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SI-BONE, Inc. Director's Dealing 2018

Oct 16, 2018

32647_dirs_2018-10-16_d5031a32-6a96-489b-98f4-7f6ea1f62939.zip

Director's Dealing

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SEC Form 3 — Initial Statement of Beneficial Ownership

Issuer: SI-BONE, Inc. (SIBN)
CIK: 0001459839
Period of Report: 2018-10-16

Reporting Person: Pisetsky Michael A (GC & Chief Compliance Officer)

Holdings (Non-Derivative)

Security Shares Ownership
Common Stock 6914 Direct

Holdings (Derivative)

Security Exercise Price Expiration Underlying Shares Ownership
Stock Option (right to buy) $4.32 2025-05-25 Common Stock (3759) Direct
Stock Option (right to buy) $4.32 2025-05-25 Common Stock (245) Direct
Stock Option (right to buy) $4.32 2026-02-22 Common Stock (3472) Direct
Stock Option (right to buy) $4.32 2026-07-26 Common Stock (32038) Direct
Stock Option (right to buy) $4.68 2027-03-01 Common Stock (30555) Direct

Footnotes

F1: The shares subject to the option vest in equal monthly installments over four years commencing on March 2, 2015, subject to Reporting Person's continued service through each relevant vesting date. The shares subject to this option may be exercised prior to vesting, subject to Issuer's right to repurchase.

F2: The shares subject to the option vest in equal monthly installments over four years commencing on April 15, 2015, subject to Reporting Person's continued service through each relevant vesting date. The shares subject to this option may be exercised prior to vesting, subject to Issuer's right to repurchase.

F3: The shares subject to the option vest in equal monthly installments over four years commencing on January 21, 2016, subject to Reporting Person's continued service through each relevant vesting date. The shares subject to this option may be exercised prior to vesting, subject to Issuer's right to repurchase.

F4: The shares subject to the option vest in equal monthly installments over four years commencing on July 5, 2016, subject to Reporting Person's continued service through each relevant vesting date. The shares subject to this option may be exercised prior to vesting, subject to Issuer's right to repurchase.

F5: The shares subject to the option vest in equal monthly installments over four years commencing on September 6, 2017, subject to Reporting Person's continued service through each relevant vesting date. The shares subject to this option may be exercised prior to vesting, subject to Issuer's right to repurchase.