| Name | Relationship | Address | Signature | Signature date | CIK |
|---|---|---|---|---|---|
| Gupta Ashoo | VP, Finance and Controller | C/O 4D MOLECULAR THERAPEUTICS, INC., 5858 HORTON STREET #455, EMERYVILLE | /s/ Ashoo Gupta | 10 Oct 2025 | 0002091461 |
| Type | Sym | Class | Transaction | Value $ | Shares | Change % | * Price $ | Shares After | Date | Ownership | Footnotes |
|---|---|---|---|---|---|---|---|---|---|---|---|
| holding | FDMT | Common Stock | 45,662 | 30 Sep 2025 | Direct |
| Type | Sym | Class | Transaction | Value $ | Shares | Change % | * Price $ | Shares After | Date | Underlying Class | Amount | Exercise Price | Ownership | Footnotes |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| holding | FDMT | Stock Option (Right to Buy) | 30 Sep 2025 | Common Stock | 27,700 | $22.69 | Direct | F1 | ||||||
| holding | FDMT | Stock Option (Right to Buy) | 30 Sep 2025 | Common Stock | 7,056 | $4.14 | Direct | F2 | ||||||
| holding | FDMT | Restricted Stock Units | 30 Sep 2025 | Common Stock | 13,850 | Direct | F3, F4 | |||||||
| holding | FDMT | Restricted Stock Units | 30 Sep 2025 | Common Stock | 3,528 | Direct | F4, F5 |
| Id | Content |
|---|---|
| F1 | 25% of the shares subject to the stock option vest on the first anniversary measured from June 12, 2024 (the "Vesting Commencement Date"), and 1/48th of the total number of shares vest in thirty-six (36) successive and equal monthly installments thereafter, such that 100% of the shares subject to the option will be fully vested and exercisable on the fourth anniversary of the Vesting Commencement Date, while the grantee remains a service provider to the Company. |
| F2 | The shares underlying the stock option award shall vest and become exercisable as to 1/48th of the underlying shares on each monthly anniversary of March 6, 2025 (the "Vesting Commencement Date"), such that 100% of the shares subject to the option will be fully vested and exercisable on the fourth anniversary of the Vesting Commencement Date, while the grantee remains a service provider to the Company. |
| F3 | The shares underlying the restricted stock unit award shall vest as to 25% of the shares on June 20, 2025 and as to 1/16th of the underlying shares on each quarterly anniversary of such date thereafter, while the grantee remains a service provider to the Company. |
| F4 | Each Restricted Stock Unit represents a contingent right to receive one share of Common Stock. |
| F5 | The shares underlying the restricted stock unit award shall vest as to 1/16th of the shares on June 20, 2025 and as to 1/16th of the underlying shares on each quarterly anniversary of such date thereafter, while the grantee remains a service provider to the Company. |