Form Type: 4

SEC EDGAR Link
Accession Number:0001562180-20-005325
Date:2020-08-03
Issuer: SI-BONE, INC. (SIBN)
Original Submission Date:

Reporting Person:

DUNN JEFFREY W
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 2020-08-03 S 4,771 d $17.51 351,169 indirect
COMMON STOCK 2020-08-04 S 25,229 d $19.24 325,940 indirect f4
COMMON STOCK 2020-08-03 0 $0.00 234,156 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
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 $17.50 to $17.55, inclusive. the reporting person undertakes to provide the issuer, any securityholder of the issuer, or the staff of the securities and exchange commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in these footnotes.
f3 the price reported in column 4 is a weighted-average price. the shares were sold in multiple transactions ranging from $18.80 to $19.8050, inclusive. the reporting person undertakes to provide the issuer, any securityholder of the issuer, or the staff of the securities and exchange commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in these footnotes.
f4 shares held by the jeffrey w. dunn living trust dated may 17, 2012.
f5 includes 194,953 shares issuable on the settlement of restricted stock units granted to the reporting person. each restricted stock unit represents a contingent right to receive one shares of the issuer's common stock.
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