InsiderTrades

Form 4 for SI SHOULDER INNOVATIONS, INC.

Accepted 2025-08-05 00:00:00 ET · period of report 2025-08-01 · accession 0001641172-25-022243 · 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
D 2025-08-05 2025-08-01 SI Blue David Lawrence SEE REMARKS C - Cnv Deriv — +43.9K 43.9K New —
DMI 2025-08-05 2025-08-01 SI Blue David Lawrence SEE REMARKS C - Cnv Deriv — -838.4K 0 -100% —

Purchase Sale Sale after option exercise All abbreviations

Every reported transaction

#TableSecurityDateCodeA/DSharesPriceOwned afterOwnExercise / expiryUnderlyingFootnotes
1 Common Common Stock 2025-08-01 C A 43,937 — 43,937 D — — (F1) Immediately prior to the closing of the Issuer's initial public offering, the shares of preferred stock of the Issuer automatically converted into shares of Common Stock on a one-for-0.052410901 basis.
2 Derivative Series Seed Convertible Preferred Stock 2025-08-01 C D 100,000 — 0 I By David Lawrence Blue Living Trust — · — to — 5,241 Common Stock (F1) Immediately prior to the closing of the Issuer's initial public offering, the shares of preferred stock of the Issuer automatically converted into shares of Common Stock on a one-for-0.052410901 basis.
3 Derivative Series A Convertible Preferred Stock 2025-08-01 C D 346,333 — 0 I By David Lawrence Blue Living Trust — · — to — 18,151 Common Stock (F1) Immediately prior to the closing of the Issuer's initial public offering, the shares of preferred stock of the Issuer automatically converted into shares of Common Stock on a one-for-0.052410901 basis.
4 Derivative Series B Convertible Preferred Stock 2025-08-01 C D 308,916 — 0 I By David Lawrence Blue Living Trust — · — to — 16,190 Common Stock (F1) Immediately prior to the closing of the Issuer's initial public offering, the shares of preferred stock of the Issuer automatically converted into shares of Common Stock on a one-for-0.052410901 basis.
5 Derivative Series C Convertible Preferred Stock 2025-08-01 C D 46,512 — 0 I By David Lawrence Blue Living Trust — · — to — 2,437 Common Stock (F1) Immediately prior to the closing of the Issuer's initial public offering, the shares of preferred stock of the Issuer automatically converted into shares of Common Stock on a one-for-0.052410901 basis.
6 Derivative Series E Convertible Preferred Stock 2025-08-01 C D 36,614 — 0 I By David Lawrence Blue Living Trust — · — to — 1,918 Common Stock (F1) Immediately prior to the closing of the Issuer's initial public offering, the shares of preferred stock of the Issuer automatically converted into shares of Common Stock on a one-for-0.052410901 basis.