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[Form 3] Ceribell, Inc. Initial Statement of Beneficial Ownership

Filing Impact
(Low)
Filing Sentiment
(Neutral)
Form Type
3

Ceribell director Erica J. Rogers filed an initial Form 3 reporting her relationship to Ceribell, Inc. (CBLL) with an event date of 09/17/2025. The filing states that no securities are beneficially owned by the reporting person. The form was signed by an attorney-in-fact, Louisa Daniels, on 09/19/2025, and includes Exhibit 24 (Power of Attorney).

La direttrice di Ceribell, Erica J. Rogers, ha presentato un modulo iniziale Form 3 per riferire la sua relazione con Ceribell, Inc. (CBLL) con una data di evento del 17/09/2025. La dichiarazione indica che nessun titolo è posseduto in modo vantaggioso dalla persona che presenta il modulo. Il modulo è stato firmato da un procuratore ad acta, Louisa Daniels, il 19/09/2025, e include l’Allegato 24 (Procura).
La directora de Ceribell, Erica J. Rogers, presentó un Formulario 3 inicial reportando su relación con Ceribell, Inc. (CBLL) con fecha de evento el 17/09/2025. La presentación indica que ningún valor es propiedad beneficiosa por la persona que presenta el informe. El formulario fue firmado por un apoderado, Louisa Daniels, el 19/09/2025, e incluye el Anexo 24 (Poder Notarial).
Ceribell의 이사 에리카 J. 로저스는 Ceribell, Inc. (CBLL)와의 관계를 보고하기 위한 초기 Form 3를 제출했으며, 이벤트 날짜는 2025-09-17입니다. 보고자는 유익하게 보유한 증권이 없음을 명시합니다. 이 양식은 대리인 Louisa Daniels가 2025-09-19에 서명했으며, 부속서 24 (위임장)를 포함합니다.
La directrice de Ceribell, Erica J. Rogers, a déposé un Formulaire 3 initial signalant sa relation avec Ceribell, Inc. (CBLL) avec une date d’événement au 17/09/2025. Le dépôt indique que aucun titre n’est détenu par la personne déclarant. Le formulaire a été signé par un mandataire, Louisa Daniels, le 19/09/2025, et comprend l’Exhibit 24 (Power of Attorney).
Ceribell-Direktorin Erica J. Rogers hat einen anfänglichen Form 3 eingereicht, um ihre Beziehung zu Ceribell, Inc. (CBLL) mit einem Ereignisdatum vom 17.09.2025 zu melden. In der Einreichung wird angegeben, dass keine Wertpapiere im Eigentum der meldepflichtigen Person stehen. Das Formular wurde von einem Bevollmächtigten, Louisa Daniels, am 19.09.2025 unterzeichnet und enthält Anlage 24 (Vollmacht).
قامت مديرة Ceribell، إيريكا ج. روجرز، بتقديم نموذج 3 ابتدائي للإبلاغ عن علاقتها بـ Ceribell, Inc. (CBLL) بتاريخ حدث هو 17/09/2025. تنص الإيداع على أن لا توجد أسهم مملوكة بشكل مفيد من قبل الشخص المبلغ. وتم توقيع النموذج من قبل الوكيل القانوني، لويزا دانيلز، في 19/09/2025، ويتضمن المرفق 24 (توكيل).
Ceribell 董事 Erica J. Rogers 提交了初始 Form 3 来报告她与 Ceribell, Inc. (CBLL) 的关系,事件日期为 2025/09/17。该申报表表示该申报人 并无受益持有的证券。该表格由代理律师 Louisa Daniels 于 2025/09/19 签署,并包含 附件 24(授权书)。
Positive
  • None.
Negative
  • None.

Insights

TL;DR: Initial director filing shows no beneficial ownership; routine governance disclosure with minimal investor impact.

The Form 3 documents that Erica J. Rogers is a director of Ceribell, Inc. and that, as of the reported event date, she does not beneficially own any securities of the issuer. The filing was executed via power of attorney, which is noted by inclusion of Exhibit 24 and the attorney-in-fact signature. This is a standard Section 16 disclosure establishing reporting obligations and does not disclose transactions, holdings, or changes in control.

TL;DR: Compliance filing is complete and routine; absence of holdings means no immediate Section 16 trading disclosures.

The initial statement identifies the reporting person, relationship (Director), issuer (Ceribell, CBLL) and shows no securities beneficially owned. The form properly indicates it was filed by one reporting person and includes the power of attorney exhibit. From a compliance perspective, the submission documents reporting status but contains no reportable ownership or derivative positions that would trigger additional disclosures.

La direttrice di Ceribell, Erica J. Rogers, ha presentato un modulo iniziale Form 3 per riferire la sua relazione con Ceribell, Inc. (CBLL) con una data di evento del 17/09/2025. La dichiarazione indica che nessun titolo è posseduto in modo vantaggioso dalla persona che presenta il modulo. Il modulo è stato firmato da un procuratore ad acta, Louisa Daniels, il 19/09/2025, e include l’Allegato 24 (Procura).
La directora de Ceribell, Erica J. Rogers, presentó un Formulario 3 inicial reportando su relación con Ceribell, Inc. (CBLL) con fecha de evento el 17/09/2025. La presentación indica que ningún valor es propiedad beneficiosa por la persona que presenta el informe. El formulario fue firmado por un apoderado, Louisa Daniels, el 19/09/2025, e incluye el Anexo 24 (Poder Notarial).
Ceribell의 이사 에리카 J. 로저스는 Ceribell, Inc. (CBLL)와의 관계를 보고하기 위한 초기 Form 3를 제출했으며, 이벤트 날짜는 2025-09-17입니다. 보고자는 유익하게 보유한 증권이 없음을 명시합니다. 이 양식은 대리인 Louisa Daniels가 2025-09-19에 서명했으며, 부속서 24 (위임장)를 포함합니다.
La directrice de Ceribell, Erica J. Rogers, a déposé un Formulaire 3 initial signalant sa relation avec Ceribell, Inc. (CBLL) avec une date d’événement au 17/09/2025. Le dépôt indique que aucun titre n’est détenu par la personne déclarant. Le formulaire a été signé par un mandataire, Louisa Daniels, le 19/09/2025, et comprend l’Exhibit 24 (Power of Attorney).
Ceribell-Direktorin Erica J. Rogers hat einen anfänglichen Form 3 eingereicht, um ihre Beziehung zu Ceribell, Inc. (CBLL) mit einem Ereignisdatum vom 17.09.2025 zu melden. In der Einreichung wird angegeben, dass keine Wertpapiere im Eigentum der meldepflichtigen Person stehen. Das Formular wurde von einem Bevollmächtigten, Louisa Daniels, am 19.09.2025 unterzeichnet und enthält Anlage 24 (Vollmacht).
SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number: 3235-0104
Estimated average burden
hours per response: 0.5
1. Name and Address of Reporting Person*
Rogers Erica J.

(Last) (First) (Middle)
C/O CERIBELL, INC.
360 N PASTORIA AVE

(Street)
SUNNYVALE CA 94085

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
09/17/2025
3. Issuer Name and Ticker or Trading Symbol
Ceribell, Inc. [ CBLL ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Explanation of Responses:
Remarks:
Exhibit List: Exhibit 24 - Power of Attorney
No securities are beneficially owned.
/s/ Louisa Daniels, Attorney-in-Fact for Erica J. Rogers 09/19/2025
** Signature of Reporting Person Date
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 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.

FAQ

What did Erica J. Rogers report on Form 3 for Ceribell (CBLL)?

The Form 3 states that Erica J. Rogers is a Director of Ceribell and that she does not beneficially own any securities as of the event date 09/17/2025.

When was the Form 3 signed and who signed it?

The form was signed by Louisa Daniels, Attorney-in-Fact for Erica J. Rogers on 09/19/2025.

Does the Form 3 disclose any stock or option holdings for CBLL?

No. The filing explicitly states: No securities are beneficially owned.

Does the filing include any exhibits?

Yes. The filing lists Exhibit 24, which is a Power of Attorney.

What is the effective date of the event requiring this Form 3?

The event date reported on the Form 3 is 09/17/2025.
CeriBell, Inc.

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