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Petersen Rebecca Ann

Disclosed activity across 1 company

Tapewire entity
76200
SEC CIK
0002075458

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Reported relationships

Latest disclosed role at each company.

CompanyLast reported asReport datePublished
CapsoVision, IncCV · Entity 5974Director of Clinical AffairsAugust 18, 2025August 22, 2025

Disclosed balances

About these balances

Latest available filing per company, not a reconstructed current portfolio. Matching sequences show the last reported balance with all source rows expandable; grouping alone does not establish account ownership. Do not add unresolved positions together. Filings may omit unchanged positions, and amendments may correct only part of an older disclosure. Jointly reported shares are not necessarily this owner's personal holdings.

CapsoVision, Inc

Report date August 18, 2025 · Filed August 22, 2025

Security / awardOwnership accountDisclosed shares / unitsDisclosure context
Common StockSEC Table I · non-derivativeDirect24,834 Reported balance After 2025-08-18 transaction · row 1
1 source row

Row 1 · 2025-08-18 · Exercise / conversion · Acquired 24,834 · Balance 24,834

Stock Option (right to buy)SEC Table II · derivative / convertible security · Conversion / exercise price $0.37 · Expires 2031-10-31Direct0 Reported balance After 2025-08-18 transaction · row 2 Instrument identity requires review; Table II rows are not merged.
1 source row

Row 2 · 2025-08-18 · Exercise / conversion · Disposed 7,507 · Balance 0

F1: These options were previously reported at exercise price of $0.11 per share. The exercise price reported herein gives effect to a 1-for-3.33 reverse stock split effected by the Issuer on July 2, 2025 in connection with its initial public offering.

F2: The option was granted on October 28, 2021 and is fully vested and exercisable as of the transaction date.

F3: There options were previously reported as covering 25,000 and 70,000 shares, respectively. The number of shares reported herein gives effect to a 1-for-3.33 reverse stock split effected by the Issuer on July 2, 2025 in connection with its initial public offering.

Stock Option (right to buy)SEC Table II · derivative / convertible security · Conversion / exercise price $0.37 · Expires 2032-03-22Direct3,694 Reported balance After 2025-08-18 transaction · row 3 Instrument identity requires review; Table II rows are not merged.
1 source row

Row 3 · 2025-08-18 · Exercise / conversion · Disposed 17,327 · Balance 3,694

F1: These options were previously reported at exercise price of $0.11 per share. The exercise price reported herein gives effect to a 1-for-3.33 reverse stock split effected by the Issuer on July 2, 2025 in connection with its initial public offering.

F4: The option was granted on March 23, 2022 and is partially vested and exercisable as of the transaction date.

F3: There options were previously reported as covering 25,000 and 70,000 shares, respectively. The number of shares reported herein gives effect to a 1-for-3.33 reverse stock split effected by the Issuer on July 2, 2025 in connection with its initial public offering.

Filing footnotes · ownership attribution and instrument terms

F1: These options were previously reported at exercise price of $0.11 per share. The exercise price reported herein gives effect to a 1-for-3.33 reverse stock split effected by the Issuer on July 2, 2025 in connection with its initial public offering.

F2: The option was granted on October 28, 2021 and is fully vested and exercisable as of the transaction date.

F3: There options were previously reported as covering 25,000 and 70,000 shares, respectively. The number of shares reported herein gives effect to a 1-for-3.33 reverse stock split effected by the Issuer on July 2, 2025 in connection with its initial public offering.

F4: The option was granted on March 23, 2022 and is partially vested and exercisable as of the transaction date.

Transaction history

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Purchases/sales include open-market and private transactions. Plan disclosure applies to the filing; individual rows may differ. “Not disclosed” is not “unplanned.”

The cutoff filters transaction history only. Company summaries and owner relationships show the latest available disclosures. Parser corrections can improve historical records.

Transaction dateCompanyActivity / securityShares / unitsReported priceReported valueDetails
August 18, 2025 Filed Aug 22, 2025 20:44 UTC CapsoVision, Inc CV · Entity 5974 Exercise / conversionStock Option (right to buy) · Derivative 17,327 $0.00 Strike: $0.37 $0.00
Disclosure

SEC source: 0001378325-25-000014 · wk-form4_1755909887.xml · derivative · entry 3

Petersen Rebecca Ann · CIK 0002075458 · Director of Clinical Affairs

10b5-1 filing: No plan indicated

Ownership: Direct

Disclosed balance after: 3,694

Underlying: Common Stock · 17,327 shares

Expires 2032-03-22

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

F1 · derivative.exercise_price: These options were previously reported at exercise price of $0.11 per share. The exercise price reported herein gives effect to a 1-for-3.33 reverse stock split effected by the Issuer on July 2, 2025 in connection with its initial public offering.

F4 · derivative.exercise_date: The option was granted on March 23, 2022 and is partially vested and exercisable as of the transaction date.

F3 · derivative.underlying_shares: There options were previously reported as covering 25,000 and 70,000 shares, respectively. The number of shares reported herein gives effect to a 1-for-3.33 reverse stock split effected by the Issuer on July 2, 2025 in connection with its initial public offering.

F3 · balance_after: There options were previously reported as covering 25,000 and 70,000 shares, respectively. The number of shares reported herein gives effect to a 1-for-3.33 reverse stock split effected by the Issuer on July 2, 2025 in connection with its initial public offering.

Read SEC document
August 18, 2025 Filed Aug 22, 2025 20:44 UTC CapsoVision, Inc CV · Entity 5974 Exercise / conversionStock Option (right to buy) · Derivative 7,507 $0.00 Strike: $0.37 $0.00
Disclosure

SEC source: 0001378325-25-000014 · wk-form4_1755909887.xml · derivative · entry 2

Petersen Rebecca Ann · CIK 0002075458 · Director of Clinical Affairs

10b5-1 filing: No plan indicated

Ownership: Direct

Disclosed balance after: 0

Underlying: Common Stock · 7,507 shares

Expires 2031-10-31

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

F1 · derivative.exercise_price: These options were previously reported at exercise price of $0.11 per share. The exercise price reported herein gives effect to a 1-for-3.33 reverse stock split effected by the Issuer on July 2, 2025 in connection with its initial public offering.

F2 · derivative.exercise_date: The option was granted on October 28, 2021 and is fully vested and exercisable as of the transaction date.

F3 · derivative.underlying_shares: There options were previously reported as covering 25,000 and 70,000 shares, respectively. The number of shares reported herein gives effect to a 1-for-3.33 reverse stock split effected by the Issuer on July 2, 2025 in connection with its initial public offering.

F3 · balance_after: There options were previously reported as covering 25,000 and 70,000 shares, respectively. The number of shares reported herein gives effect to a 1-for-3.33 reverse stock split effected by the Issuer on July 2, 2025 in connection with its initial public offering.

Read SEC document
August 18, 2025 Filed Aug 22, 2025 20:44 UTC CapsoVision, Inc CV · Entity 5974 Exercise / conversionCommon Stock 24,834 $0.37 $9,096.69
Disclosure

SEC source: 0001378325-25-000014 · wk-form4_1755909887.xml · nonDerivative · entry 1

Petersen Rebecca Ann · CIK 0002075458 · Director of Clinical Affairs

10b5-1 filing: No plan indicated

Ownership: Direct

Disclosed balance after: 24,834

Exercise/conversion can include RSU settlement. Transaction price and option strike are different fields; a missing price is not zero. Derivative and underlying rows can describe the same event.

Read SEC document

Value uses the disclosed total when available, otherwise shares × reported transaction price. It is not an estimate of exercise cash cost or investment performance.