X0508 4 2024-03-04 0001844505 QT IMAGING HOLDINGS, INC. QTI 0002013328 McMorrow Gerald C/O QT IMAGING HOLDINGS, INC. 3 HAMILTON LANDING, SUITE 160 NOVATO CA 94949 1 0 0 0 0 Common Stock 2024-03-04 4 A 0 5904 A 5904 D Received in exchange for 17,226 shares of QT Imaging, Inc. ("QT Imaging") in connection with the merger of QT Imaging into a subsidiary of QT Imaging Holdings, Inc. (the "Company") pursuant to the exchange ratio set forth in the business combination agreement between QT Imaging and the Company. The closing price of the Company's Common Stock on the effective date of the merger was $3.53. /s/ Gerald McMorrow 2024-03-06