Establishment Labs director receives share retainer

LEWIN NICHOLAS SHERIDAN reported acquisition or exercise transactions in this Form 4 filing.

Rhea-AI Filing Summary

LEWIN NICHOLAS SHERIDAN reported acquisition or exercise transactions in this Form 4 filing.

Establishment Labs Holdings Inc. director Nicholas Sheridan Lewin received 291 common shares as a stock grant. These shares were elected in lieu of a quarterly cash retainer under the company’s Outside Director Compensation Policy and were issued under the 2018 Equity Incentive Plan, using a reference price of $85.81 per share.

After this grant, Lewin directly holds 1,079,960 common shares. An additional 19,090 common shares are reported as indirectly owned and are held by his spouse.

Insider Trade Summary

Grant/Award: 291 shares

Grant/Award 2 txns

Insider LEWIN NICHOLAS SHERIDAN

Role Director

Type	Security	Shares	Price	Value
Grant/Award	Common Shares	291	$85.81	$25K
holding	Common Shares	--	--	--

Holdings After Transaction: Common Shares — 1,079,960 shares (Direct); Common Shares — 19,090 shares (Indirect, See Footnote)

Footnotes (2)

1. F1. 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.
2. F2. The shares are held by the Reporting Person's spouse.

Key Figures

Director share grant: 291 shares Grant reference price: $85.81 per share Direct holdings after grant: 1,079,960 shares +1 more

4 metrics

Director share grant 291 shares Quarterly retainer paid in stock

Grant reference price $85.81 per share Closing price on last trading day of quarter

Direct holdings after grant 1,079,960 shares Common shares directly owned after non-derivative acquisition

Indirect spouse holdings 19,090 shares Common shares held by reporting person’s spouse

Key Terms

Outside Director Compensation Policy, 2018 Equity Incentive Plan, quarterly cash retainer, grant, award, or other acquisition

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 financial

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

grant, award, or other acquisition financial

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

FAQ

AI-generated questions and answers. How Rhea-AI works. Not financial advice.

What did ESTABLISHMENT LABS (ESTA) director Nicholas Lewin receive in this Form 4?

Nicholas Sheridan Lewin received 291 common shares of Establishment Labs. The shares represent a quarterly retainer paid in stock rather than cash under the company’s Outside Director Compensation Policy.

At what price were the ESTABLISHMENT LABS (ESTA) shares valued in the director grant?

The 291 common shares were valued at $85.81 per share. The number of shares was determined using the closing price of Establishment Labs’ common shares on the last trading day of the quarter.

How many ESTABLISHMENT LABS (ESTA) shares does Nicholas Lewin hold after this transaction?

Following the grant, Nicholas Sheridan Lewin directly holds 1,079,960 common shares. This figure reflects his direct ownership position as reported after the non-derivative acquisition entry on the Form 4.

What is the indirect ESTABLISHMENT LABS (ESTA) shareholding reported for Nicholas Lewin?

The Form 4 reports 19,090 common shares as indirectly owned. A footnote explains these shares are held by the reporting person’s spouse, indicating a separate but related ownership position.

Was the ESTABLISHMENT LABS (ESTA) director’s share grant an open-market purchase?

No, the 291-share transaction is a grant/award acquisition, not an open-market purchase. It reflects compensation in shares instead of a quarterly cash retainer under the company’s Outside Director Compensation Policy.

Under which plan were the ESTABLISHMENT LABS (ESTA) shares issued to the director?

The 291 common shares were issued under the company’s 2018 Equity Incentive Plan. This plan allows directors to receive equity-based compensation, including shares in lieu of cash retainers for board service.

AI-generated analysis. How Rhea-AI works. Not financial advice.

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Accepted by SEC EDGAR 07/01/2026 - 06:06 PM Learn about SEC filing dates

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^*

LEWIN NICHOLAS SHERIDAN

(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)
06/30/2026

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	06/30/2026		A(1)		291	A	$85.81	1,079,960	D
Common Shares								19,090	I	See Footnote(2)

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.

2. The shares are held by the Reporting Person's spouse.

Remarks:

	/s/ Cassandra "Sandra" Harris	07/01/2026
	** 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)