| Name | Relationship | Address | Signature | Signature date | CIK |
|---|---|---|---|---|---|
| Samuelson Doug | Chief Financial Officer | C/O KAIROS PHARMA, LTD., 2355 WESTWOOD BLVD, #139, LOS ANGELES | /s/ Doug Samuelson | 26 Nov 2025 | 0001943326 |
| Type | Sym | Class | Transaction | Value $ | Shares | Change % | * Price $ | Shares After | Date | Ownership | Footnotes |
|---|---|---|---|---|---|---|---|---|---|---|---|
| transaction | KAPA | COMMON STOCK | Award | $0 | +153K | +108.77% | $0.00 | 293K | 08 Oct 2025 | Direct | F1, F2 |
| Id | Content |
|---|---|
| F1 | Represents 152,672 restricted stock units ("RSUs") issued to the Reporting Person under the Kairos Pharma, Ltd. 2023 Equity Incentive Plan. The 152,672 RSUs are scheduled to vest in full on the first anniversary of the grant date. |
| F2 | Consists of (1) 140,367 shares of common stock and (2) 152,672 RSUs which remain subject to vesting. |