Company: QTIWW
Filing Date: 2025-01-16
Form Type: S-1
Source: 0001628280-25-001723
Chunk: 131

Company: QT IMAGING HOLDINGS, INC.
Filing Date: 2025-01-16
Form: S-1
Chunk 131
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I3 |     |               |             |
|                                                                      |     |             |             |     |              |             |     |             |     -75,004 |     | -J1 |     |               |             |
|                                                                      |     |             |             |     |              |             |     |             |    -160,000 |     | -J4 |     |               |             |
| Total stockholders’ deficit                                          |     |             |  -5,312,079 |     |              | -12,514,886 |     |             |  -4,049,806 |     |     |     |               | -21,876,771 |
| TOTAL LIABILITIES, REDEEMABLE COMMON STOCK AND STOCKHOLDERS’ DEFICIT |     | $           |   6,706,482 |     | $            |  23,398,562 |     | $           | -16,308,684 |     |     |     | $             |  13,796,360 |

<div align='center'>83

PRO FORMA COMBINED BALANCE SHEET AS OF DECEMBER 31, 2023 (CONTINUED)

(unaudited)</div>

__________________

Pro Forma Adjustments to the Unaudited Combined Balance Sheet

(A1) To reflect the March 2024 redemption of 848,003 shares of the Company’s Common Stock as if it had occurred as of December 31, 2023.

(A2) Reflects the additional proceeds received prior to the Closing of $230,887 under a promissory note with a related party of GigCaptial5 as if it had occurred as of December 31, 2023.

(A3) Reflects interest income of $159,586 earned by the trust account prior to the Closing as if it had occurred as of December 31, 2023.

(A4) Reflects amounts withdrawn from the trust account to pay taxes as if it had occurred as of December 31, 2023.

(A5) To reflect the release of $13,952,525 held in the trust account of GigCapital5 (the “Trust Account”) after giving effect to the March 2024 redemptions, including Q1 2024 interest received by and taxes withdrawn from the Trust Account as if it occurred as of December 31, 2023. All amounts held in the Trust Account were released upon the consummation of the