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