ITEM
1. BUSINESS
Corporate
History
General
AppYea,
Inc. (“AppYea”, “the Company”, “we” or “us”) was incorporated in the State of South Dakota
on November 26, 2012 to engage in the acquisition, purchase, maintenance and creation of mobile software applications. The Company is
in the development stage with no significant revenues and no operating history. On November 1, 2021 the Company was redomiciled in the
State of Nevada.
On
August 2, 2021, AppYea entered into a stock exchange agreement with SleepX Ltd., a company formed under the laws of the State of Israel
(“SleepX”) and controlled by the majority shareholder of AppYea, our chief executive officer Barry Molchadsky.
Pursuant to the agreement, the outstanding equity capital consisting of 1,724 common shares of SleepX was exchanged for 174,595,634
shares of common stock of the Company, based on the agreement that determined that to SleepX shareholders will be issued common shares
in the amount that will result in them holding 80% of the common shares issued of AppYea. The agreement was subject to certain terms
before the agreement could be closed. On December 31, 2021, the agreement was consummated as the terms of the agreement were fulfilled;
As a result, SleepX became a wholly owned subsidiary of the Company. The issuance of the shares to SleepX shareholders, due to administrative
matters was completed in March 2022 after the Company completed a reverse stock split.
In
anticipation of the reverse merger described below, on July 2, 2021, Boris Molchadsky a majority shareholder of the Company, acquired
in a private transaction from the former majority shareholder two hundred and twenty-five thousand (225,000) Shares of Series A Preferred
Stock of the Company. The Series A Preferred Shares have the right to vote 1,000 to 1 as shares of common stock and are convertible into
1,500 to 1 of the shares of common stock of the Company. The acquisition of the Preferred Shares provides Boris Molchadsky control of
a majority of the Company’s voting equity capital.
Business
Overview
AppYea,
Inc. is a digital health company, focused on the development of accurate wearable monitoring solutions to treat sleep apnea and snoring
and fundamentally improve quality of life.
Our
solutions are based on our proprietary intellectual property portfolio comprised of Artificial Intelligence (AI) and sensing technologies
for the tracking, analysis, and diagnosis of vital signs and other physical parameters during sleep time, offering extreme accuracy at
affordable cost.
AI
is a broad term generally used to describe conditions where a machine mimics “cognitive” functions associated with human
intelligence, such as “learning” and “problem solving. Basic AI includes machine learning, where a machine uses algorithms
to parse data, learn from it, and then make a determination or prediction about a given phenomenon. The machine is “trained”
using large amounts of data and algorithms that provide it with the ability to learn how to perform the task.
General
Background
Snoring
is a general disorder caused due to repetitive collapsing and narrowing of the upper airway. Individuals with snoring problems are at
increased risk of accidental injury, depression and anxiety, heart disease and stroke. Currently available treatments include surgical
and non-surgical devices.
According
to Fior Markets, a market intelligence company, the Global Anti-Snoring Treatment Market is expected to grow from USD 4.3 billion in
2020 to USD 8.6 billion by 2028, with a 9.07% CAGR between 2021 and 2028. While North America had the largest market share of 28.12%
in 2020, Asia-Pacific region is witnessing significant growth due to the increasing prevalence of obesity and sedentary lifestyles in
emerging economies.
Currently
available anti-snoring devices consist mainly of oral appliances that are recommended for use by patients suffering of snoring or obstructive
sleep apnea. These appliances are put before sleep and have a simple function of pushing either the lower jaw or the tongue forward.
This keeps the epiglottis parted from the uvula and prevents the snoring sound created by the vibration of soft tissues of palate.
Sleep
apnea is a severe sleep condition in which individuals frequently stop breathing in their sleeping, this leads to insufficient oxygen
supply to the brain and the rest of the body which, in turn may lead to critical problems. There are three main types of apnea: (i) Obstructive
Sleep Apnea (“OSA”), the most common form caused by the throat muscles relaxing during sleep; (ii) Central sleep apnea, which
occurs when the brain doesn’t send the proper signals to the muscles that control the breathing; and (iii) complex sleep apnea
syndrome, which occurs when an individual suffers from both OSA and central sleep apnea. While OSA is a common disorder in the elderly
population, affecting approximately 13 to 32% of people aged over 65, sleep apnea can occur at any age and affects approximately 25%
of men and nearly 10% of women.
In
2020, North America dominated the sleep apnea device market, as it accounted for 49% of the revenue, the global market size was valued
at USD 3.7 billion and is expected to expand by 6.2% CAGR, according to a report by Grand View Research Inc., reaching USD 6.1 billion
by 2028.
The
global sleep apnea and snoring market is driven in large part by solutions that can be applied in at home-settings or healthcare settings,
as these tools will drive decisions regarding specific treatments and the associated outlays. However, despite advances in medical imaging
and other diagnostic tools, misdiagnosis remains a common occurrence. We believe that improved diagnoses and outcomes are achievable
through the adoption of AI-based decision support tools.
Our
Products and Product Candidates
Our
initial focus is on the development of supporting solutions utilizing our proprietary platform. Our current business plan focuses on
two principal devices and an App currently in development:
DreamIT
– Biofeedback snoring treatment wristband, combined with the SleepX App.
This
wristband uses unique algorithms designed by SleepX combined with sensors to monitor physiological parameters during sleep. Based on
real time reactions, the wristband will vibrate, when necessary, in order to decrease the snoring and regulate breathing by gently bringing
the user to a lighter sleep and thus ceasing the snoring event.
The
DreamIT product is currently in testing and calibration stage in preparation for serial manufacturing.
DreamIT
PRO – is a wristband for the treatment of sleep apnea using biofeedback in combination with SleepX PRO app. The unique algorithms
of SleepX PRO, combined with the wristband sensors, monitor sleep apnea events and additional physiological parameters during sleep,
and when necessary, the wristband vibrates according to real time events, in order to decrease and cease sleep apnea events.
The
DreamIT PRO product is currently in advanced development stages, following which it would be ready to begin the testing stage in preparation
for filing for FDA approval.
SleepX
PRO – Is a medical application, available for downloading on a smartphone, and used to monitor breathing patterns in the sleep
and identify sleep apnea episodes without direct contact to the user.
The
SleepX PRO product is to begin final calibration, following which we will file for 510(k) FDA approval.
Our
Strategy
We
plan to debut the marketing of the SleepX app and the first DreamIT product in the second quarter of 2023. Concurrently, we plan to file
a 510(k) FDA request for the SleepX PRO app for the non-contact diagnosis of sleep apnea and during 2024 an FDA process for DreamIT PRO
for the treatment of sleep apnea.
Our
goal over the next five years is to establish our technology and related products as the gold standard for the targeted sectors. The
key elements of our strategy are as follows:
Develop
and expand a balanced and diverse pipeline of products and product candidates. Our core platform technologies will include innovative
anti-snoring and sleep apnea related devices and product candidates in various development and clinical stages. We plan to add products
and product candidates to our pipeline by expanding our technologies being developed to additional indications and through investing
in new technologies, products and product candidates. By maintaining this multi-product approach, we aim to provide a broad and comprehensive
product offering, which we believe will result in multiple value inflection events, reduced risks to our potentially business associated
with a particular product or product candidate and increased return on investment. Furthermore, product candidates that we develop may
create attractive collaboration opportunities with diagnostics, medical devices and medical supplies companies.
Maintain
a global, diverse network of specialists to accelerate knowledge synergies and innovation. We will utilize a global network of specialists
to identify large and growing patient populations with significant unmet needs, evaluate and prioritize potential technologies, assist
in designing development plans and diagnostic protocols and determine potential indications of our platform technologies to our target
patient populations in various territories. We believe that maintaining this diverse network of specialists and industry specialists
will allow us to continue to maximize knowledge and cost synergies, utilize shared commercial infrastructure across products, reduce
risks of development and commercialization delays to our overall business and leverage our current and future platform technologies and
technologies for additional products and product candidates.
Establish
distribution channels to maximize the commercial potential of our products. We plan to seek out collaborative arrangement with major
healthcare providers and consumer specialists to facilitate market adoption of our product candidates. We believe that such institutions
are well positioned to directly benefit from improvements in accurate diagnosis and reduction of cost of care associated with the use
of our product candidates. We also believe that the marginal cost of our product candidates compared to potential savings will make it
economical for healthcare institutions to adopt our products regardless of whether or not additional costs of purchase of these products
will be covered by third-party payors, such as government health care programs and commercial insurance companies. Through cooperation
with healthcare providers, we aim to develop and prove an economic model beneficial to them. In parallel, we intend selling directly,
through our website and other online webstores worldwide. Thereafter, we plan to engage with private insurance plans to develop reimbursement
programs encouraging the use of our product candidates. We expect that adoption rates of our product candidates will increase if hospitals
and other medical institutions are compensated, in full or in part, for additional costs incurred when purchasing our products.
We
intend to establish a logistical distribution facility in the US and Israel.
The
License Agreement
Our
business derives from a licensing agreement entered into as of March 15, 2020, as subsequently amended (the “License Agreement”),
by SleepX Ltd., our Israeli subsidiary, B.G. Negev Technologies and Applications Ltd., a company formed under the laws of the State of
Israel (“BGN”) and Mor Research Application Ltd. a company formed under the laws of Israel (“Mor”; together with
BGN, the Licensors”). BGN is a company wholly owned by Ben Gurion University of the Negev in Israel and Mor, is the technology
transfer arm of the Clalit Health Services, an Israeli non-profit healthcare insurance and service provider. Under the License Agreement,
our Israeli subsidiary was granted a worldwide royalty bearing and exclusive license exclusive worldwide license with the right to grant
sub-licenses and with a term of 15 years, to certain intellectual property to research, develop, manufacture use, market, distribute,
offer for sale and sell sensor and software solutions for monitoring snoring and sleep apnea.
On
May 1, 2022, our Israeli subsidiary and the Licensors entered into an amendment to the License Agreement (the “Amended License
Agreement”) to include under the license certain sleep apnea treatment solutions that by combining speech descriptors from three
separate and distinct speech signal domains, these speech descriptors may provide the ability to estimate the severity of sleep apnea
using statistical learning and speech analysis approaches.
As
consideration for the licenses above, our Israeli subsidiary has agreed to pay the following to the Licensors:
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(i) |
A royalty of
3.0% of net sales received from the licensed products for a period of up to 15 years from initiation of sales in each state using
licensed intellectual property; |
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(ii) |
25% of sublicense fees
received prior to attainment of all regulatory approval for marketing and sale of the licensed products in the first jurisdiction
where the licensed products are intended to be sold; thereafter, 15% of sublicense fees received after the date regulatory approval,
but prior to the first commercial sale of the licensed products; and 10% of sublicense fees received after the first commercial sale; |
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(iii) |
An annual license fee,
commencing on fifth anniversary of the License Agreement (i.e., March 2025) of $20,000, and thereafter on each anniversary date as
follows |
Year | |
Amount
($) |
6 | |
$ | 40,000 | |
7 | |
$ | 60,000 | |
8 | |
$ | 80,000 | |
9-15 | |
$ | 100,000.
| |
The
Annual Fee is non-refundable, but it shall be credited each year due, against the royalty noted above, to the extent that such are payable,
during that year.
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(iv) |
Milestone payment
of $60,000 upon the attainment of regulatory approval from applicable authority in USA or Europe to market and sell the licensed
products |
As
of the date of these financials, we have not achieved any of these milestones.
Under
the License Agreement, the Licensors are entitled to terminate the License Agreement under certain conditions relating to a material
change in the business of our Israeli subsidiary or a breach of any material obligation thereunder or to a bankruptcy event of our Israeli
subsidiary. Under certain conditions, our Israeli subsidiary may terminate the License Agreement and return the licensed information
to the Licensors.
In
the event of an acquisition of all of the issued and outstanding share capital of the Israeli Subsidiary or of the Company and/or consolidation
of the Israeli Subsidiary or the Company into or with another corporation (“Non IPO Exit”) or a listing of our common stock
on a national exchange such as Nasdaq (the IPO Exit”), then the Licensors shall be entitled to an exit fee equal to 5% of the valuation
of our company at the time of such exit and with respect to an IPO Exit, shares of common stock which will reflect in the aggregate 5%
of then outstanding common stock of the Company.
R&D
and New Product Development
We
believe our strong research and development capabilities are one of our principal competitive strengths. Our R&D activities are conducted
at our subsidiary’s facility in Israel. Our team of employees and sub-contractors is comprised of current and future dedicated
research and development employees, system architects, algorithm developers engineers, software engineers, electronics and electro-optics
engineers quality engineers and regulatory experts, who are responsible for the research design, development and testing of our technologies
and product candidates.
SleepX
was founded in June 2019 on the basis of technology developed in the biomedicine department of Ben-Gurion University in Israel. The technology
is protected by a number of strong international patents and it monitors physiological parameters during sleep using unique algorithms
and detects snoring and sleep apnea.
In
2021, the company signed a license agreement with Nexense Technologies USA. Inc., an American company registered in Delaware that owns
two U.S. patents approved for the treatment of snoring through external stimuli (vibration).
The
combination of the two technologies allows the company to manufacture and market unique products for comprehensive monitoring of physiological
parameters during sleep, detection of snoring and sleep apnea and their treatment.
We
intend to sell our product lines through distributors and dealer networks. We would start with online selling of our products, according
to regulations approvals, through the company website and several online stores and through third party resellers such as AliExpress
and Amazon. Our products are currently manufactured in China with minor adaptive software specifications and design. We intend to purchase
the wristband on the shelf components from third party manufacturers and do the assembly, molding, and distribution in a facility in
Israel. Ultimately, we intend to bring the whole production line to a local manufacturer in Israel.
Intellectual
Property:
We
rely on a combination of patents, trade secrets, non-disclosure agreements, and other intellectual property to protect the proprietary
technologies that we believe are important to our business. Our success will depend in part on our ability to obtain and maintain patent
and other proprietary protection for commercially important inventions and know-how, defend and enforce our patents, maintain our licenses,
preserve our trade secrets, and operate without infringing valid and enforceable patents and other proprietary rights of third parties.
We also rely on continuing technological innovation to develop, strengthen, and maintain our proprietary position in the field of sleep
apnea.
The
Company’s technology is protected by patents, for both the medical and nonmedical fields in the United States, Israel and Europe.
The Company’s measurement technology utilizes a technique that measures a range of physical parameters as a function of time to
a level of accuracy previously unattainable.
We
own or have exclusive rights to four (4) United States and one (1) foreign issued patents, three (3) pending applications in the United
States, three (3) pending applications in the U.S. and one (1) pending application in Israel relating to sleep apnea monitoring sensors
and treatment.
Our
patent portfolio includes:
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High-sensitivity Sensors
for Sensing Various Physiological Phenomena, particularly useful in Anti-snoring Apparatus and Methods. Patent number US 7,866,212
B2, issued on January 11, 2011. A mechanical vibration sensor adapted to be brought into contact with an object for sensing mechanical
vibrations in the object, includes a body of a soft elastomeric material having high transmissivity and low attenuation properties
with respect to a preselected type of energy waves; and a pair of transducers mounted, by mounting members having high attenuation
properties with respect to the energy waves, in spaced relationship to each other to define a transmission channel between the transducers.
Such sensor is particularly useful in a method and apparatus for controlling snoring by a person, by utilizing a stimulus device
effective, when sensing snoring, to immediately produce a response in the person tending to interrupt the person’s snoring. |
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Apparatus for use in
controlling snoring and sensor. Patent number US 7,716,988 B2, issued on May 18, 2010. Apparatus for use in controlling snoring,
including: a sensor system for sensing snoring by a person while sleeping, and a stimulus device effective, when actuated by the
sensor system, to apply a stimulus to the person for producing a response tending to interrupt the person’s snoring. The stimulus
device includes a vibrator and a band for enclosing a body part of the person and for applying a vibration to the body part. Also
described is a force or displacement sensor, which includes a housing filled with a liquid having high transmissivity and low attenuation
properties with respect to acoustical waves, and an acoustical transmitter and an acoustical receiver carried by opposed walls of
the housing spaced from each other to define between them an acoustical transmission channel of the liquid. The housing is deformable
by a force such as to change the length of the acoustical transmission channel in accordance with the applied force. A measuring
system measures the transit time of an acoustical wave through the acoustical transmission channel to provide a measurement of the
applied force. |
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Apparatus and method
for diagnosing sleep quality, patent number US 2015/0119741 A1, issued on April 30, 2015. A method of distinguishing sleep period
states that a person experiences during a sleep period, the method comprising: using a non-contact microphone to acquire a sleep
sound signal representing sounds made by a person during sleep; segmenting the sleep sound signals into epochs; generating a sleep
sound feature vector for each epoch; providing a first model that gives a probability that a given sleep period state experienced
by the person in a given epoch exhibits a given sleep sound feature vector; providing a second model that gives a probability that
a first sleep period state associated with a first epoch transitions to a second sleep period state associated with a subsequent
second epoch; and processing the feature vectors using the first and second models to determine a sleep period state of the person
from a plurality of possible sleep period states for each of the epochs. |
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Estimation of sleep
quality parameters from whole night audio analysis, patent number US 2020/1193423 A1, issued on March 26, 2020. The present invention
relates to a system and method for determining sleep quality parameters according to audio analyses, comprising: obtaining an audio
recorded signal comprising sleep sounds of a subject; segmenting the signal into epochs; generating a feature vector for each epoch,
wherein each of said feature vectors comprises one or more feature parameters that are associated with a particular characteristic
of the signal and that are calculated according to the epoch signal or according to a signal generated from the epoch signal; inputting
the generated feature vectors into a machine learning classifier and applying a preformed classifying model on the feature vectors
that outputs a probabilities vector for each epoch, wherein each of the probabilities vectors comprises the probabilities of the
epoch being each of the sleep quality parameters; inputting the probabilities vectors for each epoch into a machine learning time
series model and applying a preformed sleep quality time series pattern function on said probabilities vectors that outputs an enhanced
probabilities vector for each epoch; determining a final sleep quality parameter for each epoch by calculating the most probable
sleep quality parameters sequence. |
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Apparatus
and method for diagnosing obstructive sleep apnea, patent number US 9,844,336 B2, issued on
December
19, 2017. An embodiment of the invention provides a method of diagnosing obstructive sleep apnea,
the
method comprising: acquiring a sleep sound signal comprising sounds made by a person during sleep; detecting a plurality of snore
sounds in the sleep sound signal; determining a set of mel-frequency cepstral coefficients for
each
of the snore sounds; determining a characterizing feature for the sleep sound signal responsive to a sum of the variances of the
cepstral coefficients; and using the characterizing feature to diagnose obstructive sleep apnea in the person. |
Market
size of those suffering from snoring and sleep apnea on the one hand and attractive price to the consumer on the other hand are expected
to allow the company to gain a large number of users through online marketing. We plan to continue developing big data-based algorithms
for predicting life-threatening illnesses and health events and to warn ahead of time.
In
addition to self-development, we are examining acquisitions of technologies and synergistic companies to enable our customers a holistic
solution for quality and healthy sleep.
Competition
The
snoring treatment market is characterized by a large number of players that with solutions concentrated around the nose and mouth
such as: Plastic cones inserted into the nose and assembled in the nostrils; Silicone mold that is inserted into the mouth to push the
lower jaw forward; strap tied around the head and jaw in order to keep the mouth closed. One of the most common treatments is tying a
tennis ball to the back in order to make a habit of not sleeping on the back. These treatments are both inconvenient and ineffective
for most people, resulting in the user giving up and discarding the treatment after a short period.
In
addition, there are a number of apps for monitoring snoring using a microphone but none of them are for treatment. It is important to
note that the use of the microphone for breathing monitoring is protected by patents belonging to the company and it intends after the
raise to act legally to enforce them.
Sleep
Apnea market is divided into two segments:
(i)
Identification and characterization: In most cases, this procedure takes place overnight in a sleep laboratory, following a doctor’s
referral. An inconvenient process that requires the subject to sleep outside his house while connected to many sensors. One of the setbacks
of sleeping in a sleep laboratory is that it’s different from the sleeping conditions at home and therefore will not accurately
reflect the problem and potentially affect the diagnoses. Furthermore, it is very expensive to conduct such an evaluation, as it requires
overnight hospitalization.
It
is possible to perform the sleep test at home by renting the required equipment for the procedure. Most devices used in home testing
measure saturation during the night, by using a clip monitor placed on the index finger and connecting to additional devices. The test
is expensive, uncomfortable, and less accurate. The SleepX Pro app was designed to overcome such inconveniences, it is installed on a
smartphone and can perform a test every night, accurately, without patient contact, while being convenient, effective, precise, and cheap.
(ii)
Treatment of sleep apnea: After characterization and identification of the disorder, the most common solution accepted today is
CPAP – a Face mask attached with a tube to a compressor which during the night pressurizing air into the patient’s lungs
in order to open air passages and prevent them from being blocked. Most people can’t adapt to the solution due to discomfort -
Interfering with changing sleep position, pressing the area of the face. Only severe cases, where the patient is at high risk, they continue
to use the device. The company’s solution, that instead of pressurizing the blockage, teaches the patient to sleep in a correct
position, where the block is not created.
We
operate in highly competitive segments of the Health Tech markets. We face competition from many different sources, including commercial
medical device enterprises, academic institutions, government agency, and private and public research institutions. Many of our competitors
have significantly greater financial, product development, manufacturing and marketing resources than us. Large Health Tech companies
have extensive experience in clinical testing and obtaining regulatory approval for medical devices. We also may compete with these organizations
to recruit scientists and clinical development personnel. Smaller or early-stage companies may also prove to be significant competitors,
particularly through collaborative arrangements with large and established companies.
We
expect our principal competitors to be the Philips SmartSleep Snoring Relief band, which is intended to reduce snoring by prompting the
user to sleep on his side rather than on the back, with a positional monitor that detects when the user is turning and delivers gentle
vibration that prompt the user to sleep on his side. Another competitor is Fitbit, which offers sleep tracking on its devices since 2017,
by measuring the users heart rate and movement to provide them with a breakdown of their sleep cycles. In addition to this, in May 2021,
Fitbit confirmed that a new feature called Snore & Noise Detect was added to analyse noise levels and determine whether the
user is snoring. Amazon’s Alexa is expected to soon allow for the detection of sleep apnea.
Manufacturing
Currently,
we do not own or operate manufacturing facilities. While we plan to depend on third party contract manufacturers for device manufacturing,
we plan to perform the final assembly, quality control and release of finished goods in our facilities. The components of the wristband
are considered off the shelf products with minor adaptive software specifications and design, which makes us independent of one manufacturer.
We intend to purchase the wrist band on the shelf components from third party manufacturers and do the assembly, molding, and distribution
in a facility in Israel. Ultimately, we intend to bring the whole production line to a local manufacturer in Israel.
We
currently manufacture our bracelets in an OEM factory in China, with a monthly manufacturing capacity of 48,000 units. We plan on procuring
enough units to suffice for three months of orders at all times, in such we minimize our exposure to supply chain disruptions. By holding
enough stock in our warehouses to supply orders for three months our management believes that such supply would mitigate the impact of
supply chain disruptions, should these occur. Furthermore, our products don’t contain any special materials which would have an
effect on the ability of our supplier to manufacture the product.
Manufacturers
of our products are required among other things, to comply with applicable FDA manufacturing requirements contained in the FDA’s
Quality System Regulation. The QSR requires manufacturing quality assurance and quality control as well as the corresponding maintenance
of records and documentation.
The
algorithm and application programming is done in Israel by the Company service providers and employees.
Distribution
and Revenue Generation
In
the first stage, the company will market its products to the final consumer through the company’s website via the acquisition of
media (investment in online marketing). The company has reviewed and made necessary adjustments for efficient marketing through social
networks – Facebook, Instagram, and Google. In the European market the company Conducts negotiations with distributors and pharmacy
chain stores. Since the company’s products are based on a smartphone app marketing will also be made through the Apple and Google
App Stores.
For
the DreamIT wristband, our strategy is to establish relationships with third parties (such as well-established sales organizations, distributors,
pharmacies, chain stores and marketing coordinators) that will assist us in developing, marketing, selling and implementing our products.
In parallel, we intend selling directly, through our website and other online webstores worldwide.
We
believe that strategic and technology-based relationships with medical facilities are fundamental to our success. We have forged numerous
relationships with medical device distributors to enhance our combined capabilities. This approach enhances our ability to accelerate
market penetration, accelerate the pace of our sales growth and solidify relationships.
We
have a variety of marketing programs designed to create brand awareness and market recognition for our product offerings and for sales
lead generation. Our marketing efforts include attending and presenting at healthcare related conferences, advertising, content development
and distribution, public relations, social media publication of technical and informative articles in industry journals and sales training.
In
addition, our strategic partners would augment our marketing and sales campaigns through seminars, trade shows and joint public relations
and advertising campaigns. Our customers and strategic partners provide references and recommendations that we often feature in external
marketing activities.
For
the PRO devices, our strategy, in addition to the above-mentioned channels, is to market through healthcare professionals, customers
and third-party payors, HMO’s, insurance companies, cardiologists, hospitals, and sleep laboratories.
Facilities
Currently,
the Company uses third party service providers facilities for manufacturing, assembly and distribution of company products. We intend
to open logistic distribution centers in Israel and in the US. The Company shall rent office spaces for her operations in Israel and
the US.
Government
Regulation and Product Approval
Government
authorities in the United States, at the federal, state and local level, and other countries extensively regulate, among other things,
the research, development, testing, manufacture, quality control, approval, labelling, packaging, storage, record-keeping, promotion,
advertising, distribution, post-approval monitoring and reporting, marketing and export and import of products such as those we are developing.
Government
Regulations.
Before
we can market SleepX PRO and DreamIT PRO to the public in the US, we believe they will need to obtain clearance for commercial sale.
Our devices, except for the DreamIT wristband, will be subject to ongoing regulation by the FDA in the US and other federal, state, and
local regulatory bodies.
FDA
regulations govern, among other things, product design and development, manufacturing, labelling, pre-clinical and clinical trials, post-market
adverse event reporting, post-market surveillance, complaint handling, repair or recall of products, product storage, record keeping,
pre-market clearance, advertising and promotion, and sales and distribution.
Unless
an exemption applies, each medical device, such as our SleepX APP PRO and DreamIT PRO that is intended to be commercially distributed
in the United States requires 510(k) clearance from the FDA. Based on the FDA guidance documents that we have reviewed, we expect to
be subject to the shorter and more streamlined 510(k) process for SleepX APP PRO, which typically involves less risk of uncertainty,
and the submission of less supporting documentation, and without the costly clinical trials; though of course no prior guarantee can
be provided as to such regulatory treatment. Generally, gaining 510(k) clearance for a product depends on demonstrating that the subject
product is “substantially equivalent” to a previously cleared 510(k) device.
For
the DreamIT PRO, the clearance process may involve three material steps. First, we will engage the FDA in a pre-submission conference
to ensure that we understand and meet the FDA’s requirements, expectations and standards with regard to approval of our product
candidates. At this meeting, our team, including our FDA regulatory consultant, will receive FDA comments and guidance regarding our
proposed submission during the pre-market notification period for 510(K) clearance (including any suggested modifications to the device
description, indications for use or summary of supporting data contained in the notification). Then we will prepare our submission to
the FDA accordingly.
The
FDA’s 510(k) clearance pathway generally takes from three to twelve months from the date the application is completed, but, if
additional testing, verifications or other procedures (or even clinical trials) are required, can take significantly longer.
After
a medical device receives 510(k) clearance by the FDA, any modification that could significantly affect its safety or effectiveness,
or that would constitute a significant change in its intended use, requires to re-determine the regulatory path.
The
FDA requires each manufacturer to make this determination initially, but the FDA can review any such decision and can disagree with a
manufacturer’s determination. If the FDA disagrees with a manufacturer’s determination regarding whether a new premarket
submission is required for the modification of an existing device, the FDA can, at its discretion, require the manufacturer to cease
marketing and/or recall the modified device until 510(k) clearance is obtained.
Failure
to comply with applicable regulatory requirements can result in enforcement actions by the FDA and other regulatory agencies, which may
include any of the following sanctions: untitled letters or warning letters, fines, injunctions, consent decrees, civil or criminal penalties,
recall or seizure of our current or future products, operating restrictions, partial suspension or total shutdown of production, refusal
of or delay in granting 510(k) clearance of new products or modified products or rescinding previously granted 510(k) clearances. Any
of these sanctions could result in higher than anticipated costs and have a material adverse effect on our reputation, business and financial
condition. See “Risk Factor – Government Regulation,” above.
The
FDA can delay, limit or deny clearance of our proposed devices for many reasons, including:
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our inability to demonstrate
that our product is safe and effective for its intended users; |
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our inability to demonstrate
that our product is the “substantial equivalent” of a previously cleared device; |
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the data from clinical
studies that we undertake may be insufficient to support clearance; and |
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failure of the manufacturing
process or facilities we use to meet applicable requirements. |
In
addition, the FDA may change its pre-market policies, adopt additional regulations or revise existing regulations, or take other actions
which may prevent or delay clearance of our devices.
Any
delay in, or failure to receive or maintain regulatory compliance prior to marketing our devices could prevent us from generating revenue
therefrom or achieving profitability.
Additionally,
the FDA and other regulatory authorities have broad enforcement powers. Regulatory enforcement or inquiries, or other increased scrutiny
on us, could dissuade some customers from using our proposed product and adversely affect our reputation and the perceived safety and
efficacy of our proposed devices. If the FDA requires us to go through a more rigorous examination for our proposed product than we currently
expect, such as requiring additional testing further verification or other procedures, we may require substantial additional funding
sooner than anticipated and/or our product could be severely delayed. Being subject to an extended period of scrutiny or being required
to conduct expensive clinical trials would be particularly harmful to our business.
Ongoing
Regulation by FDA.
Upon
FDA clearance, we will seek to obtain in the U.S. a CPT code for purposes of reimbursement by Medicare and Medicaid.
Placing
the SleepX APP PRO and DreamIT PRO device on the market requires in addition:
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Establishment, registration
and device listing; |
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quality system regulation,
which requires manufacturers, including third party manufacturers, to follow stringent design, testing, control, documentation and
other quality assurance procedures during all aspects of the manufacturing process; |
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labeling regulations and
FDA prohibitions against the promotion of products for un-cleared, unapproved or “off-label” uses, and other requirements
related to advertising and promotional activities; |
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Medical device reporting
(MDR) regulations, which require that manufacturers report to the FDA if their device may have caused or contributed to a death or
serious injury or malfunctioned in a way that would likely cause or contribute to a death or serious injury if the malfunction were
to recur; |
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Corrections and removals
reporting regulations, which require that manufacturers report to the FDA field corrections and product recalls or removals if undertaken
to reduce a risk to health posed by the device or to remedy a violation of the FDCA that may present a risk to health; |
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Labelling and Unique Device
Identification (UDI) regulations; and |
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Post-market surveillance
regulations, which apply when necessary to protect the public health or to provide additional safety and effectiveness data for the
device. (Refer to the section below) |
Post-Approval
Requirements
Although
premarket clinical trials provide important information on a device’s safety and effectiveness, it is possible that new safety
concerns will emerge once the device is on the market. As a result, the FDA continues to monitor device performance after a device has
been approved. FDA officials conduct routine inspections of medical device manufacturing facilities across the United States. Manufactures
may be informed of inspections in advance, or the inspections may be unannounced. Inspection may be routine or cause by a particular
problem. The purpose of these inspections is to make sure developers are following good manufacturing practices. Furthermore, the FDA
can shut down a manufacturing facility if required standards are not met.
Clinical
Useability Studies
In
addition to the above, we plan to conduct clinical useability studies in the U.S. or other countries on products that have not yet been
cleared or approved for a particular indication. Additional regulations govern the approval, initiation, conduct, documentation and reporting
of clinical studies to regulatory agencies in the countries or regions in which they are conducted. Such investigational use is generally
also regulated by local and institutional requirements and policies which usually include review by an ethics committee or institutional
review board, or IRB. Failure to comply with all regulations governing such studies could subject the company to significant enforcement
actions and sanctions, including halting of the study, seizure of investigational devices or data, sanctions against investigators, civil
or criminal penalties, and other actions. Without the data from one or more clinical studies, it may not be possible for us to secure
the data necessary to support certain regulatory submissions, to secure reimbursement or demonstrate other requirements. We cannot assure
that access to clinical investigators, sites and subjects, documentation and data will be available on the terms and timeframes necessary.
Reimbursement
Our
current go-to-market strategy does not contemplate or rely upon governmental or third party payor reimbursement, to the snoring treatment
device. Following FDA approval for the treatment and identification of sleep apnea, we may seek reimbursement for product candidates
as a means to expand the adoption of products and broaden our customer base.
To
the extent that we adopt a market strategy which is in whole or in part reliant on third party reimbursement, commercial sales of our
future products will depend in part on the availability of reimbursement from such third-party payors, including government health administrative
authorities, managed care providers, private health insurers and other organizations. Each third-party payor may have its own policy
regarding what products it will cover, the conditions under which it will cover such products, and how much it will pay for such products.
Third-party payors are increasingly examining the medical necessity and cost effectiveness of medical products and services in addition
to safety and efficacy and, accordingly, significant uncertainty exists as to the reimbursement status of newly approved devices. Further,
healthcare policy and payment reform models and medical cost containment models are being considered and/or adopted in the United States
and other countries. Legislative and/or administrative reforms to applicable reimbursement systems may significantly reduce reimbursement
for the services in which our products are used or result in the denial of coverage for such services outright. As a result, third-party
reimbursement adequate to enable us to realize an appropriate return on our investment in research and product development may not be
available for our products.
Other
Healthcare Laws and Compliance Requirements
In
the United States, our activities are potentially subject to regulation by various federal, state and local authorities in addition to
the FDA, including the Centers for Medicare and Medicaid Services (formerly the Health Care Financing Administration), other divisions
of the United States Department of Health and Human Services (e.g., the Office of Inspector General), the United States Department of
Justice and individual United States Attorney offices within the Department of Justice, and state and local governments.
Anti-Kickback
Statutes in the United States
The
U.S. federal anti-kickback statute prohibits persons from knowingly and wilfully soliciting, offering, receiving or providing remuneration,
directly or indirectly, in exchange for or to induce either the referral of an individual, or the furnishing, arranging for or recommending
of a good or service, for which payment may be made in whole or in part under a U.S. federal healthcare program such as the Medicare
and Medicaid programs. The definition of “remuneration” has been broadly interpreted to include anything of value, including
gifts, discounts, the furnishing of supplies or equipment, payments of cash and waivers of payments. Several courts have interpreted
the statute’s intent requirement to mean that, if any one purpose of an arrangement involving remuneration is to induce referrals
or otherwise generate business involving goods or services reimbursed in whole or in part under U.S. federal healthcare programs, the
statute has been violated. Penalties for violations include criminal penalties and civil sanctions such as fines, imprisonment and possible
exclusion from Medicare, Medicaid and other U.S. federal healthcare programs. The reach of the federal anti-kickback statute was broadened
by the ACA, which, among other things, amends the intent requirement of the federal anti-kickback statute. Pursuant to the statutory
amendment, a person or entity no longer needs to have actual knowledge of this statute or specific intent to violate it in order to have
committed a violation. The ACA further provides that the government may assert that a claim including items or services resulting from
a violation of the federal anti-kickback statute constitutes a false or fraudulent claim for purposes of the U.S. False Claims Act or
the Civil Monetary Penalties statute, which imposes penalties against any person who is determined to have presented or caused to be
presented a claim to a federal health program that the person knows or should know is for an item or service that was not provided as
claimed or is false or fraudulent.
The
U.S. federal anti-kickback statute is broad and prohibits many arrangements and practices that are lawful in businesses outside of the
healthcare industry. Recognizing that the statute is broad and may technically prohibit many innocuous or beneficial arrangements, the
Office of Inspector General of the Department of Health and Human Services, or OIG, has issued a series of regulations, known as the
“safe harbors.” These safe harbors set forth provisions that, if all their applicable requirements are met, will assure healthcare
providers and other parties that they will not be prosecuted under the anti-kickback statute. The failure of a transaction or arrangement
to fit precisely within one or more safe harbors does not necessarily mean that it is illegal or that prosecution will be pursued. However,
conduct and business arrangements that do not fully satisfy an applicable safe harbor may result in increased scrutiny by government
enforcement authorities such as the OIG or the U.S. Department of Justice.
Many
states have adopted laws similar to the U.S. federal anti-kickback statute. Some of these state prohibitions are broader than the U.S.
federal statute, and apply to the referral of patients and recommendations for healthcare items or services reimbursed by any source,
not only the Medicare and Medicaid programs. Government officials have focused certain enforcement efforts on marketing of healthcare
items and services, among other activities, and have brought cases against individuals or entities with sales personnel who allegedly
offered unlawful inducements to potential or existing physician users in an attempt to procure their business.
U.S.
Health Insurance Portability and Accountability Act of 1996
HIPAA
imposes criminal and civil liability for executing a scheme to defraud any healthcare benefit program, including private payors, or making
false statements relating to healthcare matters. HIPAA, as amended by the Health Information Technology for Economic and Clinical Health
Act, or HITECH, which governs the conduct of certain electronic healthcare transactions and protects the security and privacy of protected
health information and which can impose civil or criminal liability for violations of its provisions.
In
addition, we may be subject to data privacy and security regulation by both the federal government and the states in which we conduct
our business. HIPAA, as amended by HITECH, and its implementing regulations, imposes certain requirements relating to the privacy, security
and transmission of individually identifiable health information. Among other things, HITECH makes HIPAA’s privacy and security
standards directly applicable to “business associates” — independent contractors or agents of covered entities that
receive or obtain protected health information in connection with providing a service on behalf of a covered entity. HITECH also increased
the civil and criminal penalties that may be imposed against covered entities, business associates and possibly other persons, and gave
state attorneys general new authority to file civil actions for damages or injunctions in federal courts to enforce the federal HIPAA
laws and seek attorney’s fees and costs associated with pursuing federal civil actions. In addition, state laws govern the privacy
and security of health information in certain circumstances, many of which differ from each other in significant ways and may not have
the same effect, thus complicating compliance efforts.
International
Regulation
The
European Commission is the legislative body responsible for the EU MDR (Medical Device Regulation) with which manufacturers selling medical
products in the European Union and the European Economic Area, or EEA, must comply. The European Union has adopted regulation of the
design, manufacture, labelling, clinical studies, post-market clinical follow-up, post-market surveillance and vigilance for medical
devices. Devices that comply with the requirements of a relevant EU MDR will be entitled to bear the CE conformity marking, indicating
that the device conforms to the essential requirements of the applicable regulations and, accordingly, can be marketed throughout the
European Union and EEA, after being certified by a Notified Body. The centralized procedure provides for the grant of a single marketing
authorization that is valid for all European Union member states.
In
addition to regulations in the United States, there are a variety of foreign regulations governing clinical trials and commercial sales
and distribution of any product candidates. The approval process varies from country to country, and the time may be longer or shorter
than that required for bringing the product to the US market.
Employees
& Consultants
We
currently engage on a full time basis, two employees and several service providers. In addition, six individuals are engaged in product
research and development and the remainder in various fields of legal, accounting, management, marketing and regulatory consulting.
ITEM
1A. RISK FACTORS
Investing
in our common stock involves a high degree of risk. You should carefully consider the risks described below, together with the other
information contained in this Annual Report on Form 10-K, including our consolidated financial statements and the related notes, before
making any decision to invest in shares of our common stock. This Annual Report on Form 10-K contains forward-looking statements. If
any of the events discussed in the risk factors below occurs, our business, prospects, results of operations, financial condition and
cash flows could be materially harmed. If that were to happen, the trading price of our common stock could decline, and you could lose
all or part of your investment. The risks and uncertainties described below are not the only ones we face. Additional risks not currently
known to us or other factors not perceived by us to present significant risks to our business at this time also may impair our business
operations.
Risks
Related to Financial Position
We
are a development stage medical device company and have a history of significant operating losses; we expect to continue to incur operating
losses, and we may never achieve or maintain profitability.
As
a development stage company, we do not currently have revenues to generate cash flows to cover operating expenses. Since our inception,
we have incurred operating losses in each year due to costs incurred in connection with research and development activities and general
and administrative expenses associated with our operations. For the years ended December 31, 2022 and 2021, we incurred net losses of
approximately $1,304,000 and $3,181,000, respectively. As of December 31, 2022, we had an accumulated deficit of $4,509,000.
We
expect to incur losses for the foreseeable future as we continue the development of, and seek regulatory clearance and approvals for
our DreamIT, SleepX PRO and DreamIT PRO, our current medical devices under development that are designed to regulate sleep
cycles and prevent snoring and apnea events and detect them. If we fail to generate revenue and eventually become profitable, or if we
are unable to fund our continuing losses, our shareholders could lose all or a substantial part of their investment.
We
will need substantial additional funding to complete subsequent phases of our medical devices and to operate our business and such funding
may not be available or, if it is available, such financing is likely to substantially dilute our existing shareholders.
The
discovery, development, and commercialization of new medical devices and health tech applications, entail significant costs. As we are
in early stage of the programing, engineering, electronics, algorithm and mechanical aspects of our prototypes, we still must develop,
modify, refine and finalize them. To enable us to accomplish these and other related items and continue to operate our business, we will
need to raise substantial additional capital, or enter into strategic partnerships, to enable us to:
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fund clinical studies and
seek regulatory approvals/clearance prior to performing clinical trials; |
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build or access manufacturing
and commercialization capabilities; |
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develop, test, and receive
regulatory commercial sale approval to market our products; |
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acquire or license additional
internal systems and other infrastructure; and |
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hire and support additional
management, engineering and scientific personnel. |
Until
we can generate a sufficient amount of product revenue to finance our cash requirements, which we may never achieve, we expect to finance
our cash needs primarily through public or private equity offerings, debt financings or through the establishment of possible strategic
alliances. We cannot be certain that additional funding will be available on acceptable terms, or at all. If we are not able to secure
additional equity funding when needed, we may have to delay, reduce the scope of, or eliminate one or more of our clinical studies, development
programs or future commercialization initiatives.
In
addition, any additional equity funding that we do obtain will dilute the ownership held by our existing security holders. The amount
of this dilution may be substantially increased if the trading price of our common stock is lower at the time of any financing. Regardless,
the economic dilution to shareholders will be significant if our stock price does not increase significantly, or if the effective price
of any sale is below the price paid by a particular shareholder. Any debt financing that we obtain in the future could involve substantial
restrictions on activities and creditors could seek a pledge of some or all of our assets. We have not identified potential sources for
such financing that we will require, and we do not have commitments from any third parties to provide any future debt financing. If we
fail to obtain funding as needed, we may be forced to cease or scale back operations, and our results, financial condition and stock
price would be adversely affected.
Our
independent registered public accounting firm has included an explanatory paragraph relating to our ability to continue as a going concern
in its report on our audited financial statements included in this report. Our audited financial statements at December 31, 2022 and
2021 and for the years then ended were prepared assuming that we will continue as a going concern.
Primarily
as a result of our losses and limited cash balances and cash flows, the report of our independent registered public accounting firm for
the fiscal year ended December 31, 2022 contains an explanatory paragraph on our financial statements stating that the Company has not
generated sufficient revenues sufficient to cover operating expenses and will need additional capital to service its debt obligations.
While the Company raised proceeds of $481,000 during the year ended December 31, 2022 by way of private placement offerings to accredited
investors it does not believe its resources will be sufficient to meet its operating and capital needs beyond the third quarter of 2023.
The Company expects it will require additional capital to fully implement the scope of its proposed business operations, which raises
substantial doubt about its ability to continue as a going concern. The Company will have to continue to rely on equity and debt financing,
and/or continued support from its officers and directors. There can be no assurance that financing, whether debt or equity, will be available
to the Company in the amount required at any particular time or for any particular period or, if available, that it can be obtained on
favorable terms.
If
we are unable to secure additional capital, we may be required to curtail our clinical and research and development initiatives and take
additional measures to reduce costs in order to conserve our cash in amounts sufficient to sustain operations and meet our obligations.
These measures could cause significant delays in our clinical and regulatory efforts, which is critical to the realization of our business
plan. The accompanying financial statements do not include any adjustments that may be necessary should we be unable to continue as a
going concern. It is not possible for us to predict at this time the potential success of our business. The revenue and income potential
of our proposed business and operations are currently unknown. If we cannot continue as a viable entity, you may lose some or all of
your investment.
We
will need substantial additional funding to continue our operations, which could result in significant dilution or restrictions on our
business activities. We may not be able to raise capital when needed, if at all, which would force us to delay, reduce or eliminate our
product development programs or commercialization efforts and could cause our business to fail.
Our
operations have consumed substantial amounts of cash since inception. We expect to need substantial additional funding to pursue the
development of our products and launch and commercialize any product candidates for which we receive regulatory approval.
We
raised gross proceeds of $0.61 million in 2021 from convertible loan agreements, including $0.11 thousands from Leonite, and in 2022
additional $481 thousands, under our agreements with Leonite, Diagonal and Boris Molchadsky. Even after giving effect to these proceeds,
we will require additional capital for the further development and commercialization of our three product candidates (which are in various
stages of design and development) and may need to raise additional funds sooner if we choose to and are able to expand more rapidly than
we currently anticipate. Further, we expect our expenses to increase in connection with our ongoing activities. In addition, if we obtain
regulatory approval for any of our product candidates, we expect to incur significant commercialization expenses related to regulatory
requirements, product manufacturing, marketing, sales and distribution.
Furthermore,
we expect to incur additional costs associated with operating as a public company. We may also encounter unforeseen expenses, difficulties,
complications, delays and other unknown factors that may increase our capital needs and/or cause us to spend our cash resources faster
than we expect. Accordingly, we will need to obtain substantial additional funding in order to continue our operations.
To
date, we have financed our operations through a mix of equity investments from accredited investors, the incurrence of debt, and we expect
to continue to utilize such means of financing for the foreseeable future. Additional funding from those or other sources may not be
available when or in the amounts needed, on acceptable terms, or at all.
If
we raise capital through the sale of equity, or securities convertible into equity, it would result in dilution to our then existing
stockholders, which could be significant depending on the price at which we may be able to sell our securities.
If
we raise additional capital through the incurrence of indebtedness, we may become subject to covenants restricting our business activities,
and holders of debt instruments may have rights and privileges senior to those of our equity investors. In addition, servicing the interest
and principal repayment obligations under debt facilities could divert funds that would otherwise be available to support research and
development or commercialization activities.
If
we are unable to raise capital when needed on commercially reasonable terms, we could be forced to delay, reduce or eliminate our research
and development for our candidates or any future commercialization efforts. Any of these events could significantly harm our business,
financial condition and prospects.
If
we fail to maintain proper and effective internal controls, our ability to produce accurate and timely financial statements could be
impaired, which could harm our operating results, our ability to operate our business and investors’ views of us.
We
are required to comply with Section 404 of the Sarbanes-Oxley Act of 2002, as amended, or the Sarbanes- Oxley Act, subject to certain
exceptions. Section 404 of the Sarbanes-Oxley Act requires public companies to conduct an annual review and evaluation of their internal
controls and to obtain attestations of the effectiveness of internal controls by independent auditors. Our management team and Board
of Directors will need to devote significant efforts to maintaining adequate and effective disclosure controls and procedures and internal
control over financial reporting in order to comply with applicable regulations, which may include hiring additional legal, financial
reporting and other finance and accounting staff. Additionally, any of our efforts to improve our internal controls and design, implement
and maintain an adequate system of disclosure controls may not be successful and will require that we expend significant cash and other
resources.
Ensuring
that we have adequate internal financial and accounting controls and procedures in place so that we can produce accurate financial statements
on a timely basis is a costly and time-consuming effort that will need to be evaluated frequently. Our failure to maintain the effectiveness
of our internal controls in accordance with the requirements of the Sarbanes-Oxley Act could have a material adverse effect on the tradability
of our common stock, which in turn would negatively impact our business. We could lose investor confidence in the accuracy and completeness
of our financial reports, which could have an adverse effect on the price of our common stock. In addition, if our efforts to comply
with new or changed laws, regulations, and standards differ from the activities intended by regulatory or governing bodies due to ambiguities
related to practice, regulatory authorities may initiate legal proceedings against us and our business may be harmed.
If
material weaknesses or deficiencies in our internal controls exist and go undetected or unremedied, our financial statements could contain
material misstatements that, when discovered in the future, could cause us to fail to meet our future reporting obligations and cause
the price of our common stock to decline.
Risks
Relating to our Business and our Industry
Leonite
Capital LLC has a security interest on all our assets securing the advances made to us
In
connection with the funding transaction we entered into with Leonite Capital LLC in November 2021, between November 2021 and May 9, 2022
Leonite advanced to us a loan $500,000 with an original issue discount of $88,235.29, and the total outstanding principal amount is $588,235.29.
We intend to repay Leonite from proceeds of future offerings. If however we are unable to repay Leonite for whatever reason or do not
otherwise satisfy the loan, such non-repayment would constitute an event of default under the agreement with Leonite. The agreement also
contains other potential events of default. Any event of default can lead to a material adverse effect on our business.
Our
subsidiary, SleepX Ltd. and B.G. Negev Technologies and Applications Ltd., and Mor Research Application Ltd., have entered into a Licensing
agreement which if terminated could have adverse effects on our business.
BGN
is a company wholly owned by Ben Gurion University of the Negev in Israel and Mor, is the technology transfer arm of the Clalit Health
Services, an Israeli non-profit healthcare insurance and service provider. Under the License Agreement, SleepX was granted a worldwide
royalty bearing and exclusive license exclusive worldwide license with the right to grant sub-licenses and with a term of 15 years, to
certain intellectual property to research, develop, manufacture use, market, distribute, offer for sale and sell sensor and software
solutions for monitoring snoring and sleep apnea. In addition to the agreed upon royalty fees to be paid by SleepX to BGN, there is a
milestone payment of $60,000 upon the attainment of regulatory approval from applicable authority in the USA or Europe to market and
sell the licensed products. As of the date of this report, we have not achieved any of these milestones.
Under
the License Agreement, the Licensors are entitled to terminate the License Agreement under certain conditions relating to a material
change in the business of our Israeli subsidiary or a breach of any material obligation thereunder or to a bankruptcy event of our Israeli
subsidiary. Under certain conditions, our Israeli subsidiary may terminate the License Agreement and return the licensed information
to the Licensors.
In
the event of an acquisition of all of the issued and outstanding share capital of the Israeli Subsidiary or of the Company and/or consolidation
of the Israeli Subsidiary or the Company into or with another corporation (“Non IPO Exit”) or a listing of our common stock
on a national exchange such as Nasdaq (the IPO Exit”), then the Licensors shall be entitled to an exit fee equal to 5% of the valuation
of our company at the time of such exit and with respect to an IPO Exit, shares of common stock which will reflect in the aggregate 5%
of then outstanding common stock of the Company.
Our
business derives from such license and in the event of a termination this could have adverse effects on the Company and cause issues
in the distribution and marketing of our products.
We
may encounter numerous difficulties frequently encountered by companies in the early stage of operations.
We
have a limited operating history upon which an investor can evaluate our current business and future prospects. Any potential investor
must consider the risks and difficulties frequently encountered by early-stage companies. Historically, there has been a high failure
rate among early-stage companies. Our future performance will depend upon a number of factors, including our ability to:
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generate revenues and implement
our business plan and growth strategy; |
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attract and retain marketing
and commercial sponsors; |
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aggressively counter and
respond to actions by our competitors; |
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maintain adequate control
of our expenses; |
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attract, retain and motivate
qualified personnel; |
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react to member preferences
and demands; |
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maintain regulatory compliance;
and |
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generate sufficient working
capital through our operations or through issuance of additional debt or equity financing, and to continue as a going concern. |
We
cannot assure investors that we will successfully address any of these factors, and our failure to do so could have a material adverse
effect on our business, financial condition, results of operations and future prospects.
Changes
in the configuration of the technology underlying our devices and application under development may result in additional costs or delay.
As
products are developed through towards approval and commercialization, it is common that various aspects of the development program,
such as manufacturing methods and configuration, are altered along the way in an effort to optimize processes and results. Any changes
we make carry the risk that they will not achieve the intended objectives. Any of these changes could cause our products under development
to perform differently and affect the results of planned clinical trials or other future clinical trials conducted with the altered device.
Such changes may also require additional testing, regulatory notification or regulatory approval. This could delay completion of clinical
trials, increase costs, delay approval of our future products and jeopardize our ability to commence sales and generate revenue.
The
licensors under the licensing agreement between our subsidiary and BGN and Mor, on the other hand, may be terminated by the Licensors
upon certain conditions; any such termination will have a material adverse effect on our business.
Our
business derives from Licensing Agreement entered into as of March 15, 2020, as subsequently amended, by SleepX Ltd., our Israeli subsidiary,
BGN and Mor. BGN is a company wholly owned by Ben Gurion University of the Negev in Israel and Mor, is the technology transfer arm of
the Clalit Health Services, an Israeli non-profit healthcare insurance and service provider. Under the License Agreement, our Israeli
subsidiary was granted a worldwide royalty bearing and exclusive license exclusive worldwide license with the right to grant sub-licenses
and with a term of 15 years, to certain intellectual property to research, develop, manufacture use, market, distribute, offer for sale
and sell sensor and software solutions for monitoring snoring and sleep apnea.
Under
the terms of the License Agreement, the Licensors are authorized to terminate the License Agreement and the license thereunder under
certain conditions, which include any bankruptcy event or if we fail to obtain regulatory approval to market a product by March 2023
or the first commercial sale of any such product has not occurred by March 2025. If the Licensors were to terminate the License Agreement
and the license thereunder upon the occurrence of any such event, such development will have a material adverse effect on our business
and may result in the cessation of operations by us.
The
nature of the technology platforms utilized by us are complex and highly integrated, and if we fail to successfully manage releases or
integrate new updates, it could harm our revenues, operating income, and reputation.
The
technology platforms developed by us accommodate integrated applications that include our own developed technology and third-party technology,
thereby substantially increasing their functionality. By enabling such system interoperability, our communications platform both reduces
implementation and ongoing costs, and improves overall management efficiencies.
Due
to this complexity and the condensed development cycles under which we operate, we may experience errors in our software, corruption
or loss of our data, or unexpected performance issues from time to time. For example, our solutions may face interoperability difficulties
with software operating systems or programs being used by our customers, or new releases, upgrades, fixes or the integration of acquired
technologies may have unanticipated consequences on the operation and performance of our other solutions. If we encounter integration
challenges or discover errors in our solutions late in our development cycle, it may cause us to delay our launch dates. Any major integration
or interoperability issues or launch delays could have a material adverse effect on our revenues, operating income and reputation.
Security
breaches, cyberattacks or other cyber-risks of our IT and production systems could expose us to significant liability and cause our business
and reputation to suffer and harm our competitive position.
Our
corporate infrastructure stores and processes our sensitive, proprietary and other confidential information (including as related to
financial, technology, employees, marketing, sales, etc.) which is used on a daily basis in our operations. In addition to that, our
software involves transmission and processing of our customers’ confidential, proprietary and sensitive information. We have legal
and contractual obligations to protect the confidentiality and appropriate use of customer data.
High-profile
cyberattacks and security breaches have increased in recent years, with the potential for such acts heightened as a result of the number
of employees working remotely due to COVID-19. Security industry experts and government officials have warned about the risks of hackers
and cyberattacks targeting IT products and enterprise infrastructure. Because techniques used to obtain unauthorized access or to sabotage
systems change frequently and often are not recognized until launched against a specific target, we may be unable to anticipate these
techniques or to implement adequate preventative measures. As we continue to increase our client base and expand our brand, we may become
more of a target for third parties seeking to compromise our security systems and we anticipate that hacking attempts and cyberattacks
will increase in the future. We cannot give assurance that we will always be successful in preventing or repelling unauthorized access
to our systems. We also may face delays in our ability to identify or otherwise respond to any cybersecurity incident or any other breach.
Additionally, we use third-party service providers to provide some services to us that involve the storage or transmission of data, such
as SaaS, cloud computing, and internet infrastructure and bandwidth, and they face various cybersecurity threats and also may suffer
cybersecurity incidents or other security breaches. Despite our security measures, our IT and infrastructure may be vulnerable to attacks.
Threats to IT security can take a variety of forms. Individual and groups of hackers and sophisticated organizations, including state-sponsored
organizations or nation-states, continuously undertake attacks that pose threats to our customers and our IT. These actors may use a
wide variety of methods, which may include developing and deploying malicious software or exploiting vulnerabilities in hardware, software,
or other infrastructure in order to attack our products and services or gain access to our networks, using social engineering techniques
to induce our employees, users, partners, or customers to disclose passwords or other sensitive information or take other actions to
gain access to our data or our users’ or customers’ data, or acting in a coordinated manner to launch distributed denial
of service or other coordinated attacks. Inadequate account security practices may also result in unauthorized access to confidential
and/or sensitive data.
Security
risks, including, but not limited to, unauthorized use or disclosure of customer data, theft of proprietary information, theft of intellectual
property, theft of internal employee’s PII/PHI information, theft of financial data and financial reports, loss or corruption of
customer data and computer hacking attacks or other cyberattacks, could require us to expend significant capital and other resources
to alleviate the problem and to improve technologies, may impair our ability to provide services to our customers and protect the privacy
of their data, may result in product development delays, may compromise confidential or technical business information, may harm our
competitive position, may result in theft or misuse of our intellectual property or other assets and could expose us to substantial litigation
expenses and damages, indemnity and other contractual obligations, government fines and penalties, If an actual or perceived breach of
our security occurs, the market perception of the effectiveness of our security measures and our products could be harmed, we could lose
potential sales and existing customers, our ability to operate our business could be impaired, and we may incur significant liabilities,
and we could suffer harm to our reputation and competitive position, and our operating results could be negatively impact our business.
The
market opportunity for our products and services may not develop in the ways that we anticipate.
The
demand for our products and services can change quickly and in ways that we may not anticipate because the market in which we operate
is characterized by rapid, and sometimes disruptive, technological developments, evolving industry standards, frequent new product introductions
and enhancements, changes in customer requirements and a limited ability to accurately forecast future customer orders. Our operating
results may be adversely affected if the market opportunity for our products and services does not develop in the ways that we anticipate
or if other technologies become more accepted or standard in our industry or disrupt our technology platforms.
If
we are unable to maintain successful relationships with our channel partners, our business could be adversely affected.
We
rely on channel partners, such as distribution partners and resellers, to sell licenses and support and maintenance agreements for our
software and to perform some of our professional services. Our ability to achieve revenue growth in the future will depend in part on
our success in maintaining successful relationships with our channel partners.
Our
agreements with our channel partners are generally non-exclusive, meaning our channel partners may offer customers the products of several
different companies. If our channel partners do not effectively market and sell our software and devices, choose to use greater efforts
to market and sell their own products or those of others, or fail to meet the needs of our customers, including through the provision
of professional services for our software, our ability to grow our business, sell our products and maintain our reputation may be adversely
affected. Our contracts with our channel partners generally allow them to terminate their agreements for any reason upon 30 days’
notice. A termination of the agreement has no effect on orders already placed. The loss of a substantial number of our channel partners,
our possible inability to replace them, or the failure to recruit additional channel partners could materially and adversely affect our
results of operations. If we are unable to maintain our relationships with these channel partners, our business, results of operations,
financial condition or cash flows could be adversely affected. Finally, even if we are successful, our relationships with channel partners
may not result in greater customer usage of our products and professional services or increased revenue.
The
loss of the services of our key management and personnel or the failure to attract additional key personnel could adversely affect our
ability to operate our business.
A
loss of one or more of our current officers or key employees or consultants could severely and negatively impact our operations. We have
no present intention of obtaining key-man life insurance on any of our executive officers or management. Additionally, competition for
highly skilled technical, managerial and other personnel is intense. As our business develops, we might not be able to attract, hire,
train, retain and motivate the highly skilled managers and employees we need to be successful. If we fail to attract and retain the necessary
technical and managerial personnel, our business will suffer and might fail.
Our
limited operating history could delay our growth and result in the loss of your investment.
|Our
operating subsidiary was formed in 2019 under the laws of the State of Israel However, our prospects must be considered in light of the
risks, expenses and difficulties frequently encountered by companies in their growth stage of development. Such risks include, but are
not limited to, dependence on the growth of use of technology and services, complete product development, clinical trials and obtain
industry acceptance while responding to competitive developments and attracting, retaining, and motivating qualified personnel. There
can be no assurance that we will be successful in addressing such risks, and the failure to do so could lead to an inability to meet
our financial obligations and therefore result in bankruptcy and the loss of your entire investment in our common shares.
Our
ability to implement and manage growth strategy is uncertain.
Implementation
of our growth strategy may impose significant strain on our management, operating systems and financial resources. Failure by the Company
to manage its growth, or unexpected difficulties encountered during expansion into different markets, could have a materially adverse
impact on our results of operations or financial condition. Our ability to continue to operate our business depends upon a number of
factors, including (i) generating sufficient funds for operations, (ii) our executive management team and our financial and accounting
controls, and (iii) staffing, training and retaining skilled on-site management personnel. Certain of these factors are beyond our control
and may be affected by the economy or actions taken by competing companies. Further, there can be no assurance that our market analysis
and proprietary business data will continue to support our current marketing plans.
We
may not be able to retain our key personnel or attract additional personnel, which could affect our ability to complete necessary clinical
trials, application & product development, and obtain approvals so that we can generate revenue sufficient to continue as a going
concern diminishing your return on investment.
Our
performance is substantially dependent on the services and on the performance of our Management. We are, and will be, heavily dependent
on the skill, acumen and services of our key executives. Our performance also depends on our ability to attract, hire, retain and motivate
our officers and key employees. The loss of the services of our executives could result in lost revenue depending on the length of time
and effort required to find qualified replacements. We have not entered into long-term employment agreements with all of our key personnel
and currently have no “Key Employee” life insurance policies.
Our
future success may also depend on our ability to identify, attract, hire, train, retain and motivate other highly skilled technical,
managerial, marketing and customer service personnel.
Competition
for such personnel is intense, and there can be no assurance that we will be able to successfully attract, assimilate or retain sufficiently
qualified personnel. If we are unable to attract, retain, and train the necessary technical, managerial, marketing and customer service
personnel, our expectations of increasing our clientele could be hindered, and our profitability reduced.
As
the Company intends to be conducting international business transactions, it will be exposed to local business risks in different countries,
which could have a material adverse effect on its financial condition or results of operations.
The
Company intends to promote and sell its product candidates internationally by virtue of the global access to its products line and it
expects to have customers located in several countries. The Company’s international operations will be subject to risks inherent
in doing business in foreign countries, including, but not necessarily limited to:
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New and different legal
and regulatory requirements in local jurisdictions; |
|
● |
Potentially adverse tax
consequences, including imposition or increase of taxes on transactions or withholding and other taxes on remittances and other payments
by subsidiaries; |
|
● |
Risk of nationalization
of private enterprises by foreign governments; |
|
● |
Legal restrictions on doing
business in or with certain nations, certain parties and/or certain products; and, |
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● |
Local economic, political
and social conditions, including the possibility of hyperinflationary conditions and political instability. |
The
Company may not be successful in developing and implementing policies and strategies to address the foregoing factors in a timely and
effective manner in the locations where it will do business. Consequently, the occurrence of one or more of the foregoing factors could
have a material adverse effect on its base operations and upon its financial condition and results of operations.
Since
our products may be available over the Internet in foreign countries and the Company may have customers residing in foreign countries,
foreign jurisdictions may require it to qualify to do business in their country. It will be required to comply with certain laws and
regulations of each country in which it conducts business, including laws and regulations currently in place or which may be enacted
related to Internet services available to the residents of each country from online sites located elsewhere.
The
Company’s operations in developing markets could expose it to political, economic and regulatory risks that are greater than those
it may face in established markets. Further, its international operations may require it to comply with additional United States and
international regulations.
For
example, it may be required to comply with the Foreign Corrupt Practices Act, or “FCPA,” which prohibits companies or their
agents and employees from providing anything of value to a foreign official or agent thereof for the purposes of influencing any act
or decision of these individuals in their official capacity to help obtain or retain business, direct business to any person or corporate
entity or obtain any unfair advantage. The Company may operate in some nations that have experienced significant levels of governmental
corruption. Its employees, agents and contractors, including companies to which it outsources business operations, may take actions in
violation of its policies and legal requirements. Such violations, even if prohibited by its policies and procedures, could have an adverse
effect on its business and reputation. Any failure by the Company to ensure that its employees and agents comply with the FCPA and applicable
laws and regulations in foreign jurisdictions could result in substantial civil and criminal penalties or restrictions on its ability
to conduct business in certain foreign jurisdictions, and its results of operations and financial condition could be materially and adversely
affected.
We
may be subject to litigation that will be costly to defend or pursue and uncertain in its outcome.
Our
business relies in large part on granted and pending patents which we own. However, the grant of a patent does not ensure that litigation
will not arise where the validity of the patent is challenged or that the patent will not be found by a court to infringe upon patents
held by others. Furthermore, any litigation relating to our patent rights is likely to be expensive and may require a significant amount
of management’s time and attention, at the expense of other aspects of our business. The outcome of litigation is always uncertain,
and in some cases could include judgments against us that require us to pay damages, enjoin us from certain activities, or otherwise
affect our legal or contractual rights, which could have a significant adverse effect on our business and financial condition.
We
may not be able to obtain third-party reimbursement or favorable product pricing, which would reduce our ability to operate profitably.
Our
ability to successfully commercialize certain of our proposed products may depend to a significant degree on reimbursement of the costs
of such products and related services at acceptable levels from government authorities and other organizations. We cannot assure you
that reimbursement in the United States or foreign countries will be available for any products we may develop or, if available, will
not be decreased in the future, or that reimbursement amounts will not reduce the demand for, or the price of, our products with a consequent
harm to our business. We cannot predict what additional regulation or legislation may be enacted in the future or what effect such regulation
or legislation may have on our business. If additional regulations are overly onerous or expensive makes our business more expensive
or burdensome than originally anticipated, we may be forced to significantly downsize our business plans or completely abandon our business
model.
It
may be difficult to enforce a U.S. judgment against us, our officers and some of our directors and the foreign persons named in this
registration statement in the United States or in foreign countries, or to assert U.S. securities laws claims in foreign countries or
serve process on our officers and directors and these experts.
While
we are incorporated in the State of Nevada, currently three of our directors and executive officers are not residents of the United States,
and the foreign persons named in this Annual report on Form 10-K are located outside of the United States. The majority of our assets
are located outside the United States. Therefore, it may be difficult for an investor, or any other person or entity, to enforce a U.S.
court judgment based upon the civil liability provisions of the U.S. federal securities laws against us or any of these persons in a
U.S. or foreign court, or to effect service of process upon these persons in the United States. Additionally, it may be difficult for
an investor, or any other person or entity, to assert U.S. securities law claims in original actions instituted in foreign countries.
Foreign courts may refuse to hear a claim based on a violation of U.S. securities laws on the grounds that foreign countries are not
necessary the most appropriate forum in which to bring such a claim. Even if a foreign court agrees to hear a claim, it may determine
that foreign law and not U.S. law is applicable to the claim. If U.S. law is found to be applicable, the content of applicable U.S. law
must be proved as a fact, which can be a time-consuming and costly process. Certain matters of procedure will also be governed by foreign
countries law. There is little binding case law in foreign countries addressing the matters described above.
We
have not adopted various corporate governance measures, and as a result, stockholders may have limited protections against interested
director transactions, conflicts of interest and similar matters.
Federal
legislation, including the Sarbanes-Oxley Act of 2002, has resulted in the adoption of various corporate governance measures designed
to promote the integrity of corporate management and the securities markets. Because our securities are not yet listed on a national
securities exchange, we are not required to adopt these corporate governance measures and have not done so voluntarily in order to avoid
incurring the additional costs associated with such measures. Furthermore, the absence of the governance measures referred to above with
respect to our Company may leave our stockholders with more limited protection in connection with interested director transactions, conflicts
of interest and similar matters.
We
intend to rely on third parties to conduct clinical trials (if needed). If these third parties do not meet our deadlines or otherwise
conduct the trials as required, our clinical trials programs could be delayed or unsuccessful and we may not be able to obtain regulatory
approval for or commercialize our product candidates when expected or at all.
We
do not have the ability to conduct all aspects of our clinical trials ourselves. We intend to use Contract Research Organizations (CROs)
to conduct clinical trials that we may be required to conduct and will rely upon medical institutions, clinical investigators and CRO’s
and consultants to conduct these trials in accordance with our clinical protocols. Our future CROs, investigators and other third parties
play a significant role in the conduct of these trials and the subsequent collection and analysis of data from the clinical trials.
There
is no guarantee that any CROs, investigators and other third parties upon which we rely for administration and conduct of clinical trials
will devote adequate time and resources to such trials or perform as contractually required. If any of these third parties fail to meet
expected deadlines, fail to adhere to our clinical protocols or otherwise perform in a substandard manner, our clinical trials may be
extended, delayed, or terminated. If any of these clinical trial sites terminate for any reason, we may experience the loss of follow-up
information on patients enrolled in our ongoing clinical trials unless we are able to transfer the care of those patients to another
qualified clinical trial site. In addition, principal investigators for any clinical trials we conduct may serve as scientific advisors
or consultants to us from time to time and receive cash or equity compensation in connection with such services. If these relationships
and any related compensation result in perceived or actual conflicts of interest, the integrity of the data generated at the applicable
clinical trial site may be jeopardized.
The
Protection from our Future Patents is Uncertain.
We
will rely on patents and trade secrets for the protection of our intellectual property. The issuance of a patent by the Patent Office
does not ensure that the patent will be upheld if it is challenged in litigation or that the patent will not be found to infringe upon
patents validly issued to others. We could be exposed to substantial litigation expense defending their intellectual property as well
as liability to others.
Our
Products may Become Technologically Obsolete.
The
anti-snoring and anti-sleep apnea products market is characterized by extensive research and development activities. New developments
are expected to continue at a rapid pace and there can be no assurance that new discoveries will not render our products, processes and
devices uneconomical or obsolete. The likelihood of success for our products must be considered in light of the problems, expenses, difficulties,
complications and delays frequently encountered in connection with the development of new medical processes, devices and products and
their level of acceptance by the medical community.
We
may Encounter Liabilities Involving Customers and Third Parties.
The
sale of medical devices can result in claims for injury if a product causes harm or fails to perform as promised. Although we have not
been subject to any such claim, no assurance can be given that such claims will not be made in the future or that we can obtain any insurance
coverage. If we were subject to an uncovered claim, our assets could be greatly reduced. Though we intend to obtain product liability
insurance prior to the commercialization of our product, we currently don’t have a policy in place.
Government
Regulations May Result in Costs and Delays.
The
development, testing, production and marketing of our future products are subject to regulation by the FDA as devices under 1976 Medical
Device Amendments to the Federal Food, Drug and Cosmetic Act. Additionally, our products may be subject to regulation by similar agencies
in other states and foreign countries. While we believe that we have complied with all applicable laws and regulations, continued compliance
with such laws or regulations, including any new laws or regulations, might impose additional costs on us which could adversely affect
its financial performance and results of operations.
Any
product candidates we may advance into clinical trials (assuming the FDA so requires) may be subject to extensive regulation, which can
be costly and time consuming, cause unanticipated delays or prevent the receipt of the required approvals to commercialize some of our
product candidates, all of which can adversely affect our business.
Before
we can market a new medical device, such as our proposed Apnea related products, we must first receive clearance under Section 510(k)
of the FDA. In the 510(k) clearance process, before a device may be marketed in the US, the FDA must determine that such proposed device
or app is “substantially equivalent” to a legally-marketed “predicate” device, which includes a device that has
been previously cleared through the 510(k) process, a device that was legally marketed prior to May 28, 1976 (pre-amendments device),
a device that was originally on the U.S. market pursuant to an approved pre-market approval (“PMA”) and later down-classified,
or a 510(k)-exempt device. To be “substantially equivalent,” the proposed device must have the same intended use as the predicate
device, and either have the same technological characteristics as the predicate device or have different technological characteristics
and not raise different questions of safety or effectiveness than the predicate device.
The
510(k) clearance process can be expensive, lengthy and uncertain. The FDA’s 510(k) clearance process usually takes from three to
12 months, but can last longer. Despite the time, effort and cost, a device may not be cleared by the FDA. Any delay or failure to obtain
necessary regulatory clearances could harm our business, including our ability to commercialize our product and our shareholders could
lose their entire investment. Furthermore, even if we are granted the required regulatory clearances, such clearances may be subject
to significant limitations on the indicated uses for the device, which may limit the market for our product.
As
noted, our regulatory approval plan is to obtain 510(K) clearance, however no assurance can be granted that we will so succeed. If the
510(k) clearance is not granted to us, the device testing, clinical trials, manufacturing, labeling, storage, record-keeping, advertising,
promotion, import, export, marketing and distribution of our product candidates are subject to extensive regulation by the FDA in the
United States and by comparable health authorities in foreign markets.
Despite
the time and expense invested in clinical trials of product candidates, commercial sale approval from applicable regulatory authority
is never guaranteed.
FDA
or and other regulatory agency can delay, limit or deny approval of a product candidate for many reasons, including:
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the FDA or other foreign
regulatory authority as applicable may disagree with the design or implementation of our clinical trials; |
|
● |
we may be unable to demonstrate
to the satisfaction of the FDA that a product candidate is safe and effective for any indication; |
|
● |
the FDA may not accept
the clinical data from trials which are conducted by individual investigators in countries where the standard of care is potentially
different from the United States; |
|
● |
the results of clinical
trials may not meet the level of statistical significance required by the FDA for clearance; |
|
● |
the FDA may disagree with
our interpretation of data from the bench testing, or clinical trials; |
|
● |
the FDA may fail to approve
the manufacturing processes or facilities of third-party manufacturers with which we or our collaborators contract for clinical and
commercial supplies; or |
|
● |
the approval policies or
regulations of the FDA may significantly be changed in a manner rendering our clinical data insufficient for approval. |
In
addition, the FDA may change its clearance and approval policies, adopt additional regulations or revise existing regulations, or take
other actions, which may prevent or delay approval or clearance of our products or impact our ability to modify our products after clearance
on a timely basis. Such policy or regulatory changes could impose additional requirements upon us that could delay our ability to obtain
clearance for our devices, increase the costs of compliance or restrict our ability to maintain products after clearance. For example,
as part of the Food and Drug Administration Safety and Innovation Act, or FDASIA, enacted in 2012, Congress reauthorized the Medical
Device User Fee Amendments with various FDA performance goal commitments and enacted several “Medical Device Regulatory Improvements”
and miscellaneous reforms, which are further intended to clarify and improve medical device regulation both pre- and post-clearance.
Some of these proposals and reforms could impose additional regulatory requirements upon us that could delay our ability to obtain new
clearance, increase the costs of compliance or restrict our ability to maintain any commercial sale approval we are able to obtain.
With
respect to foreign markets, approval procedures vary among countries and can involve additional product testing and administrative review
periods. Any delay in obtaining, or an inability to obtain, applicable regulatory approvals would prevent us from commercializing our
product candidates.
We
may be subject to numerous and varying privacy and security laws, and our failure to comply could result in penalties and reputational
damage.
We
are subject to laws and regulations covering data privacy and the protection of personal information, including health information. The
legislative and regulatory landscape for privacy and data protection continues to evolve, and there has been an increasing focus on privacy
and data protection issues which may affect our business. In the U.S., numerous federal and state laws and regulations, including state
security breach notification laws, state health information privacy laws, and federal and state consumer protection laws, govern the
collection, use, disclosure, and protection of personal information. Each of these laws is subject to varying interpretations by courts
and government agencies, creating complex compliance issues for us. If we fail to comply with applicable laws and regulations we could
be subject to penalties or sanctions, including criminal penalties if we knowingly obtain or disclose individually identifiable health
information from a covered entity in a manner that is not authorized or permitted by the Health Insurance Portability and Accountability
Act of 1996, as amended by the Health Information Technology for Economic and Clinical Health Act, or HIPAA.
Other
countries have, or are developing, laws governing the collection, use and transmission of personal information as well. The EU and other
jurisdictions have adopted data protection laws and regulations, which impose significant compliance obligations. In the EU, for example,
effective May 25, 2018, the GDPR replaced the prior EU Data Protection Directive (95/46) that governed the processing of personal data
in the European Union. The GDPR imposes significant obligations on controllers and processors of personal data, including, as compared
to the prior directive, higher standards for obtaining consent from individuals to process their personal data, more robust notification
requirements to individuals about the processing of their personal data, a strengthened individual data rights regime, mandatory data
breach notifications, limitations on the retention of personal data and increased requirements pertaining to health data, and strict
rules and restrictions on the transfer of personal data outside of the EU, including to the U.S. The GDPR also imposes additional obligations
on, and required contractual provisions to be included in, contracts between companies subject to the GDPR and their third-party processors
that relate to the processing of personal data. The GDPR allows EU member states to make additional laws and regulations further limiting
the processing of genetic, biometric or health data.
Any
failure to comply with the requirements of GDPR and applicable national data protection laws of EU member states, could lead to regulatory
enforcement actions and significant administrative and/or financial penalties against us (fines of up to Euro 20,000,000 or up to 4%
of the total worldwide annual turnover of the preceding financial year, whichever is higher), and could adversely affect our business,
financial condition, cash flows and results of operations.
If
we or our third-party manufacturers fail to comply with the FDA’s Quality System Regulation, or QSR, our manufacturing operations
could be interrupted.
In
the US, we and our future contract manufacturers are required to comply with the FDA’s QSR requirements which covers the methods
and documentation of the design, testing, production, quality control, labeling, packaging, storage shipping and distribution of our
products. In other foreign countries ISO 13485 standard is used (but not limited), to show compliance with the design and manufacturing
requirements. We and our suppliers are also subject to the regulations of foreign jurisdictions regarding the manufacturing process if
we or our distributors market our products abroad. We continue to monitor our quality management in order to improve our overall level
of compliance. Our facilities will be subject to periodic and unannounced inspection by U.S. and other foreign regulatory agencies as
applicable to audit compliance with the regulations. If our facilities or those of our suppliers are found to be in violation of applicable
laws and regulations, or if we or our suppliers fail to take satisfactory corrective action in response to an adverse inspection, the
regulatory authority could take enforcement action, including any of the following sanctions:
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untitled letters, warning
letters, fines, injunctions, consent decrees and civil penalties; |
|
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customer notifications
or repair, replacement or refunds; |
|
● |
operating restrictions
or partial suspension or total shutdown of production; |
|
● |
recalls, withdrawals, or
administrative detention or seizure of our products; |
|
● |
refusing or delaying requests
for 510(k) marketing clearance applications relating to new products or modified products; |
|
● |
withdrawing the product
from the market; |
|
● |
refusing to provide Certificates
for Foreign Government; |
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● |
refusing to grant export
approval for our products; or |
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pursuing criminal prosecution. |
Any
of these sanctions could impair our ability to produce DreamIT or SleepX PRO or DreamIT PRO in a cost-effective and timely manner in
order to meet our customers’ demands and could have a material adverse effect on our reputation, business, results of operations
and financial condition. We may also be required to bear other costs or take other actions that may have a negative impact on our future
sales and our ability to generate profits.
We
depend on our collaborators to help us develop and test our devices, and our ability to develop and commercialize our devices may be
impaired or delayed if collaborations are unsuccessful.
Our
strategy for the development, testing and commercialization of our anti-snoring devices may require that we enter into collaborations
with consultants, corporate partners, licensors, licensees and others. We are dependent upon the subsequent success of these other parties
in performing their respective responsibilities and the continued cooperation of our partners. Our collaborators may not cooperate with
us or perform their obligations under our agreements with them. We cannot control the amount and timing of our collaborators’ resources
that will be devoted to our research and development activities related to our collaborative agreements with them. Our collaborators
may choose to pursue existing or alternative technologies in preference to those being developed in collaboration with us.
Under
agreements with collaborators, we may rely significantly on such collaborators to, among other things, design prototypes for and value
our intellectual property, and market for us any commercial products that result from our collaborations.
With
respect to any additional clinical studies for our products which are required by the FDA or with respect to Clinical Trials relating
to the development of our core technology for other applications, we rely on clinical investigators and clinical sites, some of which
are private practices, and some of which are research university- or government-affiliated, to enroll patients in our Clinical Trials.
However,
we may not be able to control the amount and timing of resources that clinical sites and other third parties may devote to our Clinical
Trials. If these clinical investigators and clinical sites fail to enroll a sufficient number of patients in our Clinical Trials, or
if the clinical sites fail to comply adequately with the clinical protocols, we will be unable to complete these trials, which could
prevent us from obtaining regulatory approvals for our products or other products developed from our core technology. Our agreements
with clinical investigators and clinical sites for clinical testing place substantial responsibilities on these parties and, if these
parties fail to perform as expected, our trials could be delayed or terminated.
If
these clinical investigators, clinical sites or other third parties do not carry out their contractual duties or obligations or fail
to meet expected deadlines, or if the quality or accuracy of the clinical data they obtain are compromised due to their failure to adhere
to our clinical protocols or for other reasons, our Clinical Trials may be extended, delayed or terminated, and we may be unable to obtain
regulatory approval for, or successfully commercialize, our products or other products developed from our core technology.
In
addition to the foregoing, any initial or additional clinical studies for any of our products which are required by the FDA and any Clinical
Trials relating to the development of our core technology for other applications may be delayed or halted for numerous other reasons,
including, but not limited to, the following:
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the FDA, an Institutional
Review Board (“IRB”) or other regulatory authorities place our clinical trial on hold; |
|
● |
patients do not enroll
in Clinical Trials at the rate we expect; |
|
● |
patient follow-up is not
at the rate we expect; |
|
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IRBs and third-party clinical
investigators delay or reject our trial protocol; |
|
● |
third-party organizations
do not perform data collection and analysis in a timely or accurate manner; |
|
● |
regulatory inspections
of our Clinical Trials or manufacturing facilities, among other things, require us to undertake corrective action or suspend or terminate
our Clinical Trials, or invalidate our Clinical Trials; |
|
● |
changes in governmental
regulations or administrative actions; and |
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the interim or final results
of the clinical trial are inconclusive or unfavorable as to safety or effectiveness. |
If
our products are approved for reimbursement, we anticipate experiencing significant pressures on pricing.
We
may not develop a substantial number of commercialized products.
We
are a development stage company and currently expect to have in the near future one commercialized product, the DreamIT. We believe that
the patents that we have acquired will allow us to develop additional devices and prove usefulness for other applications. However, while
we believe we will achieve the desired clinical results, commercialization of each of our products remains subject to certain significant
risks. Our efforts may not lead to commercially successful products for a number of reasons, including:
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● |
we may not be able to obtain
regulatory approvals for our devices, or the approved indication may be narrower than we seek; |
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any of our devices may
not prove to be safe and effective in Clinical Trials to the FDA’s satisfaction; |
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● |
physicians may not receive
any reimbursement from third-party payers, or the level of reimbursement may be insufficient to support widespread adoption of our
devices; |
|
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we may experience delays
in our continuing development program; |
|
● |
any products that are approved
by regulators may not be accepted in the marketplace by physicians or patients; |
|
● |
we may not have adequate
financial or other resources to complete the continued development or to commence the commercialization of our devices and we will
not have adequate financial or other resources to achieve significant commercialization of our devices; |
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● |
we may not be able to manufacture
our products in commercial quantities or at an acceptable cost; and |
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rapid technological change
may make our technology and products obsolete. |
Non-FDA
Government Regulation May Affect our Results.
The
advertising of our devices will be subject to both FDA and Federal Trade Commission regulations. In addition, the sale and marketing
of our devices will be subject to a complex system of federal and state laws and regulations intended to deter, detect, and respond to
fraud and abuse in the healthcare system. These laws and regulations restrict and may prohibit pricing, discounting, commissions and
other commercial practices that may be typical outside of the healthcare business. In particular, anti-kickback and self-referral laws
and regulations will limit our flexibility in crafting promotional programs and other financial arrangements in connection with the sale
of our products and related services, especially with respect to physicians seeking reimbursement through Medicare or Medicaid. These
federal laws include, by way of example, the following:
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the anti-kickback statute
prohibits certain business practices and relationships that might affect the provision and cost of healthcare services reimbursable
under Medicare, Medicaid and other federal healthcare programs, including the payment or receipt of remuneration for the referral
of patients whose care will be paid by Medicare or other federal healthcare programs; |
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the physician self-referral
prohibition, commonly referred to as the Stark Law, which prohibits referrals by physicians of Medicare or Medicaid patients to providers
of a broad range of designated healthcare services in which the physicians or their immediate family members have ownership interests
or with which they have certain other financial arrangements; |
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the anti-inducement law,
which prohibits providers from offering anything to a Medicare or Medicaid beneficiary to induce that beneficiary to use items or
services covered by either program; |
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the Civil False Claims
Act, which prohibits any person from knowingly presenting or causing to be presented false or fraudulent claims for payment by the
federal government, including the Medicare and Medicaid programs; and |
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the Civil Monetary Penalties
Law, which authorizes the US Department of Health and Human Services (“HHS”) to impose civil penalties administratively
for fraudulent or abusive acts. |
Sanctions
for violating these federal laws include criminal and civil penalties that range from punitive sanctions, damage assessments, money penalties,
imprisonment, denial of Medicare and Medicaid payments, or exclusion from the Medicare and Medicaid programs, or both. These laws also
impose an affirmative duty on those receiving Medicare or Medicaid funding to ensure that they do not employ or contract with persons
excluded from the Medicare and other government programs.
Many
states have adopted or are considering legislative proposals similar to the federal fraud and abuse laws, some of which extend beyond
the Medicare and Medicaid programs to prohibit the payment or receipt of remuneration for the referral of patients and physician self-referrals
regardless of whether the service was reimbursed by Medicare or Medicaid. Many states have also adopted or are considering legislative
proposals to increase patient protections, such as limiting the use and disclosure of patient-specific health information. These state
laws typically impose criminal and civil penalties similar to the federal laws.
In
the ordinary course of their business, medical device manufacturers and suppliers have been and are subject regularly to inquiries, investigations
and audits by federal and state agencies that oversee these laws and regulations. Recent federal and state legislation has greatly increased
funding for investigations and enforcement actions, which have increased dramatically over the past several years. This trend is expected
to continue. Private enforcement of healthcare fraud also has increased, due in large part to amendments to the Civil False Claims Act
in 1986 that were designed to encourage private persons to sue on behalf of the government. These whistleblower suits by private persons,
known as qui tam relaters, may be filed by almost anyone, including physicians and their employees and patients, our employees, and even
competitors. The Health Insurance Portability and Accountability Act of 1996 (“HIPAA”), in addition to its privacy provisions,
created a series of new healthcare-related crimes.
Our
Clinical Trials could be delayed by factors over which we have little control.
The
start or conduct of a clinical trial can be delayed by a number of factors that may include, but are not limited to, government sequestration
that could limit the availability of federal grants or delay in the approval and compliance process of where our clinical trial will
be conducted. As a result, the purchase of equipment necessary to prepare and optimize the prototype for the clinical trial could be
delayed.
The
FDA may require additional Clinical Trials and any adverse results in such Clinical Trials, or difficulties in conducting such Clinical
Trials, could have a material adverse effect on our business.
The
occurrence of unexpected findings in connection with any initial or subsequent clinical trial required by the FDA may prevent or delay
obtaining approval. In addition, subsequent clinical studies would require the expenditure of additional company resources and could
be a long and expensive process subject to unexpected delays. Any adverse results in such Clinical Trials, or difficulties in conducting
such Clinical Trials, could have a material adverse effect on our business.
If
any additional products are approved by the FDA, they may be approved only for narrow indications.
Even
if approved, our devices may not be approved for the indications that are necessary or desirable for successful commercialization.
If
we wish to modify any of our devices after receiving FDA approval, including changes in indications or other modifications that could
affect safety and effectiveness, additional approvals could be required from the FDA, we may be required to submit extensive pre-clinical
and clinical data, depending on the nature of the changes. Any request by the FDA for additional data, or any requirement by the FDA
that we conduct additional clinical studies, could delay the commercialization of our devices and require us to make substantial additional
research, development and other expenditures. We may not obtain the necessary regulatory approvals to market our devices in the U.S.
or anywhere else. Any delay in, or failure to receive or maintain, approval for our proprietary square wave form device and/or cell-free
therapies could prevent us from generating revenue or achieving profitability, and our business, financial condition, and results of
operations would be materially adversely affected.
Our
reliance on the activities of our non-employee consultants whose activities are not wholly within our control, may lead to delays in
development of proposed products or in the development of our business.
We
rely extensively upon and have relationships with consultants. These consultants are not our employees and may have commitments to, or
consulting or advisory contracts with, other entities that may limit their availability to us. We have limited control over the activities
of these consultants and, except as otherwise required by our collaboration and consulting agreements to the extent they exist, can expect
only limited amounts of their time to be dedicated to our activities.
Risks
Relating to Our Israel Operations
Our
technology development are headquartered in Israel and, therefore, our results may be adversely affected by economic restrictions imposed
on, and political and military instability in, Israel.
Our
technology development headquarters, which houses substantially all of our research and development team, including engineers, machinists,
researchers, and clinical and regulatory personnel as well as the facility of our contract manufacturer and final assembly are located
in Israel. Our employees, service providers, directors and officers are residents of Israel. Accordingly, political, economic and military
conditions in Israel and the surrounding region may directly affect our business. Any hostilities involving Israel or the interruption
or curtailment of trade within Israel or between Israel and its trading partners could materially and adversely affect our business,
financial condition and results of operations and could make it more difficult for us to raise capital. Although we plan to maintain
inventory in the United States and Israel, an extended interruption could materially and adversely affect our business, financial condition
and results of operations.
Recent
political uprisings, social unrest and violence in various countries in the Middle East and North Africa, including Israel’s neighbors
Egypt and Syria, are affecting the political stability of those countries. This instability may lead to deterioration of the political
relationships that exist between Israel and these countries and has raised concerns regarding security in the region and the potential
for armed conflict. Our commercial insurance does not cover losses that may occur as a result of an event associated with the security
situation in the Middle East. Any losses or damages incurred by us could have a material adverse effect on our business. In addition,
Iran has threatened to attack Israel and is widely believed to be developing nuclear weapons. Iran is also believed to have a strong
influence among parties hostile to Israel in areas that neighbor Israel, such as the Syrian government, Hamas in Gaza and Hezbollah in
Lebanon. Any armed conflicts, terrorist activities or political instability in the region could materially and adversely affect our business,
financial condition and results of operations.
Our
operations and the operations of our contract manufacturer may be disrupted as a result of the obligation of Israeli citizens to perform
military service.
Many
Israeli citizens are obligated to perform one month, and in some cases more, of annual military reserve duty until they reach the age
of 45 (or older, for reservists with certain occupations) and, in the event of a military conflict, may be called to active duty. In
response to terrorist activity, there have been periods of significant call-ups of military reservists. It is possible that there will
be additional military reserve duty call-ups in the future in connection with this conflict or otherwise. Some of our employees, consultants
and employees of the manufacturer of our products, are required to perform annual military reserve duty in Israel and may be called to
active duty at any time under emergency circumstances. Our operations and the operations of our manufacturer could be disrupted by such
call-ups.
Our
sales may be adversely affected by boycotts of Israel.
Several
countries, principally in the Middle East, restrict doing business with Israel and Israeli companies, and additional countries may impose
restrictions on doing business with Israel and Israeli companies whether as a result of hostilities in the region or otherwise. In addition,
there have been increased efforts by activists to cause companies and consumers to boycott Israeli goods based on Israeli government
policies. Such actions, particularly if they become more widespread, may adversely impact our ability to sell our products.
Risks
Related to Ownership of Our Common Stock
Our
CEO may exert significant influence over its affairs, including the outcome of matters requiring stockholder approval.
Our
CEO and Chairman owns, in the aggregate, beneficially own approximately 71.4% of our outstanding common stock as of the date of this
filing. As a result, he will have the ability, acting together, to control the election of the Company’s directors and the outcome
of corporate actions requiring stockholder approval, such as: (i) a merger or a sale of the Company, (ii) a sale of all or substantially
all of its assets, and (iii) amendments to its certificate of incorporation. This concentration of voting power and control could have
a significant effect in delaying, deferring or preventing an action that might otherwise be beneficial to the Company’s other stockholders
and be disadvantageous to the Company’s stockholders with interests different from those individuals. Certain of these individuals
also have significant control over the Company’s business, policies and affairs as officers or directors of the Company. Therefore,
you should not invest in reliance on your ability to have any control over the Company.
If
securities or industry analysts do not publish research or publish inaccurate or unfavorable research about our business, our stock price
and trading volume could decline.
The
trading market for our common stock will depend in part on the research and reports that securities or industry analysts publish about
us or our business, which research and reports are not and would not be subject to our control. We currently do not have and may never
obtain research coverage by securities analysts, and industry analysts that currently cover us may cease to do so. If no securities analysts
commence coverage of our company, or if industry analysts cease coverage of our company, the trading price for our stock could be materially
and adversely impacted. In the event we obtain securities analyst coverage, if one or more of the analysts who cover us downgrade our
stock or publish inaccurate or unfavorable research about our business, our stock price may be materially and adversely impacted. If
one or more of these analysts cease coverage of our company or fail to publish reports on us regularly, demand for our stock could decrease,
which might cause our stock price and trading volume to decline.
A
decline in the price of our common stock could affect our ability to raise any required working capital and adversely impact our operations.
A
decline in the price of our common stock could result in a reduction in the liquidity of our common stock and a reduction in our ability
to raise any required capital for our operations. Because we intend to fund the Company in the future primarily through the sale of equity
securities, a decline in the price of our common stock could have an adverse effect upon our liquidity and our continued operations.
A reduction in our ability to raise equity capital in the future may have a material adverse effect upon our business plan and operations.
If our stock price declines, we may not be able to raise additional capital or generate funds from operations sufficient to meet our
obligations.
The
large number of shares eligible for immediate and future sales may depress the price of our stock.
As
of the date of this offering circular we have shares of common stock outstanding. shares are “free trading” and may serve
to overhang the market and depress the price of our common stock.
“Penny
Stock” rules may make buying or selling our common stock difficult. Limitations upon Broker-Dealers Effecting Transactions in “Penny
Stocks”
Trading
in our common stock is subject to material limitations as a consequence of regulations which limit the activities of broker-dealers effecting
transactions in “penny stocks.” Pursuant to Rule 3a51-1 under the Exchange Act, our common stock is a “penny stock”
because it (i) is not listed on any national securities exchange or The NASDAQ Stock Market™, (ii) has a market price of less than
$5.00 per share, and (iii) its issuer (the Company) has net tangible assets less than $2,000,000 (if the issuer has been in business
for at least three (3) years) or $5,000,000 (if the issuer has been in business for less than three (3) years).
Rule
15g-9 promulgated under the Exchange Act imposes limitations upon trading activities on “penny stocks”, which makes selling
our common stock more difficult compared to selling securities which are not “penny stocks.” Rule 15a-9 restricts the solicitation
of sales of “penny stocks” by broker-dealers unless the broker first (i) obtains from the purchaser information concerning
his financial situation, investment experience and investment objectives, (ii) reasonably determines that the purchaser has sufficient
knowledge and experience in financial matters that the person is capable of evaluating the risks of investing in “penny stocks”,
and (iii) delivers and receives back from the purchaser a manually signed written statement acknowledging the purchaser’s investment
experience and financial sophistication.
Rules
15g-2 through 15g-6 promulgated under the Exchange Act require broker-dealers who engage in transactions in “penny stocks”
first to provide their customers with a series of disclosures and documents, including (i) a standardized risk disclosure document identifying
the risks inherent in investing in “penny stocks”, (ii) all compensation received by the broker-dealer in connection with
the transaction, (iii) current quotation prices and other relevant market data, and (iv) monthly account statements reflecting the fair
market value of the securities.
There
can be no assurance that any broker-dealer which initiates quotations for the Common Stock will continue to do so, and the loss of any
such broker-dealer likely would have a material adverse effect on the market price of our common stock.
FINRA
sales practice requirements may also limit a stockholder’s ability to buy and sell our stock.
In
addition to the “penny stock” rules described below, FINRA has adopted rules that require that in recommending an investment
to a customer, a broker-dealer must have reasonable grounds for believing that the investment is suitable for that customer. Prior to
recommending speculative low priced securities to their non-institutional customers, broker-dealers must make reasonable efforts to obtain
information about the customer’s financial status, tax status, investment objectives and other information. Under interpretations
of these rules, FINRA believes that there is a high probability that speculative low priced securities will not be suitable for at least
some customers. The FINRA requirements make it more difficult for broker-dealers to recommend that their customers buy our common stock,
which may limit your ability to buy and sell our stock and have an adverse effect on the market for our shares.
Because
our common stock is deemed a low-priced “penny stock,” it will be cumbersome for brokers and dealers to trade in our common
stock, making the market for our common stock less liquid and negatively affect the price of our stock.
We
will be subject to certain provisions of the Securities Exchange Act of 1934 (the “Exchange Act”), commonly referred to as
the “penny stock” rules as defined in Rule 3a51-1. A penny stock is generally defined to be any equity security that has
a market price less than $5.00 per share, subject to certain exceptions. Since our stock is deemed to be a penny stock, trading is subject
to additional sales practice requirements of broker-dealers. These require a broker-dealer to:
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Deliver
to the customer, and obtain a written receipts for, a disclosure document; |
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Disclose
certain price information about the stock; |
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Disclose
the amount of compensation received by the broker-dealer or any associated person of the broker-dealer; |
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Send
monthly statements to customers with market and price information about the penny stock; and |
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In
some circumstances, approve the purchaser’s account under certain standards and deliver written statements to the customer
with information specified in the rules. |
Consequently,
penny stock rules and FINRA rules may restrict the ability or willingness of broker-dealers to trade and/or maintain a market in our
common stock. Also, prospective investors may not want to get involved with the additional administrative requirements, which may have
a material adverse effect on the trading of our shares.
We
Have Paid No Dividends
We
never have paid any dividends on our common stock, and we do not intend to pay any dividends in the foreseeable future.
We
have the right to issue shares of preferred stock. If we were to issue preferred stock, it is likely to have rights, preferences and
privileges that may adversely affect the common stock. Our CEO has, by virtue of his preferred stock ownership, voting control over all
matters.
We
are authorized to issue 500,000 shares of “blank check” preferred stock, with such rights, preferences and privileges as
may be determined from time-to-time by our board of directors. We currently have 300,000 shares of Convertible Preferred Stock outstanding,
the majority of which is held by our CEO, chairman and our previous CEO. Our board of directors is empowered, without shareholder approval,
to issue preferred stock in one or more series, and to fix for any series the dividend rights, dissolution or liquidation preferences,
redemption prices, conversion rights, voting rights, and other rights, preferences and privileges for the preferred stock. The issuance
of shares of preferred stock, depending on the rights, preferences and privileges attributable to the preferred stock, could adversely
reduce the voting rights and powers of the common stock and the portion of the Company’s assets allocated for distribution to common
stockholders in a liquidation event, and could also result in dilution in the book value per share of the common stock we are offering.
The preferred stock could also be utilized, under certain circumstances, as a method for raising additional capital or discouraging,
delaying or preventing a change in control of the Company, to the detriment of the investors in the common stock offered hereby. We cannot
assure you that the Company will not, under certain circumstances, issue shares of its preferred stock.
The
elimination of personal liability of our directors and officers under Nevada law and the existence of indemnification rights held by
our directors, officers and employees may result in substantial expenses.
Our
Second Amended and Restated Articles of Incorporation and our Amended and Restated Bylaws eliminate to the furthest extent permitted
under Nevada law the personal liability of our directors and officers to us, our stockholders and creditors for damages as a result of
any act or failure to act in his or her capacity as a director or officer. Furthermore, our Amended and Restated Articles of Incorporation,
our Amended and Restated Bylaws and individual indemnification agreements that we have entered with each of our directors and officers
provide that we are obligated to indemnify, subject to certain exceptions, each of our directors or officers to the fullest extent authorized
by Nevada law and, subject to certain conditions, to advance the expenses incurred by any director or officer in defending any action,
suit or proceeding prior to its final disposition. Those indemnification obligations could expose us to substantial expenditures to cover
the cost of settlement or damage awards against our directors or officers, which we may be unable to afford. Further, those provisions
and resulting costs may discourage us or our stockholders from bringing a lawsuit against any of our current or former directors or officers
for such damages, even if such actions might otherwise benefit our stockholders.
We
do not intend to pay cash dividends on our capital stock in the foreseeable future.
We
have never declared or paid any cash dividends on our common stock and do not anticipate paying any dividends in the foreseeable future.
We currently intend to retain all future earnings to fund the development of our products.