Form 4 for SI SHOULDER INNOVATIONS, INC.
Accepted 2025-08-05 00:00:00 ET · period of report 2025-08-01 · accession 0001641172-25-022251 · 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 | Sidow Kevin K. | Dir | C - Cnv Deriv | — | +12.3K | 12.3K | New | — |
| D | 2025-08-05 | 2025-08-01 | SI | Sidow Kevin K. | Dir | A - Grant | $0.00 | +7,666 | 20.0K | +62% | $0 |
| D | 2025-08-05 | 2025-08-01 | SI | Sidow Kevin K. | Dir | C - Cnv Deriv | — | -235.5K | 0 | -100% | — |
Purchase Sale Sale after option exercise All abbreviations
Every reported transaction
| # | Table | Security | Date | Code | A/D | Shares | Price | Owned after | Own | Exercise / expiry | Underlying | Footnotes |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | Common | Common Stock | 2025-08-01 | C | A | 12,344 | — | 12,344 | 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 | Common | Common Stock | 2025-08-01 | A | A | 7,666 | $0.00 | 20,010 | D | — | — | (F2) Represents an award of restricted stock units ("RSUs"). The RSUs will vest on the earlier of the date of the annual meeting of stockholders to be held in 2026 or August 1, 2026. Each RSU represents a contingent right to receive one share of the Issuer's Common Stock and has no expiration date. |
| 3 | Derivative | Series D Convertible Preferred Stock | 2025-08-01 | C | D | 235,524 | — | 0 | D | — · — to — | 12,344 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. |