Securities Registration: Employee Benefit Plan (s-8)
May 24 2017 - 4:08PM
Edgar (US Regulatory)
As filed with the Securities and Exchange
Commission on May 24, 2017
Registration No. 333-
United
States
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM S-8
REGISTRATION STATEMENT
UNDER
THE SECURITIES ACT OF 1933
DARIOHEALTH
CORP.
(Exact name of registrant as specified in
its charter)
Delaware
(State or other jurisdiction of
incorporation or organization)
|
45-2973162
(I.R.S. Employer Identification No.)
|
9 Halamish Street, Caesarea Industrial Park,
Israel
(Address of Principal Executive Offices)
DarioHealth Corp.
Amended and Restated 2012 Equity Incentive
Plan
(Full title of the plan)
Mr. Erez Raphael
Chief Executive Officer
DarioHealth Corp.
9 Halamish Street
Caesarea Industrial Park
3088900, Israel
(Name, Address and Telephone Number of Agent
For Service)
Copies to
:
Oded Har-Even, Esq.
Robert V. Condon III, Esq.
Zysman, Aharoni, Gayer and
Sullivan & Worcester LLP
1633 Broadway
New York, NY 10019
Telephone: (212) 660-3000
Facsimilie: (212) 660-3001
Indicate by check mark whether the registrant is a large accelerated
filer, an accelerated non-accelerated filer, smaller reporting company, or an emerging growth company. See definitions of “large
accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth
company” in Rule 12b-2 of the Exchange Act.
Large accelerated filer ☐ Accelerated
filer ☐ Non-accelerated filer ☐ (Do not check if a smaller reporting company) Smaller
reporting company ☒
Emerging growth company ☒
If an emerging growth company, indicate by check mark if the
registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards
provided pursuant to Section 13(a) of the Exchange Act. ☐
CALCULATION OF REGISTRATION FEE
Title of Securities to
be Registered
|
Amount to be
registered (1)
|
Proposed maximum
offering price per share
|
Proposed maximum
aggregate offering price
|
Amount
of
registration fee (2)
|
Shares of common stock, $0.0001 par value per share
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500,000
|
$2.75
|
$1,375,000
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$159.36
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Total
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500,000
|
na
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$1,375,000
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$159.36
|
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(1)
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Pursuant to Rule 416(a) under the Securities Act of 1933, as amended (the “Securities Act”), this Registration
Statement also covers an indeterminate number of additional securities which may be offered and issued to prevent dilution resulting
from stock splits, stock dividends, recapitalizations or similar transactions.
|
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(2)
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The fee is based on the number of shares of common stock which may be issued under the plan this registration statement relates
to and is estimated in accordance with Rule 457(c) and (h) under the Securities Act solely for the purpose of calculating the registration
fee based upon the average of the high and low sales price of the Company’s common stock as reported on the Nasdaq Capital
Market on May 18, 2017.
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Explanatory
note
On May 17, 2016, DarioHealth Corp. (the
“Company”) filed a Registration Statement on Form S-8 (File No. 333-211417) (the “Original Registration Statement”)
with the U.S. Securities and Exchange Commission (the “Commission”) to register an aggregate of 745,834 shares of common
stock of the Company that may be issued pursuant to the Company’s 2012 Equity Incentive Plan (the “Plan”). On
January 31, 2017, the Company filed a Registration Statement on Form S-8 (File No. 333-215829) (the “Second Registration
Statement”) with the Commission to register an additional 1,127,166 shares of common stock of the Company as a result of
an increase in the number of shares of common stock issuable pursuant to the Plan.
On March 9, 2017, the Company’s stockholders
approved an amendment to the Plan increasing the number of shares authorized for issuance under the Plan by 500,000 shares from
1,873,000 to 2,373,000. The Company is filing this Registration Statement on Form S-8 to register an additional 500,000 shares
of common stock of the Company, which may be issued in connection with securities awards which may hereafter be granted under the
Plan.
Pursuant to General Instruction E to Form
S-8, the contents of the Original Registration Statement and the Second Registration Statement are incorporated herein by reference,
except for Item 3 and Item 8 of Part II of the Prior Registration Statement, which are being updated by this registration statement.
PART II
INFORMATION REQUIRED IN THE REGISTRATION
STATEMENT
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Item 3.
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Incorporation of Documents by Reference.
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The following documents,
which have been filed by the Company with the Commission are incorporated by reference in and made a part of this registration
statement, as of their respective dates:
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(a)
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The Company’s Annual Report on Form 10-K for the fiscal year ended December 31, 2016, as filed
with the Commission on March 22, 2017;
|
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(b)
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The Company’s Quarterly Report on Form 10-Q for the period ended March 31, 2017, as filed with
the Commission on May 15, 2017;
|
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(b)
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The Company’s Current Reports on Form 8-K, as filed with the Commission on January 12, 2017, March 2, 2017, March
10, 2017 and March 31, 2017; and
|
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(c)
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The description of the Company’s common stock contained in its Registration Statement on Form 8-A filed with the Commission
on February 25, 2016, including any amendments and reports filed for the purpose of updating such description.
|
All documents subsequently filed by us with
the Commission pursuant to Sections 13(a), 13(c), 14 and 15(d) of the Securities Exchange Act of 1934, as amended, prior to the
filing of a post-effective amendment which indicates that all securities offered have been sold or which deregisters all securities
then remaining unsold, shall be deemed to be incorporated by reference in this registration statement and to be part hereof from
the date of filing of such documents.
Any statement contained
in a document incorporated or deemed to be incorporated by reference herein shall be deemed to be modified or superseded for purposes
of this registration statement to the extent that a statement herein, or in any subsequently filed document which also is or is
deemed to be incorporated by reference, modifies or supersedes such statement. Any statement so modified or superseded shall not
be deemed, except as so modified or superseded, to constitute a part of this registration statement.
Item 8. Exhibits.
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4.1
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Composite Copy of Certificate of Incorporation, as amended as of July 28, 2016, of the Registrant (Incorporated by reference
to Exhibit 3.1 to the registrant’s Quarterly Report on Form 10-Q, filed with the Commission on August 11, 2016).
|
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4.2
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Bylaws of the Registrant (Incorporated by reference to Exhibit 3.2 to the registrant’s Registration Statement on Form
S-1 (File No. 333-186054), filed with the Commission on January 16, 2013).
|
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5.1
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Opinion of Zysman, Aharoni, Gayer and Sullivan &
Worcester LLP.
|
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23.1
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Consent of Kost Forer Gabbay & Kasierer, A Member
of Ernst & Young Global.
|
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23.2
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Consent of Zysman, Aharoni, Gayer and Sullivan & Worcester LLP (contained in Exhibit 5.1).
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24.1
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Power of Attorney (included on signature page)
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99.1
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The registrant’s Amended and Restated 2012 Equity Incentive Plan (Incorporated by reference to Annex A to the Company’s
Proxy Statement on Schedule 14A filed with the Commission on October 19, 2016).
|
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99.2
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The registrant’s First Amendment to the Amended and Restated 2012 Equity Incentive Plan (Incorporated by reference to
Annex A to the Company’s Proxy Statement on Schedule 14A filed with the Commission on February 13, 2017).
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SIGNATURES
Pursuant to the requirements
of the Securities Act of 1933, the Registrant certifies that it has reasonable grounds to believe that it meets all of the requirements
for filing on Form S-8 and has duly caused this Registration Statement on Form S-8 to be signed on its behalf by the undersigned,
thereunto duly authorized, in the Caesarea, Israel, on the 24th day of May, 2017.
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DARIOHEALTH CORP.
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By:
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/s/ Erez Raphael
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Name: Erez Raphael
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Title: Chief Executive Officer
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power
of attorney and signatures
We, the undersigned officers and directors
of DarioHealth Corp., hereby severally constitute and appoint Erez Raphael and Zvi Ben David, and each of them individually, our
true and lawful attorney to sign for us and in our names in the capacities indicated below any and all amendments or supplements,
including any post-effective amendments, to this registration statement on Form S-8 and to file the same, with exhibits thereto
and other documents in connection therewith, with the Securities and Exchange Commission, granting unto said attorney full power
and authority to do and perform each and every act and thing requisite or necessary to be done in and about the premises, as fully
to all intents and purposes as he might or could do in person, hereby ratifying and confirming our signatures to said amendments
to this registration statement signed by our said attorney and all else that said attorney may lawfully do and cause to be done
by virtue hereof.
Pursuant to the requirements of the Securities
Act, this registration statement on Form S-8 has been signed below by the following persons in the capacities and on the dates
indicated.
Person
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Capacity
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Date
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/s/ Erez Raphael
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Chairman and Chief Executive Officer
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May 24, 2017
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Erez Raphael
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(Principal Executive Officer)
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/s/ Zvi Ben David
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Chief Financial Officer, Secretary and Treasurer
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May 24, 2017
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Zvi Ben David
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(Principal Financial and Accounting Officer)
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/s/ Yalon Farhi
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Director
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May 24, 2017
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Yalon Farhi
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/s/ Malcolm Hoenlein
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Director
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May 24, 2017
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/s/ Hila Karah
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Director
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May 24, 2017
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Hila Karah
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/s/ Dennis M. McGrath
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Director
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May 24, 2017
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Dennis M. McGrath
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/s/ Richard B. Stone
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Director
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May 24, 2017
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/s/ Rami Yehudiha
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Director
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May 24, 2017
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Rami Yehudiha
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/s/ Allen Kamer
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Director
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May 24, 2017
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Allen Kamer
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/s/ Yossi Bahagon
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Director
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May 24, 2017
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Yossi Bahagon
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