EX-FILING FEES 5 d544313dexfilingfees.htm EX-FILING FEES EX-FILING FEES

Exhibit 107.1

Calculation of Filing Fee Tables

Form S-3

(Form Type)

4D Molecular Therapeutics, Inc.

(Exact Name of Registrant as Specified in its Charter)

Table 1: Newly Registered and Carry Forward Securities

 

                         
      Security
Type		   Security
Class
Title		    Fee
Calculation
or Carry
Forward
Rule		   Amount
Registered		   Proposed
Maximum
Offering
Price Per
Unit		   Maximum
Aggregate
Offering
Price		   Fee
Rate(4)		    Amount of
Registration
Fee(4)		   Carry
Forward
Form
Type		    Carry
Forward
File
Number		    Carry
Forward
Initial
Effective
date		    Filing Fee
Previously
Paid In
Connection
with
Unsold
Securities
to be
Carried
Forward
 
Newly Registered Securities
                         

Fees to Be

Paid

    —   —    —   —   —   —   —    —             
                         
     Equity   Common Stock,
par value $0.0001
per share		      (1)(2)    (1)    (3)                   
                         
     Equity   Preferred Stock,
par value $0.0001
per share		      (1)(2)    (1)    (3)                   
                         
     Debt   Debt Securities      (1)    (1)    (3)                   
                         
     Other   Warrants      (1)    (1)    (3)                   
                         
     Other   Units      (1)    (1)    (3)                   
                         
     Unallocated
(Universal)
Shelf		   —    Rule 457(o)   (1) (2)    (1)    $300,000,000(3)   $0.0001102    $33,060.00(4)             
 
Carry Forward Securities
                         

Carry Forward

Securities

    —   —    —   —     —        —    —    —    —
                   
     Total Offering Amounts     $300,000,000      $33,060.00             
                   
     Total Fees Previously Paid          —             
                   
     Total Fee Offsets          —             
                   
     Net Fee Due                $33,060.00                   

 

(1)

An unspecified number of securities or aggregate principal amount, as applicable, is being registered as may from time to time be offered at unspecified prices and, in addition, an unspecified number of additional shares of common stock is being registered as may be issued from time to time upon conversion of any debt securities that are convertible into common stock or pursuant to any anti-dilution adjustments with respect to any such convertible debt securities.

(2)

Includes rights to acquire common stock or preferred stock of the Company under any shareholder rights plan then in effect, if applicable under the terms of any such plan.

(3)

Estimated solely for the purpose of calculating the registration fee. No separate consideration will be received for shares of common stock that are issued upon conversion of debt securities, depositary shares or preferred stock or upon exercise of common stock warrants registered hereunder. The aggregate maximum offering price of all securities issued pursuant to this registration statement will not exceed $300,000,000.

(4)

Calculated pursuant to Rule 457(o) under the Securities Act.