0000899243-21-004984.txt : 20210204
0000899243-21-004984.hdr.sgml : 20210204
20210204214804
ACCESSION NUMBER: 0000899243-21-004984
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210203
FILED AS OF DATE: 20210204
DATE AS OF CHANGE: 20210204
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Gormsen Christian
CENTRAL INDEX KEY: 0001827380
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39616
FILM NUMBER: 21593219
MAIL ADDRESS:
STREET 1: C/O EARGO, INC.
STREET 2: 1600 TECHNOLOGY DRIVE, 6TH FLOOR
CITY: SAN JOSE
STATE: CA
ZIP: 95110
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Eargo, Inc.
CENTRAL INDEX KEY: 0001719395
STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842]
IRS NUMBER: 273879804
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1600 TECHNOLOGY DRIVE
STREET 2: 6TH FLOOR
CITY: SAN JOSE
STATE: CA
ZIP: 95110
BUSINESS PHONE: 650-351-7700
MAIL ADDRESS:
STREET 1: 1600 TECHNOLOGY DRIVE
STREET 2: 6TH FLOOR
CITY: SAN JOSE
STATE: CA
ZIP: 95110
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-02-03
0
0001719395
Eargo, Inc.
EAR
0001827380
Gormsen Christian
C/O EARGO, INC.
1600 TECHNOLOGY DRIVE, 6TH FLOOR
SAN JOSE
CA
95110
1
1
0
0
President and CEO
Common Stock
2021-02-03
4
A
0
50800
0.00
A
132348
D
Stock Option (Right to Buy)
63.02
2021-02-03
4
A
0
50800
0.00
A
2031-02-02
Common Stock
50800
50800
D
Represents Restricted Stock Units ("RSUs") which vest in 16 quarterly installments commencing on February 15, 2021, so long as the Reporting Person remains an employee, consultant, director or officer of the Issuer through each such date. Each RSU represents a contingent right to receive one (1) share of common stock of the Issuer.
The stock option shall vest and become exercisable with respect to 16 quarterly installments commencing on February 15, 2021, so long as the Reporting Person remains an employee, consultant, director or officer of the Issuer through each such date.
/s/ Christy La Pierre, Attorney-in-Fact for Christian Gormsen
2021-02-04