Check the appropriate box to
designate the rule pursuant to which this Schedule is filed:
☒ Rule 13d-1(b)
☒ Rule 13d-1(c)
☐
Rule 13d-1(d)
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1
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NAME OF REPORTING PERSONS
I.R.S.
IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY)
Anson Funds
Management LP
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2
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CHECK THE APPROPRIATE BOX
IF A MEMBER OF A GROUP*
(a) ☐ (b) ☐
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3
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SEC USE ONLY
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4
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CITIZENSHIP OR PLACE OF
ORGANIZATION
Texas
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NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON
WITH
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5
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SOLE VOTING POWER
0
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6
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SHARED VOTING POWER
67,597
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7
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SOLE DISPOSITIVE POWER
0
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8
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SHARED DISPOSITIVE POWER
67,597
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9
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
67,597
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10
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CHECK BOX IF THE AGGREGATE
AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*
☐
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11
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PERCENT OF CLASS
REPRESENTED BY AMOUNT IN ROW 9
9.99% **
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12
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TYPE OF REPORTING
PERSON*
IA, PN
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*
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SEE INSTRUCTIONS BEFORE FILLING OUT
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2
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1
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NAME OF REPORTING PERSONS
I.R.S.
IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY)
Anson Management GP
LLC
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2
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CHECK THE APPROPRIATE BOX
IF A MEMBER OF A GROUP*
(a) ☐ (b) ☐
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3
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SEC USE ONLY
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4
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CITIZENSHIP OR PLACE OF
ORGANIZATION
Texas
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NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON
WITH
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5
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SOLE VOTING POWER
0
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6
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SHARED VOTING POWER
67,597
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7
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SOLE DISPOSITIVE POWER
0
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8
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SHARED DISPOSITIVE POWER
67,597
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9
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
67,597
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10
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CHECK BOX IF THE AGGREGATE
AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*
☐
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11
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PERCENT OF CLASS
REPRESENTED BY AMOUNT IN ROW 9
9.99% **
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12
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TYPE OF REPORTING
PERSON*
HC, OO
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*
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SEE INSTRUCTIONS BEFORE FILLING OUT
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3
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1
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NAME OF REPORTING PERSONS
I.R.S.
IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY)
Bruce R.
Winson
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2
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CHECK THE APPROPRIATE BOX
IF A MEMBER OF A GROUP*
(a) ☐ (b) ☐
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3
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SEC USE ONLY
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4
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CITIZENSHIP OR PLACE OF
ORGANIZATION
United States
Citizen
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NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON
WITH
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5
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SOLE VOTING POWER
0
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6
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SHARED VOTING POWER
67,597
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7
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SOLE DISPOSITIVE POWER
0
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8
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SHARED DISPOSITIVE POWER
67,597
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9
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
67,597
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10
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CHECK BOX IF THE AGGREGATE
AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*
☐
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11
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PERCENT OF CLASS
REPRESENTED BY AMOUNT IN ROW 9
9.99% **
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12
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TYPE OF REPORTING
PERSON*
HC, IN
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*
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SEE INSTRUCTIONS BEFORE FILLING OUT
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4
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1
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NAME OF REPORTING PERSONS
I.R.S.
IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY)
Anson Advisors
Inc.
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2
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CHECK THE APPROPRIATE BOX
IF A MEMBER OF A GROUP*
(a) ☐ (b) ☐
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3
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SEC USE ONLY
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4
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CITIZENSHIP OR PLACE OF
ORGANIZATION
Ontario,
Canada
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NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON
WITH
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5
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SOLE VOTING POWER
0
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6
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SHARED VOTING POWER
67,597
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7
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SOLE DISPOSITIVE POWER
0
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8
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SHARED DISPOSITIVE POWER
67,597
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9
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
67,597
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10
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CHECK BOX IF THE AGGREGATE
AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*
☐
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11
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PERCENT OF CLASS
REPRESENTED BY AMOUNT IN ROW 9
9.99% **
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12
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TYPE OF REPORTING
PERSON*
CO
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*
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SEE INSTRUCTIONS BEFORE FILLING OUT
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5
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1
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NAME OF REPORTING PERSONS
I.R.S.
IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY)
Amin
Nathoo
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2
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CHECK THE APPROPRIATE BOX
IF A MEMBER OF A GROUP*
(a) ☐ (b) ☐
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3
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SEC USE ONLY
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4
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CITIZENSHIP OR PLACE OF
ORGANIZATION
Canadian
Citizen
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NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON
WITH
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5
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SOLE VOTING POWER
0
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6
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SHARED VOTING POWER
67,597
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7
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SOLE DISPOSITIVE POWER
0
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8
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SHARED DISPOSITIVE POWER
67,597
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9
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
67,597
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10
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CHECK BOX IF THE AGGREGATE
AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*
☐
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11
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PERCENT OF CLASS
REPRESENTED BY AMOUNT IN ROW 9
9.99% **
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12
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TYPE OF REPORTING
PERSON*
IN
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*
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SEE INSTRUCTIONS BEFORE FILLING OUT
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6
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1
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NAME OF REPORTING PERSONS
I.R.S.
IDENTIFICATION NO. OF ABOVE PERSONS (ENTITIES ONLY)
Moez
Kassam
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2
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CHECK THE APPROPRIATE BOX
IF A MEMBER OF A GROUP*
(a) ☐ (b) ☐
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3
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SEC USE ONLY
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4
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CITIZENSHIP OR PLACE OF
ORGANIZATION
Canadian
Citizen
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NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON
WITH
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5
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SOLE VOTING POWER
0
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6
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SHARED VOTING POWER
67,597
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7
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SOLE DISPOSITIVE POWER
0
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8
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SHARED DISPOSITIVE POWER
67,597
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9
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AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
67,597
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10
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CHECK BOX IF THE AGGREGATE
AMOUNT IN ROW (9) EXCLUDES CERTAIN SHARES*
☐
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11
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PERCENT OF CLASS
REPRESENTED BY AMOUNT IN ROW 9
9.99% **
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12
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TYPE OF REPORTING
PERSON*
IN
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*
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SEE INSTRUCTIONS BEFORE FILLING OUT
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7
SCHEDULE 13G
This Schedule 13G (the Schedule 13G) is being filed on behalf of Anson Funds Management LP (d/b/a Anson Funds), a Texas limited
partnership, Anson Management GP LLC, a Texas limited liability company, Mr. Bruce R. Winson, the principal of Anson Funds Management LP and Anson Management GP LLC, Anson Advisors Inc., an Ontario, Canada corporation, Mr. Amin
Nathoo, a director of Anson Advisors Inc., and Mr. Moez Kassam, a director of Anson Advisors Inc., relating to common stock, par value $0.0001 per share (the Common Stock), of CHF Solutions, Inc., a Delaware corporation (the
Issuer).
This Schedule 13G relates to the Common Stock of the Issuer purchased by a private fund to which Anson Funds
Management LP and Anson Advisors Inc. serve as
co-investment
advisors (the Fund). Anson Funds Management LP and Anson Advisors Inc. serve as
co-investment
advisors to the Fund and may direct the vote and disposition of the 67,597 shares of Common Stock held by the Fund. As the general partner of Anson Funds Management LP, Anson Management GP LLC may direct the vote and disposition of the 67,597 shares
of Common Stock held by the Fund. As the principal of Anson Fund Management LP and Anson Management GP LLC, Mr. Winson may direct the vote and disposition of the 67,597 shares of Common Stock held by the Fund. As directors of Anson Advisors
Inc., Mr. Nathoo and Mr. Kassam may each direct the vote and disposition of the 67,597 shares of Common Stock held by the Fund.
Item 1(a)
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Name of Issuer.
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CHF Solutions, Inc.
Item 1(b)
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Address of Issuers Principal Executive Offices.
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12988 Valley View Road
Eden Prairie, Minnesota 55344
Item 2(a)
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Name of Person Filing.
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Anson Funds Management LP, Anson Management GP LLC, Mr. Bruce R. Winson, Anson Advisors Inc., Mr. Amin Nathoo and Mr. Moez
Kassam
Item 2(b)
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Address of Principal Business Office, or, if none, Residence.
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For Anson Funds Management LP, Anson Management GP LLC and Mr. Winson:
5950 Berkshire Lane, Suite 210
Dallas, Texas 75225
For Anson Advisors Inc., Mr. Nathoo and Mr. Kassam:
155 University Ave, Suite 207
Toronto, ON
M5H 3B7
8
Item 2(c)
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Citizenship or Place of Organization.
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Anson Funds Management LP is a limited partnership organized under the laws of the State of Texas. Anson Management GP LLC is a limited liability company
organized under the laws of the State of Texas. Mr. Winson is a United States citizen. Anson Advisors Inc. is a corporation organized under the laws of Ontario, Canada. Mr. Nathoo and Mr. Kassam are each Canadian citizens.
Item 2(d)
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Title of Class of Securities.
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Common Stock, par value $0.0001 per share
12542Q508
If this statement is filed pursuant to Rule
13d-1(b),
or
13d-2(b),
check
whether the person filing is a:
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(a)
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☐
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Broker or dealer registered under section 15 of the Act (15 U.S.C. 78o).
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(b)
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☐
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Bank as defined in section 3(a)(6) of the Act (15 U.S.C. 78c).
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(c)
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☐
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Insurance company as defined in section 3(a)(19) of the Act (15 U.S.C. 78c).
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(d)
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☐
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Investment company registered under section 8 of the Investment Company Act of 1940 (15 U.S.C.
80a-8).
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(e)
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☒
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An investment advisor in accordance with
§240.13d-1(b)(1)(ii)(E).
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(f)
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☐
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An employee benefit plan or endowment fund in accordance with
§240.13d-1(b)(1)(ii)(F).
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(g)
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☒
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A parent holding company or control person in accordance with
§240.13d-1(b)(1)(ii)(G).
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(h)
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☐
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A savings association as defined in Section 3(b) of the Federal Deposit Insurance Act (12 U.S.C. 1813).
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(i)
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☐
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A church plan that is excluded from the definition of an investment company under Section 3(c)(14) of the Investment Company Act of 1940 (15 U.S.C.
80a-3).
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(j)
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☐
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Group, in accordance with
§240.13d-1(b)(1)(ii)(J).
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(a)
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Anson Funds Management LP, Anson Management GP LLC, Mr. Winson, Anson Advisors Inc., Mr. Nathoo and
Mr. Kassam are the beneficial owners of 67,597 shares of Common Stock held by the Fund. 16,597 of this amount consists of shares of Common Stock receivable by the Fund upon exercise of presently held warrants and conversion of preferred stock.
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9
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(b)
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Anson Funds Management LP, Anson Management GP LLC, Mr. Winson, Anson Advisors Inc., Mr. Nathoo and
Mr. Kassam are the beneficial owners of 9.99% of the outstanding shares of Common Stock. This percentage is determined by dividing 67,597 by the sum of (i) 660,052, the number of shares of Common Stock issued and outstanding as of March 8,
2019, as reported in the Issuers Prospectus on Form 424(b)(4) filed with the Securities and Exchange Commission on March 8, 2019, and (ii) 16,597, the number of shares of Common Stock receivable by the Fund upon exercise of presently held
warrants and conversion of preferred stock. Anson Funds Management LP, Anson Management GP LLC, Mr. Winson, Anson Advisors Inc., Mr. Nathoo and Mr. Kassam are also the beneficial owners of (i) 329,952 shares of Preferred Common Stock
that are not exercisable, as they are subject to a 9.99% blocker; and (ii) 772,154 Warrants that are not exercisable, as they are subject to a 4.99% blocker. 16,597 shares of Common Stock underlying the above derivative securities are reflected in
this Schedule 13G.
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(c)
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Anson Funds Management LP and Anson Advisors Inc., as the
co-investment
advisors to the Fund, may direct the vote and disposition of the 67,597 shares of Common Stock held by the Fund. Anson Management GP LLC, as the general partner of Anson Funds Management LP, may direct the vote and disposition of the 67,597 shares
of Common Stock held by the Fund. As the principal of Anson Funds Management LP and Anson Management GP LLC, Mr. Winson may direct the vote and disposition of the 67,597 shares of Common Stock held by the Fund. Mr. Nathoo and
Mr. Kassam, each as a director of Anson Advisors Inc., may direct the vote and disposition of the 67,597 shares of Common Stock held by the Fund.
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Item 5
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Ownership of Five Percent or Less of a Class.
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Inapplicable.
Item 6
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Ownership of More Than Five Percent on Behalf of Another Person.
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Inapplicable.
Item 7
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Identification and Classification of the Subsidiary which Acquired the Security Being Reported On by the
Parent Holding Company.
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Inapplicable.
Item 8
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Identification and Classification of Members of the Group.
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Inapplicable.
Item 9
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Notice of Dissolution of Group.
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Inapplicable.
10
For Anson Funds Management LP, Anson Management GP LLC and Mr. Winson:
By signing below each of the Reporting Persons certifies that, to the best of such persons knowledge and belief, the securities referred
to above were acquired and held in the ordinary course of business and were not acquired and were not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not
held in connection with or as a participant in any transaction having that purpose or effect.
For the Anson Advisors Inc., Mr. Nathoo
and Mr. Kassam:
By signing below each of the Reporting Persons certifies that, to the best of such persons knowledge and
belief, the securities referred to above were not acquired and are not held for the purpose of or with the effect of changing or influencing the control of the issuer of the securities and were not acquired and are not held in connection with or as
a participant in any transaction having that purpose or effect.
Joint Filing Agreement
dated March 15, 2019, by and among Anson Funds Management LP, Anson Management GP LLC, Mr. Winson,
Anson Advisors Inc., Mr. Nathoo and Mr. Kassam.
11
SIGNATURE
After reasonable inquiry and to the best of my knowledge and belief, I certify that the information set forth in this statement is true,
complete and correct.
Date: March 15, 2019
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ANSON FUNDS MANAGEMENT LP
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By:
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Anson Management GP LLC, its general partner
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By:
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/s/ Bruce R. Winson
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Bruce R. Winson
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Manager
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ANSON MANAGEMENT GP LLC
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By:
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/s/ Bruce R. Winson
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Bruce R. Winson
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Manager
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/s/ Bruce R. Winson
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Bruce R. Winson
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ANSON ADVISORS INC.
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By:
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/s/ Amin Nathoo
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Amin Nathoo
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Director
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By:
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/s/ Moez Kassam
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Moez Kassam
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Director
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/s/ Amin Nathoo
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Amin Nathoo
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/s/ Moez Kassam
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Moez Kassam
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12