SEC Form 4 · accession 0001035986-26-000004
SI-BONE, Inc. · SIBN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Jeffrey W Dunn
Director
Period of report
Jun 4, 2026
Accepted (ET)
Jun 8, 2026 · 5:43 pm EDT
Rule 10b5-1 plan
box not checked
Issuer CIK
0001459839
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common StockF1 | Jun 4, 2026 | A | 10,957 | $0.00 | A | 20,114 | D | |
| Common StockF3,F4 | Jun 5, 2026 | S | 3,575 | $15.2462 | D | 16,057 | D | |
| Common StockF5,F6 | holding | — | — | — | 81,073 | I | by Trust |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1Reflects 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. The shares subject to the restricted stock unit will vest 100% upon the earlier of (i) the next annual general meeting of the stockholders of the Company or (ii) the date one year from the Vesting Commencement Date, subject to the Reporting Person's continuous service as a member of the Company's Board of Directors until such date.
- F2The sale reported on this Form 4 represents shares required to be sold by the Reporting Person to cover tax withholding obligations in connection with the vesting of restricted stock units. The sale satisfies the tax withholding obligations to be funded by a "sell to cover" transaction and does not represent a discretionary trade by the Reporting Person.
- F3This transaction was executed in multiple trades at prices ranging from $15.085 USD to $15.42 USD; the price reported above reflects the weighted average sale price. The Reporting Person undertakes to provide Issuer, any security holder 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 footnote.
- F4Includes 10,957 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.
- F5Reflects the transfer of shares from the Reporting Person to The Jeffrey W. Dunn Living Trust dated May 17, 2012.
- F6Shares held by The Jeffrey W. Dunn Living Trust Dated May 17, 2012.