Form D · Biotechnology
PAINREFORM LTD.
Tel Aviv, L3 · CIK 0001801834
Offering snapshot reported Mar 19, 2021 · SEC filing
- Reported sold
- $6M Offering amount: $6M
- Investors reported
- 3 Form D · investor count
- Minimum accepted
- $0 Reported outside-investor minimum
- First sale
- Mar 8, 2021 As reported in this filing
What changed?
Latest filing versus its linked predecessor, where available.
No comparable changes in the displayed metrics.
Filing history
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| Filed | Filing type | Reported sold | Change vs linked filing | Investors | Source |
|---|---|---|---|---|---|
| Mar 19, 2021 | Initial | $6,000,000 | No comparison | 3 | SEC filing |
Offering details
- Securities
- Equity, Option to acquire, Security to be acquired
- Exemptions
- 06b
- Duration over one year
- No
- Business combination
- No
- Sales commissions
- $390K
- Finders' fees
- $0
- Form D file number
- 021-392928
The shares, warrants and shares underlying the warrants were issued in connection with an offering of (i) 1,304,346 ordinary shares and (ii) warrants to purchase up to an aggregate of 652,173 ordinary shares.
Maxim Group LLC is entitled to 6.5% of the gross proceeds of the offering, $40,000 expense reimbursement and warrants to purchase 52,173 ordinary shares exercisable for $5.06 for five years.
Sales compensation recipients
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| Recipient | CRD | Associated broker-dealer |
|---|---|---|
| Maxim Group LLC | 120708 |
Source: Form D, filed Mar 19, 2021. Minimum accepted may differ from a standard advertised minimum.
Fund connections
No confirmed ADV fund connection is available for this issuer.
People & organizations
Current and past Form D appearances. These existing records do not establish a person's current role or uniquely identify them across issuers.
| Name | Reported role |
|---|---|
| Ellen Baron | Director |
| Efi Cohen Arazi | Director |
| Ehud Geller | Director, Executive |
| Ilan Hadar | Director, Executive |
| Eli Hazum | Director |
| Augustine Lawlor | Director |
Issuer details
Industry: Biotechnology (See others in industry)
Address:
4 Bruria St.
Tel Aviv, L3, 6745442
Tel Aviv, L3, 6745442