Form 4 for QTI QT IMAGING HOLDINGS, INC.
Accepted 2024-03-06 00:00:00 ET · period of report 2021-09-23 · accession 0001062993-24-005803 · SEC index · Original document
Summary rows
Aggregated the way they appear in lists: one row per insider, transaction code and security table.
| X | Filed | Traded | Ticker | Insider | Title | Type | Price | Qty | Owned | ΔOwn | Value |
|---|---|---|---|---|---|---|---|---|---|---|---|
| DI | 2024-03-06 | 2024-03-04 | QTI | Katz Avi S | COB, Dir, 10% | M - OptEx | $10.00 | +94.4K | 6.62M | +1% | +$943.6K |
| DI | 2024-03-06 | 2021-09-23 | QTI | Katz Avi S | COB, Dir, 10% | A - Grant | $10.00 | +795.0K | 6.53M | +14% | +$7.95M |
| DI | 2024-03-06 | 2021-09-23 | QTI | Katz Avi S | COB, Dir, 10% | A - Grant | $10.00 | +795.0K | 795.0K | New | +$7.95M |
| DI | 2024-03-06 | 2024-03-04 | QTI | Katz Avi S | COB, Dir, 10% | M - OptEx | $10.00 | +94.4K | 94.4K | New | +$943.6K |
Purchase Sale Sale after option exercise All abbreviations
Every reported transaction
| # | Table | Security | Date | Code | A/D | Shares | Price | Owned after | Own | Exercise / expiry | Underlying | Footnotes |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | Common | Common Stock | 2024-03-04 | M | A | 94,364 | $10.00 | 6,624,364 | I By GigAcquisitions5, LLC | — | — | (F6) Upon the Closing of the Company's initial business combination, Sponsor elected to partially convert $943,640 in principal balance outstanding under the convertible Working Capital Note into 94,364 shares of Common Stock and 94,364 warrants. (F1) $10.00 is the price per Private Unit, with each Private Unit consisting of (i) one share of Common Stock, and (ii) one Private Warrant exercisable at price of $11.50 per share of Common Stock. (F3) The Common Stock and Private Warrants are held directly by GigAcquisitions5, LLC (the "Sponsor"). The Common Stock and Private Warrants held by the Sponsor are beneficially owned by Dr. Avi S. Katz, GigCapital5, Inc.'s Executive Chairman of the Board of Directors. Dr. Katz is also the Manager of the Sponsor, who has sole voting and dispositive power over the shares held by the Sponsor. |
| 2 | Common | Common Stock | 2021-09-23 | A | A | 795,000 | $10.00 | 6,530,000 | I By GigAcquisitions5, LLC | — | — | (F1) $10.00 is the price per Private Unit, with each Private Unit consisting of (i) one share of Common Stock, and (ii) one Private Warrant exercisable at price of $11.50 per share of Common Stock. (F2) Includes 5,735,000 founder shares of Common Stock previously reported in the Form 3 filed by the Reporting Persons on September 23, 2021. (F3) The Common Stock and Private Warrants are held directly by GigAcquisitions5, LLC (the "Sponsor"). The Common Stock and Private Warrants held by the Sponsor are beneficially owned by Dr. Avi S. Katz, GigCapital5, Inc.'s Executive Chairman of the Board of Directors. Dr. Katz is also the Manager of the Sponsor, who has sole voting and dispositive power over the shares held by the Sponsor. |
| 3 | Derivative | Private Warrants | 2021-09-23 | A | A | 795,000 | $10.00 | 795,000 | I By GigAcquisitions5, LLC | $11.50 · — to — | 795,000 Common Stock | (F1) $10.00 is the price per Private Unit, with each Private Unit consisting of (i) one share of Common Stock, and (ii) one Private Warrant exercisable at price of $11.50 per share of Common Stock. (F3) The Common Stock and Private Warrants are held directly by GigAcquisitions5, LLC (the "Sponsor"). The Common Stock and Private Warrants held by the Sponsor are beneficially owned by Dr. Avi S. Katz, GigCapital5, Inc.'s Executive Chairman of the Board of Directors. Dr. Katz is also the Manager of the Sponsor, who has sole voting and dispositive power over the shares held by the Sponsor. (F4) The Private Warrants will become exercisable on the later of 30 days after the completion of the Company's initial business combination or 12 months from the completion of the Company's initial public offering. (F5) The Private Warrants will expire on the fifth anniversary of the Company's completion of its initial business combination. |
| 4 | Derivative | Private Warrants | 2024-03-04 | M | A | 94,364 | $10.00 | 94,364 | I By GigAcquisitions5, LLC | $11.50 · — to — | 94,364 Common Stock | (F6) Upon the Closing of the Company's initial business combination, Sponsor elected to partially convert $943,640 in principal balance outstanding under the convertible Working Capital Note into 94,364 shares of Common Stock and 94,364 warrants. (F1) $10.00 is the price per Private Unit, with each Private Unit consisting of (i) one share of Common Stock, and (ii) one Private Warrant exercisable at price of $11.50 per share of Common Stock. (F3) The Common Stock and Private Warrants are held directly by GigAcquisitions5, LLC (the "Sponsor"). The Common Stock and Private Warrants held by the Sponsor are beneficially owned by Dr. Avi S. Katz, GigCapital5, Inc.'s Executive Chairman of the Board of Directors. Dr. Katz is also the Manager of the Sponsor, who has sole voting and dispositive power over the shares held by the Sponsor. (F4) The Private Warrants will become exercisable on the later of 30 days after the completion of the Company's initial business combination or 12 months from the completion of the Company's initial public offering. (F5) The Private Warrants will expire on the fifth anniversary of the Company's completion of its initial business combination. |