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4//SEC Filing

KLOCK JOHN C JR 4

Accession 0001062993-24-013628

CIK 0001844505other

Filed

Jul 9, 8:00 PM ET

Accepted

Jul 10, 12:29 PM ET

Size

6.9 KB

Accession

0001062993-24-013628

Insider Transaction Report

Form 4
Period: 2024-07-03
KLOCK JOHN C JR
Director10% Owner
Transactions
  • Award

    Stock Option (right to buy)

    2024-07-03+40,00040,000 total
    Exercise: $0.75Exp: 2034-07-03Common Stock (40,000 underlying)
Holdings
  • Common Stock

    (indirect: By Trust)
    2,881,140
Footnotes (2)
  • [F1]The Common Stock are held directly by John C. Klock, Jr. and Cynthia L. Klock Trust Dated 7/27/07 (the "Trust"). The Common Stock held by the Trust are beneficially owned jointly by Dr. John C. Klock, Jr., the Issuer's Director and Cynthia L. Klock, wife of Dr. John C. Klock, Jr., who jointly have sole voting and dispositive power over the shares held by the Trust.
  • [F2]One-third of the option will vest on February 15, 2025, and the remaining two thirds will vest in eight equal quarterly installments on each subsequent May 15, August 15, November 15 and February 15, such that the option will be fully vested on February 15, 2027, subject to the Reporting Person's continued service to the Issuer, through each vesting date.

Issuer

QT IMAGING HOLDINGS, INC.

CIK 0001844505

Entity typeother

Related Parties

1
  • filerCIK 0000939568

Filing Metadata

Form type
4
Filed
Jul 9, 8:00 PM ET
Accepted
Jul 10, 12:29 PM ET
Size
6.9 KB