Director Custin Ann receives 363 Establishment Labs (ESTA) shares as retainer

Rhea-AI Filing Summary

Custin Ann reported acquisition or exercise transactions in this Form 4 filing.

ESTABLISHMENT LABS HOLDINGS INC. director Custin Ann reported receiving a grant of 363 common shares. The shares were awarded in lieu of a quarterly cash retainer under the company’s Outside Director Compensation Policy, based on a closing price of $56.78 per share.

After this equity award issued pursuant to the 2018 Equity Incentive Plan, Custin Ann directly holds a total of 21,732 common shares.

Insider Trade Summary

1 transaction reported

Mixed 1 txn

Insider Custin Ann

Role Director

Type	Security	Shares	Price	Value
Grant/Award	Common Shares	363	$56.78	$21K

Holdings After Transaction: Common Shares — 21,732 shares (Direct)

Footnotes (1)

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Key Figures

Shares granted: 363 shares Grant price per share: $56.78 per share Shares held after transaction: 21,732 shares

3 metrics

Shares granted 363 shares Quarterly director retainer taken in stock

Grant price per share $56.78 per share Closing price on last trading day of the quarter

Shares held after transaction 21,732 shares Director’s direct holding following the grant

Key Terms

Outside Director Compensation Policy, 2018 Equity Incentive Plan, quarterly cash retainer payment, transaction code A

4 terms

Outside Director Compensation Policy financial

"common shares elected to be received in lieu of a quarterly cash retainer payment in accordance with the Reporting Person's prior election under the Issuer's Outside Director Compensation Policy"

2018 Equity Incentive Plan financial

"The common shares were issued pursuant to the Issuer's 2018 Equity Incentive Plan"

quarterly cash retainer payment financial

"Represents common shares elected to be received in lieu of a quarterly cash retainer payment"

transaction code A financial

"transaction_code_description": "Grant, award, or other acquisition"

Form 4 Insider Transactions: What Each Field Means →

SEC Form 4

FORM 4

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940

OMB APPROVAL

OMB Number:			3235-0287
Estimated average burden
hours per response:			0.5

Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).

Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan for the purchase or sale of equity securities of the issuer that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10.

1. Name and Address of Reporting Person^*

Custin Ann

(Last) (First) (Middle)

C/O MOTIVA USA LLC

16192 COASTAL HIGHWAY

(Street)

LEWES DELAWARE 19958

(City) (State) (Zip)

UNITED STATES

(Country)

2. Issuer Name and Ticker or Trading Symbol
ESTABLISHMENT LABS HOLDINGS INC. [ ESTA ]

5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

X	Director		10% Owner
	Officer (give title below)		Other (specify below)

2a. Foreign Trading Symbol

3. Date of Earliest Transaction (Month/Day/Year)
03/31/2026

6. Individual or Joint/Group Filing (Check Applicable Line)

X	Form filed by One Reporting Person
	Form filed by More than One Reporting Person

4. If Amendment, Date of Original Filed (Month/Day/Year)

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3)	2. Transaction Date (Month/Day/Year)	2A. Deemed Execution Date, if any (Month/Day/Year)	3. Transaction Code (Instr. 8)		4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5)			5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4)	6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	7. Nature of Indirect Beneficial Ownership (Instr. 4)
			Code	V	Amount	(A) or (D)	Price
Common Shares	03/31/2026		A(1)		363	A	$56.78	21,732	D

Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3)	2. Conversion or Exercise Price of Derivative Security	3. Transaction Date (Month/Day/Year)	3A. Deemed Execution Date, if any (Month/Day/Year)	4. Transaction Code (Instr. 8)		5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5)		6. Date Exercisable and Expiration Date (Month/Day/Year)		7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4)		8. Price of Derivative Security (Instr. 5)	9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)	10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)	11. Nature of Indirect Beneficial Ownership (Instr. 4)
				Code	V	(A)	(D)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares

Explanation of Responses:

1. Represents common shares elected to be received in lieu of a quarterly cash retainer payment in accordance with the Reporting Person's prior election under the Issuer's Outside Director Compensation Policy. The common shares were issued pursuant to the Issuer's 2018 Equity Incentive Plan and determined based on the closing price of the Issuer's common shares on the last trading day of the quarter.

Remarks:

	/s/ Cassandra "Sandra" Harris	04/01/2026
	** Signature of Reporting Person	Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.
* Form 4: SEC 1474 (03-26)

FAQ

What insider transaction did ESTA director Custin Ann report?

Director Custin Ann reported an acquisition of 363 Establishment Labs common shares. The shares were granted as stock in place of a quarterly cash retainer under the Outside Director Compensation Policy and issued pursuant to the company’s 2018 Equity Incentive Plan.

How many Establishment Labs (ESTA) shares did Custin Ann receive?

Custin Ann received 363 common shares of Establishment Labs. The grant reflects her prior election to take equity instead of a quarterly cash retainer, with the share amount determined using the closing price on the last trading day of the quarter.

At what price was Custin Ann’s ESTA share grant calculated?

The grant was calculated using a closing price of $56.78 per common share. This price corresponds to the issuer’s common shares on the last trading day of the quarter, as specified under the Outside Director Compensation Policy and 2018 Equity Incentive Plan.

How many Establishment Labs shares does Custin Ann hold after this transaction?

Following the transaction, Custin Ann directly holds 21,732 Establishment Labs common shares. This figure reflects her updated ownership position after receiving 363 shares as an equity retainer in accordance with the company’s director compensation framework.

Was Custin Ann’s ESTA share transaction an open-market buy or a grant?

The transaction was a grant of shares, not an open-market purchase. It is classified as an acquisition under transaction code A, representing common shares issued as compensation in lieu of cash, pursuant to Establishment Labs’ 2018 Equity Incentive Plan.

What policy governed Custin Ann’s equity grant from Establishment Labs (ESTA)?

The grant was governed by the company’s Outside Director Compensation Policy. Under this policy, Custin Ann had elected to receive common shares instead of a quarterly cash retainer, with the shares issued from the 2018 Equity Incentive Plan using the quarter-end closing price.