accepted (ET)
Jul 28, 2026 · 5:53 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,F2 | $6.1382 | May 6, 2026 | A | 34,211 | A | — | May 5, 2036 | Common Stock | 34,211 | 34,211 | D |
Explanation of responses
- F1The original Form 4 filed May 8, 2026 has been amended to reflect the correct per share exercise price.
- F21/12 of the shares subject to the option shall vest on June 6, 2026 and each month thereafter, subject to the Reporting Person continuing as a service provider through each such date.