0001688757-24-000007.txt : 20240124 0001688757-24-000007.hdr.sgml : 20240124 20240124171955 ACCESSION NUMBER: 0001688757-24-000007 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20240124 DATE AS OF CHANGE: 20240124 EFFECTIVENESS DATE: 20240124 FILER: 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 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-503359 FILM NUMBER: 24557696 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 D 1 primary_doc.xml X0708 D LIVE 0001688757 ESTABLISHMENT LABS HOLDINGS INC. BUILDING B15 AND 25 COYOL FREE ZONE ALAJUELA G2 COSTA RICA 20101 50624342400 VIRGIN ISLANDS, BRITISH None None Corporation true Juan Jose Chacon-Quiros Building B15 and 25 Coyol Free Zone Alajuela G2 COSTA RICA 20101 Executive Officer Director Dennis Condon Building B15 and 25 Coyol Free Zone Alajuela G2 COSTA RICA 20101 Director Ann Custin Building B15 and 25 Coyol Free Zone Alajuela G2 COSTA RICA 20101 Director Leslie Gillin Building B15 and 25 Coyol Free Zone Alajuela G2 COSTA RICA 20101 Director Nick Lewin Building B15 and 25 Coyol Free Zone Alajuela G2 COSTA RICA 20101 Director Edward Schutter Building B15 and 25 Coyol Free Zone Alajuela G2 COSTA RICA 20101 Director Bryan Slotkin Building B15 and 25 Coyol Free Zone Alajuela G2 COSTA RICA 20101 Director Rajbir Denhoy Building B15 and 25 Coyol Free Zone Alajuela G2 COSTA RICA 20101 Executive Officer Ross Mansbach Building B15 and 25 Coyol Free Zone Alajuela G2 COSTA RICA 20101 Executive Officer Other Health Care Over $100,000,000 06b false 2024-01-09 false true true true false 0 50000000 50000000 0 Consists of 1,101,565 common shares at $25.00 a share and 898,435 Warrant Shares at $24.999 per Warrant Share. false 10 0 0 0 false ESTABLISHMENT LABS HOLDINGS INC. /s/ Rajbir Denhoy Rajbir Denhoy Chief Financial Officer 2024-01-24