Spence Donald J

SEC source: 0001333002-26-000002 · wk-form4_1779483113.xml · derivative · entry 1

Spence Donald J · CIK 0001333002 · Director

10b5-1 filing: No plan indicated

Ownership: Direct

Disclosed balance after: 2,623

Underlying: Common Stock · 2,623 shares

Expires not disclosed

F1 · derivative.exercise_price: Restricted stock units ("RSUs") convert into common stock on a one-for-one basis.

F2 · derivative.exercise_date: Grant of RSUs as of May 20, 2026. RSUs vest in approximately equal installments on August 20, 2026, November 20, 2026, February 20, 2027, and May 18, 2027. The RSUs will convert into common stock on a one-for-one basis, but the Reporting Person has elected to defer settlement of the common stock underlying these RSUs until separation from service as a director, or a change in control, of the Issuer.

F2 · derivative.expiration_date: Grant of RSUs as of May 20, 2026. RSUs vest in approximately equal installments on August 20, 2026, November 20, 2026, February 20, 2027, and May 18, 2027. The RSUs will convert into common stock on a one-for-one basis, but the Reporting Person has elected to defer settlement of the common stock underlying these RSUs until separation from service as a director, or a change in control, of the Issuer.

SEC source: 0001114483-25-000118 · wk-form4_1749247758.xml · derivative · entry 3

Spence Donald J · CIK 0001333002 · Director

10b5-1 filing: No plan indicated

Ownership: Direct

Disclosed balance after: 0

Underlying: Common Stock · 14,739 shares

Expires 2026-10-17

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

SEC source: 0001114483-25-000118 · wk-form4_1749247758.xml · nonDerivative · entry 2

Spence Donald J · CIK 0001333002 · Director

10b5-1 filing: No plan indicated

Ownership: Direct

Disclosed balance after: 18,781

F1 · price: The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at multiple prices ranging from $120.0725 to $120.705, inclusive. The reporting person undertakes to provide to Integer Holdings Corporation (the "Company"), any security holder of the Company, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth in footnote (1) to this Form 4.

SEC source: 0001114483-25-000118 · wk-form4_1749247758.xml · nonDerivative · entry 1

Spence Donald J · CIK 0001333002 · Director

10b5-1 filing: No plan indicated

Ownership: Direct

Disclosed balance after: 33,520

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

SEC source: 0001114483-25-000106 · wk-form4_1748033190.xml · derivative · entry 2

Spence Donald J · CIK 0001333002 · Director

10b5-1 filing: No plan indicated

Ownership: Direct

Disclosed balance after: 1,514

Underlying: Common Stock · 1,514 shares

Expires not disclosed

F1 · derivative.exercise_price: Restricted stock units ("RSUs") convert into common stock on a one-for-one basis.

F2 · derivative.exercise_date: Grant of RSUs as of May 21, 2025. RSUs vest in approximately equal installments on August 21, 2025, November 21, 2025, February 21, 2026 and May 19, 2026. The RSUs will convert into common stock on a one-for-one basis, but the Reporting Person has elected to defer settlement of the common stock underlying these RSUs until separation from service as a director, or a change in control, of the Issuer.

F2 · derivative.expiration_date: Grant of RSUs as of May 21, 2025. RSUs vest in approximately equal installments on August 21, 2025, November 21, 2025, February 21, 2026 and May 19, 2026. The RSUs will convert into common stock on a one-for-one basis, but the Reporting Person has elected to defer settlement of the common stock underlying these RSUs until separation from service as a director, or a change in control, of the Issuer.

SEC source: 0001235802-24-000074 · primary_doc.xml · derivative · entry 3

Spence Donald J · CIK 0001333002 · Director

10b5-1 filing: No plan indicated

Ownership: Direct

Disclosed balance after: 0

Underlying: Common Stock · 1,089 shares

Expires 2032-07-27

F3 · derivative.exercise_date: This option, which provided for vesting in full on the earlier of the first anniversary of the date of grant or the Company's 2023 annual meeting of stockholders, was canceled in the merger in exchange for a cash payment equal to: (a) the number of shares of Company common stock underlying the option, multiplied by (b) the excess, if any, of $2.18 over the per share exercise price of such option, which cash payment was $0.00 since this option had an exercise price that exceeded $2.18.

SEC source: 0001235802-24-000074 · primary_doc.xml · nonDerivative · entry 2

Spence Donald J · CIK 0001333002 · Director

10b5-1 filing: No plan indicated

Ownership: Direct

Disclosed balance after: 0

F2 · price: The restricted stock unit awards, which these shares were subject to, were canceled in the merger in exchange for a cash payment of $2.18 per underlying share.

SEC source: 0001235802-24-000074 · primary_doc.xml · nonDerivative · entry 1

Spence Donald J · CIK 0001333002 · Director

10b5-1 filing: No plan indicated

Ownership: Direct

Disclosed balance after: 0

F1 · price: Disposed of pursuant to an Agreement and Plan of Merger, dated as of June 17, 2024, among Veronica Holdings, LLC, Veronica Intermediate Holdings, LLC, Veronica Merger Sub, Inc. and Vapotherm, Inc. (Company), in exchange for a cash payment of $2.18 per share.

SEC source: 0001114483-24-000089 · wk-form4_1716500010.xml · derivative · entry 2

Spence Donald J · CIK 0001333002 · Director

10b5-1 filing: No plan indicated

Ownership: Direct

Disclosed balance after: 1,480

Underlying: Common Stock · 1,480 shares

Expires not disclosed

F1 · derivative.exercise_price: Restricted stock units ("RSUs") convert into common stock on a one-for-one basis.

F2 · derivative.exercise_date: Grant of RSUs as of May 22, 2024. RSUs vest in equal installments on August 22, 2024, November 22, 2024, February 22, 2025 and May 20, 2025. The RSUs will convert into common stock on a one-for-one basis, but the Reporting Person has elected to defer settlement of the common stock underlying these RSUs until separation from service as a director, or a change in control, of the Issuer.

F2 · derivative.expiration_date: Grant of RSUs as of May 22, 2024. RSUs vest in equal installments on August 22, 2024, November 22, 2024, February 22, 2025 and May 20, 2025. The RSUs will convert into common stock on a one-for-one basis, but the Reporting Person has elected to defer settlement of the common stock underlying these RSUs until separation from service as a director, or a change in control, of the Issuer.

SEC source: 0000950103-24-002450 · dp206982_4-spence.xml · derivative · entry 2

Spence Donald J · CIK 0001333002 · Director

10b5-1 filing: No plan indicated

Ownership: Direct

Disclosed balance after: 0

Underlying: Common Stock · 5,000 shares

Expires 2033-06-06

F1 · derivative.exercise_price: Pursuant to the Agreement and Plan of Merger, dated October 29, 2023, by and among PSC Echo Parent LLC, PSC Echo Merger Sub Inc., and Eargo (the "Merger Agreement"), at the effective time of the merger (the "Effective Time"), each award of Eargo stock options ("Options") held by the reporting person and granted under the Eargo, Inc. 2020 Incentive Award Plan or the Eargo, Inc. 2010 Equity Incentive Plan that was outstanding and unexercised immediately prior to or upon the Effective Time, whether vested or unvested, was cancelled, with the holder of such Option becoming entitled to receive an amount in cash, without interest and subject to applicable tax withholding, equal to the product obtained by multiplying (i) the excess, if any, of the merger consideration of $2.55 per share in cash (the "Merger Consideration") over the per share exercise price of such Option, by (ii) the number of share of Eargo common stock (the "Shares")

F2 · derivative.exercise_price: covered by such Option immediately prior to and upon the Effective Time, with any Options that have a per share exercise price that is greater than or equal to the Merger Consideration being cancelled for no consideration as of the Effective Time.

F1 · price: Pursuant to the Agreement and Plan of Merger, dated October 29, 2023, by and among PSC Echo Parent LLC, PSC Echo Merger Sub Inc., and Eargo (the "Merger Agreement"), at the effective time of the merger (the "Effective Time"), each award of Eargo stock options ("Options") held by the reporting person and granted under the Eargo, Inc. 2020 Incentive Award Plan or the Eargo, Inc. 2010 Equity Incentive Plan that was outstanding and unexercised immediately prior to or upon the Effective Time, whether vested or unvested, was cancelled, with the holder of such Option becoming entitled to receive an amount in cash, without interest and subject to applicable tax withholding, equal to the product obtained by multiplying (i) the excess, if any, of the merger consideration of $2.55 per share in cash (the "Merger Consideration") over the per share exercise price of such Option, by (ii) the number of share of Eargo common stock (the "Shares")

F2 · price: covered by such Option immediately prior to and upon the Effective Time, with any Options that have a per share exercise price that is greater than or equal to the Merger Consideration being cancelled for no consideration as of the Effective Time.

F1 · derivative.exercise_date: Pursuant to the Agreement and Plan of Merger, dated October 29, 2023, by and among PSC Echo Parent LLC, PSC Echo Merger Sub Inc., and Eargo (the "Merger Agreement"), at the effective time of the merger (the "Effective Time"), each award of Eargo stock options ("Options") held by the reporting person and granted under the Eargo, Inc. 2020 Incentive Award Plan or the Eargo, Inc. 2010 Equity Incentive Plan that was outstanding and unexercised immediately prior to or upon the Effective Time, whether vested or unvested, was cancelled, with the holder of such Option becoming entitled to receive an amount in cash, without interest and subject to applicable tax withholding, equal to the product obtained by multiplying (i) the excess, if any, of the merger consideration of $2.55 per share in cash (the "Merger Consideration") over the per share exercise price of such Option, by (ii) the number of share of Eargo common stock (the "Shares")

F2 · derivative.exercise_date: covered by such Option immediately prior to and upon the Effective Time, with any Options that have a per share exercise price that is greater than or equal to the Merger Consideration being cancelled for no consideration as of the Effective Time.

SEC source: 0000950103-24-002450 · dp206982_4-spence.xml · derivative · entry 1

Spence Donald J · CIK 0001333002 · Director

10b5-1 filing: No plan indicated

Ownership: Direct

Disclosed balance after: 0

Underlying: Common Stock · 5,859 shares

Expires 2032-12-06

F1 · derivative.exercise_price: Pursuant to the Agreement and Plan of Merger, dated October 29, 2023, by and among PSC Echo Parent LLC, PSC Echo Merger Sub Inc., and Eargo (the "Merger Agreement"), at the effective time of the merger (the "Effective Time"), each award of Eargo stock options ("Options") held by the reporting person and granted under the Eargo, Inc. 2020 Incentive Award Plan or the Eargo, Inc. 2010 Equity Incentive Plan that was outstanding and unexercised immediately prior to or upon the Effective Time, whether vested or unvested, was cancelled, with the holder of such Option becoming entitled to receive an amount in cash, without interest and subject to applicable tax withholding, equal to the product obtained by multiplying (i) the excess, if any, of the merger consideration of $2.55 per share in cash (the "Merger Consideration") over the per share exercise price of such Option, by (ii) the number of share of Eargo common stock (the "Shares")

F2 · derivative.exercise_price: covered by such Option immediately prior to and upon the Effective Time, with any Options that have a per share exercise price that is greater than or equal to the Merger Consideration being cancelled for no consideration as of the Effective Time.

F1 · price: Pursuant to the Agreement and Plan of Merger, dated October 29, 2023, by and among PSC Echo Parent LLC, PSC Echo Merger Sub Inc., and Eargo (the "Merger Agreement"), at the effective time of the merger (the "Effective Time"), each award of Eargo stock options ("Options") held by the reporting person and granted under the Eargo, Inc. 2020 Incentive Award Plan or the Eargo, Inc. 2010 Equity Incentive Plan that was outstanding and unexercised immediately prior to or upon the Effective Time, whether vested or unvested, was cancelled, with the holder of such Option becoming entitled to receive an amount in cash, without interest and subject to applicable tax withholding, equal to the product obtained by multiplying (i) the excess, if any, of the merger consideration of $2.55 per share in cash (the "Merger Consideration") over the per share exercise price of such Option, by (ii) the number of share of Eargo common stock (the "Shares")

F2 · price: covered by such Option immediately prior to and upon the Effective Time, with any Options that have a per share exercise price that is greater than or equal to the Merger Consideration being cancelled for no consideration as of the Effective Time.

F1 · derivative.exercise_date: Pursuant to the Agreement and Plan of Merger, dated October 29, 2023, by and among PSC Echo Parent LLC, PSC Echo Merger Sub Inc., and Eargo (the "Merger Agreement"), at the effective time of the merger (the "Effective Time"), each award of Eargo stock options ("Options") held by the reporting person and granted under the Eargo, Inc. 2020 Incentive Award Plan or the Eargo, Inc. 2010 Equity Incentive Plan that was outstanding and unexercised immediately prior to or upon the Effective Time, whether vested or unvested, was cancelled, with the holder of such Option becoming entitled to receive an amount in cash, without interest and subject to applicable tax withholding, equal to the product obtained by multiplying (i) the excess, if any, of the merger consideration of $2.55 per share in cash (the "Merger Consideration") over the per share exercise price of such Option, by (ii) the number of share of Eargo common stock (the "Shares")

F2 · derivative.exercise_date: covered by such Option immediately prior to and upon the Effective Time, with any Options that have a per share exercise price that is greater than or equal to the Merger Consideration being cancelled for no consideration as of the Effective Time.

SEC source: 0001235802-24-000011 · primary_doc.xml · nonDerivative · entry 1

Spence Donald J · CIK 0001333002 · Director

10b5-1 filing: No plan indicated

Ownership: Direct

Disclosed balance after: 12,696

F1 · shares: Restricted stock unit award granted under the Vapotherm, Inc. Amended and Restated 2018 Equity Incentive Plan in lieu of director cash retainers for 2024. The restricted stock unit award will vest in four nearly equal installments on each of March 31, 2024, June 30, 2024, September 30, 2024 and December 31, 2024.

F2 · price: Includes 8,625 shares that will be issued over time upon the vesting and settlement of restricted stock unit awards.

F2 · balance_after: Includes 8,625 shares that will be issued over time upon the vesting and settlement of restricted stock unit awards.

F3 · balance_after: On August 18, 2023, a 1-for-8 reverse split of the common stock of Vapotherm, Inc. occurred resulting in a decrease in the number of shares held by the reporting person. In addition, proportionate adjustments have been made to the reporting person's outstanding equity awards, including the number of restricted stock units as reflected on this Form 4 and described in footnote (2) to this Form 4, to reflect the 1-for-8 reverse stock split.

SEC source: 0001209191-23-049244 · doc4.xml · derivative · entry 6

Spence Donald J · CIK 0001333002 · Director

10b5-1 filing: No plan indicated

Ownership: Direct

Disclosed balance after: 0

Underlying: Common · 1,206 shares

Expires 2026-10-17

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

SEC source: 0001209191-23-049244 · doc4.xml · derivative · entry 5

Spence Donald J · CIK 0001333002 · Director

10b5-1 filing: No plan indicated

Ownership: Direct

Disclosed balance after: 14,739

Underlying: Common · 5,294 shares

Expires 2026-10-17

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

SEC source: 0001209191-23-049244 · doc4.xml · nonDerivative · entry 4

Spence Donald J · CIK 0001333002 · Director

10b5-1 filing: No plan indicated

Ownership: Direct

Disclosed balance after: 18,781

F1 · price: The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at multiple prices ranging from $82.18 to $82.41, inclusive. The reporting person undertakes to provide to Integer Holdings Corp, any security holder of Integer Holdings Corp, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth in footnote (1) to this Form 4.

SEC source: 0001209191-23-049244 · doc4.xml · nonDerivative · entry 3

Spence Donald J · CIK 0001333002 · Director

10b5-1 filing: No plan indicated

Ownership: Direct

Disclosed balance after: 24,075

SEC source: 0001209191-23-049244 · doc4.xml · nonDerivative · entry 2

Spence Donald J · CIK 0001333002 · Director

10b5-1 filing: No plan indicated

Ownership: Direct

Disclosed balance after: 25,281

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

SEC source: 0001209191-23-049244 · doc4.xml · nonDerivative · entry 1

Spence Donald J · CIK 0001333002 · Director

10b5-1 filing: No plan indicated

Ownership: Direct

Disclosed balance after: 19,987

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

SEC source: 0001235802-23-000082 · primary_doc.xml · nonDerivative · entry 1

Spence Donald J · CIK 0001333002 · Director

10b5-1 filing: No plan indicated

Ownership: Direct

Disclosed balance after: 53,579

F1 · shares: This restricted stock unit was granted under the 2018 Equity Plan and will vest in full on the earlier of the first anniversary of the date of grant or the Issuer's 2024 annual meeting of stockholders, subject to the Reporting Person's continued service as a director of the Issuer through the vesting date.

F2 · balance_after: Includes 29,040 shares that will be issued over time upon the vesting and settlement of restricted stock unit awards.

SEC source: 0001209191-23-035784 · doc4.xml · derivative · entry 1

Spence Donald J · CIK 0001333002 · Director

10b5-1 filing: No plan indicated

Ownership: Direct

Disclosed balance after: 5,000

Underlying: Common Stock · 5,000 shares

Expires 2033-06-06

F1 · derivative.exercise_date: The Stock Option vests and becomes exercisable as to 1/12th of the underlying shares on each monthly anniversary of the date of the grant, provided, that if the Company's annual meeting immediately following the date of grant takes place prior to the first anniversary of the date of grant, the Stock Option will vest and become exercisable immediately prior to the Company's annual meeting following the date of grant, subject to the Reporting Person's continued service through the applicable vesting date.

SEC source: 0001209191-23-032360 · doc4.xml · derivative · entry 2

Spence Donald J · CIK 0001333002 · Director

10b5-1 filing: No plan indicated

Ownership: Direct

Disclosed balance after: 2,246

Underlying: Common · 2,246 shares

Expires not disclosed

F1 · derivative.exercise_price: Restricted stock units ("RSUs") convert into common stock on a one-for-one basis.

F2 · derivative.exercise_date: Grant of RSUs as of May 24, 2023. RSUs vest in equal installments on August 24, 2023, November 24, 2023, February 24, 2024 and May 21, 2024. The RSUs will convert into common stock on a one-for-one basis, but the Reporting Person has elected to defer settlement of the common stock underlying these RSUs until separation from service as a director, or a change in control, of the Issuer.

F2 · derivative.expiration_date: Grant of RSUs as of May 24, 2023. RSUs vest in equal installments on August 24, 2023, November 24, 2023, February 24, 2024 and May 21, 2024. The RSUs will convert into common stock on a one-for-one basis, but the Reporting Person has elected to defer settlement of the common stock underlying these RSUs until separation from service as a director, or a change in control, of the Issuer.

SEC source: 0001235802-23-000014 · primary_doc.xml · nonDerivative · entry 1

Spence Donald J · CIK 0001333002 · Director

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 32,579

F1 · shares: Restricted stock unit award granted under the Vapotherm, Inc. Amended and Restated 2018 Equity Incentive Plan in lieu of director cash retainers for 2023. The restricted stock unit award will vest in four nearly equal installments on each of March 31, 2023, June 30, 2023, September 30, 2023 and December 31, 2023.

F1 · price: Restricted stock unit award granted under the Vapotherm, Inc. Amended and Restated 2018 Equity Incentive Plan in lieu of director cash retainers for 2023. The restricted stock unit award will vest in four nearly equal installments on each of March 31, 2023, June 30, 2023, September 30, 2023 and December 31, 2023.

F2 · balance_after: Includes 14,040 shares that will be issued over time upon the vesting and settlement of restricted stock unit awards.

SEC source: 0000899243-22-038079 · doc4.xml · derivative · entry 1

Spence Donald J · CIK 0001333002 · Director

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 117,194

Underlying: Common Stock · 117,194 shares

Expires 2032-12-06

F1 · derivative.exercise_date: The Stock Option vests and becomes exercisable as to 1/36th of the underlying shares on each monthly anniversary of the date of the grant, subject to the Reporting Person's continued service through the applicable vesting date.

SEC source: 0001235802-22-000089 · primary_doc.xml · derivative · entry 2

Spence Donald J · CIK 0001333002 · Director

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 8,717

Underlying: Common Stock · 8,717 shares

Expires 2032-07-27

F2 · derivative.exercise_date: This option was granted under the 2018 Equity Plan and will vest in full on the earlier of the first anniversary of the date of grant or the Issuer's 2023 annual meeting of stockholders, subject to the Reporting Person's continued service as a director of the Issuer through the vesting date.

SEC source: 0001209191-22-030573 · doc4.xml · derivative · entry 2

Spence Donald J · CIK 0001333002 · Director

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 2,277

Underlying: Common · 2,277 shares

Expires not disclosed

F1 · derivative.exercise_price: Restricted stock units ("RSUs") convert into common stock on a one-for-one basis.

F2 · derivative.exercise_date: Grant of RSUs as of May 18, 2022. RSUs vest in equal installments on August 18, 2022, November 18, 2022, February 18, 2023 and May 16, 2023. The RSUs will convert into common stock on a one-for-one basis, but the Reporting Person has elected to defer settlement of the common stock underlying these RSUs until separation from service as a director, or a change in control, of the Issuer.

F2 · derivative.expiration_date: Grant of RSUs as of May 18, 2022. RSUs vest in equal installments on August 18, 2022, November 18, 2022, February 18, 2023 and May 16, 2023. The RSUs will convert into common stock on a one-for-one basis, but the Reporting Person has elected to defer settlement of the common stock underlying these RSUs until separation from service as a director, or a change in control, of the Issuer.

SEC source: 0001235802-22-000007 · primary_doc.xml · nonDerivative · entry 2

Spence Donald J · CIK 0001333002 · Director

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 20,579

F3 · shares: Restricted stock unit award in lieu of cash retainers in the aggregate amount of $60,000 for fiscal year 2022 under the Vapotherm, Inc. 2018 Equity Incentive Plan pursuant to the terms of the Vapotherm, Inc. Non-Employee Director Compensation Policy. The restricted stock unit award will vest in four nearly equal installments on each of March 31, 2022, June 30, 2022, September 30, 2022 and December 31, 2022.

F4 · balance_after: Includes 12,369 shares that will be issued over time subject to restricted stock units granted under the Vapotherm, Inc. 2018 Equity Incentive Plan.

SEC source: 0001235802-22-000007 · primary_doc.xml · nonDerivative · entry 1

Spence Donald J · CIK 0001333002 · Director

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 17,682

F1 · shares: Stock award in lieu of cash retainers for fiscal year 2021 under the Vapotherm, Inc. 2018 Equity Incentive Plan pursuant to the terms of the Vapotherm, Inc. Non-Employee Director Compensation Policy.

F2 · balance_after: Includes 9,472 shares that will be issued over time subject to restricted stock units granted under the Vapotherm, Inc. 2018 Equity Incentive Plan.

SEC source: 0001235802-21-000088 · primary_doc.xml · nonDerivative · entry 1

Spence Donald J · CIK 0001333002 · Director

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 14,629

F1 · shares: This annual award in the form of restricted stock units was granted under the Vapotherm, Inc. 2018 Equity Incentive Plan pursuant to the terms of the Vapotherm, Inc. Amended and Restated Non-Employee Director Compensation Policy. The restricted stock units are eligible to vest in full on the earlier of the first anniversary of the date of grant or the Issuer's 2022 annual meeting of stockholders, subject to the Reporting Person's continued service as a director of the Issuer through the vesting date.

F2 · balance_after: Includes 11,511 shares that will be issued over time subject to restricted stock units granted under the Vapotherm, Inc. 2018 Equity Incentive Plan.

SEC source: 0001562180-21-000433 · primarydocument.xml · nonDerivative · entry 1

Spence Donald J · CIK 0001333002 · Director

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 9,237

F1 · shares: Compensation for services rendered during fourth quarter of 2020 in accordance with the company's non-employee director compensation plan and the company's equity plan.

F2 · balance_after: Includes 8,838 shares that will be issued over time upon vesting pursuant to restricted stock units granted under the company's equity plan.

SEC source: 0001562180-20-006421 · primarydocument.xml · nonDerivative · entry 2

Spence Donald J · CIK 0001333002 · Director

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 8,838

F2 · shares: These restricted stock units will vest in full on the earlier of the first anniversary date of the date of grant or the date of the next regularly scheduled annual meeting of stockholders of the Company that follows such award, subject, in each case to the Reporting Person's continued service on the Issuer's Board of Directors through the applicable vesting date.

SEC source: 0001562180-20-006421 · primarydocument.xml · nonDerivative · entry 1

Spence Donald J · CIK 0001333002 · Director

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 6,119

F1 · shares: These restricted stock units will vest in thirds over three years, on October 21, 2021, October 21, 2022, and October 21, 2023, subject to the Reporting Person's continued service on the Issuer's Board of Directors through each such vesting date.

SEC source: 0001209191-20-031688 · doc4.xml · derivative · entry 2

Spence Donald J · CIK 0001333002 · Director

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 2,920

Underlying: Common Stock · 2,920 shares

Expires not disclosed

F1 · derivative.exercise_price: Restricted stock units ("RSUs") convert into common stock on a one-for-one basis.

F2 · derivative.exercise_date: Grant of RSUs as of May 20, 2020. RSUs vest in equal installments on August 1, 2020, November 20, 2020, February 20, 2021 and May 18, 2021. The RSUs will convert into common stock on a one-for-one basis, but the Reporting Person has elected to defer settlement of the common stock underlying these RSUs until separation from service as a director, or a change in control, of the Issuer.

F2 · derivative.expiration_date: Grant of RSUs as of May 20, 2020. RSUs vest in equal installments on August 1, 2020, November 20, 2020, February 20, 2021 and May 18, 2021. The RSUs will convert into common stock on a one-for-one basis, but the Reporting Person has elected to defer settlement of the common stock underlying these RSUs until separation from service as a director, or a change in control, of the Issuer.

SEC source: 0001209191-20-006049 · doc5.xml · nonDerivative · entry 1

Spence Donald J · CIK 0001333002 · Director

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 18,781

SEC source: 0001209191-19-051272 · doc4.xml · derivative · entry 2

Spence Donald J · CIK 0001333002 · Director

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 0

Underlying: Common · 438 shares

Expires not disclosed

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

F1 · derivative.exercise_price: Restricted stock units convert into common stock on a one-for-one basis.

F2 · derivative.exercise_date: Vesting of restricted stock units granted on January 2, 2019.

F2 · derivative.expiration_date: Vesting of restricted stock units granted on January 2, 2019.

SEC source: 0001209191-19-051272 · doc4.xml · nonDerivative · entry 1

Spence Donald J · CIK 0001333002 · Director

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 20,081

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

F1 · price: Restricted stock units convert into common stock on a one-for-one basis.

SEC source: 0001209191-19-039666 · doc4.xml · derivative · entry 2

Spence Donald J · CIK 0001333002 · Director

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 438

Underlying: Common · 437 shares

Expires not disclosed

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

F1 · derivative.exercise_price: Restricted stock units convert into common stock on a one-for-one basis.

F2 · derivative.exercise_date: Vesting of restricted stock units granted on January 2, 2019.

F2 · derivative.expiration_date: Vesting of restricted stock units granted on January 2, 2019.

SEC source: 0001209191-19-039666 · doc4.xml · nonDerivative · entry 1

Spence Donald J · CIK 0001333002 · Director

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 19,643

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

F1 · price: Restricted stock units convert into common stock on a one-for-one basis.

SEC source: 0001209191-19-021936 · doc4.xml · derivative · entry 2

Spence Donald J · CIK 0001333002 · Director

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 875

Underlying: Common · 437 shares

Expires not disclosed

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

F1 · derivative.exercise_price: Restricted stock units convert into common stock on a one-for-one basis.

F2 · derivative.exercise_date: Vesting of restricted stock units granted on January 2, 2019.

F2 · derivative.expiration_date: Vesting of restricted stock units granted on January 2, 2019.

SEC source: 0001209191-19-021936 · doc4.xml · nonDerivative · entry 1

Spence Donald J · CIK 0001333002 · Director

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 19,206

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

F1 · price: Restricted stock units convert into common stock on a one-for-one basis.

SEC source: 0001209191-19-019373 · doc4.xml · derivative · entry 9

Spence Donald J · CIK 0001333002 · Director

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 0

Underlying: Common · 27,475 shares

Expires 2025-05-08

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

SEC source: 0001209191-19-019373 · doc4.xml · nonDerivative · entry 6

Spence Donald J · CIK 0001333002 · Director

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 18,769

F3 · price: The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at multiple prices ranging from $86.10 to $86.75, inclusive.

SEC source: 0001209191-19-019373 · doc4.xml · nonDerivative · entry 5

Spence Donald J · CIK 0001333002 · Director

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 25,964

F2 · price: The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at multiple prices ranging from $85.05 to $86.00, inclusive.

SEC source: 0001209191-19-019373 · doc4.xml · nonDerivative · entry 4

Spence Donald J · CIK 0001333002 · Director

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 46,244

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

SEC source: 0001209191-19-019373 · doc4.xml · derivative · entry 8

Spence Donald J · CIK 0001333002 · Director

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 27,475

Underlying: Common · 568 shares

Expires 2025-05-08

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

SEC source: 0001209191-19-019373 · doc4.xml · derivative · entry 7

Spence Donald J · CIK 0001333002 · Director

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 0

Underlying: Common · 22,516 shares

Expires 2022-08-16

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

SEC source: 0001209191-19-019373 · doc4.xml · nonDerivative · entry 3

Spence Donald J · CIK 0001333002 · Director

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 18,769

F1 · price: The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at multiple prices ranging from $84.68 to $85.12, inclusive. The reporting person undertakes to provide to Integer Holdings Corp, any security holder of Integer Holdings Corp, or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth in footnotes (1), (2) and (3) to this Form 4.

SEC source: 0001209191-19-019373 · doc4.xml · nonDerivative · entry 2

Spence Donald J · CIK 0001333002 · Director

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 41,853

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

SEC source: 0001209191-19-019373 · doc4.xml · nonDerivative · entry 1

Spence Donald J · CIK 0001333002 · Director

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 41,285

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

SEC source: 0001209191-19-001150 · doc4.xml · derivative · entry 3

Spence Donald J · CIK 0001333002 · Director

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 1,312

Underlying: Common · 437 shares

Expires not disclosed

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

F1 · derivative.exercise_price: Restricted stock units convert into common stock on a one-for-one basis.

F2 · derivative.exercise_date: Grant of restricted stock units as of January 2, 2019. 25% of such restricted stock units vest on January 2, 2019, and the remainder vest in substantially equal installments on the first day of each remaining fiscal quarter in 2019.

F2 · derivative.expiration_date: Grant of restricted stock units as of January 2, 2019. 25% of such restricted stock units vest on January 2, 2019, and the remainder vest in substantially equal installments on the first day of each remaining fiscal quarter in 2019.

SEC source: 0001209191-19-001150 · doc4.xml · derivative · entry 2

Spence Donald J · CIK 0001333002 · Director

10b5-1 filing: Not disclosed

Ownership: Direct

Disclosed balance after: 1,749

Underlying: Common · 1,749 shares

Expires not disclosed

F1 · derivative.exercise_price: Restricted stock units convert into common stock on a one-for-one basis.

F2 · derivative.exercise_date: Grant of restricted stock units as of January 2, 2019. 25% of such restricted stock units vest on January 2, 2019, and the remainder vest in substantially equal installments on the first day of each remaining fiscal quarter in 2019.

F2 · derivative.expiration_date: Grant of restricted stock units as of January 2, 2019. 25% of such restricted stock units vest on January 2, 2019, and the remainder vest in substantially equal installments on the first day of each remaining fiscal quarter in 2019.