| Name | Relationship | Address | Signature | Signature date | CIK |
|---|---|---|---|---|---|
| Tsai Chen Lung | Director | C/O CAPSOVISION, INC., 18805 COX AVENUE, SUITE 250, SARATOGA | /s/ Kang-Huai (Johnny) Wang, Attorney-in-Fact for Chen Lung Tsai | 17 Sep 2025 | 0001307275 |
| Type | Sym | Class | Transaction | Value $ | Shares | Change % | * Price $ | Shares After | Date | Underlying Class | Amount | Exercise Price | Ownership | Footnotes |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| transaction | CV | Restricted Stock Unit (RSU) | Award | $0 | +2,887 | $0.000000 | 2,887 | 15 Sep 2025 | Common Stock | 2,887 | Direct | F1, F2 |
| Id | Content |
|---|---|
| F1 | Each Restricted Stock Unit (the "RSU") represents a contingent right to receive one share of the Issuer's common stock. |
| F2 | These RSUs are scheduled to vest on December 31, 2025 |