0001779372-23-000020.txt : 20230802
0001779372-23-000020.hdr.sgml : 20230802
20230802183925
ACCESSION NUMBER: 0001779372-23-000020
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20230724
FILED AS OF DATE: 20230802
DATE AS OF CHANGE: 20230802
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: JAFF MICHAEL R
CENTRAL INDEX KEY: 0001988352
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-41060
FILM NUMBER: 231137480
MAIL ADDRESS:
STREET 1: 2118 WALSH AVENUE
STREET 2: SUITE 210
CITY: SANTA CLARA
STATE: CA
ZIP: 95050
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: HeartBeam, Inc.
CENTRAL INDEX KEY: 0001779372
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
IRS NUMBER: 474881450
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 2118 WALSH AVE., SUITE 210
CITY: SANTA CLARA
STATE: CA
ZIP: 95050
BUSINESS PHONE: 408-899-4443
MAIL ADDRESS:
STREET 1: 2118 WALSH AVE., SUITE 210
CITY: SANTA CLARA
STATE: CA
ZIP: 95050
3
1
wk-form3_1691015954.xml
FORM 3
X0206
3
2023-07-24
0
0001779372
HeartBeam, Inc.
BEAT
0001988352
JAFF MICHAEL R
2118 WALSH AVENUE, SUITE 210
SANTA CLARA
CA
95050
1
0
0
0
Common Stock
41935
D
These securities are restricted stock units (RSUs). Each RSU represents a contingent right to receive one share of Common Stock of the Issuer. 1/3 of the RSUs shall vest in equal installments over three years on the date following the Issuer's annual meeting of stockholders in 2024, 2025 and 2026 respectively, and subject to the Reporting Person continuing to be an Outside Director (as defined in the Issuer's 2022 Equity Incentive Plan) through the applicable vesting date.
/s/ Michael R. Jaff
2023-08-02