X0508 4 2026-01-15 0 0000874015 IONIS PHARMACEUTICALS INC IONS 0002102721 Kordasiewicz Holly B. 2855 GAZELLE COURT CARLSBAD CA 92010 0 1 0 0 EVP, Chief Development Officer 0 Common Stock 2026-01-15 4 M 0 11119 0.0 A 18859 D Common Stock 2026-01-16 4 S 0 4141 75.66 D 14718 D Restricted Stock Unit 0.0 2026-01-15 4 M 0 11119 0.0 D 2026-01-15 Common Stock 11119 20830 D Restricted Stock Unit 0.0 2026-01-15 4 A 0 13650 0.0 A 2027-01-15 Common Stock 13650 34480 D Restricted Stock Unit 0.0 2026-01-15 4 A 0 11250 0.0 A 2027-01-15 Common Stock 11250 45730 D Acquired pursuant to vesting and release of shares in accordance with Restricted Stock Unit awards. The sale was made pursuant to an automatic sale to cover the required tax withholding obligations pursuant to the 2011 Equity Incentive Plan Restricted Stock Unit Agreement and Grant Notice. The price reported in Column 4 is a weighted average price. These shares were sold in multiple transactions at prices ranging from $75.63 to $75.72 inclusive. The reporting person undertakes to provide to Ionis Pharmaceuticals, Inc. any security holder of Ionis Pharmaceuticals, Inc. or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the ranges set forth in footnote (3) on this Form 4. Each Restricted Stock Unit represents a contingent right to receive one share of Ionis common stock, or its equivalent cash value. Restricted Stock Units vest in four equal annual installments. Upon vesting, the restricted stock units will be paid out in whole shares of Ionis common stock or cash as may be determined by the Company. Grant to reporting person of Restricted Stock Units under the Ionis Pharmaceuticals, Inc. Amended and Restated 2011 Equity Incentive Plan. By: Patrick R. O'Neil, attorney-in-fact For: Holly Kordasiewicz 2026-01-20