SEC Form 4 · accession 0002031256-26-000002
Adagio Medical Holdings, Inc. · ADGM
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Keyvan Mirsaeedi-Farahani
Director
Period of report
Jun 16, 2026
Accepted (ET)
Aug 12, 2026 · 1:58 pm EDT
Rule 10b5-1 plan
box not checked
Issuer CIK
0002006986
Table I — non-derivative securities
No Table I lines on this filing.
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Non-qualified stock option (right to buy)F1 | $0.7103 | Jun 16, 2026 | A | 30,000 | A | — | Jun 16, 2036 | Common Stock | 30,000 | 30,000 | D |
Explanation of responses
- F1Annual stock option granted under the Issuer's Non-Employee Director Compensation Policy and the Issuer's 2024 Equity Incentive Plan (the "Option"). The Option will vest in equal monthly installments over a one-year period, whereby 1/12th of shares underlying the Option shall vest in equal monthly installments at the conclusion of each month of continuous service after the vesting commencement date of 06/16/2026.