EX-FILING FEES 3 exhibit_107.htm EXHIBIT 107

Exhibit 107
 
Calculation of Filing Fee Tables
 
FORM F-1
(Form Type)
 
PainReform Ltd.
(Exact Name of Registrant as Specified in its Charter)
 
Table 1: Newly Registered and Carry Forward Securities
 
 
 
Security Type
 
 
Security Class Title(1)
 
Fee
Calculation
or Carry
Forward
Rule
 
 
Amount
Registered(1)(2)
 
 
Proposed
Maximum
Offering
Price Per
Unit
 
 
Maximum
Aggregate
Offering
Price(1)(2)
 
 
Fee
Rate
 
 
Amount of
Registration
Fee
 
Fees to Be Paid
 
 
Equity
 
 
Ordinary shares, par value NIS 0.30 per share
 
 
457
(o)
 
 
 
 
$
 
 
$
5,000,000
 
 
$
0.0001476
 
 
$
738.00
 
 
 
 
Other
 
 
Pre-funded warrants to purchase ordinary shares (3) (4)
 
 
457
(g)
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Other
 
 
Common warrants to purchase ordinary shares (4)
 
 
457
(g)
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Other
 
 
Placement agent warrants to purchase ordinary shares (4)
 
 
457
(g)
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Equity
 
 
Ordinary shares issuable upon exercise of the pre-funded warrants (3)
 
 
457
(o)
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Fees to Be Paid
 
 
Equity 
 
 
Ordinary shares issuable upon exercise of the common warrants
 
 
457
(o)
 
 
 
 
 
 
 
$
5,000,000
 
 
$
0.0001476
 
 
$
738.00
 
Fees to Be Paid
 
 
Equity
 
 
Ordinary shares issuable upon exercise of the placement agent warrants (5)
 
 
457
(o)
 
 
 
 
 
 
 
$
437,500
 
 
$
0.0001476
 
 
$
64.58
 
Fees Previously Paid
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
$
 
Total Offering Amounts
 
 
 
 
 
 
 
 
 
$
10,437,500
 
 
$
0.0001476
 
 
$
1,540.58
 
Total Fees Previously Paid
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
$
 
Total Fee Offsets
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
$
 
Net Fee Due
 
 
         
 
 
 
 
 
 
 
 
 
 
 
 
 
 
$
1,540.58
 
 
(1)
Pursuant to Rule 416 under the Securities Act of 1933, as amended, or the Securities Act, the ordinary shares, par value NIS 0.30 per share, registered hereby also include an indeterminate number of additional ordinary shares as may from time to time become issuable by reason of stock splits, stock dividends, recapitalizations or other similar transactions.
 
(2)
Estimated solely for purposes of calculating the amount of the registration fee pursuant to Rule 457(o) under the Securities Act.
 
(3)
The registrant may issue pre-funded warrants to purchase ordinary shares in the offering. The purchase price of each pre-funded warrant will equal the price per share at which ordinary shares are being sold to the public in this offering, minus $0.0001, which constitutes the pre-funded portion of the exercise price, and the remaining unpaid exercise price of the pre-funded warrant will equal $0.0001 per ordinary share (subject to adjustment as provided for therein). The proposed maximum aggregate offering price of the ordinary shares will be reduced on a dollar-for-dollar basis based on the offering price of any pre-funded warrants issued in the offering, and the proposed maximum aggregate offering price of the pre-funded warrants to be issued in the offering will be reduced on a dollar-for-dollar basis based on the offering price of any ordinary shares issued in the offering. Accordingly, the proposed maximum aggregate offering price of the ordinary shares and pre-funded warrants (including the ordinary shares issuable upon exercise of the pre-funded warrants), if any, is $5,000,000.
 
(4)
No separate fee is required pursuant to Rule 457(g) of the Securities Act.
 
(5)
As estimated solely for the purpose of calculating the registration fee pursuant to Rule 457(o) under the Securities Act, the proposed maximum aggregate offering price of the placement agent’s warrants is $437,500, which is equal to 7.0% of the aggregate number of ordinary shares and pre-funded warrants to be sold in the offering at an exercise price equal to 125% of the public offering price per share.