Sec Form 4 Filing - Freund John Gordon @ SI-BONE, Inc. - 2020-12-02

Insider filing report for Changes in Beneficial Ownership
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FORM 4
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
Freund John Gordon
2. Issuer Name and Ticker or Trading Symbol
SI-BONE, Inc. [ SIBN]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X __ Director _____ 10% Owner
_____ Officer (give title below) _____ Other (specify below)
(Last) (First) (Middle)
C/O SKYLINE VENTURES, 525 UNIVERSITY AVENUE, SUITE 1350
3. Date of Earliest Transaction (MM/DD/YY)
12/02/2020
(Street)
PALO ALTO, CA94301
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
Common Stock 12/02/2020 S 100,000 D $ 23.2848 ( 1 ) 1,529,932 I By Skyline Venture Partners V, LP ( 2 )
Common Stock 12/03/2020 S 47,886 D $ 23.393 ( 3 ) 1,482,046 ( 4 ) I By Skyline Venture Partners V, LP ( 2 )
Common Stock 100,570 ( 5 ) I By John Freund Family Partnership IV, L.P ( 6 )
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 4. Transaction Code
(Instr. 8)
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4, and 5)
6. Date Exercisable and Expiration Date
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(Instr. 3 and 4)
8. Price of Derivative Security
(Instr. 5)
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 4)
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4)
11. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Freund John Gordon
C/O SKYLINE VENTURES
525 UNIVERSITY AVENUE, SUITE 1350
PALO ALTO, CA94301
X
Signatures
/s/ Michael A. Pisetsky, Attorney-in-Fact for John G. Freund 12/04/2020
Signature of Reporting Person Date
Explanation of Responses:
( 1 )The price reported in column 4 is a weighted-average price. The shares were sold in multiple transactions ranging from $22.45 to $23.43, inclusive. The Reporting Person undertakes to provide the Issuer, any securityholder of the Issuer, or the Staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in this footnote.
( 2 )Shares held by SVP V. Skyline Venture Management V, LLC ("LLC") is the general partner of SVP V and as such may be deemed to have votingand investment power with respect to the securities of SVP V. Reporting Person, a member of Issuer's board of directors, is a managing directorof LLC and may be deemed to have voting and investment power with respect to the securities held by SVP V. Reporting Person disclaimsbeneficial ownership of such securities, except to the extent of his pecuniary interest therein.
( 3 )The price reported in column 4 is a weighted-average price. The shares were sold in multiple transactions ranging from $22.95 to $23.6950, inclusive. The Reporting Person undertakes to provide the Issuer, any securityholder of the Issuer, or the Staff of the Securities and Exchange Commission, upon request, full information regarding the number of shares sold at each separate price within the range set forth in these footnotes.
( 4 )Reflects a previous pro rata distribution by Skyline Venture Partners V, L.P. ("SVP V") of 500,000 shares, for no consideration.
( 5 )Includes shares acquired in a pro rata distribution from Skyline Venture Partners V, L.P.
( 6 )Shares held by John Freund Family Partnership IV, L.P. ("Family LP"). Reporting Person, a member of Issuer's board of directors, is a generalpartner of Family LP and may be deemed to have voting and investment power with respect to the securities held by Family LP. ReportingPerson disclaims beneficial ownership of such securities, except to the extent of his pecuniary interest therein.

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4(b)(v).
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