Form 4 for CV CapsoVision, Inc
Accepted 2025-07-08 00:00:00 ET · period of report 2025-07-03 · accession 0001009165-25-000004 · SEC index · Original document
Summary rows
Aggregated the way they appear in lists: one row per insider, transaction code and security table.
| X | Filed | Traded | Ticker | Insider | Title | Type | Price | Qty | Owned | ΔOwn | Value |
|---|---|---|---|---|---|---|---|---|---|---|---|
| DMI | 2025-07-08 | 2025-07-03 | CV | HARARI ELIYAHOU ET AL | 10% | C - Cnv Deriv | — | +4.22M | 517.8K | New | — |
| DMI | 2025-07-08 | 2025-07-03 | CV | HARARI ELIYAHOU ET AL | 10% | C - Cnv Deriv | $0.00 | -14.06M | 0 | -100% | $0 |
Every reported transaction
| # | Table | Security | Date | Code | A/D | Shares | Price | Owned after | Own | Exercise / expiry | Underlying | Footnotes |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | Common | Common Stock | 2025-07-03 | C | A | 3,186,904 | — | 3,186,904 | I By trust. | — | — | (F1) 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. (F2) The securities are held by the Harari Family Trust, for which the Reporting Person, together with his wife, are trustees. |
| 2 | Common | Common Stock | 2025-07-03 | C | A | 517,759 | — | 517,759 | I By trust. | — | — | (F1) 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. (F4) The securities are held by Harari 2010 Children Remainder Trust - DAH, for which the Reporting Person, together with his wife, are trustees. |
| 3 | Common | Common Stock | 2025-07-03 | C | A | 517,759 | — | 517,759 | I By trust. | — | — | (F1) 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. (F3) The securities are held by Harari 2010 Children Remainder Trust - MHG, for which the Reporting Person, together with his wife, are trustees. |
| 4 | Derivative | Series G Preferred Stock | 2025-07-03 | C | D | 740,741 | $0.00 | 0 | I By trust. | — · — to — | 222,445 Common Stock | (F2) The securities are held by the Harari Family Trust, for which the Reporting Person, together with his wife, are trustees. (F1) 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. |
| 5 | Derivative | Series G-1 Preferred Stock | 2025-07-03 | C | D | 1,206,898 | $0.00 | 0 | I By trust. | — · — to — | 362,432 Common Stock | (F2) The securities are held by the Harari Family Trust, for which the Reporting Person, together with his wife, are trustees. (F1) 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. |
| 6 | Derivative | Series H Preferred Stock | 2025-07-03 | C | D | 4,638,377 | $0.00 | 0 | I By trust. | — · — to — | 1,392,906 Common Stock | (F2) The securities are held by the Harari Family Trust, for which the Reporting Person, together with his wife, are trustees. (F1) 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. |
| 7 | Derivative | Series H Preferred Stock | 2025-07-03 | C | D | 1,724,139 | $0.00 | 0 | I By trust. | — · — to — | 517,759 Common Stock | (F3) The securities are held by Harari 2010 Children Remainder Trust - MHG, for which the Reporting Person, together with his wife, are trustees. (F1) 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. |
| 8 | Derivative | Series H Preferred Stock | 2025-07-03 | C | D | 1,724,139 | $0.00 | 0 | I By trust. | — · — to — | 517,759 Common Stock | (F4) The securities are held by Harari 2010 Children Remainder Trust - DAH, for which the Reporting Person, together with his wife, are trustees. (F1) 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. |
| 9 | Derivative | Series F-2 Preferred Stock | 2025-07-03 | C | D | 2,000,000 | $0.00 | 0 | I By trust. | — · — to — | 600,601 Common Stock | (F2) The securities are held by the Harari Family Trust, for which the Reporting Person, together with his wife, are trustees. (F1) 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. |
| 10 | Derivative | Series F-1 Preferred Stock | 2025-07-03 | C | D | 434,783 | $0.00 | 0 | I By trust. | — · — to — | 130,565 Common Stock | (F2) The securities are held by the Harari Family Trust, for which the Reporting Person, together with his wife, are trustees. (F1) 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. |
| 11 | Derivative | Series E Preferred Stock | 2025-07-03 | C | D | 434,782 | $0.00 | 0 | I By trust. | — · — to — | 130,565 Common Stock | (F2) The securities are held by the Harari Family Trust, for which the Reporting Person, together with his wife, are trustees. (F1) 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. |
| 12 | Derivative | Series D-2 Preferred Stock | 2025-07-03 | C | D | 934,588 | $0.00 | 0 | I By trust. | — · — to — | 280,657 Common Stock | (F2) The securities are held by the Harari Family Trust, for which the Reporting Person, together with his wife, are trustees. (F1) 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. |
| 13 | Derivative | Series D-1 Preferred Stock | 2025-07-03 | C | D | 222,222 | $0.00 | 0 | I By trust. | — · — to — | 66,733 Common Stock | (F2) The securities are held by the Harari Family Trust, for which the Reporting Person, together with his wife, are trustees. (F1) 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. |