Delaware
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11-3713499
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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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Large accelerated filer ☐
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Accelerated filer ☐
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Non-accelerated filer ☒
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Smaller reporting company ☒
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Emerging growth company ☒
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Item 8. |
Exhibits.
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Exhibit Number
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Exhibit Description
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Opinion of Dechert LLP.
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Consent of Dechert LLP (included in Exhibit 5.1).
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Consent of KPMG LLP.
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Power of Attorney (included on signature page).
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Femasys Inc. 2021 Equity Incentive Plan, and forms of agreements thereunder (Incorporated by reference to Exhibit 10.3 of the Registrant’s Registration Statement on Form S-1 (File No. 333-256156) filed May
14, 2021).
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Femasys Inc. 2021 Employee Stock Purchase Plan (Incorporated by reference to Exhibit 10.4 of the Registrant’s Registration Statement on Form S-1 (File No. 333-256156) filed May 14, 2021).
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Filing Fee Table
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* |
Filed herewith
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FEMASYS INC.
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By:
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/s/ Kathy Lee-Sepsick
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Kathy Lee-Sepsick
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Chief Executive Officer and President
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Signature
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Title
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Date
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/s/ Kathy Lee-Sepsick
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President, Chief Executive Officer and Director (principal executive officer)
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April 5, 2024
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Kathy Lee-Sepsick
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/s/ Dov Elefant
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Chief Financial Officer (principal financial and accounting officer)
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April 5, 2024
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Dov Elefant
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/s/ Charles Larsen
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Chair of the Board of Directors
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April 5, 2024
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Charles Larsen
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/s/ Alistair Milnes
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Director
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April 5, 2024
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Alistair Milnes
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/s/ Joshua Silverman
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Director
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April 5, 2024
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Joshua Silverman
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/s/ Edward Uzialko, Jr.
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Director
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April 5, 2024
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Edward Uzialko, Jr.
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Re: |
REGISTRATION STATEMENT ON FORM S-8
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Security Type
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Security Class Title
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Fee Calculation Rule
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Amount
Registered(1)
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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, $0.001 par value per share, reserved for future issuance under the 2021 Equity Incentive Plan
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Rule 457(c) and Rule 457(h)
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866,295(2)
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$1.55(3)
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$1,342,757.25
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0.00014760
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$198.19
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Equity
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Common Stock, $0.001 par value per share, reserved for future issuance under the Employee Stock Purchase Plan
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Rule 457(c) and Rule 457(h)
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216,573(4)
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$1.31(5)
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$283,710.63
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0.00014760
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$41.88
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Total Offering Amounts
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$1,879,859.01
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$240.07
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Total Fee Offsets
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-
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Net Fee Due
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$240.07
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(1) |
Pursuant to Rule 416(a) under the Securities Act of 1933, as amended (the “Securities Act”), the registration statement on Form S-8 (the “Registration Statement”) shall also cover any additional shares of the
common stock of Femasys Inc. (the “Registrant”) that become issuable in respect of the securities identified in the above table by reason of any stock dividend, stock split, recapitalization or other similar transaction effected without the
Registrant’s receipt of consideration that results in an increase in the number of the outstanding shares of the Registrant’s common stock.
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(2) |
Represents 866,295 additional shares of the Registrant’s common stock that were automatically added to the shares authorized for issuance under the Registrant’s 2021 Equity Incentive Plan (the “2021 Plan”) on
January 1, 2024, pursuant to an annual “evergreen” increase provision contained in the 2021 Plan.
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(3) |
Estimated in accordance with Rules 457(c) and (h) of the Securities Act, solely for the purpose of calculating the registration fee. The proposed maximum offering price per share of $1.55 was computed by
averaging the high and low prices of a share of the Registrant’s common stock as reported on The Nasdaq Capital Market on March 28, 2024.
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(4) |
Represents 216,573 additional shares of the Registrant’s common stock that were automatically added to the shares authorized for issuance under the Registrant’s Employee Stock Purchase Plan (the “ESPP”) on
January 1, 2024, pursuant to an annual “evergreen” increase provision contained in the ESPP.
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(5) |
Estimated in accordance with Rules 457(c) and (h) of the Securities Act, solely for the purpose of calculating the registration fee. The proposed maximum offering price per share is equal to 85% of $1.55,
which was computed by averaging the high and low prices of a share of the Registrant’s common stock as reported on The Nasdaq Capital Market on March 28, 2024. Under the ESPP, the purchase price of a share of common stock is equal to 85% of
the fair market value of the Registrant’s common stock on the offering date or the purchase date, whichever is less.
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