Ownership Submission

FORM 3

UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940

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(Print or Type Responses)

1. Name and Address of Reporting Person ^*

Elfrink Willhem

2. Date of Event Requiring Statement (Month/Day/Year)
11/10/2021

3. Issuer Name and Ticker or Trading Symbol
HeartBeam, Inc. [BEAT]

(Last)

(First)

(Middle)

2118 WALSH AVE, SUITE 210

4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)

__X__ Director	_____ 10% Owner
_____ Officer (give title below)	_____ Other (specify below)

5. If Amendment, Date Original Filed(Month/Day/Year)

(Street)

SANTA CLARA, CA 95050

6. Individual or Joint/Group Filing(Check Applicable Line)
_X_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person

(City)

(State)

(Zip)

Table I - Non-Derivative Securities Beneficially Owned

1.Title of Security (Instr. 4)	2. Amount of Securities Beneficially Owned (Instr. 4)	3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5)	4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock	105,454	D

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.			SEC 1473 (7-02)
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Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)

1. Title of Derivative Security (Instr. 4)	2. Date Exercisable and Expiration Date (Month/Day/Year)		3. Title and Amount of Securities Underlying Derivative Security (Instr. 4)		4. Conversion or Exercise Price of Derivative Security	5. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 5)	6. Nature of Indirect Beneficial Ownership (Instr. 5)
1. Title of Derivative Security (Instr. 4)	Date Exercisable	Expiration Date	Title	Amount or Number of Shares	4. Conversion or Exercise Price of Derivative Security		6. Nature of Indirect Beneficial Ownership (Instr. 5)
Convertible Promissory Note	⁽¹⁾	⁽¹⁾	Common Stock	60,972	$ ⁽¹⁾	D
Convertible Promissory Note	⁽²⁾	⁽²⁾	Common Stock	106,825	$ ⁽²⁾	I	See Footnote ⁽³⁾
Convertible Promissory Note	⁽⁴⁾	⁽⁴⁾	Common Stock	164,610	$ ⁽⁴⁾	I	See Footnote ⁽⁵⁾
Stock option (right to buy)	⁽⁶⁾	06/15/2031	Common Stock	43,636	$ 2.5	D
Common Stock warrant (right to buy)	⁽⁷⁾	02/11/2023	Common Stock	3,640	$ 2.75	D
Common Stock warrant (right to buy)	⁽⁸⁾	02/12/2023	Common Stock	43,636	$ 0.0003	D

Reporting Owners

Reporting Owner Name / Address	Relationships
Reporting Owner Name / Address	Director	10% Owner	Officer	Other
Elfrink Willhem 2118 WALSH AVE SUITE 210 SANTA CLARA, CA 95050	X

Signatures

/s/ Willem Elfrink		11/10/2021
^**Signature of Reporting Person		Date

Explanation of Responses:

*	If the form is filed by more than one reporting person, see Instruction 5(b)(v).
**	Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
(1)	Represents $256,082.40 of outstanding principal and interest calculated through November 10, 2021. The note will convert into 60,972 shares of Common Stock upon the closing of the Issuer's initial public offering of Common Stock (the "IPO").
(2)	Represents $448,665.00 of outstanding principal and interest calculated through November 10, 2021. The note will convert into 106,825 shares of Common Stock upon the closing of the IPO.
(3)	The Convertible Promissory Note is held by the Elfrink Living Trust, of which the Reporting Person is the trustee.
(4)	Represents $691,362.00 of outstanding principal and interest calculated through November 10, 2021. The note will convert into 164,610 shares of Common Stock upon the closing of the IPO.
(5)	The Convertible Promissory Note is held by WPE Ventures Partnership, of which the Reporting Person is the managing partner.
(6)	One forty-eighth of the shares subject to the option vest on July 15, 2021 and each one-month anniversary thereafter, subject to the Reporting Person continuing as a service provider through each such date.
(7)	All of the shares subject to the warrant are fully vested and exercisable as of the date hereof.
(8)	The shares subject to the warrant are exercisable upon the earliest to occur of several events, including the closing of the IPO and the Issuer having a market capitalization of at least $50,000,000 for five consecutive business days.

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