Hui Ying Kuo - 03 Jul 2025 Form 4 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
03 Jul 2025
Net transactions value
$0
Form type
4
Filing time
07 Jul 2025, 17:30:33 UTC
Previous filing
01 Jul 2025
Next filing
17 Sep 2025
SEC
View on sec.gov

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 07 Jul 2025 0002074262

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction CV Common Stock Conversion of derivative security +10,354 10,354 03 Jul 2025 Direct F1

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 CV Series H Preferred Stock Conversion of derivative security $0 -34,482 -100% $0.000000 0 03 Jul 2025 Common Stock 10,354 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 automatically converted into approximately 0.3003 shares of the Issuer's common stock upon the closing of the Issuer's initial public offering. The number of shares reported herein gives effect to a 1-for-3.33 reverse stock split of the Issuer's common stock effected by the Issuer on July 2, 2025 in connection with its initial public offering.