| Name | Relationship | Address | Signature | Signature date | CIK |
|---|---|---|---|---|---|
| Sidow Kevin | Director | C/O CARLSMED, INC., 1800 ASTON AVE., SUITE 100, CARLSBAD | /s/ Leonard Greenstein, as attorney-in-fact for Kevin Sidow | 2025-07-22 | 0001416947 |
| Type | Sym | Class | Transaction | Value $ | Shares | Change % | * Price $ | Shares After | Date | Underlying Class | Amount | Exercise Price | Ownership | Footnotes |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| holding | CARL | Series B Preferred Stock | Jul 22, 2025 | Common Stock | 28.9K | Direct | F1 | |||||||
| holding | CARL | Stock Option (Right to Buy) | Jul 22, 2025 | Common Stock | 51.6K | $0.33 | Direct | F2, F3, F6 | ||||||
| holding | CARL | Stock Option (Right to Buy) | Jul 22, 2025 | Common Stock | 44.8K | $2.12 | Direct | F2, F4, F6 | ||||||
| holding | CARL | Stock Option (Right to Buy) | Jul 22, 2025 | Common Stock | 7.2K | $5.91 | Direct | F2, F5, F6 |
| Id | Content |
|---|---|
| F1 | Includes 28,900 shares of Series B Preferred Stock issued to the Reporting Person on April 18, 2022. Each share of Series B Preferred Stock is convertible into one share of the Issuer's common stock immediately prior to the closing of the Issuer's initial public offering. These shares are reported after giving effect to the 1-to-5.58 reverse split of the Issuer's common and preferred stock, effected on July 10, 2025 (the "Reverse Split"). These shares are reported on an as-converted 1-to-1 basis and have no expiration date. |
| F2 | These options are reported after giving effect to the Reverse Split of the Issuer's common stock. |
| F3 | Includes 51,638 fully vested and exercisable options convertible into approximately 51,638 shares of the Issuer's common stock. |
| F4 | Includes 13,067 fully vested and exercisable options convertible into approximately 13,067 shares of the Issuer's common stock, and 31,735 unvested stock options convertible into approximately 31,735 shares of the Issuer's common stock. These options began to vest on May 1, 2024, subject to a one-year cliff, and will be fully vested on May 1, 2028. |
| F5 | Includes 7,196 unvested stock options convertible into approximately 7,196 shares of the Issuer's common stock which began to vest on December 31, 2024, subject to a one-year cliff, and will be fully vested on December 31, 2028. |
| F6 | The exercise price has been adjusted to reflect the Reverse Split. |