| Name | Relationship | Address | Signature | Signature date | CIK |
|---|---|---|---|---|---|
| Fusion Fuel Green PLC | 10%+ Owner | 9 PEMBROKE STREET UPPER, DUBLIN, IRELAND | /s/ John-Paul Backwell | 04 Dec 2025 | 0001819794 |
| Type | Sym | Class | Transaction | Value $ | Shares | Change % | * Price $ | Shares After | Date | Ownership | Footnotes |
|---|---|---|---|---|---|---|---|---|---|---|---|
| transaction | QIND | Common Stock | Conversion of derivative security | $0 | +9,600,000 | +12% | $0.000000 | 91,812,334 | 02 Dec 2025 | Direct |
| Type | Sym | Class | Transaction | Value $ | Shares | Change % | * Price $ | Shares After | Date | Underlying Class | Amount | Exercise Price | Ownership | Footnotes |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| transaction | QIND | Series B Convertible Preferred Stock | Conversion of derivative security | $0 | -9,600 | -53% | $0.000000 | 8,500 | 02 Dec 2025 | Common Stock | 9,600,000 | Direct | F1 |
| Id | Content |
|---|---|
| F1 | Each share of Series B Convertible Preferred Stock of the issuer is convertible, for no cash consideration, into 1,000 shares of common stock of the issuer at the option of the reporting person, except in the event that such conversion would result in such holder's beneficial ownership of the common stock of the issuer exceeding 9.99% of the outstanding common stock of the issuer immediately after conversion and subject to other applicable limitations or prohibitions on conversion of the Series B Convertible Preferred Stock, and has no expiration date. |