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UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549 

 

FORM 8-K 

 

CURRENT REPORT

Pursuant to Section 13 or 15(d)

of the Securities Exchange Act of 1934

 

Date of report (Date of earliest event reported): January 12, 2026

 

iRhythm Technologies, Inc. 

(Exact name of Registrant as specified in its charter) 

 

Delaware   001-37918   20-8149544
(State or other jurisdiction of
incorporation or organization)
  (Commission
File Number)
  (I.R.S. Employer
Identification Number)

 

699 8th Street, Suite 600 

San Francisco, California 94103 

(Address of principal executive office) (Zip Code)

 

(415) 632-5700 

(Registrant’s telephone number, including area code)

 

N/A

(Former Name or Former Address, if Changed Since Last Report)

 

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:

 

¨ Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

 

¨ Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

 

¨ Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

 

¨ Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

 

Securities registered pursuant to Section 12(b) of the Act:

 

Title of each class Trading Symbol Name of each exchange on which registered
Common Stock, Par Value $0.001 Per Share IRTC The NASDAQ Global Select Market

 

Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§ 230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§ 240.12b-2 of this chapter).

 

Emerging growth company ¨

 

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ¨

 

 

 

 

 

 

EXPLANATORY NOTE

 

On January 12, 2026, iRhythm Technologies, Inc., a Delaware corporation (“iRhythm”), implemented a corporate holding company structure that resulted in the formation of a new parent holding company (the “Holding Company Transaction”) pursuant to an Agreement and Plan of Merger and Reorganization (the “Merger Agreement”) dated as of January 12, 2026, by and among iRhythm, iRhythm Holdings, Inc. (f/k/a LTCM Holdings, Inc.), a Delaware corporation (“iRhythm Holdings”), and LTCM Merger Sub, Inc., a Delaware corporation and direct, wholly owned subsidiary of iRhythm Holdings (“Merger Sub”). Pursuant to the terms of the Merger Agreement, Merger Sub merged with and into iRhythm, with iRhythm continuing as the surviving corporation and a wholly owned subsidiary of iRhythm Holdings (the “Merger”). Following the Merger, iRhythm Holdings became the successor issuer to iRhythm. This Current Report on Form 8-K is being filed for the purpose of establishing iRhythm Holdings as the successor issuer pursuant to Rule 12g-3(a) promulgated under the Securities Exchange Act of 1934, as amended (the “Exchange Act”), and to disclose certain related matters. Pursuant to Rule 12g-3(a) promulgated under the Exchange Act, shares of iRhythm Holdings common stock, par value $0.001 per share (“iRhythm Holdings Common Stock”), issued in connection with the Merger are deemed registered under Section 12(b) of the Exchange Act as the common stock of the successor issuer.

 

Item 1.01 Entry into a Material Definitive Agreement.

 

The information set forth above under Explanatory Note is incorporated hereunder by reference.

 

Adoption of Agreement and Plan of Merger and Consummation of Holding Company Transaction

 

On January 12, 2026, iRhythm completed the Holding Company Transaction by implementing the Merger pursuant to the terms of the Merger Agreement. The Merger was completed pursuant to Section 251(g) of the General Corporation Law of the State of Delaware (as amended, the “DGCL”), which provides for the formation of a holding company (i.e., iRhythm Holdings) without a vote of the stockholders of the constituent corporation (i.e., iRhythm). At the Effective Time (as defined in the Merger Agreement), (i) the separate existence of Merger Sub ceased and (ii) each share of iRhythm common stock, par value $0.001 per share (“iRhythm Common Stock”), issued and outstanding immediately prior to the Effective Time was automatically converted into one share of iRhythm Holdings Common Stock having the same designations, rights, powers and preferences, and the same qualifications, limitations and restrictions as a share of iRhythm Common Stock immediately prior to consummation of the Holding Company Transaction. The conversion of stock occurred automatically without an exchange of stock certificates.

 

Further, at the Effective Time, each outstanding stock option, restricted stock unit, performance restricted stock unit, restricted stock, equity or equity-based award, or other right to acquire, or any instrument to convert into or exchange for, or that was based on the value of, iRhythm Common Stock or other equity securities of iRhythm (including, but not limited to, the Convertible Notes, as defined below), became a stock option, restricted stock unit, performance restricted stock unit, restricted stock, equity or equity-based award, or other right to acquire, or any instrument to convert into or exchange for, or that was based on the value of, the same number of shares of iRhythm Holdings Common Stock or other equity securities of iRhythm Holdings, respectively, under the same terms and conditions.

 

Accordingly, each stockholder of iRhythm immediately before the Effective Time owned, immediately after the Effective Time, shares of iRhythm Holdings Common Stock in the same amounts and percentages as such stockholder owned in iRhythm immediately prior to the Effective Time. The Holding Company Transaction is intended to be a tax-free transaction, such that iRhythm stockholders should not recognize gain or loss for U.S. federal income tax purposes upon the conversion of their shares of iRhythm Common Stock pursuant to the Holding Company Transaction.

 

Following the consummation of the Holding Company Transaction, iRhythm Holdings Common Stock will continue to trade on the Nasdaq Global Select Market (“Nasdaq”) on an uninterrupted basis under the ticker symbol “IRTC” with the same CUSIP number (450056106). The Nasdaq marketplace effective date of the Holding Company Transaction will be January 13, 2026, and on that date, stockholders will see the name change from iRhythm Technologies, Inc. to iRhythm Holdings, Inc. reflected in the Nasdaq marketplace. In addition, iRhythm Holdings expects the Holding Company Transaction to be reflected in the facilities of The Depository Trust Company on January 13, 2026. As a result of the Holding Company Transaction, iRhythm Holdings became the successor issuer to iRhythm pursuant to Rule 12g-3(a) promulgated under the Exchange Act, and as a result, shares of iRhythm Holdings Common Stock are deemed registered under Section 12(b) of the Exchange Act as the common stock of the successor issuer.

 

 

 

 

Immediately following the consummation of the Holding Company Transaction, on a consolidated basis, the assets, businesses, and operations of iRhythm Holdings are not materially different than the corresponding assets, business, and operations of iRhythm immediately prior to the consummation of the Holding Company Transaction.

 

The foregoing descriptions of the Merger Agreement and the Holding Company Transaction do not constitute complete descriptions of, and are qualified in their entirety by reference to, the full text of the Merger Agreement, which is attached hereto as Exhibit 2.1 and incorporated by reference herein.

 

First Supplemental Indenture

 

In connection with the Merger, on January 12, 2026, iRhythm, iRhythm Holdings, as guarantor, and U.S. Bank Trust Company, National Association (the “Trustee”), entered into a first supplemental indenture (the “Supplemental Indenture”) to the indenture, dated as of March 7, 2024, between iRhythm and the Trustee (the “Indenture”), governing iRhythm’s 1.50% Convertible Senior Notes (the “Convertible Notes”) in order to (a) provide that, pursuant to Section 4.07(a) of the Indenture, (i) the right to convert each $1,000 principal amount of the Convertible Notes into the shares of iRhythm Common Stock shall be changed to a right to convert such principal amount of Securities into the number of shares of iRhythm Holdings Common Stock equal to the Conversion Rate (as defined in the Indenture); (ii) iRhythm shall continue to have the right to determine the form of consideration to be paid or delivered, as the case may be, upon conversion of Convertible Notes in accordance with Section 4.02 of the Indenture; (iii) any amount payable in cash upon conversion of the Convertible Notes in accordance with Section 4.02 of the Indenture shall continue to be payable in cash, (iv) any shares of iRhythm Common Stock that iRhythm would have been required to deliver upon conversion of the Securities in accordance with Section 4.02 of the Indenture shall instead be deliverable in shares of iRhythm Holdings Common Stock and (v) the Daily VWAP (as defined in the Indenture) shall be calculated based on the value of a share of iRhythm Holdings Common Stock; and (b) provide for the full and unconditional guarantee of the obligations of iRhythm under the Convertible Notes and the Indenture by iRhythm Holdings.

 

The foregoing description of the Supplemental Indenture does not constitute a complete description of, and is qualified in its entirety by reference to, the full text of the Supplemental Indenture, which is attached hereto as Exhibit 4.2 and incorporated by reference herein.

 

Item 2.03 Creation of a Direct Financial Obligation or an Obligation under an Off-Balance Sheet Arrangement of a Registrant.

 

The information set forth under and/or incorporated by reference into the heading “First Supplemental Indenture” in Item 1.01 is incorporated hereunder by reference.

 

Item 3.01 Notice of Delisting or Failure to Satisfy a Continued Listing Rule or Standard; Transfer of Listing.

 

The information set forth above under Explanatory Note is incorporated hereunder by reference.

 

In connection with consummation of the Holding Company Transaction, iRhythm notified Nasdaq that the Merger had been completed. As noted above, iRhythm Holdings Common Stock will continue to trade on Nasdaq on an uninterrupted basis under the ticker symbol “IRTC,” which was the same symbol formerly used for iRhythm Common Stock, with the same CUSIP number (450056106). iRhythm intends to file with the U.S. Securities and Exchange Commission (the “SEC”) a certificate on Form 15 requesting that iRhythm Common Stock be deregistered under the Exchange Act, and that iRhythm’s reporting obligations under Section 15(d) of the Exchange Act with respect to iRhythm Common Stock be suspended. Following the Holding Company Transaction, iRhythm Holdings will make filings with the SEC under iRhythm’s prior CIK (0001388658), and iRhythm will no longer make filings with the SEC.

 

The information set forth under and/or incorporated by reference into Items 1.01 and 5.03 is incorporated hereunder by reference.

 

Item 3.03 Material Modification of Rights of Securityholders.

 

The information set forth under and/or incorporated by reference into Items 1.01, 3.01 and 5.03 is incorporated hereunder by reference.

 

Item 5.01 Changes in Control of the Registrant.

 

The information set forth under and/or incorporated by reference into Items 1.01, 3.01 and 8.01 is incorporated hereunder by reference.

 

 

 

 

Item 5.02 Departure of Directors or Certain Officers; Election of Directors; Appointment of Certain Officers; Compensatory Arrangements of Certain Officers.

 

Appointment of Certain Officers of iRhythm Holdings; Election of New Directors of iRhythm Holdings

 

The directors of iRhythm Holdings and their committee memberships and titles, which are listed below, are the same as the directors of iRhythm immediately prior to consummation of the Holding Company Transaction. Abhijit Talwalkar will continue to serve as Chairman of the Board of Directors of iRhythm Holdings.

 

Directors

 

Name  Age  Audit Committee  Compensation and
Human Capital
Management
Committee
  Nominating and
Corporate Governance
Committee
Quentin Blackford  47     
Abhijit Y. Talwalkar  61    M  M
C. Noel Bairey Merz, MD  70    M 
Bruce G. Bodaken  74    M  C
Karen Ling  62    C 
Karen McGinnis  59  M   
Kevin O’Boyle  69  M    M
Brian Yoor  56  C   

 

 

C Chair of Committee

M Member of Committee

 

From and after the Effective Time, the executive officers of iRhythm Holdings, who are listed below, were all executive officers of iRhythm immediately prior to consummation of the Holding Company Transaction.

 

Officers

 

Name  Age  Position
Quentin Blackford  47  President, Chief Executive Officer and Director
Daniel Wilson  44  Chief Financial Officer
Sean Freeman  50  Executive Vice President, Strategy and Corporate Development
Brian Lawrence, Ph.D.  56  Executive Vice President, Chief Technology Officer
Patrick Murphy  47  Chief Business Officer and Chief Legal Officer
Chad Patterson  44  Chief Commercial and Product Officer
Sumi Shrishrimal  47  Executive Vice President, Chief Risk Officer
Mervin Smith  50  Executive Vice President, Business Operations
Minang (Mintu) Turakhia, M.D., M.S.  51  Chief Medical, Chief Scientific Officer and Executive Vice President, Advanced Technologies

 

Biographical information about iRhythm Holdings’ directors and executive officers, other than as noted below, is included in iRhythm’s Definitive Proxy Statement filed with the SEC on April 16, 2025 (the “Definitive Proxy”) under the headings “Proposal No. 1 Election of Directors—Nominees for Director” and “Compensation Discussion & Analysis—Executive Officers”, and is incorporated by reference herein. There are no arrangements or understandings with any person pursuant to which the directors and the executive officers were appointed. There are no family relationships amongst any of the directors or any of the executive officers of iRhythm Holdings.

 

Information regarding the compensation arrangements of iRhythm Holdings’ named executive officers, including Messrs. Blackford, Wilson, Murphy, Patterson and Turakhia, as well as iRhythm’s former Chief Financial Officer, Brice Bobzien, and regarding related party transactions pursuant to Item 404(a) of Regulation S-K is included in iRhythm’s Definitive Proxy under the headings “Compensation Discussion & Analysis” and “Certain Relationships and Related Party Transactions” and such sections are incorporated by reference herein.

 

 

 

 

Biographical Information

 

Karen McGinnis has served as a director of the company and a member of the Audit Committee since July 2025. In April 2021, Ms. McGinnis retired from Illumina, Inc., a leader in sequencing- and array-based solutions for genetic and genomic analysis, where she served as Chief Accounting Officer since November 2017. She also served as the Chief Executive Officer and President of Mad Catz Interactive Inc. from February 2016 to March 2017, the Chief Financial Officer of Mad Catz Interactive Inc. from June 2013 to February 2016 and served as the Chief Accounting Officer of Cymer, Inc. from November 2009 to June 2013. Previously, she served as Chief Accounting Officer for Insight Enterprises, Inc., from September 2006 until March 2009, its Senior Vice President of Finance from 2001through September 2006 and its Vice President of Finance from 2000 through 2001. Ms. McGinnis also currently serves on the boards of Alphatec Holdings, Inc., a provider of innovative solutions dedicated to revolutionizing the approach to spine surgery, and Absci Corporation, a clinical-stage biopharmaceutical company advancing breakthrough therapeutics with generative design. She previously served on the boards of Sonendo, Inc., a medical technology company and Biosplice Therapeutics, Inc., a clinical-stage biotechnology company. Ms. McGinnis is a Certified Public Accountant and earned her BBA in Accounting from the University of Oklahoma.

 

Kevin O'Boyle has served as a director of the company and a member of the Audit Committee and the Nominating and Governance Committee since July 2025. Kevin O'Boyle brings over 20 years of executive leadership experience, most notably as Executive Vice President and Chief Financial Officer at NuVasive, where he helped grow the company's market capitalization from $100 million to $2 billion. Under his financial leadership, NuVasive met or exceeded Wall Street expectations for 23 consecutive quarters while achieving an average compound annual growth rate of over 45 percent and expanding Wall Street research coverage from four to 24 analysts. His executive experience also includes CFO and COO roles at Advanced BioHealing, ChromaVision Medical Systems, and Albert Fisher. Mr. O'Boyle has served on the boards of directors of multiple public companies over the past decade, notably as Chairman of GenMark Molecular Diagnostics (acquired by Roche) and Audit Committee Chair roles at Wright Medical Group (acquired by Stryker), ZELTIQ (acquired by Allergan), and Nevro (acquired by Globus Medical). He currently serves as Audit Committee Chair at Outset Medical (NASDAQ: OM) and Carlsmed. Mr. O'Boyle holds a bachelor’s degree in accounting from Rochester Institute of Technology and completed executive management studies at UCLA Anderson School of Management.

 

Sean Freeman joined iRhythm as Executive Vice President of Strategy and Corporate Development in July 2025. Previously, Mr. Freeman served as Global Head of Strategy and Business Development at Ceramtec Group Ag., a global medical device manufacturer. In this role Mr. Freeman led the formation of strategic growth priorities and inorganic efforts at the company. Prior to CeramTec, he served as Senior Vice President of Strategy and Corporate Development at NuVasive, Inc., a medical device company. In this role, Mr. Freeman led global strategic planning, market intelligence and inorganic growth initiatives across the company. He was also tasked with leadership of the emerging markets commercial team, and the NuVasive Clinical Services business unit. Prior to NuVasive, Mr. Freeman was Head of M&A and Corporate Ventures at Life Technologies, a global life sciences tools business, where he directed M&A activities, strategic partnerships, and established and led a corporate venture practice. He holds an MBA from the Wharton School of the University of Pennsylvania, a BComm (Hons) from the University of the Witwatersrand, and is a CFA charterholder.

 

Brian Lawrence joined iRhythm as our Executive Vice President and Chief Technology Officer in April 2025. Prior to joining iRhythm, Dr. Lawrence served as Senior Vice President and Chief Technology Officer of Vapotherm, Inc. from December 2021 to April 2025, where he led the company’s global R&D, Innovation, Quality, Operations, and IT teams across the US, Asia, and Mexico. From May 2021 to December 2021, he was Chief Technology Officer & General Manager of Gravity Diagnostics, LLC, a diagnostics company, where he was responsible for technology and innovation programs across the company as well as new sustainable business unit development activities. Prior to joining Gravity Diagnostics, Dr. Lawrence served as Senior Vice President & Chief Technology Officer of Hillrom Holdings, Inc. (“Hillrom”), a medical device company, from December 2010 to May 2021. While at Hillrom, Dr. Lawrence was responsible for the global technology and innovation teams across a broad and diverse medical device portfolio. Prior to Hillrom, he served as Chief Technology Officer of Life Support Solutions, a division of GE Healthcare, where he was responsible for global engineering teams in anesthesia, ventilation, and maternal/infant care. Dr. Lawrence holds a Doctor of Philosophy, Electrical Engineering, from the Center for Research and Education in Optics and Lasers University of Central Florida, and a Master of Science, Electrical Engineering and a Bachelor of Science, Electrical Engineering from the Massachusetts Institute of Technology.

 

 

 

 

Outstanding Equity Plans, Awards and Related Arrangements

 

In connection with consummation of the Holding Company Transaction, on January 12, 2026, iRhythm and iRhythm Holdings entered into an Assignment and Assumption Agreement (the “Equity Compensation Plans Assignment Agreement”), pursuant to which, at the Effective Time, iRhythm assigned (including sponsorship of) to iRhythm Holdings, and iRhythm Holdings assumed (including sponsorship of) from iRhythm, all of iRhythm’s rights and obligations under (i) the iRhythm Technologies, Inc. 2016 Equity Incentive Plan, as amended (the “2016 Plan”) and all outstanding awards and award agreements thereunder and (ii) the iRhythm, Inc. 2016 Employee Stock Purchase Plan (as amended, the “ESPP” and, together with the 2016 Plan, the “Plans”).

 

The foregoing description of the Equity Compensation Plans Assignment Agreement does not constitute complete descriptions of, and are qualified in their entirety by reference to, the full text of the Equity Compensation Plans Assignment Agreement which is attached hereto as Exhibit 10.1, and incorporated by reference herein.

 

Item 5.03 Amendments to Articles of Incorporation or Bylaws; Change in Fiscal Year.

 

Upon consummation of the Holding Company Transaction, the Amended and Restated Certificate of Incorporation of iRhythm Holdings (the “Amended and Restated Certificate of Incorporation”) and the Amended and Restated Bylaws of iRhythm Holdings (the “Amended and Restated Bylaws”) are the same as the certificate of incorporation and bylaws of iRhythm in effect immediately prior to consummation of the Holding Company Transaction, respectively, other than changes permitted by Section 251(g) of the DGCL. The Amended and Restated Certificate of Incorporation was filed with the Secretary of State of the State of Delaware on January 12, 2026.

 

In addition, upon consummation of the Holding Company Transaction, iRhythm amended and restated its Amended and Restated Certificate of Incorporation (as so amended and restated, the “iRhythm Amended and Restated Charter”) by filing the iRhythm Amended and Restated Charter as an exhibit to the Certificate of Merger filed with the Secretary of State of the State of Delaware on January 12, 2026 in connection with the Merger (the “Certificate of Merger”), in order to add a provision, which is required by Section 251(g) of the DGCL, that provides that any act or transaction by or involving iRhythm, other than the election or removal of directors, that requires for its adoption under the DGCL or the iRhythm Amended and Restated Charter the approval of the stockholders of iRhythm shall require the approval of the stockholders of iRhythm Holdings by the same vote as is required by the DGCL and/or the iRhythm Amended and Restated Charter.

 

The foregoing descriptions of the Amended and Restated Certificate of Incorporation, the Amended and Restated Bylaws, and the iRhythm Amended and Restated Charter do not constitute complete descriptions of, and are qualified in their entirety by reference to, the full text of each of the Amended and Restated Certificate of Incorporation and the Amended and Restated Bylaws, and the iRhythm Amended and Restated Charter, respectively, which are attached hereto as Exhibits 3.1, 3.2, and 3.3 respectively, and each incorporated by reference herein.

 

Item 7.01 Regulation FD Disclosure

 

In connection with remarks to be made at the J.P. Morgan 44th Annual Healthcare Conference on Monday, January 12, 2026 (the “Conference”), beginning at 11:15 a.m. Eastern Time/8:15 a.m. Pacific Time, (i) iRhythm issued a press release on January 12, 2026 announcing preliminary fourth quarter 2025 highlights and business updates, including updated financial outlook for fiscal year 2025 and financial outlook for fiscal year 2026 and (ii) iRhythm Holdings intends to present an investor presentation at the Conference on January 12, 2026. A copy of the press release is attached as Exhibit 99.1 and a copy of the investor presentation is attached as Exhibit 99.2 to this Current Report on Form 8-K.

 

The information in this Item 7.01, including Exhibits 99.1 and 99.2 to this Current Report on Form 8-K, shall not be deemed to be “filed” for purposes of Section 18 of the Exchange Act or otherwise subject to the liabilities of that section or Sections 11 and 12(a)(2) of the Securities Act of 1933, as amended (the “Securities Act”). The information contained in this Item 7.01 and in the accompanying Exhibits 99.1 and 99.2 shall not be incorporated by reference into any other filing under the Exchange Act or under the Securities Act, except as shall be expressly set forth by specific reference in such filing.

 

Item 8.01 Other Events.

 

The information set forth above under Explanatory Note is incorporated hereunder by reference.

 

Description of Securities Registered Pursuant to Section 12 of the Exchange Act

 

The description of iRhythm Holdings’ securities registered pursuant to Section 12 of the Exchange Act provided in Exhibit 4.1, which is incorporated by reference herein, modifies and supersedes any prior description of iRhythm’s capital stock in any registration statement or report filed with the SEC and will be available for incorporation by reference into certain of iRhythm Holdings’ filings with the SEC pursuant to the Securities Act or the Exchange Act, and the rules and forms promulgated thereunder.

 

 

 

 

Forward-Looking Statements

 

This Current Report on Form 8-K contains forward-looking statements. Some of these forward-looking statements relate to future events and expectations and can be identified by the use of forward-looking words such as “believes,” “expects,” “may,” “will,” “should,” “seeks,” “approximately,” “intends,” “plans,” “estimates,” or “anticipates” or the negative of those words or other comparable terminology. Such forward-looking statements speak only as of the time they are made and are subject to various risks and uncertainties and iRhythm Holdings claims the protection afforded by the safe harbor for forward-looking statements contained in the Private Securities Litigation Reform Act of 1995. Forward-looking statements, including, but not limited to, statements regarding iRhythm Holdings’ ability to complete the Holding Company Transaction, the impacts of the Holding Company Transaction, iRhythm Holdings’ ability to realize the expected benefits of Holding Company Transaction, and iRhythm’s obligations pursuant to agreements related to the consummation of the Holding Company Transaction, as well as statements regarding financial guidance, market opportunity, ability to penetrate the market, anticipated productivity and quality improvements and expectations for growth, are not guarantees of future performance and involve risks and uncertainties that may cause iRhythm Holdings’ actual results to differ materially from iRhythm Holdings’ expectations discussed in the forward-looking statements. Each of the forward-looking statements is subject to change based on various important factors, many of which are beyond iRhythm Holdings’ control, including without limitation: the effect of the announcement of the Holding Company Transaction on iRhythm Holdings’ business generally, unexpected issues that arise following completion of the Holding Company Transaction, market reaction to the announcement, updates on and completion of the Holding Company Transaction, and those risks described in the section entitled “Risk Factors” and elsewhere in iRhythm Holdings’ reports filed from time to time with the SEC, including those in iRhythm Holdings’ most recent filings on Form 10-K, Form 10-Q and other SEC filings. Except as may be required by applicable law, iRhythm Holdings undertakes no obligation to publicly update or revise any forward-looking statements, whether as a result of new information, future events or otherwise. Given these uncertainties, one should not put undue reliance on any forward-looking statements.

 

Item 9.01 Financial Statements and Exhibits.

 

(d) Exhibits.

 

Exhibit   Description
2.1   Agreement and Plan of Merger and Reorganization, dated as of January 12, 2026 among iRhythm Technologies, Inc., iRhythm Holdings, Inc. (f/k/a LTCM Holdings, Inc.), and LTCM Merger Sub, Inc.
     
3.1   Amended and Restated Certificate of Incorporation of iRhythm Holdings, Inc.
     
3.2   Amended and Restated Bylaws of iRhythm Holdings, Inc.
     
3.3   Certificate of Merger.
     
4.1   Description of Securities.
     
4.2   Supplemental Indenture, dated as of January 12, 2026, between iRhythm Technologies, Inc., iRhythm Holdings, Inc. and U.S. Bank Trust Company, National Association.
     
10.1   Assignment and Assumption Agreement, dated as of January 12, 2026, between iRhythm Technologies, Inc. and iRhythm Holdings, Inc.
     
99.1   Press release dated January 12, 2026.
     
99.2   J.P. Morgan Presentation (January 2026).
     
104   Cover Page Interactive Data File (embedded within the Inline XBRL document).

 

 

 

 

SIGNATURES

 

Pursuant to the requirements of the Securities Exchange Act of 1934, as amended, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

 

  IRHYTHM TECHNOLOGIES, INC.
     
Date: January 12, 2026 By: /s/ Daniel Wilson
    Daniel Wilson
    Chief Financial Officer

 

 

 

Exhibit 2.1

 

AGREEMENT AND PLAN OF MERGER AND REORGANIZATION

 

This AGREEMENT AND PLAN OF MERGER AND REORGANIZATION (this “Agreement”) is entered into as of January 12, 2026, by and among iRhythm Technologies, Inc., a Delaware corporation (the “Company”), LTCM Holdings, Inc. (“Holdco”) and a direct, wholly owned subsidiary of the Company, and LTCM Merger Sub, Inc., a Delaware corporation (“Merger Sub”) and a direct, wholly owned subsidiary of Holdco. The Company, Holdco and Merger Sub are hereinafter collectively referred to as the “Constituent Corporations.”

 

RECITALS

 

WHEREAS, the Company desires to reorganize into a holding company structure pursuant to Section 251(g) of the Delaware General Corporation Law (the “DGCL”), under which Holdco would become a holding company and the Company would become a wholly owned subsidiary of Holdco, by the merger of Merger Sub with and into the Company.

 

WHEREAS, at the Effective Time (as defined herein), each outstanding share of Common Stock, par value $0.001 per share, of the Company (“Company Common Stock”) shall be converted into one share of Common Stock, par value $0.001 per share, of Holdco (“Holdco Common Stock”).

 

WHEREAS, immediately following the Effective Time, the designations, rights, powers and preferences, and the qualifications, limitations and restrictions, of the Holdco Common Stock will be the same as those of the Company Common Stock.

 

WHEREAS, the certificate of incorporation of Holdco and the bylaws of Holdco that will be in effect immediately following the Effective Time will contain provisions identical to the Restated Certificate of Incorporation of the Company and the Amended and Restated Bylaws of the Company, each of which is in effect as of the date hereof and that will be in effect immediately prior to the Effective Time, respectively (other than as permitted by Section 251(g) of the DGCL).

 

WHEREAS, upon the effectiveness of the Holdco A&R Certificate (as defined herein), the name of Holdco shall be changed from LTCM Holdings, Inc. to iRhythm Holdings, Inc.

 

WHEREAS, Holdco and Merger Sub are newly formed corporations organized for the sole purpose of participating in the transactions herein contemplated and actions related thereto, own no assets (other than Holdco’s ownership of Merger Sub and nominal capital) and have taken no actions other than those necessary or advisable to organize such entities and to effect the transactions herein contemplated and actions related thereto.

 

WHEREAS, prior to the Effective Time, the Company and Holdco will enter into an Assignment and Assumption Agreement (the “Assignment and Assumption Agreement”), pursuant to which, among other things, at the Effective Time, the Company will transfer to Holdco and Holdco will assume sponsorship of all the Company’s Equity Plans (as defined below) and all of the Company’s rights and obligations thereunder.

 

WHEREAS, as of the Effective Time and in connection with the Assignment and Assumption Agreement, all outstanding options to purchase shares of Company Common Stock issued pursuant to the Company’s 2016 Equity Incentive Plan (as amended to date, the “2016 Plan”) and the Company’s 2006 Stock Plan (the “2006 Plan”) (such options collectively, the “Company Options”) will be adjusted pursuant to Section 14(a) of the 2016 Plan or Section 13(a) of the 2006 Plan, as applicable, to be exercisable for shares of Holdco Common Stock.

 

 

 

 

WHEREAS, as of the Effective Time and in connection with the Assignment and Assumption Agreement, all outstanding restricted stock unit awards (including restricted stock units subject to performance conditions) settleable for shares of Company Common Stock issued pursuant to the 2016 Plan (such restricted stock units collectively, the “Company RSUs”) will be adjusted pursuant to Section 14(a) of the 2016 Plan, to be settleable for shares of Holdco Common Stock.

 

WHEREAS, as of the Effective Time and in connection with the Assignment and Assumption Agreement, each right to purchase a share of Company Common Stock under the 2016 Employee Stock Purchase Plan (the “ESPP”) that is outstanding immediately prior to the Effective Time (each, an “ESPP Right”) and relates to shares of Company Common Stock will be adjusted pursuant to Section 19(a) of the ESPP to relate to shares of Holdco Common Stock.

 

WHEREAS, the parties intend, for U.S. federal income tax purposes, that (i) the Merger (as defined below) shall qualify as a “reorganization” within the meaning of Section 368(a) of the Internal Revenue Code of 1986, as amended (the “Code”) and (ii) this Agreement is, and is hereby adopted as, a “plan of reorganization” within the meaning of Section 368 of the Code and Treasury Regulation Sections 1.368-2(g) and 1.368-3(a).

 

WHEREAS, the respective Board of Directors of each of the Constituent Corporations has deemed it advisable and in the best interests of such applicable Constituent Corporation and its stockholders that the Company merge with and into Merger Sub upon the terms and subject to the conditions set forth in this Agreement, for the purpose of effecting a holding company reorganization pursuant to Section 251(g) of the DGCL, and the respective Board of Directors of each of the Constituent Corporations has approved this Agreement and the Merger.

 

AGREEMENT

 

NOW, THEREFORE, in consideration of the premises and the covenants and agreements contained in this Agreement, and intending to be legally bound hereby, the Company, Holdco and Merger Sub hereby agree as follows:

 

1.             THE MERGER.

 

a.             In accordance with Section 251(g) of the DGCL and subject to, and upon the terms and conditions of, this Agreement, (a) Merger Sub shall be merged with and into the Company (the “Merger”), (b) the separate corporate existence of Merger Sub shall cease and (c) the Company shall continue as the surviving corporation of the Merger (the “Surviving Corporation”) and as a wholly owned subsidiary of Holdco. At the Effective Time, the effects of the Merger shall be as provided in this Agreement and in Sections 251(g) and 259 of the DGCL.

 

b.             The parties intend that the Merger qualify as a single “reorganization” within the meaning of Section 368(a)(1)(A) of the Code by reason Section 368(a)(2)(E) of the Code, and hereby adopt this Agreement as a “plan of reorganization” within the meaning of Treasury Regulations Sections 1.368-2(g) and 1.368-3 and Section 354(a)(1) of the Code.

 

2.             EFFECTIVE TIME. As soon as practicable on or after the date hereof, the Company shall file a Certificate of Merger (the “Certificate of Merger”), in substantially the form attached hereto as Exhibit A and executed in accordance with the relevant provisions of the DGCL, with the Secretary of State of the State of Delaware (the “Secretary of State”) and shall make all other filings or recordings required under the DGCL to effectuate the Merger. The Merger shall become effective at such time as the Certificate of Merger is duly filed with the Secretary of State, or at such later date and time as set forth in the Certificate of Merger (the “Effective Time”).

 

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3.             ORGANIZATIONAL DOCUMENTS.

 

a.             Holdco. In accordance with Section 251(g) of the DGCL, Holdco agrees to file (and the Company as the sole stockholder of Holdco agrees to approve the filing of) an amended and restated certificate of incorporation of Holdco (substantially in the form set forth as Exhibit B hereto, the “Holdco A&R Certificate”) with the Secretary of State prior to the Effective Time to be effective prior to and as of the Effective Time containing provisions substantively identical to those in the Restated Certificate of Incorporation of the Company immediately prior to the Effective Time, except as otherwise permitted by Section 251(g) of the DGCL. Holdco acknowledges that it has adopted bylaws substantially in the form set forth as Exhibit C hereto to be effective prior to and as of the Effective Time (the “Holdco A&R Bylaws”) containing provisions substantively identical to those in the Amended and Restated Bylaws of the Company in effect immediately prior to the Effective Time.

 

b.             Surviving Corporation Charter. At the Effective Time, the Restated Certificate of Incorporation of the Company in effect immediately prior to the Effective Time shall be amended and restated in the form attached hereto as Exhibit D (the “Surviving Corporation A&R Certificate”) and, as so amended and restated, shall be the certificate of incorporation of the Surviving Corporation until thereafter amended or restated as provided therein or by the DGCL.

 

c.             Surviving Corporation Bylaws. From and after the Effective Time, the Amended and Restated Bylaws of the Company in effect immediately prior to the Effective Time shall be amended and restated in the Merger in the form attached hereto as Exhibit E and, as so amended and restated, shall be the bylaws of the Surviving Corporation until thereafter amended as provided therein and in accordance with the applicable provisions of the DGCL (the “Surviving Corporation Bylaws”).

 

4.             DIRECTORS AND OFFICERS.

 

a.             Company. From and after the Effective Time, the members of the board of directors of the Surviving Corporation shall be the members of the board of directors of Merger Sub immediately prior to the Effective Time and will continue to hold office from the Effective Time until such director’s successor is duly elected and qualified, or until the earlier of such director’s death, resignation or removal. Each officer of Merger Sub in office immediately prior to the Effective Time shall be an officer of the Surviving Corporation immediately following the Effective Time and will continue to hold office from the Effective Time until such officer’s successor is duly appointed and qualified, or until the earlier of such officer’s death, designation or removal.

 

b.             Holdco. From and after the Effective Time, the members of the board of directors of the Holdco shall be the members of the board of directors of the Company immediately prior to the Effective Time and will continue to hold office from the Effective Time until such director’s successor is duly elected and qualified, or until the earlier of such director’s death, resignation or removal. Each officer of the Company in office immediately prior to the Effective Time shall be an officer of Holdco immediately following the Effective Time and will continue to hold office from the Effective Time until such officer’s successor is duly appointed and qualified, or until the earlier of such officer’s death, designation or removal.

 

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5.             EFFECT ON CAPITAL STOCK.

 

a.             Conversion of Company Common Stock for Holdco Common Stock. At the Effective Time, by virtue of the Merger and without any further action on the part of the Constituent Corporations or any holder of securities thereof, each share of Company Common Stock issued and outstanding immediately prior to the Effective Time shall be automatically converted into one (1) fully paid and nonassessable, issued and outstanding share of Holdco Common Stock having the same designations, rights, powers and preferences, and the qualifications, limitations and restrictions thereof, as the share of Company Common Stock from which it was converted.

 

b.             Conversion of Merger Sub Common Stock for Surviving Corporation Common Stock. At the Effective Time, by virtue of the Merger and without any further action on the part of the Constituent Corporations or any holders of securities thereof, each share of Common Stock, par value $0.001 per share, of Merger Sub issued and outstanding immediately prior to the Effective Time shall automatically be converted into one (1) fully paid and nonassessable, issued and outstanding share of Common Stock, par value $0.001 per share, of the Surviving Corporation.

 

c.             Conversion of Company Common Stock Held in Treasury. At the Effective Time, by virtue of the Merger and without any further action on the part of the Constituent Corporations or any holders of securities thereof, each share of Company Common Stock that is issued but not outstanding and held in the Company’s treasury immediately prior to the Effective Time shall be converted into one validly issued, fully paid, and nonassessable share of Holdco Common Stock, to be held in Holdco’s treasury immediately after the Effective Time.

 

d.             Cancellation of Holdco Common Stock. At the Effective Time, by virtue of the Merger and without any further action on the part of the Constituent Corporations or any holders of securities thereof, all of the shares of Holdco Common Stock that were issued and outstanding immediately prior to the Effective Time shall be automatically canceled without consideration and returned to the status of authorized but unissued shares.

 

e.             Stock Certificates. From and after the Effective Time, all of the outstanding certificates and book-entries which immediately prior to the Effective Time represented shares of Company Common Stock shall be deemed for all purposes to evidence ownership of, and to represent, shares of Holdco Common Stock into which the shares of Company Common Stock formerly represented by such certificates and book-entries have been converted as provided in this Agreement with identical designations, rights, powers and preferences, and qualifications, limitations and restrictions. The registered owner on the books and records of Holdco or its transfer agent of any outstanding stock certificate shall, until such certificate shall have been surrendered for transfer or otherwise accounted for to Holdco or its transfer agent, be entitled to exercise any voting and other rights with respect to the applicable shares of Holdco Common Stock into which the shares of Company Common Stock have been converted as provided in this Agreement.

 

6.             ASSUMPTION OF EQUITY PLANS AND ADJUSTMENT OF EQUITY AWARDS

 

a.             Assumption of Equity Plans. At the Effective Time, pursuant to this Agreement and the Assignment and Assumption Agreement, the Company will transfer to Holdco, and Holdco will assume sponsorship of the Company’s Equity Plans (as defined below), along with all of the Company’s rights and obligations under the Equity Plans. “Equity Plans” means the Company’s 2016 Plan, the Company’s 2006 Plan, and the Company’s ESPP and any and all subplans, appendices or addendums thereto, and any and all agreements evidencing the Company Options, Company RSUs and ESPP Rights.

 

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b.             Effect on Company Options. At the Effective Time, by virtue of this Agreement and the Assignment and Assumption Agreement and without any further action on the part of the Constituent Corporations or any holders of securities thereof, each Company Option, whether vested or unvested, that is unexpired, unexercised and outstanding immediately prior to the Effective Time shall be adjusted pursuant to Section 14(a) of the 2016 Plan or Section 13(a) of the 2006 Plan, as applicable, to be exercisable for shares of Holdco Common Stock. All such Company Options shall retain the same term, exercise price, exercisability, vesting schedule, acceleration provision (if applicable), status as an “incentive stock option” under Section 422 of the Code (if applicable) and all other material terms and conditions (including but not limited to the terms and conditions applicable to such options by virtue of the 2016 Plan or 2006 Plan, as applicable). From and after the Effective Time, each stock option agreement representing a stock option to purchase shares of Company Common Stock shall be deemed for all purposes to evidence a stock option agreement representing a stock option to purchase, at the same exercise price per share and on the same terms and conditions, the same number of shares of Holdco Common Stock.

 

c.             Effect on Company RSUs. At the Effective Time, by virtue of this Agreement and the Assignment and Assumption Agreement and without any further action on the part of the Constituent Corporations or any holders of securities thereof, each Company RSU, whether vested or unvested, that is unexpired and outstanding immediately prior to the Effective Time shall be adjusted pursuant to Section 14(a) of the 2016 Plan to be settleable for shares of Holdco Common Stock. All such Company RSUs shall retain the same term, vesting schedule, acceleration provision (if applicable) and all other material terms and conditions (including but not limited to the terms and conditions applicable to such restricted stock award by virtue of the 2016 Plan). From and after the Effective Time, each Company RSU award agreement representing a restricted stock unit award settleable for shares of Company Common Stock shall be deemed for all purposes to evidence a restricted stock unit award agreement representing a restricted stock unit award with respect to the same number of shares of Holdco Common Stock on the same terms and conditions.

 

d.             Effect on Company ESPP. At the Effective Time, by virtue of this Agreement and the Assignment and Assumption Agreement, each ESPP Right that is outstanding immediately prior to the Effective Time under the ESPP shall be adjusted pursuant to Section 19(a) of the ESPP and converted into an ESPP Right with respect to shares of Holdco Common Stock with the same rights and privileges that such ESPP Right had relative to the Company immediately prior to the Effective Time, on otherwise the same terms and conditions as were applicable immediately prior to the Effective Time.

 

7.             RESERVATION OF SHARES. On or prior to the Effective Time, Holdco will reserve sufficient shares of Holdco Common Stock to provide for the issuance of Holdco Common Stock to satisfy Holdco’s obligations under this Agreement.

 

8.             NO APPRAISAL RIGHTS. In accordance with the DGCL, no appraisal rights shall be available to any holder of shares of Company Common Stock in connection with the Merger.

 

9.             TERMINATION. This Agreement may be terminated, and the Merger and the other transactions provided for herein may be abandoned at any time prior to the Effective Time by duly authorized action of the Board of Directors of the Company. In the event of termination of this Agreement, this Agreement shall forthwith become void and have no effect, and none of the Company, Holdco or Merger Sub, nor any of their respective stockholders, directors or officers, shall have any liability with respect to such termination or abandonment.

 

10.            AMENDMENTS. At any time before the Effective Time, this Agreement may be amended, modified, restated or supplemented by a written agreement signed by each of the Constituent Corporations.

 

11.            GOVERNING LAW. This Agreement will be governed by and construed in accordance with the laws of the State of Delaware, without giving effect to that body of laws pertaining to conflict of laws.

 

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12.            COUNTERPARTS. This Agreement may be executed and delivered by electronic signature and in two or more counterparts, each of which shall be deemed an original, but all of which together shall constitute one and the same instrument.

 

13.            ENTIRE AGREEMENT. This Agreement and the documents referred to herein constitute the entire agreement and understanding of the parties with respect to the subject matter of this Agreement, and supersede any and all prior understandings and agreements, whether oral or written, between or among the parties hereto with respect to the specific subject matter hereof.

 

14.            SEVERABILITY. The invalidity or unenforceability of any provision of this Agreement shall in no way affect the validity or enforceability of any other provision.

 

[Signature Page Follows] 

 

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IN WITNESS WHEREOF, the Company, Holdco and Merger Sub have caused this Agreement to be executed as of the date first written above by their respective officers thereunto duly authorized.

 

  THE COMPANY:
     
  iRhythm Technologies, Inc.
     
     
  By: /s/ Quentin Blackford
  Name: Quentin Blackford
  Title: Chief Executive Officer
     
     
  HOLDCO:
     
  LTCM Holdings, Inc.
     
     
  By: /s/ Quentin Blackford
  Name: Quentin Blackford
  Title: Chief Executive Officer
     
     
  MERGER SUB:
     
  LTCM Merger Sub, Inc.
     
     
  By: /s/Patrick Murphy
  Name: Patrick Murphy
  Title: Chief Executive Officer

 

 

 

EXHIBIT A

 

Form of Certificate of Merger

 

 

 

EXHIBIT B

 

Holdco A&R Certificate

 

 

 

EXHIBIT C

 

Holdco A&R Bylaws

 

 

 

 

EXHIBIT D

 

Surviving Corporation A&R Certificate

 

 

 

EXHIBIT E

 

Surviving Corporation Bylaws

 

 

 

Exhibit 3.1

 

LTCM HOLDINGS, INC.

 

AMENDED AND RESTATED CERTIFICATE OF INCORPORATION

 

LTCM Holdings, Inc., a corporation organized and existing under the laws of the State of Delaware (the “Corporation”), hereby certifies as follows:

 

A.            The name of the Corporation is LTCM Holdings, Inc., and the original Certificate of Incorporation of this Corporation was filed with the Secretary of State of the State of Delaware on December 19, 2025.

 

B.            This Amended and Restated Certificate of Incorporation was duly adopted in accordance with Sections 242 and 245 of the General Corporation Law of the State of Delaware (the “DGCL”), and restates, integrates and further amends the provisions of the Corporation’s Amended and Restated Certificate of Incorporation, and has been duly approved by the written consent of the stockholders of the Corporation in accordance with Section 228 of the DGCL.

 

C.            The text of the Amended and Restated Certificate of Incorporation of this Corporation is hereby amended and restated to read in its entirety as follows:

 

Article I

 

The name of the Corporation is iRhythm Holdings, Inc.

 

Article II

 

The address of the Corporation’s registered office in the State of Delaware is 1209 Orange Street, City of Wilmington, County of New Castle, Delaware 19801. The name of the Corporation’s registered agent at such address is The Corporation Trust Company.

 

Article III

 

The purpose of this corporation is to engage in any lawful act or activity for which corporations may be organized under the Delaware General Corporation Law, as the same exists or as may hereafter be amended from time to time.

 

Article IV

 

4.1            Authorized Capital Stock. The total number of shares of all classes of capital stock that the Corporation is authorized to issue is One Hundred and Five Million (105,000,000) shares, consisting of One Hundred Million (100,000,000) shares of Common Stock, par value $0.001 per share (the “Common Stock”), and Five Million (5,000,000) shares of Preferred Stock, par value $0.001 per share (the “Preferred Stock”).

 

4.2            Increase or Decrease in Authorized Capital Stock. The number of authorized shares of Preferred Stock or Common Stock may be increased or decreased (but not below the number of shares thereof then outstanding) by the affirmative vote of the holders of a majority in voting power of the stock of the Corporation entitled to vote generally in the election of directors, irrespective of the provisions of Section 242(b)(2) of the DGCL (or any successor provision thereto), voting together as a single class, without a separate vote of the holders of the class or classes the number of authorized shares of which are being increased or decreased, unless a vote by any holders of one or more series of Preferred Stock is required by the express terms of any series of Preferred Stock as provided for or fixed pursuant to the provisions of Section 4.4 of this Article IV.

 

 

 

4.3            Common Stock.

 

(a)            The holders of shares of Common Stock shall be entitled to one vote for each such share on each matter properly submitted to the stockholders on which the holders of shares of Common Stock are entitled to vote. Except as otherwise required by law or this certificate of incorporation (this “Certificate of Incorporation” which term, as used herein, shall mean the certificate of incorporation of the Corporation, as amended from time to time, including the terms of any certificate of designations of any series of Preferred Stock), and subject to the rights of the holders of Preferred Stock, at any annual or special meeting of the stockholders the holders of shares of Common Stock shall have the right to vote for the election of directors and on all other matters properly submitted to a vote of the stockholders; provided, however, that, except as otherwise required by law, holders of Common Stock shall not be entitled to vote on any amendment to this Certificate of Incorporation that relates solely to the terms, number of shares, powers, designations, preferences, or relative participating, optional or other special rights (including, without limitation, voting rights), or to qualifications, limitations or restrictions thereon, of one or more outstanding series of Preferred Stock if the holders of such affected series are entitled, either separately or together with the holders of one more other such series, to vote thereon pursuant to this Certificate of Incorporation (including, without limitation, by any certificate of designations relating to any series of Preferred Stock) or pursuant to the DGCL.

 

(b)            Subject to the rights of the holders of Preferred Stock, the holders of shares of Common Stock shall be entitled to receive such dividends and other distributions (payable in cash, property or capital stock of the Corporation) when, as and if declared thereon by the Board of Directors of the Corporation (the “Board of Directors”) from time to time out of any assets or funds of the Corporation legally available therefor and shall share equally on a per share basis in such dividends and distributions.

 

(c)            In the event of any voluntary or involuntary liquidation, dissolution or winding-up of the Corporation, after payment or provision for payment of the debts and other liabilities of the Corporation, and subject to the rights of the holders of Preferred Stock in respect thereof, the holders of shares of Common Stock shall be entitled to receive all the remaining assets of the Corporation available for distribution to its stockholders, ratably in proportion to the number of shares of Common Stock held by them.

 

4.4            Preferred Stock.

 

(a)            The Preferred Stock may be issued from time to time in one or more series pursuant to a resolution or resolutions providing for such issue duly adopted by the Board of Directors (authority to do so being hereby expressly vested in the Board of Directors). The Board of Directors is further authorized, subject to limitations prescribed by law, to fix by resolution or resolutions and to set forth in a certification of designations filed pursuant to the DGCL the powers, designations, preferences and relative, participation, optional or other rights, if any, and the qualifications, limitations or restrictions thereof, if any, of any wholly unissued series of Preferred Stock, including without limitation authority to fix by resolution or resolutions the dividend rights, dividend rate, conversion rights, voting rights, rights and terms of redemption (including, without limitation, sinking fund provisions), redemption price or prices, and liquidation preferences of any such series, and the number of shares constituting any such series and the designation thereof, or any of the foregoing.

 

 

 

(b)            The Board of Directors is further authorized to increase (but not above the total number of authorized shares of the class) or decrease (but not below the number of shares of any such series then outstanding) the number of shares of any series, the number of which was fixed by it, subsequent to the issuance of shares of such series then outstanding, subject to the powers, preferences and rights, and the qualifications, limitations and restrictions thereof stated in the Certificate of Incorporation or the resolution of the Board of Directors originally fixing the number of shares of such series. If the number of shares of any series is so decreased, then the shares constituting such decrease shall resume the status which they had prior to the adoption of the resolution originally fixing the number of shares of such series.

 

Article V

 

5.1            General Powers. The business and affairs of the Corporation shall be managed by or under the direction of the Board of Directors.

 

5.2            Number of Directors; Election; Term.

 

(a)            Subject to the rights of holders of any series of Preferred Stock with respect to the election of directors, the number of directors that constitutes the entire Board of Directors shall be fixed solely by resolution of the Board of Directors.

 

(b)            Subject to the rights of holders of any series of Preferred Stock with respect to the election of directors, effective upon the closing date (the “Effective Date”) of the initial sale of shares of common stock in the Corporation’s initial public offering pursuant to an effective registration statement filed under the Securities Act of 1933, as amended, the directors of the Corporation shall be divided into three classes as nearly equal in size as is practicable, hereby designated Class I, Class II and Class III. The initial assignment of members of the Board of Directors to each such class shall be made by the Board of Directors. The term of office of the initial Class I directors shall expire at the first regularly-scheduled annual meeting of the stockholders following the Effective Date, the term of office of the initial Class II directors shall expire at the second annual meeting of the stockholders following the Effective Date and the term of office of the initial Class III directors shall expire at the third annual meeting of the stockholders following the Effective Date. At each annual meeting of stockholders, commencing with the first regularly-scheduled annual meeting of stockholders following the Effective Date, each of the successors elected to replace the directors of a Class whose term shall have expired at such annual meeting shall be elected to hold office until the third annual meeting next succeeding his or her election and until his or her respective successor shall have been duly elected and qualified. Subject to the rights of holders of any series of Preferred Stock with respect to the election of directors, if the number of directors that constitutes the Board of Directors is changed, any newly created directorships or decrease in directorships shall be so apportioned by the Board of Directors among the classes as to make all classes as nearly equal in number as is practicable, provided that no decrease in the number of directors constituting the Board of Directors shall shorten the term of any incumbent director.

 

(c)            Notwithstanding the foregoing provisions of this Section 5.2, and subject to the rights of holders of any series of Preferred Stock with respect to the election of directors, each director shall serve until his or her successor is duly elected and qualified or until his or her earlier death, resignation, or removal.

 

(d)            Elections of directors need not be by written ballot unless the Bylaws of the Corporation shall so provide.

 

 

 

5.3            Removal. Subject to the rights of holders of any series of Preferred Stock with respect to the election of directors, a director may be removed from office in the manner provided in Section 141(k) of the DGCL.

 

5.4            Vacancies and Newly Created Directorships. Subject to the rights of holders of any series of Preferred Stock with respect to the election of directors, and except as otherwise provided in the DGCL, vacancies occurring on the Board of Directors for any reason and newly created directorships resulting from an increase in the authorized number of directors may be filled only by vote of a majority of the remaining members of the Board of Directors, although less than a quorum, or by a sole remaining director, at any meeting of the Board of Directors. A person so elected by the Board of Directors to fill a vacancy or newly created directorship shall hold office until the next election of the class for which such director shall have been assigned by the Board of Directors and until his or her successor shall be duly elected and qualified.

 

Article VI

 

In furtherance and not in limitation of the powers conferred by statute, the Board of Directors is expressly authorized to adopt, amend or repeal the Bylaws of the Corporation.

 

Article VII

 

7.1            No Action by Written Consent of Stockholders. Except as otherwise expressly provided by the terms of any series of Preferred Stock permitting the holders of such series of Preferred Stock to act by written consent, any action required or permitted to be taken by stockholders of the Corporation must be effected at a duly called annual or special meeting of the stockholders and may not be effected by written consent in lieu of a meeting.

 

7.2            Special Meetings. Except as otherwise expressly provided by the terms of any series of Preferred Stock permitting the holders of such series of Preferred Stock to call a special meeting of the holders of such series, special meetings of stockholders of the Corporation may be called only by the Board of Directors, the chairperson of the Board of Directors, the chief executive officer or the president (in the absence of a chief executive officer), and the ability of the stockholders to call a special meeting is hereby specifically denied. The Board of Directors may cancel, postpone or reschedule any previously scheduled special meeting at any time, before or after the notice for such meeting has been sent to the stockholders.

 

7.3            Advance Notice. Advance notice of stockholder nominations for the election of directors and of business to be brought by stockholders before any meeting of the stockholders of the Corporation shall be given in the manner provided in the Bylaws of the Corporation.

 

7.4            Exclusive Jurisdiction. Unless the Corporation consents in writing to the selection of an alternative forum, the Court of Chancery of the State of Delaware shall, to the fullest extent permitted by law, be the sole and exclusive forum for (i) any derivative action or proceeding brought on behalf of the Corporation, (ii) any action asserting a claim of breach of a fiduciary duty owed by any director, officer or other employee or agent of the Corporation to the Corporation or the Corporation’s stockholders, (iii) any action asserting a claim against the Corporation arising pursuant to any provision of the DGCL or the Corporation’s Certificate of Incorporation or Bylaws, (iv) any action to interpret, apply, enforce or determine the validity of the Corporation’s Certificate of Incorporation or Bylaws, or (v) any action asserting a claim against the Corporation governed by the internal affairs doctrine, in each such case subject to said Court of Chancery having personal jurisdiction over the indispensable parties named as defendants therein. Any person or entity purchasing or otherwise acquiring any interest in shares of capital stock of the Corporation shall be deemed to have notice of and consented to the provisions of this Section 7.4.

 

 

 

Article VIII

 

8.1            Limitation of Liability. To the fullest extent permitted by law, neither a director of the Corporation nor an officer of the Corporation shall be personally liable to the Corporation or its stockholders for monetary damages for breach of fiduciary duty as a director or officer, as applicable. Without limiting the effect of the preceding sentence, if the DGCL is hereafter amended to authorize the further elimination or limitation of the liability of a director or officer, then the liability of a director or officer of the Corporation shall be eliminated or limited to the fullest extent permitted by the DGCL, as so amended.

 

8.2            Indemnification.

 

The Corporation shall indemnify, to the fullest extent permitted by applicable law, any director or officer of the Corporation who was or is a party or is threatened to be made a party to any threatened, pending or completed action, suit or proceeding, whether civil, criminal, administrative or investigative (a “Proceeding”) by reason of the fact that he or she is or was a director, officer, employee or agent of the Corporation or is or was serving at the request of the Corporation as a director, officer, employee or agent of another Corporation, partnership, joint venture, trust or other enterprise, including service with respect to employee benefit plans, against expenses (including attorneys’ fees), judgments, fines and amounts paid in settlement actually and reasonably incurred by such person in connection with any such Proceeding. The Corporation shall be required to indemnify a person in connection with a Proceeding initiated by such person only if the Proceeding was authorized by the Board of Directors.

 

The Corporation shall have the power to indemnify, to the extent permitted by the DGCL, as it presently exists or may hereafter be amended from time to time, any employee or agent of the Corporation who was or is a party or is threatened to be made a party to any Proceeding by reason of the fact that he or she is or was a director, officer, employee or agent of the Corporation or is or was serving at the request of the Corporation as a director, officer, employee or agent of another corporation, partnership, joint venture, trust or other enterprise, including service with respect to employee benefit plans, against expenses (including attorneys’ fees), judgments, fines and amounts paid in settlement actually and reasonably incurred by such person in connection with any such Proceeding.

 

8.3            Change in Rights. Neither any amendment nor repeal of this Article VIII, nor the adoption of any provision of this Certificate of Incorporation inconsistent with this Article VIII, shall eliminate, reduce or otherwise adversely affect any limitation on the personal liability of a director or officer of the Corporation existing at the time of such amendment, repeal or adoption of such an inconsistent provision.

 

Article IX

 

The Corporation reserves the right to amend, alter, change or repeal any provision contained in this Certificate of Incorporation (including, without limitation, any rights, preferences or other designations of Preferred Stock), in the manner now or hereafter prescribed by this Certificate of Incorporation and the DGCL; and all rights, preferences and privileges herein conferred upon stockholders by and pursuant to this Certificate of Incorporation in its present form or as hereafter amended are granted subject to the right reserved in this Article IX. Notwithstanding any other provision of this Certificate of Incorporation, and in addition to any other vote that may be required by law or the terms of any series of Preferred Stock, the affirmative vote of the holders of at least 66⅔% of the voting power of all then outstanding shares of capital stock of the Corporation entitled to vote generally in the election of directors, voting together as a single class, shall be required to amend, alter or repeal, or adopt any provision as part of this Certificate of Incorporation inconsistent with the purpose and intent of, Article V, Article VI, Article VII or this Article IX (including, without limitation, any such Article as renumbered as a result of any amendment, alteration, change, repeal or adoption of any other Article).

 

 

 

IN WITNESS WHEREOF, the Corporation has caused this Amended and Restated Certificate of Incorporation to be signed by a duly authorized officer of the Corporation on this 12th day of January, 2026.

 

 

By: /s/ Quentin S. Blackford  
  Quentin S. Blackford  
  President and Chief Executive Officer  

 

 

Exhibit 3.2

 

AMENDED AND RESTATED BYLAWS OF

 

IRHYTHM HOLDINGS, INC.

 

(As Amended and Restated on January 12, 2026)

 

 

 

TABLE OF CONTENTS

 

Page

 

ARTICLE I — CORPORATE OFFICES 1
1.1        REGISTERED OFFICE 1
1.2        OTHER OFFICES 1
ARTICLE II — MEETINGS OF STOCKHOLDERS 1
2.1        PLACE OF MEETINGS 1
2.2        ANNUAL MEETING 1
2.3        SPECIAL MEETING 1
2.4        ADVANCE NOTICE PROCEDURES 2
2.5        NOTICE OF STOCKHOLDERS’ MEETINGS 10
2.6        QUORUM 10
2.7        ADJOURNED MEETING; NOTICE 11
2.8        CONDUCT OF BUSINESS 11
2.9        VOTING 11
2.10      STOCKHOLDER ACTION BY WRITTEN CONSENT WITHOUT A MEETING 12
2.11      RECORD DATES 12
2.12      PROXIES 12
2.13      LIST OF STOCKHOLDERS ENTITLED TO VOTE 13
2.14      INSPECTORS OF ELECTION 13
2.15      EMERGENCY BYLAWS 14
2.16      DELIVERY TO THE CORPORATION 14
ARTICLE III — DIRECTORS 14
3.1        POWERS 14
3.2        NUMBER OF DIRECTORS 14
3.3        ELECTION, QUALIFICATION AND TERM OF OFFICE OF DIRECTORS 15
3.4        RESIGNATION AND VACANCIES 15
3.5        PLACE OF MEETINGS; MEETINGS BY TELEPHONE 15
3.6        REGULAR MEETINGS 16
3.7        SPECIAL MEETINGS; NOTICE 16
3.8        QUORUM; VOTING 16
3.9        BOARD ACTION BY WRITTEN CONSENT WITHOUT A MEETING 17
3.10      FEES AND COMPENSATION OF DIRECTORS 17
3.11      REMOVAL OF DIRECTORS 17
ARTICLE IV — COMMITTEES 17
4.1        COMMITTEES OF DIRECTORS 17
4.2        COMMITTEE MINUTES 17
4.3        MEETINGS AND ACTION OF COMMITTEES 18
4.4        SUBCOMMITTEES 18

 

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ARTICLE V — OFFICERS 18
5.1        OFFICERS 18
5.2        APPOINTMENT OF OFFICERS 18
5.3        SUBORDINATE OFFICERS 19
5.4        REMOVAL AND RESIGNATION OF OFFICERS 19
5.5        VACANCIES IN OFFICES 19
5.6        REPRESENTATION OF SHARES OF OTHER ENTITIES 19
5.7        AUTHORITY AND DUTIES OF OFFICERS 19
ARTICLE VI — STOCK 20
6.1        STOCK CERTIFICATES; PARTLY PAID SHARES 20
6.2        SPECIAL DESIGNATION ON CERTIFICATES 20
6.3        LOST, STOLEN OR DESTROYED CERTIFICATES 20
6.4        DIVIDENDS 21
6.5        TRANSFER OF STOCK 21
6.6        STOCK TRANSFER AGREEMENTS 21
6.7        REGISTERED STOCKHOLDERS 21
ARTICLE VII — MANNER OF GIVING NOTICE AND WAIVER 21
7.1        NOTICE OF STOCKHOLDERS’ MEETINGS 21
7.2        NOTICE BY ELECTRONIC TRANSMISSION 22
7.3        NOTICE TO STOCKHOLDERS SHARING AN ADDRESS 22
7.4        NOTICE TO PERSON WITH WHOM COMMUNICATION IS UNLAWFUL 23
7.5        WAIVER OF NOTICE 23
ARTICLE VIII — INDEMNIFICATION 23
8.1        INDEMNIFICATION OF DIRECTORS AND OFFICERS IN THIRD PARTY PROCEEDINGS 23
8.2        INDEMNIFICATION OF DIRECTORS AND OFFICERS IN ACTIONS BY OR IN THE RIGHT OF THE CORPORATION 24
8.3        SUCCESSFUL DEFENSE 24
8.4        INDEMNIFICATION OF OTHERS 24
8.5        ADVANCED PAYMENT OF EXPENSES 24
8.6        LIMITATION ON INDEMNIFICATION 25
8.7        DETERMINATION; CLAIM 26
8.8        NON-EXCLUSIVITY OF RIGHTS 26
8.9        INSURANCE 26
8.10      SURVIVAL 26
8.11      EFFECT OF REPEAL OR MODIFICATION 26
8.12      CERTAIN DEFINITIONS 26
ARTICLE IX — GENERAL MATTERS 27
9.1        EXECUTION OF CORPORATE CONTRACTS AND INSTRUMENTS 27
9.2        FISCAL YEAR 27
9.3        SEAL 27
9.4        CONSTRUCTION; DEFINITIONS 27
9.5        FORUM SELECTION FOR SECURITIES ACT CLAIMS 28
ARTICLE X — AMENDMENTS 28

 

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AMENDED AND RESTATED BYLAWS OF IRHYTHM TECHNOLOGIES, INC.

 

Article I — CORPORATE OFFICES

 

1.1          REGISTERED OFFICE

 

The registered office of iRhythm Holdings, Inc. shall be fixed in the corporation’s certificate of incorporation. References in these bylaws to the certificate of incorporation shall mean the certificate of incorporation of the corporation, as amended from time to time, including the terms of any certificate of designations of any series of Preferred Stock.

 

1.2          OTHER OFFICES

 

The corporation may at any time establish other offices at any place or places where the corporation is qualified to do business.

 

Article II — MEETINGS OF STOCKHOLDERS

 

2.1          PLACE OF MEETINGS

 

Meetings of stockholders shall be held at any place, within or outside the State of Delaware, designated by the board of directors. The board of directors may, in its sole discretion, determine that a meeting of stockholders shall not be held at any place, but may instead be held solely by means of remote communication as authorized by Section 211(a)(2) of the General Corporation Law of the State of Delaware (the “DGCL”). In the absence of any such designation or determination, stockholders’ meetings shall be held at the corporation’s then-principal executive office.

 

2.2          ANNUAL MEETING

 

The annual meeting of stockholders shall be held on such date and at such time as shall be designated from time to time by the board of directors and stated in the corporation’s notice of the meeting. At the annual meeting, directors shall be elected and any other proper business may be transacted.

 

2.3          SPECIAL MEETING

 

(i)          A special meeting of the stockholders, other than those required by statute, may be called at any time only by (A) the board of directors, (B) the chairperson of the board of directors, (C) the chief executive officer or (D) the president (in the absence of a chief executive officer). A special meeting of the stockholders may not be called by any other person or persons. The board of directors may cancel, postpone or reschedule any previously scheduled special meeting at any time, before or after the notice for such meeting has been sent to the stockholders.

 

(ii)         The notice of a special meeting shall include the purpose for which the meeting is called. Only such business shall be conducted at a special meeting of stockholders as shall have been brought before the meeting by or at the direction of the board of directors, the chairperson of the board of directors, the chief executive officer or the president (in the absence of a chief executive officer). Nothing contained in this Section 2.3(ii) shall be construed as limiting, fixing or affecting the time when a meeting of stockholders called by action of the board of directors may be held.

 

 

 

2.4          ADVANCE NOTICE PROCEDURES

 

(i)          Advance Notice of Stockholder Business at Annual Meetings. At an annual meeting of the stockholders, only such business shall be conducted as shall have been properly brought before the meeting. To be properly brought before an annual meeting, business must be brought: (A) pursuant to the corporation’s proxy materials with respect to such meeting (or any supplement thereto), (B) by or at the direction of the board of directors, or (C) by a stockholder of the corporation who (1) is a stockholder of record at the time of the giving of the notice required by this Section 2.4(i) and on the date of the annual meeting, (2) is entitled to vote at the annual meeting and (3) has timely complied in proper written form with the notice procedures set forth in this Section 2.4(i). In addition, for business to be properly brought before an annual meeting by a stockholder, such business must be a proper matter for stockholder action pursuant to these bylaws and applicable law. Except for proposals properly made in accordance with Rule 14a-8 under the Securities Exchange Act of 1934, as amended, and the rules and regulations promulgated thereunder (as so amended and inclusive of such rules and regulations, the “1934 Act”), and included in the notice of meeting given by or at the direction of the board of directors, for the avoidance of doubt, clause (C) above shall be the exclusive means for a stockholder to bring business before an annual meeting of stockholders.

 

(a)          To comply with clause (C) of Section 2.4(i) above, a stockholder’s notice must set forth all information required under this Section 2.4(i) and must be timely received by the secretary of the corporation. To be timely, a stockholder’s notice must be received by the secretary at the then-principal executive offices of the corporation not later than the close of business on the 45th day nor earlier than the opening of business on the 75th day before the one-year anniversary of the date on which the corporation first mailed its proxy materials or a notice of availability of proxy materials (whichever is earlier) for the preceding year’s annual meeting; provided, however, that in the event that no annual meeting was held in the previous year or if the date of the annual meeting is advanced by more than 30 days prior to or delayed by more than 60 days after the one-year anniversary of the date of the previous year’s annual meeting, then, for notice by the stockholder to be timely, it must be so received by the secretary not earlier than the opening of business on the 120th day prior to such annual meeting and not later than the close of business on the later of (i) the 90th day prior to such annual meeting, or (ii) the tenth day following the day on which Public Announcement (as defined below) of the date of such annual meeting is first made. In no event shall any adjournment or postponement (or the Public Announcement thereof) of an annual meeting for which notice has already been given or for which a Public Announcement of the date of the meeting has already been made by the corporation commence a new time period for the giving of a stockholder’s notice as described in this Section 2.4(i)(a). For purposes of these bylaws, “Public Announcement” shall mean disclosure in a press release reported by a national news service or in a document publicly filed by the corporation with the Securities and Exchange Commission pursuant to Section 13, 14 or 15(d) of the 1934 Act, and “opening of business” and “close of business” shall mean 9:00 A.M. and 5:00 P.M., respectively, local time at the then-principal executive offices of the corporation, on any calendar day, whether or not a business day.

 

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(b)          To be in proper written form, a stockholder’s notice to the secretary must set forth as to each matter of business the stockholder intends to bring before the annual meeting: (1) a brief description of the business intended to be brought before the annual meeting, the text of the proposal or business (including the text of any resolutions proposed for consideration and if such business includes a proposal to amend the bylaws, the text of the proposed amendment) and the reasons for conducting such business at the annual meeting, (2) the name and address, as they appear on the corporation’s books, of the stockholder proposing such business and any Stockholder Associated Person (as defined below), (3) the class or series and number of shares of stock and debt instruments of the corporation that are, directly or indirectly, held of record or are beneficially owned by the stockholder or any Stockholder Associated Person, including any shares or debt instruments of the corporation as to which the stockholder or any Stockholder Associated Person has a right to acquire beneficial ownership at any time in the future, and any derivative positions held or beneficially held by the stockholder or any Stockholder Associated Person as of the date of delivery of such notice, (4) a certification regarding whether such stockholder or any Stockholder Associated Person has complied with all applicable federal, state and other legal requirements in connection with such person’s acquisition of shares of capital stock or other securities of the corporation and/or such person’s acts or omissions as a stockholder of the corporation, (5) any (i) agreement, arrangement or understanding (including, without limitation and regardless of the form of settlement, any derivative, long or short positions, profit interests, forwards, futures, swaps, options, warrants, convertible securities, stock appreciation or similar rights, hedging or other transaction or series of transactions and borrowed or loaned shares of stock) that has been entered into by or on behalf of such stockholder or any Stockholder Associated Person with respect to any securities of the corporation (any of the foregoing, a “Derivative Instrument”), including the full notional amount of any securities that, directly or indirectly, underlie any Derivative Instrument, and (ii) other agreement, arrangement or understanding, the effect or intent of which is to create or mitigate loss to, or to manage the risk or benefit from share price changes for, or to increase or decrease the voting power of, such stockholder or any Stockholder Associated Person with respect to any securities of the corporation, (6) any right to dividends on the corporation’s securities beneficially owned by the stockholder or any Stockholder Associated Person that are separated or separable from the underlying security, (7) any material interest of the stockholder or a Stockholder Associated Person in such business, (8) any direct or indirect material interest in any material contract or agreement with the corporation, any affiliate of the corporation or any Competitor (as defined below) (including, in any such case, any employment agreement, collective bargaining agreement or consulting agreement), (9) any significant equity interests or any Derivative Instruments in any Competitor held by such stockholder or any Stockholder Associated Person and/or any of their respective affiliates or associates, (10) any other material relationship between such stockholder or any Stockholder Associated Person, on the one hand, and the corporation, any affiliate of the corporation or any Competitor, on the other hand, (11) all information that would be required to be set forth in a Schedule 13D filed pursuant to Rule 13d-1(a) or an amendment pursuant to Rule 13d-2(a) if such a statement were required to be filed under the 1934 Act and the rules and regulations promulgated thereunder by such stockholder or any Stockholder Associated Person and/or any of their respective affiliates or associates, (12) a representation and undertaking that the stockholder is a holder of record of stock of the corporation as of the date of delivery of such notice and that such stockholder (or a qualified representative thereof) intends to appear at the annual meeting to bring such business before the annual meeting, (13) any other information relating to the stockholder or any Stockholder Associated Person or others acting in concert with them, or the proposed business that, in each case, would be required to be disclosed in the proxy materials or other filings required to be made in connection with the solicitation of proxies in support of such proposal pursuant to Section 14 of the 1934 Act, (14) such stockholder and any Stockholder Associated Person’s written consent to the public disclosure of information provided to the corporation pursuant to this Section 2.4, (15) any proxy, contract, arrangement, or relationship pursuant to which such stockholder or any Stockholder Associated Person has a right to vote, directly or indirectly, any shares of any security of the corporation and (16) a written representation as to whether (i) the stockholder, any Stockholder Associated Person, or any other participant (as defined in Item 4 of Schedule 14A under the 1934 Act) will engage in a solicitation with respect to such proposal and, if so, the name of each participant in such solicitation and the amount of the cost of solicitation that has been and will be borne, directly or indirectly, by each participant in such solicitation, and (ii) the stockholder or any Stockholder Associated Person intends, or is part of a group that intends, to (x) deliver a proxy statement and form of proxy to holders of at least the percentage of the voting power of the corporation’s voting shares required under applicable law to carry the proposal and/or (y) otherwise solicit proxies from stockholders in support of such proposal (such information provided and statements made as required by clauses (1) through (16), a “Business Statement”). For purposes of these bylaws, a “Stockholder Associated Person” of any stockholder shall mean (i) any person controlling, directly or indirectly, or acting in concert with, such stockholder, (ii) any beneficial owner of shares of stock of the corporation owned of record or beneficially by such stockholder and on whose behalf the proposal or nomination, as the case may be, is being made, or (iii) any person controlling, controlled by or under common control with such person referred to in the preceding clauses (i) and (ii), and a “Competitor” shall mean any entity that provides products or services that compete with or are alternatives to the principal products produced or services provided by the corporation or its affiliates,

 

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(c)          Without exception, no business shall be conducted at any annual meeting except in accordance with the provisions set forth in this Section 2.4(i). In addition, business proposed to be brought by a stockholder may not be brought before the annual meeting if such stockholder or a Stockholder Associated Person, as applicable, takes action contrary to the representations made in the Business Statement applicable to such business or if the Business Statement applicable to such business contains an untrue statement of a material fact or omits to state a material fact necessary to make the statements therein not misleading, The chairperson of the annual meeting shall, if the facts warrant, determine and declare at the annual meeting that business was not properly brought before the annual meeting and in accordance with the provisions of this Section 2.4(i), and, if the chairperson should so determine, he or she shall so declare at the annual meeting that any such business not properly brought before the annual meeting shall not be conducted.

 

(ii)          Advance Notice of Director Nominations at Annual Meetings. Notwithstanding anything in these bylaws to the contrary, only persons who are nominated in accordance with the procedures set forth in this Section 2.4(ii) shall be eligible for election or re-election as directors at an annual meeting of stockholders. Nominations of persons for election or re-election to the board of directors of the corporation shall be made at an annual meeting of stockholders only (A) by or at the direction of the board of directors or (B) by a stockholder of the corporation who (1) was a stockholder of record at the time of the giving of the notice required by this Section 2.4(ii) and on the date of the annual meeting, (2) is entitled to vote at the annual meeting and (3) has complied with the notice procedures set forth in this Section 2.4(ii). In addition to any other applicable requirements, for a nomination to be made by a stockholder, the stockholder must have given timely notice thereof in proper written form to the secretary of the corporation. For the avoidance of doubt, clause (B) above shall be the exclusive means for a stockholder to present nominations at an annual meeting of stockholders.

 

(a)          To comply with clause (B) of Section 2.4(ii) above, (1) a nomination to be made by a stockholder must set forth all information required under this Section 2.4(ii) and must be received by the secretary of the corporation at the then-principal executive offices of the corporation at the time set forth in, and in accordance with, the final three sentences of Section 2.4(i)(a) above, (2) the stockholder must have complied in all respects with the applicable requirements of Section 14 of the 1934 Act, including, without limitation, the applicable requirements of Rule 14a-19 under the 1934 Act (“Rule 14a-19”) (as such rule and regulations may be amended from time to time by the Securities and Exchange Commission (the “SEC”), including any SEC Staff interpretations relating thereto) and (3) the board of directors or an executive officer of the corporation designated by the board of directors shall not have determined that the stockholder has failed to satisfy the requirements of this clause (2) of Section 2.4(ii)(a), including without limitation the satisfaction of any undertaking delivered under Section 2.4(ii)(b) below. In the event that the number of directors to be elected to the board of directors is increased and there is no Public Announcement naming all of the nominees for director or specifying the size of the increased board of directors made by the corporation at least ten days before the last day a stockholder may deliver a notice of nomination pursuant to the foregoing provisions, a stockholder’s notice required by this Section 2.4(ii) shall also be considered timely, but only with respect to nominees for any new positions created by such increase, if it shall be received by the secretary at the then-principal executive offices of the corporation not later than the close of business on the tenth day following the day on which such Public Announcement is first made by the corporation.

 

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(b)          To be in proper written form, such stockholder’s notice to the secretary must set forth:

 

(1)          as to each person whom the stockholder proposes to nominate for election or re-election as a director (a “nominee”); (A) the name, age, business address and residence address of the nominee, (B) the principal occupation or employment of the nominee, (C) the class or series and number of shares of stock and debt instruments of the corporation that are held of record or are beneficially owned by the nominee and any Derivative Instruments held or beneficially held by the nominee, including the full notional amount of any securities that, directly or indirectly, underlie any such Derivative Instruments, (D) any other agreement, arrangement or understanding that has been made, the effect or intent of which is to create or mitigate loss to, or to manage the risk or benefit of share price changes for, or to increase or decrease the voting power of the nominee with respect to the corporation’s securities, (E) a description of all agreements, arrangements or understandings between or among the stockholder and each nominee and any other person or persons (naming such person or persons) pursuant to which the nominations are to be made by the stockholder or concerning the nominee’s potential service on the board of directors, (F) a description of any agreement, arrangement or understanding between the nominating stockholder or the Stockholder Associated Person, on the one hand, and the nominee, on the other hand, related to any subject matter that will be material in such nominating stockholder’s solicitation of stockholders (including, without limitation, matters of social, labor, environmental and governance policy), regardless of whether such agreement, arrangement or understanding relates specifically to the corporation, (G) a description of any direct or indirect material interest in any material contract or agreement between or among any nominating stockholder or Stockholder Associated Person, on the one hand, and each nominee or his or her respective associates or any other participants in such solicitation, on the other hand, including, without limitation, all information that would be required to be disclosed pursuant to Item 404 under Regulation S-K if such nominating stockholder or Stockholder Associated Person were the “registrant” for purposes of such rule and the nominee were a director or executive officer of such registrant, (H) whether the nominee meets the independence requirements of the stock exchange upon which the corporation’s common stock is primarily traded, (I) a description of any position of the nominee as an officer or director of any Competitor within the three years preceding the submission of the notice, (J) a description of any business or personal interests that could place the nominee in a potential conflict of interest with the corporation or any of its subsidiaries, (K) a completed and signed questionnaire, representation and agreement as provided in Section 2.4(ii)(c), (L) the nominee’s written consent to being named as a nominee in any proxy materials relating to the corporation’s next meeting, to the public disclosure of information regarding or related to such person provided to the corporation by such person or otherwise pursuant to this Section 2.4(ii) and to serving as a director if elected and (M) any other information relating to the nominee that would be required to be disclosed about such nominee if proxies were being solicited for the election or re-election of the nominee as a director, or that is otherwise required, in each case pursuant to Section 14 under the 1934 Act and the rules and regulations promulgated thereunder; and

 

(2)          as to such stockholder giving notice, (A) the information required to be provided pursuant to clauses (2) through (6) and (8) through (15) of Section 2.4(i)(b) above, and the supplement referenced in the second sentence of Section 2.4(i)(b) above (except that the references to “business” in such clauses shall instead refer to nominations of directors for purposes of this paragraph), (B) a written representation to the corporation that such stockholder has complied in all respects with the applicable requirements of Section 14 of the 1934 Act, including, without limitation, the applicable requirements of Rule 14a-19 (as such rule and regulations may be amended from time to time by the SEC, including any SEC Staff interpretations relating thereto), (C) a written representation (i) as to whether the stockholder, any Stockholder Associated Person, or any other participant (as defined in Item 4 of Schedule 14A under the 1934 Act) will engage in a solicitation with respect to such nomination and, if so, the name of each participant in such solicitation and the amount of the cost of solicitation that has been and will be borne, directly or indirectly, by each participant in such solicitation, and (ii) (x) confirming that such stockholder or any Stockholder Associated Person will, or is part of a group that will, deliver, through means of satisfying each of the conditions that would be applicable to the corporation under either 1934 Act Rule 14a-16(a) or 1934 Act Rule 14a-16(n), a proxy statement and form of proxy to holders (including any beneficial owners pursuant to Rule 14b-1 and Rule 14b-2 of the 1934 Act) at least 67% of the voting power of the shares entitled to vote generally in the election of directors in support of director nominees other than the corporation’s nominees in accordance with Rule 14a-19 and/or (y) as to whether such stockholder or any Stockholder Associated Person intends, or is part of a group that intends, to otherwise solicit proxies from stockholders in support of such nomination, (D) a description of any agreement, arrangement or understanding between any nominating stockholder, on the one hand, and a Stockholder Associated Person, on the other hand, related to any subject matter that will be material in the nominating stockholder’s solicitation of stockholders (including, without limitation, matters of social, labor, environmental and governance policy), regardless of whether such agreement, arrangement or undertaking relates specifically to the corporation and (E) with respect to each Stockholder Associated Person, the information that would be disclosed with respect to them under Item 5(b) of Schedule 14A under the 1934 Act, assuming that each such person was deemed a “participant” as defined in paragraphs (a)(ii), (iii), (iv), (v) and (vi) of Instruction 3 to Item 4 of Schedule 14A (such information provided and statements made as required by clauses (A) to (E) above, a “Nomination Statement”).

 

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(c)          To be eligible to be a nominee of any stockholder for election or re-election as a director of the corporation, the nominee must provide to the secretary of the corporation, in accordance with the applicable time periods prescribed for delivery of notice under Section 2.4(ii)(a) above or Section 2.4(iii) below: (1) a signed and completed written questionnaire (in the form provided by the secretary of the corporation at the written request of the nominating stockholder, which form will be provided by the secretary within ten days of receiving such request) containing information regarding such nominee’s background, qualifications, stock ownership, independence and such other information as may reasonably be required by the corporation to determine the eligibility of such nominee to serve as a director of the corporation or to serve as an independent director of the corporation and (2) a written representation and undertaking executed by the nominee (in the form provided by the secretary of the corporation at the written request of the nominating stockholder, which form will be provided by the secretary within ten days of receiving such request) whereby the nominee (i) consents to being named as a nominee of such stockholder, (ii) consents to serving as a director of the corporation if elected and intends to serve a full term on the board of directors, (iii) agrees to be named in any proxy materials, including the associated proxy cards, relating to the corporation’s next annual meeting or special meeting, as applicable, pursuant to Rule 14a-19, (iv) acknowledges that as a director of the corporation, the nominee will owe fiduciary duties under Delaware law with respect to the corporation and its stockholders, (v) states that such nominee is not, and will not become, a party to any voting agreement, arrangement, commitment, assurance or understanding with any person or entity as to how such nominee, if elected as a director, will vote on any issue (a “Voting Commitment”), unless previously disclosed to the corporation, or any Voting Commitment that could limit or interfere with such nominee’s ability to comply, if elected as a director of the corporation, with such nominee’s fiduciary duties under applicable law; (vi) unless previously disclosed to the corporation, states that such nominee is not, and will not become, a party to any direct or indirect compensatory, payment or other financial agreement, arrangement or understanding with any person or entity other than the corporation, including, without limitation, any agreement, arrangement or understanding with respect to any direct or indirect compensation, reimbursement or indemnification in connection with candidacy, nomination, service or action as a nominee or as a director of the corporation; (vii) states that if such nominee is elected as a director, such nominee would be in compliance, and will continue to comply, with all applicable rules of any securities exchanges upon which the corporation’s securities are listed, the corporation’s corporate governance, conflict of interest, confidentiality, stock ownership and trading guidelines, and other policies and guidelines applicable to directors and in effect during such person’s term in office as a director (and, if requested by any nominee, the secretary of the corporation will provide to such nominee all such policies and guidelines then in effect); and (viii) states that such nominee will provide facts, statements and other information in all communications with the corporation and its stockholders that are or will be true and correct in all material respects and that do not and will not omit to state any fact necessary in order to make the statements made, in light of the circumstances under which they are made, not misleading in any material respect.

 

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(d)          At the request of the board of directors, any person nominated by a stockholder for election or re-election as a director must furnish to the secretary of the corporation (1) that information required to be set forth in the stockholder’s notice of nomination of such person as a director as of a date subsequent to the date on which the notice of such person’s nomination was given and (2) such other information as may reasonably be required by the corporation to determine the eligibility of such proposed nominee to serve as an independent director or audit committee financial expert of the corporation under applicable law, securities exchange rule or regulation, or any publicly-disclosed corporate governance guideline or committee charter of the corporation and (3) such other information that could be material to a reasonable stockholder’s understanding of the independence, or lack thereof, of such nominee. If requested by the corporation, any supplemental information required under this paragraph shall be provided by such stockholder within ten days after it has been requested by the corporation. In addition, the board of directors may require any nominee to submit to interviews with the board of directors or any committee thereof, and such nominee shall make themself available for any such interviews within ten days following any reasonable request therefor from the board of directors or any committee thereof. In the absence of the furnishing of any such information of the kind specified in this Section 2.4(ii)(d) if requested, such stockholder’s nomination shall not be considered in proper form pursuant to this Section 2.4(ii).

 

(e)          Without exception, no person shall be eligible for election or re-election as a director of the corporation at an annual meeting of stockholders unless nominated in accordance with the provisions set forth in this Section 2.4(ii). In addition, no later than five business days prior to an annual meeting of stockholders, or any adjournment, rescheduling, postponement or other delay thereof, a stockholder nominating individuals for election or re-election as a director will provide the corporation with reasonable evidence that such stockholder has met the applicable requirements of Rule 14a-19. Notwithstanding anything to the contrary in these bylaws, unless otherwise required by law, if any stockholder (x) provides notice pursuant to Rule 14a-19 and (y) subsequently (1) notifies the corporation that such stockholder no longer intends to solicit proxies in support of director nominees other than the corporation’s director nominees in accordance with Rule 14a-19, (2) fails to comply with the requirements of Rule 14a-19 or (3) fails to timely provide such reasonable evidence, update, supplement or additional information sufficient to satisfy the corporation that such requirements have been met, such stockholder’s nomination(s) shall be disregarded (and such nominee(s) disqualified from standing for election or re-election) and the corporation shall disregard any proxies or votes solicited for any nominee proposed by such stockholder, notwithstanding that such proxies may have been received by the corporation and counted for the purposes of determining quorum. A nominee shall not be eligible for election or re-election at an annual meeting if a stockholder or Stockholder Associated Person, as applicable, takes action contrary to the representations made in the Nomination Statement applicable to such nominee or if the Nomination Statement applicable to such nominee or any other information provided to the corporation by or on behalf of such nominee, such stockholder or any Stockholder Associated Person contains an untrue statement of a material fact or omits to state a material fact necessary to make the statements therein not misleading. The chairperson of the annual meeting shall, if the facts warrant, determine and declare at the annual meeting that a nomination was not made in accordance with the provisions prescribed by these bylaws, and if the chairperson should so determine, he or she shall so declare at the annual meeting, and the defective nomination shall be disregarded (and such nominee(s) disqualified from standing for election or re-election).

 

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(iii)          Advance Notice of Director Nominations for Special Meetings.

 

(a)          For a special meeting of stockholders at which directors are to be elected or re-elected, nominations of persons for election or re-election to the board of directors shall be made only (1) by or at the direction of the board of directors or (2) by any stockholder of the corporation who (A) is a stockholder of record at the time of the giving of the notice required by this Section 2.4(iii) and on the date of the special meeting, (B) is entitled to vote at the special meeting and (C) delivers a timely written notice of the nomination to the secretary of the corporation that includes the information set forth in Sections 2.4(ii)(b) and 2.4(ii)(c) above. To be timely, such notice must be received by the secretary at the then-principal executive offices of the corporation not later than the close of business on the later of the 90th day prior to such special meeting or the tenth day following the day on which Public Announcement is first made of the date of the special meeting and of the nominees proposed by the board of directors to be elected or re-elected at such meeting. A person shall not be eligible for election or re-election as a director at a special meeting unless the person is nominated (i) by or at the direction of the board of directors or (ii) by a stockholder in accordance with the notice procedures set forth in this Section 2.4(iii). A nominee shall not be eligible for election or re-election at a special meeting if a stockholder or Stockholder Associated Person, as applicable, takes action contrary to the representations made in the Nomination Statement applicable to such nominee or if the Nomination Statement applicable to such nominee or any other information provided to the corporation by or on behalf of such nominee, such stockholder or any Stockholder Associated Person contains an untrue statement of a material fact or omits to state a material fact necessary to make the statements therein not misleading. Any person nominated in accordance with this Section 2.4(iii) is subject to, and must comply with, the provisions of Section 2.4(ii)(c) and (d). In no event shall any adjournment or postponement (or the Public Announcement thereof) of a special meeting commence a new time period for the giving of a stockholder’s notice as described in this Section 2.4(iii)(a).

 

(b)          The chairperson of the special meeting shall, if the facts warrant, determine and declare at the special meeting that a nomination was not made in accordance with the procedures prescribed by these bylaws, and if the chairperson should so determine, he or she shall so declare at the meeting, and the defective nomination shall be disregarded (and any such nominee shall be disqualified from standing for election or re-election).

 

(iv)          Other Requirements and Rights.

 

(a)          A stockholder shall update and supplement its notice to the corporation of its intent to propose business at an annual meeting or to nominate one or more nominees at an annual or special meeting, and a nominee shall further update and supplement the materials delivered pursuant to this Section 2.4, if necessary, so that the information provided or required to be provided in such notice pursuant to this Section 2.4 shall be true and correct as of the record date for stockholders entitled to notice of the meeting and as of the date that is ten business days prior to the meeting or any adjournment or postponement thereof, and such update and supplement shall be delivered to, or mailed and received by, the secretary of the corporation at the then-principal executive offices of the corporation not later than five business days after the record date for stockholders entitled to notice of the meeting (in the case of the update and supplement required to be made as of such record date), and not later than eight business days prior to the date of the meeting and, if practical, any adjournment or postponement thereof (and, if not practical, on the first practicable date prior to the date to which the meeting has been adjourned or postponed) (in the case of the update and supplement required to be made as of ten business days prior to the meeting or any adjournment or postponement thereof). Notwithstanding the foregoing, if any stockholder no longer plans to solicit proxies in accordance with Rule 14a-19, such stockholder shall inform the corporation of this change by delivering a writing to the secretary of the corporation at the then-principal executive offices of the corporation no later than two business days after the occurrence of such change.

 

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(b)          For the avoidance of doubt, the obligation to update and supplement, or provide additional information or evidence, as set forth in these bylaws shall not limit the corporation’s rights with respect to any deficiencies in any notice provided by a stockholder, extend any applicable deadlines pursuant to these bylaws or enable or be deemed to permit a stockholder who has previously submitted notice pursuant to these bylaws to amend or update any nomination or to submit any new nomination. No disclosure pursuant to these bylaws will be required with respect to the ordinary course business activities of any broker, dealer, commercial bank, trust company or other nominee who is the stockholder submitting a notice pursuant to this Section 2.4 solely because such broker, dealer, commercial bank, trust company or other nominee has been directed to prepare and submit the notice required by these bylaws on behalf of a beneficial owner.

 

(c)          Except as otherwise expressly provided in any applicable rule or regulation promulgated under the 1934 Act, only such persons who are nominated in accordance with the procedures set forth in this Section 2.4 shall be eligible to be elected at a meeting of stockholders and serve as directors and only such business shall be conducted at a meeting of stockholders as shall have been brought before the meeting in accordance with the procedures set forth in this Section 2.4. The number of nominees a stockholder may nominate for election at a meeting of stockholders shall not exceed the number of directors to be elected at such meeting. Except as otherwise provided by law or these bylaws, the chairperson of the meeting shall have the power and duty to determine whether a nomination or any other business proposed to be brought before the meeting was made or proposed, as the case may be, in accordance with the procedures set forth in this Section 2.4 (including satisfying the information requirements set forth herein with accurate and complete information and complying with the applicable requirements of the 1934 Act (including, if applicable, Rule 14a-19)) and, if any proposed nomination or business is not in compliance herewith, to declare that such defective proposal or nomination shall be disregarded (and any such nominee shall be disqualified from standing for election or re-election), including that if a stockholder provides notice pursuant to Rule 14a-19(b) promulgated under the 1934 Act and subsequently fails to comply with the requirements of Rule 14a-19(a)(2) and Rule 14a-19(a)(3) promulgated under the 1934 Act, including the provision to the corporation of notices required thereunder in a timely manner, then the corporation shall disregard any proxies or votes solicited for such stockholder’s director nominees (and any such nominee shall be disqualified from standing for election or re-election).

 

(d)          Notwithstanding anything to the contrary in this Section 2.4, unless otherwise required by law, if the stockholder (or a qualified representative of the stockholder) does not appear in person at the applicable meeting to present a nomination or other proposed business, such nomination will be disregarded or such proposed business will not be transacted, as the case may be, notwithstanding that proxies in respect of such nomination or business may have been received by the corporation and counted for purposes of determining a quorum. For purposes of this Section 2.4(iv), to be considered a qualified representative of the stockholder, a person must be a duly authorized officer, manager, trustee or partner of such stockholder or must be authorized by a writing executed by such stockholder or an electronic transmission delivered by such stockholder to act for such stockholder as proxy at the applicable meeting, and such writing or electronic transmission, or a reliable reproduction of the writing or electronic transmission, must be delivered to the corporation at least five business days prior to the applicable meeting.

 

(e)          Notwithstanding the foregoing provisions of Section 2.4, unless otherwise required by law, no stockholder shall solicit proxies in support of director nominees other than the corporation’s nominees unless such stockholder has complied with Rule 14a-19 under the 1934 Act, if applicable, in connection with the solicitation of such proxies, including the provision to the corporation of notices required thereunder in a timely manner.

 

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(f)          In addition to the foregoing provisions of this Section 2(iv), a stockholder must also comply with all applicable requirements of state law and of the 1934 Act and the rules and regulations promulgated thereunder with respect to the matters set forth in this Section 2.4, and a failure to comply therewith shall be deemed a failure to comply with this Section 2.4. Nothing in this Section 2.4 shall be deemed to affect any rights of:

 

(1)          a stockholder to request inclusion of proposals in the corporation’s proxy statement pursuant to Rule 14a-8 (or any successor provision) under the 1934 Act;

 

(2)          the corporation to omit a proposal from the corporation’s proxy statement pursuant to Rule 14a-8 (or any successor provision) under the 1934 Act; or

 

(3)          the holders of any class or series of preferred stock of the corporation to make nominations of persons for election to the board of directors if and to the extent provided for under law, the certificate of incorporation, or these bylaws.

 

2.5          NOTICE OF STOCKHOLDERS’ MEETINGS

 

Whenever stockholders are required or permitted to take any action at a meeting, a notice of the meeting shall be given in accordance with applicable law which shall state the place, if any, date and hour of the meeting, the means of remote communications, if any, by which stockholders and proxy holders may be deemed to be present in person and vote at such meeting, the record date for determining the stockholders entitled to vote at the meeting, if such date is different from the record date for determining stockholders entitled to notice of the meeting, and, in the case of a special meeting, the purpose or purposes for which the meeting is called. Except as otherwise provided in the DGCL, the certificate of incorporation or these bylaws, the notice of any meeting of stockholders shall be given not less than 10 nor more than 60 days before the date of the meeting to each stockholder entitled to vote at such meeting as of the record date for determining the stockholders entitled to notice of the meeting.

 

2.6          QUORUM

 

The holders of a majority of the voting power of the stock issued and outstanding and entitled to vote thereat, present in person or represented by proxy, shall constitute a quorum for the transaction of business at all meetings of the stockholders, unless otherwise required by law, the certificate of incorporation, these bylaws or the rules of any applicable stock exchange. Where a separate vote by a class or series or classes or series is required, a majority of the voting power of the then-issued and outstanding shares of such class or series or classes or series, present in person or represented by proxy, shall constitute a quorum entitled to take action with respect to that vote on that matter, except as otherwise required by law, the certificate of incorporation, these bylaws or the rules of any applicable stock exchange.

 

If a quorum is not present or represented at any meeting of the stockholders, then either (i) the chairperson of the meeting, or (ii) if the chairperson does not act, the stockholders, by the affirmative vote of the holders of a majority of the voting power of the shares of capital stock present in person or represented by proxy at the meeting and entitled to vote thereon, shall have power to adjourn the meeting from time to time until a quorum is present or represented. At such adjourned meeting at which a quorum is present or represented, any business may be transacted that might have been transacted at the meeting as originally noticed.

 

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2.7          ADJOURNED MEETING; NOTICE

 

When a meeting is adjourned (including an adjournment taken to address a technical failure to convene or continue a meeting using remote communication) to another time or place, unless these bylaws otherwise require, notice need not be given of the adjourned meeting if the time, place, if any, thereof, and the means of remote communications, if any, by which stockholders and proxy holders may be deemed to be present in person and vote at such adjourned meeting are (i) announced at the meeting at which the adjournment is taken, (ii) displayed, during the time scheduled for the meeting, on the same electronic network used to enable stockholders and proxy holders to participate in the meeting by means of remote communication or (iii) set forth in the notice of meeting given in accordance with Section 2.5 of these bylaws. At the adjourned meeting, the corporation may transact any business which might have been transacted at the original meeting. If the adjournment is for more than 30 days, a notice of the adjourned meeting shall be given to each stockholder of record entitled to vote at the meeting. If after the adjournment a new record date for stockholders entitled to vote is fixed for the adjourned meeting, the board of directors shall fix a new record date for notice of such adjourned meeting in accordance with Section 213(a) of the DGCL and Section 2.11 of these bylaws, and shall give notice of the adjourned meeting to each stockholder of record entitled to vote at such adjourned meeting as of the record date fixed for notice of such adjourned meeting.

 

2.8          CONDUCT OF BUSINESS

 

The chairperson of any meeting of stockholders shall determine the order of business and the procedure at the meeting, including such rules, regulations or procedures regarding the manner of voting and the conduct of business and discussion. Such rules, regulations or procedures may include, without limitation, the following: (a) the establishment of an agenda or order of business for the meeting, (b) rules and procedures for maintaining order at the meeting and the safety of those present, (c) limitations on attendance at or participation in the meeting to stockholders entitled to vote at the meeting, their duly authorized and constituted proxies or such other persons as the chair of the meeting or the board of directors shall determine, (d) restrictions on entry to the meeting after the time fixed for the commencement thereof, (e) limitations on the time allotted to questions or comments by participants, (f) restricting the use of audio/video recording devices and cell phones, (g) complying with any state and local laws and regulations concerning safety and security, (h) procedures (if any) requiring attendees to provide the corporation advance notice of their intent to attend the meeting, and (i) any additional attendance or other procedures or requirements for proponents submitting a proposal pursuant to Rule 14a-8 under the 1934 Act. The chairperson of any meeting of stockholders shall be designated by the board of directors; in the absence of such designation, the chairperson of the board, if any, the chief executive officer (in the absence of the chairperson) or the president (in the absence of the chairperson of the board and the chief executive officer), or in their absence any other executive officer of the corporation, shall serve as chairperson of the stockholder meeting.

 

2.9          VOTING

 

The stockholders entitled to vote at any meeting of stockholders shall be determined in accordance with the provisions of Section 2.11 of these bylaws, subject to Section 217 (relating to voting rights of fiduciaries, pledgors and joint owners of stock) and Section 218 (relating to voting trusts and other voting agreements) of the DGCL.

 

Except as may be otherwise provided in the certificate of incorporation or these bylaws, each stockholder shall be entitled to one vote for each share of capital stock held by such stockholder.

 

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Except as otherwise provided by law, the certificate of incorporation, these bylaws or the rules of any applicable stock exchange, in all matters other than the election of directors, the affirmative vote of a majority of the voting power of the shares present in person or represented by proxy at the meeting and entitled to vote on the subject matter shall be the act of the stockholders. Except as otherwise required by law, the certificate of incorporation, these bylaws or the rules of any applicable stock exchange, directors shall be elected by a plurality of the voting power of the shares present in person or represented by proxy at the meeting and entitled to vote on the election of directors. Where a separate vote by a class or series or classes or series is required, in all matters other than the election of directors, the affirmative vote of the majority of the voting power of shares of such class or series or classes or series present in person or represented by proxy at the meeting shall be the act of such class or series or classes or series, except as otherwise provided by taw, the certificate of incorporation, these bylaws or the rules of any applicable stock exchange.

 

2.10        STOCKHOLDER ACTION BY WRITTEN CONSENT WITHOUT A MEETING

 

Subject to the rights of the holders of the shares of any series of Preferred Stock or any other class of stock or series thereof that have been expressly granted the right to take action by written consent, any action required or permitted to be taken by the stockholders of the corporation must be effected at a duly called annual or special meeting of stockholders of the corporation and may not be effected by any consent in writing by such stockholders.

 

2.11        RECORD DATES

 

In order that the corporation may determine the stockholders entitled to notice of any meeting of stockholders or any adjournment thereof, the board of directors may fix a record date, which record date shall not precede the date upon which the resolution fixing the record date is adopted by the board of directors and which record date shall not be more than 60 nor less than 10 days before the date of such meeting. If the board of directors so fixes a date, such date shall also be the record date for determining the stockholders entitled to vote at such meeting unless the board of directors determines, at the time it fixes such record date, that a later date on or before the date of the meeting shall be the date for making such determination.

 

If no record date is fixed by the board of directors, the record date for determining stockholders entitled to notice of and to vote at a meeting of stockholders shall be at the close of business on the day next preceding the day on which notice is given, or, if notice is waived, at the close of business on the day next preceding the day on which the meeting is held.

 

A determination of stockholders of record entitled to notice of or to vote at a meeting of stockholders shall apply to any adjournment of the meeting; provided, however, that the board of directors may fix a new record date for determination of stockholders entitled to vote at the adjourned meeting, and in such case shall also fix as the record date for stockholders entitled to notice of such adjourned meeting the same or an earlier date as that fixed for determination of stockholders entitled to vote in accordance with the provisions of Section 213 of the DGCL and this Section 2.11 at the adjourned meeting.

 

In order that the corporation may determine the stockholders entitled to receive payment of any dividend or other distribution or allotment of any rights or the stockholders entitled to exercise any rights in respect of any change, conversion or exchange of stock, or for the purpose of any other lawful action, the board of directors may fix a record date, which record date shall not precede the date upon which the resolution fixing the record date is adopted, and which record date shall be not more than 60 days prior to such action. If no record date is fixed, the record date for determining stockholders for any such purpose shall be at the close of business on the day on which the board of directors adopts the resolution relating thereto.

 

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2.12        PROXIES

 

Each stockholder entitled to vote at a meeting of stockholders may authorize another person or persons to act for such stockholder by proxy authorized by an instrument in writing or by a transmission permitted by law, but no such proxy shall be voted or acted upon after three years from its date, unless the proxy provides for a longer period. The revocability of a proxy that states on its face that it is irrevocable shall be governed by the provisions of Section 212 of the DGCL. A proxy may be in the form of any means of electronic transmission which sets forth or is submitted with information from which it can be determined that the means of electronic transmission was authorized by the stockholder. Any stockholder directly or indirectly soliciting proxies from other stockholders must use a proxy card color other than white, which shall be reserved for exclusive use by the board of directors.

 

2.13        LIST OF STOCKHOLDERS ENTITLED TO VOTE

 

The corporation shall prepare, no later than the tenth day before each meeting of stockholders, a complete list of the stockholders entitled to vote at the meeting; provided, however, if the record date for determining the stockholders entitled to vote is less than 10 days before the meeting date, the list shall reflect the stockholders entitled to vote as of the tenth day before the meeting date. The stockholder list shall be arranged in alphabetical order and show the address of each stockholder and the number of shares registered in the name of each stockholder. The corporation shall not be required to include electronic mail addresses or other electronic contact information on such list. Such list shall be open to the examination of any stockholder for any purpose germane to the meeting for a period of 10 days ending on the day before the meeting date (i) on a reasonably accessible electronic network, provided that the information required to gain access to such list is provided with the notice of the meeting, or (ii) during ordinary business hours, at the corporation’s then-principal place of business. In the event that the corporation determines to make the list available on an electronic network, the corporation may take reasonable steps to ensure that such information is available only to stockholders of the corporation. Such list shall presumptively determine the identity of the stockholders entitled to vote at the meeting and the number of shares held by each of them. Notwithstanding the foregoing, the corporation may maintain and authorize examination of the list of stockholders in any manner expressly permitted by the DGCL at the time.

 

2.14        INSPECTORS OF ELECTION

 

Before any meeting of stockholders, the corporation shall appoint an inspector or inspectors of election to act at the meeting and make a written report thereof. The corporation may designate one or more persons to act as alternate inspectors to replace any inspector who fails to act. If no inspector or alternate is able to act at a meeting of stockholders, the person presiding at the meeting shall appoint one or more inspectors to act at the meeting.

 

Each inspector, before entering upon the discharge of his or her duties, shall take and sign an oath to faithfully execute the duties of inspector with strict impartiality and according to the best of his or her ability. The inspector or inspectors so appointed and designated shall (i) ascertain the number of shares of capital stock of the corporation outstanding and the voting power of each share, (ii) determine the shares of capital stock of the corporation represented at the meeting and the validity of proxies and ballots, (iii) count all votes and ballots, (iv) determine and retain for a reasonable period a record of the disposition of any challenges made to any determination by the inspectors, and (v) certify their determination of the number of shares of capital stock of the corporation represented at the meeting and such inspector or inspectors’ count of all votes and ballots.

 

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In determining the validity and counting of proxies and ballots cast at any meeting of stockholders of the corporation, the inspector or inspectors may consider such information as is permitted by applicable law.

 

2.15        EMERGENCY BYLAWS

 

This Section 2.15 shall be operative during any emergency condition as contemplated by Section 110 of the DGCL (an “Emergency”), notwithstanding any different or conflicting provisions in these bylaws, the certificate of incorporation or the DGCL. In the event of any Emergency, the director or directors in attendance at a meeting of the board of directors or a standing committee thereof shall constitute a quorum. Such director or directors in attendance may further take action to appoint one or more of themselves or other directors to membership on any standing or temporary committees of the board of directors as they shall deem necessary and appropriate. In the event that no directors are able to attend a meeting of the board of directors or any committee thereof in an Emergency, then the Designated Officers (as defined below) in attendance shall serve as directors, or committee members, as the case may be, for the meeting and will have full powers to act as directors, or committee members, as the case may be, of the corporation. Except as the board of directors may otherwise determine, during any Emergency, the corporation and its directors and officers may exercise any authority and take any action or measure contemplated by Section 110 of the DGCL. For purposes of this Section 2.15, the term “Designated Officer” means an officer identified on a numbered list of officers of the corporation who shall be deemed to be, in the order in which they appear on the list up until a quorum is obtained, directors of the corporation, or members of a committee of the board of directors, as the case may be, for purposes of obtaining a quorum during an Emergency, if a quorum of directors or committee members, as the case may be, cannot otherwise be obtained during such Emergency, which list of Designated Officers shall be approved by the board of directors from time to time but in any event prior to such time or times as an Emergency may have occurred.

 

2.16        DELIVERY TO THE CORPORATION

 

Whenever this Article II requires one or more persons (including a record or beneficial owner of stock) to deliver a document or information (other than a document authorizing another person to act for a stockholder by proxy at a meeting of stockholders pursuant to Section 212 of the DGCL) to the corporation or any officer, employee or agent thereof (including any notice, request, questionnaire, revocation, representation or other document or agreement), the corporation shall not be required to accept delivery of such document or information unless the document or information is in writing exclusively (and not in an electronic transmission) and delivered exclusively by hand (including, without limitation, overnight courier service) or by certified or registered mail, return receipt requested.

 

Article III — DIRECTORS

 

3.1          POWERS

 

The business and affairs of the corporation shall be managed by or under the direction of the board of directors, except as may be otherwise provided in the DGCL or the certificate of incorporation.

 

3.2          NUMBER OF DIRECTORS

 

The board of directors shall consist of one or more members, each of whom shall be a natural person. Unless the certificate of incorporation fixes the number of directors, the number of directors shall be determined from time to time solely by resolution of the board of directors. No reduction of the authorized number of directors shall have the effect of removing any director before that director’s term of office expires.

 

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3.3          ELECTION, QUALIFICATION AND TERM OF OFFICE OF DIRECTORS

 

Except as provided in Section 3.4 of these bylaws, each director, including a director elected to fill a vacancy, shall hold office until the expiration of the term for which elected and until such director’s successor is elected and qualified or until such director’s earlier death, resignation or removal. Directors need not be stockholders unless so required by the certificate of incorporation or these bylaws. The certificate of incorporation or these bylaws may prescribe other qualifications for directors. If so provided in the certificate of incorporation, the directors of the corporation shall be divided into three classes.

 

3.4          RESIGNATION AND VACANCIES

 

Any director may resign at any time upon notice given in writing or by electronic transmission to the corporation; provided, however, that if such notice is given by electronic transmission, such electronic transmission must either set forth or be submitted with information from which it can be determined that the electronic transmission was authorized by the director. A resignation is effective when the resignation is delivered unless the resignation specifies a later effective date or an effective date determined upon the happening of an event or events. Acceptance of such resignation shall not be necessary to make it effective. A resignation which is conditioned upon the director failing to receive a specified vote for reelection as a director may provide that it is irrevocable. Unless otherwise provided in the certificate of incorporation or these bylaws, when one or more directors resign from the board of directors, effective at a future date, a majority of the directors then in office, including those who have so resigned, shall have power to fill such vacancy or vacancies, the vote thereon to take effect when such resignation or resignations shall become effective.

 

Unless otherwise provided in the certificate of incorporation or these bylaws, vacancies and newly created directorships resulting from any increase in the authorized number of directors shall be filled only by a majority of the directors then in office, even if the directors in office represent less than a quorum, or by a sole remaining director. If the directors are divided into classes, a person so elected by the directors then in office to fill a vacancy or newly created directorship shall hold office until the next election of the class for which such director shall have been chosen and until his or her successor shall have been duly elected and qualified.

 

If, at the time of filling any vacancy or any newly created directorship, the directors then in office constitute less than a majority of the whole board of directors (as constituted immediately prior to any such increase), the Court of Chancery may, upon application of any stockholder or stockholders holding at least 10% of the voting stock at the time outstanding having the right to vote for such directors, summarily order an election to be held to fill any such vacancies or newly created directorships, or to replace the directors chosen by the directors then in office as aforesaid, which election shall be governed by the provisions of Section 211 of the DGCL as far as applicable.

 

3.5          PLACE OF MEETINGS; MEETINGS BY TELEPHONE

 

The board of directors may hold meetings, both regular and special, either within or outside the State of Delaware.

 

Unless otherwise restricted by the certificate of incorporation or these bylaws, members of the board of directors, or any committee designated by the board of directors, may participate in a meeting of the board of directors, or any committee, by means of conference telephone or other communications equipment by means of which all persons participating in the meeting can hear each other, and such participation in a meeting shall constitute presence in person at the meeting.

 

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3.6          REGULAR MEETINGS

 

Regular meetings of the board of directors may be held without notice at such time and at such place as shall from time to time be determined by the board of directors.

 

3.7          SPECIAL MEETINGS; NOTICE

 

Special meetings of the board of directors for any purpose or purposes may be called at any time by the chairperson of the board of directors, the chief executive officer, the president, the secretary or a majority of the authorized number of directors, at such times and places as he or she or they shall designate.

 

Notice of the time and place of special meetings shall be:

 

(i)          delivered personally by hand, by courier or by telephone;

 

(ii)         sent by United States first-class mail, postage prepaid;

 

(iii)        sent by facsimile; or

 

(iv)        sent by electronic mail,

 

directed to each director at that director’s address, telephone number, facsimile number or electronic mail address, as the case may be, as shown on the corporation’s records.

 

If the notice is (i) delivered personally by hand, by courier or by telephone, (ii) sent by facsimile or (iii) sent by electronic mail, it shall be delivered or sent at least 24 hours before the time of the holding of the meeting. If the notice is sent by United States mail, it shall be deposited in the United States mail at least four days before the time of the holding of the meeting. Any oral notice may be communicated to the director at least 24 hours before the time of the holding of the meeting. The notice need not specify the place of the meeting (if the meeting is to be held at the corporation’s principal executive office) nor the purpose of the meeting.

 

3.8          QUORUM; VOTING

 

At all meetings of the board of directors, a majority of the total authorized number of directors shall constitute a quorum for the transaction of business. If a quorum is not present at any meeting of the board of directors, then the directors present thereat may adjourn the meeting from time to time, without notice other than announcement at the meeting, until a quorum is present. A meeting at which a quorum is initially present may continue to transact business notwithstanding the withdrawal of directors, if any action taken is approved by at least a majority of the required quorum for that meeting.

 

The vote of a majority of the directors present at any meeting at which a quorum is present shall be the act of the board of directors, except as may be otherwise specifically provided by the DGCL, the certificate of incorporation or these bylaws.

 

If the certificate of incorporation provides that one or more directors shall have more or less than one vote per director on any matter, every reference in these bylaws to a majority or other proportion of the directors shall refer to a majority or other proportion of the votes of such directors.

 

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3.9          BOARD ACTION BY WRITTEN CONSENT WITHOUT A MEETING

 

Unless otherwise restricted by the certificate of incorporation, these bylaws or the DGCL, any action required or permitted to be taken at any meeting of the board of directors, or of any committee thereof, may be taken without a meeting if all members of the board of directors or committee, as the case may be, consent thereto in writing or by electronic transmission. After an action is taken, the writing or writings or electronic transmission or transmissions shall be filed with the minutes of proceedings of the board of directors or committee. Such filing shall be in paper form if the minutes are maintained in paper form and shall be in electronic form if the minutes are maintained in electronic form.

 

3.10        FEES AND COMPENSATION OF DIRECTORS

 

Unless otherwise restricted by the certificate of incorporation, these bylaws or the DGCL, the board of directors shall have the authority to fix the compensation of directors.

 

3.11        REMOVAL OF DIRECTORS

 

A director may be removed from office by the stockholders of the corporation as provided in Section 141(k) of the DGCL.

 

No reduction of the authorized number of directors shall have the effect of removing any director prior to the expiration of such director’s term of office.

 

Article IV — COMMITTEES

 

4.1          COMMITTEES OF DIRECTORS

 

The board of directors may designate one or more committees, each committee to consist of one or more of the directors of the corporation. The board of directors may designate one or more directors as alternate members of any committee, who may replace any absent or disqualified member at any meeting of the committee. In the absence or disqualification of a member of a committee, the member or members thereof present at any meeting and not disqualified from voting, whether or not such member or members constitute a quorum, may unanimously appoint another member of the board of directors to act at the meeting in the place of any such absent or disqualified member. Any such committee, to the extent provided in the resolution of the board of directors or in these bylaws, shall have and may exercise all the powers and authority of the board of directors in the management of the business and affairs of the corporation, and may authorize the seal of the corporation to be affixed to all papers that may require it; but no such committee shall have the power or authority to (i) approve or adopt, or recommend to the stockholders, any action or matter (other than the election or removal of directors) expressly required by the DGCL to be submitted to stockholders for approval, or (ii) adopt, amend or repeal any bylaw of the corporation.

 

4.2          COMMITTEE MINUTES

 

Each committee shall keep regular minutes of its meetings and report the same to the board of directors when required.

 

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4.3          MEETINGS AND ACTION OF COMMITTEES

 

Meetings and actions of committees shall be governed by, and held and taken in accordance with, the provisions of:

 

(i)          Section 3.5 (place of meetings; meetings by telephone);

 

(ii)         Section 3.6 (regular meetings);

 

(iii)        Section 3.7 (special meetings; notice);

 

(iv)        Section 3.8 (quorum; voting);

 

(v)         Section 3.9 (board action by written consent without a meeting); and

 

(vi)        Section 7.5 (waiver of notice)

 

with such changes in the context of those bylaws as are necessary to substitute the committee and its members for the board of directors and its members. hi addition, the following provisions shall apply:

 

(i)          the time of regular meetings of committees may be determined by resolution of the committee;

 

(ii)         special meetings of committees may also be called by resolution of the committee; and

 

(iii)        the board of directors or a committee may adopt rules for the government of any committee not inconsistent with the provisions of these bylaws.

 

Any provision in the certificate of incorporation providing that one or more directors shall have more or less than one vote per director on any matter shall apply to voting in any committee or subcommittee, unless otherwise provided in the certificate of incorporation or these bylaws.

 

4.4          SUBCOMMITTEES

 

Unless otherwise provided in the certificate of incorporation, these bylaws or the resolutions of the board of directors designating the committee, a committee may create one or more subcommittees, each subcommittee to consist of one or more members of the committee, and delegate to a subcommittee any or all of the powers and authority of the committee.

 

Article V — OFFICERS

 

5.1          OFFICERS

 

The officers of the corporation shall be a president and a secretary. The corporation may also have, at the discretion of the board of directors, a chairperson of the board of directors, a vice chairperson of the board of directors, a chief executive officer, a chief financial officer, a treasurer, one or more vice presidents, one or more assistant vice presidents, one or more assistant treasurers, one or more assistant secretaries, and any such other officers as may be appointed in accordance with the provisions of these bylaws. Any number of offices may be held by the same person.

 

5.2          APPOINTMENT OF OFFICERS

 

The board of directors shall appoint the officers of the corporation, provided, that, officers may also be appointed in accordance with the provisions of Section 5.3 of these bylaws. A vacancy in any office because of death, resignation, removal, disqualification or any other cause shall be filled in the manner prescribed in this Article V for the regular election to such office.

 

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5.3          SUBORDINATE OFFICERS

 

The board of directors may appoint, or empower the chief executive officer or, in the absence of a chief executive officer, the president, to appoint, such other officers and agents as the business of the corporation may require. Each of such officers and agents shall hold office for such period, have such authority, and perform such duties as are provided in these bylaws or as the board of directors may from time to time determine.

 

5.4          REMOVAL AND RESIGNATION OF OFFICERS

 

Subject to the rights, if any, of an officer under any contract of employment, any officer may be removed, either with or without cause, by an affirmative vote of the majority of the board of directors at any regular or special meeting of the board of directors or, except in the case of an officer chosen by the board of directors, by any officer upon whom such power of removal may be conferred by the board of directors.

 

Any officer may resign at any time by giving written or electronic notice to the corporation; provided, however, that if such notice is given by electronic transmission, such electronic transmission must either set forth or be submitted with information from which it can be determined that the electronic transmission was authorized by the officer. Any resignation shall take effect at the date of the receipt of that notice or at any later time specified in that notice. Unless otherwise specified in the notice of resignation, the acceptance of the resignation shall not be necessary to make it effective. Any resignation is without prejudice to the rights, if any, of the corporation under any contract to which the officer is a party.

 

5.5          VACANCIES IN OFFICES

 

Any vacancy occurring in any office of the corporation shall be filled by the board of directors or as provided in Section 5.3.

 

5.6          REPRESENTATION OF SHARES OF OTHER ENTITIES

 

The chairperson of the board of directors, the president, any vice president, the treasurer, the secretary or assistant secretary of the corporation, or any other person authorized by the board of directors or the president or a vice president, is authorized to vote, represent, and exercise on behalf of the corporation all rights incident to any and all shares or interests of any other entity or entities standing in the name of the corporation. The authority granted herein may be exercised either by such person directly or by any other person authorized to do so by proxy or power of attorney duly executed by such person baying the authority.

 

5.7          AUTHORITY AND DUTIES OF OFFICERS

 

All officers of the corporation shall respectively have such authority and perform such duties in the management of the business of the corporation as may be designated from time to time by the board of directors and, to the extent not so provided, as generally pertain to their respective offices, subject to the control of the board of directors.

 

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Article VI — STOCK

 

6.1          STOCK CERTIFICATES; PARTLY PAID SHARES

 

The shares of the corporation shall be represented by certificates, provided that the board of directors may provide by resolution or resolutions that some or all of any or all classes or series of its stock shall be uncertificated shares. Any such resolution shall not apply to shares represented by a certificate until such certificate is surrendered to the corporation. Every holder of stock represented by certificates shall be entitled to have a certificate signed by, or in the name of the corporation by any two authorized officers, representing the number of shares registered in certificate form. Any or all of the signatures on the certificate may be a facsimile. In case any officer, transfer agent or registrar who has signed or whose facsimile signature has been placed upon a certificate has ceased to be such officer, transfer agent or registrar before such certificate is issued, it may be issued by the corporation with the same effect as if such person were such officer, transfer agent or registrar at the date of issue. The corporation shall not have power to issue a certificate in bearer form.

 

The corporation may issue the whole or any part of its shares as partly paid and subject to call for the remainder of the consideration to be paid therefor. Upon the face or back of each stock certificate issued to represent any such partly-paid shares, or upon the books and records of the corporation in the case of uncertificated partly-paid shares, the total amount of the consideration to be paid therefor and the amount paid thereon shall be stated, Upon the declaration of any dividend on fully-paid shares, the corporation shall declare a dividend upon partly-paid shares of the same class, but only upon the basis of the percentage of the consideration actually paid thereon.

 

6.2          SPECIAL DESIGNATION ON CERTIFICATES

 

If the corporation is authorized to issue more than one class of stock or more than one series of any class, then the powers, the designations, the preferences, and the relative, participating, optional or other special rights of each class of stock or series thereof and the qualifications, limitations or restrictions of such preferences and/or rights shall be set forth in full or summarized on the face or back of the certificate that the corporation shall issue to represent such class or series of stock; provided, however, that, except as otherwise provided in Section 202 of the DGCL, in lieu of the foregoing requirements there may be set forth on the face or back of the certificate that the corporation shall issue to represent such class or series of stock, a statement that the corporation will furnish without charge to each stockholder who so requests the powers, designations, preferences and relative, participating, optional or other special rights of each class of stock or series thereof and the qualifications, limitations or restrictions of such preferences and/or rights. Within a reasonable time after the issuance or transfer of uncertificated stock, the corporation shall send to the registered owner thereof a written notice containing the information required to be set forth or stated on certificates pursuant to this Section 6.2 or Sections 156, 202(a) or 218(a) of the DGCL or with respect to this Section 6.2 a statement that the corporation will furnish without charge to each stockholder who so requests the powers, designations, preferences and relative, participating, optional or other special rights of each class of stock or series thereof and the qualifications, limitations or restrictions of such preferences and/or rights. Except as otherwise expressly provided by law, the rights and obligations of the holders of uncertificated stock and the rights and obligations of the holders of certificates representing stock of the same class and series shall be identical.

 

6.3          LOST, STOLEN OR DESTROYED CERTIFICATES

 

Except as provided in this Section 6.3, no new certificates for shares shall be issued to replace a previously issued certificate unless the latter is surrendered to the corporation and cancelled at the same time. The corporation may issue a new certificate of stock or uncertificated shares in the place of any certificate theretofore issued by it, alleged to have been lost, stolen or destroyed, and the corporation may require the owner of the lost, stolen or destroyed certificate, or such owner’s legal representative, to give the corporation a bond sufficient to indemnify it against any claim that may be made against it on account of the alleged loss, theft or destruction of any such certificate or the issuance of such new certificate or uncertificated shares.

 

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6.4          DIVIDENDS

 

The board of directors, subject to any restrictions contained in the certificate of incorporation or applicable law, may declare and pay dividends upon the shares of the corporation’s capital stock. Dividends may be paid in cash, in property, or in shares of the corporation’s capital stock, subject to the provisions of the certificate of incorporation.

 

The board of directors may set apart out of any of the funds of the corporation available for dividends a reserve or reserves for any proper purpose and may abolish any such reserve. Such purposes shall include but not be limited to equalizing dividends, repairing or maintaining any property of the corporation, and meeting contingencies.

 

6.5          TRANSFER OF STOCK

 

Transfers of record of shares of stock of the corporation shall be made only upon its books by the holders thereof, in person or by an attorney duly authorized, and, if such stock is certificated, upon the surrender of a certificate or certificates for a like number of shares, properly endorsed or accompanied by proper evidence of succession, assignation or authority to transfer; provided, however, that such succession, assignment or authority to transfer is not prohibited by the certificate of incorporation, these bylaws, applicable law or contract.

 

6.6          STOCK TRANSFER AGREEMENTS

 

The corporation shall have power to enter into and perform any agreement with any number of stockholders of any one or more classes of stock of the corporation to restrict the transfer of shares of stock of the corporation of any one or more classes owned by such stockholders in any manner not prohibited by the DGCL.

 

6.7          REGISTERED STOCKHOLDERS

 

The corporation:

 

(i)          shall be entitled to recognize the exclusive right of a person registered on its books as the owner of shares to receive dividends and to vote as such owner;

 

(ii)         shall be entitled to hold liable for calls and assessments the person registered on its books as the owner of shares; and

 

(iii)        shall not be bound to recognize any equitable or other claim to or interest in such share or shares on the part of another person, whether or not it shall have express or other notice thereof, except as otherwise provided by the laws of Delaware.

 

Article VII — MANNER OF GIVING NOTICE AND WAIVER

 

7.1          NOTICE OF STOCKHOLDERS’ MEETINGS

 

Without limiting the manner by which notice otherwise may be given effectively to stockholders pursuant to the DGCL, the certificate of incorporation or these bylaws, any notice to stockholders given by the corporation under any provision of the DGCL, the certificate of incorporation or these bylaws may be given in writing directed to the stockholder’s mailing address (or by electronic transmission directed to the stockholder’s electronic mail address, as applicable) as it appears on the records of the corporation and shall be given (i) if mailed when deposited in the United States mail, postage prepaid, (ii) if delivered by courier service, the earlier of when the notice is received or left at such stockholder’s address, or (iii) if given by electronic mail, when directed to such stockholder’s electronic mail address unless the stockholder has notified the corporation in writing or by electronic transmission of an objection to receiving notice by electronic mail or such notice is prohibited by Section 7.2 of these bylaws. An affidavit of the secretary or an assistant secretary of the corporation or of the transfer agent or other agent of the corporation that the notice has been given shall, in the absence of fraud, be prima facie evidence of the facts stated therein.

 

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7.2          NOTICE BY ELECTRONIC TRANSMISSION

 

Without limiting the manner by which notice otherwise may be given effectively to stockholders pursuant to the DGCL, the certificate of incorporation or these bylaws, but subject to the provisions of this Section 7.2, any notice to stockholders given by the corporation under any provision of the DGCL, the certificate of incorporation or these bylaws shall be effective if given by a form of electronic transmission consented to by the stockholder to whom the notice is given; provided that the corporation may give notice by electronic mail in accordance with Section 7.1 of these bylaws without obtaining the consent required by this Section 7.2. Any such consent shall be revocable by the stockholder by written notice to the corporation. Notwithstanding anything to the contrary in Section 7.1 or this Section 7.2 of these bylaws, a notice may not be given by an electronic transmission from and after the time that:

 

(i)          the corporation is unable to deliver by such electronic transmission two consecutive notices given by the corporation; and

 

(ii)          such inability becomes known to the secretary or an assistant secretary of the corporation or to the transfer agent, or other person responsible for the giving of notice; provided, however, the inadvertent failure to discover such inability shall not invalidate any meeting or other action.

 

Any notice given pursuant to the preceding paragraph shall be deemed given:

 

(i)          if by facsimile telecommunication, when directed to a number at which the stockholder has consented to receive notice;

 

(ii)          if by a posting on an electronic network together with separate notice to the stockholder of such specific posting, upon the later of (A) such posting and (B) the giving of such separate notice; and

 

(iii)          if by any other form of electronic transmission, when directed to the stockholder.

 

Electronic mail,” “electronic mail address” and “electronic transmission” shall have the respective meanings provided thereto by Section 232 of the DGCL.

 

7.3          NOTICE TO STOCKHOLDERS SHARING AN ADDRESS

 

Except as otherwise prohibited under the DGCL, without limiting the manner by which notice otherwise may be given effectively to stockholders, any notice to stockholders given by the corporation under the provisions of the DGCL, the certificate of incorporation or these bylaws shall be effective if given by a single written notice to stockholders who share an address if consented to by the stockholders at that address to whom such notice is given. Any such consent shall be revocable by the stockholder by written notice to the corporation. Any stockholder who fails to object in writing to the corporation, within 60 days of having been given written notice by the corporation of its intention to send the single notice, shall be deemed to have consented to receiving such single written notice.

 

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7.4          NOTICE TO PERSON WITH WHOM COMMUNICATION IS UNLAWFUL

 

Whenever notice is required to be given, under the DGCL, the certificate of incorporation or these bylaws, to any person with whom communication is unlawful, the giving of such notice to such person shall not be required and there shall be no duty to apply to any governmental authority or agency for a license or permit to give such notice to such person. Any action or meeting which shall be taken or held without notice to any such person with whom communication is unlawful shall have the same force and effect as if such notice had been duly given. In the event that the action taken by the corporation is such as to require the filing of a certificate under the DGCL, the certificate shall state, if such is the fact and if notice is required, that notice was given to all persons entitled to receive notice except such persons with whom communication is unlawful.

 

7.5          WAIVER OF NOTICE

 

Whenever notice is required to be given under any provision of the DGCL, the certificate of incorporation or these bylaws, a written waiver, signed by the person entitled to notice, or a waiver by electronic transmission by the person entitled to notice, whether before or after the time stated therein, shall be deemed equivalent to notice. Attendance of a person at a meeting shall constitute a waiver of notice of such meeting, except when the person attends a meeting for the express purpose of objecting at the beginning of the meeting, to the transaction of any business because the meeting is not lawfully called or convened. Neither the business to be transacted at, nor the purpose of, any regular or special meeting of the stockholders or the board of directors, as the case may be, need be specified in any written waiver of notice or any waiver by electronic transmission unless so required by the certificate of incorporation or these bylaws.

 

Article VIII — INDEMNIFICATION

 

8.1          INDEMNIFICATION OF DIRECTORS AND OFFICERS IN THIRD PARTY PROCEEDINGS

 

Subject to the other provisions of this Article VIII, the corporation shall indemnify, to the fullest extent permitted by the DGCL, as now or hereinafter in effect, any person who was or is a party or is threatened to be made a party to any threatened, pending or completed action, suit or proceeding, whether civil, criminal, administrative or investigative (a “Proceeding”) (other than an action by or in the right of the corporation) by reason of the fact that such person is or was a director of the corporation or an officer of the corporation, or while a director of the corporation or officer of the corporation is or was serving at the request of the corporation as a director, officer, employee or agent of another corporation, partnership, joint venture, trust or other enterprise, against reasonable expenses (including attorneys’ fees), judgments, fines and amounts paid in settlement actually and reasonably incurred by such person in connection with such Proceeding if such person acted in good faith and in a manner such person reasonably believed to be in or not opposed to the best interests of the corporation, and, with respect to any criminal action or proceeding, had no reasonable cause to believe such person’s conduct was unlawful, The termination of any Proceeding by judgment, order, settlement, conviction, or upon a plea of nolo contendere or its equivalent, shall not, of itself, create a presumption that the person did not act in good faith and in a manner which such person reasonably believed to be in or not opposed to the best interests of the corporation, and, with respect to any criminal action or proceeding, had reasonable cause to believe that such person’s conduct was unlawful.

 

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8.2          INDEMNIFICATION OF DIRECTORS AND OFFICERS IN ACTIONS BY OR IN THE RIGHT OF THE CORPORATION

 

Subject to the other provisions of this Article VIII, the corporation shall indemnify, to the fullest extent permitted by the DGCL, as now or hereinafter in effect, any person who was or is a party or is threatened to be made a party to any threatened, pending or completed Proceeding by or in the right of the corporation to procure a judgment in its favor by reason of the fact that such person is or was a director or officer of the corporation, or while a director or officer of the corporation is or was serving at the request of the corporation as a director, officer, employee or agent of another corporation, partnership, joint venture, trust or other enterprise against reasonable expenses (including attorneys’ fees) actually and reasonably incurred by such person in connection with the defense or settlement of such action or suit if such person acted in good faith and in a manner such person reasonably believed to be in or not opposed to the best interests of the corporation; except that no indemnification shall be made in respect of any claim, issue or matter as to which such person shall have been adjudged to be liable to the corporation unless and only to the extent that the Court of Chancery or the court in which such action or suit was brought shall determine upon application that, despite the adjudication of liability but in view of all the circumstances of the case, such person is fairly and reasonably entitled to indemnity for such expenses which the Court of Chancery or such other court shall deem proper.

 

8.3          SUCCESSFUL DEFENSE

 

To the extent that a present or former director or officer of the corporation has been successful on the merits or otherwise in defense of any Proceeding (or in defense of any claim, issue or matter therein), such person shall be indemnified under this Section 8.3 against reasonable expenses (including attorneys’ fees) actually and reasonably incurred by such person in connection therewith. Indemnification under this Section 8,3 shall not be subject to satisfaction of a standard of conduct, and the corporation may not assert the failure to satisfy a standard of conduct as a basis to deny indemnification or recover amounts advanced; provided, however, that, any person seeking indemnification hereunder who is not a current or former director or officer (as such term is defined in the final sentence of Section 145(c)(1) of the DGCL) shalt be entitled to indemnification under Section 8.1, Section 8.2 and this Section 8.3 only if such person has satisfied the standard of conduct required for indemnification under Section 145(a) or Section 145(b) of the DGCL.

 

8.4          INDEMNIFICATION OF OTHERS

 

Subject to the other provisions of this Article VIII, the corporation shall have power to indemnify its employees and its agents to the extent not prohibited by the DGCL or other applicable law and subject to such terms and conditions, if any, as the corporation deems appropriate. The board of directors shall have the power to delegate the determination of whether employees or agents shall be indemnified to such person or persons as the board of directors determines,

 

8.5          ADVANCED PAYMENT OF EXPENSES

 

Reasonable expenses (including attorneys’ fees) incurred by an officer or director of the corporation in defending any Proceeding shall be paid by the corporation in advance of the final disposition of such Proceeding upon receipt of a written request therefor (together with documentation reasonably evidencing such expenses) and an undertaking by or on behalf of the person to repay such amounts if it shall ultimately be determined that the person is not entitled to be indemnified under this Article VIII or the DGCL. Such expenses (including attorneys’ fees) incurred by former directors and officers or other employees and agents may be so paid upon such terms and conditions, if any, as the corporation deems reasonably appropriate. The right to advancement of expenses shall not apply to any claim for which indemnity is excluded pursuant to these bylaws, but shall apply to any Proceeding referenced in Section 8.6(ii) or 8.6(iii) prior to a determination that the person is not entitled to be indemnified by the corporation.

 

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8.6          LIMITATION ON INDEMNIFICATION

 

Subject to the requirements in Section 8.3 and the DGCL, the corporation shall not be obligated to indemnify any person pursuant to this Article VIII in connection with any Proceeding (or any part of any Proceeding):

 

(i)          for which payment has actually been made to or on behalf of such person under any statute, insurance policy, indemnity provision, vote or otherwise, except with respect to any excess beyond the amount paid;

 

(ii)         for an accounting or disgorgement of profits pursuant to Section I6(b) of the 1934 Act, or similar provisions of federal, state or local statutory law or common law, if such person is held liable therefor (including pursuant to any settlement arrangements);

 

(iii)        for any reimbursement of the corporation by such person of any bonus or other incentive-based or equity-based compensation or of any profits realized by such person from the sale of securities of the corporation, as required in each case under the 1934 Act (including any such reimbursements that arise from an accounting restatement of the corporation pursuant to Section 304 of the Sarbanes-Oxley Act of 2002 (the “Sarbanes-Oxley Act”), or the payment to the corporation of profits arising from the purchase and sale by such person of securities in violation of Section 306 of the Sarbanes-Oxley Act), if such person is held liable therefor (including pursuant to any settlement arrangements);

 

(iv)        authorized by the board of directors to recoup, recover or cancel any compensation paid or promised to him or her by the corporation, or to seek any other remedy at law or in equity in connection therewith, pursuant to any clawback or similar policy or provision adopted by the corporation;

 

(v)          initiated by such person against the corporation or its directors, officers, employees, agents or other indemnitees, unless (a) the board of directors authorized the Proceeding (or the relevant part of the Proceeding) prior to its initiation, (b) the corporation provides the indemnification, in its sole discretion, pursuant to the powers vested in the corporation under applicable law, (c) otherwise required to be made under Section 8.7 or (d) otherwise required by applicable law; or

 

(vi)         if prohibited by applicable law; provided, however, that if any provision or provisions of this Article VIII shall be held to be invalid, illegal or unenforceable for any reason whatsoever: (1) the validity, legality and enforceability of the remaining provisions of this Article VIII (including, without limitation, each portion of any paragraph or clause containing any such provision held to be invalid, illegal or unenforceable, that is not itself held to be invalid, illegal or unenforceable) shall not in any way be affected or impaired thereby; and (2) to the fullest extent possible, the provisions of this Article VIII (including, without limitation, each such portion of any paragraph or clause containing any such provision held to be invalid, illegal or unenforceable) shall be construed so as to give effect to the intent manifested by the provision held invalid, illegal or unenforceable.

 

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8.7          DETERMINATION; CLAIM

 

If a claim for indemnification or advancement of expenses by an officer or director of the corporation in defending any Proceeding under this Article VIII is not paid in full within 90 days after receipt by the corporation of the written request therefor, the claimant shall be entitled to an adjudication by a court of competent jurisdiction of his or her entitlement to such indemnification or advancement of expenses. The corporation shall indemnify such person against any and all expenses that are incurred by such person in connection with any action for indemnification or advancement of expenses from the corporation under this Article VIII, to the extent such person is successful in such action, and to the extent not prohibited by law. In any such suit, the corporation shall, to the fullest extent not prohibited by law, have the burden of proving that the claimant is not entitled to the requested indemnification or advancement of expenses. Former directors and officers or other employees and agents of the corporation may be entitled to the protections of this Section 8.7 to the extent the corporation deems reasonably appropriate.

 

8.8          NON-EXCLUSIVITY OF RIGHTS

 

The indemnification and advancement of expenses provided by, or granted pursuant to, this Article VIII shall not be deemed exclusive of any other rights to which those seeking indemnification or advancement of expenses may be entitled under the certificate of incorporation or any statute, bylaw, agreement, vote of stockholders or disinterested directors or otherwise, both as to action in such person’s official capacity and as to action in another capacity while holding such office, The corporation is specifically authorized to enter into individual contracts with any or all of its directors, officers, employees or agents respecting indemnification and advancement of expenses, to the fullest extent not prohibited by the DGCL or other applicable law.

 

8.9          INSURANCE

 

The corporation may purchase and maintain insurance on behalf of any person who is or was a director, officer, employee or agent of the corporation, or is or was serving at the request of the corporation as a director, officer, employee or agent of another corporation, partnership, joint venture, trust or other enterprise against any liability asserted against such person and incurred by such person in any such capacity, or arising out of such person’s status as such, whether or not the corporation would have the power to indemnify such person against such liability under the provisions of the DGCL.

 

8.10          SURVIVAL

 

The rights to indemnification and advancement of expenses conferred by this Article VIII shall continue as to a person who has ceased to be a director, officer, employee or agent and shall inure to the benefit of the heirs, executors and administrators of such a person.

 

8.11          EFFECT OF REPEAL OR MODIFICATION

 

Any amendment, alteration or repeal of this Article VIII shall not adversely affect any right or protection hereunder of any person in respect of any act or omission occurring prior to such amendment, alteration or repeal.

 

8.12          CERTAIN DEFINITIONS

 

For purposes of this Article VIII, references to:

 

(i)          the “corporation” shall include, in addition to the resulting corporation, any constituent corporation (including any constituent of a constituent) absorbed in a consolidation or merger which, if its separate existence had continued, would have had power and authority to indemnify its directors, officers, employees or agents, so that any person who is or was a director, officer, employee or agent of such constituent corporation, or is or was serving at the request of such constituent corporation as a director, officer, employee or agent of another corporation, partnership, joint venture, trust or other enterprise, shall stand in the same position under the provisions of this Article VIII with respect to the resulting or surviving corporation as such person would have with respect to such constituent corporation if its separate existence had continued;

 

26

 

 

(ii)         other enterprises” shall include employee benefit plans;

 

(iii)        fines” shall include any excise taxes assessed on a person with respect to an employee benefit plan;

 

(iv)        serving at the request of the corporation” shall include any service as a director, officer, employee or agent of the corporation which imposes duties on, or involves services by, such director, officer, employee or agent with respect to an employee benefit plan, its participants or beneficiaries;

 

(v)          a person who acted in good faith and in a manner such person reasonably believed to be in the interest of the participants and beneficiaries of an employee benefit plan shall be deemed to have acted in a manner “not opposed to the best interests of the corporation;” and

 

(vi)        officer” shall mean those persons designated by the corporation as (a) executive officers for purposes of the disclosures required in the corporation’s proxy and periodic reports or (b) officers for purposes of Section 16 of the 1934 Act (provided that, solely for purposes of Section 8.3, the term “officer” shall have the foregoing meaning in addition to the meaning given that term by Section 145(c)(1) of the DGCL).

 

Article IX — GENERAL MATTERS

 

9.1          EXECUTION OF CORPORATE CONTRACTS AND INSTRUMENTS

 

Except as otherwise provided by law, the certificate of incorporation or these bylaws, the board of directors may authorize any officer or officers, or agent or agents, to enter into any contract or execute any document or instrument in the name of and on behalf of the corporation; such authority may be general or confined to specific instances. Unless so authorized or ratified by the board of directors or within the agency power of an officer, no officer, agent or employee shall have any power or authority to bind the corporation by any contract or engagement or to pledge its credit or to render it liable for any purpose or for any amount.

 

9.2          FISCAL YEAR

 

The fiscal year of the corporation shall be fixed by resolution of the board of directors and may be changed by the board of directors.

 

9.3          SEAL

 

The corporation may adopt a corporate seal, which shall be adopted and which may be altered by the board of directors. The corporation may use the corporate seal by causing it or a facsimile thereof to be impressed or affixed or in any other manner reproduced.

 

9.4          CONSTRUCTION; DEFINITIONS

 

Unless the context requires otherwise, the general provisions, rules of construction, and definitions in the DGCL shall govern the construction of these bylaws. Without limiting the generality of this provision, the singular number includes the plural, the plural number includes the singular, and the term “person” includes both an entity and a natural person.

 

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9.5          FORUM SELECTION FOR SECURITIES ACT CLAIMS

 

Unless the corporation consents in writing to the selection of an alternative forum, the federal district courts of the United States of America shall be the sole and exclusive forum for the resolution of any complaint asserting a cause of action arising under the Securities Act of 1933, as amended. Any person or entity purchasing or otherwise acquiring any interest in any security of the corporation shall be deemed to have notice of and consented to the provisions of this Section 9.5.

 

Article X — AMENDMENTS

 

These bylaws may be adopted, amended or repealed by the stockholders entitled to vote; provided, however, that the affirmative vote of the holders of at least 66 2/3% of the total voting power of the outstanding shares of capital stock, voting together as a single class, shall be required for the stockholders of the corporation to alter, amend or repeal, or adopt any bylaw inconsistent with, the following provisions of these bylaws: Article II, Sections 3.1, 3.2, 3.4 and 3.11 of Article III, Article VIII and this Article X (including, without limitation, any such Article or Section as renumbered as a result of any amendment, alteration, change, repeal, or adoption of any other Bylaw). The board of directors shall also have the power to adopt, amend or repeal bylaws; provided, however, that a bylaw amendment adopted by stockholders which specifies the votes that shall be necessary for the election of directors shall not be further amended or repealed by the board of directors.

 

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IRHYTHM HOLDINGS, INC.

 

CERTIFICATE OF AMENDMENT OF BYLAWS

 

The undersigned hereby certifies that he or she is the duly elected, qualified and acting Secretary or Assistant Secretary of iRhythm Holdings, Inc., a Delaware corporation, and that the foregoing bylaws were amended and restated on January 12, 2026 by the corporation’s board of directors.

 

IN WITNESS WHEREOF, the undersigned has hereunto set her hand this January 12, 2026.

 

  /s/ Susan Krause
  Susan Krause
  Secretary

 

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Exhibit 3.3

 

CERTIFICATE OF MERGER
FOR THE MERGER OF
LTCM MERGER SUB, INC.
WITH AND INTO
IRHYTHM TECHNOLOGIES, INC.

 

January 12, 2026

__________________________________________________

 

Pursuant to Section 251 of the
General Corporation Law of the State of Delaware

__________________________________________________

 

iRhythm Technologies, Inc., a Delaware corporation (the “Company”), does hereby certify to the following facts relating to the merger (the “Merger”) of LTCM Merger Sub, Inc., a Delaware corporation (“Merger Sub”), with and into the Company, with the Company continuing as the surviving corporation of the Merger (the “Surviving Corporation”):

 

FIRST: The Company and Merger Sub are the only constituent corporations in the Merger, and each is a corporation incorporated pursuant to the laws of the State of Delaware.
SECOND: An Agreement and Plan of Merger and Reorganization, dated as of January 12, 2026 (the “Merger Agreement”), by and among the Company, Merger Sub and LTCM Holdings, Inc., a Delaware corporation, has been approved, adopted, executed and acknowledged by the Company and by Merger Sub in accordance with Section 251 of the General Corporation Law of the State of Delaware (the “DGCL”), including, in the case of the Company, Section 251(g) of the DGCL (and, with respect to Merger Sub, by the written consent of its sole stockholder in accordance with Section 228 of the DGCL).
THIRD: The name of the Surviving Corporation of the Merger shall be iRhythm Technologies, Inc.
FOURTH: Upon the effectiveness of the filing of this Certificate of Merger, the Restated Certificate of Incorporation of the Company shall be amended and restated by reason of the Merger to read in its entirety as set forth in Exhibit A attached hereto and, as so amended and restated, shall continue as the certificate of incorporation of the Surviving Corporation until further amended in accordance with the provisions of the DGCL.
FIFTH: The Surviving Corporation shall be a corporation formed and existing under the laws of the State of Delaware.
SIXTH: The executed Merger Agreement is on file at the principal place of business of the Surviving Corporation at 669 8th St., Suite 600, San Francisco, CA 94103.
SEVENTH: A copy of the executed Merger Agreement will be furnished by the Surviving Corporation, on request and without cost, to any stockholder of any constituent corporation of the Merger.
EIGHTH: The Merger shall become effective immediately upon filing of this Certificate of Merger with the Secretary of State of the State of Delaware.

[Signature Page Follows]

 

 

 

IN WITNESS WHEREOF, iRhythm Technologies, Inc. has caused this Certificate of Merger to be executed in its corporate name by its duly authorized officer as of the date first above written.

 

  IRHYTHM TECHNOLOGIES, INC.
     
     
  By: /s/ Quentin Blackford
  Name: Quentin Blackford
  Title: Chief Executive Officer

 

[Signature Page to Certificate of Merger]

 

 

 

EXHIBIT A

 

CERTIFICATE OF INCORPORATION OF
irhythm technologies, INC.

 

 

Exhibit 4.1

 

DESCRIPTION OF THE REGISTRANT’S SECURITIES
REGISTERED PURSUANT TO SECTION 12 OF THE SECURITIES
EXCHANGE ACT OF 1934

 

iRhythm Holdings, Inc. (the “Company”) has one class of securities registered under Section 12 of the Securities Exchange Act of 1934, as amended: our common stock, par value $0.0001 per share.

 

As used in this summary, the terms “iRhythm,” “the Company,” “we,” “our” and “us” refer to iRhythm Holdings, Inc.

 

The following is a description of the material terms and provisions relating to our common stock. The following description is a summary that is not complete and is subject to and qualified in its entirety by reference to our amended and restated certificate of incorporation and our amended and restated bylaws, and to provisions of the Delaware General Corporation Law. Copies of our amended and restated certificate of incorporation and our amended and restated bylaws, each of which may be amended from time to time, are included as exhibits to the Annual Report on Form 10-K to which this description is an Exhibit.

 

General

 

Our authorized capital stock consists of 100,000,000 shares of common stock, $0.001 par value per share, and 5,000,000 shares of preferred stock, $0.001 par value per share.

 

Common Stock

 

Voting Rights

 

Each holder of our common stock is entitled to one vote for each share on all matters submitted to a vote of the stockholders, including the election of directors. Our stockholders do not have cumulative voting rights in the election of directors. Accordingly, holders of a majority of the voting shares are able to elect all of the directors.

 

Dividends

 

Subject to preferences that may be applicable to any then outstanding preferred stock, holders of our common stock are entitled to receive dividends, if any, as may be declared from time to time by our board of directors out of legally available funds. We do not have any plans to pay dividends to our stockholders.

 

Liquidation

 

In the event of our liquidation, dissolution or winding up, holders of our common stock will be entitled to share ratably in the net assets legally available for distribution to stockholders after the payment of all of our debts and other liabilities and the satisfaction of any liquidation preference granted to the holders of any then outstanding shares of preferred stock.

 

Rights and Preferences

 

Holders of our common stock have no preemptive, conversion, subscription or other rights, and there are no redemption or sinking fund provisions applicable to our common stock. The rights, preferences and privileges of the holders of our common stock are subject to and may be adversely affected by the rights of the holders of shares of any series of our preferred stock that we may designate in the future.

 

Anti-Takeover Effects or Provisions of our Amended and Restated Certificate of Incorporation, our Amended and Restated Bylaws and Delaware Law

 

Some provisions of Delaware law and our amended and restated certificate of incorporation and our amended and restated bylaws contain provisions that could make the following transactions more difficult: acquisition of us by means of a tender offer; acquisition of us by means of a proxy contest or otherwise; or removal of our incumbent officers and directors. It is possible that these provisions could make it more difficult to accomplish or could deter transactions that stock holders may otherwise consider to be in their best interest or in our best interests, including transactions that might result in a premium over the market price for our shares.

 

 

 

These provisions, summarized below, are expected to discourage coercive takeover practices and inadequate takeover bids. These provisions are also designed to encourage persons seeking to acquire control of us to first negotiate with our board of directors. We believe that the benefits of increased protection of our potential ability to negotiate with the proponent of a non-friendly or unsolicited proposal to acquire or restructure us outweigh the disadvantages of discouraging these proposals because negotiation of these proposals could result in an improvement of their terms.

 

Delaware Anti-Takeover Statute

 

We are subject to Section 203 of the General Corporation Law of the State of Delaware, which prohibits a Delaware corporation from engaging in any business combination with any interested stockholder for a period of three years after the date that such stockholder became an interested stockholder, with the following exceptions:

 

·before such date, the board of directors of the corporation approved either the business combination or the transaction that resulted in the stockholder becoming an interested holder;

 

·upon completion of the transaction that resulted in the stockholder becoming an interested stockholder, the interested stockholder owned at least 85% of the voting stock of the corporation outstanding at the time the transaction began, excluding for purposes of determining the voting stock outstanding (but not the outstanding voting stock owned by the interested stockholder) those shares owned (i) by persons who are directors and also officers and (ii) employee stock plans in which employee participants do not have the right to determine confidentially whether shares held subject to the plan will be tendered in a tender or exchange offer; or

 

·on or after such date, the business combination is approved by the board of directors and authorized at an annual or special meeting of the stockholders, and not by written consent, by the affirmative vote of at least 662/3% of the outstanding voting stock that is not owned by the interested stockholder.

 

In general, Section 203 defines business combination to include the following:

 

·any merger or consolidation involving the corporation and the interested stockholder;

 

·any sale, transfer, pledge or other disposition of 10% or more of the assets of the corporation involving the interested stockholder;

 

·subject to certain exceptions, any transaction that results in the issuance or transfer by the corporation of any stock of the corporation to the interested stockholder;

 

·any transaction involving the corporation that has the effect of increasing the proportionate share of the stock or any class or series of the corporation beneficially owned by the interested stockholder; or

 

·the receipt by the interested stockholder of the benefit of any loss, advances, guarantees, pledges or other financial benefits by or through the corporation.

 

In general, Section 203 defines interested stockholder as an entity or person beneficially owning 15% or more of the outstanding voting stock of the corporation or any entity or person affiliated with or controlling or controlled by such entity or person.

 

Undesignated Preferred Stock

 

The ability to authorize undesignated preferred stock makes it possible for our board of directors to issue preferred stock with voting or other rights or preferences that could impede the success of any attempt to acquire us. These and other provisions may have the effect of deterring hostile takeovers or delaying changes in control or management of our company.

 

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Special Stockholder Meetings

 

Our amended and restated bylaws provide that a special meeting of stockholders may be called only by our board of directors, the chairperson of our board of directors, or our Chief Executive Officer or President. This provision might delay the ability of our stockholders to force consideration of a proposal or for stockholders controlling a majority of our capital stock to take any action, including the removal of directors.

 

Requirements for Advance Notification of Stockholder Nominations and Proposals

 

Our amended and restated bylaws contain advance notice procedures with respect to stockholder proposals and the nomination of candidates for election as directors, other than nominations made by or at the direction of the board of directors or a committee of the board of directors. Our amended and restated bylaws also specify certain requirements regarding the form and content of a stockholder’s notice.

 

Elimination of Stockholder Action by Written Consent

 

Our amended and restated certificate of incorporation and our amended and restated bylaws do not contain the right of stockholders to act by written consent without a meeting. As a result, a holder controlling a majority of our capital stock would not be able to amend our amended and restated bylaws or remove directors without holding a meeting of our stockholders called in accordance with our amended and restated bylaws.

 

Classified Board; Election and Removal of Directors

 

Our amended and restated certificate of incorporation and amended and restated bylaws authorize only our board of directors to fill vacant directorships, including newly created seats. In addition, the number of directors constituting our board of directors is permitted to be set only by a resolution adopted by our board of directors. These provisions would prevent a stockholder from increasing the size of our board of directors and then gaining control of our board of directors by filling the resulting vacancies with its own nominees. This makes it more difficult to change the composition of our board of directors but promotes continuity of management.

 

Our board of directors is divided into three classes. The directors in each class serve for a three-year term, one class being elected each year by our stockholders, with staggered three-year terms. Only one class of directors is elected at each annual meeting of our stockholders, with the other classes continuing for the remainder of their respective three-year terms. Because our stockholders do not have cumulative voting rights, our stockholders holding a majority of the shares of common stock outstanding are able to elect all of our directors. In addition, our amended and restated certificate of incorporation provides that directors may only be removed for cause. This system of electing and removing directors may tend to discourage a third party from making a tender offer or otherwise attempting to obtain control of us, because it generally makes it more difficult for stockholders to replace a majority of the directors.

 

Choice of Forum

 

Our amended and restated certificate of incorporation provides that, unless we consent in writing to the selection of an alternative forum, the Court of Chancery of the State of Delaware will be the exclusive forum for any derivative action or proceeding brought on our behalf, any action asserting a breach of fiduciary duty, any action asserting a claim against us arising pursuant to the Delaware General Corporation Law, our amended and restated certificate of incorporation or our amended and restated bylaws, or any action asserting a claim against us that is governed by the internal affairs doctrine.

 

Amendment of Charter Provisions

 

The amendment of any of the above provisions, except for the provision making it possible for our board of directors to issue preferred stock, would require approval by holders of at least 662/3% of the voting power of our then outstanding voting stock.

 

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The provisions of the Delaware General Corporation Law, our amended and restated certificate of incorporation and our amended and restated bylaws may have the effect of discouraging others from attempting hostile takeovers and, as a consequence, they may also inhibit temporary fluctuations in the market price of our common stock that often result from actual or rumored hostile takeover attempts. These provisions may also have the effect of preventing changes in our management. It is possible that these provisions could make it more difficult to accomplish transactions that stockholders may otherwise deem to be in their best interests.

 

Limitations on Liability and Indemnification Matters

 

Our amended and restated certificate of incorporation contains provisions that limit the liability of our directors and officers for monetary damages to the fullest extent permitted by Delaware law. Consequently, our directors and officers will not be personally liable to us or our stockholders for monetary damages for any breach of fiduciary duties as directors or officers, as applicable, except liability for:

 

·any breach of the director’s or officer’s duty of loyalty to us or our stockholders;

 

·any act or omission not in good faith or that involves intentional misconduct or a knowing violation of law;

 

·unlawful payments of dividends or unlawful stock repurchases or redemptions as provided in Section 174 of the Delaware General Corporation Law;

 

·any transaction from which the director or officer derived an improper personal benefit; and

 

·with respect to officers, any action by or in the right of the corporation.

 

Our amended and restated certificate of incorporation and amended and restated bylaws provide that we are required to indemnify our directors and officers, in each case to the fullest extent permitted by Delaware law. Our amended and restated bylaws also provide that we are obligated to advance expenses incurred by a director or officer in advance of the final disposition of any action or proceeding, and permit us to secure insurance on behalf of any officer, director, employee or other agent for any liability arising out of his or her actions in that capacity regardless of whether we would otherwise be permitted to indemnify him or her under Delaware law. We have entered, and expect to continue to enter, into agreements to indemnify our directors, executive officers and other employees as determined by our board of directors. With specified exceptions, these agreements provide for indemnification for related expenses including, among other things, attorneys’ fees, judgments, fines and settlement amounts incurred by any of these individuals in any action or proceeding. We believe that these bylaw provisions and indemnification agreements are necessary to attract and retain qualified persons as directors and officers. We also maintain directors’ and officers’ liability insurance.

 

The limitation of liability and indemnification provisions in our amended and restated certificate of incorporation and amended and restated bylaws may discourage stockholders from bringing a lawsuit against our directors and officers for breach of their fiduciary duty. They may also reduce the likelihood of derivative litigation against our directors and officers, even though an action, if successful, might benefit us and our stockholders. Further, a stockholder’s investment may be adversely affected to the extent that we pay the costs of settlement and damages.

 

Exchange Listing

 

Our common stock is quoted on The Nasdaq Global Select Market under the symbol “IRTC.”

 

Transfer Agent

 

The transfer agent for our common stock is Equiniti Trust Company d/b/a EQ Shareowner Services. The transfer agent’s address is 1110 Centre Pointe Curve, Suite 101, Mendota Heights, Minnesota, 55120. Our shares of common stock are issued in uncertificated form only, subject to limited exceptions.

 

4

 

Exhibit 4.2

 

____________________________________________

 

 

IRHYTHM TECHNOLOGIES, INC.,

 

AS COMPANY,

 

IRHYTHM HOLDINGS, INC.,

 

AS GUARANTOR,

 

and

 

U.S. BANK TRUST COMPANY, NATIONAL ASSOCIATION,

 

AS TRUSTEE

 

 

____________________________________________

 

 

First Supplemental Indenture

 

Dated as of January 12, 2026

 

to the

 

Indenture

 

Dated as of March 7, 2024

 

 

____________________________________________

 

 

 

FIRST SUPPLEMENTAL INDENTURE

 

This FIRST SUPPLEMENTAL INDENTURE (this “First Supplemental Indenture”), dated as of January 12, 2026, is by and between iRhythm Technologies, Inc., a Delaware corporation (the “Company”), iRhythm Holdings, Inc. (f/k/a LTCM Holdings, Inc.), a Delaware corporation (“Parent”), and U.S. Bank Trust Company, National Association, a national banking association, as trustee (the “Trustee”). Capitalized terms used in but not defined herein shall have the same meanings as provided in the Indenture (as defined below).

 

RECITALS:

 

WHEREAS, the Company and the Trustee have heretofore entered into that certain Indenture, dated as of March 7, 2024 (the “Indenture”), pursuant to which the Company issued $661,250,000 aggregate principal amount of the Company’s 1.50% Convertible Senior Notes due 2029 (the “Securities”);

 

WHEREAS, the Company, Parent and LTCM Merger Sub, Inc., a Delaware corporation and a wholly owned subsidiary of Parent (“Merger Sub”), entered into an Agreement and Plan of Merger and Reorganization, dated as of January 12, 2026 (the “Merger Agreement”), providing for, concurrently with the effectiveness of this First Supplemental Indenture, the merger of Merger Sub with and into the Company (the “Merger”), with the Company surviving the Merger as a wholly owned subsidiary of Parent;

 

WHEREAS, the Company may consolidate with or merge into any other Person or sell, convey, transfer or lease all or substantially all of its properties and assets to another Person subject to the provisions of Section 6.01 of the Indenture, and the Merger and the Guarantee (as defined below) comply with the provisions of Section 6.01 of the Indenture;

 

WHEREAS, pursuant to the Merger Agreement and subject to the terms and conditions therein, at the effective time of the Merger (the “Effective Time”), each share of common stock, par value $0.001 per share, of the Company outstanding immediately prior to the Effective Time will be automatically exchanged for one share of common stock, par value $0.001 per share, of Parent (“Parent Common Stock” and, each such share of Parent Common Stock, a “unit of Reference Property”);

 

WHEREAS, the Merger does not constitute a Fundamental Change or a Make-Whole Fundamental Change under the Indenture;

 

WHEREAS, the Merger constitutes a Merger Event under the Indenture;

 

WHEREAS, in connection with the foregoing, Section 4.07(a) of the Indenture provides that prior to or at the Effective Time, the Company will execute with the Trustee a supplemental indenture, without the consent of Holders as permitted by Section 10.01(c), (h) and (i), providing that at and after the Effective Time, the right to convert each $1,000 principal amount of Securities shall be changed into a right to convert such principal amount of Securities into the kind and amount of shares of stock, other securities or other property or assets (including cash or any combination thereof) that a holder of a number of shares of Common Stock equal to the Conversion Rate immediately prior to such Merger Event would have owned or been entitled to receive (the “Reference Property”, with each “unit of Reference Property” meaning the kind and amount of Reference Property that a holder of one share of Common Stock is entitled to receive) upon such Merger Event;

 

WHEREAS, in accordance with Section 6.01 of the Indenture, Parent wishes to fully and unconditionally guarantee all of the obligations of the Company under the Securities and the Indenture (the “Guarantee”);

 

 

 

WHEREAS, Section 10.01(c) of the Indenture provides that the Company and the Trustee may amend or supplement the Indenture or the Securities without the consent of any Holder to add guarantees with respect to the Securities; and

 

WHEREAS, all conditions for the execution and delivery of this First Supplemental Indenture have been complied with or have been done or performed.

 

NOW THEREFORE, in consideration of the foregoing and for other good and valuable consideration, the receipt of which is hereby acknowledged, the parties hereto mutually covenant and agree for the equal and ratable benefit of the Holders as follows:

 

ARTICLE 1

 

DEFINITIONS

 

Section 1.01      Definitions. For all purposes of this First Supplemental Indenture, except as otherwise herein expressly provided or unless the context otherwise requires: (i) the capitalized terms and expressions used herein shall have the same meanings as corresponding terms and expressions used in the Indenture and (ii) the words “herein,” “hereof” and “hereby” and other words of similar import used in this First Supplemental Indenture refer to this First Supplemental Indenture as a whole and not to any particular section hereof.

 

Section 1.02      Unit of Reference Property. “Unit of Reference Property” shall mean one share of Parent Common Stock, par value $0.001 per share of iRhythm Holdings, Inc., a Delaware corporation.

 

ARTICLE 2

 

MODIFICATIONS EFFECT OF MERGER

 

Section 2.01      Effect of Merger on Conversion of Securities. Pursuant to Section 4.07(a) of the Indenture, as a result of the Merger:

 

(a)            (i) at and after the Effective Time of the Merger, the right to convert each $1,000 principal amount of the Securities into the shares of Common Stock shall be changed to a right to exchange such principal amount of Securities for the number of Units of Reference Property equal to the Conversion Rate immediately prior to the Effective Time; (ii) the Company shall continue to have the right to determine the form of consideration to be paid or delivered, as the case may be, upon conversion of Securities in accordance with Section 4.02 of the Indenture and (iii)(x) any amount payable in cash upon conversion of the Securities in accordance with Section 4.02 of the Indenture shall continue to be payable in cash, (y) any shares of Common Stock that the Company would have been required to deliver upon conversion of the Securities in accordance with Section 4.02 of the Indenture shall instead be deliverable in Units of Reference Property and (z) the Daily VWAP shall be calculated based on the value of a Unit of Reference Property;

 

(b)            the definition of “Common Stock” means Parent Common Stock, subject to Section 4.07 of the Indenture, as supplemented by this First Supplemental Indenture;

 

(c)            references to the “Company” in Sections 4.05(a)-(i) of the Indenture shall instead be references to “Parent”; and

 

(d)            the provisions of the Indenture, as modified herein, shall continue to apply, mutatis mutandis, to the Holders’ right to convert the Securities into the Reference Property.

 

 

 

Section 2.02      Repurchase of Securities at Option of Holders. References to the “Company” in the definition of “Fundamental Change” in Section 1.01 of the Indenture shall instead be references to “Parent”. Except as amended hereby, the purchase rights set forth in Section 3.05 of the Indenture shall continue to apply.

 

Section 2.03      Parent to Provide Parent Common Stock. Parent hereby irrevocably and unconditionally agrees to be bound by the terms of the Indenture applicable to it and to issue shares of Parent Common Stock as necessary to satisfy the Company’s obligations with respect to any Securities validly surrendered for conversion pursuant to Article 4 of the Indenture.

 

Section 2.04      Deliveries. Concurrently herewith, the Company has delivered to the Trustee an Officers’ Certificate and an Opinion of Counsel, each stating that the Merger and this First Supplemental Indenture comply with Article 6 of the Indenture and that all conditions precedent provided for in the Indenture relating to such transaction have been complied with, the sufficiency of such Officers’ Certificate and Opinion of Counsel the Trustee hereby acknowledges.

 

ARTICLE 3

 

GUARANTEE

 

Section 3.01      Guarantee. (a) Parent hereby unconditionally guarantees to each Holder of Securities and to the Trustee and its successors and assigns, (i) the full and punctual payment when due of all monetary obligations of the Company under the Indenture and (ii) the full and punctual performance within applicable grace periods of all other obligations of the Company under the Indenture. Parent further agrees that its obligations hereunder shall be unconditional, irrespective of the absence or existence of any action to enforce the same, the recovery of any judgment against the Company (except to the extent such judgment is paid) or any waiver or amendment of the provisions of the Indenture or the Securities to the extent that any such action or any similar action would otherwise constitute a legal or equitable discharge or defense of Parent (except that such waiver or amendment shall be effective in accordance with its terms).

 

(b)            Parent further agrees that its Guarantee constitutes a guarantee of payment, performance and compliance and not merely of collection.

 

(c)            Parent further agrees to waive presentment to, demand of payment from and protest to the Company of its Guarantee, and also waives diligence, notice of acceptance of its Guarantee, presentment, demand for payment, notice of protest for nonpayment, the filing of claims with a court in the event of merger or bankruptcy of the Company, any right to require a proceeding first against the Company or any other Person, and all other defenses based on suretyship. The obligations of Parent shall not be affected by any failure or delay on the part of the Trustee to exercise any right or remedy under the Indenture or the Securities.

 

(d)            The obligation of Parent to make any payment hereunder may be satisfied by causing the Company to make such payment. If any Holder or the Trustee is required by any court or otherwise to return to the Company or Parent or any custodian, trustee, liquidator or other similar official acting in relation to the Company or Parent any amount paid by either of them to the Trustee or such Holder, the Guarantee, to the extent theretofore discharged, shall be reinstated in full force and effect.

 

(e)            (i) Upon the satisfaction and discharge of the Indenture in accordance with Article 9 thereof or (ii) upon the occurrence of a transaction that results in the Company no longer being a Subsidiary of Parent or that constitutes a sale of all or substantially all assets of the Company to a Person that is not a Subsidiary of the Company, Parent will be released and relieved of any obligations under the Guarantee.

 

 

 

ARTICLE 4

 

MISCELLANEOUS

 

Section 4.01      Severability. In the event any provision of this First Supplemental Indenture or in the Securities shall be invalid, illegal or unenforceable, then (to the extent permitted by law) the validity, legality or enforceability of the remaining provisions shall not in any way be affected or impaired.

 

Section 4.02      Modification, Amendment and Waiver. The provisions of this First Supplemental Indenture may not be amended, supplemented, modified or waived, unless otherwise provided in the Indenture, except by the execution of a supplemental indenture in compliance with Article 10 of the Indenture.

 

Section 4.03      Ratification of Indenture; First Supplemental Indenture Part of the Indenture. Except as expressly amended hereby, the Indenture is in all respects ratified and confirmed and all the terms, conditions and provisions thereof shall remain in full force and effect. In the event of a conflict between the terms and conditions of the Indenture and the terms and conditions of this First Supplemental Indenture, then the terms and conditions of the Indenture shall prevail. This First Supplemental Indenture shall form a part of the Indenture for all purposes, and every Holder heretofore or hereafter authenticated and delivered shall be bound hereby. The First Supplemental Indenture shall become effective simultaneously with the Effective Time.

 

Section 4.04      Governing Law. THIS FIRST SUPPLEMENTAL INDENTURE AND THE SECURITIES, AND ANY CLAIM, CONTROVERSY OR DISPUTE ARISING UNDER OR RELATED TO THIS FIRST SUPPLEMENTAL INDENTURE AND EACH NOTE, SHALL BE GOVERNED BY, AND CONSTRUED IN ACCORDANCE WITH, THE LAWS OF THE STATE OF NEW YORK WITHOUT GIVING EFFECT TO APPLICABLE PRINCIPLES OF CONFLICTS OF LAW TO THE EXTENT THAT THE APPLICATION OF THE LAWS OF ANOTHER JURISDICTION WOULD BE REQUIRED THEREBY.

 

Section 4.05      Trustee Makes No Representation. The Trustee makes no representations as to the validity or sufficiency of this First Supplemental Indenture. The recitals and statements contained in this First Supplemental Indenture shall be taken as the statements of the Company, and the Trustee assumes no responsibility for the correctness of the same. The Trustee is not charged with any knowledge of the Merger Agreement or any of the terms thereof.

 

Section 4.06      Multiple Counterparts. This First Supplemental Indenture may be executed in any number of counterparts, each of which shall be an original, but such counterparts shall together constitute but one and the same instrument. The exchange of copies of this First Supplemental Indenture and of signature pages by facsimile, PDF or other electronic transmission shall constitute effective execution and delivery of this First Supplemental Indenture as to the parties hereto and may be used in lieu of the original First Supplemental Indenture for all purposes. Signatures of the parties hereto transmitted by facsimile, PDF or other electronic transmission shall be deemed to be their original signatures for all purposes.

 

Section 4.07      Headings. The titles and headings of the articles and sections of this First Supplemental Indenture have been inserted for convenience of reference only, are not to be considered a part hereof and shall in no way modify or restrict any of the terms or provisions hereof.

 

Section 4.08      Successors. All agreements of the Company and Parent in this First Supplemental Indenture shall bind their respective successors. All agreements of the Trustee in this First Supplemental Indenture shall bind its successor.

 

 

 

Section 4.09      No Defaults. Immediately after giving effect to the Merger contemplated under this First Supplemental Indenture, the Company and Parent represent and warrant that no Default or Event of Default shall have occurred or be continuing.

 

Section 5.10      No Security Interest Created. Nothing in this First Supplemental Indenture or in the Securities, expressed or implied, shall be construed to constitute a security interest under the Uniform Commercial Code or similar legislation, as now or hereafter enacted and in effect, in any jurisdiction.

 

Section 4.11      Benefits of Indenture. Nothing in this First Supplemental Indenture or in the Securities, expressed or implied, shall give to any Person, other than the Holders, the parties hereto, any Paying Agent, any Conversion Agent, any authenticating agent, any Registrar and their respective successors hereunder, any benefit or any legal or equitable right, remedy or claim under this First Supplemental Indenture.

 

[Signature page follows]

 

 

 

IN WITNESS WHEREOF, the parties hereto have hereunto set their hands as of the date and year first above written.

 

  IRHYTHM TECHNOLOGIES, INC.
     
     
  By: /s/ Daniel Wilson
  Name: Daniel Wilson
  Title: Chief Financial Officer
     
     
  IRHYTHM HOLDINGS, INC.
     
     
  By: /s/ Daniel Wilson
  Name: Daniel Wilson
  Title: Chief Financial Officer

 

Signature Page to First Supplemental Indenture

 

 

 

  U.S. BANK TRUST COMPANY, NATIONAL ASSOCIATION, AS TRUSTEE
     
     
  By: /s/ Bradley E. Scarbrough
  Name: Bradley E. Scarbrough
  Title: Vice President

 

Signature Page to First Supplemental Indenture

 

 

 

Exhibit 10.1

 

ASSIGNMENT AND ASSUMPTION AGREEMENT

 

THIS ASSIGNMENT AND ASSUMPTION AGREEMENT (this “Agreement”) dated as of January 12, 2026, by and between iRhythm Technologies, Inc., a Delaware corporation (“Company”) and iRhythm Holdings, Inc. (f/k/a LTCM Holdings, Inc.), a Delaware corporation (“Holdco”) and a direct, wholly owned subsidiary of the Company.

 

RECITALS

 

WHEREAS, pursuant to that certain Agreement and Plan of Merger and Reorganization dated as of January 12, 2026 (the “Merger Agreement”), by and among Company, Holdco, and LTCM Merger Sub, Inc., a Delaware corporation and a direct, wholly owned subsidiary of Holdco (“Merger Sub”), at the Effective Time (as defined in the Merger Agreement) subject to, and upon the terms and conditions of, the Merger Agreement: (i) Merger Sub will be merged with and into Company (the “Merger”), the separate corporate existence of Merger Sub shall cease and the Company will continue as the surviving corporation of the Merger as a wholly owned subsidiary of Holdco in a transaction pursuant to Section 251(g) of the Delaware General Corporation Law, and (ii) each outstanding share of Common Stock, par value $0.001 per share, of the Company (the “Company Common Stock”) will be converted into one share of Common Stock, par value $0.001 per share, of Holdco (the “Holdco Common Stock”) having the same designations, rights, powers, and preferences, and the qualifications, limitations, and restrictions thereof, as the share of Company Common Stock immediately prior to the Merger (the “Reorganization”);

 

WHEREAS, in connection with the Reorganization, Company desires to assign to Holdco, and Holdco desires to assume from Company, sponsorship of (i) the Company’s equity incentive plans and award agreements thereunder and (ii) certain other Company arrangements;

 

WHEREAS, the equity compensation plans to be assigned and assumed include (i) the Company’s 2016 Equity Incentive Plan, the Company’s 2006 Stock Plan, and the Company’s 2016 Employee Stock Purchase Plan, each as amended from time to time, including all subplans, appendices, addendums, and award agreements thereunder (collectively, the “Company Equity Plans”), and (ii) any other arrangements on Exhibit A hereto (the “Other Arrangements”);

 

WHEREAS, the awards to be assigned and assumed include all (i) stock options to purchase shares of Company Common Stock (“Company Options”), (ii) restricted stock unit awards (including those subject to performance conditions) settleable in Company Common Stock (“Company RSUs”), and (iii) rights to purchase shares of Company Common Stock under the ESPP (“ESPP Rights”) outstanding immediately prior to the Effective Time (collectively, the “Company Equity Awards”), whether granted under the Company Equity Plans or otherwise;

 

WHEREAS, the Board of Directors of each of Company and Holdco has determined that the Reorganization does not constitute a “Change in Control” under the Company Equity Plans, the Company Equity Awards and, as applicable, the Other Arrangements; and

 

WHEREAS, the Boards of Directors of each of the Company, Holdco and Merger Sub have determined it is in the best interests of each corporation and its stockholders to enter into this Agreement in order to effectuate the assignment and assumption of the Company Equity Plans and Company Equity Awards upon the terms set forth herein.

 

 

 

EQUITY PLANS, EQUITY AWARDS AND OTHER ARRANGEMENTS

 

1. Assignment of Company Equity Plans, Company Equity Awards and Other Arrangements

 

Effective as of the Effective Time, Company hereby assigns, transfers, and conveys to Holdco all of Company’s rights, obligations, and liabilities under: (a) the Company Equity Plans; (b) each Company Equity Award and agreement or instrument evidencing the same, and (c) the Other Arrangements listed on Exhibit B.

 

2. Assumption by Holdco

 

Effective as of the Effective Time, Holdco hereby: (a) accepts the assignment described in Section 1; (b) assumes and agrees to perform all of the obligations of Company under the Company Equity Plans, Company Equity Awards, and Other Arrangements; and (c) acknowledges that each Company Equity Award shall, as of the Effective Time, be adjusted and converted as follows:

 

·Company RSUs shall become rights with respect to Holdco Common Stock on the same terms, conditions, and vesting schedules as applied immediately prior to the Effective Time.

 

·Company Options shall become options to purchase Holdco Common Stock on the same terms, conditions, vesting schedules, and exercise prices as applied immediately prior to the Effective Time, with appropriate adjustments in accordance with Section 424(a) of the Internal Revenue Code of 1986, as amended (the “Code”) to preserve ISO status under Section 422 of the Code and ESPP qualification under Section 423 of the Code.

 

·ESPP Rights shall become rights to purchase Holdco Common Stock on the same terms, conditions, offering period schedules and offering prices as applied immediately prior to the Effective Time.

 

3. Automatic Amendment

 

At the Effective Time, the Company Equity Plans, Company Equity Awards, the Other Arrangements and any provision of any other compensatory plan, agreement, or arrangement shall each be automatically deemed to be amended, to the extent necessary or appropriate, to provide that: (a) references to “Company” shall be read to refer to “Holdco” and (b) references to “Company Common Stock” shall be read to refer to “Holdco Common Stock”; provided, however that for purposes of award agreements for performance stock units, for performance metrics that are not based on the Company’s stock price shall continue to refer to the “Company” and not “Holdco,” unless otherwise determined by the Compensation and Human Capital Management Committee of Holdco.

 

4. Post-Closing Actions

 

Holdco covenants and agrees to: (a) reserve sufficient shares of Holdco Common Stock to satisfy its obligations with respect to the Company Equity Plans and Company Equity Awards; (b) prepare and execute all amendments to the Company Equity Plans and Other Arrangements and agreements as necessary to evidence Holdco’s assumption; (c) provide notice of such assumption to holders of Company Equity Awards and any other notices required for the Other Arrangements; and (d) make any filings with the Securities and Exchange Commission as may be required in connection therewith.

 

 

 

5. Change in Control

 

The parties agree that the Reorganization does not constitute a “Change in Control” or similar under the Company Equity Plans, the Company Equity Awards or the Other Arrangements.

 

6. Further Assurances

 

From time to time and at all times hereafter, each party shall take all reasonable and lawful action and execute and deliver all documents necessary to further implement and carry out the intent of this Agreement.

 

7. Governing Law

 

This Agreement shall be governed by and construed in accordance with the laws of the State of Delaware without regard to its conflicts-of-laws principles.

 

8. Counterparts

 

This Agreement may be executed in counterparts (including by electronic signature), each of which shall be deemed an original, and all of which together shall constitute one and the same agreement.

 

[Signature Pages Follows]

 

 

 

IN WITNESS WHEREOF, the parties have executed this Agreement as of the date first above written.

 

 

COMPANY:  
iRhythm Technologies, Inc.  
By: /s/ Daniel Wilson  
Name: Daniel Wilson  
Title: Chief Financial Officer  
     
     
     
     
HOLDCO:  
iRhythm Holdings, Inc.  
By: /s/ Daniel Wilson  
Name: Daniel Wilson  
Title: Chief Financial Officer  

 

 

 

EXHIBIT A

 

1.Amended and Restated Executive Change in Control and Severance Policy and the Participation Agreements thereunder.

2.Compensation Recovery Policy, dated August 10, 2023

3.Restated Misconduct Compensation Recovery Policy, dated August 10, 2023

4.Indemnification Agreements by and among the Company and each of its directors and executive officers

 

 

 

Exhibit 99.1

 

 

iRhythm Technologies, Inc. Shares Preliminary Fourth Quarter 2025

Highlights and Business Update at the 44th Annual J.P. Morgan Healthcare Conference

 

SAN FRANCISCO, JANUARY 12, 2026 (GLOBE NEWSWIRE) -- iRhythm Technologies, Inc. (NASDAQ:IRTC) a leading digital health care company focused on creating trusted solutions that detect, predict, and prevent disease, today announced preliminary fourth quarter operational highlights and a business update at the 44th Annual J.P. Morgan Healthcare Conference.

 

Recent Operational Highlights and Financial Outlook

 

·Anticipate full year 2025 revenue to exceed high end of previously stated guidance range of $740 million provided in October 2025, driven by record revenue unit volume during the fourth quarter 2025

 

·For full year 2026, expect revenue of approximately $870 million to $880 million, or approximately 17% to 18% year-over-year growth, and anticipate adjusted EBITDA margin of approximately 11.5% to 12.5%

 

·Recently-presented real-world evidence from over 1.4 million patients reinforces Zio long-term continuous monitoring (LTCM) clinical superiority, with APHRS 2025 data demonstrating consistent performance in Asian populations1, a Heart Rhythm publication confirming short-term monitoring misses actionable arrhythmias2, and AHA 2025 data validating successful at-home self-application and earlier detection in at-risk populations3-6

 

"2025 has been a transformative year for iRhythm, with strong execution against our aspiration to drive best-in-class quality systems, record commercial volumes, over 25% year-over-year revenue growth, and achieving free cash flow positivity for the first time in company history,” said Quentin Blackford, iRhythm’s President and CEO. “Our comprehensive clinical evidence program – including AVALON7 and CAMELOT8 publications – continues to reinforce Zio LTCM's clinical superiority in support of addressable market expansion across additional populations and care settings. As we enter 2026, we're well-positioned to accelerate our leadership with multiple growth catalysts ahead, including deepening penetration in primary care and population health through AI-powered risk stratification partnerships, momentum within mobile cardiac telemetry, expansion into adjacent markets such as obstructive sleep apnea, and continued international execution. With our proven ability to scale efficiently, we're confident we can deliver sustainable, profitable growth while transforming cardiac care for millions of patients worldwide."

 

Webcast and Conference Presentation Information

 

At the upcoming 44th Annual J.P. Morgan Healthcare Conference, iRhythm’s management is scheduled to present on Monday, January 12, 2026, at 8:15 a.m. Pacific Time/11:15 a.m. Eastern Time. Interested parties may access a live and archived webcast of the presentation on the Events and Presentations section of the company’s investor website at investors.irhythmtech.com.

 

About iRhythm Technologies, Inc.

 

iRhythm is a leading digital health care company that creates trusted solutions that detect, predict, and prevent disease. Combining wearable biosensors and cloud-based data analytics with powerful proprietary algorithms, iRhythm distills data from millions of heartbeats into clinically actionable information. Through a relentless focus on patient care, iRhythm’s vision is to deliver better data, better insights, and better health for all. To learn more about iRhythm, including its portfolio of Zio products and services, please visit irhythmtech.com.

 

 

 

 

 

Use of Non-GAAP Financial Measures

 

We refer to certain financial measures that are not recognized under U.S. generally accepted accounting principles (GAAP) in this press release and management’s presentation materials, including adjusted EBITDA, adjusted net loss, adjusted net loss per share, adjusted operating expenses, and free cash flow. We use these non-GAAP financial measures for financial and operational decision-making and as a means to evaluate period-to-period comparisons. See the schedules attached to management’s presentation materials for additional information and reconciliations of such non-GAAP financial measures. We have not reconciled our adjusted operating expenses and adjusted EBITDA margin estimates for full year 2026 because certain items that impact these figures are uncertain or out of our control and cannot be reasonably predicted. Accordingly, a reconciliation of adjusted EBITDA estimates is not available without unreasonable effort.

 

Adjusted EBITDA excludes non-cash operating charges for stock-based compensation expense, changes in fair value of strategic investments, impairment and restructuring charges, business transformation costs, certain intellectual property litigation expenses and settlements, and loss on extinguishment of debt. Business transformation costs include costs associated with professional services, employee termination and relocation, third-party merger and acquisition, integration, and other costs to augment and restructure the organization, inclusive of both outsourced and offshore resources.

 

Forward-Looking Statements

 

This press release contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended, and the Private Securities Litigation Reform Act of 1995. An investor can identify these statements by the fact that they do not relate strictly to historical or current facts. They use words such as ‘anticipate’, ‘estimate’, ‘expect’, ‘intend’, ‘will’, ‘project’, ‘plan’, ‘believe’, ‘target’ and other words and terms of similar meaning in connection with any discussion of future actions or operating or financial performance. In particular, these statements include statements regarding financial guidance, market opportunity, ability to penetrate the market, anticipated productivity and quality improvements, and expectations for growth. Such statements are based on current assumptions that involve risks and uncertainties that could cause actual outcomes and results to differ materially. These risks and uncertainties, many of which are beyond our control, include risks described in the section entitled “Risk Factors” and elsewhere in our filings made with the Securities and Exchange Commission, including those in iRhythm’s most recent filings on Form 10-K, Form 10-Q and other SEC filings, all of which are available on iRhythm’s website. These forward-looking statements speak only as of the date hereof and should not be unduly relied upon. iRhythm disclaims any obligation to update these forward-looking statements.

 

Investor Contact

Stephanie Zhadkevich

investors@irhythmtech.com

 

Media Contact

Kassandra Perry

irhythm@highwirepr.com

 

 

 

 

 

1.Kawata H et al. Clinical Performance of a Long-Term Continuous ECG Monitoring System in Asian and Non-Asian Patients: A Large-Scale Real-World Analysis of Over 400,000 Patients. Asia Pacific Heart Rhythm Society (APHRS) Scientific Sessions, November 13, 2025; Yokohama, Japan.
2.Battisti AJ, et al. Relationship of Symptom Frequency and Symptom-Rhythm Correlation to Arrhythmia Type and Time to Detection: Insights from Ambulatory ECG Monitoring in Over 1 Million Patients. Heart Rhythm. 2025 Nov 6:S1547-5271(25)03049-8. doi: 10.1016/j.hrthm.2025.11.007. Epub ahead of print.
3.Ashburner JM et al. Compliance, ECG Quality, and Engagement With a Smartphone App in Patients With In-Clinic Compared With Home-Based, Self-Applied Long-Term Continuous ECG Patch Monitors. American Heart Association Scientific Sessions, November 10, 2025; New Orleans, Louisiana.
4.Russo P et al. “Onset of Arrhythmias in the CKM Continuum: Real-World Insights From a National Cohort.” American Heart Association Scientific Sessions, 2025; New Orleans, Louisiana.
5.Russo P et al. “CKD and CKM Syndrome: Accelerated Progression to Arrhythmias in a National Cohort.” American Heart Association Scientific Sessions, 2025; New Orleans, Louisiana.
6.Russo P et al. “Arrhythmias as Early Predictors of Chronic Kidney Disease: Real-World Evidence From a National Cardio-Kidney-Metabolic Cohort.” American Heart Association Scientific Sessions, 2025; New Orleans, Louisiana.
7.Russo et al. Assessment of variation in ambulatory cardiac monitoring among commercially insured patients. Am J Manag Care. August 13, 2025.
8.Reynolds MR, et al. Comparative effectiveness and healthcare utilization for ambulatory cardiac monitoring strategies in Medicare beneficiaries. Am Heart J. 2024 Mar;269:25-34

 

 

Exhibit 99.2

 

GRAPHIC

© 2026 iRhythm Technologies, Inc. 1 iRhythm at the J.P. Morgan 44th Annual Healthcare Conference Quentin Blackford, President & Chief Executive Officer January 12, 2026

GRAPHIC

2 © 2026 iRhythm Technologies, Inc. 2 Cautionary statement re forward-looking statements, non-GAAP measures and other matters Certain data in this presentation was obtained from various external sources, and neither “iRhythm Technologies, Inc. (“iRhythm” or the “Company”) nor its affiliates, advisers or representatives has verified such data with independent sources. Accordingly, neither the Company nor any of its affiliates, advisers or representatives makes any representations as to the accuracy of that third-party data or undertakes to update such data after the date of this presentation. Such data involves risks and uncertainties and is subject to change based on various factors. The trademarks included herein are the property of the owners and are used for reference purposes only. Such use should not be construed as an endorsement of the products or services of the Company. This presentation and the accompanying oral presentation include forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended, and the Private Securities Litigation Reform Act of 1995. Forward-looking statements give the Company’s current expectations or forecasts of future events. An investor can identify these statements by the fact that they do not relate strictly to historical or current facts. They use words such as ‘anticipate’, ‘estimate’, ‘expect’, ‘intend’, ‘will’, ‘project’, ‘plan’, ‘believe’, ‘target’ and other words and terms of similar meaning in connection with any discussion of future operating or financial performance. In particular, these include statements relating to future actions, prospective products or product approvals, future performance or results of current and anticipated products, sales efforts, expenses, strategy and plans, market size and opportunity, competitive position, industry environment, potential growth opportunities, business model, reimbursement rates and coverage, the outcome of contingencies such as legal proceedings and our expectations for future operations and results. These forward-looking statements are subject to a number of risks, uncertainties and assumptions, including, but not limited to, those described herein and in “Risk Factors” in our most recent 10-K and 10-Q filed with the SEC. Moreover, we operate in a very competitive and rapidly changing environment. New risks emerge from time to time. It is not possible for our management to predict all risks, nor can we assess the impact of all factors on our business or the extent to which any factor, or combination of factors, may cause actual results to differ materially from those contained in any forward-looking statements we may make. In light of these risks, uncertainties and assumptions, the forward-looking events and circumstances discussed in this presentation may not occur and actual results could differ materially and adversely from those anticipated or implied in the forward-looking statements. You should not rely upon forward-looking statements as predictions of future events. Although we believe that the expectations reflected in the forward-looking statements are reasonable, we cannot guarantee that the future results, levels of activity, performance or events and circumstances reflected in the forward-looking statements will be achieved or occur. Moreover, except as required by law, neither we nor any other person assumes responsibility for the accuracy and completeness of the forward-looking statements. We undertake no obligation to update publicly any forward-looking statements for any reason after the date of this presentation to conform these statements to actual results or to changes in our expectations. This presentation regarding the Company and the accompanying oral presentation shall not constitute an offer to sell or the solicitation of an offer to buy any securities, nor shall there be any sale of these securities in any state or jurisdiction in which such offer, solicitation or sale would be unlawful prior to registration or qualification under the securities laws of any such state or jurisdiction. Sales and offers to sell iRhythm securities will only be made in accordance with the Securities Act of 1933, as amended, and applicable SEC regulations, including prospectus requirements. This presentation and the accompanying oral presentation contain non-GAAP financial measures. The appendix to this presentation reconciles the non-GAAP financial measures to the most directly comparable financial measure prepared in accordance with Generally Accepted Accounting Principles (GAAP). These non-GAAP financial measures include adjusted operating expenses, adjusted net income (loss), adjusted net income (loss) per share, adjusted EBITDA, adjusted EBITDA margin, and free cash flow. iRhythm reports non-GAAP financial measures in addition to, and not as a substitute for, or superior to, measures of financial performance prepared in accordance with GAAP. We believe that non-GAAP financial measures should only be used to evaluate our results of operations in conjunction with the corresponding GAAP financial measures. Other companies, including other companies in our industry, may not use this measure or may calculate this measures differently than as presented. We encourage investors to carefully consider our results under GAAP as well as our supplemental non-GAAP information and reconciliations between these presentations to more fully understand our business.

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When a signal changes everything.

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Normal EKG in the ER. Life-threatening arrhythmia in real life. Picture of health. Clinically actionable arrhythmia discovered by chance. Symptoms were real. Arrhythmia ruled out. Predictive AI identified elevated risk. Significant arrhythmia burden confirmed.

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5 © 2026 iRhythm Technologies, Inc. 5 Addressing major challenges and opportunities in healthcare 46.3% of all U.S. counties – and 86.2% of rural counties - lack cardiologists and non-urgent cardiology wait times average 26.6 days & rising.* GROWING ACCESS GAP Aging population, consumer arrhythmia awareness, proliferation of therapies like pulsed field ablation, recognition of post-ablation monitoring, trends toward proactive medicine, and a growing shift to value-based care driving TAM growth. MARKET CATALYSTS 20 years advancing cardiac diagnostics and innovating to detect, predict, & prevent disease. IRHYTHM’S IMPACT Heart rhythm problems are among the most prevalent conditions in the Medicare population aged 65 and over.* ADDRESSING UNMET NEED *See appendix for sources

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6 © 2026 iRhythm Technologies, Inc. 6 Disrupting cardiac monitoring with a unique, innovative platform ADVANCED AI & SOFTWARE TOOLS 2 nd Generation, FDA-cleared, deep-learned ECG detection algorithm PATENTED WEARABLE BIOSENSORS Single-use monitor that patients prefer 2 CLINICAL SERVICE & OPERATIONAL WORKFLOW High-quality digital report delivered via desktop, mobile or EHR 3

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Data on file. iRhythm Technologies, Inc., January 2026. *See appendix for sources $740+ million Anticipated full year 2025 revenue 3.2 million tests Target market opportunity across prioritized EU and APAC countries* 27+ million Potential patients in the United States who could benefit from ambulatory cardiac monitoring* ~3 billion Hours of curated ECG data since company inception thru 2025 135+ Original scientific research manuscripts ~40% Penetration in core U.S. ambulatory cardiac monitoring market as of December 31, 2025 12+ million Patient reports posted since company inception through December 31, 2025 ~2.6 million Patient reports posted annually

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13 © 2026 iRhythm Technologies, Inc. 13 ACM market is evolving with runway for durable growth ACM = ambulatory cardiac monitoring; LTCM = long-term continuous monitoring; MCT = mobile cardiac telemetry. Estimates based off combination of Internal Data, Medicare Public-Use Files, IQVIA data, Definitive Healthcare data, Komodo Health data, and other publicly-available information. 2025 Market potential Increasing TAM fueled by aging population, adjacent therapies and clinical evidence driving value-based care adoption TREMENDOUS MARKET EXPANSION POTENTIAL AHEAD ~10 million tests ~30 million tests MARKET LEADERSHIP IN LTCM: 72% market share in LTCM (of 3.5 million tests in US today growing high teens % YOY) with ~ 27 million undiagnosed US patients at elevated risk SHORT DURATION MONITORS YET TO CONVERT: 1.9 million legacy technology tests still performed in US today, a ~$500 million revenue opportunity MARKET SHARE OPPORTUNIT Y IN MCT: 15% market share in MCT (of 1.1 million MCT tests in US today growing high single digit % YOY), with each 10 points of share = ~$80 - $100 million INTERNATIONAL MARKET EXPANSION: 3.2 million ACM tests in active OUS markets

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14 © 2026 iRhythm Technologies, Inc. 14 Primary care adoption key to accessing expansive TAM TAM = total addressable market; ACM = Ambulatory cardiac monitoring; LTCM = Long-term continuous monitoring; MCT = Mobile cardiac telemetry; EHR = Electronic health records. Estimates based off combination of Internal Data, Medicare Public-Use Files, IQVIA data, Definitive Healthcare data, Komodo Health data, and other publicly-available information. IRHYTHM UNIQUELY POSITIONED TO WIN IN PRIMARY CARE ✓ Market leader in LTCM, the preferred modality ✓ Rule-in/rule-out tool to streamline clinician workflows ✓ Home enrollment capabilities ✓ Scale and efficiency ✓ EHR integration 2019 2020 2021 2022 2023 2024 2025E TOTAL MARKET CLAIMS BY MODALITY & SPECIALTY SHORT-TERM HOLTERS MCT EVENT LTCM (CARDIOLOGY) LTCM (PCP) APPROACHING PRIMARY CARE VIA TWO-PRONGED STRATEGY Land-and-expand within integrated delivery networks Integration at large national accounts

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15 © 2026 iRhythm Technologies, Inc. 15 Precise, proactive monitoring enables population health management… Afib = Atrial fibrillation; T2D = Type 2 diabetes; COPD = Chronic obstructive pulmonary disorder; CAD = Coronary artery disease; CKD = Chronic kidney disease. 1. See appendix for sources. 2. TAMs are not mutuality exclusive as there is likely significant overlap in patient populations. COPD 11.7 million TAM 2.0M2 CAD 20.5 Million TAM 8.4M2 CKD 35.5 Million TAM 12.7M2 T2D 32.2 Million TAM 10.3M2 ARRHYTHMIA PATIENTS USE THE HEALTHCARE SYSTEM AT A MUCH HIGHER RATE COMPARED TO NON-ARRHYTHMIA PATIENTS1 Arrhythmia patients hospitalized more than 2x per 1,000 cohort patients per year than non-arrhythmia patients Of those hospitalized, patient stay increased by 2-5 days for arrhythmia patients More than 2x emergency room visits in arrhythmia cohort relative to non-arrhythmia cohorts SLEEP APNEA: US prevalence of 40.1 million, with up to 80% of AFib patients having sleep apnea1 HEART FAILURE: US prevalence of 8.4 million, with 25% of heart failure patients having AFib1

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© 2026 iRhythm Technologies, Inc. 16 …which is being embraced by innovative channel partnerships ~85% of patients in representative customer programs had at least one arrhythmia identified1 Direct-to-Consumer Partners Innovative Primary Care Providers Home-Based Testing Accountable Care Organizations Value Based Care Models Virtual Care Direct & Employer Value-Based Care Enablers Payviders Early care engagement Primary care delivery Risk-bearing partners at scale 1. Data on file. iRhythm Technologies, Inc. 2026

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17 © 2026 iRhythm Technologies, Inc. 17 Next-gen MCT designed to extend our category leadership Zio AT® Zio MCT** (Not yet FDA cleared, 510(k)) submitted 3Q25) Device form factor Legacy patch technology Improved form factor • Same platform as Zio monitor • Better adhesion and battery Wear duration Up to 14 days Up to 21 days Data transmission Auto-detects and transmits symptomatic and asymptomatic events during wear period Increased maximum transmission limit and enhanced auto-detection algorithm Algorithms and reporting Interim reports available plus final end-of-wear report Enhanced arrhythmia detection and better reporting • Advanced software for enhanced detection parameters • Improved final wear report with additional insights *Continuous, uninterrupted refers to the recording of ECG data. Zio AT Gateway transmissions may be impacted by a variety of factors. See Product Labeling for more information. †Zio AT is contraindicated for critical care patients. ‡Do not use Zio AT for patients with symptomatic episodes where variations in cardiac performance could result in immediate danger to the patient or when real-time or in-patient monitoring should be prescribed. Refer to the Zio AT labeling and Clinical Reference Manual for full contraindications. **Zio MCT not yet FDA cleared.

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18 © 2026 iRhythm Technologies, Inc. 18 Significant runway in international expansion See appendix for sources 1,600,000 Ambulatory cardiac monitoring tests annually JAPAN Early commercialization GOALS Generate local evidence via head-to-head study against Japanese device Increase physician awareness 700,000 Ambulatory cardiac monitoring tests annually UNITED KINGDOM Early commercialization GOALS Secure ongoing secondary care contracts and health system-level contract Expanding into primary care 900,000 Ambulatory cardiac monitoring tests annually in target countries PRIORITIZED EU COUNTRIES Switzerland, Spain, Austria, and the Netherlands Early commercialization GOALS Embed Zio in clinical practice Continue improving service delivery

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19 © 2026 iRhythm Technologies, Inc. 19 Artificial intelligence underpins core capabilities and enables service innovation Curated heartbeat data and other data linkages opens opportunities for additional expansion Evolving from detection towards prediction and insights generation Artificial intelligence continues to add significant clinical value to Zio ® and further differentiates Zio ® versus competition Prediction of Atrial Fibrillation, Heart Failure Sleep, Activity Adjacent Market Opportunities Alternative Business Model Opportunities Commercial Published evidence In development Artificial Intelligence Efficient Delivery of Service at Scale Insight Generation

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20 © 2026 iRhythm Technologies, Inc. 20 Building a unified, scalable, AI-powered diagnostic ecosystem Graphics and features are concepts for discussion. Purposes only These are concepts not yet cleared by FDA nor available for commercial use. ADVANCED AI & SOFTWARE TOOLS Enhanced AI algorithms for ECG Improved digital platform tools Predictive care platform for population health management HARDWARE Zio MCT introduction Next-gen form factor with additional vitals monitoring Mobile gateway evolution CLINICAL SERVICE & OPERATIONAL WORKFLOW Improved backend service workflow tools & routing optimization Enhanced referral workflows AI-supported triage & clinical decision support ZEUS AI Engine Partnership aims to utilize predictive AI to help identify arrhythmias earlier

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21 © 2026 iRhythm Technologies, Inc. 21 EHR integrations deliver seamless data flow at scale EHR = Electronic health records. System requirements: HL7 version 2.3 or higher; secure communication interface (e.g. VPN, HTTPs, SFTP). Integration Service are also available with the option for physicians to interpret Zio Patient Reports in ZioSuite.com. Physician interpreted reports can then be posted to the EHR/CVIS system. Hospital EHR system Cloud Interface Engine Proprietary AI Clinical Curation Staff/ordering physician places order in EHR MA updates order on EHR and patches patient Order (ORM) Results/Report ORU/MDM w/ embedded PDF/discrete values Report published in EHR or CVIS Physician interprets Zio report in EHR

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22 © 2026 iRhythm Technologies, Inc. 22 Comprehensive evidence generation supportive of clinical use cases LTCM = Long-term continuous monitoring; ED = emergency department; ACM = Ambulatory cardiac monitoring; T2D = Type 2 diabetes; COPD = Chronic obstructive pulmonary disorder. See appendix for sources. In patients with T2D and/or COPD, patients also having arrhythmias used more healthcare resources than non-arrhythmia patients. The average cost per arrythmia patient was $17.2k compared to $1.7k for a non-arrythmia patient. Zio LTCM service associated with a lower probability of inpatient hospitalization, fewer ED visits, and lower all-cause healthcare costs compared to other ACM modalities. CAMELOT and AVALON studies showed Zio LTCM service demonstrated advantages over other ACM modalities in clinical performance and healthcare utilization. ADJACENT PATIENT POPULATIONS CLINICAL OUTCOME SUPERIORTY ECONOMIC VALUE

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23 © 2026 iRhythm Technologies, Inc. 23 Next expansion opportunity: obstructive sleep apnea HCP = Healthcare provider. 1. Estimated 2022 prevalence in the United States. See appendix for sources. • Prevalence of sleep disorders1 : 40.1 million • Large prevalence of undiagnosed sleep apnea missing a convenient diagnostic pathway for many PCPs • Natural evolution of iRhythm’s platform capabilities: • Up to 80% of AFib patients have sleep apnea • ~20% of iRhythm HCPs prescribe sleep tests • Device/AI/IDTF services utilized for diagnosis • Current reimbursement established SLEEP APNEA

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24 © 2026 iRhythm Technologies, Inc. 24 52% registration volumes from EHR-integrated accounts Recognized by numerous third-party awards, including in Time’s Top Health Tech Companies and Newsweek’s Greatest Companies in America 2025 milestones reflective of execution and momentum Executed on 12-month FDA remediation plan with commitments completed on time Submitted 510(k) for Zio® MCT with extended 21-day wear and advanced algorithms Signed Lucem Health AI partnership enabling predictive identification of high-risk patients BRINGING INNOVATIVE PRODUCTS TO MARKET Expect $740+ million revenue for FY25, reflective of record commercial adoption and market expansion 12+ million patient reports worldwide generated to date Opening new channel partnerships to address 27M patient opportunity Commercialized in six OUS markets ACCELERATING MOMENTUM IN COMMERCIAL BUSINESS AVALON publication strengthens data showing superiority of Zio® LTCM Over 135 original scientific research manuscripts published to date, demonstrating leadership in ACM clinical evidence generation GENERATING PEER-REVIEWED CLINICAL EVIDENCE Major policy shifts to provide favorable position for Zio® Zio® covered by incremental payer policies EXPANDING MARKET ACCESS EXECUTING WITH DISCIPLINE & EFFICIENCY 2025 anticipated to be free cash flow positive for the first time in Company history Anticipate 8.25 – 8.75% adj. EBITDA margin, demonstrating ability to deliver sustained annual margin expansion Implemented additional manufacturing automation for sustained scalable growth PROVIDING A WINNING CUSTOMER EXPERIENCE

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© 2026 iRhythm Technologies, Inc. 25 -2.7% -1.0% -1.3%* 8.25% - 8.75%* 2022 2023 2024 2025G 2026G $410.9 $492.7 $591.8 $740 + 2022 2023 2024 2025G 2026G GLOBAL NET REVENUE (USD, MILLIONS) ADJUSTED EBITDA MARGIN* U.S. CORE COMMERCIAL BUSINESS • Further expansion into PCP channel • New technologies (e.g., PFA) expand monitoring • MCT market expansion with continued innovation INTERNATIONAL EXPANSION • Continued penetration in the UK and national reimbursement • Entry into Japan, the second largest global ACM market • Commercial ramp in select European countries ADJACENT MARKET OPPORTUNITIES • Movement into proactive monitoring programs • Initial commercial pilots into obstructive sleep apnea 2026 outlook balances growth across near-term opportunities *Adjusted EBITDA margin for the years ended December 31, 2024, and December 31, 2025, include acquired in-process research and development expense. Adjusted EBITDA excludes non-cash operating charges for stock-based compensation expense, changes in fair value of strategic investments, impairment and restructuring charges, business transformation costs, certain intellectual property litigation expenses and settlements, and loss on extinguishment of debt. Business transformation costs include costs associated with professional services, employee termination and relocation, third-party merger and acquisition, integration, and other costs to augment and restructure the organization, inclusive of both outsourced and offshore resources. $870 – $880 11.5% – 12.5%

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Growing revenue through global market expansion Driving meaningful improvements in financial profile Addressing the future focus of healthcare Expanding core & unlocking adjacent markets

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Appendix

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28 © 2026 iRhythm Technologies, Inc. 28 Third quarter 2025 financial performance *Adjusted operating expenses and adjusted EBITDA margin for 3Q24, 4Q24, 1Q25, 2Q25, and 3Q25 include $32.1 million, $0.3 million, $0.3 million, $1.7 million, and $0.3 million, respectively, of acquired in-process research and development expense. Adjusted operating expenses exclude impacts from business transformation, certain intellectual property litigation expenses, and impairment and restructuring charges. Adjusted EBITDA excludes non-cash operating charges for stock-based compensation expense, changes in fair value of strategic investments, impairment and restructuring charges, business transformation costs, certain intellectual property litigation expenses, and loss on extinguishment of debt. Business transformation costs include costs associated with professional services, employee termination and relocation, third-party merger and acquisition, integration, and other costs to augment and restructure the organization, inclusive of both outsourced and offshore resources. $147.5 $164.3 $158.7 $186.7 $192.9 3Q2024 4Q2024 1Q2025 2Q2025 3Q2025 -13.5%* 11.7%* -1.7%* 8.4%* 11.2%* 3Q2024 4Q2024 1Q2025 2Q2025 3Q2025 $143.8 * $116.7 * $140.4 * $145.2 * $141.4 * $- $20.0 $40.0 $60.0 $80.0 $100.0 $120.0 $140.0 $160.0 3Q2024 4Q2024 1Q2025 2Q2025 3Q2025 R&D SG&A 68.8% 70.0% 68.8% 71.2% 71.1% 3Q2024 4Q2024 1Q2025 2Q2025 3Q2025 GLOBAL NET REVENUE (USD, MILLIONS) GROSS PROFIT MARGIN ADJUSTED OPERATING EXPENSES* (USD, MILLIONS) ADJUSTED EBITDA MARGIN*

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29 © 2026 iRhythm Technologies, Inc. 29 2025 annual revenue and profitability guidance *Adjusted EBITDA excludes non-cash operating charges for stock-based compensation expense, changes in fair value of strategic investments, impairment and restructuring charges, business transformation costs, certain intellectual property litigation expenses and settlements, and loss on extinguishment of debt. Business transformation costs include costs associated with professional services, employee termination and relocation, third-party merger and acquisition, integration, and other costs to augment and restructure the organization, inclusive of both outsourced and offshore resources. PRIOR GUIDANCE Net revenue $735 - $740 million Adjusted EBITDA margin 8.25 – 8.75% of revenue* Net revenue $740+ million Adjusted EBITDA margin 8.25 – 8.75% of revenue* UPDATED GUIDANCE

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30 © 2026 iRhythm Technologies, Inc. 30 Reconciliation of net loss to adjusted EBITDA *Certain numbers expressed may not sum due to rounding. 1 Net losses for the three and nine months ended September 30, 2025, include $0.3 million and $2.3 million of acquired in-process research and development expense, respectively. Net loss for the three and nine months ended September 30, 2024, include $32.1 million of acquired in-process research and development expense. 2 Excludes third-party attorneys' fees and expenses associated with patent litigation brought against the Company by Welch Allyn, Inc. and Bardy Diagnostics, Inc., subsidiaries of Baxter International, Inc. (USD, THOUSANDS) THREE MONTHS ENDED SEPTEMBER 30, NINE MONTHS ENDED SEPTEMBER 30, ADJUSTED EBITDA RECONCILIATION* 2025 2024 2025 2024 Net loss, as reported1 $ (5,212) $ (46,182) $ (50,130) $ (111,956) Interest expense 3,281 3,329 9,832 9,501 Interest income (5,944) (6,456) (16,184) (16,198) Changes in fair value of strategic investments (894) (1,059) (3,889) (1,059) Income tax provision 24 188 506 414 Depreciation and amortization 5,173 5,135 15,488 15,426 Stock-based compensation 21,006 17,158 67,177 59,970 Impairment charges — 641 2,479 641 Business transformation costs 913 7,360 2,341 8,656 Intellectual property litigation costs2 3,212 — 7,000 — Loss on extinguishment of debt — — — 7,589 Adjusted EBITDA $ 21,559 $ (19,886) $ 34,620 $ (27,016) Adjusted EBITDA is a non-GAAP financial measure and is presented for supplemental informational purposes only and should not be considered as an alternative or substitute to financial information presented in accordance with GAAP. Adjusted EBITDA excludes non-cash operating charges for stock-based compensation expense, changes in fair value of strategic investments, impairment and restructuring charges, business transformation costs, certain intellectual property litigation expenses and settlements, and loss on extinguishment of debt. Business transformation costs include costs associated with professional services, employee termination and relocation, third-party merger and acquisition, integration, and other costs to augment and restructure the organization, inclusive of both outsourced and offshore resources.

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31 © 2026 iRhythm Technologies, Inc. 31 THREE MONTHS ENDED (USD, THOUSANDS) SEPTEMBER 30, 2025 JUNE 30, 2025 MARCH 31, 2025 DECEMBER 31, 2024 SEPTEMBER 30, 2024 Net loss1 $ (5,212) $ (14,218) $ (30,700) $ (1,333) $ (46,182) Interest expense 3,281 3,278 3,273 3,320 3,329 Interest income (5,944) (5,321) (4,919) (5,740) (6,456) Changes in fair value of strategic investments (894) (2,152) (843) (843) (1,059) Income tax (benefit) provision 24 (183) 665 151 188 Depreciation and amortization 5,173 5,105 5,210 5,289 5,135 Stock-based compensation 21,006 22,827 23,344 16,008 17,158 Impairment and restructuring charges — 2,479 — — 641 Business transformation costs 913 925 503 2,416 7,360 Intellectual property litigation costs2 3,212 2,956 832 — — Adjusted EBITDA $ 21,559 $ 15,696 $ (2,635) $ 19,268 $ (19,886) Revenue $ 192,884 $ 186,687 $ 158,677 $ 164,325 $ 147,538 Adjusted EBITDA margin 11.2% 8.4% -1.7% 11.7% -13.5% Reconciliation of GAAP to non-GAAP financial information* *Certain numbers expressed may not sum due to rounding.1 Net loss for 3Q24, 4Q24, 1Q25, 2Q25, and 3Q25 includes $32.1 million, $0.3 million, $0.3 million, $1.7 million, and $0.3 million, respectively, of acquired in-process research and development expense. 2 Excludes third-party attorneys' fees and expenses associated with patent litigation brought against the Company by Welch Allyn, Inc. and Bardy Diagnostics, Inc., subsidiaries of Baxter International, Inc. Adjusted EBITDA is a non-GAAP financial measure and is presented for supplemental informational purposes only and should not be considered as an alternative or substitute to financial information presented in accordance with GAAP. Adjusted EBITDA excludes non-cash operating charges for stock-based compensation expense, changes in fair value of strategic investments, impairment and restructuring charges, business transformation costs, certain intellectual property litigation expenses and settlements, and loss on extinguishment of debt. Business transformation costs include costs associated with professional services, employee termination and relocation, third-party merger and acquisition, integration, and other costs to augment and restructure the organization, inclusive of both outsourced and offshore resources.

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32 © 2026 iRhythm Technologies, Inc. 32 (USD, THOUSANDS) THREE MONTHS ENDED SEPTEMBER 30, NINE MONTHS ENDED SEPTEMBER 30, ADJUSTED NET LOSS RECONCILIATION* 2025 2024 2025 2024 Net loss, as reported1 $ (5,212) $ (46,182) $ (50,130) $ (111,956) Impairment charges — 641 2,479 641 Business transformation costs 913 7,360 2,341 8,656 Intellectual property litigation costs2 3,212 — 7,000 — Changes in fair value of strategic investments (894) (1,059) (3,889) (1,059) Loss on extinguishment of debt — — — 7,589 Tax effect of adjustments3 5 — (300) — Adjusted net loss $ (1,976) $ (39,240) $ (42,499) $ (96,129) THREE MONTHS ENDED SEPTEMBER 30, NINE MONTHS ENDED SEPTEMBER 30, ADJUSTED NET LOSS PER SHARE RECONCILIATION* 2025 2024 2025 2024 Net loss per share, as reported1 $ (0.16) $ (1.48) $ (1.57) $ (3.59) Impairment charges per share — 0.02 0.08 0.02 Business transformation costs per share 0.03 0.24 0.07 0.28 Intellectual property litigation costs per share2 0.10 — 0.22 — Changes in fair value of strategic investments per share (0.03) (0.03) (0.12) (0.03) Loss on extinguishment of debt per share — — — 0.24 Tax effect of adjustments per share3 — — (0.01) — Adjusted net loss per share $ (0.06) $ (1.26) $ (1.33) $ (3.09) Weighted-average shares, basic and diluted 32,170 31,262 31,919 31,147 THREE MONTHS ENDED SEPTEMBER 30, NINE MONTHS ENDED SEPTEMBER 30, ADJUSTED OPERATING EXPENSES RECONCILIATION* 2025 2024 2025 2024 Operating expenses, as reported $ 145,551 $ 151,779 $ 438,888 $ 403,885 Impairment charges — (641) (2,479) (641) Business transformation costs (913) (7,360) (2,341) (8,656) Intellectual property litigation costs2 (3,212) — (7,000) — Adjusted operating expenses $ 141,426 $ 143,778 $ 427,068 $ 394,588 Reconciliation of GAAP to non-GAAP financial information *Certain numbers expressed may not sum due to rounding.1 Net loss for the three and nine months ended September 30, 2025, includes $0.3 million and $2.3 million of acquired in-process research and development expense, respectively. Net loss for the three and nine months ended September 30, 2024, includes $32.1 million of acquired in-process research and development expense. 2 Excludes third-party attorneys' fees and expenses associated with patent litigation brought against the Company by Welch Allyn, Inc. and Bardy Diagnostics, Inc., subsidiaries of Baxter International, Inc.3 Income tax impact of Non-GAAP adjustments listed.

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33 © 2026 iRhythm Technologies, Inc. 33 SLIDE(S) SOURCES ‘Addressing major challenges and opportunities in healthcare’ • Ward et al. Prevalence and health care expenditures among Medicare beneficiaries aged 65 years and over with heart conditions. Medicare Current Beneficiary Survey, 2017. (Prevalence of self-reported heart conditions.) American College of Cardiology. (2024, July 8). • Almost Half of US Counties Have No Cardiologists Despite Higher Prevalence of CV Risk Factors, Mortality [Press Release]. https://www.acc.org/About-ACC/Press-Releases/2024/07/08/18/25/Almost-Half-of-US-Counties-Have-No-Cardiologists-Despite-Higher-Prevalence-of-CV-Risk-Factors-Mortality. Pallikadavath SP, et. al. • High number of unnecessary referrals to cardiology clinics for benign palpitations due to poor adherence to local referral guidelines. European Journal of Arrhythmia & Electrophysiology. 2024;10(1):1-2 iRhythm overview and ‘Significant runway in international expansion’ UK: iRhythm estimate. • UK Office for National Statistics; Hospital Episode Statistics, NHS Digital, 2019-2020 • UK Healthcare Market Review 33ed, LaingBuisson, 2021. Accessed 5 January 2022. • The UK private health market, Kings Fund, 2014. Accessed 5 January 2022. • NHS England and the Health and Social Care Information Centre, NHS Hospital Data and Datasets: A Consultation. Published July 22, 2013. • The Health and Social Care Information Centre, Hospital Episode Statistics (HES): Improving the quality and value of hospital data. Published 2011. Prioritized EU countries: iRhythm estimate. • Ohlrogge etc. Burden of Atrial Fibrillation and Flutter by National Income: Results From the Global Burden of Disease 2019 Database. J Am Heart Assoc. 2023;12:e030438; supplemental data tables https://www.ahajournals.org/doi/suppl/10.1161/JAHA.123.030438. • Global population and healthcare spend per capita, World Bank, 2019 and 2020. https://data.worldbank.org • The Burden of Cardiovascular Disease and Diabetes, OECD, 2011. • Federal Statistical Office of Germany and Gesundheitsberichterstattung; Dutch Healthcare Authority; Swedish ICD & Pacemaker Registry and Swedish Society for Clinical Physiology. Japan: • Irie, Shoichi and Hiroshi Tada. The Relationship between Holter Electrocardiography and Atrial Fibrillation Diagnosis Using Real-World Data in Japan: A Claims-Based Retrospective Study. Int Heart J, 2023; 64: 178-187. • Japan Ministry of Health Labor and Welfare.

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34 © 2026 iRhythm Technologies, Inc. 34 SLIDE(S) SOURCES iRhythm overview and ‘ACM market is evolving with runway for durable growth’ US Core ACM Market Sizing • iRhythm estimates based off combination of Internal Data, Medicare Public-Use Files, IQVIA data, Definitive Healthcare data, Komodo Health data, and other publicly-available information. Expansion opportunity in symptomatic market • U.S. Census Bureau. “U.S. Census Bureau Profile.” https://data.census.gov/profile/United_States?g=010XX00US.. • CDC ambulatory care use and physician office visits. CDC, published October 26, 2024. https://www.cdc.gov/nchs/fastats/physician-visits.htm. • Wexler RK, Pleister A, Raman SV. Palpitations: Evaluation in the Primary Care Setting. Am Fam Physician. 2017 Dec 15;96(12):784-789. • Weber BE, Kapoor WN. Evaluation and outcomes of patients with palpitations. The American Journal of Medicine. 1996;14(6):138-148. Expansion opportunity in at-risk population • Steinhubl at al. Effect of a Home-Based Wearable Continuous ECG Monitoring Patch on Detection of Undiagnosed Atrial Fibrillation: The mSToPS Randomized Clinical Trial. JAMA. 2018 Jul 10;320(2):146-155. • U.S. Census Bureau. "Age and Sex." American Community Survey, ACS 1-Year Estimates Subject Tables, Table S0101, 2022, https://data.census.gov/table/ACSST1Y2022.S0101?q=Age and Sex. • 4 out of 5 Medicare Advantage survey respondents indicated they would be more satisfied and likely to stay with their current plan if an early AFib detection program were offered to them at no cost. Market survey of 200 respondents currently enrolled in a Medicare Advantage plan. Data on file. iRhythm Technologies, Inc., 2022. • Nancy Ochieng, Jeannie Fuglesten Biniek, Meredith Freed, Anthony Damico, and Tricia Neuman. 2023. “Medicare Advantage in 2023: Enrollment Update and Key Trends.” Published August 09, 2023. https://www.kff.org/medicare/issue-brief/medicare-advantage-in-2023-enrollment-update-and-key-trends/# • American College of Cardiology. (2024, July 8). Almost Half of US Counties Have No Cardiologists Despite Higher Prevalence of CV Risk Factors, Mortality [Press Release]. https://www.acc.org/About-ACC/Press-Releases/2024/07/08/18/25/Almost-Half-of-US-Counties-Have-No-Cardiologists-Despite-Higher-Prevalence-of-CV-Risk-Factors-Mortality • Pallikadavath SP, et. al. High number of unnecessary referrals to cardiology clinics for benign palpitations due to poor adherence to local referral guidelines. European Journal of Arrhythmia & Electrophysiology. 2024;10(1):1-2 • Pallikadavath S, et. al. Palpitation referrals from primary care to a secondary care cardiology outpatient clinic: assessing adherence to guidelines, Family Practice, 2021;38(2):127–131. • Abbott AV. Diagnostic Approach to Palpitations. Am Fam Physician. 2005;71(4):743-750 • Weber BE, Kapoor WN. Evaluation and outcomes of patients with palpitations. Am J Med. 1996;100:138-48. • American College of Cardiology. (February 23, 2023). Five Things Physicians and Patients Should Question. https://www.acc.org/-/media/Non-Clinical/Files-PDFs-Excel-MS-Word-etc/2023/04/ACC-5-Things-List-2023.pdf • 2022 Survey of Physician Appointment Wait Times. Merritt Hawkins. https://www.merritthawkins.com/trends-and-insights/article/surveys/2022-physician-wait-times-survey/,

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35 © 2026 iRhythm Technologies, Inc. 35 SLIDE(S) SOURCES ‘Precise, proactive monitoring enables population health management…’ and ‘Next expansion opportunity: obstructive sleep apnea’ • Real World Evidence on Health Care Resource Utilization and Economic Burden of Arrhythmias in Patients with Diabetes and COPD. Abstract presented at: 2024 AHA Scientific Sessions; November 16 to 18, 2024; Chicago, IL. Sleep Apnea Market Sizing • Franklin, K. A., & Lindberg, E. (2015). Obstructive sleep apnea is a common disorder in the population—a review on the epidemiology of sleep apnea. Journal of thoracic disease, 7(8), 1311. doi: 10.3978/j.issn.2072-1439.2015.06.11 • Lyons, M. M., Bhatt, N. Y., Pack, A. I., & Magalang, U. J. (2020). Global burden of sleep‐disordered breathing and its implications. Respirology, 25(7), 690- 702. https://doi.org/10.1111/resp.13838 • Marshall, N. S., Wong, K. K., Liu, P. Y., Cullen, S. R., Knuiman, M. W., & Grunstein, R. R. (2008). Sleep apnea as an independent risk factor for all-cause mortality: the Busselton Health Study. Sleep, 31(8), 1079-1085. https://doi.org/10.5665/sleep/31.8.1079 • Sleep apnea information for clinicians. (2022, May 10). www.sleepapnea.org. https://www.sleepapnea.org/learn/sleep-apnea-information-clinicians Heart Failure Market Sizing • Atrial Fibrillation Fact Sheet. CDC, published May 15, 2024. https://www.cdc.gov/heart-disease/about/atrial-fibrillation.html • Dumitru, I. (2021, October 17). What is the mortality rate for heart failure? Latest Medical News, Clinical Trials, Guidelines - Today on Medscape. https://www.medscape.com/answers/163062-86190/what-is-the-mortality-rate-for-heart-failure • Gidding, S. S., Lloyd-Jones, D., Lima, J., Ambale-Venkatesh, B., Shah, S. J., Shah, R., Lewis, C. E., Jacobs, D. R., & Allen, N. B. Prevalence of American Heart Association heart failure stages in black and white young and middle-aged adults. Circulation: Heart Failure, 2019; 12(9). • Heart failure Fact Sheet. CDC, published May 15, 2024. Accessed January 12, 2025. https://www.cdc.gov/heart-disease/about/heart-failure.html • Ritchey, M. D., Wall, H. K., George, M. G., & Wright, J. S. US trends in premature heart disease mortality over the past 50 years: Where do we go from here? Trends in Cardiovascular Medicine. 2020; 30(6), 364-374. • Gianluigi Savarese, Lars H Lund, Global Public Health Burden of Heart Failure, Cardiac Failure Review 2017;3(1):7–11. Additional Disease State Market Sizing • Hilas O. COPD Prevalence, Risks, and Mortality. US Pharm. 2024;49(7):14. • Cardiovascular Disease Fact Sheet. CDC, published June 3, 2024. https://www.cdc.gov/cdi/indicator-definitions/cardiovascular-disease.html • Chronic Kidney Disease in the United States, 2023. CDC, published May 15, 2024. https://www.cdc.gov/kidney-disease/php/data-research/index.html • National Diabetes Statistics Report. CDC, published May 15, 2024. Accessed January 12, 2025. https://www.cdc.gov/diabetes/php/data-research/index.html • Real World Evidence on Health Care Resource Utilization and Economic Burden of Arrhythmias in Patients with Diabetes and COPD. Abstract presented at: 2024 AHA Scientific Sessions; November 16 to 18, 2024; Chicago, IL. ‘Comprehensive evidence generation supportive of clinical use cases’ • Reynolds et al. Comparative effectiveness and healthcare utilization for ambulatory cardiac monitoring strategies in Medicare beneficiaries. Am Heart J. 2024;269:25-34. • Russo et al. Assessment of variation in ambulatory cardiac monitoring among commercially insured patients. Am J Manag Care. August 13, 2025. • Real World Evidence on Health Care Resource Utilization and Economic Burden of Arrhythmias in Patients with Diabetes and COPD. Abstract presented at: 2024 AHA Scientific Sessions; November 16 to 18, 2024; Chicago, IL.