Company: QTIWW
Filing Date: 2025-01-16
Form Type: S-1
Source: 0001628280-25-001723
Chunk: 262

Company: QT IMAGING HOLDINGS, INC.
Filing Date: 2025-01-16
Form: S-1
Chunk 262
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 — |     |           | — |     |              | — |     |       |       — |
| Mikel Ann Price(1)                                            
 Chief Financial Officer                                       |     | 2022 |     |        | 220,000 |     |        | 80,714 |     |           | — |     |              | — |     |       | 300,714 |
|                                                               |     | 2023 |     |        | 275,000 |     |        |      — |     |           | — |     |              | — |     |       | 275,000 |

__________________

(1) Effective December 8, 2023, Mikel Ann Price has resigned from her full-time position as Chief Financial Officer.

(2) Amounts reflect the grant date fair value of options granted to QT Imaging’s named executive officers calculated in accordance with FASB ASC Topic 718. QT Imaging’s named executive officers will only have a benefit to the extent the fair market value of QT Imaging Common Stock is greater than the exercise price of such stock options. For information regarding assumptions underlying the valuation of equity awards, see Note 10 to QT Imaging’s 2021 audited financial statements appearing in this prospectus. Ms. Price received a stock option to purchase 41,055 shares of QT Imaging Common Stock under the 2021 Stock Incentive Plan during fiscal year 2022. The options vest with respect to (i) twenty-five percent (25%) of the shares on grant date February 1, 2022, and (ii) the balance of the shares subject to the option in a series of (3) successive equal annual installments upon completion of each additional year of service over the three (3) year period measured from February 1, 2022, and expire February 1, 2032, subject to the terms of the award agreements.

#### Outstanding Equity Awards at Fiscal Year-End
The following table sets forth information concerning outstanding equity awards held by each of QT Imaging’s named executive officers as of December 31, 2023.

| Name             |     | Option Awards 
 Grant Date    |     |            |     | Number of   
 Securities  
 Underlying  
 Unexercised 
 Options     
 Exercisable |         |     | Number of     
 Securities    
 Underlying    
 Unexercised   
 Options       
 Unexercisable |     | Option    
 Exercise  
 Price ($) |       |     | Option     
 Expiration 
 Date