JACK E. STOVER - 26 Jan 2026 Form 4 Insider Report for Profusa, Inc. (PFSA)

Role
Director
Signature
/s/ Jack Stover
Issuer symbol
PFSA
Transactions as of
26 Jan 2026
Net transactions value
$0
Form type
4
Filing time
30 Jan 2026, 16:27:03 UTC
Previous filing
22 Dec 2025
SEC
View on sec.gov

Reporting Owners (1)

Name Relationship Address Signature Signature date CIK
STOVER JACK E Director 626 BANCROFT WAY, SUITE A, BERKELEY /s/ Jack Stover 30 Jan 2026 0001203603

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction PFSA Common Stock Other +553,665 553,665 26 Jan 2026 Direct F1

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 PFSA Warrants Other $0 +380,280 $0.000000 380,280 26 Jan 2026 Common Stock 380,280 $11.50 Direct F1
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Represents the distribution for no consideration by NorthView Sponsor I LLC (the "Sponsor") to the Reporting Person of (i) 553,665 shares of Common Stock, and (ii) 380,280 warrants to purchase shares of Common Stock, in connection with a pro rata distribution of Issuer securities held by the Sponsor to its members.