Michael A. Pisetsky - 30 Apr 2025 Form 4 Insider Report for SI-BONE, Inc. (SIBN)

Reporting relationship: SVP, Ops & Adm/Chief Legal Ofr
Issuer ticker: SIBN
Reported as of: 30 Apr 2025
Net transaction value: +$99,998
SEC form: 4
Accepted by SEC: 02 May 2025, 17:07:56 UTC
Prior SEC filing: 04 Apr 2025
Next SEC filing: 20 May 2025
Source filing: View source filing
Reporting owner signature: /s/ Michael A. Pisetsky

Key filing fact

Michael A. Pisetsky filed Form 4 for SI-BONE, Inc. (SIBN) on 02 May 2025.

Key facts

This page summarizes Michael A. Pisetsky's Form 4 filing for SI-BONE, Inc. (SIBN).
2 reported transactions and 1 derivative row are listed below.
Accepted by SEC: 02 May 2025, 17:07.

Change

Previous filing in this sequence was filed on 04 Apr 2025.
Current net transaction value: +$99,998.

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 0001754765 Primary reporting owner

Pisetsky Michael A

Relationship: SVP, Ops & Adm/Chief Legal Ofr
Address: C/O SI-BONE, INC., 471 EL CAMINO REAL, SUITE 101, SANTA CLARA
Signature: /s/ Michael A. Pisetsky
Signature date: 02 May 2025

Reported non-derivative transactions

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

SIBN transaction

Common Stock

Options Exercise

Transaction value: $99,998
Shares: +21,367
Change %: +8.7%
Price: $4.68
Shares after: 266,245
Date: 30 Apr 2025
Ownership: Direct
Footnotes: F1

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: -21,367
Change %: -100%
Price: $0.000000
Shares after: 0
Date: 30 Apr 2025
Ownership: Direct
Underlying class: Common Stock
Underlying amount: 21,367
Exercise price: $4.68
Footnotes: F2

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

Additional SEC filing notes

Filing notes and footnotes

Section 16 status

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

Explanation of responses 2 footnotes

Footnote F1

Includes 157,982 shares issuable on the settlement of restricted stock units granted to the Reporting Person. Each restricted stock unit represents a contingent right to receive one share of the Issuer's common stock.

Footnote F2

The shares subject to the option vest in equal monthly installments over four years commencing on December 12, 2017, subject to Reporting Person's continued service through each relevant vesting date. The shares subject to this option may be exercised prior to vesting, subject to Issuer's right to repurchase.