Wen-Herng Henry King - 01 Jul 2025 Form 3 Insider Report for CapsoVision, Inc (CV)

Role
Director
Signature
/s/ Tai Vivatvaraphol, Attorney-in-Fact for Wen-Herng Henry King
Issuer symbol
CV
Transactions as of
01 Jul 2025
Net transactions value
$0
Form type
3
Filing time
01 Jul 2025, 21:43:06 UTC
Next filing
07 Jul 2025

Reporting Owners (1)

Name Relationship Address Signature Signature date CIK
King Wen-Herng Henry Director C/O CAPSOVISION, INC., 18805 COX AVENUE, SUITE 250, SARATOGA /s/ Tai Vivatvaraphol, Attorney-in-Fact for Wen-Herng Henry King 01 Jul 2025 0002074258

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 68,966 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 shares of common stock at the holder's election and has no expiration date. The Series H preferred stock will automatically convert into the underlying shares of 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