CapsoVision, Inc — Director's Dealing 2025

Sep 17, 2025

SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: CapsoVision, Inc (CV)
CIK: 0001378325
Period of Report: 2025-09-15

Reporting Person: Harari Michele (Director)

Derivative Transactions

Date	Security	Exercise Price	Code	Shares	A/D	Expiration	Underlying	Ownership
2025-09-15	Restricted Stock Unit (RSU)	$	A	2887	Acquired		Common Stock (2887)	Direct

Holdings (Non-Derivative)

Security	Shares	Ownership
Common Stock	56156	Direct

Footnotes

F1: The reporting person previously reported 187,000 common stock on a Form 3 filed July 1, 2025. The number of shares reported herein gives effect to a 1-for-3.33 reverse stock split of the Issuer's common stock effected by the Issuer on July 2, 2025 in connection with its initial public offering.

F2: Each Restricted Stock Unit (the "RSU") represents a contingent right to receive one share of the Issuer's common stock.

F3: These RSUs are scheduled to vest on December 31, 2025