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Delaware
(State or other jurisdiction of
incorporation or organization) |
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3845
(Primary Standard Industrial
Classification Code Number) |
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36-4787690
(I.R.S. Employer
Identification Number) |
|
|
Phillip D. Torrence, Esq.
Honigman LLP 650 Trade Centre Way, Suite 200 Kalamazoo, Michigan 49002 (269) 337-7700 |
| |
Charles Phillips, Esq.
Ellenoff Grossman & Schole LLP 1345 Avenue of the Americas New York, NY 10105-0302 (212) 370-1300 |
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Large accelerated filer
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| | ☐ | | | Accelerated filer | | | ☐ | |
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Non-accelerated filer
|
| | ☒ | | |
Smaller reporting company
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| | ☒ | |
| | | | | | |
Emerging growth company
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| | ☐ | |
| | | | | 1 | | | |
| | | | | 2 | | | |
| | | | | 4 | | | |
| | | | | 8 | | | |
| | | | | 11 | | | |
| | | | | 12 | | | |
| CAPITALIZATION | | | | | 13 | | |
| DILUTION | | | | | 14 | | |
| | | | | 16 | | | |
| | | | | 17 | | | |
| | | | | 19 | | | |
| | | | | 21 | | | |
| | | | | 23 | | | |
| | | | | 27 | | | |
| EXPERTS | | | | | 27 | | |
| | | | | 27 | | | |
| | | | | 27 | | |
| | |
As of March 31, 2022
(in thousands) |
| |||||||||
| | |
Actual
|
| |
Pro Forma
|
| ||||||
Cash
|
| | | $ | 6,310 | | | | | $ | | | |
Stockholders’ (deficit) equity: | | | | | | | | | | | | | |
Preferred Stock, $0.001 par value; 10,000,000 shares authorized; no shares
issued and outstanding as of March 31, 2022 |
| | | | | | | | | | | | |
Class A common stock, $0.001 par value, 150,000,000 shares authorized; 3,794,797 shares issued and outstanding as of March 31, 2022
|
| | | | 4 | | | | | | | | |
Additional paid-in capital
|
| | | | 149,834 | | | | | | | | |
Accumulated other comprehensive loss
|
| | | | (1,327) | | | | | | | | |
Accumulated deficit
|
| | | | (141,381) | | | | | | | | |
Total stockholders’ equity
|
| | | $ | 7,130 | | | | | $ | | |
|
Assumed public offering price per share (attributing no value to the Warrants)
|
| | | $ | | | |
|
Net tangible book value per share as of March 31, 2022
|
| | | $ | 1.60 | | |
|
Increase in pro forma as adjusted net tangible book value per share after this offering
|
| | | $ | | | |
|
Pro forma as adjusted net tangible book value per share after giving effect to this
offering |
| | | $ | | | |
|
Dilution in pro forma as adjusted net tangible book value per share to new investors
|
| | | $ | | | |
| | |
Beneficial Ownership(1)
|
| |||||||||
Beneficial Owner
|
| |
Number of Shares
of Common Stock |
| |
Percent of
Total |
| ||||||
Columbus Capital Management LLC(2)
|
| | | | 324,684 | | | | | | 7.7% | | |
AIGH Capital Management, LLC(3)
|
| | | | 192,950 | | | | | | 4.6% | | |
Maple Leaf Capital I, LLC(4)
|
| | | | 189,416 | | | | | | 4.5% | | |
Antonella Favit-Van Pelt(5)
|
| | | | 9,500 | | | | | | * | | |
Sherrie Perkins(6)
|
| | | | 10,914 | | | | | | * | | |
Edward M. Straw(7)
|
| | | | 20,669 | | | | | | * | | |
Mitchell E. Tyler(8)
|
| | | | 30,712 | | | | | | * | | |
Blane Walter(9)
|
| | | | 22,876 | | | | | | * | | |
Paul Buckman(10)
|
| | | | 9,909 | | | | | | * | | |
Jeffrey S. Mathiesen(11)
|
| | | | 63,701 | | | | | | 1.5% | | |
Dane C. Andreeff(12)
|
| | | | 419,729 | | | | | | 9.4% | | |
All current executive officers and directors as a group (8 persons)(13)
|
| | | | 588,009 | | | | | | 12.9% | | |
| | |
Per Share
and related Public Warrant |
| |
Per Pre-Funded
Warrant and related Public Warrant |
| ||||||
Public Offering Price
|
| | | $ | | | | | $ | | | ||
Placement Agent fees
|
| | | $ | | | | | $ | | | ||
Proceeds to us before expenses
|
| | | $ | | | | | $ | | | |
| | |
Amount
|
| |||
SEC registration fee
|
| | | $ | 1,390.50 | | |
FINRA filing fee
|
| | | $ | * | | |
Printing expenses
|
| | | $ | * | | |
Accounting fees and expenses
|
| | | $ | * | | |
Legal fees and expenses
|
| | | $ | * | | |
Transfer agent fees and expenses
|
| | | $ | * | | |
Miscellaneous fees and expenses
|
| | | $ | * | | |
Total
|
| | | $ | * | | |
|
Exhibit
Number |
| |
Exhibit
|
|
| 10.18* | | | Employment Agreement between Helius Medical Technologies, Inc. and Antonella Favit-Van Pelt, dated July 7, 2021 (incorporated by reference to Exhibit 10.31 to the Form S-1 filed on September 3, 2021) | |
| 10.19* | | | | |
| 10.19.1* | | | Helius Medical Technologies, Inc. 2022 Equity Incentive Plan Form of Stock Option Agreement (incorporated by reference to Exhibit 10.3 to the Form 8-K filed on February 18, 2022) | |
| 10.20** | | | Form of Securities Purchase Agreement | |
| 10.21** | | | Form of Placement Agency Agreement | |
| 21.1 | | | Subsidiaries of Helius Medical Technologies, Inc. (incorporated by reference to Exhibit 21.1 to the Form 10-K filed on March 14, 2022) | |
| 23.1 | | | | |
| 23.2** | | | Consent of Honigman LLP (included in Exhibit 5.1 hereto) | |
| 24.1 | | | | |
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107
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| | |
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Signature
|
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Title
|
| |
Date
|
|
|
/s/ Dane C. Andreeff
Dane C. Andreeff
|
| |
President, Chief Executive Officer (Principal
Executive Officer) and Director |
| |
July 12, 2022
|
|
|
/s/ Jeffrey S. Mathiesen
Jeffrey S. Mathiesen
|
| |
Chief Financial Officer (Principal Financial Officer and Principal Accounting Officer) and Director
|
| |
July 12, 2022
|
|
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/s/ Edward M. Straw
Edward M. Straw
|
| | Director | | |
July 12, 2022
|
|
|
/s/ Sherrie Perkins
Sherrie Perkins
|
| | Director | | |
July 12, 2022
|
|
|
/s/ Paul Buckman
Paul Buckman
|
| | Director | | |
July 12, 2022
|
|
|
/s/ Blane Walter
Blane Walter
|
| | Director | | |
July 12, 2022
|
|