0001538864-22-000001.txt : 20221027 0001538864-22-000001.hdr.sgml : 20221027 20221026191213 ACCESSION NUMBER: 0001538864-22-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20221027 DATE AS OF CHANGE: 20221026 EFFECTIVENESS DATE: 20221027 FILER: COMPANY DATA: COMPANY CONFORMED NAME: QT IMAGING, INC. CENTRAL INDEX KEY: 0001538864 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-462948 FILM NUMBER: 221334437 BUSINESS ADDRESS: STREET 1: 3 HAMILTON LANDING STREET 2: SUITE 160 CITY: NOVATO STATE: CA ZIP: 94949 BUSINESS PHONE: 4158427242 MAIL ADDRESS: STREET 1: 3 HAMILTON LANDING STREET 2: SUITE 160 CITY: NOVATO STATE: CA ZIP: 94949 FORMER COMPANY: FORMER CONFORMED NAME: QT ULTRASOUND LLC DATE OF NAME CHANGE: 20151030 FORMER COMPANY: FORMER CONFORMED NAME: CVUS Clinical Trials, LLC DATE OF NAME CHANGE: 20120106 D 1 primary_doc.xml X0708 D LIVE 0001538864 QT IMAGING, INC. THREE HAMILTON LANDING SUITE 160 NOVATO CA CALIFORNIA 94949 415-842-7250 DELAWARE QT ULTRASOUND LLC CVUS Clinical Trials, LLC Corporation true John C. Klock Three Hamilton Landings Suite 160 Novato CA CALIFORNIA 94949 Executive Officer Director CEO Other Health Care $1,000,001 - $5,000,000 06b false true false true true false 20000 Indefinite 0 Indefinite false 0 0 true 0 true 0 false QT IMAGING, INC. John C. Klock John C. Klock CEO 2022-10-26