0001628280-21-012097.txt : 20210611 0001628280-21-012097.hdr.sgml : 20210611 20210611162044 ACCESSION NUMBER: 0001628280-21-012097 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210609 FILED AS OF DATE: 20210611 DATE AS OF CHANGE: 20210611 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: CONDON DENNIS E CENTRAL INDEX KEY: 0001111413 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38593 FILM NUMBER: 211011549 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] IRS NUMBER: 981436377 BUSINESS ADDRESS: STREET 1: PO BOX 3140, COMMERCE HOUSE STREET 2: WICKHAMS CAY 1, ROAD TOWN CITY: TORTOLA STATE: D8 ZIP: VG1110 BUSINESS PHONE: 50624342400 MAIL ADDRESS: STREET 1: PO BOX 3140, COMMERCE HOUSE STREET 2: WICKHAMS CAY 1, ROAD TOWN CITY: TORTOLA STATE: D8 ZIP: VG1110 4 1 wf-form4_162344282246421.xml FORM 4 X0306 4 2021-06-09 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 Common Shares 2021-06-09 4 M 0 9000 10.19 A 9000 D Common Shares 2021-06-09 4 S 0 1988 77.6336 D 7012 D Common Shares 2021-06-09 4 S 0 1229 78.7283 D 5783 D Common Shares 2021-06-09 4 S 0 5772 79.5495 D 11 D Common Shares 2021-06-09 4 S 0 11 80 D 0 D Stock Option (Right to buy) 10.19 2021-06-09 4 M 0 9000 10.19 D 2028-03-13 Common Shares 9000.0 27780 D The option exercise and sale reported on this Form 4 were effected pursuant to a Rule 10b5-1 trading plan entered into by the Reporting Person. This transaction was executed in multiple trades at prices ranging from $77.49 to $77.97 per share. The price reported above reflects the weighted average sale price. The Reporting Person undertakes to provide upon request by the staff of the Securities and Exchange Commission, the Issuer, or a security holder of the Issuer, full information regarding the number of shares sold at each separate price. This transaction was executed in multiple trades at prices ranging from $78.02 to $78.96 per share. The price reported above reflects the weighted average sale price. The Reporting Person undertakes to provide upon request by the staff of the Securities and Exchange Commission, the Issuer, or a security holder of the Issuer, full information regarding the number of shares sold at each separate price. This transaction was executed in multiple trades at prices ranging from $79.00 to $79.97 per share. The price reported above reflects the weighted average sale price. The Reporting Person undertakes to provide upon request by the staff of the Securities and Exchange Commission, the Issuer, or a security holder of the Issuer, full information regarding the number of shares sold at each separate price. The option, originally for 36,780 shares, vested as to one-fourth of the shares on December 11, 2018, and one-fourth of the shares subject to the option vest each one-year anniversary thereafter, subject to the Reporting Person continuing as a service provider through each such date. /s/ Renee M. Gaeta, by power of attorney 2021-06-11