Item 1A. Risk Factors
ITEM
1A. RISK FACTORS.
AN
INVESTMENT IN OUR SECURITIES IS HIGHLY SPECULATIVE AND INVOLVES A HIGH DEGREE OF RISK. WE FACE A VARIETY OF RISKS THAT MAY AFFECT
OUR OPERATIONS OR FINANCIAL RESULTS AND MANY OF THOSE RISKS ARE DRIVEN BY FACTORS THAT WE CANNOT CONTROL OR PREDICT. BEFORE INVESTING
IN THE SECURITIES YOU SHOULD CAREFULLY CONSIDER THE FOLLOWING RISKS, TOGETHER WITH THE FINANCIAL AND OTHER INFORMATION CONTAINED
IN THIS REPORT. IF ANY OF THE FOLLOWING RISKS ACTUALLY OCCURS, OUR BUSINESS, PROSPECTS, FINANCIAL CONDITION AND RESULTS OF OPERATIONS
COULD BE MATERIALLY ADVERSELY AFFECTED. IN THAT CASE, THE TRADING PRICE OF OUR COMMON STOCK WOULD LIKELY DECLINE AND YOU MAY LOSE
ALL OR A PART OF YOUR INVESTMENT. ONLY THOSE INVESTORS WHO CAN BEAR THE RISK OF LOSS OF THEIR ENTIRE INVESTMENT SHOULD CONSIDER
AN INVESTMENT IN OUR SECURITIES.
This
Annual Report contains certain statements relating to future events or the future financial performance of our Company. Prospective
investors are cautioned that such statements are only predictions and involve risks and uncertainties, and that actual events
or results may differ materially. In evaluating such statements, prospective investors should specifically consider the various
factors identified in this Annual Report, including the matters set forth below, which could cause actual results to differ materially
from those indicated by such forward-looking statements.
If
any of the following or other risks materialize, the Company’s business, financial condition, and results of operations
could be materially adversely affected which, in turn, could adversely impact the value of our securities. In such a case, investors
in our securities could lose all or part of their investment.
Prospective
investors should consider carefully whether an investment in the Company is suitable for them in light of the information contained
in this Report and the financial resources available to them. The risks described below do not purport to be all the risks to
which the Company could be exposed. This section is a summary of certain risks and is not set out in any particular order of priority.
They are the risks that we presently believe are material to the operations of the Company. Additional risks of which we are not
presently aware or which we presently deem immaterial may also impair the Company’s business, financial condition or results
of operations.
Risks
Related to Our Business
The
ongoing COVID-19 outbreak and economic crisis has caused a significant disruption to the overall economy and there is no certainty
as to when or how the situation will evolve, including whether or not the virus will be controlled and/or the state of our economy
and business environment upon emerging from the crisis.
The
current outbreak of the novel coronavirus (“COVID-19”) and resulting impact to the United States economic environments
began to take hold during March 2020. The adverse public health developments and economic effects of the COVID-19 outbreak in
the United States, have adversely affected the demand for our products and services by our customers and from patients of our
customers as a result of quarantines, facility closures and social distancing measures put into effect in connection with the
COVID-19 outbreak and which currently still continue to have a negative impact to our business and the economy. These restrictions
have adversely affected the Company’s sales, results of operations and financial condition. In response to the COVID-19
outbreak, the Company (a) has accelerated its research and development activities, particularly in regards to potential health
benefits of the Company’s products in addressing various health concerns associated with COVID-19 and (b) is seeking to
raise additional debt and/or equity financing to support working capital requirements until sale for its products to providers
resumes to levels pre COVID-19.
There
is no assurance as to when the adverse impact to the United States and worldwide economies resulting from the COVID-19 outbreak
will be eliminated, if at all, and whether any new or recurring pandemic outbreaks will occur again in the future causing similar
or worse devastating impact to the United States and worldwide economies and our business.
There
is no assurance that the COVID-19 crisis will be fully resolved or if resolved, that the overall economy will resume in a manner
that allows the Company to resume operations as planned. We may not be able to generate revenues or achieve profitability in the
future. Our failure to achieve or maintain profitability could negatively impact the value of our common stock.
18
We
have limited cash on hand and there is substantial doubt as to our ability to continue as a going concern .
The
Company incurred operating losses of $12,437,941 for the year ended October 31, 2020. In addition, the Company had an accumulated
deficit of $28,868,189 at October 31, 2020. The Company had a negative working capital position of $1,693,741 at October 31, 2020.
In their report for the fiscal year ended October 31, 2020, our auditors have expressed that there is substantial doubt as to
our ability to continue as a going concern. We have incurred operating losses since our formation and expect to incur substantial
losses and negative operating cash flows for the foreseeable future and may never become profitable. We also expect to continue
to incur significant operating and capital expenditures for the next several years and anticipate that our expenses will increase
substantially in the foreseeable future. We also expect to experience negative cash flow for the foreseeable future as we fund
our operating losses and capital expenditures. As a result, we will need to generate significant revenues in order to achieve
and maintain profitability. We may not be able to generate these revenues or achieve profitability in the future. Our failure
to achieve or maintain profitability could negatively impact the value of our common stock.
We
have a limited operating history upon which investors can evaluate our future prospects.
In
connection with the change in control of our Company in June 2015, there was a change in the Company’s management, board
of directors and line of business. Our current processing facility only began operations in May 2019. Therefore, we have limited
operating history upon which an evaluation of our current business plan or performance and prospects can be made. The business
and prospects of the Company must be considered in the light of the potential problems, delays, uncertainties and complications
encountered in connection with a newly established business. The risks include, but are not limited to, the possibility that we
will not be able to develop or identify functional and scalable products and services, or that although functional and scalable,
our products and services will not be economical to market; that our competitors hold proprietary rights that preclude us from
marketing such products; that our competitors market a superior or equivalent product; that we are not able to upgrade and enhance
our technologies and products to accommodate new features and expanded service offerings; or the failure to receive necessary
regulatory clearances for our products. To successfully introduce and market our products at a profit, we must establish brand
name recognition and competitive advantages for our products. There are no assurances that the Company can successfully address
these challenges. If it is unsuccessful, the Company and its business, financial condition and operating results could be materially
and adversely affected.
Given
the limited operating history, management has little basis on which to forecast future demand for our products from our existing
customer base, much less new customers. The current and future expense levels of the Company are based largely on estimates of
planned operations and future revenues rather than experience. It is difficult to accurately forecast future revenues because
the business of the Company is new and its market has not been developed. If the forecasts for the Company prove incorrect, the
business, operating results and financial condition of the Company will be materially and adversely affected. Moreover, the Company
may be unable to adjust its spending in a timely manner to compensate for any unanticipated reduction in revenue. As a result,
any significant reduction in revenues would immediately and adversely affect the business, financial condition and operating results
of the Company.
We
depend upon our officers and key personnel, the loss of which could seriously harm our business.
Our
operating performance is substantially dependent on the continued services of our executive officers and key employees, in particular,
Albert Mitrani, our Chief Executive Officer and President; and Ian T. Bothwell, our Chief Financial Officer. The unexpected loss
of the services of any of them could have a material adverse effect on our business, operations, financial condition and operating
results, as well as the value of our common stock.
We
may not be able to compete successfully with current and future competitors.
We
have many potential competitors in the regenerative medicine industry. We will compete, in our current and proposed businesses,
with other established companies, most of which have far greater marketing and financial resources and experience than we do.
We cannot guarantee that we will be able to penetrate our intended markets and be able to compete profitably, if at all. In addition
to established competitors, there are moderate obstacles for competitors to enter this market, but they are not insurmountable
if they have the financial resources and intellectual team. Effective competition could result in price reductions, reduced margins
or have other negative implications, any of which could adversely affect our business and chances for success. Competition is
likely to increase significantly as new companies enter the market and current competitors expand their services. Many of these
potential competitors are likely to enjoy substantial competitive advantages, including, but not limited to, larger staffs, greater
name recognition, larger and established customer bases and substantially greater financial, marketing, technical and other resources.
To be competitive, we must respond promptly and effectively to industry dynamics, evolving standards and competitors’ innovations
by continuing to enhance our services and sales and marketing channels. Any pricing pressures, reduced margins or loss of market
share resulting from increased competition, or our failure to compete effectively, could fatally damage our business and chances
for success.
19
We
currently rely on non-exclusive supply arrangements with birth tissue recovery companies for obtaining the raw material used in
manufacturing the products we sell. Also, during the periods that we did not operate our own manufacturing facility, we have relied
on non-exclusive supply arrangements from other third-party manufacturers or distributors of products from third party manufacturers
to obtain the supply of products we sold.
If
our current supply arrangements under supply agreements with birth tissue recovery companies or third party manufacturers or distributors
of products from third party manufacturers are disrupted for any reason, we may not be able to provide products to our customers,
or if other supply arrangements can be made, the products and terms may not be as favorable, and that will adversely impact our
operations and profitability.
If
we do not continually update our products and/or services, they may become obsolete and we may not be able to compete with other
companies.
We
cannot assure you that we will be able to keep pace with technological advances, or that our current suppliers will be able to
keep pace with technological advances and as such, our products and/or services may become obsolete. We cannot assure you that
competitors will not develop related or similar services and offer them before we do, or do so more successfully, or that they
will not develop services and products more effective than any that we and/or our suppliers have or are intending to develop.
In addition, although we may be able to identify new suppliers that can provide more effective services and products to be more
competitive, we may not be able to arrange satisfactory arrangements in a timely manner, if at all. If that happens, our business,
prospects, results of operations and financial condition will be materially adversely affected.
We
enter into supply agreements for the raw materials and/or products we sell, which make us vulnerable to the ability of such suppliers
to remain current and innovative in their product offerings, to timely process and supply the products we desire to purchase,
and to remain compliant with the current and changing regulatory environment. If our raw material and/or product suppliers are
not successful in managing these responsibilities, it will have an adverse effect on our operations and profitability.
Our
current birth tissue supply arrangements for manufacturing the products we sell and our third-party supply arrangements for the
supply of products we sell provide for the supply and pricing for those products. There can be no assurance that our suppliers
will continue to produce the products that we currently purchase under our existing arrangements, that our suppliers will be able
to comply with the required FDA regulations for the manufacturing of such products, that our suppliers will continue to develop
technology associated with their manufactured products to remain competitive with other companies, or that our suppliers will
remain a going concern in the future. If any of our suppliers were to cause a disruption in our ability to obtain products as
desired and expected and/or we are not provided advance notice of such potential disruption, we may not be able to timely identify
and replace our current suppliers, if at all, and as a result, we may not be able to provide products to our customers, which
will have an adverse impact to our operations.
20
In
the event of default under our outstanding indebtedness, or we are unable to pay other obligations and accounts payable when due,
our creditors may file a creditors petition or force us into involuntary bankruptcy which may have an adverse impact on our business.
The
Company had a negative working capital position of $1,693,741 at October 31, 2020. In addition, the outbreak of the novel coronavirus
(“COVID-19”) during March 2020 and the resulting adverse public health developments and economic effects to the United
States business environments have adversely affected the demand for our products and services by our customers and from patients
of our customers as a result of quarantines, facility closures and social distancing measures put into effect in connection with
the COVID-19 outbreak and which currently still continue to have a negative impact to our business and the economy. The Company’s
efforts to establish a stabilized source of sufficient revenues to cover operating costs has yet to be achieved and ultimately
may prove to be unsuccessful unless additional sources of working capital through operations or debt and/or equity financings
are realized. The Company has not repaid its outstanding indebtedness on the required due dates and the loans remain still outstanding.
Management anticipates that the Company will remain dependent, for the near future, on additional investment capital to fund ongoing
operating expenses. The Company does not have significant fixed and/or intangible assets to pledge for the purpose of borrowing
additional capital. In addition, the Company relies on short term supply agreements to obtain the supply of raw materials used
in manufacturing the products it currently sells and distributes to its customers. The Company’s current market capitalization
and common stock liquidity will hinder its ability to raise equity proceeds to implement its business plan and could adversely
affect the value of our securities, including the common stock.
We
may be required to borrow funds in the future.
If
the Company incurs indebtedness, a portion of its cash flow will have to be dedicated to the payment of principal and interest
on such indebtedness. Typical loan agreements also might contain restrictive covenants, which may impair the Company’s operating
flexibility. Such loan agreements would also provide for default under certain circumstances, such as failure to meet certain
financial covenants. A default under a loan agreement could result in the loan becoming immediately due and payable and, if unpaid,
a judgment in favor of such lender which would be senior to the rights of the Company’s stockholders. A judgment creditor
would have the right to foreclose on any of the Company’s assets resulting in a material adverse effect on the Company’s
business, operating results or financial condition.
Currently
the Company has limited assets which could be used as collateral in obtaining future borrowings. Because of the Company’s
inability to provide lenders with collateral and a limited history of successful operations, the Company may not be successful
in its efforts to obtain additional funds though borrowings and as a result may not be able to fund required costs of operations.
Our
growth depends on external sources of capital, which may not be available on favorable terms or at all.
Our
access to capital will depend upon a number of factors over which we have little or no control, including general market conditions,
government regulations and the market’s perception of our current and potential future earnings. If general economic instability
or downturn leads to an inability to borrow at attractive rates or at all, our ability to obtain capital to finance working capital
requirements could be negatively impacted.
If
we are unable to obtain capital on terms and conditions that we find acceptable, we likely will have to scale back our business
operations. In addition, our ability to refinance all or any debt we may incur in the future, on acceptable terms or at all, is
subject to all of the above factors, and will also be affected by our future financial position, results of operations and cash
flows, which additional factors are also subject to significant uncertainties, and therefore we may be unable to refinance any
debt we may incur in the future, as it matures, on acceptable terms or at all. All of these events would have a material adverse
effect on our business, financial condition, liquidity and results of operations.
Failure
to establish or enhance our brand recognition could have a material adverse effect on our business and results of operations.
We
believe we will need to expend significant time, effort and resources to enhance the recognition of our brands. We believe developing
our brand will be important to our sales and marketing efforts. If we fail to establish or enhance the recognition of our brands,
it could have a material adverse effect on our ability to sell our products and adversely affect our business and results of operations.
If we fail to develop a positive public image and reputation, our business with our existing customers could decline and we may
fail to develop additional business, which could adversely affect our results of operations.
21
Defects
in the products we sell or failures in quality control related to our distribution of products could impair our ability to sell
our products or could result in product liability claims, litigation and other significant events involving substantial costs.
Detection
of any significant defects in our products that we sell or failure in our quality control procedures or the quality control procedures
of our suppliers may result in, among other things, delay in time-to-market, loss of sales and market acceptance of our products,
diversion of development resources, injury to our reputation and restrictions imposed by governmental agencies. The costs we may
incur in correcting any product defects may be substantial and we may not be able to identify adequate remedies, if required.
Additionally, errors, defects or other performance problems could result in financial or other damages to our customers, which
could result in litigation. Product liability litigation, even if we prevail and/or our suppliers, would be time consuming and
costly to defend, and if we and/or our product suppliers do not prevail, could result in the imposition of a damages award. We
presently maintain product liability insurance and we are named insured on our suppliers’ insurance policy; however, it
may not be adequate to cover any claims.
There
can be no assurances of protection for proprietary rights or reliance on trade secrets.
In
certain cases, the Company may rely on trade secrets to protect intellectual property, proprietary technology and processes, which
the Company has acquired, developed or may develop in the future. There can be no assurances that secrecy obligations will be
honored or that others will not independently develop similar or superior products or technology. The protection of intellectual
property and/or proprietary technology through claims of trade secret status has been the subject of increasing claims and litigation
by various companies both in order to protect proprietary rights as well as for competitive reasons even where proprietary claims
are unsubstantiated. The prosecution of proprietary claims or the defense of such claims is costly and uncertain given the uncertainty
and rapid development of the principles of law pertaining to this area. The Company, in common with other firms, may also be subject
to claims by other parties with regard to the use of intellectual property, technology information and data, which may be deemed
proprietary to others.
Our
ability to become profitable and continue as a going concern will be dependent on our ability to attract, employ and retain highly
skilled individuals to serve our clients.
The
nature of our business requires that we employ skilled persons to perform highly skilled and specialized tasks for our Company.
Our failure to retain such personnel could have a material adverse effect on our ability to offer services to clientele, and could
potentially have a negative effect on our business. There is no guarantee that skilled persons will be available and willing to
work for us in the future, nor is there any guarantee that we could afford to retain them if they are available at a future time.
Our
ability to commence and complete clinical studies and other research and development objectives that are required by the FDA,
including possible deadlines for certain products as early as May 2021 will require that we are properly funded to assure that
we can commence and proceed with the required research activities promptly and that the results are favorable.
The
Company is pursuing efforts to commence and complete clinical studies as well as obtaining approval to commence additional studies
for other specific indications it has identified that the use of its products will provide more favorable and desired health related
benefits for patients seeking alternative treatment options than are currently available. The ability of the Company to succeed
in these efforts is subject to among other things, the Company having timely and sufficient available working capital to fund
the substantial costs of completing clinical trials, which the Company currently does not have, and ultimately the approval from
the FDA.
Our
projections and forward-looking information may prove to be incorrect.
Management
has prepared projections regarding the Company’s anticipated financial performance. The Company’s projections are
hypothetical and based upon a presumed financial performance of the Company, the addition of a sophisticated and well-funded marketing
plan, and other factors influencing the business of the Company. The projections are based on Management’s best estimate
of the probable results of operations of the Company, based on present circumstances, and have not been reviewed by the Company’s
independent accountants. These projections are based on several assumptions, set forth therein, which Management believes are
reasonable. Some assumptions upon which the projections are based, however, invariably will not materialize due to the inevitable
occurrence of unanticipated events and circumstances beyond Management’s control. Therefore, actual results of operations
will vary from the projections, and such variances may be material. Assumptions regarding future changes in sales and revenues
are necessarily speculative in nature. In addition, projections do not and cannot take into account such factors as general economic
conditions, unforeseen regulatory changes, the entry into the Company’s market of additional competitors, the terms and
conditions of future capitalization, and other risks inherent to the Company’s business. While Management believes that
the projections accurately reflect possible future results of the Company’s operations, those results cannot be guaranteed.
22
We
may not be able to manage our growth effectively.
We
must continually implement and improve our products and/or services, operations, operating procedures and quality controls on
a timely basis, as well as expand, train, motivate and manage our work force in order to accommodate anticipated growth and compete
effectively in our market segment. Successful implementation of our strategy also requires that we establish and manage a competent,
dedicated work force and employ additional key employees in corporate management, product development, client service and sales.
We can give no assurance that our personnel, systems, procedures and controls will be adequate to support our existing and future
operations. If we fail to implement and improve these operations, there could be a material, adverse effect on our business, operating
results and financial condition.
If
we make any acquisitions or enter into a merger or similar transaction, our business may be negatively impacted.
We
have no present plans for any specific acquisition. However, in the event that we make acquisitions in the future, we could have
difficulty integrating the acquired companies’ personnel and operations with our own. In addition, the key personnel of
the acquired business may not be willing to work for us. We cannot predict the effect expansion may have on our core business.
Regardless of whether we are successful in making an acquisition, the negotiations could disrupt our ongoing business, distract
our management and employees and increase our expenses. In addition to the risks described above, acquisitions, mergers and other
similar transactions are accompanied by a number of inherent risks, including, without limitation, the following:
●
the
difficulty of integrating acquired products, services or operations;
●
the potential disruption
of the ongoing businesses and distraction of our Management and the management of acquired companies;
●
the difficulty of
incorporating acquired rights or products into our existing business;
●
difficulties in
disposing of the excess or idle facilities of an acquired company or business and expenses in maintaining such facilities;
●
difficulties in
maintaining uniform standards, controls, procedures and policies;
●
the potential impairment
of relationships with employees and customers as a result of any integration of new management personnel;
●
the potential inability
or failure to achieve additional sales and enhance our customer base through cross-marketing of the products to new and existing
customers;
●
the effect of any
government regulations which relate to the business acquired; and
●
potential unknown
liabilities associated with acquired businesses or product lines, or the need to spend significant amounts to retool, reposition
or modify the marketing and sales of acquired products or the defense of any litigation, whether or not successful, resulting
from actions of the acquired company prior to our acquisition.
Our
business could be severely impaired if and to the extent that we are unable to succeed in addressing any of these risks or other
problems encountered in connection with these acquisitions, many of which cannot be presently identified, these risks and problems
could disrupt our ongoing business, distract our management and employees, increase our expenses and adversely affect our results
of operations.
23
There
might be unanticipated obstacles to the execution of our business plan.
The
Company’s business plans may change significantly. The Company’s potential business endeavors are capital intensive.
Management believes that the Company’s chosen activities and strategies are achievable in light of current economic and
legal conditions with the skills, background, and knowledge of the Company’s principals and advisors. Management reserves
the right to make significant modifications to the Company’s stated strategies depending on future events.
We
may engage in transactions that present conflicts of interest.
The
Company’s officers and directors may enter into agreements with the Company from time to time which may not be equivalent
to similar transactions entered into with an independent third party. A conflict of interest arises whenever a person has an interest
on both sides of a transaction. While we believe that it will take prudent steps to ensure that all transactions between the Company
and any officer or director is fair, reasonable, and no more than the amount it would otherwise pay to a third party in an “arms-length”
transaction, there can be no assurance that any transaction will meet these requirements in every instance.
We
have agreed to indemnify our officers and directors against lawsuits to the fullest extent of the law.
Organicell
is a Nevada corporation. Nevada law permits the indemnification of officers and directors against expenses incurred in successfully
defending against a claim. Nevada law also authorizes Nevada corporations to indemnify their officers and directors against expenses
and liabilities incurred because of their being or having been an officer or director. Our organizational documents provide for
this indemnification to the fullest extent permitted by law.
We
currently do not maintain any directors & officers insurance coverage. The commercial insurance policies we do have in place
contain policy limits and exclusions for certain coverages and losses. In the event that we are found liable for damage or other
losses, and such amounts are not covered under our existing insurance policies, we would incur substantial and protracted losses
in paying any such claims or judgments. Although we intend to acquire coverage immediately upon resources becoming available,
there is no guarantee that we can secure such coverage or that any insurance coverage would protect us from any damages or loss
claims filed against it.
Our
operating results may fluctuate significantly as a result of a variety of factors, many of which are outside of our control.
We
are subject to the following factors, among others, that may negatively affect our operating results:
● The
announcement or introduction of new products by our competitors;
● Failure
of Government and private health plans to adequately and timely reimburse the users of
our products;
● Our
ability to upgrade and develop our systems and infrastructure to accommodate growth;
● Our
ability to attract and retain key personnel in a timely and cost effective manner;
● The
amount and timing of operating costs and capital expenditures relating to the expansion
of our business, operations and infrastructure;
● Regulation
by Federal, State or Local Governments; and
● General
economic conditions (including fallout from current and future pandemics) as well as
economic conditions specific to the healthcare industry.
We
have based our current and future expense levels largely on our investment plans and estimates of future events, although certain
of our expense levels are, to a large extent, fixed. We may be unable to adjust spending in a timely manner to compensate for
any unexpected revenue shortfall. Accordingly, any significant shortfall in revenue relative to our planned expenditures would
have an immediate adverse effect on our business, results of operations and financial condition. Further, as a strategic
response to changes in the competitive environment, we may from time to time make certain pricing, service or marketing decisions
that could have a material and adverse effect on our business, results of operations and financial condition. Due to
the foregoing factors, our revenue and operating results are and will remain difficult to forecast.
24
We
are in a highly competitive and evolving field and face competition from well-established tissue processors and medical device
manufacturers, as well as new market entrants.
Our
business is in a very competitive and evolving field. Competition from other tissue processors, medical device companies and from
research and academic institutions is intense, expected to increase, subject to rapid change, and could be significantly affected
by new product introductions. The presence of this competition in our market may lead to pricing pressure, which would make it
more difficult to sell our products at a price that will make us profitable or prevent us from selling our products at all. Our
success will depend on our ability and/or the ability of our suppliers to perfect and protect their intellectual property rights
related to their technologies as well as to develop new technologies and new applications for our technologies. Our failure to
compete effectively would have a material and adverse effect on our business, results of operations and financial condition.
Rapid
technological change could cause our products to become obsolete.
The
technologies underlying the products we sell and intend to sell are subject to rapid and profound technological change. Competition
intensifies as technical advances in each field are made and become more widely known. We can give no assurance that our suppliers
will be able to develop services, products, or processes with significant advantages over the competing products, services, and
processes. Any such occurrence could have a material and adverse effect on our business, results of operations and financial condition.
Our
products are dependent on the availability of sufficient quantities of tissue from human donors, and any disruption in supply
could adversely affect our business.
The
success of the human tissue products we sell depends upon, among other factors, the availability of sufficient quantities of tissue
from human donors. The availability of donated tissue could be adversely impacted by regulatory changes, public opinion
of the donor process as well as our and our suppliers’ reputations in the industry. Any disruption in the supply
of donated human tissue could restrict our growth and could have a material adverse impact on our business and financial condition. We
cannot be sure that the supply of human tissue will continue to be available at current levels or will be sufficient to meet our
future needs.
The
products we offer are derived from human tissue and therefore have the potential for disease transmission.
The
utilization of human tissue creates the potential for transmission of communicable disease, including, but not limited to, HIV,
viral hepatitis, syphilis and other viral, fungal or bacterial pathogens. Our suppliers are required to comply with
federal and state regulations intended to prevent communicable disease transmission.
Although
we believe that our suppliers maintain strict quality controls over the procurement and processing of the human tissue used to
make the products we sell, there is no assurance that these quality controls are or will continue to be adequate. In
addition, negative publicity concerning disease transmission from other companies improperly processed donated tissue could have
a negative impact on the demand for our products.
In
order to grow revenues from certain of our products, we must expand our relationships with distributors and independent sales
representatives.
We
derive significant revenues through our relationships with distributors and independent sales representatives. During the year
ended October 31, 2020, one distributor was affiliated with revenues received from customers comprising approximately 6.0% of
our revenues. If such relationships were terminated for any reason, it could materially and adversely affect our ability
to generate revenues and profits. We intend to obtain the assistance of additional distributors and independent sales
representatives to continue our sales growth with respect to certain of our products. We may not be able to find additional
distributors and independent sales representatives who will agree to market and/or distribute those products on commercially reasonable
terms, if at all. In addition, adding new distributors and independent sales representatives require additional administrative
and accounting efforts for which the Company may not have sufficient resources to manage effectively. If we are unable to
establish new distribution and independent sales representative relationships or renew current distribution and sales agency agreements
on commercially acceptable terms or manage the growth effectively, our business, financial condition and results of operations
could be materially and adversely affected.
25
We
continue to invest significant capital in expanding our internal sales force, and there can be no assurance that these efforts
will continue to result in significant increases in sales.
We
are engaged in a major initiative to build and further expand our internal sales and marketing capabilities which has contributed
to our increased sales. As a result, we continue to invest in a direct sales force for certain of our products to allow
us to reach new customers. These expenses impact our operating results, and there can be no assurance that we will
continue to be successful in significantly expanding the sales of our products.
Our
revenues may need to depend on adequate reimbursement from public and private insurers and health systems.
Currently,
a significant number of public and private insurers and health systems currently do not provide reimbursement for our products.
Our success and extent of our growth depends on the extent to which reimbursement for the costs of our products and related treatments
will be available from third party payers, such as public and private insurers and health systems. Government and other
third-party payers attempt to contain healthcare costs by limiting both coverage and the level of reimbursement of new products. Therefore,
significant uncertainty usually exists as to the reimbursement status of new healthcare products. If we are not successful
in obtaining adequate reimbursement for our products from these third-party payers, the market's acceptance of our products could
be adversely affected. Inadequate reimbursement levels also likely would create downward price pressure on our products. Even
if we do succeed in obtaining widespread reimbursement for our products, future changes in reimbursement policies could have a
negative impact on our business, financial condition and results of operations.
To
be commercially successful, we must convince physicians that our products are compliant with regulations, safe and effective
alternatives to existing treatments and that our products should be used in their procedures.
We
believe physicians will only adopt our products if they determine, based on experience, clinical data and published peer reviewed
journal articles, that the use of our products in a particular procedure is a favorable alternative to conventional methods. Physicians
may be slow to change their medical treatment practices for the following reasons, among others:
● Their
lack of experience with prior procedures in the field using our products;
● Lack
of evidence supporting additional patient benefits and our products over conventional
methods;
● Perceived
liability risks generally associated with the use of new products and procedures;
● Perceived
exposure from regulatory agencies that monitor the use of our products;
● Limited
availability of reimbursement from third party payers; and
● The
time that must be dedicated to training.
In
addition, we believe recommendations for and support of our products by influential physicians are essential for market acceptance
and adoption. If we do not receive this support or if we are unable to demonstrate favorable long-term clinical data,
physicians and hospitals may not use our products, which would significantly reduce our ability to achieve expected revenue and
would prevent us from sustaining profitability.
We
will need to expand our organization and managing growth may be more difficult than expected.
Managing
our growth may be more difficult than we expect. We anticipate that a period of significant expansion will be required
to penetrate and service the market for our existing and anticipated future products and to continue to develop new products. This
expansion will place a significant strain on management, operational and financial resources. To manage the expected
growth of our operations and personnel, we must both modify our existing operational and financial systems, procedures and controls
and implement new systems, procedures and controls. We must also expand our finance, administrative, and operations
staff. Management may be unable to hire, train, retain, motivate and manage necessary personnel or to identify, manage
and exploit existing and potential strategic relationships and market opportunities.
26
We
face the risk of product liability claims and may not be able to obtain or maintain adequate product liability insurance .
Our
business exposes us to the risk of product liability claims that are inherent in the manufacturing, processing and marketing of
human tissue products. We may be subject to such claims if the products we sell cause, or appear to have caused, an
injury. Claims may be made by patients, healthcare providers or others selling our products. We currently
maintain product liability insurance that contain limits of coverage for the insured. Defending a lawsuit, regardless of merit,
could be costly, divert management attention and result in adverse publicity, which could result in the withdrawal of, or reduced
acceptance of, our products in the market. There can be no assurance that adequate insurance will be available in the event of
a lawsuit, if at all. A product liability claim could result in significant costs and significant harm to our business.
We
may implement a product recall or voluntary market withdrawal, which could significantly increase our costs, damage our reputation
and disrupt our business.
The
manufacturing, marketing and processing of the tissue products we sell or intend to sell involve an inherent risk that they do
not meet applicable quality standards and requirements. In that event, there may be recall or market withdrawal required
by a regulatory authority. A recall or market withdrawal of one of our products would be costly and would divert management
resources. A recall or withdrawal of one of the products we sell, or a similar product processed, also could impair
sales of our products as a result of confusion concerning the scope of the recall or withdrawal, or as a result of the damage
to our reputation for quality and safety.
Significant
disruptions of information technology systems or breaches of information security could adversely affect our business.
We
rely to a large extent upon sophisticated information technology systems to operate our business. In the ordinary course of business,
we collect, store and transmit large amounts of confidential information (including, but not limited to, personal information
and intellectual property). We also have outsourced significant elements of our operations to third parties, including significant
elements of our information technology infrastructure and, as a result, we are managing many independent vendor relationships
with third parties who may or could have access to our confidential information. The size and complexity of our information technology
and information security systems, and those of our third-party vendors with whom we contract (and the large amounts of confidential
information that is present on them), make such systems potentially vulnerable to service interruptions or to security breaches
from inadvertent or intentional actions by our employees or vendors, or from malicious attacks by third parties. Such attacks
are of ever-increasing levels of sophistication and are made by groups and individuals with a wide range of motives (including,
but not limited to, industrial espionage and market manipulation) and expertise. While we have invested significantly in the protection
of data and information technology, there can be no assurance that our efforts will prevent service interruptions or security
breaches. Although we may obtain cyber-insurance coverage that may cover certain events described above, this insurance is
subject to deductibles and coverage limitations and we may not be able to maintain this insurance. Also, it is possible that
claims could exceed the limits of our coverage. Any interruption or breach in our systems could adversely affect our business
operations and/or result in the loss of critical or sensitive confidential information or intellectual property, and could result
in financial, legal, business and reputational harm to us or allow third parties to gain material, inside information that they
use to trade in our securities.
New
lines of business or new products and services may subject us to additional risks.
From
time to time, we may implement or may acquire new lines of business or offer new products and services within existing lines of
business. There are risks and uncertainties associated with these efforts, particularly in instances where the markets are not
fully developed or are evolving. In developing and marketing new lines of business and new products and services, we may invest
significant time and resources. External factors, such as regulatory compliance obligations, competitive alternatives, and shifting
market preferences, may also impact the successful implementation of a new line of business or a new product or service. Failure
to successfully manage these risks in the development and implementation of new lines of business or new products or services
could have a material adverse effect on our business, results of operations and financial condition.
27
Risks
Related to Our Intellectual Property
There
can be no assurances of protection for proprietary rights or reliance on trade secrets.
In
certain cases, the Company may rely on trade secrets to protect intellectual property, proprietary technology and processes, which
the Company has acquired, developed or may develop in the future. There can be no assurances that secrecy obligations will be
honored or that others will not independently develop similar or superior products or technology. The protection of intellectual
property and/or proprietary technology through claims of trade secret status has been the subject of increasing claims and litigation
by various companies both in order to protect proprietary rights as well as for competitive reasons even where proprietary claims
are unsubstantiated. The prosecution of proprietary claims or the defense of such claims is costly and uncertain given the uncertainty
and rapid development of the principles of law pertaining to this area. The Company, in common with other firms, may also be subject
to claims by other parties with regard to the use of intellectual property, technology information and data, which may be deemed
proprietary to others.
Our
suppliers’ ability to protect their intellectual property and proprietary technology through patents and other means
is uncertain and may be inadequate, which could have a material and adverse effect on us.
We
depend significantly on our suppliers’ ability to protect their proprietary rights to the technologies used in the products
we purchase from them and resell. Traditional legal means afford only limited protection and may not adequately protect
their rights or permit them to gain or keep any competitive advantage. To the extent that they are unable to protect
their intellectual property against infringement by others or by claims of infringement by such suppliers, our business could
be materially adversely affected.
We
may be subject to damages resulting from claims that we, our employees, or our independent contractors have wrongfully used
or disclosed alleged trade secrets of others.
Some
of our employees were previously employed at other medical device or tissue companies. We may also hire additional employees who
are currently employed at other medical device or tissue companies, including our competitors. Additionally, consultants or other
independent agents with which we may contract may be or have been in a contractual arrangement with one or more of our competitors. Although
no claims against us are currently pending, we may be subject to claims that these employees or independent contractors have used
or disclosed any party's trade secrets or other proprietary information. Litigation may be necessary to defend against these claims. Even
if we are successful in defending against these claims, litigation could result in substantial costs and be a distraction to management. If
we fail to defend such claims, in addition to paying monetary damages, we may lose valuable intellectual property rights or personnel. A
loss of key personnel or their work product could hamper or prevent our ability to market existing or new products, which could
severely harm our business.
If
we are unable to protect our trademarks from infringement, our business prospects may be harmed.
We
currently have applied for a registered trademark for the use of Organicell and the suite of our family of biologic products offered
in the United States. Although we may take steps to monitor the possible infringement or misuse of our Organicell or other trademarks
once they are obtained, it is possible that third parties may infringe, dilute or otherwise violate our trademark rights. Any
unauthorized use of our trademarks could harm our reputation or commercial interests. In addition, our enforcement against third-party
infringers or violators may be unduly expensive and time-consuming, and any remedy obtained may constitute insufficient redress
relative to the damages we may suffer. Our business may be materially adversely affected in the event we are unable to protect
our trademarks.
28
Risks
Related to Regulatory Approval of Our Products and Other Government Regulations
To
the extent our products do not qualify for regulation as human cells, tissues and cellular and tissue-based products under Section
361 of the Public Health Service Act, this could result in removal of the applicable products from the market, would make the
introduction of new tissue products more expensive and significantly delay the expansion of our tissue product offerings and subject
us to additional post-market regulatory requirements.
The
products we offer are derived from human tissue. The FDA has specific regulations governing human cells, tissues and
cellular and tissue-based products, or HCT/Ps. An HCT/P is a product containing or consisting of human cells or tissue intended
for transplantation into a human patient. HCT/Ps that meet the criteria for regulation solely under Section 361 of
the Public Health Service Act (so-called “361 HCT/Ps”) are not subject to any premarket clearance or approval requirements
and are subject to less stringent post-market regulatory requirements.
If
a product is deemed not to be a 361 HCT/P, FDA regulations will require premarket clearance or approval requirements that will
involve significant time and cost investments by the Company. Further, there can be no assurance that the FDA will not, at some
future point, change its position on current or future products' 361 HCT/P status, and any regulatory reclassification could have
adverse consequences for us and make it more difficult or expensive for us to conduct our business by requiring premarket clearance
or approval and compliance with additional post-market regulatory requirements with respect to those products. Moreover, increased
regulatory scrutiny within the industry in which we operate could lead to increased regulation of HCT/Ps, including 361 HCT/Ps. We
also cannot assure you that the FDA will not impose more stringent definitions with respect to products that qualify as 361 HCT/Ps.
See
“Government Regulation” in Item 1 for a discussion of 361 HCT/Ps and the FDA's position on our products. If the FDA
does allow the Company to continue to market those products that fall under the proposed regulations without a biologics license
either prior to or after finalization of the draft guidance documents, it may impose conditions, such as labeling restrictions
and compliance with cGMP. Although the Company is preparing for these requirements in connection with its pursuit of a BLA for
certain of its products, earlier compliance with these conditions would require significant additional time and cost investments
by the Company. It is also possible that the FDA will not allow the Company to market any form of it’s products without
a biologics license even prior to finalization of the draft guidance documents and could even require the Company to recall it’s
products.
The
FDA has recently announced that it intends to begin enforcement of regulations to manufacturers of certain biologics tissue products,
including the products that we may purchase through supply agreements with those identified manufacturers. If the FDA were to
take enforcement action against those suppliers, it would have a material adverse impact to our operations.
In
November 2017, the FDA issued guidance documents to clarify the FDA’s interpretation of the risk-based criteria manufacturers
used to determine which manufactured tissue products are subject to the FDA’s premarket review and in order to be lawfully
marketed in the United States, require an FDA-approved BLA.
The
FDA intends to exercise enforcement discretion through May 2021 with regard to allowing manufacturers for certain products that
are subject to the FDA’s premarket review under the existing regulations, but are not currently meeting these requirements.
The
Company believes that the current products it distributes are not specifically identified within the scope of these regulations
and that the new regulatory restrictions being implemented by the FDA are intended to assure that all parties involved in the
chain of gathering, processing, distributing and/or administrating RAAM related products have met the required standards to assure
that the manufacturing, marketing the administration of the RAAM regulated products are not misleading and are performed in a
safe and ethical manner and in accordance with the “objective intent” of the manufacturer.
There
is no assurance that the FDA will not take enforcement action against us or our suppliers in connection with the products we manufacture
and/or purchase from suppliers and sell to our customers. Furthermore, our supply agreements provide that we comply with all FDA
requirements for in the use of the products we purchase from our suppliers, including the way we market the products to our customers,
including our representatives and sub-distributors, and any activities that we take that might be inconsistent with the “manufacturers
objective intent”, including potential significant safety concerns on how the products are being administered as well as
the diseases and conditions for which they are being used. If the FDA were to take any adverse action against ourselves and/or
our suppliers and/or representatives and distributors and/or it is determined that any of our activities are the basis for FDA
enforcement, it will have a significant adverse effect on our operations.
29
Our
business is subject to continuing regulatory compliance by the FDA and other authorities, which is costly and our failure to comply
could result in negative effects on our business.
As
discussed above, the FDA has specific regulations governing our tissue-based products, or HCT/Ps. The FDA has broad post-market
and regulatory and enforcement powers. The FDA's regulation of HCT/Ps includes requirements for registration and listing
of products, donor screening and testing, processing and distribution (“Current Good Tissue Practices”), labeling,
record keeping and adverse-reaction reporting, and inspection and enforcement.
Biologics
and medical devices are subject to even more stringent regulation by the FDA. Even if pre-market clearance or approval is
obtained, the approval or clearance may place substantial restrictions on the indications for which the product may be marketed
or to whom it may be marketed, may require warnings to accompany the product or impose additional restrictions on the sale and/or
use of the product. In addition, regulatory approval is subject to continuing compliance with regulatory standards,
including the FDA's quality system regulations.
If
we fail to comply with the FDA regulations regarding our tissue products or medical devices, the FDA could take enforcement action,
including, without limitation, any of the following sanctions and the manufacture of our products or processing of our tissue
could be delayed or terminated:
● Untitled
letters, warning letters, fines, injunctions, and civil penalties;
● Recall
or seizure of our products;
● Operating
restrictions, partial suspension or total shutdown of production;
● Refusing
our requests for clearance or approval of new products;
● Withdrawing
or suspending current applications for approval or approvals already granted;
● Refusal
to grant export approval for our products; and
● Criminal
prosecution.
It
is likely that the FDA's regulation of HCT/Ps will continue to evolve in the future. Complying with any such new regulatory
requirements may entail significant time delays and expense, which could have a material adverse effect on our business. The AATB
has issued operating standards for tissue banking. Compliance with these standards is a requirement in order to become
an accredited tissue bank. In addition, some states have their own tissue banking regulations.
In
November 2017, the FDA released four guidance documents (two final, two draft) in an effort to implement a “comprehensive
policy framework” for existing laws and regulations governing regenerative medicine products, including human cells, tissues,
and cellular and tissue-based products (“HCT/Ps”). These guidance documents build upon the previous regulatory
framework for these products, which was completed in 2005. The Comprehensive regenerative medicine policy framework intends
to spur innovation, efficient access to potentially transformative products, while ensuring safety & efficacy.
The
framework builds upon the FDA’s existing risk-based regulatory approach to more clearly describe what products are regulated
as drugs, devices, and/or biological products. Further, two of the guidance documents propose an efficient, science-based process
for helping to ensure the safety and effectiveness of these therapies, while supporting development in this area. The suite of
guidance documents also defines a risk-based framework for how the FDA intends to focus its enforcement actions against those
products that raise potential significant safety concerns. This modern framework is intended to balance the agency’s commitment
to safety with mechanisms to drive further advances in regenerative medicine so innovators can bring new, effective therapies
to patients as quickly and safely as possible. The policy also delivers on important provisions of the Act.
Although
the FDA has not changed its basic approach to regulating HCT/Ps, the agency intends to exercise enforcement discretion until May
2021 with regard to 351 HCT/Ps requiring premarket approval. The guidance states that, in order to “give manufacturers time
to determine if they need to submit an IND or marketing application in light of this guidance,” the FDA intends to exercise
enforcement discretion (i.e., the agency may permit marketing without an approved marketing application) if the HCT/P “is
intended for autologous use and its use does not raise reported safety concerns or potential significant safety concerns.”
30
The
Company believes that the new regulatory restrictions being implemented by the FDA are intended to assure that all parties involved
in the chain of gathering, processing, distributing and/or administrating RAAM related products have met the required standards
to assure that the manufacturing, marketing the administration of the RAAM regulated products are not misleading and are performed
in a safe, ethical and in accordance with “objective intent”.
In
addition, procurement of certain human organs and tissue for transplantation is subject to the restrictions of the National Organ
Transplant Act (“NOTA”), which prohibits the transfer of certain human organs, including skin and related tissue for
valuable consideration, but permits the reasonable payment associated with the removal, transportation, implantation, processing,
preservation, quality control and storage of human tissue and skin. We reimburse tissue banks, hospitals and physicians
for their services associated with the recovery, storage and transportation of donated human tissue. Although we have
independent third party appraisals that confirm that reasonableness of the service fees we pay, if we were to be found to have
violated NOTA's prohibition on the sale or transfer of human tissue for valuable consideration, we would potentially be subject
to criminal enforcement sanctions, which could materially and adversely affect our results of operations.
Finally,
as discussed above, we and other manufacturers of skin substitutes are required to provide ASP information to CMS on a quarterly
basis. The Medicare payment rates are updated quarterly based on this ASP information. If a manufacturer is found to have made
a misrepresentation in the reporting of ASP, such manufacturer is subject to civil monetary penalties of up to $10,000 for each
misrepresentation for each day in which the misrepresentation was applied.
We
and our sales representatives, whether employees or independent contractors, must comply with various federal and state anti-kickback,
self-referral, false claims and similar laws, any breach of which could cause a material adverse effect on our business, financial
condition and results of operations.
Our
relationships with physicians, hospitals and other healthcare providers are subject to scrutiny under various federal anti-kickback,
self-referral, false claims and similar laws, often referred to collectively as healthcare fraud and abuse laws. Healthcare
fraud and abuse laws are complex, and even minor, inadvertent violations can give rise to claims that the relevant law has been
violated. Possible sanctions for violation of these fraud and abuse laws include monetary fines, civil and criminal
penalties, exclusion from federal and state healthcare programs, including Medicare, Medicaid, Veterans Administration health
programs, workers' compensation programs and TRICARE (the healthcare system administered by or on behalf of the U.S. Department
of Defense for uniformed services beneficiaries, including active duty and their dependents, retirees and their dependents), and
forfeiture of amounts collected in violation of such prohibitions. Certain states have similar fraud and abuse laws,
imposing substantial penalties for violations. Any Government investigation or a finding of a violation of these laws
would likely result in a material adverse effect on the market price of our common stock, as well as our business, financial condition
and results of operations.
Anti-kickback
laws and regulations prohibit any knowing and willful offer, payment, solicitation or receipt of any form of remuneration in return
for the referral of an individual or the ordering or recommending of the use of a product or service for which payment may be
made by Medicare, Medicaid or other Government-sponsored healthcare programs. We will enter into consulting agreements,
speaker agreements, research agreements and product development agreements with physicians, including some who may order our products
or make decisions to use them. In addition, some of these physicians own our stock, which they purchased in arm's length
transactions on terms identical to those offered to non-physicians, or received stock awards from us as consideration for services
performed by them. While these transactions were structured with the intention of complying with all applicable laws,
including state anti-referral laws and other applicable anti-kickback laws, it is possible that regulatory or enforcement agencies
or courts may in the future view these transactions as prohibited arrangements that must be restructured or for which we would
be subject to other significant civil or criminal penalties. As discussed above, we have incorporated the AdvaMed code
principles into our relationships with healthcare professionals under our consulting agreements, and our policies regarding payment
of travel and lodging expenses, research and educational grant procedures and sponsorship of third-party conferences. In
addition, we have conducted training sessions on these principles. However, there can be no assurance that regulatory or enforcement
authorities will view these arrangements as being in compliance with applicable laws or that one or more of our employees or agents
will not disregard the rules we have established. Because our strategy relies on the involvement of physicians who consult with
us on the design of our products, perform clinical research on our behalf or educate the market about the efficacy and uses of
our products, we could be materially impacted if regulatory or enforcement agencies or courts interpret our financial relationships
with physicians who refer or order our products to be in violation of applicable laws and determine that we would be unable to
achieve compliance with such applicable laws. This could harm our reputation and the reputations of the physicians
we engage to provide services on our behalf. In addition, the cost of noncompliance with these laws could be substantial
since we could be subject to monetary fines and civil or criminal penalties, and we could also be excluded from federally-funded
healthcare programs, including Medicare and Medicaid, for non-compliance.
31
The
Federal False Claims Act (“FCA”) imposes civil liability on any person or entity that submits, or causes the submission
of, a false or fraudulent claim to the U.S. Government. Damages under the FCA can be significant and consist of the imposition
of fines and penalties. The FCA also allows a private individual or entity with knowledge of past or present fraud
against the Federal Government to sue on behalf of the Government to recover the civil penalties and treble damages. The
U.S. Department of Justice (“DOJ”) on behalf of the Government has previously alleged that the marketing and promotional
practices of pharmaceutical and medical device manufacturers, including the off-label promotion of products or the payment of
prohibited kickbacks to doctors, violated the FCA, resulting in the submission of improper claims to federal and state healthcare
entitlement programs such as Medicaid. In certain cases, manufacturers have entered into criminal and civil settlements
with the federal government under which they entered into plea agreements, paid substantial monetary amounts and entered into
corporate integrity agreements that require, among other things, substantial reporting and remedial actions going forward.
The
scope and enforcement of all of these laws is uncertain and subject to rapid change, especially in light of the lack of applicable
precedent and regulations. There can be no assurance that federal or state regulatory or enforcement authorities will
not investigate or challenge our current or future activities under these laws. Any investigation or challenge could
have a material adverse effect on our business, financial condition and results of operations. Any state or federal
regulatory or enforcement review of us, regardless of the outcome, would be costly and time consuming. Additionally,
we cannot predict the impact of any changes in these laws, whether these changes are retroactive or will have effect on a going-forward
basis only.
We
face significant uncertainty in the industry due to Government healthcare reform.
There
have been and continue to be proposals by the Federal Government, State Governments, regulators and third-party payers to control
healthcare costs, and generally, to reform the healthcare system in the United States. There are many programs and
requirements for which the details have not yet been fully established or the consequences are not fully understood. These
proposals may affect aspects of our business. We also cannot predict what further reform proposals, if any, will be
adopted, when they will be adopted, or what impact they may have on us.
Risks
Relating to Ownership of Our Common Stock
Our
articles of incorporation allow for our board to create a new series of preferred stock without further approval by our stockholders,
which could adversely affect the rights of the holders of our common stock.
Our
Board of Directors has the authority to fix and determine the relative rights and preferences of preferred stock. Our Board of
Directors have the authority to issue up to 10,000,000 shares of our preferred stock terms of which may be determined by the Board
without further stockholder approval. As a result, our Board of Directors could authorize the issuance of a series of preferred
stock that would grant to holders the preferred right to our assets upon liquidation, the right to receive dividend payments before
dividends are distributed to the holders of common stock and the right to the redemption of the shares, together with a premium,
prior to the redemption of our common stock. In addition, our Board of Directors could authorize the issuance of a series of preferred
stock that has greater voting power than our common stock or that is convertible into our common stock, which could decrease the
relative voting power of our common stock or result in dilution to our existing stockholders. Although we have no present intention
to issue any additional shares of preferred stock or to create any additional series of preferred stock, we may issue such shares
in the future.
32
You
may experience dilution of your ownership interests because of the future issuance of additional shares of common stock.
In
the future, we may issue additional authorized but previously unissued equity securities, resulting in the dilution of the ownership
interests of our shareholders. We may also issue additional shares of our securities that are convertible into or exercisable
for common stock, as the case may be, in connection with hiring or retaining employees, future acquisitions, future sales of its
securities for capital raising purposes, or for other business purposes. The future issuance of any such additional shares of
common stock may create downward pressure on the value of our securities. There can be no assurance that we will not be required
to issue additional shares of common stock, warrants or other convertible securities in the future in conjunction with any capital
raising efforts, including at a price (or exercise prices) below the price at which our shares may be valued or are trading in
a public market.
Offers
or availability for sale of a substantial number of shares of our common stock may cause the price of our common stock to decline.
If
our stockholders sell substantial amounts of their shares of our common stock, or shares of our common stock underlying any outstanding
securities held by them, in the public market under Rule 144 or upon registration of such shares pursuant to an effective registration
statement, it could create a circumstance commonly referred to as an “overhang” and in anticipation of which the market
price of our common stock could fall. The existence of an overhang, whether or not sales have occurred or are occurring, also
could make more difficult our ability to raise additional financing through the sale of equity or equity-related securities in
the future at a time and price that we deem reasonable or appropriate.
There
can be no assurances that an active trading market may develop for our common stock, or if developed, be maintained.
The
average trading volume in our stock has been historically low, with little or no trading at all on some days. As a result, an
investor may find it difficult to dispose of, or to obtain accurate quotations of the price of, our common stock. Accordingly,
investors must assume they may have to bear the economic risk of an investment in our common stock for an indefinite period of
time. There can be no assurance that a more active market for the common stock will develop, or if one should develop, there is
no assurance that it will be maintained. This severely limits the liquidity of our common stock, and would likely have a material
adverse effect on the market price of our common stock and on our ability to raise additional capital.
Our
common stock is subject to the “penny stock” rules of the SEC and the trading market in the securities is limited,
which makes transactions in the stock cumbersome and may reduce the value of an investment in the stock.
The
SEC has adopted Rule 15g-9 which establishes the definition of a “penny stock,” for the purposes relevant to us, as
any equity security that has a market price of less than $5.00 per share or with an exercise price of less than $5.00 per share,
subject to certain exceptions. For any transaction involving a penny stock, unless exempt, the rules require:
●
that
a broker or dealer approve a person’s account for transactions in penny stocks; and
●
the broker or dealer
receives from the investor a written agreement to the transaction, setting forth the identity and quantity of the penny stock
to be purchased.
In
order to approve a person’s account for transactions in penny stocks, the broker or dealer must:
●
obtain
financial information and investment experience objectives of the person; and
●
make a reasonable
determination that the transactions in penny stocks are suitable for that person and the person has sufficient knowledge and
experience in financial matters to be capable of evaluating the risks of transactions in penny stocks.
The
broker or dealer must also deliver, prior to any transaction in a penny stock, a disclosure schedule prescribed by the SEC relating
to the penny stock market, which, in highlight form sets forth:
●
the
basis on which the broker or dealer made the suitability determination; and
●
that the broker
or dealer received a signed, written agreement from the investor prior to the transaction.
33
Generally,
brokers may be less willing to execute transactions in securities subject to the “penny stock” rules. This may make
it more difficult for investors to dispose of common stock and cause a decline in the market value of stock.
Disclosure
also has to be made about the risks of investing in penny stocks in both public offerings and in secondary trading and about the
commissions payable to both the broker-dealer and the registered representative, current quotations for the securities and the
rights and remedies available to an investor in cases of fraud in penny stock transactions. Finally, monthly statements have to
be sent disclosing recent price information for the penny stock held in the account and information on the limited market in penny
stocks.
The
price of our common stock may become volatile, which could lead to losses by investors and costly securities litigation.
The
trading price of our common stock is likely to be highly volatile and could fluctuate in response to factors such as:
●
actual
or anticipated variations in our operating results;
●
announcements of
developments by us or our competitors;
●
announcements by
us or our competitors of significant acquisitions, strategic partnerships, joint ventures or capital commitments;
●
adoption of new
accounting standards affecting our Company’s industry;
●
additions or departures
of key personnel;
●
sales of our common
stock or other securities in the open market; and
●
other events or
factors, many of which are beyond our control.
The
stock market is subject to significant price and volume fluctuations. In the past, following periods of volatility in the market
price of a company’s securities, securities class action litigation has often been initiated against the company. Litigation
initiated against us, whether or not successful, could result in substantial costs and diversion of our management’s attention
and resources, which could harm our business and financial condition.
We
do not anticipate dividends to be paid on our common stock, and investors may lose the entire amount of their investment.
Cash
dividends have never been declared or paid on the common stock, and we do not anticipate such a declaration or payment for the
foreseeable future. We expect to use future earnings, if any, to fund business growth. Therefore, stockholders will not receive
any funds absent a sale of their shares. We cannot assure stockholders of a positive return on their investment when they sell
their shares, nor can we assure that stockholders will not lose the entire amount of their investment.
We
must obtain approval from FINRA if we wish to reduce our authorized shares of common stock and/or to effectuate a reverse split
of the issued and outstanding shares of the common stock, of which the impact to the trading price of our common stock and/or
the liquidity for trading our common stock may be adverse to current stockholders and may not result in desired benefits to the
Company.
The
Company currently has 1,500,000,000 authorized shares of common stock and 992,207,783 shares issued and outstanding. On February
9, 2021, the Company intends to file the Certificate of Amendment to the Company’s Articles of Incorporation with the Secretary
of State of Nevada to effectuate an increase in the amount of authorized shares to 2,500,000,000. The Company expects that it
will continue to issue common stock in the future in connection with debt and/or equity financings, transactions with third parties,
performance incentives and as compensation to its employees and consultants. The Company believes that a reverse split would bring
value to the issued and outstanding shares of the Company by limiting dilution of operating results by an excessive number of
shares overhanging the market.
34
The
Company’s ability to effectuate a reverse split will require approval from FINRA. FINRA has previously informed the Company
that it will not approve and process announcements for company-related actions such as a reverse split if the Company is delinquent
in its Exchange Act reports with the SEC and until a Notification Form is submitted.
If
completed, and the reverse split does not bring value to the current shareholders and/or our ability to attract prospective investors,
including possible adverse impact to the trading price of our common stock and/or the liquidity for trading our common stock,
it would likely have a material adverse effect on the market price of our common stock and on our ability to raise additional
capital.
If
securities analysts do not initiate coverage or continue to cover our common stock or publish unfavorable research or reports
about our business, this may have a negative impact on the market price of our common stock.
The
trading market for the common stock will depend on the research and reports that securities analysts publish about our business
and the Company. We do not have any control over these analysts. There is no guarantee that securities analysts will cover the
common stock. If securities analysts do not cover the common stock, the lack of research coverage may adversely affect its market
price. If we are covered by securities analysts, and our stock is the subject of an unfavorable report, our stock price and trading
volume would likely decline. If one or more of these analysts ceases to cover the Company or fails to publish regular reports
on the Company, we could lose visibility in the financial markets, which could cause our stock price or trading volume to decline.
Approximately
53.55% of the outstanding shares of common stock is currently owned and/or controlled by our Board members and executive management
of the Company. Our Board members and executive management currently have significant ability to influence the election of our
directors and the outcome of matters submitted to our stockholders.
As
of January 28, 2021, there are 992,207,783 shares of common stock outstanding, of which 531,344,370 shares of common stock (approximately
53.55% of the outstanding shares of common stock) are owned and/or controlled by our Board and executive officers, Albert Mitrani,
Ian T. Bothwell, Dr. Maria Mitrani, Dr. George Shapiro, Michael Carbonara and Dr. Allen Meglin, and two of the members of management
are spouses, Albert Mitrani and Dr. Maria Mitrani. In addition, all four of our executive officers are also members of the Board
of Directors, which currently consists of six members. In addition, our executive officers may receive additional stock grants
in the future based on the achievement of certain performance milestones and from the conversion of unpaid compensation into common
stock, which if fully issued would provide our Board and executive officers with additional shares of the common stock outstanding.
As a result, the foregoing persons have the ability to significantly influence the outcome of issues submitted to our stockholders.
Although our officers and directors have a fiduciary obligation to the Company stockholders, their interests may not always coincide
with our interests or the interests of other stockholders. As a consequence, it may be difficult for the other stockholders to
remove our management. The ownership of these officers/directors could also deter unsolicited takeovers, including transactions
in which stockholders might otherwise receive a premium for their shares over then current market prices.
35
We
identified material weaknesses in our internal controls over financial reporting that existed at October 31, 2020. If we
fail to properly identify or remediate any future weaknesses or deficiencies, or fail to achieve and maintain effective internal
control, our ability to produce accurate and timely financial statements could be impaired and investors could lose confidence
in our financial statements.
Internal
control over financial reporting is a process designed to provide reasonable assurance regarding the reliability of financial
reporting and the preparation of financial statements in accordance with GAAP. At October 31, 2020, our management determined
that our internal controls over financial reports were ineffective. Although management intends to implement remedial actions
to correct these inefficiencies, there can be no assurance that our remedial measures will be sufficient to address the material
weaknesses or that our internal control over financial reporting will not be subject to additional material weaknesses in the
future. If the remedial measures that we take are insufficient to address the material weaknesses or if additional material weaknesses
or significant deficiencies in our internal control are discovered or occur in the future, our consolidated financial statements
may contain material misstatements, and we could be required to restate our financial results. Additionally, we may encounter
problems or delays in implementing any changes necessary for management to make a favorable assessment of our internal control
over financial reporting. If we cannot favorably assess the effectiveness of our internal control over financial reporting, investors
could lose confidence in our financial information and the price of our common stock could decline.
The
Financial Industry Regulatory Authority (“FINRA”) sales practice requirements may also limit a stockholder’s
ability to buy and sell our common stock.
In
addition to the “penny stock” rules described above, the Financial Industry Regulatory Authority, which we refer to
as FINRA, has adopted rules that require that in recommending an investment to a customer, a broker-dealer must have reasonable
grounds for believing that the investment is suitable for that customer. Prior to recommending speculative low-priced securities
to their non-institutional customers, broker-dealers must make reasonable efforts to obtain information about the customer’s
financial status, tax status, investment objectives and other information. Under interpretations of these rules, the FINRA believes
that there is a high probability that speculative low-priced securities will not be suitable for at least some customers. The
FINRA requirements make it more difficult for broker-dealers to recommend that their customers buy our common stock, which may
limit your ability to buy and sell our common stock and have an adverse effect on the market for shares of our common stock.
ITEM
1B. UNRESOLVED STAFF COMMENTS.
Not
applicable.
Text extracted from the filing as submitted to EDGAR. Formatting, tables and exhibits are simplified for reading; the original document is authoritative for anything you rely on.