|
Delaware
(State or other jurisdiction of
incorporation or organization) |
| |
3845
(Primary Standard Industrial
Classification Code Number) |
| |
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
|
| | ☒ | |
| | | | | | |
Emerging growth company
|
| | ☐ | |
| | | | | 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 | | | | |
|
107
|
| | |
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Signature
|
| |
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
|
|
|
/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
|
|
Exhibit 23.1
Consent of Independent Registered Public Accounting Firm
Helius Medical Technologies, Inc.
Newtown, Pennsylvania
We hereby consent to the use in the Prospectus constituting a part of this Registration Statement of our report dated March 14, 2022, relating to the consolidated financial statements of Helius Medical Technologies, Inc., which is contained in that Prospectus. Our report contains an explanatory paragraph regarding the Company’s ability to continue as a going concern.
We also consent to the reference to us under the caption “Experts” in the Prospectus.
/s/ BDO USA, LLP
Philadelphia, Pennsylvania
July 12, 2022
Exhibit 107
Calculation of Filing Fee Table
FORM S-1
(Form Type)
Helius Medical Technologies, Inc.
(Exact Name of Registrant as Specified in its Charter)
Newly Registered Securities
Security Type | Security Class Title | Fee Calculation Rule | Maximum Aggregate Offering Price(1)(2) | Fee Rate | Amount of Registration Fee | |||||||||||
Equity | Class A Common Stock(3) | Rule 457(o) | - | 0.0000927 | - | |||||||||||
Equity | Public Warrants(4) | Other | - | - | - | |||||||||||
Equity | Shares of Class A Common Stock issuable upon exercise of Public Warrants | Rule 457(o) | - | 0.0000927 | - | |||||||||||
Equity | Pre-funded warrants(3)(4) | Other | - | - | - | |||||||||||
Equity | Shares of Class A Common Stock issuable upon exercise of pre-funded warrants(3) | Rule 457(o) | - | 0.0000927 | - | |||||||||||
Total Offering Amounts | $ | 15,000,000 | $ | 1,390.50 | ||||||||||||
Total Fee Offsets | - | |||||||||||||||
Net Fee Due | $ | 1,390.50 |
(1) | Estimated solely for the purpose of calculating the registration fee pursuant Rule 457(o) under the Securities Act of 1933, as amended (the “Securities Act”). |
(2) | Pursuant to Rule 416(a) under the Securities Act, this registration statement shall also cover an indeterminate number of shares that may be issued and resold resulting from stock splits, stock dividends or similar transactions. |
(3) | The proposed maximum aggregate offering price of the common stock will be reduced on a dollar-for-dollar basis based on the offering price of any pre-funded warrants issued in the offering, and the proposed maximum aggregate offering price of the pre-funded warrants to be issued in the offering will be reduced on a dollar-for-dollar basis based on the offering price of any common stock issued in the offering. Accordingly, the proposed maximum aggregate offering price of the common stock, pre-funded warrants and Public Warrants (including the common stock issuable upon exercise of the pre-funded warrants), if any, is $15,000,000. |
(4) | No fee pursuant to Rule 457(g) of the Securities Act. |