STOCK TITAN

Director at Spectral AI (NASDAQ: MDAI) receives 29,850-share equity grant

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

Rhea-AI Filing Summary

Spectral AI, Inc. director Richard John Cotton reported a compensation-related equity grant. He received 29,850 shares of Common Stock as a grant or award at $0.00 per share, bringing his direct Common Stock holdings to 96,777 shares, including 29,850 restricted stock units (RSUs) that the filing notes as fully vested and issued on April 24, 2026. He also holds fully vested stock options over additional Common Stock, with exercise prices of $1.25 and $1.67 per share and expirations between 2034 and 2035, plus RSU-based rights expiring in 2036. The filing shows no open‑market buying or selling, only an acquisition through a grant and updated holdings.

Positive

  • None.

Negative

  • None.
Insider Cotton Richard John
Role null
Type Security Shares Price Value
Grant/Award Common Stock 29,850 $0.00 --
holding Restricted Stock Unit -- -- --
holding ISO -- -- --
holding ISO -- -- --
holding NQSO -- -- --
Holdings After Transaction: Common Stock — 96,777 shares (Direct, null); Restricted Stock Unit — 25,000 shares (Direct, null); ISO — 31,460 shares (Direct, null); NQSO — 75,000 shares (Direct, null)
Footnotes (1)
  1. The total includes 29,850 restricted stock units ("RSUs"), which are fully vested and were issued on 4/24/2026. 50% of the RSUs vested on April 20, 2026. 50% of the RSUs will vest on April 1, 2027. 100% of the stock options vested on the date of issuance. 100% of the stock options were vested as of the date hereof. 25,000 of the stock options were vested as of the date hereof. The remaining 50,000 stock options vest upon the achievement of certain milestones.
Equity grant 29,850 shares Common Stock grant/award at $0.00 per share to director
Common shares held 96,777 shares Direct Common Stock ownership after reported grant
NQSO underlying shares 75,000 shares Nonqualified stock options, exercise price $1.25, expiring 2035-04-23
ISO underlying shares block 1 27,136 shares Incentive stock options, exercise price $1.67, expiring 2034-05-15
ISO underlying shares block 2 31,460 shares Incentive stock options, exercise price $1.67, expiring 2034-05-15
RSU underlying shares 25,000 shares Restricted Stock Unit position, expiration 2036-04-20
RSU vesting note 29,850 RSUs Total includes 29,850 RSUs fully vested and issued 2026-04-24
Restricted Stock Unit financial
"security_title": "Restricted Stock Unit""
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""
ISO financial
"security_title": "ISO""
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.
exercise price financial
"conversion_or_exercise_price": "1.2500""
The exercise price is the fixed amount at which you can buy or sell an asset, like a stock, when using an options contract. It matters because it helps determine whether exercising the option will be profitable or not, depending on the current market price. Think of it as the set price you agree on today to buy or sell later.
vesting financial
"The total includes 29,850 restricted stock units ("RSUs"), which are fully vested"
Vesting is the process by which you earn full ownership of something, like company stock or a retirement benefit, over time. It’s like earning the right to keep a gift piece by piece the longer you stay with a company, making sure employees stay committed before they receive all the benefits.
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*
Cotton Richard John

(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 Stock04/24/2026A29,850(1)A$0.0096,777D
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
Restricted Stock Unit$1.84 (2)04/20/2036Common Stock25,00025,000D
ISO$1.67 (3)05/15/2034Common Stock31,46031,460D
ISO$1.67 (4)05/15/2034Common Stock27,13627,136D
NQSO$1.25 (5)04/23/2035Common Stock75,00075,000D
Explanation of Responses:
1. The total includes 29,850 restricted stock units ("RSUs"), which are fully vested and were issued on 4/24/2026.
2. 50% of the RSUs vested on April 20, 2026. 50% of the RSUs will vest on April 1, 2027.
3. 100% of the stock options vested on the date of issuance.
4. 100% of the stock options were vested as of the date hereof.
5. 25,000 of the stock options were vested as of the date hereof. The remaining 50,000 stock options vest upon the achievement of certain milestones.
/s/ Richard John Cotton04/27/2026
** 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 Spectral AI (MDAI) director Richard John Cotton report on this Form 4?

He reported receiving 29,850 shares of Spectral AI Common Stock as a grant or award at no cash cost, and updated his total direct Common Stock holdings to 96,777 shares, including restricted stock units.

How many Spectral AI (MDAI) shares does Richard John Cotton hold after the reported grant?

After the grant, he directly holds 96,777 shares of Spectral AI Common Stock. This total includes 29,850 restricted stock units that are described in the filing as fully vested and issued on April 24, 2026.

What type of equity award did Richard John Cotton receive from Spectral AI (MDAI)?

He received 29,850 shares of Common Stock recorded under transaction code A, which indicates a grant, award, or other acquisition. The reported transaction price is $0.00 per share, reflecting a compensation-based equity grant rather than an open-market purchase.

Does this Spectral AI (MDAI) Form 4 show any insider buying or selling in the market?

No open-market purchases or sales are shown. The filing records one acquisition through a grant or award of 29,850 shares and several holding entries for existing options and restricted stock units, without any reported market trades.

What stock options and RSUs does Richard John Cotton hold in Spectral AI (MDAI)?

He holds nonqualified and incentive stock options over 75,000, 27,136, and 31,460 underlying Common shares at exercise prices of $1.25 and $1.67, plus RSU-based rights over 25,000 underlying shares, with expirations ranging from 2034 to 2036.