SI-BONE, Inc. — Director's Dealing 2018

Oct 19, 2018

SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: SI-BONE, Inc. (SIBN)
CIK: 0001459839
Period of Report: 2018-10-19

Reporting Person: Reiley Mark A (Director)

Non-Derivative Transactions

Date	Security	Code	Shares	Price	A/D	Holdings After	Ownership
2018-10-19	Common Stock	C	8680	—	Acquired	523180	Direct

Derivative Transactions

Date	Security	Exercise Price	Code	Shares	A/D	Expiration	Underlying	Ownership
2018-10-19	Series 3 Preferred Stock	$	C	8680	Disposed		Common Stock (8680)	Direct

Holdings (Non-Derivative)

Security	Shares	Ownership
Common Stock	19444	Indirect

Footnotes

F1: The Issuer's Series 3 Preferred Stock automatically converted into an equal number of shares of Issuer's common stock immediately upon the closing of the Issuer's initial public offering and has no expiration date.

F2: Shares held by The Mark and Muriel Riley Charitable Remainder Unitrust.