Filing Details

Accession Number:
0001062993-24-019202
Form Type:
4
Zero Holdings:
No
Publication Time:
2024-11-14 21:03:30
Reporting Period:
2024-11-12
Accepted Time:
2024-11-14 21:03:30
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1844505 Qt Imaging Holdings Inc. QTI () 4
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
1451693 S Avi Katz C/O Qt Imaging Holdings, Inc.
3 Hamilton Landing, Suite 160
Novato CA 94949
Chairman Yes Yes No No
1844511 Gigacquisitions5, Llc C/O Qt Imaging Holdings, Inc.
3 Hamilton Landing, Suite 160
Novato CA 94949
No No Yes No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock Acquisiton 2024-11-12 2,671,232 $0.58 2,671,232 No 4 P Indirect By GigAcquisitions5, LLC
Common Stock Acquisiton 2024-11-12 470,890 $0.58 657,960 No 4 P Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Indirect By GigAcquisitions5, LLC
No 4 P Direct
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Subscription Warrants (right to buy) Acquisiton 2024-11-12 2,671,232 $0.67 2,671,232 $0.67
Common Stock Subscription Warrants (right to buy) Acquisiton 2024-11-12 470,890 $0.67 470,890 $0.67
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
2,671,232 2025-05-12 2030-05-12 No 4 P Indirect
470,890 2025-05-12 2030-05-12 No 4 P Direct
Footnotes
  1. 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.
  2. 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.