X0306 4 2018-11-16 0 0000749660 ICAD INC ICAD 0001508911 Klein Michael S C/O ICAD, INC. 98 SPIT BROOK ROAD, SUITE 100 NASHUA NH 03062 1 0 0 0 Director Stock Option (right to buy) 2.89 2018-11-16 4 D 0 90000 D 2023-11-16 Common Stock 90000 0 D Director Stock Option (right to buy) 2.89 2023-03-07 4 A 0 90000 A 2028-11-16 Common Stock 90000 90000 D On March 7, 2023, the Board of Directors of the Issuer agreed to a modification of the exercise period for certain outstanding stock options granted to the Director in 2018 that would otherwise expire in November 2023 such that they now have an aggregate exercise period of ten years.? No other modification was made to the option. The two reported transactions involved an amendment to an outstanding option, resulting in the cancellation of the "old" option and the grant of a replacement option. The option was originally granted on November 16, 2018 and is fully vested as of the date hereof. /s/Michael Klein 2023-03-09