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        Signature
      
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        /s/ Shannon Trevino, attorney-in-fact for Mitch C. Hill
      
      
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        Stock symbol
      
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        NARI
      
      
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        Transactions as of
      
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        Dec 12, 2023
      
      
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        Transactions value $
      
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        -$404,885
      
      
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        Form type
      
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        4
      
      
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        Date filed
      
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        12/14/2023, 04:35 PM
      
 
     
   
 
  
    Transactions Table
  
  
    
      
        
          | Type | Sym | Class | Transaction | Value $ | Shares | Change % | * Price $ | Shares After | Date | Ownership | Footnotes | 
      
      
          
            | transaction | NARI | Common Stock | Options Exercise | $2.97K | +6.5K | +3.82% | $0.46* | 177K | Dec 12, 2023 | Direct | F1 | 
          
            | transaction | NARI | Common Stock | Sale | -$182K | -2.92K | -1.65% | $62.24 | 174K | Dec 12, 2023 | Direct | F1, F2 | 
          
            | transaction | NARI | Common Stock | Sale | -$226K | -3.58K | -2.06% | $63.16 | 170K | Dec 12, 2023 | Direct | F1, F3 | 
          
            | holding | NARI | Common Stock |  |  |  |  |  | 1.6K | Dec 12, 2023 | By Spouse |  | 
      
    
   
  
    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 | 
      
      
          
            | transaction | NARI | Stock Options (Right to Buy) | Options Exercise | $0 | -6.5K | -6.44% | $0.00 | 94.5K | Dec 12, 2023 | Common Stock | 6.5K | $0.46 | Direct | F1, F4 | 
      
    
   
  
    * An asterisk sign (*) next to the price indicates that the price is likely invalid.
  
  Buy Plan / Sale Plan: These are also open market purchases/sales of shares, but in this case the transaction is part of a trading plan. Rule 10b5-1 allows insiders to setup a trading plan to buy/sell stocks over a certain period of time. Since the purchases/sales are predetermined, this protects the insiders from violating insider trading law.
  Transaction was made pursuant to a contract, instruction or written plan for the purchase or sale of equity securities of the issuer that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c).
  
    Explanation of Responses: