SEC Form 4 · accession 0001628280-18-009509
ESTABLISHMENT LABS HOLDINGS INC. · ESTA
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
A later amendment supersedes this filing — read the amendment. The figures below are kept as originally reported (version chain, not an overwrite).
Reporting owner
Roberto De Mezerville
Officer — Chief Technology Officer
Period of report
Jul 23, 2018
Accepted (ET)
Jul 23, 2018 · 4:27 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001688757
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common SharesF1 | Jul 23, 2018 | C | 124,227 | — | A | 124,227 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Class A Ordinary SharesF1 | — | Jul 23, 2018 | C | 124,227 | D | — | — | Common Shares | 124,227 | 0 | D |
Explanation of responses
- F1The Class A Ordinary Shares automatically converted into Common Shares on a one-for-one basis upon the closing of the Issuer's initial public offering of Common Shares and had no expiration date.