0001876083-22-000001.txt : 20220412 0001876083-22-000001.hdr.sgml : 20220412 20220412191614 ACCESSION NUMBER: 0001876083-22-000001 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20220410 FILED AS OF DATE: 20220412 DATE AS OF CHANGE: 20220412 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Denhoy Raj CENTRAL INDEX KEY: 0001876083 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38593 FILM NUMBER: 22823323 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_164980535842368.xml FORM 4 X0306 4 2022-04-10 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 Common Shares 2022-04-10 4 A 0 3208 0 A 3208 D Stock Option (Right to buy) 63.53 2022-04-10 4 A 0 8439 0 A 2032-04-10 Common Shares 8439.0 8439 D Represents an award of stock units under the Issuer's 2018 Equity Incentive Plan. One-fourth of the shares subject to the award shall vest on April 10, 2023 and each one-year anniversary thereafter, subject to the Reporting Person continuing as a service provider through such date. One-fourth of the shares subject to the option shall vest on April 10, 2023 and each one-year anniversary thereafter, subject to the Reporting Person continuing as a service provider through such date. /s/ Rajbir S. Denhoy 2022-04-12