| Name | Relationship | Address | Signature | Signature date | CIK |
|---|---|---|---|---|---|
| Atkinson Douglas Patrick | Head of Global Sales | C/O CAPSOVISION, INC., 18805 COX AVENUE, SUITE 250, SARATOGA | /s/ Tai Vivatvaraphol, Attorney-in-Fact for Douglas Atkinson | 01 Jul 2025 | 0002074105 |
| Type | Sym | Class | Transaction | Value $ | Shares | Change % | * Price $ | Shares After | Date | Underlying Class | Amount | Exercise Price | Ownership | Footnotes |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| holding | CV | Stock Option (right to buy) | 01 Jul 2025 | Common Stock | 120,000 | $0.0860 | Direct | F1, F2 | ||||||
| holding | CV | Stock Option (right to buy) | 01 Jul 2025 | Common Stock | 100,000 | $0.1100 | Direct | F1, F2 | ||||||
| holding | CV | Stock Option (right to buy) | 01 Jul 2025 | Common Stock | 200,000 | $0.1700 | Direct | F2, F3 |
| Id | Content |
|---|---|
| F1 | These derivative securities are fully vested. |
| F2 | The number of underlying shares of common stock reported in Column 3 and the exercise price reported in Column 4 do not reflect a one-for-3.33 reverse stock split, to be effective immediately prior to the closing to the Issuer's initial public offering. |
| F3 | The option vests as to 25% of the shares subject to the option on June 16, 2024 and as to the remaining 75% of the shares in 36 equal monthly installments thereafter through June 16, 2027, subject to continued service to the Issuer on each such date. The options, to the extent then outstanding and unvested, will vest in full upon a change in control of the Issuer. |
Exhibit 24 - Power of Attorney