Michele Harari - 15 Sep 2025 Form 4 Insider Report for CapsoVision, Inc (CV)

Role
Director
Signature
/s/ Kang-Huai (Johnny) Wang, Attorney-in-Fact for Michele Harari
Issuer symbol
CV
Transactions as of
15 Sep 2025
Net transactions value
$0
Form type
4
Filing time
17 Sep 2025, 17:00:46 UTC
Previous filing
01 Jul 2025
Next filing
31 Dec 2025
SEC
View on sec.gov

Reporting Owners (1)

Name Relationship Address Signature Signature date CIK
Harari Michele Director C/O CAPSOVISION, INC., 18805 COX AVENUE, SUITE 250, SARATOGA /s/ Kang-Huai (Johnny) Wang, Attorney-in-Fact for Michele Harari 17 Sep 2025 0002074161

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
holding CV Common Stock 56,156 15 Sep 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 CV Restricted Stock Unit (RSU) Award $0 +2,887 $0.000000 2,887 15 Sep 2025 Common Stock 2,887 Direct F2, F3
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 The reporting person previously reported 187,000 common stock on a Form 3 filed July 1, 2025. The number of shares reported herein gives effect to a 1-for-3.33 reverse stock split of the Issuer's common stock effected by the Issuer on July 2, 2025 in connection with its initial public offering.
F2 Each Restricted Stock Unit (the "RSU") represents a contingent right to receive one share of the Issuer's common stock.
F3 These RSUs are scheduled to vest on December 31, 2025