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ACUTE INVESTMENT ADVISORY, LLC

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13F filer, CIK 1944780, MESA, AZ

ACUTE INVESTMENT ADVISORY, LLC reported $9,456,157 across 18 holdings for the quarter ended 2026-06-30, in a 13F-HR filed 2026-07-28. Its ten largest share positions make up 74.99% of the portfolio.

Filed (acceptance time not in the bulk data set), ingested 13F-HR 0001754960-26-000643

Period
2026-06-30
Reported value
$9.46M
Holdings
18
Top 10 weight
74.99%
New
1
Sold out
1

Largest buys vs the previous quarter

SecurityShares changeApprox. value
MGKadded+2,767$243K
LRCXnew+500$217K
PGXadded+1,887$20.5K

Ranked by the share change valued at this quarter's implied price (value over shares in the 13F). A position sold out is valued at the previous quarter's price, its last report.

Largest sells vs the previous quarter

SecurityShares changeApprox. value
XLCexited-1,842-$204K
SPMBreduced-1,859-$41.5K
VTWOreduced-298-$36.2K
VGLTreduced-601-$33.2K
IWMreduced-88-$26.4K

Ranked by the share change valued at this quarter's implied price (value over shares in the 13F). A position sold out is valued at the previous quarter's price, its last report.

Holdings, Q2 2026

Share positions as resolved from 13F-HR 0001754960-26-000643, largest first. % of portfolio is the value over $9,456,157, the sum of the share positions whose value is usable for ratios (method).

SecurityHistorySharesValue% of portfolioChangeLatest eventTimeline
EMREMERSON ELEC COQuarterly shares; oldest to newest; scale is this security's eight-quarter maximum; 2024Q3: not reported; 2024Q4: not reported; 2025Q1: not reported; 2025Q2: not reported; 2025Q3: 12,020 shares; 2025Q4: 12,020 shares; 2026Q1: 12,020 shares; 2026Q2: 12,020 shares 12,020$1.72M18.2%0Timeline
PGXINVESCO EXCH TRADED FD TR IIQuarterly shares; oldest to newest; scale is this security's eight-quarter maximum; 2024Q3: 322,014 shares; 2024Q4: 186,915 shares; 2025Q1: 43,207 shares; 2025Q2: 27,145 shares; 2025Q3: 22,576 shares; 2025Q4: 19,662 shares; 2026Q1: 75,491 shares; 2026Q2: 77,378 shares 77,378$839K8.87%+1,887Timeline
SPHYSPDR SERIES TRUSTQuarterly shares; oldest to newest; scale is this security's eight-quarter maximum; 2024Q3: not reported; 2024Q4: not reported; 2025Q1: not reported; 2025Q2: not reported; 2025Q3: not reported; 2025Q4: not reported; 2026Q1: 35,900 shares; 2026Q2: 34,791 shares 34,791$816K8.62%-1,109Timeline
VTWOVANGUARD SCOTTSDALE FDSQuarterly shares; oldest to newest; scale is this security's eight-quarter maximum; 2024Q3: not reported; 2024Q4: not reported; 2025Q1: not reported; 2025Q2: not reported; 2025Q3: not reported; 2025Q4: not reported; 2026Q1: 6,090 shares; 2026Q2: 5,792 shares 5,792$703K7.44%-298Timeline
VGLTVANGUARD SCOTTSDALE FDSQuarterly shares; oldest to newest; scale is this security's eight-quarter maximum; 2024Q3: 204,867 shares; 2024Q4: 128,052 shares; 2025Q1: 13,209 shares; 2025Q2: 7,201 shares; 2025Q3: 6,006 shares; 2025Q4: 5,247 shares; 2026Q1: 10,558 shares; 2026Q2: 9,957 shares 9,957$549K5.81%-601Timeline
IWMISHARES TRQuarterly shares; oldest to newest; scale is this security's eight-quarter maximum; 2024Q3: not reported; 2024Q4: 16,301 shares; 2025Q1: 3,238 shares; 2025Q2: 1,936 shares; 2025Q3: 1,551 shares; 2025Q4: 1,281 shares; 2026Q1: 1,823 shares; 2026Q2: 1,735 shares 1,735$521K5.51%-88Timeline
QQQMINVESCO EXCH TRADED FD TR IIQuarterly shares; oldest to newest; scale is this security's eight-quarter maximum; 2024Q3: not reported; 2024Q4: not reported; 2025Q1: not reported; 2025Q2: not reported; 2025Q3: not reported; 2025Q4: not reported; 2026Q1: 1,799 shares; 2026Q2: 1,712 shares 1,712$519K5.49%-87Timeline
SPMBSPDR SERIES TRUSTQuarterly shares; oldest to newest; scale is this security's eight-quarter maximum; 2024Q3: 54,637 shares; 2024Q4: 31,909 shares; 2025Q1: not reported; 2025Q2: not reported; 2025Q3: not reported; 2025Q4: not reported; 2026Q1: 24,517 shares; 2026Q2: 22,658 shares 22,658$506K5.35%-1,859Timeline
IVVISHARES TRQuarterly shares; oldest to newest; scale is this security's eight-quarter maximum; 2024Q3: not reported; 2024Q4: not reported; 2025Q1: not reported; 2025Q2: not reported; 2025Q3: not reported; 2025Q4: not reported; 2026Q1: 659 shares; 2026Q2: 634 shares 634$475K5.02%-25Timeline
AAPLAPPLE INCQuarterly shares; oldest to newest; scale is this security's eight-quarter maximum; 2024Q3: 1,648 shares; 2024Q4: 1,426 shares; 2025Q1: 1,420 shares; 2025Q2: 1,430 shares; 2025Q3: 1,430 shares; 2025Q4: 1,535 shares; 2026Q1: 1,532 shares; 2026Q2: 1,532 shares 1,532$443K4.69%0Timeline
SPYSTATE STR SPDR S&P 500 ETF TQuarterly shares; oldest to newest; scale is this security's eight-quarter maximum; 2024Q3: not reported; 2024Q4: 7,947 shares; 2025Q1: 1,608 shares; 2025Q2: 950 shares; 2025Q3: 761 shares; 2025Q4: 652 shares; 2026Q1: 620 shares; 2026Q2: 593 shares 593$443K4.68%-27Timeline
QQQINVESCO QQQ TRQuarterly shares; oldest to newest; scale is this security's eight-quarter maximum; 2024Q3: not reported; 2024Q4: 10,593 shares; 2025Q1: 2,129 shares; 2025Q2: 1,287 shares; 2025Q3: 1,029 shares; 2025Q4: 866 shares; 2026Q1: 454 shares; 2026Q2: 440 shares 440$324K3.43%-14Timeline
COSTCOSTCO WHOLESALE CORPORATIONQuarterly shares; oldest to newest; scale is this security's eight-quarter maximum; 2024Q3: 407 shares; 2024Q4: 407 shares; 2025Q1: 377 shares; 2025Q2: 377 shares; 2025Q3: 377 shares; 2025Q4: 377 shares; 2026Q1: 342 shares; 2026Q2: 342 shares 342$320K3.38%0Timeline
MGKVANGUARD WORLD FDQuarterly shares; oldest to newest; scale is this security's eight-quarter maximum; 2024Q3: not reported; 2024Q4: 26,185 shares; 2025Q1: 5,354 shares; 2025Q2: 800 shares; 2025Q3: 638 shares; 2025Q4: not reported; 2026Q1: 716 shares; 2026Q2: 3,483 shares 3,483$306K3.24%+2,767Timeline
HYGHISHARES U S ETF TRQuarterly shares; oldest to newest; scale is this security's eight-quarter maximum; 2024Q3: not reported; 2024Q4: not reported; 2025Q1: not reported; 2025Q2: not reported; 2025Q3: not reported; 2025Q4: not reported; 2026Q1: 3,366 shares; 2026Q2: 3,127 shares 3,127$271K2.86%-239Timeline
SPYVSPDR SERIES TRUSTQuarterly shares; oldest to newest; scale is this security's eight-quarter maximum; 2024Q3: not reported; 2024Q4: not reported; 2025Q1: not reported; 2025Q2: 10,384 shares; 2025Q3: 8,326 shares; 2025Q4: 7,278 shares; 2026Q1: 4,204 shares; 2026Q2: 4,024 shares 4,024$245K2.59%-180Timeline
DGROISHARES TRQuarterly shares; oldest to newest; scale is this security's eight-quarter maximum; 2024Q3: not reported; 2024Q4: not reported; 2025Q1: not reported; 2025Q2: 4,257 shares; 2025Q3: 3,449 shares; 2025Q4: 2,983 shares; 2026Q1: 3,317 shares; 2026Q2: 3,165 shares 3,165$240K2.54%-152Timeline
LRCXLAM RESEARCH CORPQuarterly shares; oldest to newest; scale is this security's eight-quarter maximum; 2024Q3: not reported; 2024Q4: not reported; 2025Q1: not reported; 2025Q2: not reported; 2025Q3: not reported; 2025Q4: not reported; 2026Q1: not reported; 2026Q2: 500 shares 500$217K2.29%newTimeline

Sold out in Q2 2026

Positions in the previous quarter's report that this quarter's report no longer lists.

SecurityShares beforeValue beforeType
XLCSELECT SECTOR SPDR TR1,842$204Kshares

How Q2 2026 was built

Available 13F filings of this filer for the quarter and their roles: the base report is the latest original or restatement, NEW HOLDINGS amendments filed after it are added (method).

FilingRoleAmendmentFiledAcceptedIngested
13F-HR 0001754960-26-000643 base2026-07-28acceptance time not in the bulk data set