Filing Details

Accession Number:
0001062993-24-019203
Form Type:
4
Zero Holdings:
No
Publication Time:
2024-11-14 21:03:54
Reporting Period:
2024-11-12
Accepted Time:
2024-11-14 21:03:54
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1844505 Qt Imaging Holdings Inc. QTI Electromedical & Electrotherapeutic Apparatus (3845) 861728920
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
2013321 H Daniel Dickson C/O Qt Imaging Holdings, Inc.
3 Hamilton Landing Suite 160
Novato CA 94949
Yes No No 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 85,616 $0.58 85,616 No 4 P Direct
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 P Direct
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Subscription Warrant (right to buy) Acquisiton 2024-11-12 85,616 $0.67 85,616 $0.67
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
85,616 2025-05-12 2030-05-12 No 4 A Direct