Gilde Healthcare Holding B.V. - 30 Jul 2025 Form 3 Insider Report for SHOULDER INNOVATIONS, INC. (SI)

Role
10%+ Owner
Signature
Gilde Healthcare Holding B.V., By: /s/ Edwin de Graaf, Managing Director
Issuer symbol
SI
Transactions as of
30 Jul 2025
Net transactions value
$0
Form type
3
Filing time
30 Jul 2025, 21:38:34 UTC
Next filing
05 Aug 2025

Reporting Owners (1)

Name Relationship Address Signature Signature date CIK
Gilde Healthcare Holding B.V. 10%+ Owner STADSPLATEAU 36, UTRECHT, NETHERLANDS Gilde Healthcare Holding B.V., By: /s/ Edwin de Graaf, Managing Director 30 Jul 2025 0001420106

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 SI Series D Convertible Preferred Stock 30 Jul 2025 Common Stock 1,743,156 See Footnote F1, F2
holding SI Series E Convertible Preferred Stock 30 Jul 2025 Common Stock 537,326 See Footnote F1, F2
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Immediately prior to the closing of the Issuer's initial public offering, the shares of preferred stock of the Issuer will automatically convert into shares of Common Stock on a one-for-0.052410901 basis. The shares of preferred stock have no expiration date.
F2 Held directly by Cooperatieve Gilde Healthcare V U.A. ("Gilde"). Gilde Healthcare V Management B.V. is the managing director of Gilde and has sole voting and dispositive power with respect to the shares held by Gilde. Gilde Healthcare V Management B.V. is owned by Gilde Healthcare Holding B.V. and managed by Edwin de Graaf and Pieter van der Meer. Geoff Pardo is a partner at Gilde and may be deemed to share voting and dispositive power with respect to the shares held of record by Gilde.