CapsoVision, Inc — Director's Dealing 2025

Jul 7, 2025

SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: CapsoVision, Inc (CV)
CIK: 0001378325
Period of Report: 2025-07-03

Reporting Person: Tsai Chen Lung (N/A)

Non-Derivative Transactions

Date	Security	Code	Shares	Price	A/D	Holdings After	Ownership
2025-07-03	Common Stock	C	91432	—	Acquired	115456	Indirect

Derivative Transactions

Date	Security	Exercise Price	Code	Shares	A/D	Expiration	Underlying	Ownership
2025-07-03	Series B Preferred Stock	$	C	71429	Disposed		Common Stock (21450)	Indirect
2025-07-03	Series D-1 Preferred Stock	$	C	55555	Disposed		Common Stock (16683)	Indirect
2025-07-03	Series E Preferred Stock	$	C	86956	Disposed		Common Stock (26112)	Indirect
2025-07-03	Series H Preferred Stock	$	C	90534	Disposed		Common Stock (27187)	Indirect

Footnotes

F1: Each share of Series B preferred stock, Series D-1 preferred stock, Series E preferred stock and Series H preferred stock automatically converted into approximately 0.3003 shares of the Issuer's common stock upon the closing of the Issuer's initial public offering. 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: The securities are held by The Tsai Family Trust, for which the Reporting Person, together with his wife, are trustees.