0001398327-24-000005.txt : 20240528
0001398327-24-000005.hdr.sgml : 20240528
20240528172440
ACCESSION NUMBER: 0001398327-24-000005
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240524
FILED AS OF DATE: 20240528
DATE AS OF CHANGE: 20240528
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: LEWIN NICHOLAS SHERIDAN
CENTRAL INDEX KEY: 0001398327
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38593
FILM NUMBER: 24993114
MAIL ADDRESS:
STREET 1: 3 WEST 57TH ST.
STREET 2: 8TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10019
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_1716931472.xml
FORM 4
X0508
4
2024-05-24
0
0001688757
ESTABLISHMENT LABS HOLDINGS INC.
ESTA
0001398327
LEWIN NICHOLAS SHERIDAN
C/O MOTIVA USA LLC
16192 COASTAL HIGHWAY
LEWES
DE
19958
1
0
0
0
0
Common Shares
2024-05-24
4
A
0
2334
0
A
1069644
D
Common Shares
14190
I
See Footnote
Represents an award of stock units under the Issuer's 2018 Equity Incentive Plan. The shares subject to the award vest in full on the earlier of May 24, 2025 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.
The shares are held by the Reporting Person's spouse.
/s/ Rajbir S. Denhoy, Chief Financial Officer, by power of attorney
2024-05-28