08/16/2024 | Press release | Distributed by Public on 08/16/2024 14:16
Form 1-A Issuer Information |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 1-A REGULATION A OFFERING STATEMENT UNDER THE SECURITIES ACT OF 1933 |
OMB APPROVAL |
|
OMB Number: 3235-0286 Estimated average burden hours per response: 608.0 |
Issuer CIK |
0001787740
|
Issuer CCC |
XXXXXXXX
|
DOS File Number |
|
Offering File Number |
|
Is this a LIVE or TEST Filing? | LIVE TEST |
Would you like a Return Copy? | |
Notify via Filing Website only? | |
Since Last Filing? |
Name |
|
Phone |
|
E-Mail Address |
|
Exact name of issuer as specified in the issuer's charter |
Tivic Health Systems, Inc.
|
Jurisdiction of Incorporation / Organization |
DELAWARE
|
Year of Incorporation |
2016
|
CIK |
0001787740
|
Primary Standard Industrial Classification Code |
ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS
|
I.R.S. Employer Identification Number |
81-4016391
|
Total number of full-time employees |
9
|
Total number of part-time employees |
0
|
Address 1 |
47685 LAKEVIEW BLVD
|
Address 2 |
|
City |
FREMONT
|
State/Country |
CALIFORNIA
|
Mailing Zip/ Postal Code |
94538
|
Phone |
888-276-6888
|
Name |
Jennifer Ernst
|
Address 1 |
|
Address 2 |
|
City |
|
State/Country |
|
Mailing Zip/ Postal Code |
|
Phone |
|
Industry Group (select one) | Banking Insurance Other |
Cash and Cash Equivalents |
$ 3693000.00
|
Investment Securities |
$ 0.00
|
Total Investments |
$
|
Accounts and Notes Receivable |
$ 16000.00
|
Loans |
$
|
Property, Plant and Equipment (PP&E): |
$ 120000.00
|
Property and Equipment |
$
|
Total Assets |
$ 4783000.00
|
Accounts Payable and Accrued Liabilities |
$ 446000.00
|
Policy Liabilities and Accruals |
$
|
Deposits |
$
|
Long Term Debt |
$ 0.00
|
Total Liabilities |
$ 591000.00
|
Total Stockholders' Equity |
$ 4192000.00
|
Total Liabilities and Equity |
$ 4783000.00
|
Total Revenues |
$ 474000.00
|
Total Interest Income |
$
|
Costs and Expenses Applicable to Revenues |
$ 277000.00
|
Total Interest Expenses |
$
|
Depreciation and Amortization |
$ 0.00
|
Net Income |
$ -2747000.00
|
Earnings Per Share - Basic |
$ -1.00
|
Earnings Per Share - Diluted |
$ -1.00
|
Name of Auditor (if any) |
Rosenberg Rich Baker Berman, P.A.
|
Name of Class (if any) Common Equity |
Common Stock
|
Common Equity Units Outstanding |
6183592
|
Common Equity CUSIP (if any): |
888705209
|
Common Equity Units Name of Trading Center or Quotation Medium (if any) |
The Nasdaq Stock Market LLC
|
Name of Class (if any) Common Equity |
Series A Warrants
|
Common Equity Units Outstanding |
4710000
|
Common Equity CUSIP (if any): |
888705126
|
Common Equity Units Name of Trading Center or Quotation Medium (if any) |
N/A
|
Name of Class (if any) Common Equity |
Series B Warrants
|
Common Equity Units Outstanding |
7065000
|
Common Equity CUSIP (if any): |
888705118
|
Common Equity Units Name of Trading Center or Quotation Medium (if any) |
N/A
|
Name of Class (if any) Common Equity |
Placement Agent Warrants
|
Common Equity Units Outstanding |
188400
|
Common Equity CUSIP (if any): |
000000000
|
Common Equity Units Name of Trading Center or Quotation Medium (if any) |
N/A
|
Name of Class (if any) Common Equity |
Common Warrants
|
Common Equity Units Outstanding |
59497
|
Common Equity CUSIP (if any): |
000000000
|
Common Equity Units Name of Trading Center or Quotation Medium (if any) |
N/A
|
Preferred Equity Name of Class (if any) |
N/A
|
Preferred Equity Units Outstanding |
0
|
Preferred Equity CUSIP (if any) |
000000000
|
Preferred Equity Name of Trading Center or Quotation Medium (if any) |
N/A
|
Debt Securities Name of Class (if any) |
N/A
|
Debt Securities Units Outstanding |
0
|
Debt Securities CUSIP (if any): |
000000000
|
Debt Securities Name of Trading Center or Quotation Medium (if any) |
N/A
|
Check this box to certify that all of the following statements are true for the issuer(s)
Check this box to certify that, as of the time of this filing, each person described in Rule 262 of Regulation A is either not disqualified under that rule or is disqualified but has received a waiver of such disqualification.
Check this box if "bad actor" disclosure under Rule 262(d) is provided in Part II of the offering statement.
Check the appropriate box to indicate whether you are conducting a Tier 1 or Tier 2 offering | Tier1 Tier2 |
Check the appropriate box to indicate whether the financial statements have been audited | Unaudited Audited |
Types of Securities Offered in this Offering Statement (select all that apply) |
Equity (common or preferred stock) |
Option, warrant or other right to acquire another security |
Security to be acquired upon exercise of option, warrant or other right to acquire security |
Does the issuer intend to offer the securities on a delayed or continuous basis pursuant to Rule 251(d)(3)? | Yes No |
Does the issuer intend this offering to last more than one year? | Yes No |
Does the issuer intend to price this offering after qualification pursuant to Rule 253(b)? | Yes No |
Will the issuer be conducting a best efforts offering? | Yes No |
Has the issuer used solicitation of interest communications in connection with the proposed offering? | Yes No |
Does the proposed offering involve the resale of securities by affiliates of the issuer? | Yes No |
Number of securities offered |
6666667
|
Number of securities of that class outstanding |
6183592
|
Price per security |
$ 3.0000
|
The portion of the aggregate offering price attributable to securities being offered on behalf of the issuer |
$ 20000001.00
|
The portion of the aggregate offering price attributable to securities being offered on behalf of selling securityholders |
$ 0.00
|
The portion of the aggregate offering price attributable to all the securities of the issuer sold pursuant to a qualified offering statement within the 12 months before the qualification of this offering statement |
$ 0.00
|
The estimated portion of aggregate sales attributable to securities that may be sold pursuant to any other qualified offering statement concurrently with securities being sold under this offering statement |
$ 0.00
|
Total (the sum of the aggregate offering price and aggregate sales in the four preceding paragraphs) |
$ 20000001.00
|
Underwriters - Name of Service Provider |
Maxim Group, LLC
|
Underwriters - Fees |
$ 60000.00
|
Sales Commissions - Name of Service Provider |
Maxim Group LLC
|
Sales Commissions - Fee |
$ 1400001.00
|
Finders' Fees - Name of Service Provider | Finders' Fees - Fees |
$
|
|
Accounting or Audit - Name of Service Provider |
Rosenberg Rich Baker Berman, P.A.
|
Accounting or Audit - Fees |
$ 20000.00
|
Legal - Name of Service Provider |
Procopio, Cory, Hargreaves & Savitch, LLP
|
Legal - Fees |
$ 50000.00
|
Promoters - Name of Service Provider | Promoters - Fees |
$
|
|
Blue Sky Compliance - Name of Service Provider | Blue Sky Compliance - Fees |
$
|
|
CRD Number of any broker or dealer listed: |
000120708
|
Estimated net proceeds to the issuer |
$ 18450000.00
|
Clarification of responses (if necessary) |
Selected States and Jurisdictions |
ALABAMA
ALASKA
ARIZONA
ARKANSAS
CALIFORNIA
COLORADO
CONNECTICUT
DELAWARE
FLORIDA
GEORGIA
HAWAII
IDAHO
ILLINOIS
INDIANA
IOWA
KANSAS
KENTUCKY
LOUISIANA
MAINE
MARYLAND
MASSACHUSETTS
MICHIGAN
MINNESOTA
MISSISSIPPI
MISSOURI
MONTANA
NEBRASKA
NEVADA
NEW HAMPSHIRE
NEW JERSEY
NEW MEXICO
NEW YORK
NORTH CAROLINA
NORTH DAKOTA
OHIO
OKLAHOMA
OREGON
PENNSYLVANIA
RHODE ISLAND
SOUTH CAROLINA
SOUTH DAKOTA
TENNESSEE
TEXAS
UTAH
VERMONT
VIRGINIA
WASHINGTON
WEST VIRGINIA
WISCONSIN
WYOMING
DISTRICT OF COLUMBIA
PUERTO RICO
ALBERTA, CANADA
BRITISH COLUMBIA, CANADA
MANITOBA, CANADA
NEW BRUNSWICK, CANADA
NEWFOUNDLAND, CANADA
NOVA SCOTIA, CANADA
ONTARIO, CANADA
PRINCE EDWARD ISLAND, CANADA
QUEBEC, CANADA
SASKATCHEWAN, CANADA
YUKON, CANADA
CANADA (FEDERAL LEVEL)
|
None | |
Same as the jurisdictions in which the issuer intends to offer the securities | |
Selected States and Jurisdictions |
ALABAMA
ALASKA
ARIZONA
ARKANSAS
CALIFORNIA
COLORADO
CONNECTICUT
DELAWARE
FLORIDA
GEORGIA
HAWAII
IDAHO
ILLINOIS
INDIANA
IOWA
KANSAS
KENTUCKY
LOUISIANA
MAINE
MARYLAND
MASSACHUSETTS
MICHIGAN
MINNESOTA
MISSISSIPPI
MISSOURI
MONTANA
NEBRASKA
NEVADA
NEW HAMPSHIRE
NEW JERSEY
NEW MEXICO
NEW YORK
NORTH CAROLINA
NORTH DAKOTA
OHIO
OKLAHOMA
OREGON
PENNSYLVANIA
RHODE ISLAND
SOUTH CAROLINA
SOUTH DAKOTA
TENNESSEE
TEXAS
UTAH
VERMONT
VIRGINIA
WASHINGTON
WEST VIRGINIA
WISCONSIN
WYOMING
DISTRICT OF COLUMBIA
PUERTO RICO
ALBERTA, CANADA
BRITISH COLUMBIA, CANADA
MANITOBA, CANADA
NEW BRUNSWICK, CANADA
NEWFOUNDLAND, CANADA
NOVA SCOTIA, CANADA
ONTARIO, CANADA
PRINCE EDWARD ISLAND, CANADA
QUEBEC, CANADA
SASKATCHEWAN, CANADA
YUKON, CANADA
CANADA (FEDERAL LEVEL)
|
None
(d) Indicate the section of the Securities Act or Commission rule or regulation relied upon for exemption from the registration requirements of such Act and state briefly the facts relied upon for such exemption |