Company: QTIWW
Filing Date: 2025-02-05
Form Type: 424B3
Source: 0001628280-25-004061
Chunk: 279

Company: QT IMAGING HOLDINGS, INC.
Filing Date: 2025-02-05
Form: 424B3
Chunk 279
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 Director (Class III)     |     |                                 | 24,226 |     |        | 18,920 |     |              | — |     |       | 43,146 |
| Ross Taylor(4)           
 Director (Class II)      |     |                                 | 50,269 |     |        | 18,920 |     |              | — |     |       | 69,189 |
| Daniel Dickson(5)        
 Director (Class I)       |     |                                 | 34,118 |     |        | 18,920 |     |              | — |     |       | 53,038 |
| James Greene(6)          
 Director (Class I)       |     |                                 | 48,048 |     |        | 18,920 |     |              | — |     |       | 66,968 |
| Professor Zeev Weiner(7) 
 Director (Class II)      |     |                                 | 46,232 |     |        | 18,920 |     |              | — |     |       | 65,152 |

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(1) Consists of shares of common stock of the Company issuable upon vesting and exercise of stock options. The amounts in this column represent the aggregate grant date fair value computed in accordance with FASB ASC Topic 718.

(2) “Fees earned or paid in cash” consists of $24,226 paid in cash in the 2024 fiscal year for services as a director and $28,264 paid in cash in the 2024 fiscal year as consideration for serving as the Chairman of the Board. “Option Awards” consist of 40,000 stock options granted on July 3, 2024 with one-third vesting on February 15, 2025 and remaining two-thirds vesting quarterly over two years thereafter. The stock options have an exercise price of $0.748 per option and a grant date fair value of $0.47 per option.

(3) “Fees earned or paid in cash” consists of $24,226 paid in cash in the 2024 fiscal year for services as a director. “Option Awards” consist of 40,000 stock options granted on July 3, 2024 with one-third vesting on February 15, 2025 and remaining two-thirds vesting quarterly over two years thereafter. The stock options have an exercise price of $0.748 per option and a