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CapsoVision, Inc Director's Dealing 2025

Jul 3, 2025

33655_dirs_2025-07-02_3a9226e2-10ab-451f-aea1-6c2c9c7238c5.zip

Director's Dealing

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SEC Form 3 — Initial Statement of Beneficial Ownership

Issuer: CapsoVision, Inc (CV)
CIK: 0001378325
Period of Report: 2025-07-01

Reporting Person: HARARI ELIYAHOU ET AL (10% Owner)

Holdings (Non-Derivative)

Security Shares Ownership
Common Stock 280000 Direct

Holdings (Derivative)

Security Exercise Price Expiration Underlying Shares Ownership
Series D-1 Preferred Stock $ Common Stock (222222) Indirect
Series D-2 Preferred Stock $ Common Stock (934588) Indirect
Series E Preferred Stock $ Common Stock (434782) Indirect
Series F-1 Preferred Stock $ Common Stock (434783) Indirect
Series F-2 Preferred Stock $ Common Stock (2000000) Indirect
Series G Preferred Stock $ Common Stock (740741) Indirect
Series G-1 Preferred Stock $ Common Stock (1206898) Indirect
Series H Preferred Stock $ Common Stock (4638377) Indirect
Series H Preferred Stock $ Common Stock (1724139) Indirect
Series H Preferred Stock $ Common Stock (1724139) Indirect

Footnotes

F1: Does not reflect a one-for-3.33 reverse stock split, to be effective immediately prior to the closing of the initial public offering of the Issuer.

F2: Each share of Series D-1 preferred stock, Series D-2 preferred stock, Series E preferred stock, Series F-1 preferred stock, Series F-2 preferred stock, Series G preferred stock, Series G-1 preferred stock and Series H preferred stock (the Preferred Stock) is convertible on a one-to-one basis into shares of common stock at the election of the holder and has no expiration date. The Preferred Stock will automatically convert into the underlying shares of common stock upon the closing of the initial public offering of the Issuer. The number of underlying shares of common stock reported in Column 3 does not reflect a one-for-3.33 reverse stock split, to be effective immediately prior to the closing of the initial public offering of the Issuer.

F3: The securities are held by the Harari Family Trust, for which the Reporting Person, together with his wife, are trustees.

F4: The securities are held by Harari 2010 Children Remainder Trust - MHG, for which the Reporting Person, together with his wife, are trustees.

F5: The securities are held by Harari 2010 Children Remainder Trust - DAH, for which the Reporting Person, together with his wife, are trustees.