X0306 4 2023-02-14 0 0001840425 Bellevue Life Sciences Acquisition Corp. BLAC 0001953678 Chung In Chul 10900 NE 4TH STREET, SUITE 2300 BELLEVUE WA 98004 1 0 0 0 Common Stock 2023-02-14 4 A 0 20000 0.00 A 20000 D Warrant for Common Stock 11.50 2023-02-14 4 A 0 20000 0.00 A Common Stock 20000 20000 D Represents the shares transferred by Bellevue Global Life Sciences Investors LLC (the "Sponsor"), the sponsor of the Issuer, to Mr. Chung for his board service. Represents the warrants to purchase a total of 20,000 shares of the Issuer, transferred from the Sponsor to Mr. Chung for his service as chair of the audit committee. Each warrant will become exercisable 30 days after the Issuer's initial business combination. Each warrant will expire five years after the completion of the Issuer's initial business combination, or earlier upon redemption or liquidation. Each warrant entitles the holder to purchase one share of common stock at a price of $11.50 per share, subject to adjustments. /s/ In Chul Chung 2023-02-16