Filing Details

Accession Number:
0001213900-21-059716
Form Type:
4
Zero Holdings:
No
Publication Time:
2021-11-15 22:00:11
Reporting Period:
2021-11-11
Accepted Time:
2021-11-15 22:00:11
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1779372 Heartbeam Inc. BEAT () 4
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1189694 D Richard Brounstein C/O Heartbeam, Inc.,
2118 Walsh Avenue, Suite 210
Santa Clara, CA 95050
Chief Financial Officer No Yes No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock Acquisiton 2021-11-11 19,465 $4.20 82,343 No 4 M Indirect See Footnote
Common Stock Acquisiton 2021-11-11 9,732 $4.20 92,075 No 4 M Indirect See Footnote
Common Stock Acquisiton 2021-11-11 5,000 $5.99 97,075 No 4 P Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 M Indirect See Footnote
No 4 M Indirect See Footnote
No 4 P Direct
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Warrant (right to buy) Acquisiton 2021-11-11 5,000 $6.00 5,000 $0.00
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
5,000 2021-11-11 2026-11-11 No 4 A Direct
Footnotes
  1. Represents shares purchased from conversion of convertible note, principal and interest of $81,753.
  2. The underlying common stock is held by the R and S Brounstein Living Trust, of which the Reporting Person is a Trustee.
  3. Represents shares purchased from conversion of convertible note, principal and interest of $40,874.
  4. The underlying common stock is held by CTRLCFO, LLC, of which the Reporting Person is the Manager.
  5. The underlying warrant granted to the reporting person represents the right to purchase one share of common stock of HeartBeam, Inc.