Jay Walter Jennings - 02 Sep 2025 Form 3 Insider Report for QT IMAGING HOLDINGS, INC. (QTIH)

Signature
/s/ Jay Walter Jennings
Issuer symbol
QTIH
Transactions as of
02 Sep 2025
Net transactions value
$0
Form type
3
Filing time
02 Sep 2025, 16:57:42 UTC
Previous filing
26 Aug 2024

Reporting Owners (1)

Name Relationship Address Signature Signature date CIK
Jennings Jay Walter Chief Financial Officer C/O QT IMAGING HOLDINGS, INC., 3 HAMILTON LANDING SUITE 160, NOVATO /s/ Jay Walter Jennings 02 Sep 2025 0001685730

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
holding QTIH Stock Option (right to buy) 02 Sep 2025 Common Stock 325,000 $1.90 Direct F1
* An asterisk sign (*) next to the price indicates that the price is likely invalid.

Explanation of Responses:

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 your continued service with the Company through each vesting date.