0001974078-23-000109.txt : 20230809 0001974078-23-000109.hdr.sgml : 20230809 20230809144608 ACCESSION NUMBER: 0001974078-23-000109 CONFORMED SUBMISSION TYPE: 144 PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20230809 DATE AS OF CHANGE: 20230809 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: 231154694 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: Freund John Gordon CENTRAL INDEX KEY: 0001296771 FILING VALUES: FORM TYPE: 144 MAIL ADDRESS: STREET 1: 125 UNIVERSITY AVE. STREET 2: C/O SKYLINE VENTURES CITY: PALO ALTO STATE: CA ZIP: 94301 144 1 primary_doc.xml 144 0001296771 XXXXXXXX LIVE 0001459839 SI-BONE, Inc. 001-38701 471 EL CAMINO REAL, SUITE 101 SANTA CLARA CA 95050 4082070700 Freund John Gordon Director COMMON RAYMOND JAMES & ASSOCIATES

880 CARILLON PARKWAY ST. PETERSBURG FL 33716

30000 624000.00 38686296 08/09/2023 NASDAQ COMMON 09/02/2021 STOCK DISTRIBUTION SKYLINE V LIMITED PARTNERS N 30000 04/19/2011 CASH Y 08/09/2023 Melissa Fisher, as duly authorized representative of Raymond James & Associates, Inc., as attorney-in-fact for John Freund