STOCK TITAN

Director at Spectral AI (MDAI) awarded 100,000 Common shares

Filing Impact
(Neutral)
Filing Sentiment
(Neutral)
Form Type
4

Rhea-AI Filing Summary

Spectral AI, Inc. director John Michael DiMaio reported a compensation-related equity award rather than an open-market trade. He received 100,000 shares of Common Stock as a grant at a stated price of $0.00 per share, increasing his direct holdings to 2,611,227 Common shares after the transaction.

The filing also lists existing equity awards that can convert into Common Stock, including 100,000 underlying shares from restricted stock units at $1.84, 250,000 underlying shares from non-qualified stock options at $1.25, and additional incentive stock options covering 20,352 and 5,292 underlying shares at $1.67 per share, with expirations between 2034 and 2036. Footnotes state that certain stock options are fully vested.

Positive

  • None.

Negative

  • None.
Insider DiMaio John Michael
Role null
Type Security Shares Price Value
Grant/Award Common Stock 100,000 $0.00 --
holding ISO -- -- --
holding ISO -- -- --
holding NQSO -- -- --
holding Restricted Stock Unit -- -- --
Holdings After Transaction: Common Stock — 2,611,227 shares (Direct, null); ISO — 5,292 shares (Direct, null); NQSO — 250,000 shares (Direct, null); Restricted Stock Unit — 100,000 shares (Direct, null)
Footnotes (1)
  1. The total includes 100,000 restricted stock units ("RSUs"), which are fully vested and were issued on 4/24/2026. 100% of the stock options vested on the date of issuance. 100% of the stock options were vested as of the date hereof. 100,000 of the stock options were vested as of the date hereof. The remaining 150,000 stock options vest upon the achievement of certain milestones. 50% of the RSUs on April 20, 2026. 50% of the RSUs will vest on April 1, 2027.
Common Stock grant 100,000 shares at $0.00 Grant/award acquisition on 2026-04-24
Common shares held after grant 2,611,227 shares Direct ownership following transaction
RSU underlying shares 100,000 shares at $1.84 Restricted Stock Unit, expiration 2036-04-20
NQSO underlying shares 250,000 shares at $1.25 Non-qualified stock option, expiration 2035-04-23
ISO underlying shares (tranche 1) 20,352 shares at $1.67 Incentive stock option, expiration 2034-05-15
ISO underlying shares (tranche 2) 5,292 shares at $1.67 Incentive stock option, expiration 2034-05-15
Restricted Stock Unit financial
"security_title: "Restricted Stock Unit", underlying security is Common Stock"
A restricted stock unit is a promise from a company to give an employee shares of stock after certain conditions are met, like staying with the company for a set amount of time. It’s like earning a bonus that turns into company stock once you’ve proven your commitment, making it a way to motivate and reward employees.
NQSO financial
"security_title: "NQSO" with 250,000 underlying Common Stock shares at $1.25"
ISO financial
"security_title: "ISO" with underlying Common Stock at a $1.67 exercise price"
An ISO is an incentive stock option, a form of employee benefit that lets workers buy company shares at a set price after a waiting period. It matters to investors because issuing ISOs can dilute existing shares and aligns employee incentives with long-term stock performance—think of it like giving employees coupons to buy future stock at today’s price, which can motivate growth but increase share count when used.
stock options financial
"Footnotes state 100% of the stock options vested on the date of issuance"
Stock options are agreements that give a person the right to buy or sell a company's stock at a specific price within a certain time frame. They are often used as a reward or incentive, similar to a coupon that can be used later if the stock price rises, allowing the holder to make a profit.
RSUs financial
"Footnotes note that the total includes 100,000 restricted stock units ("RSUs")"
RSUs, or restricted stock units, are a form of company shares given to employees as part of their compensation. They are typically awarded with certain restrictions, such as a waiting period before they can be fully owned or sold, similar to earning a gift that becomes fully yours over time. For investors, RSUs can impact a company's stock offerings and reflect how much the company relies on stock-based incentives to attract and retain talent.
SEC Form 4
FORM 4UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
OMB APPROVAL
OMB Number:3235-0287
Estimated average burden
hours per response:0.5
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
Check this box to indicate that a transaction was made pursuant to a contract, instruction or written plan for the purchase or sale of equity securities of the issuer that is intended to satisfy the affirmative defense conditions of Rule 10b5-1(c). See Instruction 10.
1. Name and Address of Reporting Person*
DiMaio John Michael

(Last)(First)(Middle)
2515 MCKINNEY AVENUE
SUITE 1000

(Street)
DALLAS TEXAS 75201

(City)(State)(Zip)

UNITED STATES

(Country)
2. Issuer Name and Ticker or Trading Symbol
Spectral AI, Inc. [ MDAI ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
XDirector10% Owner
Officer (give title below)Other (specify below)
2a. Foreign Trading Symbol
3. Date of Earliest Transaction (Month/Day/Year)
04/24/2026
6. Individual or Joint/Group Filing (Check Applicable Line)
XForm filed by One Reporting Person
Form filed by More than One Reporting Person
4. If Amendment, Date of Original Filed (Month/Day/Year)

Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year)2A. Deemed Execution Date, if any (Month/Day/Year)3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
CodeVAmount(A) or (D)Price
Common Stock04/24/2026A100,000(1)A$0.002,611,227D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year)3A. Deemed Execution Date, if any (Month/Day/Year)4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year)7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
CodeV(A)(D)Date ExercisableExpiration DateTitleAmount or Number of Shares
ISO$1.67 (2)05/15/2034Common Stock5,2925,292D
ISO$1.67 (3)05/15/2034Common Stock20,35220,352D
NQSO$1.25 (4)04/23/2035Common Stock250,000250,000D
Restricted Stock Unit$1.84 (5)04/20/2036Common Stock100,000100,000D
Explanation of Responses:
1. The total includes 100,000 restricted stock units ("RSUs"), which are fully vested and were issued on 4/24/2026.
2. 100% of the stock options vested on the date of issuance.
3. 100% of the stock options were vested as of the date hereof.
4. 100,000 of the stock options were vested as of the date hereof. The remaining 150,000 stock options vest upon the achievement of certain milestones.
5. 50% of the RSUs on April 20, 2026. 50% of the RSUs will vest on April 1, 2027.
/s/ John Michael DiMaio04/27/2026
** Signature of Reporting PersonDate
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 4 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.
* Form 4: SEC 1474 (03-26)

FAQ

What did John Michael DiMaio report in this Spectral AI (MDAI) Form 4?

John Michael DiMaio reported receiving a grant of 100,000 shares of Spectral AI Common Stock. This award is compensation-related, not an open-market trade, and brings his directly held Common Stock position to 2,611,227 shares after the reported transaction.

Was the Spectral AI (MDAI) Form 4 transaction a stock purchase or sale?

The Form 4 shows an equity grant, not a market purchase or sale. DiMaio acquired 100,000 shares of Common Stock as a grant at a stated price of $0.00 per share, reflecting compensation rather than a trading decision in the open market.

How many Spectral AI (MDAI) shares does John Michael DiMaio hold after this filing?

After this Form 4, DiMaio directly holds 2,611,227 shares of Spectral AI Common Stock. This total includes the newly granted 100,000-share award, as disclosed in the transaction details and reflected in the post-transaction ownership figure.

What stock option positions are disclosed for John Michael DiMaio at Spectral AI (MDAI)?

The filing lists non-qualified and incentive stock options tied to Spectral AI Common Stock. These cover 250,000 underlying shares at $1.25 and additional tranches of 20,352 and 5,292 underlying shares at $1.67, with expirations in 2034 and 2035.

What restricted stock units (RSUs) are reported for Spectral AI (MDAI) in this Form 4?

The Form 4 shows a restricted stock unit award linked to 100,000 underlying shares of Spectral AI Common Stock at an exercise price of $1.84. Footnotes note vesting status for certain equity awards, indicating these RSUs are part of DiMaio’s compensation package.

Do the Spectral AI (MDAI) Form 4 footnotes mention vesting of options or RSUs?

Yes. Footnotes state that 100% of certain stock options were vested on the date of issuance or as of the filing date, and also describe vesting details for RSUs. This indicates a portion of DiMaio’s equity awards is already fully vested.