Dr. Avi S. Katz - 27 Jun 2024 Form 4 Insider Report for QT IMAGING HOLDINGS, INC. (QTIH)

Signature
/s/ Dr. Avi S. Katz
Issuer symbol
QTIH
Transactions as of
27 Jun 2024
Net transactions value
$0
Form type
4
Filing time
01 Jul 2024, 19:27:30 UTC
Previous filing
13 Mar 2024
Next filing
09 Jul 2024

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction QTI Common Stock Other $0 -783,591 -12% $0.000000 5,840,773 27 Jun 2024 By GigAcquisitions5, LLC F1, F2, F3
transaction QTI Common Stock Other $0 +26,593 $0.000000 26,593 27 Jun 2024 Direct F1

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 Private Warrants Other $0 -783,591 -88% $0.000000 105,773 27 Jun 2024 Common Stock 783,591 $2.30 By GigAcquisitions5, LLC F3, F4
transaction QTI Private Warrants Other $0 +26,593 $0.000000 26,593 27 Jun 2024 Common Stock 26,593 $2.30 Direct F4
* 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 6,624,364 shares of Common Stock as previously reported in Form 4 filed by the Reporting Person on March 6, 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 Distribution of Private Warrants to direct and indirect members of the Sponsor.