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
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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person *
Savitz Adam

(Last) (First) (Middle)
C/O ALTO NEUROSCIENCE, INC.
650 CASTRO STREET, SUITE 450

(Street)
MOUNTAIN VIEW CA 94041

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Alto Neuroscience, Inc. [ ANRO ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
CHIEF MEDICAL OFFICER
3. Date of Earliest Transaction (Month/Day/Year)
07/03/2025
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
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
Employee Stock Option (Right to Buy) $ 2.35 07/03/2025   A   22,481     (1) 08/01/2032 Common Stock 22,481 (2) (3) 22,481 D  
Employee Stock Option (Right to Buy) $ 6.23 07/03/2025   D     22,481   (1) 08/01/2032 Common Stock 22,481 (2) (3) 0 D  
Employee Stock Option (Right to Buy) $ 2.35 07/03/2025   A   33,008     (4) 04/13/2033 Common Stock 33,008 (2) (3) 33,008 D  
Employee Stock Option (Right to Buy) $ 6.23 07/03/2025   D     33,008   (4) 04/13/2033 Common Stock 33,008 (2) (3) 0 D  
Employee Stock Option (Right to Buy) $ 2.35 07/03/2025   A   123,645     (5) 12/19/2033 Common Stock 123,645 (2) (3) 123,645 D  
Employee Stock Option (Right to Buy) $ 5.3 07/03/2025   D     123,645   (5) 12/19/2033 Common Stock 123,645 (2) (3) 0 D  
Employee Stock Option (Right to Buy) $ 2.35 07/03/2025   A   73,000     (6) 02/28/2034 Common Stock 73,000 (2) (3) 73,000 D  
Employee Stock Option (Right to Buy) $ 14.88 07/03/2025   D     73,000   (6) 02/28/2034 Common Stock 73,000 (2) (3) 0 D  
Employee Stock Option (Right to Buy) $ 2.35 07/03/2025   A   76,000     (7) 02/04/2035 Common Stock 76,000 (2) (3) 76,000 D  
Employee Stock Option (Right to Buy) $ 4.2 07/03/2025   D     76,000   (7) 02/04/2035 Common Stock 76,000 (2) (3) 0 D  
Explanation of Responses:
1. The shares subject to the option are fully vested and exercisable.
2. The transactions reported herein reflect a one-time stock option repricing (the "Option Repricing") effective on July 3, 2025 (the "Repricing Date"). The Option Repricing applies to options with exercise prices greater than $2.35 per share held by continuing employees of the Issuer as of the Repricing Date.
3. Pursuant to the Option Repricing, the exercise price of the repriced options has been amended to reduce the exercise price to $2.35 per share, the closing price of the Issuer's common stock on the Repricing Date. However, if an employee exercises a repriced option before the end of a retention period of one year (subject to earlier termination in certain circumstances), such employee will be required to pay the original exercise price per share of such repriced option. There is no change to the vesting schedules, expiration dates of, or number of shares underlying the repriced options.
4. 25% of the shares underlying the option vested on January 1, 2024, and one forty-eighth (1/48th) of the shares underlying the option vested or shall vest in monthly installments thereafter, subject to the Reporting Person's continuous service through each such vesting date.
5. 25% of the shares underlying the option vested on December 20, 2024, and one forty-eighth (1/48th) of the shares underlying the option vested or shall vest in monthly installments thereafter, subject to the Reporting Person's continuous service through each such vesting date.
6. 25% of the shares underlying the option vested on March 1, 2025, and one forty-eighth (1/48th) of the shares underlying the option vested or shall vest in monthly installments thereafter, subject to the Reporting Person's continuous service through each such vesting date.
7. 25% of the shares underlying the option shall vest on February 5, 2026, and one forty-eighth (1/48th) of the shares underlying the option shall vest in monthly installments thereafter, subject to the Reporting Person's continuous service through each such vesting date.
/s/ Erin R. McQuade, Attorney-in-Fact 07/08/2025
** Signature of Reporting Person Date
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* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
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