0001111413-24-000005.txt : 20240702 0001111413-24-000005.hdr.sgml : 20240702 20240702164400 ACCESSION NUMBER: 0001111413-24-000005 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240630 FILED AS OF DATE: 20240702 DATE AS OF CHANGE: 20240702 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: 241096329 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_1719953033.xml FORM 4 X0508 4 2024-06-30 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 2024-06-30 4 A 0 314 45.44 A 8769 D Represents common shares elected to be received in lieu of a quarterly cash retainer payment in accordance with the Reporting Person's prior election under the Issuer's Outside Director Compensation Policy. The common shares were issued pursuant to the Issuer's 2018 Equity Incentive Plan and determined based on the closing price of the Issuer's common shares on the last trading day of the quarter. /s/ Rajbir S. Denhoy, Chief Financial Officer, by power of attorney 2024-07-02