SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
TEINERT MATTHEW EVAN

(Last) (First) (Middle)
400 SOUTH 4TH STREET, SUITE 500-#390

(Street)
LAS VEGAS, NV 89101

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
10/23/2024
3. Issuer Name and Ticker or Trading Symbol
High Roller Technologies, Inc. [ ROLR ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Financial Officer
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 4,167 D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Restricted Stock Unit (1) (1) Common Stock 5,833(2) (1) D
Stock Option (Right to Buy) 05/01/2024 01/18/2034 Common Stock 30,000(3) $6.33 D
Explanation of Responses:
1. RSUs vest ratably, quarterly on October 31, 2024; January 31, 2025; April 30, 2025; July 31, 2025; October 31, 2025; January 31, 2026; and April 30, 2026.
2. Each Restricted Stock Unit is the equivalent of one share of common stock of High Roller Technologies. Inc.
3. 10,000 options vested on May 1, 2024; 2,500 options vested July 31, 2024; remaining options vest quarterly in 2,500 increments on October 31, 2024; January 31, 2025; April 30, 2025; July 31, 2025; October 31, 2025; January 31, 2026; and April 30, 2026.
/s/ Matthew Teinert 10/23/2024
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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