X0508 4 2025-07-03 0 0001378325 CapsoVision, Inc CV 0001009165 HARARI ELIYAHOU ET AL 140 CASPIAN COURT C/O SANDISK CORP SUNNYVALE CA 94089 0 0 1 0 0 Common Stock 2025-07-03 4 C 0 3186904 A 3186904 I By trust. Common Stock 2025-07-03 4 C 0 517759 A 517759 I By trust. Common Stock 2025-07-03 4 C 0 517759 A 517759 I By trust. Series D-1 Preferred Stock 2025-07-03 4 C 0 222222 0 D Common Stock 66733 0 I By trust. Series D-2 Preferred Stock 2025-07-03 4 C 0 934588 0 D Common Stock 280657 0 I By trust. Series E Preferred Stock 2025-07-03 4 C 0 434782 0 D Common Stock 130565 0 I By trust. Series F-1 Preferred Stock 2025-07-03 4 C 0 434783 0 D Common Stock 130565 0 I By trust. Series F-2 Preferred Stock 2025-07-03 4 C 0 2000000 0 D Common Stock 600601 0 I By trust. Series G Preferred Stock 2025-07-03 4 C 0 740741 0 D Common Stock 222445 0 I By trust. Series G-1 Preferred Stock 2025-07-03 4 C 0 1206898 0 D Common Stock 362432 0 I By trust. Series H Preferred Stock 2025-07-03 4 C 0 4638377 0 D Common Stock 1392906 0 I By trust. Series H Preferred Stock 2025-07-03 4 C 0 1724139 0 D Common Stock 517759 0 I By trust. Series H Preferred Stock 2025-07-03 4 C 0 1724139 0 D Common Stock 517759 0 I By trust. Each share of Series D-1 preferred stock, Series D-2 preferred stock, Series E preferred stock, Series F-1 preferred stock, Series F-2 preferred stock, Series G preferred stock, Series G-1 preferred stock, and Series H preferred stock automatically converted into approximately 0.3003 shares of common stock of the Issuer upon the closing of the initial public offering of the Issuer. The number of shares reported herein gives effect to a 1-for-3.33 reverse stock split of the common stock of the Issuer effected by the Issuer on July 2, 2025 in connection with its initial public offering. The securities are held by the Harari Family Trust, for which the Reporting Person, together with his wife, are trustees. The securities are held by Harari 2010 Children Remainder Trust - MHG, for which the Reporting Person, together with his wife, are trustees. The securities are held by Harari 2010 Children Remainder Trust - DAH, for which the Reporting Person, together with his wife, are trustees. /s/ Peter Bergman, Attorney-in-Fact for Eliyahou Harari 2025-07-07