0001861660-24-000003.txt : 20240305
0001861660-24-000003.hdr.sgml : 20240305
20240305161812
ACCESSION NUMBER: 0001861660-24-000003
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240107
FILED AS OF DATE: 20240305
DATE AS OF CHANGE: 20240305
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Slotkin Bryan
CENTRAL INDEX KEY: 0001861660
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38593
FILM NUMBER: 24720675
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]
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_1709673450.xml
FORM 4
X0508
4
2024-01-07
0
0001688757
ESTABLISHMENT LABS HOLDINGS INC.
ESTA
0001861660
Slotkin Bryan
C/O MOTIVA USA LLC
16192 COASTAL HIGHWAY
LEWES
DE
19958
1
0
0
0
0
Common Shares
2024-01-07
4
A
0
296
26.91
A
21424
D
Represents an award of common stock under the Issuer's 2018 Equity Incentive Plan, vesting immediately, for services provided related to the February 2024 private equity placement.
/s/ Rajbir S. Denhoy, Chief Financial Officer, by power of attorney
2024-03-05