Avi S. Katz - 12 Nov 2024 Form 4 Insider Report for QT IMAGING HOLDINGS, INC. (QTI)

Signature
/s/ Dr. Avi S. Katz
Issuer symbol
QTI
Transactions as of
12 Nov 2024
Net transactions value
+$3,946,505
Form type
4
Filing time
14 Nov 2024, 21:03:30 UTC
Previous filing
11 Sep 2024
Next filing
25 Mar 2025

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction QTI Common Stock Purchase $1,559,999 +2,671,232 $0.5840 2,671,232 12 Nov 2024 By GigAcquisitions5, LLC F1, F2
transaction QTI Common Stock Purchase $275,000 +470,890 +252% $0.5840 657,960 12 Nov 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 Subscription Warrants (right to buy) Purchase $1,795,068 +2,671,232 $0.6720 2,671,232 12 Nov 2024 Common Stock 2,671,232 $0.6720 By GigAcquisitions5, LLC F2
transaction QTI Subscription Warrants (right to buy) Purchase $316,438 +470,890 $0.6720 470,890 12 Nov 2024 Common Stock 470,890 $0.6720 Direct
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id Content
F1 The shares shown were issued in exchange for principal under the Twelfth Amended and Restated Promissory Note (the "Promissory Note") of the Issuer held by GigAcqusitions5, LLC (the "Sponsor"), which Promissory Note was surrendered by the Sponsor for cancellation.
F2 The Common Stock is held directly by the 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.