Insider filing report for Changes in Beneficial Ownership
- Schedule 13G & 13D forms are used to report a party's ownership of stock which exceeds 5% of a company's total stock issue.
- Schedule 13G is a shorter version of Schedule 13D with fewer reporting requirements.
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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 13G
Under the Securities Exchange Act of 1934
(Amendment No. )*
EBR Systems, Inc.
(Name of Issuer)
Common Stock, $0.0001 par value per share
(Title of Class of Securities)
N/A
(CUSIP Number)
September 30, 2024
(Date of Event Which Requires Filing of this Statement)
Check the appropriate box to designate the rule pursuant to which this Schedule is filed:
☐ Rule 13d-1(b)
☐ Rule 13d-1(c)
☒ Rule 13d-1(d)
| * | The remainder of this cover page shall be filled out for a reporting person’s initial filing on this form with respect to the subject class of securities, and for any subsequent amendment containing information which would alter the disclosures provided in a prior cover page. |
The information required in the remainder of this cover page shall not be deemed to be “filed” for the purpose of Section 18 of the Securities Exchange Act of 1934 (“Act”) or otherwise subject to the liabilities of that section of the Act but shall be subject to all other provisions of the Act (however, see the Notes).
CUSIP No. N/A
| 1. |
Names of Reporting Persons
Host-Plus Pty Ltd as trustee for the HOSTPLUS Pooled Superannuation Trust | |||||
| 2. | Check the Appropriate Box if a Member of a Group (See Instructions)
(a) ☐ (b) ☐ | |||||
| 3. | SEC Use Only
| |||||
| 4. | Citizenship or Place of Organization
Australia | |||||
| Number of Shares Beneficially Owned by Each Reporting Person With |
5. | Sole Voting Power
45,915,158 (1) | ||||
| 6. | Shared Voting Power
0 | |||||
| 7. | Sole Dispositive Power
45,915,158 (1) | |||||
| 8. | Shared Dispositive Power
0 | |||||
| 9. |
Aggregate Amount Beneficially Owned by Each Reporting Person
45,915,158 (1) | |||||
| 10. | Check if the Aggregate Amount in Row (9) Excludes Certain Shares (See Instructions)
☐ | |||||
| 11. | Percent of Class Represented by Amount in Row (9)
12.3% (2) | |||||
| 12. | Type of Reporting Person (See Instructions)
OO | |||||
| (1) | Consists of (i) 26,551,391 shares of common stock, underlying the same amount of CHESS Depositary Interests (“CDIs”) and 2,094,880 shares of common stock issuable upon exercise of certain warrants held by MRCF3 Service (HP) Pty Ltd (“MRCF3 Service (HP)”) on trust for MRCF 3 (HP) Trust; (ii) 8,376,377 CDIs and 1,024,372 shares of common stock issuable upon exercise of certain warrants held by MRCF3 Service (SW) Pty Ltd (“MRCF3 Service (SW)”) on trust for MRCF 3 (SW) Trust; and (iii) 7,868,138 CDIs held by BB6 Service (HP) Coinvestment Trusco Pty Ltd (“BB6 Service (HP)”) on trust for BCP (HP) Co-Investment Trust. The Reporting Person is the sole unitholder in each of MRCF 3 (HP) Trust, MRCF 3 (SW) Trust and BCP (HP) Co-Investment Trust and has sole voting and investment power with respect to the securities held by each trust. |
| (2) | This percentage is calculated based upon the sum of (i) 370,776,200 shares of Common Stock outstanding as of November 12, 2024, as reported in the Issuer’s Quarterly Report on Form 10-Q filed with the Securities and Exchange Commission on November 12, 2024 and (ii) 3,119,252 shares of Common Stock issuable upon exercise of warrants. |
| Item 1. | ||||||
| (a)
|
Name of Issuer
EBR Systems, Inc. | |||||
| (b)
|
Address of Issuer’s Principal Executive Offices
480 Oakmead Parkway Sunnyvale, CA 94085 | |||||
| Item 2. | ||||||
| (a)
|
Name of Person Filing
Host-Plus Pty Ltd as trustee for the HOSTPLUS Pooled Superannuation Trust | |||||
| (b)
|
Address of Principal Business Office or, if none, Residence
Level 9, 114 William Street Melbourne, Australia VIC 3000 | |||||
| (c)
|
Citizenship
Australia | |||||
| (d)
|
Title of Class of Securities
Common Stock, $0.0001 par value (“Common Stock”) | |||||
| (e)
|
CUSIP Number
N/A | |||||
| Item 3. | If this statement is filed pursuant to §§240.13d-1(b) or 240.13d-2(b) or (c), check whether the person filing is a: | |||||
| Not applicable | ||||||
| Item 4. | Ownership | |||||
| The following information regarding the aggregate number and percentage of the class of securities of the issuer identified in Item 1 is provided as of September 30, 2024. | ||||||
| (a)
|
Amount beneficially owned:
See Row 9 of cover page for each Reporting Person | |||||
| (b)
|
Percent of class:
See Row 11 of cover page for each Reporting Person | |||||
| (c)
|
Number of shares as to which the person has: | |||||
| (i)
|
Sole power to vote or to direct the vote:
See Row 5 of cover page for each Reporting Person. | |||||
| (ii)
|
Shared power to vote or to direct the vote:
See Row 6 of cover page for each Reporting Person. | |||||
| (iii)
|
Sole power to dispose or to direct the disposition of:
See Row 7 of cover page for each Reporting Person. | |||||
| (iv)
|
Shared power to dispose or to direct the disposition of:
See Row 8 of cover page for each Reporting Person. | |||||
| Item 5. | Ownership of Five Percent or Less of a Class | |
| If this statement is being filed to report the fact that as of the date hereof the reporting person has ceased to be the beneficial owner of more than five percent of the class of securities, check the following ☐ | ||
| Item 6. | Ownership of More than Five Percent on Behalf of Another Person | |
| Not applicable | ||
| Item 7. | Identification and Classification of the Subsidiary Which Acquired the Security Being Reported on By the Parent Holding Company or Control Person | |
| Not applicable | ||
| Item 8. | Identification and Classification of Members of the Group | |
| Not applicable | ||
| Item 9. | Notice of Dissolution of Group | |
| Not applicable | ||
| Item 10. | Certification | |
| Not applicable | ||
Signature
After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true, complete and correct.
Dated: November 26, 2024
Host-Plus Pty Ltd as trustee for the HOSTPLUS Pooled Superannuation Trust
| By: | /s/ David Elia | |
| Name: David Elia | ||
| Title: CEO |
| ATTENTION |
| Intentional misstatements or omissions of fact constitute Federal Criminal Violations (See 18 U.S.C. 1001). |