Hui Ying Kuo - 01 Jul 2025 Form 3 Insider Report for CapsoVision, Inc (CV)

Role
Director
Signature
/s/ Tai Vivatvaraphol, Attorney-in-Fact for Hui Ying Kuo
Issuer symbol
CV
Transactions as of
01 Jul 2025
Net transactions value
$0
Form type
3
Filing time
01 Jul 2025, 21:26:33 UTC
Next filing
07 Jul 2025

Reporting Owners (1)

Name Relationship Address Signature Signature date CIK
Kuo Hui Ying Director C/O CAPSOVISION, INC., 18805 COX AVENUE, SUITE 250, SARATOGA /s/ Tai Vivatvaraphol, Attorney-in-Fact for Hui Ying Kuo 01 Jul 2025 0002074262

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
holding CV Series H Preferred Stock 01 Jul 2025 Common Stock 34,482 Direct F1
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Each share of Series H preferred stock is convertible on a one-to-one basis into the underlying shares of common stock at the holder's election and has no expiration date. The Series H preferred stock will automatically convert into common stock upon the closing of the Issuer's initial public offering. The number of underlying shares of common stock reported in Column 3 does not reflect a one-for-3.33 reverse stock split, to be effective immediately prior to the closing to the Issuer's initial public offering.

Remarks:

Exhibit 24 - Power of Attorney