0001876083-21-000001.txt : 20210803 0001876083-21-000001.hdr.sgml : 20210803 20210803161638 ACCESSION NUMBER: 0001876083-21-000001 CONFORMED SUBMISSION TYPE: 3 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20210731 FILED AS OF DATE: 20210803 DATE AS OF CHANGE: 20210803 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Denhoy Raj CENTRAL INDEX KEY: 0001876083 FILING VALUES: FORM TYPE: 3 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38593 FILM NUMBER: 211139975 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 3 1 wf-form3_162802174294034.xml FORM 3 X0206 3 2021-07-31 0 0001688757 ESTABLISHMENT LABS HOLDINGS INC. ESTA 0001876083 Denhoy Raj C/O MOTIVA USA LLC 16192 COASTAL HIGHWAY LEWES DE 19958 0 1 0 0 Chief Financial Officer, Intrm Stock Option (Right to buy) 69.03 2031-02-28 Common Shares 100000.0 D One-fourth of the shares subject to the option shall vest on February 24, 2022 and each one-year anniversary thereafter, subject to the Reporting Person continuing as a service provider through each such date. /s/ Raj Denhoy 2021-08-03