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

Role
Chairman, Director
Signature
/s/ Dr. Avi S. Katz
Stock symbol
QTI
Transactions as of
Nov 12, 2024
Transactions value $
$3,946,505
Form type
4
Date filed
11/14/2024, 09:03 PM
Previous filing
Sep 11, 2024

Transactions Table

Type Sym Class Transaction Value $ Shares Change % * Price $ Shares After Date Ownership Footnotes
transaction QTI Common Stock Purchase $1.56M +2.67M $0.58 2.67M Nov 12, 2024 By GigAcquisitions5, LLC F1, F2
transaction QTI Common Stock Purchase $275K +471K +251.72% $0.58 658K Nov 12, 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 $1.8M +2.67M $0.67 2.67M Nov 12, 2024 Common Stock 2.67M $0.67 By GigAcquisitions5, LLC F2
transaction QTI Subscription Warrants (right to buy) Purchase $316K +471K $0.67 471K Nov 12, 2024 Common Stock 471K $0.67 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.