Jack E. Stover - 26 Jan 2026 Form 4 Insider Report for Profusa, Inc. (PFSA)

Reporting relationship: Director
Issuer ticker: PFSA
Reported as of: 26 Jan 2026
Net transaction value: $0
SEC form: 4
Accepted by SEC: 30 Jan 2026, 16:27:03 UTC
Prior SEC filing: 22 Dec 2025
Next SEC filing: 10 Mar 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 30 Jan 2026.

Key facts

This page summarizes Jack E. Stover's Form 4 filing for Profusa, Inc. (PFSA).
2 reported transactions and 1 derivative row are listed below.
Accepted by SEC: 30 Jan 2026, 16:27.

Change

Previous filing in this sequence was filed on 22 Dec 2025.
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: Director
Address: 626 BANCROFT WAY, SUITE A, BERKELEY
Signature: /s/ Jack Stover
Signature date: 30 Jan 2026

Reported non-derivative transactions

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

PFSA transaction

Common Stock

Other

Transaction value
Shares: +553,665
Change %
Price
Shares after: 553,665
Date: 26 Jan 2026
Ownership: Direct
Footnotes: F1

Reported derivative securities

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

PFSA transaction Derivative

Warrants

Other

Transaction value: $0
Shares: +380,280
Change %
Price: $0.000000
Shares after: 380,280
Date: 26 Jan 2026
Ownership: Direct
Underlying class: Common Stock
Underlying amount: 380,280
Exercise price: $11.50
Footnotes: F1

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

Additional SEC filing notes

Filing notes and footnotes

Explanation of responses 1 footnote

Footnote F1

Represents the distribution for no consideration by NorthView Sponsor I LLC (the "Sponsor") to the Reporting Person of (i) 553,665 shares of Common Stock, and (ii) 380,280 warrants to purchase shares of Common Stock, in connection with a pro rata distribution of Issuer securities held by the Sponsor to its members.