| Name | Relationship | Address | Signature | Signature date | CIK |
|---|---|---|---|---|---|
| Katz Avi S | CHAIRMAN, Director | C/O QT IMAGING HOLDINGS, INC., 3 HAMILTON LANDING, SUITE 160, NOVATO | /S/ DR. AVI KATZ | 23 Jan 2026 | 0001451693 |
| Type | Sym | Class | Transaction | Value $ | Shares | Change % | * Price $ | Shares After | Date | Ownership | Footnotes |
|---|---|---|---|---|---|---|---|---|---|---|---|
| transaction | QTIH | COMMON STOCK | Purchase | $155,008 | +24,107 | +6.2% | $6.43 | 413,452 | 22 Jan 2026 | Direct | F1 |
| Type | Sym | Class | Transaction | Value $ | Shares | Change % | * Price $ | Shares After | Date | Underlying Class | Amount | Exercise Price | Ownership | Footnotes |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| transaction | QTIH | PRIVATE WARRANT | Purchase | $0 | +48,214 | $0.000000 | 48,214 | 22 Jan 2026 | COMMON STOCK | 48,214 | $6.43 | Direct |
| Id | Content |
|---|---|
| F1 | The number of shares beneficially owned reflects the 3-for-1 reverse stock split effected October 23, 2025. |