Form Type: 4

SEC EDGAR Link
Accession Number:0001562180-20-000426
Date:2020-01-15
Issuer: SI-BONE, INC. (SIBN)
Original Submission Date:

Reporting Person:

RECKLING W CARLTON
C/O SI-BONE, INC.
471 EL CAMINO REAL, SUITE 101 SANTA CLARA, CA 95050

Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
Title of SecurityTransaction Date2a. Deemed Execution Date Transaction CodeSharesAcquired or DisposedPrice per share 5. Amount of Securities Beneficially Owned Following Reported Transaction 6. Ownership Form Direct or IndirectNature of Indirect Ownership
COMMON STOCK 2020-01-15 M 5,000 a $3.96 49,170 direct
COMMON STOCK 2020-01-15 S 5,000 d $21.22 44,170 direct
Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, convertible securities
Title of Derivative Security Conversion or Exercise Price of Derivative Security Transaction Date Deemed Execution Date Transaction Code Number of Derivative Securities Acquired (A) or Disposed of (D) Date ExercisableExpiration Date Title and Amount of Securities Underlying Derivative Security Price of Derivative Security Number of derivative Securities Beneficially Owned Following Reported Transaction(s) Ownership Form: Direct (D) or Indirect (I) Nature of Indirect Beneficial Ownership
STOCK OPTION (RIGHT TO BUY) 3.96 2020-01-15 deemed execution date M 5,000 (d) 2023-03-18 common stock 5,000 $3.96 20,554 direct
Footnotes
IDfootnote
f1 the sale reported on this form 4 was effected pursuant to a 10b5-1 trading plan.
f2 the price reported in column 4 is a weighted-average price. the shares were sold in multiple transactions ranging from $21.00 to $21.57, inclusive.
f3 includes 40,080 shares issuable on settlement of restricted stock units granted to the reporting person. each restricted stock unit represents a contingent right to receive on shares of the issuer's common stock.
f4 the shares subject to the option vest in equal monthly installments over four years commencing on vesting commencement date, subject to reporting person's continued service through each relevant vesting date.
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