0001779372-23-000008.txt : 20230323 0001779372-23-000008.hdr.sgml : 20230323 20230323202849 ACCESSION NUMBER: 0001779372-23-000008 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20230321 FILED AS OF DATE: 20230323 DATE AS OF CHANGE: 20230323 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Persen Kenneth Harry CENTRAL INDEX KEY: 0001942350 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-41060 FILM NUMBER: 23757498 MAIL ADDRESS: STREET 1: 2118 WALSH AVENUE, SUITE 210 CITY: SANTA CLARA STATE: CA ZIP: 95050 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: HeartBeam, Inc. CENTRAL INDEX KEY: 0001779372 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 474881450 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2118 WALSH AVE., SUITE 210 CITY: SANTA CLARA STATE: CA ZIP: 95050 BUSINESS PHONE: 408-899-4443 MAIL ADDRESS: STREET 1: 2118 WALSH AVE., SUITE 210 CITY: SANTA CLARA STATE: CA ZIP: 95050 4 1 wf-form4_167961771712287.xml FORM 4 X0407 4 2023-03-21 0 0001779372 HeartBeam, Inc. BEAT 0001942350 Persen Kenneth Harry 2118 WALSH AVENUE, SUITE 210 SANTA CLARA CA 95050 0 1 0 0 Chief Technology Officer 0 Stock option (right to buy) 2.5 2023-03-21 4 A 0 60000 0 A 2024-03-21 2033-03-21 Common Stock 60000.0 60000 D The options ("Options") have been issued from the Company's 2022 Equity Incentive Plan, that was approved by the Members of the Board of Directors on March 21, 2023. The Option will vest and become exercisable with respect to 25% of the shares starting March 21, 2024 and one forty-eighth (1/48th) of the shares shall vest each calendar month thereafter on the same day of the month as the first vesting date. /s/ Ken Persen 2023-03-23