## Sarafan Lily

|     |     |     |
| --- | --- | --- |
| 1\. Name and Address of Reporting Person\* | 2\. Issuer Name and Ticker or Trading Symbol | 5\. Relationship of Reporting Person(s) to Issuer (Check all applicable) |
|  | Serve Robotics Inc. /DE/ \[ SERV \] | X Director 10% Owner <br> Officer (give title below) Other (specify below) |
| C/O SERVE ROBOTICS INC.<br>1360 BAYPORT AVENUE | 3\. Date of Earliest Transaction (Month/Day/Year) <br>2026-06-17 |  |
| SAN CARLOS CA 94070 |  | 6\. Individual or Joint/Group Filing (Check Applicable Line)<br>X Form filed by One Reporting Person<br> Form filed by More than One Reporting Person |
|  |  |  |

## nonderivative securities

|     |     |     |     |     |     |     |     |     |     |     |
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| Non-Derivative Securities |  |  |  |  |  |  |  |  |  |  |
|  |  |  |  |  |  |  |  |  |  |  |
| Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned |  |  |  |  |  |  |  |  |  |  |
| 1\. Title of Security | 2\. Transaction Date <br>(Month/Day/Year) | 2A. Deemed Execution Date, if any <br>(Month/Day/Year) | 3\. Transaction Code |  | 4\. Securities Acquired (A) or Disposed Of (D) |  |  | 5\. Amount of Securities Beneficially Owned Following Reported Transaction(s) | 6\. Ownership Form: Direct (D) or Indirect (I) | 7\. Nature of Indirect Beneficial Ownership |
|  |  |  | Code | V | Amount | (A) or (D) | Price |  |  |  |
| Common Stock | 06/17/2026 |  | A |  | 20,000 (1) | A | 0 | 78402 | D |  |

## derivative securities

|     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |
| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |
| Derivative Securities |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
| Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned <br> (e.g., puts, calls, warrants, options, convertible securities) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
| 1\. Title of Derivative Security | 2\. Conversion or Exercise Price of Derivative Security | 3\. Transaction Date <br>(Month/Day/Year) | 3A. Deemed Execution Date, if any <br>(Month/Day/Year) | 4\. Transaction Code |  | 5\. Number of Derivative Securities Acquired (A) or Disposed of (D) |  | 6\. Date Exercisable and Expiration Date <br>(Month/Day/Year) |  | 7\. Title and Amount of Securities Underlying Derivative Security |  | 8\. Price of Derivative Security | 9\. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) | 10\. Ownership Form: Direct (D) or Indirect (I) | 11\. Nature of Indirect Beneficial Ownership |
|  |  |  |  | Code | V | (A) | (D) | Date Exercisable | Expiration Date | Title | Amount or Number of Shares |  |  |  |  |