SEC Form 4 · accession 0001628280-18-009479
ESTABLISHMENT LABS HOLDINGS INC. · ESTA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Nicholas Sheridan Lewin
Director · 10% Owner
Period of report
Jul 18, 2018
Accepted (ET)
Jul 20, 2018 · 5:44 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001688757
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 | $18.00 | Jul 18, 2018 | A | 250,000 | A | — | — | Common Shares | 250,000 | 250,000 | D |
Explanation of responses
- F1One-fourth of the shares subject to the option shall vest on July 18, 2019 and each one-year anniversary thereafter, subject to the Reporting Person continuing as a service provider through each such date.