| Name | Relationship | Address | Signature | Signature date | CIK |
|---|---|---|---|---|---|
| Casey Niall | Chief IP Officer, Secretary, Director | C/O CARLSMED, INC., 1800 ASTON AVE., SUITE 100, CARLSBAD | /s/ Leonard Greenstein, as attorney-in-fact for Niall Casey | 22 Jul 2025 | 0002077161 |
| Type | Sym | Class | Transaction | Value $ | Shares | Change % | * Price $ | Shares After | Date | Ownership | Footnotes |
|---|---|---|---|---|---|---|---|---|---|---|---|
| holding | CARL | Common Stock | 933,973 | 22 Jul 2025 | Direct | F1 |
| Type | Sym | Class | Transaction | Value $ | Shares | Change % | * Price $ | Shares After | Date | Underlying Class | Amount | Exercise Price | Ownership | Footnotes |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| holding | CARL | Stock Option (Right to Buy) | 22 Jul 2025 | Common Stock | 112,478 | $4.35 | Direct | F2, F4 | ||||||
| holding | CARL | Series B Preferred Stock | 22 Jul 2025 | Common Stock | 3,612 | Direct | F3 |
| Id | Content |
|---|---|
| F1 | These shares of common stock are reported after giving effect to the 1-for-5.58 reverse split of the Issuer's common and preferred stock effected on July 10, 2025 (the "Reverse Split"). |
| F2 | Includes 112,478 unvested stock options convertible into approximately 112,478 shares of the Issuer's common stock, which began to vest on December 15, 2024, subject to a one-year cliff, and will be fully vested on December 15, 2028. These options are reported after giving effect to the Reverse Split. |
| F3 | Includes 3,612 shares of Series B Preferred Stock issued to the Reporting Person on April 18, 2022. Each share of Series B Preferred Stock is convertible into one share of the Issuer's common stock immediately prior to the closing of the Issuer's initial public offering. These shares are reported after giving effect to the Reverse Split and on an as-converted 1-to-1 basis and have no expiration date. |
| F4 | The exercise price has been adjusted to reflect the Reverse Split. |