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[Form 3] CapsoVision, Inc Initial Statement of Beneficial Ownership

Filing Impact
(Low)
Filing Sentiment
(Neutral)
Form Type
3
Rhea-AI Filing Summary

CapsoVision, Inc. (CV) filed a Form 3 for an officer reporting no holdings. On 11/03/2025, Senior Vice President of Finance David Garcia submitted an initial statement of beneficial ownership indicating no securities are beneficially owned.

The filing was executed via Power of Attorney by Kang-Huai (Johnny) Wang. This is an administrative disclosure under Section 16 and does not reflect a transaction or change in ownership.

Positive
  • None.
Negative
  • None.
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*
Garcia David Michael

(Last) (First) (Middle)
C/O CAPSOVISION, INC.
18805 COX AVENUE, SUITE 250

(Street)
SARATOGA CA 95070

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
11/03/2025
3. Issuer Name and Ticker or Trading Symbol
CapsoVision, Inc [ CV ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Sr. VP of Finance
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 24 - Power of Attorney
No securities are beneficially owned.
/s/ Kang-Huai (Johnny) Wang, Attorney-in-Fact for David Garcia 11/03/2025
** 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 CapsoVision (CV) disclose in this Form 3?

A Senior Vice President of Finance filed an initial beneficial ownership statement reporting no securities beneficially owned.

Who is the reporting person in CapsoVision’s Form 3?

The reporting person is David Garcia, Sr. VP of Finance.

What is the event date on the Form 3 for CV?

The event date is 11/03/2025.

Does the officer own any CapsoVision securities?

No. The filing states No securities are beneficially owned.

What type of filing is this for CapsoVision (CV)?

This is a Form 3, the initial statement of beneficial ownership under Section 16.

Who signed the Form 3 for CapsoVision?

It was signed by Kang-Huai (Johnny) Wang as Attorney-in-Fact for David Garcia, citing Exhibit 24 - Power of Attorney.
CapsoVision, Inc.

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Medical Devices
Electromedical & Electrotherapeutic Apparatus
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United States
SARATOGA