| Name | Relationship | Address | Signature | Signature date | CIK |
|---|---|---|---|---|---|
| Humer Kristian | Chief Financial Officer | C/O 4D MOLECULAR THERAPEUTICS, INC., 5858 HORTON STREET #455, EMERYVILLE | /s/ Scott Bizily as Attorney-in-Fact for Kristian Humer | 11 Dec 2025 | 0001872280 |
No securities are beneficially owned.