# EDGAR Filing Document

**Accession Number:** 0001787740
**File Stem:** 0001683168-25-007072
**Filing Date:** 2025-9
**Character Count:** 2486
**Document Hash:** 7b53cbf99e3633d7aed441913572ffb9
**Contains OCR:** False
**Source Format:** 

## Filing Content

## Filing Summary
**0001683168-25-007072.hdr.sgml**: 20250917

**ACCESSION NUMBER**: 0001683168-25-007072

**CONFORMED SUBMISSION TYPE**: 1-A-W

**PUBLIC DOCUMENT COUNT**: 1

**FILED AS OF DATE**: 20250917

**DATE AS OF CHANGE**: 20250917

**FILER**: 

**COMPANY DATA:**
- **COMPANY CONFORMED NAME:** Tivic Health Systems, Inc.
- **CENTRAL INDEX KEY:** 0001787740
- **STANDARD INDUSTRIAL CLASSIFICATION:** ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845]
- **ORGANIZATION NAME:** 08 Industrial Applications and Services
- **EIN:** 814016391
- **STATE OF INCORPORATION:** DE
- **FISCAL YEAR END:** 1231

**FILING VALUES:**
- **FORM TYPE:** 1-A-W
- **SEC ACT:** 1933 Act
- **SEC FILE NUMBER:** 024-12489
- **FILM NUMBER:** 251320398

**BUSINESS ADDRESS:**
- **STREET 1:** 47685 LAKEVIEW BLVD
- **CITY:** FREMONT
- **STATE:** CA
- **ZIP:** 94538
- **BUSINESS PHONE:** (888)276-6888

**MAIL ADDRESS:**
- **STREET 1:** 47685 LAKEVIEW BLVD
- **CITY:** FREMONT
- **STATE:** CA
- **ZIP:** 94538

Tivic Health Systems, Inc.

47865 Lakeview Blvd.

Fremont, CA 94538

(888) 276-6888

September 17, 2025

**<u>VIA EDGAR</u>**

United States Securities and Exchange Commission

Division of Corporation Finance

100 F. Street, N.E.

Washington, D.C. 20549

Re: Tivic Health Systems, Inc. <br> Request for Withdrawal of Offering Statement on Form 1-A <br> File No. 024-12489

Ladies and Gentlemen:

In accordance with Rule 259 under the Securities Act of 1933, as amended, Tivic Health Systems, Inc., a Delaware corporation (the "Company"), hereby respectfully requests the immediate withdrawal of its Offering Statement on Form 1-A (File. No. 024-12489), together with all exhibits and amendments thereto (collectively, the "Offering Statement"), which originally was filed with the Securities and Exchange Commission (the "Commission") on August 16, 2024.

The Company is requesting the consent of the Commission to the withdrawal of the Offering Statement as the Company has decided not to pursue the offering. The Offering Statement has not been declared qualified by the Commission, and no securities have been sold thereunder.

Should you have any questions regarding this request for withdrawal, or if you require any additional information, please contact Caitlin M. Murphey, Esq. of Snell & Wilmer L.L.P. by telephone at (858) 910-4773.

Very truly yours,<br>**Tivic Health Systems, Inc.**<br>By: <u>/s/ Jennifer Ernst</u> <br> Name: Jennifer Ernst<br> Title: Chief Executive Officer<br>