Statement of Changes in Beneficial Ownership (Form 4)

FORM 4 Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b). Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10.

UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 STATEMENT OF CHANGES IN 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

OMB APPROVAL OMB Number: 3235-0287 Estimated average burden hours per response... 0.5

(Print or Type Responses)

1. Name and Address of Reporting Person * Khales Payman 2. Issuer Name and Ticker or Trading Symbol Integer Holdings Corp [ITGR] 5. Relationship of Reporting Person(s) to Issuer (Check all applicable) __X__ Director _____ 10% Owner __X__ Officer (give title below) _____ Other (specify below) President & CEO (Last) (First) (Middle) 5830 GRANITE PARKWAY, SUITE 1150 3. Date of Earliest Transaction (Month/Day/Year) 02/20/2026 (Street) PLANO, TX 75024 4. If Amendment, Date Original Filed (Month/Day/Year) 6. Individual or Joint/Group Filing (Check Applicable Line) _X_ Form filed by One Reporting Person ___ Form filed by More than One Reporting Person (City) (State) (Zip) Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned

1.Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4) Code V Amount (A) or (D) Price Common Stock 02/20/2026 A 7,389(1) A $ 0 32,861 D Common Stock 02/20/2026 A 7,516(2) A $ 0 40,377 D Common Stock 02/20/2026 F 4,638 D $84.85 35,739 D Common Stock 02/24/2026 M 16,077 A (3) 51,816 D Common Stock 02/24/2026 M 26,983 A (3) 78,799 D Common Stock 02/24/2026 F 16,945 D $87.1 61,854 D

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
	Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.		SEC 1474 (9-02)

Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)

1. Title of Derivative Security (Instr. 3)

2. Conversion or Exercise Price of Derivative Security

3. Transaction Date (Month/Day/Year)

3A. Deemed Execution Date, if any (Month/Day/Year)

4. Transaction Code (Instr. 8)

5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4, and 5)

6. Date Exercisable and Expiration Date (Month/Day/Year)

7. Title and Amount of Underlying Securities (Instr. 3 and 4)

8. Price of Derivative Security (Instr. 5)

9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)

10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)

11. Nature of Indirect Beneficial Ownership (Instr. 4)

Code

V

(A)

(D)

Date Exercisable

Expiration Date

Title

Amount or Number of Shares

Restricted Stock Units

(3)

02/24/2026

M

16,077

(4)

(4)

Common Stock

16,077

$ 0

0

D

Restricted Stock Units

(3)

02/24/2026

M

26,983

(5)

(5)

Common Stock

26,983

$ 0

0

D

Reporting Owners

Reporting Owner Name / Address	Relationships
	Director	10% Owner	Officer	Other
Khales Payman 5830 GRANITE PARKWAY, SUITE 1150 PLANO, TX 75024	X		President & CEO

Signatures

/s/ Mark Zawodzinski as attorney-in-fact for Payman Khales.		02/24/2026
**Signature of Reporting Person		Date

Explanation of Responses:

*	If the form is filed by more than one reporting person, see Instruction 4(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 the vesting of performance-based restricted stock units ("PSU") that have vested based upon the satisfaction of specified financial performance targets based upon organic sales growth achievement for each of 2023, 2024 and 2025. The criteria for the vesting of these PSUs into shares has been met.
(2)	Represents the vesting of PSUs that have vested based upon the satisfaction of 3-year relative total shareholder return goals. The criteria for the vesting of these PSUs into shares has been met.
(3)	Restricted stock units convert into common stock on a one-for-one basis.
(4)	On November 2, 2022, the reporting person was granted 16,077 restricted stock units that vested on February 24, 2026.
(5)	On February 24, 2023, the reporting person was granted 26,983 restricted stock units that vested on February 24, 2026.

Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. Potential persons who are to respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB number.