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SI-BONE, Inc. Director's Dealing 2022

Jan 27, 2022

32647_dirs_2022-01-27_dd32bd3c-0a67-4376-bb09-abeec5721ef9.zip

Director's Dealing

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SEC Form 4 — Statement of Changes in Beneficial Ownership

Issuer: SI-BONE, Inc. (SIBN)
CIK: 0001459839
Period of Report: 2022-01-25

Reporting Person: Pisetsky Michael A (N/A)

Non-Derivative Transactions

Date Security Code Shares Price A/D Holdings After Ownership
2022-01-25 Common Stock M 2180.00 $4.32 Acquired 120443.00 Direct
2022-01-25 Common Stock M 245.00 $4.32 Acquired 120688.00 Direct
2022-01-25 Common Stock M 3472.00 $4.32 Acquired 124160.00 Direct
2022-01-25 Common Stock M 4239.00 $4.32 Acquired 128399.00 Direct

Derivative Transactions

Date Security Exercise Price Code Shares A/D Expiration Underlying Ownership
2022-01-25 Stock Option (Right to Buy) $4.32 M 2180.00 Disposed 2025-05-25 Common Stock (2180.00) Direct
2022-01-25 Stock Option (Right to Buy) $4.32 M 245.00 Disposed 2025-05-25 Common Stock (245.00) Direct
2022-01-25 Stock Option (Right to Buy) $4.32 M 3472.00 Disposed 2026-02-22 Common Stock (3472.00) Direct
2022-01-25 Stock Option (Right to Buy) $4.32 M 4239.00 Disposed 2026-07-26 Common Stock (4239.00) Direct

Footnotes

F1: Includes 93,582 shares issuable on the settlement of restricted stock units granted to the Reporting Person. Each restricted stock unit
represents a contingent right to receive one share of the Issuer's common stock.

F2: The shares subject to the option vest in equal monthly installments over four years commencing on vesting commencement date, subject to
Reporting Person's continued service through each relevant vesting date.