Been discussed to death since its release, anon.
Q stands for "Question", as in ones from reporters present and having to name them all.
Despite "It's an honor" being a statement, for continuity, "Q" will still be used as a moniker for the speaker.
5th time I've had to type something like this out in consecutive breads–people posting this cannot have missed this that many times.
The new shill slide?
Though I will admit, it's spoopy that their are 17 Q's in the transcript in total, one in Kanye saying "I.Q.".