Todd Usen - 12 Dec 2025 Form 4 Insider Report for Adagio Medical Holdings, Inc. (ADGM)

Role: Chief Executive Officer, Director
Signature: /s/ Deborah Kaster, Attorney-in-Fact
Issuer symbol: ADGM
Transactions as of: 12 Dec 2025
Net transactions value: +$225,973
Form type: 4
Filing time: 15 Dec 2025, 21:24:15 UTC
Previous filing: 13 Feb 2025
Next filing: 09 Mar 2026
SEC: View on sec.gov

Reporting Owners (1)

Name	Relationship	Address	Signature	Signature date	CIK
Usen Todd	Chief Executive Officer, Director	C/O ADAGIO MEDICAL HOLDINGS, INC., 26051 MERIT CIRCLE, SUITE 102, LAGUNA HILLS	/s/ Deborah Kaster, Attorney-in-Fact	15 Dec 2025	0001964615

Transactions Table

Type	Sym	Class	Transaction	Value $	Shares	Change %	* Price $	Shares After	Date	Ownership	Footnotes
transaction	ADGM	Common Stock	Purchase	$225,973	+207,315		$1.09	207,315	12 Dec 2025	Direct	F1, F2

* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id	Content
F1	Open market purchase.
F2	This transaction was executed in multiple trades at prices ranging from $0.9258 to $1.14101. The price reported above reflects the weighted average purchase price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transaction was effected.