Michael A. Pisetsky - 30 Apr 2025 Form 4 Insider Report for SI-BONE, Inc. (SIBN)

Role
SVP, Ops & Adm/Chief Legal Ofr
Signature
/s/ Michael A. Pisetsky
Issuer symbol
SIBN
Transactions as of
30 Apr 2025
Net transactions value
+$99,998
Form type
4
Filing time
02 May 2025, 17:07:56 UTC
Previous filing
04 Apr 2025
Next filing
20 May 2025
SEC
View on sec.gov

Reporting Owners (1)

Name Relationship Address Signature Signature date CIK
Pisetsky Michael A SVP, Ops & Adm/Chief Legal Ofr C/O SI-BONE, INC., 471 EL CAMINO REAL, SUITE 101, SANTA CLARA /s/ Michael A. Pisetsky 02 May 2025 0001754765

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction SIBN Common Stock Options Exercise $99,998 +21,367 +8.7% $4.68 266,245 30 Apr 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 SIBN Stock Option (Right to Buy) Options Exercise $0 -21,367 -100% $0.000000 0 30 Apr 2025 Common Stock 21,367 $4.68 Direct F2
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Michael A. Pisetsky is no longer subject to Section 16 filing requirements. Form 4 or Form 5 obligations may continue.

Explanation of Responses:

Id Content
F1 Includes 157,982 shares issuable on the settlement of restricted stock units granted to the Reporting Person. Each restricted stock unit represents a contingent right to receive one share of the Issuer's common stock.
F2 The shares subject to the option vest in equal monthly installments over four years commencing on December 12, 2017, subject to Reporting Person's continued service through each relevant vesting date. The shares subject to this option may be exercised prior to vesting, subject to Issuer's right to repurchase.