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Profusa (PFSA) director receives 553,665 shares and 380,280 warrants

Filing Impact
(Neutral)
Filing Sentiment
(Neutral)
Form Type
4

Rhea-AI Filing Summary

Profusa, Inc. director Jack E. Stover reported receiving Profusa securities from NorthView Sponsor I LLC through a pro rata distribution. On January 26, 2026, he acquired 553,665 shares of common stock and 380,280 warrants for no consideration.

The warrants relate to 380,280 shares of common stock, carry an exercise price of $11.5 per share, became exercisable on January 26, 2026, and expire on July 11, 2030. After the transaction, Stover directly beneficially owned the same amounts of common stock and warrants reported as acquired.

Positive

  • None.

Negative

  • None.
SEC Form 4
FORM 4 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
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number: 3235-0287
Estimated average burden
hours per response: 0.5
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan for the purchase or sale of equity securities of the issuer that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10.
1. Name and Address of Reporting Person*
STOVER JACK E

(Last) (First) (Middle)
626 BANCROFT WAY, SUITE A

(Street)
BERKELEY CA 94710

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Profusa, Inc. [ PFSA ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
X Director 10% Owner
Officer (give title below) Other (specify below)
3. Date of Earliest Transaction (Month/Day/Year)
01/26/2026
4. 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 Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 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 01/26/2026 J(1) 553,665 A (1) 553,665 D
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 (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 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 (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (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: 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
Warrants $11.5 01/26/2026 J(1) 380,280 01/26/2026 07/11/2030 Common Stock 380,280 $0 380,280 D
Explanation of Responses:
1. 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.
/s/ Jack Stover 01/30/2026
** 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 4 (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 does Jack E. Stovers Form 4 filing for Profusa (PFSA) report?

The Form 4 reports that director Jack E. Stover received Profusa securities via a pro rata distribution from NorthView Sponsor I LLC, including common stock and warrants, with no purchase price paid by Stover.

How many Profusa (PFSA) common shares did Jack E. Stover receive?

Jack E. Stover received 553,665 shares of Profusa common stock. These shares were distributed to him for no consideration as part of a pro rata distribution of issuer securities held by NorthView Sponsor I LLC to its members.

What warrants did Jack E. Stover receive in the Profusa (PFSA) Form 4?

Stover received 380,280 warrants to purchase Profusa common stock. The warrants cover 380,280 shares, have an exercise price of $11.5 per share, became exercisable on January 26, 2026, and expire on July 11, 2030.

Did Jack E. Stover pay anything for the Profusa (PFSA) shares and warrants?

According to the filing, the distribution was made for no consideration. NorthView Sponsor I LLC distributed 553,665 common shares and 380,280 warrants to Stover as part of a pro rata distribution of issuer securities to its members.

What is Jack E. Stovers relationship to Profusa (PFSA)?

The Form 4 lists Jack E. Stover as a director of Profusa, Inc. He is not identified as an officer or a 10% owner in this filing, and the report is filed as an individual reporting person.

How many Profusa (PFSA) securities does Jack E. Stover beneficially own after the transaction?

After the reported transaction, Stover beneficially owned 553,665 shares of Profusa common stock and 380,280 warrants, all held directly. These amounts match the securities he received in the pro rata distribution.
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