0001628280-21-016241.txt : 20210809
0001628280-21-016241.hdr.sgml : 20210809
20210809161338
ACCESSION NUMBER: 0001628280-21-016241
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210805
FILED AS OF DATE: 20210809
DATE AS OF CHANGE: 20210809
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Gersh Lisa
CENTRAL INDEX KEY: 0001329958
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38593
FILM NUMBER: 211156640
MAIL ADDRESS:
STREET 1: C/O HASBRO, INC.
STREET 2: 1011 NEWPORT AVENUE
CITY: PAWTUCKET
STATE: RI
ZIP: 02861
FORMER NAME:
FORMER CONFORMED NAME: Hall Lisa Gersh
DATE OF NAME CHANGE: 20050613
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_162853999727980.xml
FORM 4
X0306
4
2021-08-05
0
0001688757
ESTABLISHMENT LABS HOLDINGS INC.
ESTA
0001329958
Gersh Lisa
C/O MOTIVA USA LLC
16192 COASTAL HIGHWAY
LEWES
DE
19958
1
0
0
0
Common Shares
2021-08-05
4
M
0
10000
18.14
A
10000
D
Common Shares
2021-08-05
4
M
0
8000
23.05
A
18000
D
Common Shares
2021-08-05
4
S
0
12758
70.2657
D
5242
D
Common Shares
2021-08-05
4
S
0
5242
71.2707
D
0
D
Stock Option (Right to buy)
18.14
2021-08-05
4
M
0
10000
0
D
2030-05-26
Common Shares
10000.0
22000
D
Stock Option (Right to buy)
23.05
2021-08-05
4
M
0
8000
0
D
2029-06-03
Common Shares
8000.0
14000
D
This transaction was executed in multiple trades at prices ranging from $70.0101 to $70.9900 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 $71.0000 to $71.7850 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 shares subject to the option vested in full on the earlier of May 26, 2021 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.
One-third of the shares subject to the option shall vested on June 3, 2020 and each one-year anniversary thereafter, subject to the Reporting Person continuing as a service provider through each such date.
/s/ Juan Jose Chacon Quiros, by power of attorney
2021-08-09