0001950047-23-000204.txt : 20230421 0001950047-23-000204.hdr.sgml : 20230421 20230421162520 ACCESSION NUMBER: 0001950047-23-000204 CONFORMED SUBMISSION TYPE: 144 PUBLIC DOCUMENT COUNT: 1 FILED AS OF DATE: 20230421 DATE AS OF CHANGE: 20230421 SUBJECT COMPANY: COMPANY DATA: COMPANY CONFORMED NAME: SI-BONE, Inc. CENTRAL INDEX KEY: 0001459839 STANDARD INDUSTRIAL CLASSIFICATION: SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841] IRS NUMBER: 262216351 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 144 SEC ACT: 1933 Act SEC FILE NUMBER: 001-38701 FILM NUMBER: 23836698 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 REPORTING-OWNER: COMPANY DATA: COMPANY CONFORMED NAME: Pisetsky Michael A CENTRAL INDEX KEY: 0001754765 FILING VALUES: FORM TYPE: 144 MAIL ADDRESS: STREET 1: C/O SI-BONE, INC. STREET 2: 471 EL CAMINO REAL, SUITE 101 CITY: SANTA CLARA STATE: CA ZIP: 95050 144 1 primary_doc.xml 144 0001754765 XXXXXXXX LIVE 0001459839 SI BONE INC 001-38701 471 El Camino Real, Suite 101 Santa Clara CA 95050 4082070700 Michael Pisetsky Officer COMMON Morgan Stanley Smith Barney LLC Executive Financial Services

1 New York Plaza 38th Fl. New York NY 10004

11410 253530.20 34985640 04/21/2023 NASDAQ Common 05/01/2021 Restricted Stock Units Issuer N 5410 05/01/2021 N/A Common 04/21/2023 Exercise of Stock Options Issuer N 6000 04/21/2023 Cash N 10b5-1 Sales Plan for MICHAEL ANDREW PISETSKY

471 El Camino Real, Suite 101 Santa Clara CA 95050

Common 02/28/2023 14293 288162.59 MICHAEL ANDREW PISETSKY

471 El Camino Real, Suite 101 Santa Clara CA 95050

Common 02/16/2023 3366 56481.48 04/21/2023 12/16/2022 /s/ Michael Pisetsky