Matthew Fraser Ahearn - 01 Aug 2025 Form 4 Insider Report for SHOULDER INNOVATIONS, INC. (SI)

Role
CHIEF OPERATING OFFICER, Director
Signature
Jeffrey Points, as Attorney-in-Fact
Issuer symbol
SI
Transactions as of
01 Aug 2025
Net transactions value
$0
Form type
4
Filing time
05 Aug 2025, 16:05:10 UTC
Previous filing
30 Jul 2025
Next filing
15 Sep 2025
SEC
View on sec.gov

Reporting Owners (1)

Name Relationship Address Signature Signature date CIK
Ahearn Matthew Fraser CHIEF OPERATING OFFICER, Director C/O SHOULDER INNOVATIONS, INC., 1535 STEELE AVENUE SW, SUITE B, GRAND RAPIDS Jeffrey Points, as Attorney-in-Fact 05 Aug 2025 0002070582

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction SI Common Stock Conversion of derivative security +67,242 +165% 108,035 01 Aug 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 SI Series Seed Convertible Preferred Stock Conversion of derivative security -250,710 -100% 0 01 Aug 2025 Common Stock 13,139 Direct F1
transaction SI Series A Convertible Preferred Stock Conversion of derivative security -814,093 -100% 0 01 Aug 2025 Common Stock 42,667 Direct F1
transaction SI Series B Convertible Preferred Stock Conversion of derivative security -218,217 -100% 0 01 Aug 2025 Common Stock 11,436 Direct F1
* 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 automatically converted into shares of Common Stock on a one-for-0.052410901 basis.