SEC Form 4 · accession 0001754765-26-000005
SI-BONE, Inc. · SIBN
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Michael A. Pisetsky
Officer — SVP, Ops & Adm/Chief Legal Ofr
Period of report
Jul 2, 2026
Accepted (ET)
Jul 6, 2026 · 5:11 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 StockF2 | Jul 2, 2026 | S | 1,799 | $16.6992 | D | 278,710 | D | |
| Common Stock | Jul 2, 2026 | S | 34 | $16.86 | D | 278,676 | D | |
| Common StockF3,F4 | Jul 2, 2026 | S | 1,301 | $16.7256 | D | 277,375 | D |
Table II — derivative securities
No Table II lines on this filing.
Explanation of responses
- F1The 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.
- F2This transaction was executed in multiple trades at prices ranging from $16.48 USD to $16.955 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.
- F3This transaction was executed in multiple trades at prices ranging from $16.47 USD to $16.955 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 137,587 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.