0001254555-21-000003.txt : 20211126 0001254555-21-000003.hdr.sgml : 20211126 20211126080042 ACCESSION NUMBER: 0001254555-21-000003 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20211123 FILED AS OF DATE: 20211126 DATE AS OF CHANGE: 20211126 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: SCHUTTER EDWARD J CENTRAL INDEX KEY: 0001254555 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38593 FILM NUMBER: 211449129 MAIL ADDRESS: STREET 1: C/O FIRST HORIZON PHARMACEUTICAL CORP STREET 2: 6195 SHILOH ROAD CITY: ALPHARETTA STATE: GA ZIP: 30005 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_163793161970578.xml FORM 4 X0306 4 2021-11-23 0 0001688757 ESTABLISHMENT LABS HOLDINGS INC. ESTA 0001254555 SCHUTTER EDWARD J C/O MOTIVA USA LLC 16192 COASTAL HIGHWAY LEWES DE 19958 1 0 0 0 Common Shares 2021-11-23 4 P 0 2467 62.50 A 268562 D Common Shares 2021-11-24 4 P 0 30000 67 A 298562 D /s/ Rajbir S. Denhoy, by power of attorney 2021-11-26