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