0001062993-24-013809.txt : 20240715
0001062993-24-013809.hdr.sgml : 20240715
20240715171711
ACCESSION NUMBER: 0001062993-24-013809
CONFORMED SUBMISSION TYPE: 4/A
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20240627
FILED AS OF DATE: 20240715
DATE AS OF CHANGE: 20240715
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Dinu Raluca
CENTRAL INDEX KEY: 0001430575
ORGANIZATION NAME:
FILING VALUES:
FORM TYPE: 4/A
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-40839
FILM NUMBER: 241118039
MAIL ADDRESS:
STREET 1: C/O GIGCAPITAL2, INC.
STREET 2: 2479 E. BAYSHORE RD., SUITE 200
CITY: PALO ALTO
STATE: CA
ZIP: 94303
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: QT IMAGING HOLDINGS, INC.
CENTRAL INDEX KEY: 0001844505
STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845]
ORGANIZATION NAME: 08 Industrial Applications and Services
IRS NUMBER: 861728920
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 3 HAMILTON LANDING
STREET 2: SUITE 160
CITY: NOVATO
STATE: CA
ZIP: 94949
BUSINESS PHONE: 415-842-7250
MAIL ADDRESS:
STREET 1: 3 HAMILTON LANDING
STREET 2: SUITE 160
CITY: NOVATO
STATE: CA
ZIP: 94949
FORMER COMPANY:
FORMER CONFORMED NAME: GigCapital5, Inc.
DATE OF NAME CHANGE: 20210204
4/A
1
form4a.xml
AMENDED STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
X0508
4/A
2024-06-27
2024-07-01
0001844505
QT IMAGING HOLDINGS, INC.
QTI
0001430575
Dinu Raluca
C/O QT IMAGING HOLDINGS, INC.
3 HAMILTON LANDING SUITE 160
NOVATO
CA
94949
1
1
0
0
Chief Executive Officer
0
Common Stock
2024-06-27
4
J
0
25115
0
D
25115
D
Private Warrant
2.30
2024-06-27
4
J
0
25115
0
A
2024-04-03
2029-03-04
Common Stock
25115
25115
D
Distribution of shares of Common Stock to direct and indirect members of GigAcqusitions5, LLC (the "Sponsor").
Distribution of Private Warrants to direct and indirect members of the Sponsor.
On July 1, 2024, the reporting person filed a Form 4 which erroneously reported that, the acquired number of securities of Common Stock and the acquired number of derivative securities of Private Warrant as listed in Tables I and II were not the correct number of securities received by the Sponsor.
/s/ Dr. Raluca Dinu
2024-07-15