Gary Anthony Pestano - 02 Jan 2026 Form 4 Insider Report for BIODESIX INC (BDSX)

Role: Chief Development Officer
Signature: /s/ Robin H. Cowie as Attorney-in-Fact for Gary Pestano
Issuer symbol: BDSX
Transactions as of: 02 Jan 2026
Net transactions value: $0
Form type: 4
Filing time: 06 Jan 2026, 16:25:36 UTC
Previous filing: 13 Nov 2025
Next filing: 20 Jan 2026
SEC: View on sec.gov

Reporting Owners (1)

Name	Relationship	Address	Signature	Signature date	CIK
Pestano Gary Anthony	Chief Development Officer	919 WEST DILLON RD, LOUISVILLE	/s/ Robin H. Cowie as Attorney-in-Fact for Gary Pestano	06 Jan 2026	0001827711

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type	Sym	Class	Transaction	Value $	Shares	Change %	* Price $	Shares After	Date	Underlying Class	Amount	Exercise Price	Ownership	Footnotes
transaction	BDSX	Stock Options (Right to Buy)	Award	$0	+26,000		$0.000000	26,000	02 Jan 2026	Common Stock	26,000	$6.46	Direct	F1

* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id	Content
F1	This option vests in a series of forty-eight successive, substantially equal monthly installments measured from January 2, 2026, generally subject to the Reporting Person's continued service through each applicable vesting date.