Ross Taylor - 11 Aug 2025 Form 4 Insider Report for QT IMAGING HOLDINGS, INC. (QTIH)

Reporting relationship: Director
Issuer ticker: QTIH
Reported as of: 11 Aug 2025
Net transaction value: $0
SEC form: 4
Accepted by SEC: 13 Aug 2025, 21:13:10 UTC
Prior SEC filing: 23 Apr 2025
Next SEC filing: 05 Nov 2025
Source filing: View source filing
Reporting owner signature: /s/ Ross Taylor

Key filing fact

Ross Taylor filed Form 4 for QT IMAGING HOLDINGS, INC. (QTIH) on 13 Aug 2025.

Key facts

This page summarizes Ross Taylor's Form 4 filing for QT IMAGING HOLDINGS, INC. (QTIH).
1 reported transaction and 1 derivative row are listed below.
Accepted by SEC: 13 Aug 2025, 21:13.

Change

Previous filing in this sequence was filed on 23 Apr 2025.
Current net transaction value: $0.

Research use

This tells you what this filing adds before you inspect full transaction and derivative tables.
You can trace every row back to the original SEC filing document.

Evidence

Filed on Form 4

Ownership activity is grounded in SEC Form 4 disclosures.

View source filing

Reporting Owners (1)

CIK 0002013346 Primary reporting owner

Taylor Ross

Relationship: Director
Address: C/O QT IMAGING HOLDINGS, INC., 3 HAMILTON LANDING SUITE 160, NOVATO
Signature: /s/ Ross Taylor
Signature date: 13 Aug 2025

Reported derivative securities

Options, warrants, convertible securities, or similar derivative positions disclosed in the filing.

QTIH transaction Derivative

Stock Option (right to buy)

Award

Transaction value: $0
Shares: +25,000
Change %
Price: $0.000000
Shares after: 25,000
Date: 11 Aug 2025
Ownership: Direct
Underlying class: Common Stock
Underlying amount: 25,000
Exercise price: $1.90
Footnotes: F1

^* marks a reported price that did not pass the local price check.

Additional SEC filing notes

Filing notes and footnotes

Explanation of responses 1 footnote

Footnote 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 continued service with the Issuer through each vesting date.