0001628280-19-012295.txt : 20191015 0001628280-19-012295.hdr.sgml : 20191015 20191015190546 ACCESSION NUMBER: 0001628280-19-012295 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20190523 FILED AS OF DATE: 20191015 DATE AS OF CHANGE: 20191015 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: COLLERAN LISA N CENTRAL INDEX KEY: 0001212312 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38593 FILM NUMBER: 191151816 MAIL ADDRESS: STREET 1: 0NE MILLENIUM WAY CITY: BRANCHBURG STATE: NJ ZIP: 08876 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_157118071876235.xml FORM 4 X0306 4 2019-05-23 0 0001688757 ESTABLISHMENT LABS HOLDINGS INC. ESTA 0001212312 COLLERAN LISA N C/O MOTIVA USA LLC 16192 COASTAL HIGHWAY LEWES DE 19958 1 0 0 0 Common Shares 2019-05-23 4 P 0 2300 21.81 A 41231 D Common Shares 2019-09-04 4 P 0 535 19.13 A 41766 D /s/ Renee M. Gaeta, by power of attorney 2019-10-15