SI-BONE, Inc. — Director's Dealing 2019

Jan 18, 2019

SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: SI-BONE, Inc. (SIBN)
CIK: 0001459839
Period of Report: 2019-01-15

Reporting Person: DUNN JEFFREY W (Director, Chairman, President & CEO)

Non-Derivative Transactions

Date	Security	Code	Shares	Price	A/D	Holdings After	Ownership
2019-01-15	Common Stock	A	68100	$0.00	Acquired	101433	Direct

Derivative Transactions

Date	Security	Exercise Price	Code	Shares	A/D	Expiration	Underlying	Ownership
2019-01-15	Stock Option (right to buy)	$22.00	A	147500	Acquired	2029-01-15	Common Stock (147500)	Direct

Holdings (Non-Derivative)

Security	Shares	Ownership
Common Stock	547540	Indirect

Footnotes

F1: Reflects shares issuable on settlement of restricted stock units granted to the Reporting Person. Each restricted stock unit represents a contingent right to receive one shares of the Issuer's common stock. The restricted stock unit will vest in equal quarterly installments over four years commencing on January 15, 2019, subject to the Reporting Person's continued service through each relevant vesting date.

F2: Shares held by The Jeffrey W. Dunn Living Trust Dated May 17, 2012.

F3: The shares subject to the option vest in equal monthly installments over four years commencing on January 15, 2019, subject to the Reporting Person's continued service through each relevant vesting date.