X0206 3 2024-03-21 0 0001844505 QT IMAGING HOLDINGS, INC. QTI 0001116229 GREENE JAMES S C/O QT IMAGING HOLDINGS, INC. 3 HAMILTON LANDING, SUITE 160 NOVATO CA 94949 1 0 0 0 Common Stock 200000 I By Sky D Ventures, LLC The Common Stock is held directly by Sky D Ventures, LLC. The shares held by Sky D Ventures, LLC are beneficially owned by Mr. Greene, QT Imaging Holdings, Inc.'s member of the Board of Directors. Mr. Greene is also the Managing Member of Sky D Ventures, LLC, who has sole voting and dispositive power over the shares held by Sky D Ventures, LLC. /s/ James S. Greene 2024-04-03