0001862601-22-000001.txt : 20220201 0001862601-22-000001.hdr.sgml : 20220201 20220201164249 ACCESSION NUMBER: 0001862601-22-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220128 FILED AS OF DATE: 20220201 DATE AS OF CHANGE: 20220201 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Gillin Leslie CENTRAL INDEX KEY: 0001862601 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38593 FILM NUMBER: 22579468 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_164375174292320.xml FORM 4 X0306 4 2022-01-28 0 0001688757 ESTABLISHMENT LABS HOLDINGS INC. ESTA 0001862601 Gillin Leslie C/O MOTIVA USA LLC 16192 COASTAL HIGHWAY LEWES DE 19958 1 0 0 0 Common Shares 2022-01-28 4 A 0 5013 0 A 5013 D Represents an award of stock units under the Issuer's 2018 Equity Incentive Plan. /s/ Rajbir S. Denhoy, by power of attorney 2022-02-01