0001447362-24-000021.txt : 20240306 0001447362-24-000021.hdr.sgml : 20240306 20240306175815 ACCESSION NUMBER: 0001447362-24-000021 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20240304 FILED AS OF DATE: 20240306 DATE AS OF CHANGE: 20240306 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MAETZOLD DEREK J CENTRAL INDEX KEY: 0001239501 ORGANIZATION NAME: FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-38984 FILM NUMBER: 24727366 MAIL ADDRESS: STREET 1: 820 S. FRIENDSWOOD DRIVE STREET 2: SUITE 201 CITY: FRIENDSWOOD STATE: TX ZIP: 77546 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: CASTLE BIOSCIENCES INC CENTRAL INDEX KEY: 0001447362 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MEDICAL LABORATORIES [8071] ORGANIZATION NAME: 08 Industrial Applications and Services IRS NUMBER: 770701774 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 505 S FRIENDSWOOD DRIVE STREET 2: SUITE 401 CITY: FRIENDSWOOD STATE: TX ZIP: 77546 BUSINESS PHONE: 866-788-9007 MAIL ADDRESS: STREET 1: 505 S FRIENDSWOOD DRIVE STREET 2: SUITE 401 CITY: FRIENDSWOOD STATE: TX ZIP: 77546 4 1 wk-form4_1709765883.xml FORM 4 X0508 4 2024-03-04 0 0001447362 CASTLE BIOSCIENCES INC CSTL 0001239501 MAETZOLD DEREK J C/O CASTLE BIOSCIENCES, INC. 505 S. FRIENDSWOOD DRIVE, SUITE 401 FRIENDSWOOD TX 77546 1 1 0 0 Pres. & Chief Exec. Officer 0 Common Stock 2024-03-05 4 M 0 10686 3.72 A 78604 D Common Stock 2024-03-05 4 S 0 4131 21.414 D 74473 D Common Stock 90976 I By The Maetzold Descendants 2020 Trust Common Stock 79873 I By Derek Maetzold 2020 Irrevocable Trust Common Stock 11231 I By The Maetzold 2018 Remainder Trust FBO Emily Carol Kirk Common Stock 11229 I By The Maetzold 2018 Remainder Trust FBO Hannah Elizabeth Maetzold Common Stock 11229 I By The Maetzold 2018 Remainder Trust FBO Peter Douglas Maetzold Common Stock 11229 I By The Maetzold 2018 Remainder Trust FBO John Derek Maetzold Common Stock 149000 I By DJM Grantor Retained Annuity Trust No. 5 Restricted Stock Units 2024-03-04 4 A 0 124437 0 A Common Stock 124437 124437 D Stock option (right to buy) 3.72 2024-03-05 4 M 0 10686 3.72 D 2024-03-26 Common Stock 10686 0 D Held by The Maetzold Descendants 2020 Trust of which the Reporting Person's spouse is the trustee and the Reporting Person's spouse and their children are beneficiaries. Held by Derek Maetzold 2020 Irrevocable Trust of which the Reporting Person is the trustee and his children are beneficiaries. Held by The Maetzold 2018 Remainder Trust FBO Emily Carol Kirk of which the Reporting Person is the trustee and his child is the beneficiary. Held by The Maetzold 2018 Remainder Trust FBO Hannah Elizabeth Maetzold of which the Reporting Person is the trustee and his child is the beneficiary. Held by The Maetzold 2018 Remainder Trust FBO Peter Douglas Maetzold of which the Reporting Person is the trustee and his child is the beneficiary. Held by The Maetzold 2018 Remainder Trust FBO John Derek Maetzold of which the Reporting Person is the trustee and his child is the beneficiary. Held by DJM Grantor Retained Annuity Trust No. 5 of which the Reporting Person is the trustee and beneficiary. Each Restricted Stock Unit ("RSU") represents the right to receive one share of the Issuer's Common Stock. The RSU's vest in four equal annual installments beginning on March 04, 2025. The shares subject to the option are fully vested. /s/ Frank Stokes, Attorney-in-fact 2024-03-06