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SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
Rogers Campbell

(Last) (First) (Middle)
C/O HEARTFLOW, INC.
331 E. EVELYN AVENUE

(Street)
MOUNTAIN VIEW CA 94041

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
08/07/2025
3. Issuer Name and Ticker or Trading Symbol
Heartflow, Inc. [ HTFL ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Medical Officer
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock 22,615(1) I By Campbell Rogers 2019 Irrevocable Trust
Common Stock 46,159(1) I By CR Asset Protection Trust of 2023
Common Stock 26,012(1) I By Spouse's Trust
Common Stock 50,754(1) I By The Campbell Rogers Revocable Trust
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Stock Option (2) 03/09/2026 Common Stock 39,709(1) $8.33(1) D
Stock Option (2) 02/28/2030 Common Stock 43,785(1) $8.33(1) D
Stock Option (2) 04/22/2030 Common Stock 2,231(1) $8.33(1) D
Stock Option (2) 04/12/2031 Common Stock 3,589(1) $8.33(1) D
Stock Option (3) 07/10/2033 Common Stock 235,834(1) $2.22(1) D
Stock Option (2) 07/10/2033 Common Stock 6,849(1) $2.22(1) D
Explanation of Responses:
1. The number of shares of common stock and exercise price, as applicable, give effect to the 1-for-2.92 reverse stock split of Heartflow, Inc.'s common stock, which became effective on July 31, 2025.
2. These stock options are fully exercisable.
3. The option is vested and exercisable as to 118,494 shares, and the remaining shares will vest and become exercisable in monthly installments until July 1, 2027, subject to continued service through the applicable vesting date.
Remarks:
Exhibit 24 - Power of Attorney.
/s/ Angela Ahmad, Attorney-in-Fact for Campbell D.K. Rogers, M.D. 08/07/2025
** 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 5 (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.