Filing Details
- Accession Number:
- 0001562180-23-004050
- Form Type:
- 4
- Zero Holdings:
- No
- Publication Time:
- 2023-05-10 19:52:42
- Reporting Period:
- 2023-05-09
- Accepted Time:
- 2023-05-10 19:52:42
- SEC Url:
- Form 4 Filing
Issuer
| Cik | Name | Symbol | Sector (SIC) | IRS No |
|---|---|---|---|---|
| 1459839 | Si-Bone Inc. | SIBN | () | 4 |
Insiders
| Cik | Name | Reported Address | Insider Title | Director | Officer | Large Shareholder | Other |
|---|---|---|---|---|---|---|---|
| 1035986 | W Jeffrey Dunn | C/O Si-Bone, Inc. 471 El Camino Real, Suite 101 Santa Clara CA 95050 | No | No | No | No |
Reported Non-Derivative Transactions
| Sec. Name | Acquisiton - Disposition | Date | Amount | Price | Remaning Holdings | Equity Swap Involved | Form Type | Code | Nature of Ownership | Explanation |
|---|---|---|---|---|---|---|---|---|---|---|
| Common Stock | Acquisiton | 2023-05-09 | 272,753 | $3.42 | 357,919 | No | 4 | M | Direct | |
| Common Stock | Disposition | 2023-05-09 | 272,753 | $22.00 | 85,166 | No | 4 | S | Direct |
| Equity Swap Involved | Form Type | Code | Nature of Ownership | Explanation |
|---|---|---|---|---|
| No | 4 | M | Direct | |
| No | 4 | S | Direct |
Reported Derivative Transactions
| Sec. Name | Sec. Type | Acquisiton - Disposition | Date | Amount | Price | Amount - 2 | Price - 2 |
|---|---|---|---|---|---|---|---|
| Common Stock | Stock Option (Right to Buy) | Disposition | 2023-05-09 | 272,753 | $0.00 | 272,753 | $3.42 |
| Remaning Holdings | Exercise Date | Expiration Date | Equity Swap Involved | Transaction Form Type | Transaction Code | Nature of Ownership |
|---|---|---|---|---|---|---|
| 0 | 2024-07-21 | No | 4 | M | Direct |
Reported Non-Derivative Holdings
| Sec. Name | Remaning Holdings | Nature of Ownership | Explanation |
|---|---|---|---|
| Common Stock | 132,580 | Indirect | By Trust |
Footnotes
- The shares were sold in connection with the Issuer's public offering of common stock.
- Represents shares issuable on 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.
- The shares are held by The Jeffrey W. Dunn Living Trust Dated May 17, 2012.
- The shares subject to the option are fully vested.
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