X0508 4 2025-11-17 0 0000034956 TENAX THERAPEUTICS, INC. TENX 0001550701 MCGAULEY THOMAS 101 GLEN LENNOX DRIVE SUITE 300 CHAPEL HILL NC 27517 0 1 0 0 Interim CFO 0 Common Stock 2025-11-17 4 P 0 2000 7.337 A 2000 D Common Stock 2025-11-17 4 P 0 1000 7.35 A 1000 I By Child Common Stock 2025-11-17 4 P 0 5000 7.228 A 5000 I By Spouse This transaction was executed in multiple trades at prices ranging from $7.14 to $7.43. The price reported in Column 4 is a weighted average price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transactions were effected. This transaction was executed in multiple trades at prices ranging from $7.17 to $7.30. The price reported in Column 4 is a weighted average price. The reporting person hereby undertakes to provide upon request to the SEC staff, the issuer or a security holder of the issuer full information regarding the number of shares and prices at which the transactions were effected. /s/ S. Halle Vakani, as Attorney-in-Fact 2025-11-19