0001876083-24-000004.txt : 20240319 0001876083-24-000004.hdr.sgml : 20240319 20240319175631 ACCESSION NUMBER: 0001876083-24-000004 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240306 FILED AS OF DATE: 20240319 DATE AS OF CHANGE: 20240319 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Denhoy Raj CENTRAL INDEX KEY: 0001876083 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38593 FILM NUMBER: 24765315 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_1710885371.xml FORM 4 X0508 4 2024-03-06 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 0 Common Shares 2024-03-06 4 A 0 5644 0 A 13447 D Stock Option (Right to buy) 49.25 2024-03-06 4 A 0 8030 0 A 2034-03-06 Common Shares 8030 8030 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 March 6, 2025 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 March 6, 2025 and each one-year anniversary thereafter, subject to the Reporting Person continuing as a service provider through such date. /s/ Rajbir S. Denhoy 2024-03-19