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Form C: Filer Information

Filer CIK:
0001674632 
Filer CCC:
XXXXXXXX 
Period:

12-31-2019 

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Name:
 
Phone Number:
 
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Form C: Issuer Information

Issuer Information

Name of Issuer:

Beta Bionics, Inc 

Legal Status of Issuer:

Form:

Corporation 

Jurisdiction of Incorporation/Organization:

MISSISSIPPI  

Date of Incorporation/Organization:

10-21-2015 

Physical Address of Issuer:

Address 1:

BUSINESS INNOVATION CENTER 

Address 2:

8 SAINT MARY'S STREET, SUITE 936 

City:

BOSTON 

State/Country:

MASSACHUSETTS  

Mailing Zip/Postal Code:

02215 

Website of Issuer:

www.betabionics.com 

Form C: Offering Information

Offering Information

Form C: Annual Report Disclosure Requirements

Annual Report Disclosure Requirements

Current Number of Employees:

39.00 

Total Assets Most Recent Fiscal Year-end:

108079000.00 

Total Assets Prior Fiscal Year-end:

50902000.00 

Cash and Cash Equivalents Most Recent Fiscal Year-end:

103226000.00 

Cash and Cash Equivalents Prior Fiscal Year-end:

48755000.00 

Accounts Receivable Most Recent Fiscal Year-end:

492000.00 

Accounts Receivable Prior Fiscal Year-end:

0.00 

Short-term Debt Most Recent Fiscal Year-end:

2331000.00 

Short-term Debt Prior Fiscal Year-end:

1410000.00 

Long-term Debt Most Recent Fiscal Year-end:

0.00 

Long-term Debt Prior Fiscal Year-end:

0.00 

Revenue/Sales Most Recent Fiscal Year-end:

854000.00 

Revenue/Sales Prior Fiscal Year-end:

1928000.00 

Cost of Goods Sold Most Recent Fiscal Year-end:

0.00 

Cost of Goods Sold Prior Fiscal Year-end:

0.00 

Taxes Paid Most Recent Fiscal Year-end:

1387.00 

Taxes Paid Prior Fiscal Year-end:

2394.00 

Net Income Most Recent Fiscal Year-end:

-13932000.00 

Net Income Prior Fiscal Year-end:

-5216000.00 

Form C: Signature

Signature

Pursuant to the requirements of Sections 4(a)(6) and 4A of the Securities Act of 1933 and Regulation Crowdfunding (§ 227.100-503), the issuer certifies that it has reasonable grounds to believe that it meets all of the requirements for filing on Form C and has duly caused this Form to be signed on its behalf by the duly authorized undersigned.

Issuer:

Beta Bionics, Inc 

Signature:

/s/ Serafina Raskin 

Title:

VP, General Counsel and Corporate Secretary 

Pursuant to the requirements of Sections 4(a)(6) and 4A of the Securities Act of 1933 and Regulation Crowdfunding (§ 227.100-503), this Form C has been signed by the following persons in the capacities and on the dates indicated.

Signature:

/s/ Edward R. Damiano 

Title:

Chairmain of the Board, CEO & President (Principal Executive Officer) 

Date:

04-29-2020 

Pursuant to the requirements of Sections 4(a)(6) and 4A of the Securities Act of 1933 and Regulation Crowdfunding (§ 227.100-503), this Form C has been signed by the following persons in the capacities and on the dates indicated.

Signature:

/s/ Gilbert Clarke 

Title:

Chief Financial Officer (Principal Financial Officer) 

Date:

04-29-2020 

Pursuant to the requirements of Sections 4(a)(6) and 4A of the Securities Act of 1933 and Regulation Crowdfunding (§ 227.100-503), this Form C has been signed by the following persons in the capacities and on the dates indicated.

Signature:

/s/ Edward B. Raskin 

Title:

Board Member 

Date:

04-29-2020 

Pursuant to the requirements of Sections 4(a)(6) and 4A of the Securities Act of 1933 and Regulation Crowdfunding (§ 227.100-503), this Form C has been signed by the following persons in the capacities and on the dates indicated.

Signature:

/s/ Jeff Hitchcock 

Title:

Board Member 

Date:

04-29-2020 

Pursuant to the requirements of Sections 4(a)(6) and 4A of the Securities Act of 1933 and Regulation Crowdfunding (§ 227.100-503), this Form C has been signed by the following persons in the capacities and on the dates indicated.

Signature:

/s/ Adam Steensberg 

Title:

Board Member 

Date:

04-29-2020 

Pursuant to the requirements of Sections 4(a)(6) and 4A of the Securities Act of 1933 and Regulation Crowdfunding (§ 227.100-503), this Form C has been signed by the following persons in the capacities and on the dates indicated.

Signature:

/s/ Finny Kuruvilla 

Title:

Board Member 

Date:

04-29-2020 

Pursuant to the requirements of Sections 4(a)(6) and 4A of the Securities Act of 1933 and Regulation Crowdfunding (§ 227.100-503), this Form C has been signed by the following persons in the capacities and on the dates indicated.

Signature:

/s/ Martha Goldberg Aronson 

Title:

Board Member 

Date:

04-29-2020 

Pursuant to the requirements of Sections 4(a)(6) and 4A of the Securities Act of 1933 and Regulation Crowdfunding (§ 227.100-503), this Form C has been signed by the following persons in the capacities and on the dates indicated.

Signature:

/s/ Sean Carney 

Title:

Board Member 

Date:

04-29-2020