0001178913-24-001359.txt : 20240417 0001178913-24-001359.hdr.sgml : 20240417 20240417161638 ACCESSION NUMBER: 0001178913-24-001359 CONFORMED SUBMISSION TYPE: 6-K PUBLIC DOCUMENT COUNT: 2 CONFORMED PERIOD OF REPORT: 20240417 FILED AS OF DATE: 20240417 DATE AS OF CHANGE: 20240417 FILER: COMPANY DATA: COMPANY CONFORMED NAME: PAINREFORM LTD. CENTRAL INDEX KEY: 0001801834 STANDARD INDUSTRIAL CLASSIFICATION: PHARMACEUTICAL PREPARATIONS [2834] ORGANIZATION NAME: 03 Life Sciences IRS NUMBER: 000000000 STATE OF INCORPORATION: L3 FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 6-K SEC ACT: 1934 Act SEC FILE NUMBER: 001-39481 FILM NUMBER: 24851273 BUSINESS ADDRESS: STREET 1: 65 YIGAL ALON ST. CITY: TEL AVIV STATE: L3 ZIP: 6744316 BUSINESS PHONE: 972-3-7177051 MAIL ADDRESS: STREET 1: 65 YIGAL ALON ST. CITY: TEL AVIV STATE: L3 ZIP: 6744316 6-K 1 zk2431308.htm 6-K


 UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
 
Form 6-K
 
Report of Foreign Private Issuer
 
Pursuant to Rule 13a-16 or 15d-16
of the Securities Exchange Act of 1934
 
For the month of April 2024
 
Commission File Number: 001-39481
 
PainReform Ltd.
(Translation of registrant’s name into English)
 
65 Yigal Alon St., Tel Aviv 6744316
Israel
(Address of principal executive offices)
 
Indicate by check mark whether the registrant files or will file annual reports under cover Form 20-F or Form 40-F.
 
Form 20-F       Form 40-F
 

 
 
 On April 15, 2024, PainReform Ltd. (the “Company), entered into a definitive securities purchase agreement (the “Purchase Agreement”) with investors for the purchase and sale in a public offering on a reasonable best efforts basis (the “Offering”) of (i) 447,500 of the Company’s ordinary shares (the “Shares”), par value NIS 0.30 per ordinary share (the “Ordinary Shares”), (ii) 4,552,500 pre-funded warrants to purchase 4,552,500 Ordinary Shares (the “Pre-Funded Warrants”), and (iii) 5,000,000 warrants to purchase 5,000,000 Ordinary Shares (the “Investor Warrants”), at a purchase price of $0.80 per Share and accompanying Investor Warrant and $0.7999 per Pre-Funded Warrant and accompanying Investor Warrant.
 
The Pre-Funded Warrants will be immediately exercisable at an exercise price of $0.0001 per Ordinary Share and will not expire until exercised in full. The Investor Warrants have an exercise price of $0.80 per Ordinary Share, are immediately exercisable, and may be exercised until April 18, 2029.
 
The Purchase Agreement also contains representations, warranties, indemnification and other provisions customary for transactions of this nature. In addition, subject to limited exceptions, the Purchase Agreement provides that for a period of one year following the closing of the Offering, the Company will not effect or enter into an agreement to effect a “variable rate transaction” as defined in the Purchase Agreement. In addition, pursuant to the Purchase Agreement, the Company agreed to abide by certain customary standstill restrictions for a period of sixty (60) days following the closing of the Offering.

In addition, the Company also has agreed to amend the terms of certain existing warrants to purchase up to an aggregate of 935,792 Ordinary Shares that were previously issued in December 2023 (the “December 2023 Warrants”). Pursuant to the terms of the amendment (the “Warrant Amendment”), effective upon the closing of the Offering, the exercise price of the December 2023 Warrants will be reduced to $0.80 and expiration date of the December 2023 Warrants will be amended to five (5) years following the date of closing of the Offering. 

Pursuant to a letter agreement (the “Engagement Agreement”) with H.C. Wainwright & Co., LLC (the “Placement Agent”), the Placement Agent acted as the sole placement agent, on a “best efforts” basis, in connection with the Offering. Pursuant to the Engagement Agreement, the Company agreed to pay the Placement Agent an aggregate cash fee equal to 7.0% of the gross proceeds received by the Company in the Offering and also agreed to reimburse the Placement Agent for certain of its offering-related expenses, including a management fee of 1.0% of the gross proceeds raised in the Offering, non-accountable expenses in the amount of $50,000, legal fees and expenses and other out-of-pocket expenses in an amount up to $100,000 and clearing expenses in the amount of up to $15,950. Under the terms of the Engagement Agreement, the Company also issued to the Placement Agent warrants to purchase up to 350,000 Ordinary Shares, representing 7.0% of the sum of the Shares and Pre-Funded Warrants sold in the Offering (the “Placement Agent Warrants”). The Placement Agent Warrants have an exercise price of $1.00 per Ordinary Share, are exercisable beginning April 18, 2024 and may be exercised until April 15, 2029.
 


The gross proceeds to the Company from the Offering are approximately $4.0 million before deducting estimated offering expenses payable by the Company. The Company intends to use the net proceeds from the Offering to advance its clinical studies and for general corporate purposes. The Offering is expected to close on or about April 18, 2024, subject to satisfaction of customary closing conditions.
 
The Offering was made pursuant to a registration statement on Form F-1 (File No. 333-277594), previously filed by the Company with the Securities and Exchange Commission (the “SEC”) and declared effective by the SEC on April 15, 2024.
 
The foregoing descriptions of the Purchase Agreement, the Warrant Amendment, the Pre-Funded Warrants, the Investor Warrants and the Placement Agent Warrants are not complete, and are qualified in their entireties by reference to the full text of such documents, copies of which are filed as exhibits to this Report on Form 6-K and are incorporated by reference herein.
 
This Current Report on Form 8-K shall not constitute an offer to sell or the solicitation to buy nor shall there be any sale of the shares or warrants in any state or jurisdiction in which such offer, solicitation or sale would be unlawful prior to registration or qualification under the securities laws of any such state or jurisdiction.
 
The Form 6-K, including the exhibits attached hereto, is incorporated by reference into the Company’s Registration Statements on Form S-8 (Registration Nos. 333-257968 and 333-265902) and the Company’s Registration Statements on Form F-3 (Registration Nos. Registration No. 333-257968 and 333-265902), to be a part thereof from the date on which this report is submitted, to the extent not superseded by documents or reports subsequently filed or furnished.
 
Warning Concerning Forward Looking Statements
 
This Report on Form 6-K contains statements which constitute forward looking statements within the meaning of the Private Securities Litigation Reform Act of 1995 and other securities laws. These forward looking statements are based upon the Company’s present intent, beliefs or expectations, but forward looking statements are not guaranteed to occur and may not occur for various reasons, including some reasons which are beyond the Company’s control. For example, this Report states that the Offering is expected to close on or about April 18, 2024. In fact, the closing of the Offering is subject to various conditions and contingencies as are customary in offerings of this nature in the United States. If these conditions are not satisfied or the specified contingencies do not occur, this offering may not close. For this reason, among others, you should not place undue reliance upon the Company’s forward looking statements. Except as required by law, the Company undertakes no obligation to revise or update any forward looking statements in order to reflect any event or circumstance that may arise after the date of this Current Report.
 

 
EXHIBIT INDEX
 
Exhibit No.

Description
 

 




10.5

 
SIGNATURES
 
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.
 
 
PainReform Ltd.
 
 
 
Date: April 17, 2024
By:
/s/ Ilan Hadar
 
 
Ilan Hadar
 
 
Chief Executive Officer
 

EX-10.5 2 exhibit_10-5.htm EXHIBIT 10.5

Exhibit 10.5

April 15, 2024

Holder of Warrants to Purchase Ordinary Shares set forth on Exhibit A attached hereto

Re: Amendment to Existing Warrants

Dear Holder:

Reference is hereby made to the offering on Form F-1 (File No. 333-277594) on or about the date hereof (the “Offering”) by PainReform Ltd. (the “Company”) of its ordinary shares, nominal value NIS 0.3 per share (“Ordinary Shares”), and/or other securities of the Company (collectively, the “Securities”).

This letter confirms that, in consideration for the Holder’s participation in the Offering and purchase of Securities in the Offering (the “Purchase Commitment”), the Company hereby amends, effective as of the closing of the Offering, the Ordinary Share purchase warrants set forth on Exhibit A hereto (the “Existing Warrants”) by (i) reducing the Exercise Price (as defined therein) of the Existing Warrants to $0.80 per share and (ii) amending the expiration date of the Existing Warrants to five (5) years following the date of closing of the Offering (the “Warrant Amendment”). The Warrant Amendment shall be effective upon the closing the Offering and the satisfaction of the other terms and conditions referenced below.

The Warrant Amendment is subject to the consummation of the Offering and the Holder’s satisfaction of the Purchase Commitment. In the event that either (i) the Offering is not consummated, or (ii) the Holder does not satisfy the Purchase Commitment, the Warrant Amendment shall be null and void and the provisions of the Existing Warrants in effect prior to the date hereof shall remain in effect.

Except as expressly set forth herein, the terms and provisions of the Existing Warrants shall remain in full force and effect after the execution of this letter and shall not be in any way changed, modified or superseded except by the terms set forth herein.

From and after the effectiveness of the Warrant Amendment, the Company agrees to promptly deliver to the Holder, upon request, amended Existing Warrants that reflect the Warrant Amendments in exchange for the surrender for cancellation of the Holder’s Existing Warrants to be amended as provided herein. For any registered Existing Warrants or if the Ordinary Shares underlying the Existing Warrants are registered for resale on a registration statement, the Company shall file a prospectus supplement to the applicable registration statement in connection with the amendments hereunder by the closing of the Offering.

[Signature Page Follows]



IN WITNESS WHEREOF, the parties hereto have caused this agreement to be duly executed by their respective authorized signatories as of the date first indicated above.

PAINREFORM LTD.

By: _____________________
Name:
Title:

Name of Holder: ________________________________________________________

Signature of Authorized Signatory of Holder: __________________________________

Name of Authorized Signatory: ____________________________________________________

[Signature Page to Warrant Amendment Agreement]


EXHIBIT A
EXISTING WARRANTS