Julie Szeker - 12 Dec 2025 Form 4 Insider Report for Lumexa Imaging Holdings, Inc. (LMRI)

Role: Chief Legal Officer & Corp Sec
Signature: /s/ Julie Szeker
Issuer symbol: LMRI
Transactions as of: 12 Dec 2025
Net transactions value: $0
Form type: 4
Filing time: 16 Dec 2025, 17:49:11 UTC
Previous filing: 15 Dec 2025
SEC: View on sec.gov

Reporting Owners (1)

Name	Relationship	Address	Signature	Signature date	CIK
Szeker Julie	Chief Legal Officer & Corp Sec	4200 SIX FORKS ROAD, SUITE 1000, RALEIGH	/s/ Julie Szeker	16 Dec 2025	0002101138

Transactions Table

Type	Sym	Class	Transaction	Value $	Shares	Change %	* Price $	Shares After	Date	Ownership	Footnotes
transaction	LMRI	Common Stock	Options Exercise		+66,182			66,182	12 Dec 2025	Direct	F1, F2, F3
transaction	LMRI	Common Stock	Award	$0	+81,081	+123%	$0.000000	147,263	12 Dec 2025	Direct	F4

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	LMRI	Incentive Units of Holdings LLC	Options Exercise	$0	-1,250,000	-100%	$0.000000	0	12 Dec 2025	Common Stock	66,182		Direct	F1, F2, F3

* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

Id	Content
F1	Represents incentive units ("Incentive Units") of Lumexa Imaging Equity Holdco, LLC ("Holdings LLC") held by the Reporting Person. At the closing of the Issuer's initial public offering ("IPO"), these Incentive Units were converted into shares of the Issuer's common stock ("Common Stock") based on the intrinsic value of the awards at the time of the Issuer's IPO, as determined by the board of managers of Holdings LLC, with any shares of Common Stock issued in replacement of unvested Incentive Units to be delivered as restricted stock awards, which remain subject to time-based and performance-based vesting conditions, as applicable. [continues in footnote 2]
F2	[continued from footnote 1] The time-based vesting schedule applicable to the replacement restricted stock awards replicates the original time-based vesting schedule applicable to the time-based Incentive Units prior to the closing of the Issuer's IPO, while the performance-based vesting conditions are tied to stock price triggers intended to replicate the performance-based vesting conditions applicable to the performance-based Incentive Units prior to the closing of the Issuer's IPO.
F3	Includes 11,876 shares of Common Stock that will vest upon the attainment of a prescribed stock price target of $24.97 per share, which target is measured based on the volume weighted average closing price per share of Common Stock over any consecutive sixty (60) trading day period, with the measurement period commencing on the first business day immediately following the expiration of the 180-day lock-up period, subject to the Reporting Person's continued service with the Issuer.
F4	Represents restricted stock units ("RSUs"), each one of which represents the contingent right to receive one share of Common Stock. The RSUs will vest in full on December 12, 2026, subject to the Reporting Person's continued service with the Issuer.