Item 2. Management’s Discussion and Analysis
Item 2. Management’s Discussion and Analysis of Financial
Condition and Results of Operations
Cautionary Note Regarding Forward-Looking Statements
The following discussion and analysis of our
financial condition and results of operations should be read in conjunction with the financial statements and related notes thereto and
other financial information included elsewhere in this Quarterly Report. The following discussion contains forward-looking statements
that reflect our current plans, estimates and beliefs. Our historical results are not necessarily indicative of the results that may be
expected for any period in the future. Our actual results and the timing of events could differ materially from those discussed in the
forward-looking statements. Factors that could cause or contribute to these differences include those discussed below and elsewhere in
our most recent Annual Report on Form 10-K, specifically under Item 1A, “Risk Factors” and the “Special Note Regarding
Forward-Looking Statements.”
Overview
We are a clinical-stage biotechnology company committed
to the discovery, development, and commercialization of novel, disease-modifying therapies for rare, pediatric LSDs. Our therapeutic philosophy
is centered on delivering safe, effective, and patient-friendly treatments that address the underlying pathophysiology of these catastrophic
diseases and their significant unmet need. Our multi-modal approach integrates small molecule therapies, including a combination therapy,
and a gene therapy, positioning us to potentially address both the genetic and downstream pathological features of LSDs. Our small molecule
product candidates share target indications as well as similar mechanisms that have been demonstrated to address lysosomal dysfunction,
neuroinflammation, and neuronal loss in our validated animal models that closely mimic human clinical phenotypes. Our most advanced product
candidate, PLX-200, targets several LSDs and we intend to launch a Phase 2 proof-of-concept basket trial which may enhance PLX-200’s
potential to become the standard of care across multiple LSDs.
Our product candidate pipeline includes:
●
PLX-200, our most advanced, clinical-stage product candidate, is an oral, repurposed small molecule.
●
PLX-300 is a novel, oral small molecule therapy in IND application-enabling studies in treatment of lysosomal storage disorders.
●
PLX-100 is a preclinical stage orally administrable combination therapy comprised of our PPARα agonist, PLX-200, and vitamin A, a retinoid X receptor alpha (“RXRα”) agonist. PLX-100 is being developed for the treatment of LSDs.
●
PLX-400 is a preclinical stage novel gene therapy in treatment of lysosomal storage disorders.
We focus our clinical development program on specific
LSDs that are typically treated by symptom and palliative care and, with the exception of CLN2, lack approved disease-modifying therapies.
We have accumulated an expansive base of preclinical data and knowledge on CLN2 and CLN3, Sandhoff disease, and Krabbe. Our drug
candidates have been validated in gold standard preclinical animal models. With similar broad disease pathology shared across multiple
LSDs in terms of substrate accumulation, neuroinflammation and neuronal loss, we believe our small molecule drug candidates have the
potential to demonstrate high therapeutic potential in other targeted indications. Our development program of focus includes NCLs, Krabbe
disease, Tay-Sachs and Sandhoff Diseases.
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We are advancing PLX-200, our most advanced product
candidate, through a Phase 2 proof-of-concept basket trial which we refer to as SOTERIA (PLX-200-600). We expect to initiate this
trial in the second half of 2026. SOTERIA is an open-label, multi-indication, master study for the treatment of certain LSDs which we
believe represent approximately one quarter of our addressable LSD population, including CLN2, CLN3, Krabbe disease, and Sandhoff disease.
We held a pre-IND submission meeting in April 2025. We submitted an IND application to the FDA for the SOTERIA trial in August 2025 and
received a safe to proceed letter in October 2025. Data readouts from SOTERIA are expected to provide guidance and a clear pathway for
each of the four indications towards potentially registrable trials. Further, with the precedent approval of Brineura, a drug approved
to treat CLN2 on the basis of a single-arm, natural history comparator, open-label trial, we believe there may be an opportunity in CLN2
and CLN3 for us to seek expedited approval from the FDA for PLX-200 based on precedent approval for a third-party drug with a similar
trial design. Should PLX-200 evidence overwhelming efficacy from the CLN2 and CLN3 cohorts in the SOTERIA trial, we believe there may
be a case to seek expedited approval. Products studied for their safety and effectiveness in treating serious or life-threatening diseases
or conditions may receive expedited approval upon a determination that the product has demonstrated a clinically meaningful treatment
effect. The precedent case of cerliponase alfa, a drug approved by FDA in treatment of CLN2, provides a benchmark for expedited approval
based on results generated from an open-label, single arm trial comparing to natural history data studying Batten disease. SOTERIA’s
current trial design for the CLN2 and CLN3 cohorts share the same open-label, single-arm design using natural history.
PLX-200 has already received authorization under
two separate IND applications to initiate potentially single pivotal trials in CLN2 and CLN3, the most prevalent subtypes of NCLs. The
IND for CLN2 was filed in December 2019 by Polaryx, with CRO support from Premier Research. A Study May Proceed letter was received in
January 2020. The IND for CLN3 was filed in March 2020 by Polaryx, with CRO support from Premier Research. A Study May Proceed letter
was received in April 2020.
Since our inception in August 2014, we have
devoted substantially all of our resources to raising capital, organizing and staffing our company, business and scientific planning,
conducting discovery and research activities, acquiring product programs, establishing and protecting our intellectual property portfolio,
developing and progressing our pipeline, establishing arrangements with third parties for the manufacture of our programs and component
materials, and providing general and administrative support for these operations. We do not have any product candidates approved for sale
and have not generated any revenue from product sales. Since our inception through the filing date of this Quarterly Report, we have funded
our operations primarily through the issuance of approximately $21.7 million of common stock and preferred stock.
We have incurred significant operating losses
since inception and expect to incur losses in the future as we continue our research and development activities. Our ability to generate
product revenue sufficient to achieve profitability will depend heavily on the successful development and eventual commercialization
of any product candidates we may develop. We incurred net losses of approximately $2.5 million and $5.1 million for the three
months ended March 31, 2026 and 2025, respectively. As of March 31, 2026, we had an accumulated deficit of approximately $102.2 million.
We expect to continue to incur significantly increased
expenses for the foreseeable future if and as we:
● advance
the development of our lead product candidates through clinical development, and, if approved by the FDA, commercialization;
● advance
our preclinical development programs into clinical development;
● incur
manufacturing costs to supply our product candidates;
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● seek
regulatory approvals for any of our product candidates that successfully complete clinical trials;
● increase
our research and development activities to identify and develop new product candidates;
● hire
additional personnel;
● expand
our operational, financial and management systems;
● meet
the requirements and demands of operating as a public company;
● invest
in further development to protect and expand our intellectual property;
● ultimately
establish a sales, marketing, medical affairs and distribution infrastructure to commercialize any product candidates for which we may
obtain marketing approval and intend to commercialize; and
● expand
our manufacturing and develop our commercialization efforts.
Due to the numerous risks and uncertainties associated
with biopharmaceutical product development and the economic and developmental uncertainty, we may be unable to accurately predict the
timing or magnitude of all expenses. Our ability to ultimately generate revenue to achieve profitability will depend heavily on the development,
approval, and subsequent commercialization of our product candidates. If we fail to become profitable or are unable to sustain profitability
on a continuing basis, then we may be unable to continue our operations at planned levels and be forced to reduce or terminate our operations.
As a result, we will need substantial additional
funding to support our long-term continuing operations and pursue our growth strategy. Until such time as we can generate significant
revenue from product sales, if ever, we expect to finance our operations through the sale of equity, debt financings or other capital
sources, which may include collaborations with other companies or other strategic transactions. We may not be able to raise additional
funds or enter into such other agreements or arrangements when needed on favorable terms, or at all. If we fail to raise capital or enter
into such agreements as and when needed, we will have to significantly delay, reduce or eliminate the development and commercialization
of one or more of our product candidates or delay our pursuit of potential in-licenses or acquisitions.
As of March 31, 2026, we had cash and cash equivalents
of approximately $3.1 million. Based on our current operating plan, we estimate that our existing cash and cash equivalents as of
the filing date of this Quarterly Report, will be sufficient to enable us to fund our operating expenses and capital expenditure requirements
through the third quarter of 2026. We have based this estimate on assumptions that may prove to be wrong, and we could exhaust our available
capital resources sooner than we expect.
Financial Overview
Revenue
To date, we have not generated any revenue from
product sales and do not expect to generate any revenue from the sale of products in the foreseeable future. If our development efforts
for any of our product candidates are successful and result in regulatory approval, we may generate revenue in the future from product
sales. We cannot predict if, when or to what extent we will generate revenue from the commercialization and sale of any of our product
candidates. We may never succeed in obtaining regulatory approval for any of our product candidates.
Operating Expenses
Our operating expenses consist of (i) research
and development expenses and (ii) general and administrative expenses.
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Research and Development Expenses
Research and development expenses consist of costs
associated with the preclinical and clinical development of our product candidates, which include:
● personnel-related
expenses, including salaries and benefits for employees engaged in research and development functions;
● expenses
incurred in connection with the clinical development and regulatory approval of our product candidates, including under agreements with
third parties, such as consultants, contractors and CROs; and
● other
expenses related to research and development.
We expense research and development costs as incurred.
Advance payments that we make for goods or services to be received in the future for use in research and development activities are recorded
as prepaid expenses. The prepaid amounts are expensed as the benefits are consumed.
Research and development activities are central
to our business model. We expect that our research and development expenses will increase substantially for the foreseeable future in
connection with our planned clinical development activities.
General and Administrative Expenses
General and administrative expenses consist primarily
of salaries and other related costs, including stock-based compensation and benefits for our personnel and advisors. General and administrative
expenses also include legal fees relating to intellectual property and corporate matters, professional fees for accounting, auditing,
tax and consulting services, insurance costs, travel, direct and allocated facility related expenses and other operating costs.
We anticipate that our general and administrative
expenses will increase substantially for the foreseeable future as we increase our administrative headcount to operate as a public company
and as we advance our product candidates through clinical development. We also will incur additional expenses as a result of operating
as a public company, including expenses related to compliance with the rules and regulations of the SEC and the Nasdaq listing rules,
additional insurance expenses, investor relations activities and other administrative and professional services. In addition, if we obtain
regulatory approval for any of our product candidates, we expect to incur expenses associated with building a sales and marketing team
if we choose to commercialize such product candidates on our own.
Other Expense — Direct Listing Offering Costs
Other expense — direct listing offering costs
primarily consists of costs related to the direct listing public offering completed on February 2, 2026 (the “Direct Listing”),
including legal, accounting, and other expenses.
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Statements of Operations
Results of Operations
Comparison of the Three Months Ended
March 31, 2026 and 2025
The following table summarizes our statements of
operations for the periods presented.
Three Months Ended March 31,
2026
2025
$ Change
(in thousands)
Operating expenses:
Research and development expenses
$ 679
$ 4,716
$ (4,037 )
General and administrative expenses
1,279
336
943
Total operating expenses
1,958
5,052
(3,094 )
Operating loss
(1,958 )
(5,052 )
3,094
Other expense – direct listing offering costs
(586 )
—
(586 )
Net loss and comprehensive loss
$ (2,544 )
$ (5,052 )
$ 2,508
Research and development expenses
Research and development expenses decreased by
$4.0 million to $679 thousand for the three months ended March 31, 2026, as compared to $4.7 million for the three months ended
March 31, 2025. The reduction in research and development expenses was primarily due to stock-based compensation of approximately
$4.3 million related to the issuance of 3,704,307 shares of common stock in March of 2025 to two existing stockholders in return for
an exclusive gene therapy patent license totaling $4.3 million, which was not repeated in 2026. Of the total 3,704,307 shares issued,
277,823 shares were issued to Rush and 3,426,484 shares were issued to Mstone. The decrease in stock-based compensation expense was partially
offset by expenses incurred for the three months ended March 31, 2026 under three statements of work pursuant to the Rush MSA that increased
by $92 thousand. CRO formulation services increased by $139 thousand. Research and development expenses were substantially related to
PLX-200 except for the stock-based compensation expense in 2025.
General and administrative expenses
General and administrative expenses increased
by $943 thousand to $1,279 thousand for the three months ended March 31, 2026, as compared to $336 thousand for the three months
ended March 31, 2025, primarily due to increased public company related expenses incurred in connection with the direct listing
in January 2026 and due to an increase in stock-based compensation. Public company related expenses including legal, audit, investor
relations, board compensation, and directors and officers insurance expenses increased by $435 thousand. Stock-based compensation increased
by $359 thousand due to shares that were issued to a financial advisor in October of 2024. Of the total shares issued, 50% was fully
vested upon issuance as compensation for advisory services and concluded in October of 2025 which decreased stock-based compensation
by $108 thousand in the first quarter of 2026. The remaining 50% vested upon a public listing of the Company’s common stock. As of March 31, 2026, the remaining
50% was fully vested as our common stock began trading on Nasdaq on February 2, 2026. As such, the Company recorded $467 thousand to
stock-based compensation.
Other expense — direct listing offering
costs
Other expense — direct listing offering
costs was $586 thousand for the three months ended March 31, 2026, as compared to zero for the three months ended March 31, 2025 due
to legal, accounting, and advisory expenses related to the preparation of the direct listing offering.
Income taxes
The effective income tax rate was 0.0% for all
periods. Currently, we have recorded a full valuation allowance against our net deferred tax assets.
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Liquidity and Capital Resources
Since our inception, we have incurred significant
operating losses. We expect to incur significant expenses and operating losses for the foreseeable future as we advance the clinical
development of our programs. From our inception through the filing date of this Quarterly Report, we have funded our operations primarily
with proceeds from the sales of our equity securities totaling approximately $21.7 million. As of March 31, 2026, we have no outstanding
debt.
The following table presents the Company’s
cash and cash equivalents as of March 31, 2026 and December 31, 2025:
March 31,
2026
December 31,
2025
Cash and cash equivalents
$ 3,080
$ 5,143
Cash Flows
The following table presents cash provided by (used
in) operating and financing activities during the three months ended March 31, 2026 and 2025:
Three Months Ended
March 31,
2026
2025
(in thousands)
Net cash flows (used in) operating activities
$ (2,063 )
$ (709 )
Net cash flows provided by financing activities
—
250
Net change in cash and cash equivalents
$ (2,063 )
$ (459 )
Operating Activities
Net cash used in operating activities was $2.1 million
for the three months ended March 31, 2026 and was primarily due to a net loss of $2.5 million, offset by an increase in stock-based
compensation of $467 thousand and an increase in working capital changes of $14 thousand.
Net cash used in operating activities was
$709 thousand for the three months ended March 31, 2025 and was primarily due to a net loss of $5.1 million and
working capital decreases of $108 thousand related to accounts payable and accrued expenses, offset by stock-based compensation of
$4.5 million.
Financing Activities
Net cash provided by financing activities was $250
thousand for the three months ended March 31, 2025 and was due to proceeds from the issuance of common stock. We had no cash
provided by or used in financing activities for the three months ended March 31, 2026.
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Future Funding Requirements
We do not have any products approved for sale,
and we have never generated any revenue from product sales. We do not expect to generate any meaningful revenue unless and until we obtain
regulatory approval of and commercialize any of our current or future product candidates and we do not know when, or if, that will occur.
We expect to continue to incur significant losses for the foreseeable future, and we expect the losses to increase as we continue the
development of, and seek regulatory approvals for, our current and future product candidates, and begin to commercialize any approved
products. We are subject to all the risks typically related to the development of new product candidates, and we may encounter unforeseen
expenses, difficulties, complications, delays and other unknown factors that may adversely affect our business. Moreover, we expect to
incur additional costs associated with operating as a public company.
The financial statements have been prepared as
though we will continue as a going concern, which contemplates the realization of assets and satisfaction of liabilities in the normal
course of business. We have incurred operating losses and negative cash flows from operations since inception. As of March 31, 2026,
we had an accumulated deficit of approximately $102.2 million. Management expects to continue to incur operating losses and negative
cash flows.
We will need to raise additional capital to continue
to fund our operations. We believe we will be able to obtain additional capital through equity financings or other arrangements to fund
operations; however, there can be no assurance that such additional financing, if available, can be obtained on acceptable terms. If we
are unable to obtain such additional financing, future operations would need to be scaled back or discontinued.
We believe that our existing capital will enable
us to fund our operations through the third quarter of 2026. We will need to raise additional capital in connection with our cash needs
for capital expenditures and working capital beyond the third quarter of 2026. We have based the foregoing estimate on assumptions that
may prove to be incorrect, and we could use our capital resources sooner than we expect.
Our future funding requirements will depend on
many factors, including, but not limited to:
● the
initiation, progress, timeline, cost and results of our clinical trials for our product candidates;
● the
initiation, progress, timeline, cost and results of additional research and preclinical studies related to pipeline development and other
research programs we initiate in the future;
● the
cost and timing of manufacturing activities, including our planned manufacturing scale-up activities associated with our product candidates
and other programs as we advance them through preclinical and clinical development through commercialization;
● the
potential expansion of our current development programs to seek new indications;
● the
outcome, timing and cost of meeting regulatory requirements established by the FDA and other comparable foreign regulatory authorities;
● the
cost of filing, prosecuting, defending and enforcing patent claims and other intellectual property rights, in-licensed or otherwise;
● the
effect of competing technological and market developments;
● the
payment of licensing fees, potential royalty payments and potential milestone payments;
● the
cost of general operating expenses;
● the
cost of establishing sales, marketing and distribution capabilities for any product candidates for which we may receive regulatory approval
in regions where we choose to commercialize our products on our own; and
● the
costs of operating as a public company.
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Further, our operating plan may change, and we
may need additional funds to meet operational needs and capital requirements for clinical trials and other research and development expenditures.
If we need to raise additional capital to fund
our operations, funding may not be available to us on acceptable terms, or at all. If we are unable to obtain adequate financing when
needed, we may have to delay, reduce the scope of or suspend one or more of our preclinical studies, clinical trials, research and development
programs or commercialization efforts. We may seek to raise any necessary additional capital through a combination of public or private
equity offerings, debt financings, collaborations and other licensing arrangements. If we raise additional capital through debt financing,
we may be subject to covenants limiting or restricting our ability to take specific actions, such as incurring additional debt, making
capital expenditures or declaring dividends. If we raise additional capital through marketing and distribution arrangements or other collaborations,
strategic alliances or licensing arrangements with third parties, we may have to relinquish certain valuable rights to our product candidates,
technologies, future revenue streams or research programs or grant licenses on terms that may not be favorable to us.
Critical Accounting Policies and Estimates
Our management’s discussion and analysis
of our financial condition and results of operations is based on our financial statements, which we have prepared in accordance with accounting
principles generally accepted in the United States. The preparation of financial statements in conformity with accounting principles
generally accepted in the United States (“U.S. GAAP”) requires management to make estimates and assumptions that
affect the reported amounts of assets and liabilities and related disclosures of contingent assets and liabilities at the date of the
financial statements as well as the reported amounts of revenues and expenses during the reporting period. Estimates are based on several
factors including the facts and circumstances available at the time the estimates are made, historical experience, risk of loss, general
economic conditions and trends and the assessment of the probable future outcome. Subjective and significant estimates include, but are
not limited to, research and development accruals as well as stock-based compensation expense. Actual results could differ from those
estimates. Estimates and assumptions are reviewed periodically and the effects of changes, if any, are reflected in the statements of
operations in the period that they are determined.
We believe that the accounting policies described
below involve a significant degree of judgment and complexity. Accordingly, we believe these are the most critical to aid in fully understanding
and evaluating our financial condition and results of operations. For further information, refer to Note 2 “Summary of Significant
Accounting Policies” to our financial statements included elsewhere in this Quarterly Report.
Research and Development Expenses and Accruals
All research and development expenses are charged
to operations as incurred. Research and development expenses primarily consist of costs associated with the preclinical and clinical development
of the Company’s product candidates, including the following:
● external
research and development expenses incurred under arrangements with third parties, such as CROs and other vendors and CMOs to produce
drug substance and drug product; and
● employee-related
expenses, including salaries and benefits.
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As part of the process of preparing our financial
statements, we are required to estimate our accrued expenses. This process involves reviewing quotations and contracts, identifying services
that have been performed on our behalf and estimating the level of service performed and the associated cost incurred for the service
when we have not yet been invoiced. Most of our service providers invoice monthly in arrears for services performed or when contractual
milestones are met. Estimates of accrued expenses as of each balance sheet date in our financial statements are based on facts and circumstances
known at that time. We periodically confirm the accuracy of estimates with the service providers and adjust if necessary. The significant
estimates in accrued research and development expenses are related to expenses incurred with respect to CROs, contract manufacturing organizations
(“CMOs”) and other vendors in connection with research and development and manufacturing activities.
We base our expenses related to CROs and CMOs on
estimates of the services received and efforts expended pursuant to quotations and contracts with such vendors that conduct research and
development and manufacturing activities on our behalf. The financial terms of these agreements are subject to negotiation, vary from
contract to contract and may result in uneven payment flows. There may be instances in which payments made to vendors will exceed the
level of services provided and result in a prepayment of the applicable research and development or manufacturing expense. In accruing
service fees, we estimate the time over which services will be performed and the level of effort to be expended in each period. If the
actual timing of the performance of services or the level of effort varies from estimates, the accrual or prepaid expense is adjusted
accordingly. Although estimates are not expected to be materially different from amounts actually incurred, our understanding of the status
and timing of services performed relative to the actual status and timing of services performed may vary and could result in amounts that
are too high or too low in any particular period. There have been no material changes in estimates for the periods presented.
Stock-Based Compensation Expense and Common Stock Valuations
We recognize compensation costs related to stock-based
awards to employees and non-employees based on the estimated fair value of the awards on the date of grant and it is recognized
as an expense over the requisite service period. For grants containing performance-based vesting provisions, the grant-date fair value
of the milestone-based stock-based payment awards is recognized as compensation expense once it is probable that the condition will be
achieved. We account for actual forfeitures in the period the forfeitures occur.
We will continue to use judgment in evaluating
the assumptions utilized for our stock-based compensation expense calculations on a prospective basis. Such assumptions involve inherent
uncertainties and the application of significant judgment. As a result, if factors or expected outcomes change and we use significantly
different assumptions or estimates, our stock-based compensation expenses could be materially different.
The calculation of the fair value of awards requires
an estimate of the Company’s equity value. As the Company historically has been a privately held company with no trading history
for its common stock until February 2, 2026, the estimated fair value of the Company’s common stock has been approved by the Board,
with input from management, valuations by third-party specialists, as well as upon the price per share from recent stock issuances to
certain investors at that time. To determine the fair value, management considered the price per share from recent stock issuances to
certain investors at that time, most recently available third-party valuations of its common stock and an assessment of additional objective
and subjective factors that it believed were relevant and which may have changed from the date of the most recent valuation through the
date of the grant. Additional factors include, among others, the nature and history of the Company’s business; the Company’s
stage of development and commercialization; external market conditions; valuations of the Company’s industry peers; and the likelihood
of achieving a liquidity event, such as an initial public offering or sale of the Company. These third-party valuations are performed
in accordance with the guidance outlined in the American Institute of Certified Public Accountants’ Accounting and Valuation Guide,
Valuation of Privately-Held-Company Equity Securities Issued as Compensation. The third-party common stock valuations are prepared using
the market approach (guideline public company method) to estimate the Company’s enterprise value.
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Recent Accounting Pronouncements
See Note 2 “Summary of Significant Accounting
Policies” to our financial statements included elsewhere in this Quarterly Report for a discussion of accounting pronouncements
recently issued but not yet adopted and their potential impact to our financial statements.
Emerging Growth Company Status and Smaller Reporting Company Status
We are an “emerging growth company”,
as defined in the Jumpstart Our Business Startups Act of 2012 (“JOBS Act”). Under the JOBS Act, emerging growth
companies can take advantage of an extended transition period for complying with new or revised accounting standards, delaying the adoption
of these accounting standards until they apply to private companies. The Company has elected to use this extended transition period for
complying with certain new or revised accounting standards that have different effective dates for public and private companies until
the earlier of the date that it is ( 1 ) no longer an emerging growth company or ( 2 ) affirmatively and irrevocably
opt out of the extended transition period provided in the JOBS Act.
Item 3. Quantitative and Qualitative Disclosures About Market Risk
We are a smaller reporting company, as defined
in Rule 12b-2 of the Exchange Act and are not required to provide the information required under this Item.
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