Delaware
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11-3430072
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(State or other jurisdiction of incorporation or organization)
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(I.R.S. Employer Identification No.)
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Jennifer J. Rhodes
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Kenneth Guernsey
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General Counsel
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Brett White
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Angion Biomedica Corp.
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Cooley LLP
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7-57 Wells Avenue, Newton, Massachusetts
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3 Embarcadero Center,
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02459
(415) 655-4899
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20th Floor
San Francisco, CA 94111
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(415) 693-2000
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Large accelerated filer
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☐ |
Accelerated filer
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☐ |
Non-accelerated filer
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☒ |
Smaller reporting company
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☒ |
Emerging growth company
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☒ |
Incorporated by Reference
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||||||||||
Exhibit Number
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Exhibit Description
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Form
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File No.
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Exhibit
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Filing Date
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|||||
Amended and Restated Certificate of Incorporation of Angion Biomedica Corp.
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8-K
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001-39990
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3.1
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February 9, 2021
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||||||
Bylaws of Angion Biomedica Corp.
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8-K
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001-39990
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3.2
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February 9, 2021
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||||||
Opinion of Cooley LLP.
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||||||||||
Consent of Moss Adams LLP, independent registered public accounting firm.
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||||||||||
Consent of Cooley LLP (included in Exhibit 5.1 hereto).
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||||||||||
Power of Attorney (included on the signature page hereto).
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||||||||||
Angion Biomedica Corp. 2021 Incentive Award Plan.
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10-K
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001-39990
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10.6(a)
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March 30, 2022
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||||||
99.2
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Form of Stock Option Grant Notice, Stock Option Agreement, Restricted Stock Unit Grant Notice and Restricted Stock Unit Award Agreement under the 2021 Incentive Award Plan.
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10-K
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001-39990
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March 30, 2022
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||||||
Angion Biomedica Corp. 2021 Employee Stock Purchase Plan.
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10-K
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001-39990
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10.7
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March 30, 2022
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||||||
Filing Fee Table
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ANGION BIOMEDICA CORP.
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By:
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/s/ Jay Venkatesan
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|
Jay Venkatesan, M.D.
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||
Chief Executive Officer
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Signature
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Title
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Date
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||
/s/ Jay R. Venkatesan, M.D.
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Chief Executive Officer and Director
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March 17, 2023
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||
Jay R. Venkatesan, M.D.
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(Principal Executive Officer)
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|||
/s/ Gregory S. Curhan
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Chief Financial Officer and Director
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March 17, 2023 | ||
Gregory S. Curhan
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(Principal Financial and Accounting Officer)
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|
||
/s/ Itzhak D. Goldberg, M.D.
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Director
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March 17, 2023
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||
Itzhak D. Goldberg, M.D.
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||||
/s/ Victor F. Ganzi
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Director
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March 17, 2023
|
||
Victor F. Ganzi
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||||
/s/ Allen R. Nissenson, M.D.
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Director
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March 17, 2023
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||
Allen R. Nissenson, M.D.
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||||
/s/ Gilbert S. Omenn, M.D., Ph.D.
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Director
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March 17, 2023
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||
Gilbert S. Omenn, M.D., Ph.D.
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||||
/s/ Karen J. Wilson
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Director
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March 17, 2023
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||
Karen J. Wilson
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Re: |
Angion Biomedica Corp.
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Sincerely,
Cooley LLP
Sara H. Semnani
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Security Type
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Security Class Title
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Fee Calculation Rule
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Amount Registered(1)
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Proposed Maximum Offering Price Per Share
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Proposed Maximum Aggregate Offering Price
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Fee Rate
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Amount of Registration Fee
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Equity
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2021 Incentive Award Plan
Common Stock, $0.01 par value per share
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457(c) and 457(h)
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1,505,662 (3)
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$0.5397(2)
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$812,605.78
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.00011020
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$89.55
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Equity
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2021 Employee Stock Purchase Plan
Common Stock, $0.01 par value per share
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457(c) and 457(h)
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301,132 (5)
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$0.4587(4)
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$138,142.80
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.00011020
|
$15.22
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Total Offering Amounts
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$950,748.58
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$104.77
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|||||
Total Fees Previously Paid
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—
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||||||
Total Fee Offsets
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—(6)
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||||||
Net Fee Due
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$104.77
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(1) |
Pursuant to Rule 416(a) under the Securities Act of 1933, as amended (the “Securities Act”), this Registration Statement shall also cover any additional shares of common stock of Angion Biomedica Corp. (the “Registrant”) that become
issuable under the Registrant’s 2021 Incentive Award Plan (the “2021 Plan”) and the Registrant’s 2021 Employee Stock Purchase Plan (the “2021 ESPP”) by reason of any stock dividend, stock split, recapitalization or other similar transaction.
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(2) |
Estimated solely for the purpose of calculating the amount of the registration fee pursuant to Rule 457(h) and 457(c) of the Securities Act. The proposed maximum aggregate offering price per share and proposed maximum aggregate offering
price are calculated using the average of the high and low prices of the common stock as reported on the Nasdaq Capital Market on March 16, 2023.
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(3) |
Represents an automatic annual increase equal to 5% of the total number of shares of the Registrant’s capital stock outstanding on December 31, 2022, which annual increase is provided by the 2021 Plan.
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(4) |
Estimated solely for the purpose of calculating the amount of the registration fee pursuant to Rule 457(h) and 457(c) of the Securities Act. The proposed maximum aggregate offering price per share and proposed maximum aggregate offering
price are calculated using the average of the high and low prices of the common stock as reported on the Nasdaq Capital Market on March 16, 2023, multiplied by 85%.
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(5) |
Represents an automatic annual increase equal to 1% of the total number of shares of the Registrant’s capital stock outstanding on December 31, 2022, which annual increase is provided by the 2021 ESPP
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(6) |
The Registrant does not have any fee offsets.
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