X0306 4 2023-01-02 0 0001253176 VAPOTHERM INC VAPO 0001752887 Ramade Gregoire 100 DOMAIN DRIVE EXETER NH 03833 0 1 0 0 SVP & Chief Commercial Officer Common Stock 2023-01-02 4 A 0 5320 2.7 A 88434 D Stock Option (right to buy) 2.7 2023-01-02 4 A 0 54675 0 A 2033-01-02 Common Stock 54675 54675 D Restricted stock unit award granted under the Vapotherm, Inc. Amended and Restated 2018 Equity Incentive Plan (the "2018 Equity Plan") and the Vapotherm, Inc. Amended and Restated 2019 French Qualifying Sub Plan (the "French Sub Plan") in lieu of an annual increase in the reporting person's 2023 base salary. The restricted stock unit award will vest in full on December 31, 2023, subject to the reporting person's continued service as an employee or other service provider to the Issuer through the vesting date. Includes 58,553 shares that will be issued over time upon vesting and settlement of restricted stock unit awards. This option was granted under the 2018 Equity Plan and the French Sub Plan and will vest as to 25% of the underlying shares on January 2, 2024, and thereafter, as to the remaining 75% of underlying shares, in 36 monthly installments, subject to the reporting person's continued service as an employee or other service provider to the Issuer through the vesting dates. /s/Adrain Bryant, as Attorney In Fact 2023-01-04