Delaware
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68-0533453
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(State or other jurisdiction of incorporation or organization)
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(I.R.S. Employer Identification No.)
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12988 Valley View Road
Eden Prairie, Minnesota
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55344
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(Address of Principal Executive Offices)
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(Zip Code)
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Nuwellis, Inc. 2017 Equity Incentive Plan
Nuwellis, Inc. 2013 Non-Employee Directors’ Equity Incentive Plan
Nuwellis, Inc. 2021 Inducement Plan
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(Full title of the plan)
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Item 3. |
Incorporation of Documents by Reference.
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(a) |
The Registrant’s Annual Report on Form 10-K for the year
ended December 31, 2021, filed with the Commission on March 3, 2022;
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(b) |
The Registrant’s Current Report on Form 8-K filed with the Commission on April 21, 2022.
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(c) |
The description of the Registrant’s Common Stock contained in the Registration Statement on Form 10 (File No. 001-35312) filed pursuant to Section 12(b) on September 30, 2011 and all amendments thereto.
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Item 4. |
Description of Securities.
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Item 5. |
Interests of Named Experts and Counsel.
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Item 6. |
Indemnification of Directors and Officers.
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• |
breach of their duty of loyalty to the Registrant or the Registrant’s stockholders;
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• |
act or omission not in good faith or that involves intentional misconduct or a knowing violation of law;
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• |
unlawful payment of dividends or redemption of shares as provided in Section 174 of the Delaware General Corporation Law (the “DGCL”); or
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• |
transaction from which the directors derived an improper personal benefit.
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Item 7. |
Exemption from Registration Claimed.
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Item 8. |
Exhibits.
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Incorporated By Reference
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|||||||
Exhibit Number
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Exhibit
Description
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Form
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File
Number
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Date of First
Filing
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Exhibit
Number
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Filed
Herewith
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4.1
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10
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001-35312
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February 1, 2012
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3.1
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|||
4.2
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8-K
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001-35312
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January 13, 2017
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3.1
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|||
4.3
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8-K
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001-35312
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May 23, 2017
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3.1
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|||
4.4
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8-K
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001-35312
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October 12, 2017
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3.1
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|||
4.5
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8-K
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001-35312
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January 2, 2019
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3.1
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|||
4.6
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8-K/A
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001-35312
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October 16, 2020
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3.1
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|||
4.7
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8-K
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001-35312
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April 27, 2021
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3.1
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|||
4.8
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8-K
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001-35312
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April 27, 2021
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3.2
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|||
4.9
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8-K
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001-35312
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June 14, 2013
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3.1
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|||
4.10
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S-1/A
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333-221010
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November 17, 2017
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3.7
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|||
4.11
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8-K
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001-35312
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August 8, 2016
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4.1
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|||
4.12
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14A
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001-35312
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April 5, 2013
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App. A
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|||
4.22
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8-K
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001-35312
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May 30, 2017
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10.1
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|||
4.23
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14A
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001-35312
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September 11, 2020
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App. A
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4.24
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8-K
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001-35312
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May 20, 2021
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10.1
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|||
4.25
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8-K
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001-35312
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April 21, 2022
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10.1
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Opinion of Honigman LLP
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X
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||||||
Consent of Baker Tilly US, LLP
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X
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||||||
Consent of Honigman LLP
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Included in Exhibit 5.1
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||||||
Power of Attorney (included on signature page)
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X
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||||||
Filing Fee Table
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X
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† |
Indicates management compensatory plan, contract or arrangement.
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Item 9. |
Undertakings.
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(1) |
To file, during any period in which offers or sales are being made, a post-effective amendment to this Registration Statement:
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(i) |
To include any prospectus required by Section 10(a)(3) of the Securities Act of 1933;
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(ii) |
To reflect in the prospectus any facts or events arising after the effective date of the Registration Statement (or the most recent post-effective amendment thereof) which, individually or in the aggregate, represent a fundamental change in
the information set forth in the Registration Statement. Notwithstanding the foregoing, any increase or decrease in volume of securities offered (if the total dollar value of securities offered would not exceed that which was registered) and
any deviation from the low or high end of the estimated maximum offering range may be reflected in the form of prospectus filed with the Commission pursuant to Rule 424(b) if, in the aggregate, the changes in volume and price represent no more
than 20 percent change in the maximum aggregate offering price set forth in the “Calculation of Registration Fee” table in the effective Registration Statement;
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(iii) |
To include any material information with respect to the plan of distribution not previously disclosed in the Registration Statement or any material change to such information in the Registration Statement;
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(2) |
That, for the purpose of determining any liability under the Securities Act of 1933, each such post-effective amendment shall be deemed to be a new registration statement relating to the securities offered therein, and the offering of such
securities at that time shall be deemed to be the initial bona fide offering thereof.
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(3) |
To remove from registration by means of a post-effective amendment any of the securities being registered which remain unsold at the termination of the offering.
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NUWELLIS, INC.
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By:
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/s/ Nestor Jaramillo
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Name:
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Nestor Jaramillo
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Title:
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President and Chief Executive Officer
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SIGNATURE
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TITLE
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DATE
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/s/ Nestor Jaramillo
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President, CEO, and Director
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April 21, 2022
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Nestor Jaramillo
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(principal executive officer)
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/s/ George Montague
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Chief Financial Officer
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April 21, 2022
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George Montague
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(principal financial officer)
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/s/ John L. Erb
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Chairman of the Board and Director
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April 21, 2022
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John L. Erb
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/s/ Steve Brandt
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Director
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April 21, 2022
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Steve Brandt
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/s/ Maria Rosa Costanzo, MD
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Director
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April 21, 2022
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Maria Rosa Costanzo, MD
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/s/ Jon W. Salveson
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Director
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April 21, 2022
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Jon W. Salveson
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/s/ Gregory D. Waller
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Director
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April 21, 2022
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Gregory D. Waller
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/s/ Warren S. Watson
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Director
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April 21, 2022
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Warren S. Watson
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HONIGMAN
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(269) 337-7700
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Honigman LLP
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Attorneys and Counselors
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Fax: (269) 337-7701
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RE: |
Registration Statement on Form S-8
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Very truly yours,
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/s/ Honigman LLP
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HONIGMAN LLP
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Honigman LLP • 650 Trade Centre Way • Suite 200 • Kalamazoo, Michigan 49002-0402
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/s/ BAKER TILLY US, LLP
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Minneapolis, Minnesota
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April 21, 2022 |
Security
Type
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Security Class
Title
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Fee
Calculation
Rule
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Amount
Registered
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Proposed
Maximum
Offering
Price Per
Unit
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Maximum
Aggregate
Offering Price
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Fee Rate
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Amount of
Registration
Fee
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Equity
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Common stock, par value $0.001 per share, reserved for issuance under the 2017 Equity Incentive Plan
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Rule 457(c) and Rule
457(h)
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1,457,853(1)(4)
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$0.93(2)
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$1,355,803.29(2)
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$.0000927
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$125.68
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Equity
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Common stock, par value $0.001 per share, reserved for issuance under the 2013 Non-Employee Directors’ Equity Incentive Plan
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Rule 457(c) and Rule
457(h)
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259,495(1)(5)
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$0.93(2)
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$241,330.35(2)
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$.0000927
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$22.37
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Equity
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Common stock, par value $0.001 per share, reserved for issuance under the 2021 Inducement Plan
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Rule 457(c) and Rule
457(h)
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35,000(1)(6)
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$0.93(2)
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$32,550(2)
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$.0000927
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$3.02
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Total Offering Amounts
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$1,629,683.64(2)
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$151.07
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|||||
Total Fee Offsets
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—(3)
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||||||
Net Fee Due
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$151.07
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(1)
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Pursuant to Rule 416(a) under the Securities Act of 1933, as amended (the “Securities Act”), this Registration Statement shall
also cover any additional shares of the Registrant’s common stock (“Common Stock”) that become issuable under the Plans (as defined below) herein by reason of any stock dividend,
stock split, recapitalization, or other similar transaction effected without receipt of consideration that increases the number of outstanding shares of the Registrant’s outstanding common stock, as applicable.
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(2)
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Estimated solely for the purpose of calculating the registration fee pursuant to Rule 457(c) and Rule 457(h) under the Securities Act. The offering price per share and aggregate offering
price are based on the average of the high and low prices of the Registrant’s Common Stock as reported on the Nasdaq Capital Market on April 20, 2022, a date within five business days prior to the date of filing of this Registration
Statement, for: (i) shares reserved for grant pursuant to the Registrant’s 2017 Equity Incentive Plan (as amended, the “2017 EIP”); (ii) shares reserved for grant pursuant to the
Registrant’s 2013 Non-Employee Directors’ Equity Incentive Plan (the “Directors’ EIP”); and (iii) shares reserved for grant pursuant to the Registrant’s 2021 Inducement Plan (as
amended, the “2021 Inducement Plan”; and collectively, with the 2017 EIP and the Directors’ EIP, the “Plans”).
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(3)
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The Registrant does not have any fee offsets.
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(4)
|
Consists of shares that were automatically added to the shares authorized for issuance under the 2017 EIP on January 1, 2021 pursuant to an “evergreen” provision contained in the 2017 EIP.
Pursuant to the 2017 EIP, the share reserve will automatically increase on January 1st of each year, for a period of not more than ten years, commencing on January 1, 2018 and ending on (and including) January 1, 2020, to an amount equal to
thirteen percent (13%) of the fully diluted shares outstanding on December 31st of the preceding calendar year and commencing on January 1, 2021 and on January 1st of each year thereafter and ending on (and including) January 1, 2027, to an
amount equal to seventeen percent (17%) of the fully diluted as of December 31st of the preceding calendar year; provided that the Registrant’s Board of Directors (the “Board”) may
act prior to January 1st of a given year to provide that there will be no January 1st increase in the share reserve for such year or that the increase in the share reserve for such year will be a lesser number of shares than would otherwise
occur.
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(5)
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Consists of shares that were automatically added to the shares authorized for issuance under the Directors’ EIP on January 1, 2021 pursuant to an “evergreen” provision contained in the
Directors’ EIP. Pursuant to the Directors’ EIP, the share reserve will automatically increase on January 1st of each year, for a period of not more than ten years, commencing on January 1, 2014 and ending on (and including) January 1, 2023,
by an amount equal to two percent (2%) of the fully diluted shares outstanding on December 31st of the preceding calendar year; provided that the Board may act prior to January 1st of a given year to provide that there will be no January 1st
increase in the share reserve for such year or that the increase in the share reserve for such year will be a lesser number of shares than would otherwise occur.
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(6)
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Consists of shares reserved for grant under the 2021 Inducement Plan pursuant to a First Amendment to the 2021 Inducement Plan that was approved by the Board on April 11, 2022.
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