HeartBeam, Inc. — Director's Dealing 2021

Nov 13, 2021

SEC Form 3 — Initial Statement of Beneficial Ownership

Issuer: HeartBeam, Inc. (BEAT)
CIK: 0001779372
Period of Report: 2021-11-10

Reporting Person: FERRARI RICHARD M (Director, Exec Chm of the BOD)

Holdings (Derivative)

Security	Exercise Price	Expiration	Underlying	Shares	Ownership
Convertible Promissory Note	$		Common Stock (65653)		Indirect
Stock option (right to buy)	$0.28	2030-05-12	Common Stock (27272)		Direct
Stock option (right to buy)	$2.50	2031-06-15	Common Stock (181818)		Direct

Footnotes

F1: Represents $275,742.60 of outstanding principal and interest calculated through November 10, 2021. The note will convert into 65,653 shares of Common Stock upon the closing of the Issuer's initial public offering of Common Stock (the "IPO").

F2: The Convertible Promissory Note is held by the Ferrari Living Trust, of which the Reporting Person is the trustee.

F3: Five forty-eighth of the shares vested on date of grant, May 12, 2020, one forty-eighth of the shares subject to the option vested June 11, 2020 and each one-month anniversary thereafter, subject to the Reporting Person continuing as a service provider through each such date.

F4: One forty-eighth of the shares subject to the option vest on July 15, 2021 and each one-month anniversary thereafter, subject to the Reporting Person continuing as a service provider through each such date.