0001628280-20-010072.txt : 20200630
0001628280-20-010072.hdr.sgml : 20200630
20200630163735
ACCESSION NUMBER: 0001628280-20-010072
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20200626
FILED AS OF DATE: 20200630
DATE AS OF CHANGE: 20200630
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Gaeta Renee
CENTRAL INDEX KEY: 0001742428
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38593
FILM NUMBER: 201002752
MAIL ADDRESS:
STREET 1: C/O MOTIVA USA LLC
STREET 2: 16192 COASTAL HIGHWAY
CITY: LEWES
STATE: DE
ZIP: 19958
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_159354942787716.xml
FORM 4
X0306
4
2020-06-26
0
0001688757
ESTABLISHMENT LABS HOLDINGS INC.
ESTA
0001742428
Gaeta Renee
C/O MOTIVA USA LLC
16192 COASTAL HIGHWAY
LEWES
DE
19958
0
1
0
0
Chief Financial Officer
Stock Option (Right to buy)
17.03
2020-06-26
4
A
0
35000
0
A
2030-06-26
Common Shares
35000.0
35000
D
One-fourth of the shares subject to the option shall vest on June 26, 2021 and each one-year anniversary thereafter, subject to the Reporting Person continuing as a service provider through each such date.
/s/ Renee Gaeta
2020-06-30