Jack E. Stover - 21 Aug 2026 Form 4 Insider Report for Profusa, Inc. (PFSA)

Reporting relationship: Chief Executive Officer
Issuer ticker: PFSA
Reported as of: 21 Aug 2026
Net transaction value: $0
SEC form: 4
Accepted by SEC: 04 Sep 2026, 10:47:36 UTC
Prior SEC filing: 19 Aug 2026
Source filing: View source filing
Reporting owner signature: /s/ Jack Stover

Key filing fact

Jack E. Stover filed Form 4 for Profusa, Inc. (PFSA) on 04 Sep 2026.

Key facts

This page summarizes Jack E. Stover's Form 4 filing for Profusa, Inc. (PFSA).
2 reported transactions and 0 derivative rows are listed below.
Accepted by SEC: 04 Sep 2026, 10:47.

Change

Previous filing in this sequence was filed on 19 Aug 2026.
Current net transaction value: $0.

Research use

This tells you what this filing adds before you inspect full transaction and derivative tables.
You can trace every row back to the original SEC filing document.

Evidence

Filed on Form 4

Ownership activity is grounded in SEC Form 4 disclosures.

View source filing

Reporting Owners (1)

CIK 0001203603 Primary reporting owner

STOVER JACK E

Relationship: Chief Executive Officer
Address: 626 BANCROFT WAY, SUITE A, BERKELEY
Signature: /s/ Jack Stover
Signature date: 04 Sep 2026

Reported non-derivative transactions

Shares, units, or other non-derivative securities reported in this filing.

PFSA transaction

Common Stock

Other

Transaction value
Shares: +32,018
Change %: +43860%
Price: $0.000000^*
Shares after: 32,091
Date: 21 Aug 2026
Ownership: Direct
Footnotes: F1, F2

PFSA transaction

Common Stock

Other

Transaction value
Shares: -301,991
Change %: -100%
Price: $0.000000^*
Shares after: 0
Date: 21 Aug 2026
Ownership: By NorthView Sponsor I LLC
Footnotes: F3, F4

^* marks a reported price that did not pass the local price check.

Additional SEC filing notes

Filing notes and footnotes

Explanation of responses 4 footnotes

Footnote F1

Pro rata distribution from NorthView Sponsor I LLC, of which the reporting person is a manager.

Footnote F2

Includes 73 shares held directly by the reporting person.

Footnote F3

On August 21, 2026, NorthView Sponsor I LLC distributed all its shares of Issuer's common stock to its members, including 32,018 shares to the reporting person.

Footnote F4

Jack Stover is a manager of NorthView Sponsor I LLC and may be deemed to share beneficial ownership of the securities held by NorthView Sponsor I LLC. Mr. Stover disclaims beneficial ownership of such securities except to the extent of his pecuniary interest therein.