As of April 17, 2026, the three largest insider holders of ALMS are Capital Management Company, Lp Ayurmaya (Director, 15.14Mn shares), Capital Management Company, Lp Ayurmaya (Director, 10.65Mn shares), Srinivas Akkaraju (Director, 4.80Mn shares).
| Holder | Position | Shares (Direct) | Shares (Indirect) | Report Date |
|---|---|---|---|---|
| Capital Management Company, Lp Ayurmaya | - | 0 | 15,139,707 | 23 May, 2025 |
| Capital Management Company, Lp Ayurmaya | - | 0 | 10,645,966 | 03 Jul, 2024 |
| Srinivas Akkaraju | - | 0 | 4,801,370 | 23 May, 2025 |
| Capital Management V, Llc Foresite | - | 0 | 4,202,670 | 03 Jul, 2024 |
| Srinivas Akkaraju | - | 0 | 1,853,488 | 13 Jan, 2026 |
| James B. Tananbaum | - | 0 | 680,486 | 03 Apr, 2026 |
| Labs, Llc Foresite | - | 0 | 680,486 | 03 Apr, 2026 |
| Capital Management Vi Llc Foresite | - | 0 | 680,486 | 03 Apr, 2026 |
| Mark Christopher Bradley | Chief Development Officer | 48,728 | 0 | 31 Jul, 2025 |
| Derrick Richardson | Svp, People And Culture | 42,800 | 0 | 31 Jul, 2025 |
| Sara Klein | General Counsel Corp Secy | 33,796 | 0 | 01 Jul, 2024 |
| Zhengbin Yao | - | 23,529 | 0 | 01 Jul, 2024 |
| Mark Christopher Bradley | Chief Development Officer | 0 | 20,026 | 01 Jul, 2024 |
| Sanam Pangali | Chief Legal Officer | 11,111 | 0 | 31 Jul, 2025 |
| Patrick Machado | - | 0 | 7,064 | 23 May, 2025 |
* Please note that the shares above only reflect shares from the fund portfolio and the institutional portfolio. Shares from the personal portfolio are excluded from this Institutional Ownership Page. See these insiders' latest transactions here on Insider Page.
| Transaction Date | Insider Name | Security Class | Transaction Type | Shares Traded | Price | Shares Remaining | Ownership | Code |
|---|---|---|---|---|---|---|---|---|
| 01 Apr, 2026 | Capital Management Vi Llc Foresite | Common Stock | D | 1,176,470 | $0.00 | 0 | I | J |
| 01 Apr, 2026 | Labs, Llc Foresite | Common Stock | D | 1,176,470 | $0.00 | 0 | I | J |
| 01 Apr, 2026 | James B. Tananbaum | Common Stock | D | 1,176,470 | $0.00 | 0 | I | J |
| 01 Apr, 2026 | Labs, Llc Foresite | Common Stock | A | 1,123,337 | $0.00 | 1,123,337 | I | J |
| 01 Apr, 2026 | Capital Management Vi Llc Foresite | Common Stock | A | 1,123,337 | $0.00 | 1,123,337 | I | J |
| 01 Apr, 2026 | James B. Tananbaum | Common Stock | A | 1,123,337 | $0.00 | 1,123,337 | I | J |
| 01 Apr, 2026 | Labs, Llc Foresite | Common Stock | D | 1,123,337 | $0.00 | 0 | I | J |
| 01 Apr, 2026 | Capital Management Vi Llc Foresite | Common Stock | D | 1,123,337 | $0.00 | 0 | I | J |
| 01 Apr, 2026 | James B. Tananbaum | Common Stock | D | 1,123,337 | $0.00 | 0 | I | J |
| 01 Apr, 2026 | James B. Tananbaum | Common Stock | A | 680,486 | $0.00 | 680,486 | I | J |
| 01 Apr, 2026 | Capital Management Vi Llc Foresite | Common Stock | A | 680,486 | $0.00 | 680,486 | I | J |
| 01 Apr, 2026 | Labs, Llc Foresite | Common Stock | A | 680,486 | $0.00 | 680,486 | I | J |
| 26 Jan, 2026 | Mark Christopher Bradley | Stock Option (Right to Buy) | A | 190,225 | $0.00 | 190,225 | D | A |
| 26 Jan, 2026 | Sanam Pangali | Stock Option (Right to Buy) | A | 186,200 | $0.00 | 186,200 | D | A |
| 09 Jan, 2026 | Srinivas Akkaraju | Common Stock | A | 588,235 | $17.00 | 1,853,488 | I | P |
| 08 Jan, 2026 | Labs, Llc Foresite | Common Stock | A | 117,647 | $17.00 | 5,702,536 | I | P |
| 08 Jan, 2026 | James B. Tananbaum | Common Stock | A | 117,647 | $17.00 | 5,702,536 | I | P |
| 08 Jan, 2026 | Capital Management Vi Llc Foresite | Common Stock | A | 117,647 | $17.00 | 5,702,536 | I | P |
| 08 Jan, 2026 | Capital Management Vi Llc Foresite | Common Stock | A | 294,117 | $17.00 | 2,908,332 | I | P |
| 08 Jan, 2026 | Labs, Llc Foresite | Common Stock | A | 294,117 | $17.00 | 2,908,332 | I | P |