John C. Klock Jr - Jul 3, 2024 Form 4 Insider Report for QT IMAGING HOLDINGS, INC. (QTI)

Role: Director, 10%+ Owner
Signature: /s/ John C. Klock, Jr.
Stock symbol: QTI
Transactions as of: Jul 3, 2024
Transactions value $: $0
Form type: 4
Date filed: 7/10/2024, 12:29 PM
Previous filing: Mar 6, 2024

Transactions Table

Type	Sym	Class	Transaction	Value $	Shares	Change %	* Price $	Shares After	Date	Ownership	Footnotes
holding	QTI	Common Stock						2.88M	Jul 3, 2024	By John C. Klock, Jr. and Cynthia L. Klock Trust Dated 7/27/07	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	Stock Option (right to buy)	Award	$0	+40K		$0.00	40K	Jul 3, 2024	Common Stock	40K	$0.75	Direct	F2

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

Explanation of Responses:

Id	Content
F1	The Common Stock are held directly by John C. Klock, Jr. and Cynthia L. Klock Trust Dated 7/27/07 (the "Trust"). The Common Stock held by the Trust are beneficially owned jointly by Dr. John C. Klock, Jr., the Issuer's Director and Cynthia L. Klock, wife of Dr. John C. Klock, Jr., who jointly have sole voting and dispositive power over the shares held by the Trust.
F2	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 the Reporting Person's continued service to the Issuer, through each vesting date.