Form4insider filings, from the source

SEC Form 4 · accession 0001209191-18-055699

SI-BONE, Inc. · SIBN

Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗

Reporting owners
Period of report
Oct 19, 2018
Accepted (ET)
Oct 19, 2018 · 4:49 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001459839

Table I — non-derivative securities

SecurityDateCodeSharesPriceA/DOwned afterD/INature of ownership
Common StockF1,F2Oct 19, 2018C1,102,915—A1,102,915IBy Montreux Equity Partners IV, L.P.
Common StockF3,F2Oct 19, 2018C597,071—A1,699,986IBy Montreux Equity Partners IV, L.P.
Common StockF1,F2Oct 19, 2018C27,409—A1,727,395IBy Montreux Equity Partners IV, L.P.
Common StockF1,F2Oct 19, 2018C78,564—A78,564IBy Montreux IV Associates, LLC
Common StockF3,F2Oct 19, 2018C51,827—A130,391IBy Montreux IV Associates, LLC
Common StockF1,F2Oct 19, 2018C171,929—A171,929IBy Montreux IV Associates IV, LLC

Table II — derivative securities

SecurityConv. / exercise priceDateCodeSharesA/DExercisableExpiresUnderlyingUnderlying sharesOwned afterD/I
Warrant (right to buy)F2,F4$9.10Oct 19, 2018X15,496D——Series 5 Preferred Stock15,4960I
Series 5 Preferred StockF2,F1$9.10Oct 19, 2018X15,496A——Common Stock15,4961,112,312I
Series 5 Preferred StockF2,F1—Oct 19, 2018S9,397D——Common Stock9,3971,102,915I
Series 5 Preferred StockF1,F2—Oct 19, 2018C1,102,915D——Common Stock1,102,9150I
Series 5 Preferred StockF1,F2—Oct 19, 2018C78,564D——Common Stock78,5640I
Series 6 Preferred StockF3,F2—Oct 19, 2018C563,926D——Common Stock597,0710I
Series 6 Preferred StockF3,F2—Oct 19, 2018C48,950D——Common Stock51,8270I
Series 7 Preferred StockF1,F2—Oct 19, 2018C27,409D——Common Stock27,4090I
Series 7 Preferred StockF1,F2—Oct 19, 2018C171,929D——Common Stock171,9290I

Explanation of responses