0001562180-24-005337.txt : 20240627
0001562180-24-005337.hdr.sgml : 20240627
20240627195926
ACCESSION NUMBER: 0001562180-24-005337
CONFORMED SUBMISSION TYPE: 4/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240626
FILED AS OF DATE: 20240627
DATE AS OF CHANGE: 20240627
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: West Thomas A.
CENTRAL INDEX KEY: 0001620705
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-38701
FILM NUMBER: 241080990
MAIL ADDRESS:
STREET 1: C/O INTERSECT, INC.
STREET 2: 1555 ADAMS DRIVE
CITY: MENLO PARK
STATE: CA
ZIP: 94025
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: SI-BONE, Inc.
CENTRAL INDEX KEY: 0001459839
STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
ORGANIZATION NAME: 08 Industrial Applications and Services
IRS NUMBER: 262216351
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 471 EL CAMINO REAL, SUITE 101
CITY: SANTA CLARA
STATE: CA
ZIP: 95050
BUSINESS PHONE: 4082070700
MAIL ADDRESS:
STREET 1: 471 EL CAMINO REAL, SUITE 101
CITY: SANTA CLARA
STATE: CA
ZIP: 95050
FORMER COMPANY:
FORMER CONFORMED NAME: SI-Bone Inc.
DATE OF NAME CHANGE: 20090326
4/A
1
primarydocument.xml
PRIMARY DOCUMENT
X0508
4/A
2024-06-26
2024-06-27
false
0001459839
SI-BONE, Inc.
SIBN
0001620705
West Thomas A.
C/O SI-BONE, INC.
471 EL CAMINO REAL, SUITE 101
SANTA CLARA
CA
95050
true
false
false
false
false
Common Stock
2024-06-26
4
A
false
18315.00
0.00
A
18315.00
D
On June 27, 2024, the Reporting Person filed a Form 4 which inadvertently reported the wrong number of shares issuable on the settlement of restricted stock units. The correct number of shares issuable on the settlement of restricted stock unit is 18,315 shares. Each restricted stock unit represents a contingent right to receive one share of the Issuer's common stock. The shares subject to the restricted stock unit will be vesting in a series of 12 equal quarterly increments starting on the Vesting Commencement Date, subject to the Reporting Person's continuous service as a member of the Issuer's Board of Directors on each applicable vesting date.
/s/ Michael A. Pisetsky, Attorney-in-Fact for Thomas A. West
2024-06-27