X0206 3 2018-11-13 0 0001253176 VAPOTHERM INC VAPO 0001752887 Ramade Gregoire C/O VAPOTHERM, INC. 100 DOMAIN DRIVE EXETER NH 03833 0 1 0 0 Vice President, International Common Stock 10714 D Option to purchase Common Stock 3.78 2028-07-18 Common Stock 64458 D Option to purchase Common Stock 3.78 2027-10-18 Common Stock 9748 D The option vests and becomes exercisable as to 45% of the underlying shares on July 20, 2018 and the remaining 55% of the underlying shares in 22 equal monthly installments thereafter, subject to the Reporting Person's continuous employment with the Issuer through the relevant vesting dates. The option vests and becomes exercisable as to 29% of the underlying shares on October 18, 2018, as to 70% of the underlying shares in 29 equal monthly installments between November 18, 2018 and March 18, 2021 and as to the remaining 1% of the underlying shares in 7 equal monthly installments thereafter, subject to the Reporting Person's continuous employment with the Issuer through the relevant vesting dates. Exhibit List Exhibit 24 - Power of Attorney /s/ John Landry, as Attorney-In-Fact 2018-11-13