X0306 4 2022-06-13 0 0000876378 ASENSUS SURGICAL, INC. ASXC 0001324130 Starling William N JR 345 GOLDEN HILLS DRIVE PORTOLA VALLEY CA 94028 1 0 0 0 Common Stock 2022-06-13 4 S 0 27010 0.40 D 13846 D Common Stock 18134 I See footnote Common Stock 22849 I See footnote Stock Option 0.38 2022-06-14 4 A 0 55340 0.00 A 2029-06-14 Common Stock 55340 55340 D The price reported in Column 4 is a weighted average price. The shares were purchased in multiple transactions at prices ranging from $0.4094 to $0.39, with a weighted average price per share of $0.40. The reporting person undertakes to provide to Asensus Surgical, Inc., any security holder of Asensus Surgical, Inc., or the staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares purchased at each separate price within the ranges set forth in this footnote to this Form 4. Shares of Common Stock held by Synecor, L.L.C. The Reporting Person is the chief executive officer of Synecor, L.L.C. The Reporting Person disclaims beneficial ownership except to the extent of his pecuniary interest therein. Shares of Common Stock held by W. Starling and D. Starling, Trustees of the Starling Family Trust, UDT August 15, 1990. Represents an equity award issued under the Registrant's Amended and Restated Incentive Compensation Plan. The stock options will vest on a quarterly basis over the one year following the date of grant, with the first vesting on the date of grant. /s/ Joshua Weingard, as attorney-in-fact for William N. Starling 2022-06-15