Karen A. Licitra - 25 Jun 2021 Form 4 Insider Report for SI-BONE, Inc. (SIBN)

Source evidence Original filing metadata and source links for verification. 4 source fields
SEC form
4
Accepted by SEC
28 Jun 2021, 17:12:26 UTC
Next SEC filing
23 Jul 2021
Source filing
View source filing
Reporting owner 1 detail
Reporting owner signature
/s/ Michael A. Pisetsky, Attorney-in-Fact for Karen A. Licitra

Key filing fact

Karen A. Licitra filed Form 4 for SI-BONE, Inc. (SIBN) on 28 Jun 2021.

Key facts

  • This page summarizes Karen A. Licitra's Form 4 filing for SI-BONE, Inc. (SIBN).
  • 6 reported transactions and 2 derivative rows are listed below.
  • Accepted by SEC: 28 Jun 2021, 17:12.

Change

  • No earlier filing in this sequence is available for direct comparison.
  • Current net transaction value: -$622,533.

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

Reported non-derivative transactions

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

SIBN transaction

Common Stock

Options Exercise

Transaction value
$44,483
Shares
+10,297
Change %
+117%
Price
$4.32*
Shares after
19,094
Date
25 Jun 2021
Ownership
Direct
SIBN transaction

Common Stock

Options Exercise

Transaction value
$48,000
Shares
+11,111
Change %
+58%
Price
$4.32*
Shares after
30,205
Date
25 Jun 2021
Ownership
Direct
SIBN transaction

Common Stock

Sale

Transaction value
$370,301
Shares
-11,111
Change %
-37%
Price
$33.33
Shares after
19,094
Date
25 Jun 2021
Ownership
Direct
Footnotes
F1
SIBN transaction

Common Stock

Sale

Transaction value
$344,715
Shares
-10,297
Change %
-54%
Price
$33.48
Shares after
8,797
Date
25 Jun 2021
Ownership
Direct
Footnotes
F2

Reported derivative securities

Options, warrants, convertible securities, or similar derivative positions disclosed in the filing.

SIBN transaction Derivative

Stock Option (Right to Buy)

Options Exercise

Transaction value
$0
Shares
-11,111
Change %
-100%
Price
$0.000000*
Shares after
0
Date
25 Jun 2021
Ownership
Direct
Underlying class
Common Stock
Underlying amount
11,111
Exercise price
$4.32
Footnotes
F3
SIBN transaction Derivative

Stock Option (Right to Buy)

Options Exercise

Transaction value
$0
Shares
-10,297
Change %
-100%
Price
$0.000000*
Shares after
0
Date
25 Jun 2021
Ownership
Direct
Underlying class
Common Stock
Underlying amount
10,297
Exercise price
$4.32
Footnotes
F3
* marks a reported price that did not pass the local price check.

Additional SEC filing notes

Filing notes and footnotes

Section 16 status

Karen A. Licitra is no longer subject to Section 16 filing requirements. Form 4 or Form 5 obligations may still apply in specific circumstances.

Explanation of responses 3 footnotes

Footnote F1

The price reported in column 4 is a weighted-average price. The shares were sold in multiple transactions ranging from $33.19 to $33.57, inclusive. The Reporting Person undertakes to provide the Issuer, any securityholder of the Issuer, or the Staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnotes.

Footnote F2

The price reported in column 4 is a weighted-average price. The shares were sold in multiple transactions ranging from $33.29 to $33.78, inclusive. The Reporting Person undertakes to provide the Issuer, any securityholder of the Issuer, or the Staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnotes.

Footnote F3

The shares subject to the option vest in equal monthly installments over four years commencing on vesting commencement date, subject to Reporting Person's continued service through each relevant vesting date.

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