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