Changes in Beneficial Ownership · 4

GMR Solutions Inc.

GMRSNYSEEQUITYCurrent

Changes in Beneficial Ownership

Filed Sep 15, 2026Accepted Sep 15, 2026, 6:06 AM EDTFiling CIK 1898718Accession 0001104659-26-107672

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Structured filing — 4

tm2625330-6_4seq1.xml

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Filing details

Report period: 2026-09-14
Issuer: GMR Solutions Inc.
Issuer CIK: 0001898718
Trading symbol: GMRS

Reporting owner 1

Name: Van Horne Edward
Reporting owner CIK: 0001584200
Relationship: Officer
Officer title: President & COO
Address: C/O GMR SOLUTIONS INC., 4400 HWY, 121, SUITE 700, LEWISVILLE, TX, 75056

Non-derivative transactions

Non-derivative transactions · 2 reported rows
Security	Transaction date	Code	Amount	A / D	Price (USD)	Owned after	Ownership
Class A Common Stock	2026-09-14	S · Form 4^[F1]	262,278	D	12.20	575,004	D
Class A Common Stock	2026-09-14	F · Form 4^[F2]	1	D	13.26	575,003	D

Table key

S · Form 4: Sale on the market or privately
D: Direct
F · Form 4: Securities delivered or withheld for exercise price or tax liability under Rule 16b-3

Footnotes

F1: As part of broader sell-to-cover transactions by Issuer employees, these shares were sold to cover tax withholding obligations in connection with the settlement of restricted stock units and performance-based restricted stock units.↩ 1
F2: Represents a share withheld to cover tax withholding obligations in connection with the settlement of restricted stock units.↩ 1

Signature 1

Signed: /s/ Thomas Cook, Attorney-in-Fact
Date: 2026-09-15

Company context

We are the largest provider of emergency medical services (“EMS”) and one of the largest integrated providers of essential alternate-site, out-of-hospital care in the United States, and are one of the largest mobile clinical practice groups globally. We care for patients when they need us most — whether at home, at the site of an accident, while attending an event or in other settings where time-sensitive care is needed. As the entry point for patients into the healthcare system, we deploy our expertly trained and credentialed clinical teams to provide on-site care, and if necessary, transport patients to the most appropriate healthcare facility, or, if the patient is non-emergent, navigate the patient to a less acute setting. As the only national, fully-integrated air and ground EMS provider, our operations span approximately 1,400 U.S. counties, covering both rural and urban communities which are home to more than 60% of the U.S. population as of December 31, 2025. We are at the front line of the healthcare continuum, encountering approximately 15,000 patients per day or approximately 5.5 million patients annually and our clinicians perform a critical care intervention every 89 seconds. Because of our scale, we have a data set of more than 80 million patient care records, which we use to track care processes and patient outcomes, and identify the most effective methods for patient care. Our team of more than 24,000 clinicians serves as the first line of care, providing life

Current securities

GMRSNYSE · EQUITY · Current

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