0001562180-24-005137.txt : 20240617 0001562180-24-005137.hdr.sgml : 20240617 20240617202046 ACCESSION NUMBER: 0001562180-24-005137 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240614 FILED AS OF DATE: 20240617 DATE AS OF CHANGE: 20240617 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: FRANCIS LAURA CENTRAL INDEX KEY: 0001218802 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38701 FILM NUMBER: 241049900 MAIL ADDRESS: STREET 1: C/O SI-BONE, INC. STREET 2: 471 EL CAMINO REAL, SUITE 101 CITY: SANTA CLARA STATE: CA ZIP: 95050 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: SI-BONE, Inc. CENTRAL INDEX KEY: 0001459839 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] ORGANIZATION NAME: 08 Industrial Applications and Services IRS NUMBER: 262216351 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 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 4 1 primarydocument.xml PRIMARY DOCUMENT X0508 4 2024-06-14 false 0001459839 SI-BONE, Inc. SIBN 0001218802 FRANCIS LAURA C/O SI-BONE, INC. 471 EL CAMINO REAL, SUITE 101 SANTA CLARA CA 95050 true true false false Chief Executive Officer false Common Stock 2024-06-14 4 M false 11277.00 4.68 A 512753.00 D Common Stock 2024-06-14 4 M false 57392.00 4.32 A 502890.00 D Common Stock 166951.00 I by Trust Stock Option (Right to Buy) 4.68 2024-06-14 4 M false 11277.00 0.00 D 2027-03-01 Common Stock 11277.00 0.00 D Stock Option (Right to Buy) 4.32 2024-06-14 4 M false 57392.00 0.00 D 2025-05-25 Common Stock 57392.00 0.00 D Reflects the transfer of shares from the Reporting Person to The David & Laura Francis Joint Rev Tr. Includes 1,414 shares acquired under the SI-BONE, Inc. 2018 Employee Stock Purchase Plan on May 15, 2024. Includes 335,545 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. Shares held by The David & Laura Francis Joint Rev Tr. The shares subject to the option vest in equal monthly installments over four years commencing on December 12, 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. The shares subject to the option vest in equal monthly installments over four years commencing on May 26, 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. /s/ Michael A. Pisetsky, Attorney-in-Fact for Laura A. Francis 2024-06-17