0001111413-24-000004.txt : 20240528
0001111413-24-000004.hdr.sgml : 20240528
20240528172709
ACCESSION NUMBER: 0001111413-24-000004
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240524
FILED AS OF DATE: 20240528
DATE AS OF CHANGE: 20240528
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: CONDON DENNIS E
CENTRAL INDEX KEY: 0001111413
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38593
FILM NUMBER: 24993142
MAIL ADDRESS:
STREET 1: 811 ALSTON RD
CITY: SANTA BARBARA
STATE: CA
ZIP: 93108
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: ESTABLISHMENT LABS HOLDINGS INC.
CENTRAL INDEX KEY: 0001688757
STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842]
ORGANIZATION NAME: 08 Industrial Applications and Services
IRS NUMBER: 981436377
STATE OF INCORPORATION: D8
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: BUILDING B15 AND 25 COYOL FREE ZONE
CITY: ALAJUELA
STATE: G2
ZIP: 20101
BUSINESS PHONE: 50624342400
MAIL ADDRESS:
STREET 1: BUILDING B15 AND 25 COYOL FREE ZONE
CITY: ALAJUELA
STATE: G2
ZIP: 20101
4
1
wk-form4_1716931610.xml
FORM 4
X0508
4
2024-05-24
0
0001688757
ESTABLISHMENT LABS HOLDINGS INC.
ESTA
0001111413
CONDON DENNIS E
C/O MOTIVA USA LLC
16192 COASTAL HIGHWAY
LEWES
DE
19958
1
0
0
0
0
Common Shares
2024-05-24
4
A
0
2334
0
A
8455
D
Represents an award of stock units under the Issuer's 2018 Equity Incentive Plan. The shares subject to the award vest in full on the earlier of May 24, 2025 or the day prior to the date of the Issuer's next annual meeting of stockholders, subject to the Reporting Person continuing as a service provider through such date.
/s/ Rajbir S. Denhoy, Chief Financial Officer, by power of attorney
2024-05-28