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SPRUCE BIOSCIENCES, INC.

For the period ended Dec 31, 2025. Filed Mar 9, 2026.

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About this filing

A company's yearly report to the SEC, with audited financial statements. It is the fullest account a company gives of its business, its finances and the risks it sees.

FY2025 · Filed Mar 9, 2026

SPRB$46.67-5.4%Stored close · as of Nov 10, 2026

Extracted filing text, with the paragraph anchors used by the comparison.

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Contents

Item 15. Exhibit and Financial Statement Schedules

a)

We have filed the following documents as part of this Annual Report:

Financial Statements

The financial statements are included in Item 8. “Financial Statements and Supplementary Data.”

Financial Statement Schedules

All schedules are omitted as information required is inapplicable or the information is presented in the financial statements and the related notes.

Exhibits

The following is a list of exhibits filed with this Annual Report incorporated herein by reference (numbered in accordance with Item 601 of Regulation S-K):

ExhibitNumberExhibit DescriptionFormFile No.ExhibitFiling Date
3.1Amended and Restated Certificate of Incorporation8-K001-395943.1October 14, 2020
3.2Certificate of Amendment of the Amended and Restated Certificate of Incorporation8-K001-395943.1July 24, 2025
3.3Amended and Restated Bylaws8-K001-395943.2October 14, 2020
4.1Form of Common Stock CertificateS-1/A333-2489244.1October 5, 2020
4.2Certificate of Designation of Preferences, Rights and Limitations of Series A Preferred Stock8-K001-395943.1May 29, 2025
4.3Description of Common Stock of the registrant10-K001-395944.4March 22, 2021
4.4Form of 2023 Common Stock Purchase Warrant8-K001-395944.2February 9, 2023
4.5Form of 2025 Pre-Funded Warrant to Purchase Common Stock10-K001-395944.7April 15, 2025
4.6Form of Amended 2025 Pre-Funded Warrant to Purchase Common Stock10-Q001-395944.2August 14, 2025
4.7Form of Amended and Restated 2025 Pre-Funded Warrant to Purchase Common StockFiled herewith
4.8Form of Pre-Funded Warrant to Purchase Common Stock8-K001-395944.1October 8, 2025
4.9Form of 2026 Warrant to Purchase Common StockFiled herewith
10.1+Spruce Biosciences, Inc. Amended and Restated 2016 Equity Incentive PlanS-1333-24892410.1September 18, 2020
10.2+Forms of Grant Notice, Stock Option Agreement and Notice of Exercise under the Spruce Biosciences, Inc. Amended and Restated 2016 Equity Incentive PlanS-1333-24892410.2September 18, 2020
10.3+Spruce Biosciences, Inc. 2020 Equity Incentive PlanS-1/A333-24892410.3October 5, 2020
10.4+Forms of Grant Notice, Stock Option Agreement and Notice of Exercise under the Spruce Biosciences, Inc. 2020 Equity Incentive PlanS-1333-24892410.4September 18, 2020
10.5+Forms of Restricted Stock Unit Grant Notice and Award Agreement under the Spruce Biosciences, Inc. 2020 Equity Incentive Plan10-K001-3959410.5March 16, 2023
10.6+Spruce Biosciences, Inc. 2020 Employee Stock Purchase PlanS-1/A333-24892410.5October 5, 2020
10.7+Spruce Biosciences, Inc. 2020 Employee Stock Purchase Plan Offering Document10-K001-3959410.6March 22, 2021
10.8+Form of Stock Option Grant Notice, Option Agreement and Notice of Exercise for Inducement Grant Outside of the Spruce Biosciences, Inc. 2020 Equity Incentive Plan8-K001-3959410.2January 5, 2022
10.9+Spruce Biosciences, Inc. 2020 Non-Employee Director Compensation Policy, as amended on December 11, 2025Filed herewith
10.10+Form of Indemnification Agreement by and between the registrant and its directors and executive officersS-1333-24892410.7September 18, 2020
10.11+Spruce Biosciences, Inc. Severance and Change in Control PlanS-1333-24892410.9September 18, 2020
10.12+¥Offer Letter, by and between the registrant and Samir Gharib, dated April 8, 2020S-1333-24892410.16September 18, 2020
10.13+Letter Agreement, by and between the registrant and Michael Grey, dated March 24, 2017S-1333-24892410.18September 18, 2020
10.14+Letter Agreement, by and between the registrant and Camilla V. Simpson, dated October 11, 2017S-1333-24892410.19September 18, 2020
10.15+Letter Agreement, by and between the registrant and Daniel Spiegelman, dated August 31, 2020S-1333-24892410.20September 18, 2020
10.16+Offer Letter, by and between the registrant and Javier Szwarcberg, M.D., MPH, dated December 29, 20218-K001-3959410.1January 5, 2022
10.17+Amendment to Offer Letter, by and between the registrant and Javier Szwarcberg, M.D., MPH, dated April 6, 20228-K001-3959410.1April 8, 2022
10.18#License Agreement, by and between the registrant and Eli Lilly and Company, dated May 2, 2016S-1333-24892410.22September 18, 2020
10.19Lease Agreement, by and between the registrant and 611 Gateway Center LP, dated December 1, 20228-K001-3959410.1December 2, 2022
10.20#Collaboration and License Agreement, by and between the registrant and Kaken Pharmaceutical Co., LTD., dated January 5, 202310-K001-3959410.27March 16, 2023
10.21Securities Purchase Agreement, dated February 8, 2023, by and among the registrant and the Purchasers8-K001-3959410.1February 8, 2023
10.22#Exclusive License Agreement, dated October 22, 2019, by and between BioMarin Pharmaceutical Inc. and Allievex Corp.10-K001-3959410.27April 15, 2025
10.23#Collaboration and License Agreement, dated January 15, 2025, by and between the registrant and HBM Alpha Therapeutics, Inc.10-K001-3959410.28April 15, 2025
10.24Form of Securities Purchase Agreement, dated October 7, 2025, by and among the registrant and the Purchasers8-K001-3959410.1October 8, 2025
10.25Purchase Agreement, dated May 28, 2025, by and between the registrant and the purchaser named therein8-K001-3959410.1May 29, 2025
10.26Loan and Security Agreement, dated January 7, 2026, by and between the registrant, Avenue Capital Management II, L.P. and Avenue Venture Opportunities Fund II, L.P.8-K001-3959410.1January 8, 2026
10.27Supplement to the Loan and Security Agreement, dated January 7, 2026, by and between the registrant, Avenue Capital Management II, L.P. and Avenue Venture Opportunities Fund II, L.P.8-K001-3959410.2January 8, 2026
19.1Insider Trading Policy10-K001-3959419.1April 15, 2025
23.1Consent of BDO USA, P.C., independent registered public accounting firmFiled herewith
24.1Power of Attorney (see signature pages)
31.1Certification of Principal Executive Officer Pursuant to Rules 13a-14(a) and 15d-14(a) under the Securities Exchange Act of 1934, as Adopted Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002Filed herewith
31.2Certification of Principal Financial Officer Pursuant to Rules 13a-14(a) and 15d-14(a) under the Securities Exchange Act of 1934, as Adopted Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002Filed herewith
32.1†Certification of Principal Executive Officer Pursuant to 18 U.S.C. Section 1350, as Adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002Filed herewith
32.2†Certification of Principal Financial Officer Pursuant to 18 U.S.C. Section 1350, as Adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002Filed herewith
97Incentive Compensation Recoupment Policy10-K001-3959497March 18, 2024
101.INSInline XBRL Instance Document
101.SCHInline XBRL Taxonomy Extension Schema with Embedded Linkbase Document
104Cover Page Interactive Data File (formatted as inline XBRL and contained in Exhibit 101)
  • Indicates management contract or compensatory plan

Pursuant to Item 601(b)(10) of Regulation S-K, certain portions of this exhibit have been omitted by means of marking such portions with asterisks because the registrant has determined that the information is the type that the registrant customarily and actually treats as private or confidential and is not material.

¥ Schedules have been omitted pursuant to Item 601(a)(5) of Regulation S-K. The registrant undertakes to furnish supplemental copies of any of the omitted schedules upon request by the SEC.

† The information in Exhibits 32.1 and 32.2 shall not be deemed “filed” for purposes of Section 18 of the Exchange Act, or otherwise subject to the liabilities of that section, nor shall it be deemed incorporated by reference in any filing under the Securities Act or the Exchange Act (including this Annual Report), unless the Registrant specifically incorporates the foregoing information into those documents by reference.

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