STEVEN M. VAN DICK - 31 Dec 2023 Form 5 Insider Report for Tenon Medical, Inc. (TNON)

Role: Chief Financial Officer
Signature: /s/ Steven Van Dick
Issuer symbol: TNON
Transactions as of: 31 Dec 2023
Net transactions value: +$3,074
Form type: 5
Filing time: 13 Feb 2024, 16:48:49 UTC
Previous filing: 15 Jun 2023
SEC: View on sec.gov

Transactions Table

Type	Sym	Class	Transaction	Value $	Shares	Change %	* Price $	Shares After	Date	Ownership	Footnotes
transaction	TNON	Common Stock	Conversion of derivative security	$3,074	+1,522	+15%	$2.02	11,565	22 Nov 2023	Direct	F1, F2

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	TNON	Restricted Stock Units						4,566	31 Dec 2023	Common Stock	4,566		Direct	F3

* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id	Content
F1	These shares of common stock were issued pursuant to the vesting of Restricted Stock Units.
F2	Includes 1,999 shares held by the Van Dick Family Trust-1998 for which Steve Van Dick is trustee.
F3	Each Restricted Stock Unit represents the right to receive one share of Common Stock These units are on a 3 year vesting schedule, for the first year they vest on an annual basis and thereafter they vest on a semi-annual basis. 9,131 (post-split) Restricted Stock Units were initially granted on May 12, 2022. 4,565 Restricted Stock Units vested as of December 31, 2023.