EBR : Application for quotation of securities - EBR

Application for quotation of +securities

Announcement Summary

For personal use only

Entity name

EBR SYSTEMS INC.

Announcement Type

New announcement

Date of this announcement

Friday May 20, 2022

The +securities to be quoted are:

+Securities issued under an +employee incentive scheme that are not subject to a restriction on transfer or that are to be quoted notwithstanding there is a restriction on transfer

Total number of +securities to be quoted

ASX +security		Number of +securities to
code	Security description	be quoted	Issue date
EBR	CDI 1:1 US PERSON PROHIBITED	11,666	12/05/2022

Refer to next page for full details of the announcement

Application for quotation of +securities

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Application for quotation of +securities

Part 1 - Entity and announcement details

For personal use only

1.1 Name of entity

EBR SYSTEMS INC.

We (the entity named above) apply for +quotation of the following +securities and agree to the matters set out in Appendix 2A of the ASX Listing Rules.

1.2	Registered number type	Registration number
ARBN	654147127
1.3	ASX issuer code
EBR

1. The announcement is New announcement
2. Date of this announcement

20/5/2022

Application for quotation of +securities

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Application for quotation of +securities

Part 2 - Type of Issue

For personal use only

2.1 The +securities to be quoted are:

+Securities issued under an +employee incentive scheme that are not subject to a restriction on transfer or that are to be quoted notwithstanding there is a restriction on transfer

2.2 The +securities to be quoted are:

Additional +securities in a class that is already quoted on ASX ("existing class")

Application for quotation of +securities

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Application for quotation of +securities

Part 3B - number and type of +securities to be quoted (existing class) where issue has not previously been notified to ASX in an

Appendix 3B

For personal use only

Additional +securities to be quoted in an existing class issued under an +employee incentive scheme

FROM (Existing Class)

ASX +security code and description

EBRAI : OPTION EXPIRING VARIOUS DATES EX VARIOUS PRICES

TO (Existing Class)

ASX +security code and description

EBR : CDI 1:1 US PERSON PROHIBITED

Please state the number of +securities issued under the +employee incentive scheme that are not subject to a restriction on transfer or that are to be quoted notwithstanding there is a restriction on transfer

11,666

Please provide details of a URL link for a document lodged with ASX detailing the terms of the +employee incentive scheme or a summary of the terms

Please refer to a copy of the 2021 Equity Incentive Plan Rules released on the ASX Market Announcements Platform on

23 November 2021: https://www.asx.com.au/asx/v2/statistics/announcements.do?by=asxCode&asxCode=EBR&timeframe=Y&year=2021

Are any of these +securities being issued to +key management personnel (KMP) or an +associate No

Issue date

12/5/2022

Will the +securities to be quoted rank equally in all respects from their issue date with the existing issued +securities in that class?

Yes

Application for quotation of +securities

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Application for quotation of +securities

Issue details

Number of +securities to be quoted

11,666

For personal use only

Are the +securities being issued for a cash consideration?

Yes

In what currency is the cash consideration being paid? What is the issue price per +security?

USD - US Dollar

USD 0.00010000

Any other information the entity wishes to provide about the +securities to be quoted

Application for quotation of +securities

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