Douglas Patrick Atkinson - 01 Jul 2025 Form 3 Insider Report for CapsoVision, Inc (CV)

Signature
/s/ Tai Vivatvaraphol, Attorney-in-Fact for Douglas Atkinson
Issuer symbol
CV
Transactions as of
01 Jul 2025
Net transactions value
$0
Form type
3
Filing time
01 Jul 2025, 21:35:47 UTC

Reporting Owners (1)

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

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

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
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

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.

Remarks:

Exhibit 24 - Power of Attorney