Avi S. Katz - Jul 3, 2024 Form 4 Insider Report for QT IMAGING HOLDINGS, INC. (QTI)

Role
Chairman, Director, 10%+ Owner
Signature
/s/ Dr. Avi S. Katz
Stock symbol
QTI
Transactions as of
Jul 3, 2024
Transactions value $
$0
Form type
4
Date filed
7/9/2024, 08:41 PM
Previous filing
Jul 1, 2024
Next filing
Aug 28, 2024
SEC
View on sec.gov

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction QTI Common Stock Other $0 -106K -1.81% $0.00 5.74M Jul 5, 2024 By GigAcquisitions5, LLC F1, F2, F3
holding QTI Common Stock 26.6K Jul 3, 2024 Direct

Derivative Securities (e.g., puts, calls, warrants, options, convertible securities)

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Underlying Class Amount Exercise Price Ownership Footnotes
transaction QTI Stock Option (right to buy) Award $0 +40K $0.00 40K Jul 3, 2024 Common Stock 40K $0.75 Direct F4
transaction QTI Private Warrants Other $0 -106K -100% $0.00* 0 Jul 5, 2024 Common Stock 106K $2.30 By GigAcquisitions5, LLC F3, F5
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 Distribution of shares of Common Stock to direct and indirect members of GigAcqusitions5, LLC (the "Sponsor").
F2 The total reported shares is a result of the deduction of the number of disposed shares of Common Stock from 5,840,773 shares of Common Stock as previously reported in Form 4 filed by the Reporting Person on July 1, 2024.
F3 The Common Stock is held directly by Sponsor. The shares held by the Sponsor are beneficially owned by Dr. Katz. Dr. Katz is also the Manager of the Sponsor, who has sole voting and dispositive power over the shares held by the Sponsor.
F4 One-third of the option will vest on February 15, 2025, and the remaining two thirds will vest in eight equal quarterly installments on each subsequent May 15, August 15, November 15 and February 15, such that the option will be fully vested on February 15, 2027, subject to Dr. Katz's continued service to the Issuer, through each vesting date.
F5 Distribution of Private Warrants to direct and indirect members of the Sponsor.