ALMS's three largest insider shareholders as of September 29, 2026 are Capital Management Company, Lp Ayurmaya (Director, 15.14Mn shares), Capital Management Company, Lp Ayurmaya (Director, 10.65Mn shares), Srinivas Akkaraju (Director, 7.24Mn shares).
| # | Insider | Position | Direct | Indirect | Total | Share of Insiders | Last Filed |
|---|---|---|---|---|---|---|---|
| 1 | Capital Management Company, Lp Ayurmaya | Director, TenPercentOwner, Other | 0 | 25,785,673 | 25,785,673 | 64.7% | 23 May, 2025 |
| 2 | Srinivas Akkaraju | Director | 0 | 7,235,809 | 7,235,809 | 18.1% | 09 Sep, 2026 |
| 3 | Capital Management V, Llc Foresite | TenPercentOwner | 0 | 4,202,670 | 4,202,670 | 10.5% | 03 Jul, 2024 |
| 4 | Labs, Llc Foresite | TenPercentOwner | 0 | 680,486 | 680,486 | 1.7% | 03 Apr, 2026 |
| 5 | James B. Tananbaum | Director, TenPercentOwner | 0 | 680,486 | 680,486 | 1.7% | 03 Apr, 2026 |
| 6 | Capital Management Vi Llc Foresite | TenPercentOwner | 0 | 680,486 | 680,486 | 1.7% | 03 Apr, 2026 |
| 7 | Roy C. Hardiman | Chief Business Strategy Ofcr | 207,746 | 0 | 207,746 | 0.5% | 05 Aug, 2026 |
| 8 | Martin Babler | President, Ceo And Chairman | 0 | 106,454 | 106,454 | 0.3% | 03 Apr, 2025 |
| 9 | Jorn Drappa | Chief Medical Officer | 56,892 | 0 | 56,892 | 0.1% | 05 Aug, 2026 |
| 10 | Mark Christopher Bradley | Chief Development Officer | 48,533 | 0 | 48,533 | 0.1% | 05 Aug, 2026 |
| 11 | Derrick Richardson | Svp, People And Culture | 42,800 | 0 | 42,800 | 0.1% | 31 Jul, 2025 |
| 12 | Sara Klein | General Counsel Corp Secy | 33,796 | 0 | 33,796 | 0.1% | 01 Jul, 2024 |
| 13 | David M Goldstein | Chief Scientific Officer | 30,970 | 0 | 30,970 | 0.1% | 05 Aug, 2026 |
| 14 | Zhengbin Yao | Director | 27,082 | 0 | 27,082 | 0.1% | 02 Jul, 2026 |
| 15 | John R. Schroer | Chief Financial Officer | 24,718 | 0 | 24,718 | 0.1% | 05 Aug, 2026 |
| 16 | Alan Colowick | Director | 0 | 18,404 | 18,404 | 0.0% | 03 Apr, 2025 |
| 17 | Sanam Pangali | Chief Legal Officer | 9,747 | 0 | 9,747 | 0.0% | 05 Aug, 2026 |
| 18 | Patrick Machado | Director | 3,553 | 0 | 3,553 | 0.0% | 02 Jul, 2026 |
| 19 | Sapna Srivastava | Director | 3,553 | 0 | 3,553 | 0.0% | 02 Jul, 2026 |
| 20 | Lynn A. Tetrault | Director | 3,553 | 0 | 3,553 | 0.0% | 02 Jul, 2026 |
Each row is that insider’s most recently reported position, from Form 4 filings over the last 60 months — which is why this total does not tie to the quarterly series above, where a quarter counts only the insiders who filed in it. Shares held through a fund or institutional portfolio are counted on the institutional ownership page instead.
| Date | Insider | Position | Transaction | Shares | Price | Value | Shares Held After | Ownership |
|---|---|---|---|---|---|---|---|---|
| 04 Sep, 2026 | Srinivas Akkaraju | Director | Acquired P | 220,070 | $11.17 | $2.46Mn | 4,711,801 | Indirect |
| 04 Sep, 2026 | Srinivas Akkaraju | Director | Acquired P | 220,070 | $11.17 | $2.46Mn | 2,073,558 | Indirect |
| 08 Sep, 2026 | Srinivas Akkaraju | Director | Disposed S | 48,066 | $10.55 | $507.02K | 4,663,735 | Indirect |
| 08 Sep, 2026 | Srinivas Akkaraju | Director | Disposed S | 48,065 | $10.55 | $507.01K | 2,025,493 | Indirect |
| 08 Sep, 2026 | Srinivas Akkaraju | Director | Acquired P | 273,291 | $10.63 | $2.90Mn | 4,937,026 | Indirect |
| 08 Sep, 2026 | Srinivas Akkaraju | Director | Acquired P | 273,290 | $10.63 | $2.90Mn | 2,298,783 | Indirect |
| 03 Aug, 2026 | David M Goldstein | Chief Scientific Officer | Disposed S | 2,596 | $26.37 | $68.46K | 30,970 | Direct |
| 03 Aug, 2026 | Sanam Pangali | Chief Legal Officer | Disposed S | 1,364 | $26.37 | $35.97K | 9,747 | Direct |
| 03 Aug, 2026 | Roy C. Hardiman | Chief Business Strategy Ofcr | Disposed S | 2,692 | $26.37 | $70.99K | 207,746 | Direct |
| 03 Aug, 2026 | Jorn Drappa | Chief Medical Officer | Disposed S | 2,447 | $26.37 | $64.53K | 56,892 | Direct |
| 03 Aug, 2026 | Mark Christopher Bradley | Chief Development Officer | Disposed S | 2,572 | $26.37 | $67.82K | 48,533 | Direct |
| 03 Aug, 2026 | John R. Schroer | Chief Financial Officer | Disposed S | 3,282 | $26.37 | $86.55K | 24,718 | Direct |
| 06 Jul, 2026 | Sanam Pangali | Chief Legal Officer | Acquired M | 5,000 | $5.06 | $25.30K | 16,111 | Direct |
| 06 Jul, 2026 | Sanam Pangali | Chief Legal Officer | Disposed S | 5,000 | $28.00 | $140.00K | 11,111 | Direct |
| 06 Jul, 2026 | Sanam Pangali | Chief Legal Officer | Disposed M | 5,000 | $0.00 | $0 | 36,000 | Direct |
| 30 Jun, 2026 | Sapna Srivastava | Director | Acquired A | 3,553 | $0.00 | $0 | 3,553 | Direct |
| 30 Jun, 2026 | Zhengbin Yao | Director | Acquired A | 3,553 | $0.00 | $0 | 27,082 | Direct |
| 30 Jun, 2026 | Srinivas Akkaraju | Director | Acquired A | 3,553 | $0.00 | $0 | 3,553 | Direct |
| 30 Jun, 2026 | Lynn A. Tetrault | Director | Acquired A | 3,553 | $0.00 | $0 | 3,553 | Direct |
| 30 Jun, 2026 | Patrick Machado | Director | Acquired A | 3,553 | $0.00 | $0 | 3,553 | Direct |