Josef Parvizi - 11 Oct 2024 Form 4 Insider Report for Ceribell, Inc. (CBLL)

Role
Director
Signature
/s/ Louisa Daniels, Attorney-in-Fact for Josef Parvizi
Issuer symbol
CBLL
Transactions as of
11 Oct 2024
Net transactions value
$0
Form type
4
Filing time
16 Oct 2024, 16:17:50 UTC
Previous filing
17 Oct 2024
Next filing
17 Jun 2025

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction CBLL Common Stock Award $0 +6,618 +1% $0.000000 661,049 11 Oct 2024 Direct F1, F2
transaction CBLL Common Stock Conversion of derivative security +152,775 +23% 813,824 15 Oct 2024 Direct F2, F6
holding CBLL Common Stock 907,911 11 Oct 2024 By Innovation ACP Trust F3, F4
holding CBLL Common Stock 369,088 11 Oct 2024 By ACP 2021 Trust F4, F5

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 CBLL Series C-1 Preferred Stock Conversion of derivative security $0 -152,775 -100% $0.000000 0 15 Oct 2024 Common Stock 152,775 Direct F6
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Represents 6,618 restricted stock units ("RSUs").
F2 Includes 6,618 RSUs.
F3 The Reporting Person is a co-trustee of the Innovation ACP Trust, and therefore may be deemed to share beneficial ownership of these securities.
F4 The Reporting Person disclaims beneficial ownership of these securities except to the extent of his pecuniary interest therein.
F5 The Reporting Person is a co-trustee of the ACP 2021 Trust, and therefore may be deemed to share beneficial ownership of these securities.
F6 Each share of the issuer's Preferred Stock automatically converted into one (1) share of the issuer's Common Stock immediately prior to the closing of the issuer's initial public offering on October 15, 2024 and had no expiration date.