| Name | Relationship | Address | Signature | Signature date | CIK |
|---|---|---|---|---|---|
| Rangarao Sai | Chief Commercial Officer | C/O PELTHOS THERAPEUTICS INC., 4020 STIRRUP CREEK DRIVE, SUITE 110, DURHAM | /s/ Sai Rangarao | 21 Jul 2025 | 0002077227 |
| Type | Sym | Class | Transaction | Value $ | Shares | Change % | * Price $ | Shares After | Date | Underlying Class | Amount | Exercise Price | Ownership | Footnotes |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| transaction | PTHS | Restricted Stock Units | Award | +30,518 | 30,518 | 02 Jul 2025 | Common Stock | 30,518 | $13.50 | Direct | F1 | |||
| transaction | PTHS | Stock Option | Award | +93,000 | 93,000 | 02 Jul 2025 | Common Stock | 93,000 | $13.50 | Direct | F2 |
| Id | Content |
|---|---|
| F1 | On July 2, 2025, the Reporting Person was granted restricted stock units to purchase 30,518 shares of common stock at an exercise price of $13.50 per share, with the initial one third (1/3) of such shares vesting on July 2, 2026, and in equal installments on a quarterly basis thereafter over a period of two (2) years. |
| F2 | On July 2, 2025, the Reporting Person was granted stock options to purchase 93,000 shares of common stock at an exercise price of $13.50 per share, with the initial one third (1/3) of such shares vesting on July 2, 2026, and in equal installments on a quarterly basis thereafter over a period of two (2) years. |