0001950047-23-001747.txt : 20230616 0001950047-23-001747.hdr.sgml : 20230616 20230616164621 ACCESSION NUMBER: 0001950047-23-001747 CONFORMED SUBMISSION TYPE: 144 PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20230616 DATE AS OF CHANGE: 20230616 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: SI-BONE, Inc. CENTRAL INDEX KEY: 0001459839 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 262216351 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 144 SEC ACT: 1933 Act SEC FILE NUMBER: 001-38701 FILM NUMBER: 231021942 BUSINESS ADDRESS: STREET 1: 471 EL CAMINO REAL, SUITE 101 CITY: SANTA CLARA STATE: CA ZIP: 95050 BUSINESS PHONE: 4082070700 MAIL ADDRESS: STREET 1: 471 EL CAMINO REAL, SUITE 101 CITY: SANTA CLARA STATE: CA ZIP: 95050 FORMER COMPANY: FORMER CONFORMED NAME: SI-Bone Inc. DATE OF NAME CHANGE: 20090326 REPORTING-OWNER: COMPANY DATA: COMPANY CONFORMED NAME: HILLEMAN JERYL L CENTRAL INDEX KEY: 0001216628 FILING VALUES: FORM TYPE: 144 MAIL ADDRESS: STREET 1: C/O INTERSECT ENT, INC. STREET 2: 1555 ADAMS DRIVE CITY: MENLO PARK STATE: CA ZIP: 94025 144 1 primary_doc.xml 144 0001216628 XXXXXXXX LIVE 0001459839 SI-BONE, INC. 001-38701 471 El Camino Real, Suite 101 Santa Clara CA 95050 408-207-0700 JERYL HILLEMAN Director Common Morgan Stanley Smith Barney LLC

1 New York Plaza 38th Floor New York NY 10004

2081 59807.94 35184049 06/16/2023 NASD COmmon 06/09/2023 Restricted Stock Issuer N 2081 06/09/2023 Not Applicable Y 06/16/2023 03/13/2023 /s/ Jeryl Lynn Hilleman