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