Establishment Labs director granted 2,354 share units

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 an award of 2,354 common share units at no cost under the company’s 2018 Equity Incentive Plan. The units vest in full on the earlier of May 22, 2027 or the day before the next annual meeting, if he continues as a service provider.

Following this grant, he holds 1,079,669 common shares directly and 19,090 common shares indirectly through his spouse.

Insider Trade Summary

Grant/Award: 2,354 shares

Grant/Award 2 txns

Insider LEWIN NICHOLAS SHERIDAN

Role Director

Type	Security	Shares	Price	Value
Grant/Award	Common Shares	2,354	$0.00	$0.00
holding	Common Shares	--	--	--

Holdings After Transaction: Common Shares — 1,079,669 shares (Direct); Common Shares — 19,090 shares (Indirect, See Footnote)

Footnotes (2)

1. F1. Represents an award of stock units under the Issuer's 2018 Equity Incentive Plan. The shares subject to the award vest in full on the earlier of May 22, 2027 or the day prior to the date of the Issuer's next annual meeting of stockholders, subject to the Reporting Person continuing as a service provider through such date.
2. F2. The shares are held by the Reporting Person's spouse.

Key Figures

Stock unit award: 2,354 shares Grant price: $0.00 per share Vesting date: May 22, 2027 +2 more

5 metrics

Stock unit award 2,354 shares Equity award under 2018 Equity Incentive Plan

Grant price $0.00 per share Price for 2,354 awarded common share units

Vesting date May 22, 2027 Latest possible full vesting date, subject to earlier annual meeting

Direct holdings after grant 1,079,669 shares Common shares held directly by Lewin after award

Indirect holdings via spouse 19,090 shares Common shares held by Lewin’s spouse

Key Terms

stock units, 2018 Equity Incentive Plan, annual meeting of stockholders, service provider

4 terms

stock units financial

"Represents an award of stock units under the Issuer's 2018 Equity Incentive Plan."

Stock units are individual pieces of ownership in a company, like slices of a pie that together make up the whole business. They matter to investors because each unit represents a claim on the company’s assets, profits and sometimes voting power, and changes in the number or value of these units affect ownership percentages, potential dividends and share dilution — all of which influence an investment’s worth.

2018 Equity Incentive Plan financial

"Represents an award of stock units under the Issuer's 2018 Equity Incentive Plan."

annual meeting of stockholders financial

"on the earlier of May 22, 2027 or the day prior to the date of the Issuer's next annual meeting of stockholders"

service provider financial

"subject to the Reporting Person continuing as a service provider through such date."

FAQ

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

What did ESTA director Nicholas Sheridan Lewin report in this Form 4?

Nicholas Sheridan Lewin reported receiving 2,354 common share units in Establishment Labs as a stock award. The grant was made under the company’s 2018 Equity Incentive Plan and carries no purchase price, functioning as equity-based compensation for his board service.

How many ESTA shares were granted to Nicholas Sheridan Lewin?

He was granted 2,354 common share units. These units are part of an equity incentive award that vests in full at a future date, rather than an open-market purchase, and therefore do not immediately involve any cash payment by Lewin to acquire the shares.

When do Nicholas Sheridan Lewin’s new ESTA stock units vest?

The 2,354 stock units vest in full on the earlier of May 22, 2027 or the day prior to Establishment Labs’ next annual meeting of stockholders. Vesting is conditioned on Lewin continuing as a service provider through the applicable vesting date specified in the award terms.

What are Nicholas Sheridan Lewin’s total ESTA share holdings after this award?

After the grant, Lewin holds 1,079,669 common shares directly in Establishment Labs. In addition, 19,090 common shares are held indirectly through his spouse, giving a combined reported position made up of both direct and spousal holdings as disclosed in the Form 4.

How are Nicholas Sheridan Lewin’s indirect ESTA shares held?

The filing states that 19,090 common shares are held by Lewin’s spouse. These are reported as indirect ownership. While attributed to him for reporting purposes, the shares are legally held in the spouse’s name according to the disclosure footnote in the Form 4.

Did Nicholas Sheridan Lewin buy or sell ESTA shares on the market?

The Form 4 does not show any open-market purchases or sales. Instead, it reports an equity award of 2,354 stock units at a price of $0.00 per share, representing compensation rather than a market transaction, plus an existing indirect holding by his spouse.

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

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Accepted by SEC EDGAR 05/26/2026 - 04:06 PM EDT 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)
05/22/2026

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	05/22/2026		A(1)		2,354	A	$0	1,079,669	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 an award of stock units under the Issuer's 2018 Equity Incentive Plan. The shares subject to the award vest in full on the earlier of May 22, 2027 or the day prior to the date of the Issuer's next annual meeting of stockholders, subject to the Reporting Person continuing as a service provider through such date.

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

Remarks:

	/s/ Cassandra "Sandra" Harris	05/26/2026
	** 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)