| Name | Relationship | Address | Signature | Signature date | CIK |
|---|---|---|---|---|---|
| Dinu Raluca | Chief Executive Officer, Director | C/O QT IMAGING HOLDINGS, INC., 3 HAMILTON LANDING SUITE 160, NOVATO | /s/ Dr. Raluca Dinu | 2025-08-13 | 0001430575 |
| Type | Sym | Class | Transaction | Value $ | Shares | Change % | * Price $ | Shares After | Date | Underlying Class | Amount | Exercise Price | Ownership | Footnotes |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| transaction | QTIH | Stock Option (right to buy) | Award | $0 | +25K | $0.00 | 25K | Aug 11, 2025 | Common Stock | 25K | $1.90 | Direct | F1 |
| Id | Content |
|---|---|
| F1 | One-third of the grant will vest on August 15, 2026, and the remaining two-thirds will vest in eight equal quarterly installments on each subsequent November 15, February 15, May 15, and August 15, such that the grant will be fully vested on August 15, 2028, subject to continued service with the Issuer through each vesting date. |