As filed with the U.S. Securities and Exchange Commission on July 31, 2023

Registration No. 333-273174



 
Registration Number 333-163882

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, DCD.C. 20549



AMENDMENT NO.1 TO

Form NO. 2

to

FORM S-1

REGISTRATION STATEMENT

UNDER

THE

SECURITIES ACT OF 1933


INVO BIOSCIENCE, INC.

(Exact name of registrant as specified in its charter)

Nevada384120-4036208
Nevada384120-4036208
(State or other jurisdiction of

incorporation or organization)
(Primary Standard Industrial

Classification Code Number)

(IRSI.R.S. Employer


Identification No.)

Number)


100 Cummings Center, Suite 421E
Beverly, Massachusetts 01915

5582 Broadcast CourtSarasota, Florida, 34240

(978)878-9505

(Address, including zip code, and telephone number, including area code, of registrant’s principal executive offices)

Kathleen T. Karloff

Steve Shum

Chief Executive Officer

INVO Bioscience, Inc.

100 Cummings Center, Suite 421E
Beverly, Massachusetts 01915

5582 Broadcast Court

Sarasota, Florida34240

(978)878-9505extension 504

(Name, address including zip code, and telephone number, including area code, of agent for service)


With copies to:

Scott Museles, Esq.
Shulman, Rogers, Gandal, Pordy

Greg Carney

Sheppard, Mullin, Richter & Ecker, P.A.

12505 Park Potomac Avenue 6thHampton LLP

333 South Hope Street, 43rd Floor

Potomac, Maryland 20854
(301) 230-5200

Los Angeles, CA 90071

(213) 620-1780

Approximate date of commencement of proposed sale to the public:From time to time after the effective date of this Registration Statement becomes effective.

registration statement.

If any of the securities being registered on this Form are beingto be offered on a delayed or continuous basis pursuant to Rule 415 under the Securities Act of 1933, as amended, check the following box.  þ

box: ☒

If this Form is filed to register additional securities for an offering pursuant to Rule 462(b) under the Securities Act, please check the following box and list the Securities Act registration statement number of the earlier effective registration statement for the same offering. o

If this Form is a post-effective amendment filed pursuant to Rule 462(c) under the Securities Act, check the following box and list the Securities Act registration statement number of the earlier effective registration statement for the same offering. o

If this Form is a post-effective amendment filed pursuant to Rule 462(d) under the Securities Act, check the following box and list the Securities Act registration statement number of the earlier effective registration statement for the same offering. o

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer”filer,” “smaller reporting company,” and “smaller reporting“emerging growth company” in Rule 12b-2l2b-2 of the Exchange Act. (Check one):

Large accelerated filer o
Accelerated filer o
Non-accelerated filer o
(Do not check if a smaller reporting company)
Smaller reporting company þ

the Securities Act. D

The Registrantregistrant hereby amends this Registration Statementregistration statement on such date or dates as may be necessary to delay its effective date until the Registrantregistrant shall file a further amendment which specifically states that this Registration Statementregistration statement shall thereafter become effective in accordance with Section 8(a) of the Securities Act of 1933, as amended, or until the Registration Statementregistration statement shall become effective on such date as the Securities and Exchange Commission, acting pursuant to said Section 8(a), may determine.

 




The information in this prospectus is not complete and may be changed. WeThese securities may not sell these securitiesbe sold until the registration statement filed with the Securities and Exchange Commission is effective. This prospectus is not an offer to sell these securities and it is not soliciting an offer to buy these securities in any state where the offer orofferor sale is not permitted.

Subjectpermitted.

PRELIMINARY PROSPECTUSSUBJECT TO COMPLETIONDATED JULY 31, 2023

INVO Bioscience, Inc.

Up to Completion,  December 28, 2009

PRELIMINARY PROSPECTUS
8,790,000 Share
1,585,000 Units, each consisting of

One Shares of Common Stock

or

One Pre-Funded Warrant to Purchase One Share of Common Stock

and

Two Warrants, each to Purchase One Share Common Stock

This prospectus relates to the sale by INVO Bioscience, Inc. (the “Company”, “INVO”, “we”, “us” or “our”) of up to 1,585,000 units (“Units”), each consisting of one share of common stock, par value $0.0001per share (the “Common Stock”) and two warrants, each to purchase one share of our Common Stock at an assumed public offering price of $4.59 per Unit. The warrants are exercisable from and after the date of their issuance and expire on the anniversary of such date, at an exercise price of $4.59 per share of common stock, which is equal to 100% of the public offering price per Unit in this offering.

We are also offering to each purchaser whose purchase of Units in this offering would otherwise result in the purchaser, together with its affiliates and certain related parties, beneficially owning more than 4.99% (or, at the election of the holder, 9.99%) of our outstanding shares of common stock immediately following the consummation of INVO Bioscience, Inc.this offering, the opportunity to purchase, if the purchaser so chooses, Units each consisting of one pre-funded warrant to purchase one share of common stock (“Pre-Funded Warrants”) (in lieu of one share of common stock) and two warrants. Each Pre-Funded Warrant will be exercisable for one share of common stock. The purchase price of a Unit that mayincludes a Pre-Funded Warrant will equal the price per Unit that includes a share of common stock, minus $0.01, and the exercise price of each Pre-Funded Warrant will be sold by AGS Capital Group, LLC (“AGS”)$0.01 per share. For each Unit including a Pre-Funded Warrant purchased (without regard to any limitation on exercise set forth therein), the selling shareholder identified in this prospectus.number of Units including a share of common stock we are offering will be decreased on a one-for-one basis. The Units have no stand-alone rights and will not be certificated or issued as stand-alone securities. The shares of common stock offered(or Pre-Funded Warrants) and the warrants comprising the Units are immediately separable and will be issued separately in this offering

Our common stock is currently trading on the Nasdaq Capital Market (“Nasdaq”) under the symbol “INVO” The last reported sale price for our common stock as reported on Nasdaq on July 28, 2023 was $4.59 per share. We do not intend to apply to list the Pre-Funded Warrants or the warrants on Nasdaq or any other national securities exchange or other nationally recognized trading system. Without an active trading market, the liquidity of the Pre-Funded Warrants and the warrants will be limited.

The public offering price Unit will be determined between us, Maxim Group LLC, our exclusive placement agent (the “Placement Agent”) and investors based on market conditions at the time of pricing, and may be at a discount to the current market price of our common stock. Therefore, the recent market price used throughout this prospectus by AGS are issuable to AGS pursuant to a Reserved Equity Financing Agreement (“REF”) between AGS and us dated October 28, 2009. We are registering the offer and salemay not be indicative of the sharesactual combined public offering price.

There is no minimum number of Units or minimum aggregate amount of proceeds for this offering to satisfy registration rightsclose. We expect this offering to be completed not later than two business days following the commencement of this offering and we will deliver all securities to be issued in connection with this offering by delivery versus payment upon receipt of investor funds. Accordingly, neither we nor the Placement Agent have grantedmade any arrangements to AGS. Weplace investor funds in an escrow account or trust account since the Placement Agent will not receive any proceeds from the sale of these shares by AGS.  This registration statement covers only a portion of the shares of common stock that may be issuable pursuant to the REF. We may file subsequent registration statements covering the resale of additional shares of common stock issuable pursuant to the REF with AGS beginning approximately 60 days after we have substantially completed the sale to AGS under the REF of the shares subject to this registration statement. We will bear all costs associated with this registration statement.

AGS may sell the shares of common stock described in this prospectus in a number of different ways and at varying prices. We provide more information about how AGS may sell its shares of common stock in the section entitled “Plan of Distribution.” AGS is an “underwriter” within the meaning of the Securities Act of 1933, as amended (the “Securities Act”)investor funds in connection with the resale of our common stock under the REF.  AGS will pay us 92%sale of the volume weighted average priceUnits offered hereunder.

We have engaged the Placement Agent as our exclusive placement agent to use its reasonable best efforts to solicit offers to purchase our securities in this offering. The Placement Agent is not purchasing or selling any of the common stock duringsecurities we are offering and is not required to arrange for the five consecutive trading days immediately followingpurchase or sale of any specific number or dollar amount of the date of our noticesecurities. Because there is no minimum offering amount required as a condition to AGS of our electionclosing in this offering, the actual offering amount, the Placement Agent’s fee and proceeds to sell sharesus, if any, are not presently determinable and may be substantially less than the total maximum offering amounts described throughout this prospectus. We have agreed to AGS pursuantpay the Placement Agent the Placement Agent fees set forth in the table below and to provide certain other compensation to the REF.

Our sharesPlacement Agent. See “Plan of common stock are traded on the Over-the-Counter Bulletin Board (the “OTCBBDistribution) under the symbol "IVOB.OB." On December 11, 2009, the closing sale price of for more information regarding these arrangements.

Investing in our common stock was $0.33 per share.

This investmentsecurities is highly speculative and involves a high degree of risk. You should purchase shares only if you can afford a complete loss. See "Risk Factors"carefully consider the risks and uncertainties described under the heading “Risk Factors” beginning on page 5.
Neither the Securities and Exchange Commission nor any state securities commission has approved or disapproved7 of these securities or determined if this prospectus is truthfulbefore making a decision to purchase our securities.

NEITHER THE SECURITIES AND EXCHANGE COMMISSION NOR ANY STATE SECURITIES COMMISSION HAS APPROVED OR DISAPPROVED OF THESE SECURITIES OR PASSED UPON THE ACCURACY OR ADEQUACY OF THIS PROSPECTUS. ANY REPRESENTATION TO THE CONTRARY IS A CRIMINAL OFFENSE.

Per Unit

Per Unit that includes a Pre-Funded WarrantTotal
Public offering price$$$
Placement Agent Fees (1)$

$

$
Proceeds to us, before expenses (2)$$$

(1)See “Plan of Distribution” for a complete description of the compensation arrangements for the Placement Agent.
(2)We estimate the total expenses of this offering, excluding the Placement Agent fees and expenses, will be approximately $223,111.

We expect to deliver the Common Stock, Pre-Funded Warrants and related warrants against payment on or complete. Any representation to the contrary is a criminal offense.

about [●], 2023.

Sole Placement Agent

MAXIM GROUP LLC

The date of this prospectus is December 28, 2009



TABLE OF CONTENTS
, 2023.

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F-1
 

ABOUT THIS PROSPECTUS

In this prospectus, unless the context suggests otherwise, references to “the Company,” “INVO Bioscience,” “INVO,” “we,” “us,” and “our” refer to INVO Bioscience, Inc. and its consolidated subsidiaries.

This prospectus describes the specific details regarding this offering, the terms and conditions of the securities being offered hereby and the risks of investing in the Company’s securities. You should read this prospectus and the additional information about the Company described in the section entitled “Where You Can Find More Information” before making your investment decision.

Neither the Company, nor any of its officers, directors, agents, representatives or the Placement Agent make any representation to you about the legality of an investment in the Company’s common stock. You should not interpret the contents of this prospectus to be legal, business, investment or tax advice. You should consult with your own advisors for that type of advice and consult with them about the legal, tax, business, financial and other issues that you should consider before investing in the Company’s securities.

ADDITIONAL INFORMATION

You should rely only on the information contained or incorporated by reference intoin this prospectus. We have not,prospectus and the selling shareholderin any accompanying prospectus supplement. No one has not,been authorized anyone to provide you with different or additional or different information. These securitiesThe shares of common stock and warrants are not being offered in any jurisdiction where the offer is not permitted. You should not assume that the information in this prospectus or any prospectus supplement is accurate only as of any date other than the date on the front of such documents.

TRADEMARKS AND TRADE NAMES

This prospectus includes trademarks that are protected under applicable intellectual property laws and are the document and that any information we have incorporated by reference is accurate only asCompany’s property or the property of one of the dateCompany’s subsidiaries. This prospectus also contains trademarks, service marks, trade names and/or copyrights of other companies, which are the document incorporated by reference, regardlessproperty of the time of delivery of this prospectus or of any sale of our common stock. Unless the context otherwise requires, referencestheir respective owners. Solely for convenience, trademarks and trade names referred to “we,” “our,” “us,” or the “Company” in this prospectus mean INVO Bioscience, Inc. a Nevada corporation.


PROSPECTUS SUMMARY
This summary highlightsthe applicable licensor to these trademarks and trade names.

INDUSTRY AND MARKET DATA

Unless otherwise indicated, information described more fully elsewherecontained in this prospectus.  You should readprospectus concerning the entire prospectus carefully, including the risk factors, the financial statementsCompany’s industry and the notes tomarkets in which it operates, including market position and market opportunity, is based on information from management’s estimates, as well as from industry publications and research, surveys and studies conducted by third parties. The third-party sources from which the financial statements included herein. Investing our securities involves risks. Therefore, please carefully considerCompany has obtained information generally state that the information providedcontained therein has been obtained from sources believed to be reliable, but the Company cannot assure you that this information is accurate or complete. The Company has not independently verified any of the data from third-party sources nor has it verified the underlying economic assumptions relied upon by those third parties. Similarly, internal company surveys, industry forecasts and market research, which the Company believes to be reliable, based upon management’s knowledge of the industry, have not been verified by any independent sources. The Company’s internal surveys are based on data it has collected over the past several years, which it believes to be reliable. Management estimates are derived from publicly available information, its knowledge of the industry, and assumptions based on such information and knowledge, which management believes to be reasonable and appropriate. However, assumptions and estimates of the Company’s future performance, and the future performance of its industry, are subject to numerous known and unknown risks and uncertainties, including those described under the heading “Risk Factors” included herein.

The Company
We are a development stage company that has recently begun to commercialize our provenin this prospectus and patented technology that we believe will revolutionize the treatment of infertility.  Our device, the INVOcell,those described elsewhere in this prospectus, and the INVO procedure are designedother documents the Company files with the Securities and Exchange Commission, or SEC, from time to provide an alternative infertility treatment fortime. These and other important factors could result in its estimates and assumptions being materially different from future results. You should read the patientinformation contained in this prospectus completely and with the understanding that future results may be materially different and worse from what the Company expects. See the information included under the heading “Special Note Regarding Forward-Looking Statements.”

SPECIAL NOTE REGARDING FORWARD-LOOKING STATEMENTS

This prospectus, any amendment and the clinician; it is less expensive and simpler to perform than current infertility treatments.  The simplicityinformation incorporated by reference into this prospectus contain various forward-looking statements within the meaning of Section 27A of the INVO procedure relatesSecurities Act and Section 21E of the Securities and Exchange Act of 1934, as amended (the “Exchange Act”), which represent our expectations or beliefs concerning future events. Forward-looking statements include statements that are predictive in nature, which depend upon or refer to the ability to potentially perform the infertility procedure in a physician’s practice rather than in a specialized facility at a much lower cost overall thanfuture events or conditions, and/or which include words such as “believes,” “plans,” “intends,” “anticipates,” “estimates,” “expects,” “may,” “will” or similar expressions. In addition, any statements concerning future financial performance, ongoing strategies or prospects, and possible future actions including any potential strategic transaction involving us, which may be provided by our management, are also forward-looking statements. Forward-looking statements are based on current infertility treatments, including in vitro fertilization (“IVF”).  Therefore, we believe that the INVO procedure will be available in many more locations than conventional IVF especially outside the United States.  INVO also allows conceptionexpectations and embryo development to take place inside the woman's body; an attractive feature for most couples.

Through September 30, 2009, we have generated minimal revenues, have incurred significant expensesprojections about future events and have sustained losses.  Consequently, our operations are subject to allrisks, uncertainties, and assumptions about our company, economic and market factors, and the risks inherentindustry in which we do business, among other things. These statements are not guarantees of future performance, and we undertake no obligation to publicly update any forward-looking statements, whether as a result of new information, future events, or otherwise, except as required by law. Actual events and results may differ materially from those expressed or forecasted in forward-looking statements due to a number of factors. Factors that could cause our actual performance, future results and actions to differ materially from any forward-looking statements include, but are not limited to, those discussed under the establishmentheading “Risk Factors” in this prospectus and in any of a new business enterprise.
In May 2008, we received notice thatour filings with the INVOcell product meets all the essential requirementsSEC pursuant to Sections 13(a), 13(c), 14 or 15(d) of the relevant European Directive(s),Exchange Act incorporated by reference into this prospectus. The forward-looking statements in this prospectus, and received CE Marking.  The CE marking (also knownthe information incorporated by reference herein represent our views as CE mark) is a mandatory conformity mark on many products placed on the single market in the European Economic Area (EEA).  The CE marking (an acronym for the French “Conformité Européenne”) certifies that a product has met EU health, safety and environmental requirements, which ensure consumer safety.
With CE Marking, we now have the ability and necessary regulatory authority to distribute our product in the European Economic Area (i.e., the European Union, Canada, Australia, New Zealand, and most parts of the Middle East).  The Company has sold approximately 900 INVOcell unitsdate such statements are made. These forward-looking statements should not be relied upon as representing our views as of any date subsequent to the date since we commenced salessuch statements are made.

TABLE OF CONTENTS

Page No.
PROSPECTUS SUMMARY1
RISK FACTORS7
USE OF PROCEEDS15
DIVIDEND POLICY15
CAPITALIZATION16
DILUTION17
MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS18
EXECUTIVE COMPENSATION32
SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT39
CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS AND DIRECTOR INDEPENDENCE40
DESCRIPTION OF SECURITIES41
PLAN OF DISTRIBUTION43
LEGAL MATTERS50
EXPERTS50
WHERE YOU CAN FIND MORE INFORMATION50

INCORPORATION OF DOCUMENTS BY REFERENCE

51
INDEX TO FINANCIAL STATEMENTSF-1

PROSPECTUS SUMMARY

This summary highlights selected information contained elsewhere in this prospectus or incorporated by reference into this prospectus. This summary does not contain all of the late fall 2008.

Our principal executive offices are located at 100 Cummings Center Suite 421e, Beverly, MA 01915,information that you should consider before investing in our Common Stock. You should carefully read this entire prospectus, and our telephone number is (978) 878-9505.  The addressother filings with the SEC, including the following sections, which are either included herein and/or incorporated by reference herein, “Risk Factors”, “Special Note Regarding Forward-Looking Statements”, “Management’s Discussion and Analysis of Financial Condition and Results of Operations” and the consolidated financial statements incorporated by reference herein, before making a decision about whether to invest in our securities. In this prospectus, unless context requires otherwise, references to “we,” “us,” “our,” “INVO” or “the Company” refer to INVO Bioscience, Inc. and its subsidiary.

On July 28, 2023, we effectuated a 1-for-20 reverse split of our website is www.INVOBioscience.com.  Information on our website is not part of this prospectus.

The INVOcell Technology
Our product, the INVOcell medical device, is designed to treat infertility at a far lower cost than other treatments available in today’s marketplace, including IVF.  The INVO technology is a fertility treatment where either mild ovarian stimulation or no ovarian stimulation is used.  Using a mild stimulation protocol, 1-10 follicles are retrieved in a physician’s office with the patient under light sedation with or without local anesthesia.  The follicle retrieval is performed using a vaginal probe under ultrasound guidance.  Eggs are identified immediately after retrieval in the follicular fluid.  During the INVO procedure, fertilization and embryo development occurs inside the woman’s vaginal cavity in a disposable single use device -- the INVOcell -- that holds the eggs, sperm and culture medium.
Sperm collection and preparation generally occur before egg retrieval.  Nutrient medium (~1ml) is placed in the inner vessel of the INVOcell.  Eggs and a fraction of motile sperm are placed into the medium and the inner vessel is closed and secured in the protective outer rigid shell.  The INVOcell is placed in the patient’s vaginal cavity for an incubation period of 2-3 days.  A retention system can be used to maintain the INVOcell system in the vagina during the incubation period.  The retention system consists of a diaphragm with holes in the membrane to allow natural elimination of vaginal secretions.  The INVOcell is designed so that no vaginal fluids penetrate the outer vessel thus ensuring that the inner vessel is not contaminated.  Obtaining eggs, sperm and media then inserting them into the INVOcell and then placing it in the vagina takes approximately 90 minutes.
After 2-3 days, the patient returns to the physician’s office where the retention system and the INVOcell are removed.  The protective outer vessel is discarded and the inner vessel is placed in INVO Bioscience’s patented holding block in a vertical position for 15 minutes.  Embryos are collected in the micro chamber located at the bottom of the inner vessel.  The embryos can be directly viewed in the micro chamber in the holding block by using a microscope.  Embryos can be loaded directly from the device in a transfer catheter from the INVOcell device.  A trained clinician can readily identify the best embryos for transfer.  The embryos to be transferred are aspirated into a standard catheter for transfer into the patient’s uterus.  This second visit should take approximately 45 minutes.  All INVO related medical procedures can be performed in a physician’s office thereby avoiding the requirement of an IVF facility and the associated costs to build and maintain such a facility.
1

Our Equity Financing Facility with AGS Capital Group, LLC
On October 28, 2009, we entered into a Reserve Equity Financing Agreement, or REF, with AGS pursuant to which AGS committed to purchase, from time to time over a period of two years, shares of our common stock for cash consideration of up to $10 million, subject to certain conditions and limitations discussed below.  In connection with the REF, we also entered into a registration rights agreement with AGS, dated October 28, 2009. We have not engaged in prior securities transactions with AGS or any affiliates of AGS.
Theoutstanding shares of common stock that may be issued to AGS under the REF will be issued pursuant to an exemption from registration under the Securities Act. Pursuant to the registration rights agreement, we have filed a registration statement,(and corresponding proportionate reduction of which this prospectus is a part, covering the possible resale by AGS of a portion of the shares that we may issue to AGS under the REF. Through this prospectus, the selling shareholder may offer to the public for resaleour authorized shares of our common stock that we may issuestock) prior to AGS pursuant to the REF.
This registration statement covers only a portion of the shares of our common stock issuable pursuant to the REF with AGS. We may file subsequent registration statements covering the resale of additional shares of our common stock issuable pursuant to the REF with AGS beginning approximately 60 days after we have substantially completed the sale to AGS under the REF of the shares subject to this registration statement.
For a period of 24 months from the effectiveness of the registration statement of which this prospectus forms a part. No fractional shares will be issued in connection with the reverse stock split and all such fractional interests are being rounded up to the nearest whole number of shares of common stock. The conversion and/or exercise prices of our issued and outstanding convertible securities, including shares issuable upon exercise of outstanding stock options and warrants, and conversion of our outstanding convertible notes will be adjusted accordingly. All information presented in this prospectus assumes a 1-for20 reverse split of our outstanding shares of common stock (and corresponding proportionate reduction of our authorized shares of common stock), and unless otherwise indicated, all such amounts and corresponding conversion price and/or exercise price data set forth in this prospectus have been adjusted to give effect to the assumed reverse stock split.

Company Overview

We are a commercial-stage fertility company dedicated to expanding the assisted reproductive technology (“ART”) marketplace by making fertility care accessible and inclusive to people around the world. Our flagship product is INVOcell, a revolutionary medical device that allows fertilization and early embryo development to take place in vivo within the woman’s body. Our primary mission is to implement new medical technologies aimed at increasing the availability of affordable, high-quality, patient-centered fertility care. This treatment solution is the world’s first intravaginal culture technique for the incubation of oocytes and sperm during fertilization and early embryo development. This technique, designated as “IVC”, provides patients a more natural, intimate and more affordable experience in comparison to other ART treatments. The IVC procedure can deliver comparable results at a lower cost than traditional in vitro fertilization (“IVF”) and is a part (the “Registration Statementsignificantly more effective treatment than intrauterine insemination (“IUI”). Our commercialization strategy is focused on the opening of dedicated “INVO Centers” offering the INVOcell and IVC procedure (with three centers in North America now operational) and the acquisition of existing IVF clinics, in addition to continuing to sell our technology solution into existing fertility clinics.

Operations

We operate with a core internal team and outsource certain operational functions in order to help accelerate our efforts as well as reduce internal fixed overhead needs and in-house capital equipment requirements. Our most critical management and leadership functions are carried out by our core management team. We have contracted out the manufacturing, packaging/labeling and sterilization of the device to a contract medical manufacturing company that completes final product manufacturing as well as manages the gamma sterilization process at a U.S. Food and Drug Administration (“FDA”) registered contract sterilization facility.

Market Opportunity

The global ART marketplace is a large, multi-billion industry growing at a strong pace in many parts of the world as increased infertility rates, increased patient awareness, acceptance of treatment options, and improving financial incentives such as insurance and governmental assistance continue to drive demand. According to the European Society for Human Reproduction 2020 ART Fact Sheet, one in six couples worldwide experience infertility problems. Additionally, the worldwide market remains vastly underserved as a high percentage of patients in need of care continue to go untreated each year for many reasons, but key among them are capacity constraints and cost barriers. While there have been large increases in the use of IVF, there are still only approximately 2.6 million ART cycles, including IVF, IUI and other fertility treatments, performed globally each year, producing around 500,000 babies. This amounts to less than 3% of the infertile couples worldwide being treated and only 1% having a child though IVF. The industry remains capacity constrained which creates challenges in providing access to care to the volume of patients in need. A survey by “Resolve: The National Infertility Association, indicates the two main reasons couples do not use IVF is cost and geographical availability (and/or capacity).

In the United States, infertility, according to the American Society of Reproductive Medicine (2017), affects an estimated 10%-15% of the couples of childbearing-age. According to the Centers for Disease Control (“CDC”), there are approximately 6.7 million women with impaired fertility. Based on preliminary 2020 data from the CDC’s National ART Surveillance System, approximately 326,000 IVF cycles were performed at 449 IVF centers, leaving the U.S. with a large, underserved patient population, which is similar to most markets around the world.

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Competitive Advantages

We believe that the INVOcell, and the IVC procedure it enables, have the following key advantages:

Lower cost than IVF with equivalent efficacy. The IVC procedure can be offered for less than IVF due to lower cost of supplies, labor, capital equipment and general overhead. The laboratory equipment needed to perform an IVF cycle is expensive and requires ongoing costs as compared to what is required for an IVC cycle. As a result, we may,also believe INVOcell and the IVC procedure enable a clinic and its laboratory to be more efficient as compared to conventional IVF.

The IVC procedure is currently being offered at practicing clinics at a range of $5,000 - $11,000 per cycle and from time$4,500 to time,$7,000 at our discretion,the existing INVO Centers, thereby making it more affordable than conventional IVF (which tends to average $12,000 to $17,000 per cycle or higher).

Improved efficiency providing for greater capacity and subjectimproved access to certain conditionscare and geographic availability. In many parts of the world, including the U.S., IVF clinics tend to be concentrated in higher population centers and are often capacity constrained in terms of how many patients a center can treat, with volume often limited by the number of capital-intensive incubators available in IVF clinic labs. With the significant number of untreated patients along with the growing interest and demand for services, the industry remains challenged to provide sufficient access to care and to do so at an economical price. We believe INVOcell, and the IVC procedure it enables, can play a significant role in helping to address these challenges. According to the 2020 CDC Report, there are approximately 449 IVF centers in the U.S. We estimate that by adopting the INVOcell, IVF clinics can increase fertility cycle volume by up to 30% without adding to personnel, space and/or equipment costs. Our own INVO Centers also address capacity constraints by adding to the overall ART cycle capacity and doing so with comparable efficacy to IVF outcomes as well as at a lower per cycle price. Moreover, we believe that we must satisfy, draw down fundsare uniquely positioned to drive more significant growth in fertility treatment capacity in the future by partnering with existing OB/GYN practices. In the U.S., there are an estimated 5,000 OB/GYN offices, many of which offer fertility services (usually limited to consultation and IUI, but not IVF). Since the IVC procedure requires a much smaller lab facility, less equipment, and fewer lab personnel (in comparison to conventional IVF), it could potentially be offered as an extended service in an OB/GYN office. With proper training and a lighter lab infrastructure, the INVOcell could expand the business for these physicians and allow them to treat patients that are unable to afford IVF and provide patients with a more readily accessible, convenient, and cost-effective solution. With our three-pronged strategy (IVF clinics, INVO Centers and OB/GYN practices), in addition to lowering costs, we believe INVOcell and the IVC procedure can address our industry’s key challenges, capacity and cost, by their ability to expand and decentralize treatment and increase the number of points of care for patients in need. This powerful combination of lower cost and added capacity has the potential to dramatically open up access to care for patients around the world.

Greater patient involvement. With the IVC procedure, the patient uses their own body for fertilization, incubation and early embryo development which creates a greater sense of involvement, comfort and participation. In some cases, this may also free people from barriers related to ethical or religious concerns, or fears of laboratory mix-ups.

Corporate History

We were formed on January 5, 2007 under the REFlaws of the Commonwealth of Massachusetts under the name Bio X Cell, Inc. to acquire the assets of Medelle Corporation (“Medelle”). Dr. Claude Ranoux purchased all of the assets of Medelle, and then he contributed those assets, including four patents (which have since expired) relating to the INVOcell technology, to Bio X Cell, Inc. upon its formation in January 2007.

On December 5, 2008, Bio X Cell, Inc., doing business as INVO Bioscience, and each of the shareholders of INVO Bioscience entered into a share exchange agreement and consummated a share exchange with Emy’s Salsa AJI Distribution Company, Inc., a Nevada corporation (“Emy’s”). Upon the closing of the share exchange on December 5, 2008, the INVO Bioscience shareholders transferred all of their shares of common stock in INVO Bioscience to Emy’s. In connection with the share exchange, Emy’s changed its name to INVO Bioscience, Inc. and Bio X Cell, Inc. became a wholly owned subsidiary of Emy’s (re-named INVO Bioscience, Inc.).

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On November 2, 2015 we were notified by the FDA that the INVOcell and INVO Procedure were granted clearance via the de novo classification (as a Class II device) allowing us to market the INVOcell in the United States. Following this approval, we began marketing and selling INVOcell in many locations across the U.S. We currently have approximately 140 trained clinics or satellite facilities in the U.S. where patients can receive guidance and treatment for the INVO Procedure.

Recent Developments

July 2023 Standard Merchant Cash Advance Agreement

On July 19, 2023, we entered into a Standard Merchant Cash Advance Agreement with Cedar Advance LLC (“Cedar”) under which Cedar purchased $543,750 of our receivables for a gross purchase price of $375,000. We received net proceeds of $356,250. Until the purchase price has been repaid, we agreed to pay Cedar $19,419.64 per week. If we repay the purchase price within 30-days then the amount payable shall be reduced to $465,000. In addition, we granted Cedar a security interest in our accounts, including deposit accounts and accounts receivable. We intend to use the proceeds for working capital and general corporate purposes.

Amendment to Armistice SPA

On July 7, 2023, we entered into an Amendment to Securities Purchase Agreement (the “Armistice Amendment”) with Armistice Capital Markets Ltd. to delete Section 4.12(a) of our March 23, 2023 Securities Purchase Agreement (the “Armistice SPA”) with Armistice pursuant to which we agreed that from March 23, 2023 until 45 days after the effective date of the Resale Registration Statement (as defined below) we would not (i) issue, enter into any agreement to issue or announce the issuance or proposed issuance of any shares of Common Stock or Common Stock Equivalents or (ii) file any registration statement or any amendment or supplement thereto, other than the prospectus supplement filed in connection with that offering and the Resale Registration Statement (the “Subsequent Equity Financing Provision”). In consideration of Armistice’s agreement to enter into the Armistice Amendment and delete the Subsequent Equity Financing Provision from the Armistice SPA, we agreed to pay Armistice a fee a $1,000,000 (the “Armistice Amendment Fee”) within two days of the closing of this Offering. Additionally, we agreed to include a proposal in our proxy statement for our 2023 Annual Meeting of Stockholders for the purpose of obtaining the approval of the holders of a majority of our outstanding voting common stock, to effectuate the reduction of the exercise price set forth in Section 2(b) of the Common Stock Purchase Warrants issued to Armistice on March 27, 2023 (the “Existing Warrants”) to the per unit public offering price of this Offering, in accordance with Nasdaq Rule 5635(d) (the “Shareholder Approval”) with the recommendation of our board of directors that such proposal be approved. We also agreed to solicit proxies from our shareholders in connection therewith in the same manner as all other management proposals in such proxy statement and that all management-appointed proxyholders shall vote their proxies in favor of such proposal. Further, if we do not obtain Shareholder Approval at the first meeting, we will call a meeting every six (6) months thereafter to seek Shareholder Approval until the earlier of the date Shareholder Approval is obtained or the Existing Warrants are no longer outstanding. Until such approval is obtained, the exercise price of the Existing Warrants will remain unchanged.

Reverse Stock Split

On June 28, 2023, our board of directors approved a reverse stock split of our common stock at a ratio of 1-for-20 and also approved a proportionate decrease in our authorized common stock to AGS6,250,000 shares from 125,000,000. Pursuant to Nevada Revised Statutes, a company may effect a reverse split without stockholder approval if both the number of authorized shares of common stock and the number of outstanding shares of common stock are proportionally reduced as a result of the reverse split, the reverse split does not adversely affect any other class of stock of the company, and the company does not pay money or issue scrip to stockholders who would otherwise be entitled to receive a fractional share as a result of the reverse split, We intend to file a certificate of change with the Nevada Secretary of State pursuant to Nevada Revised Statutes 78.209 to (i) decrease the number of authorized shares of common stock from 125,000,000 to 6,250,000 shares and (ii) effectuate a 1-for-20 reverse stock split of the outstanding common stock prior to effectiveness of this registration statement. On July 27, 2023, we received notice from Nasdaq that the reverse split would take effect at the open of business on July 28, 2023 and the reverse stock split took effect on that date.

510(k) FDA Clearance

On June 22, 2023, we received U.S. Food and Drug Administration (FDA) 510(k) clearance to expand the labeling on the INVOcell device and its indication for use to provide for a 5-day incubation period. The data supporting the expanded 5-day incubation clearance demonstrated improved patient outcomes.

March 2023 Registered Direct Offering

On March 23, 2023, INVO entered into a securities purchase agreement (the “March Purchase Agreement”) with a certain institutional investor, pursuant to which the Company agreed to issue and sell to such investor (i) in a registered direct offering (the “RD Offering”), 69,000 shares of Common Stock, and a pre-funded warrant (the “Pre-Funded Warrant”) to purchase up to 115,000 shares of Common Stock, at an exercise price of $0.20 per share, and (ii) in a concurrent private placement (the “March Warrant Placement”), a common stock purchase warrant (the “March Warrant”), exercisable for an aggregate of up to 276,000 shares of Common Stock, at an exercise price of $12.60 per share. The securities to be issued in the RD Offering (priced at the marked under Nasdaq rules) were offered pursuant to the Company’s shelf registration statement on Form S-3 (File 333-255096), initially filed by the Company with the SEC under the Securities Act of 1933, as amended (the “Securities Act”), on April 7, 2021 and declared effective on April 16, 2021. The Pre-Funded Warrant is exercisable upon issuance and will remain exercisable until all of the shares underlying the Pre-Funded Warrant are exercised in full. All Pre-Funded Warrants were exercised by the investor in June 2023.

The March Warrant (and the shares of Common Stock issuable upon the exercise of the Private Warrants) was not registered under the Securities Act and was offered pursuant to an exemption from the registration requirements of the Securities Act provided in Section 4(a)(2) of the Securities Act and Rule 506(b) promulgated thereunder. The March Warrant is immediately exercisable upon issuance, will expire eight years from the date of issuance, and in certain circumstances may be exercised on a cashless basis.

On March 27, 2023, the Company closed the RD Offering and March Warrant Placement, raising gross proceeds of approximately $3 million before deducting placement agent fees and other offering expenses payable by the Company. In the event the March Warrant is fully exercised for cash, the Company would receive additional gross proceeds of approximately $3.5 million. The Company used $383,879 in proceeds to repay a portion of the convertible debenture issued in February 2023 and the remainder of the proceeds are being used for working capital and general corporate purposes.

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Under the March Purchase Agreement, the Company is required within 30 days of the closing date of the March Warrant Placement to file a registration statement on Form S-1 (the “Resale Registration Statement”) registering the resale of the shares of Common Stock issuable upon the exercise of the March Warrant. The Company is required to use commercially reasonable efforts to cause such registration to become effective within 75 days of the closing date of the offering (or 120 days if the registration statement is subject to a full review by the SEC), and to keep the Resale Registration Statement effective at all times until no shares of Common Stock remain exercisable under the March Warrant.

In addition, pursuant to certain “lock-up” agreements, our officers and directors have agreed, for a period of 180 days from the date of the RD Offering and March Warrant Placement, not to engage in any of the following, whether directly or indirectly, without the consent of the March Purchase Agreement investor: offer to sell, sell, contract to sell pledge, grant, lend, or otherwise transfer or dispose of our common stock or any securities convertible into or exercisable or exchangeable for Common Stock (the “Lock-Up Securities”); enter into any swap or other arrangement that transfers to another, in whole or in part, any of the economic consequences of ownership of the Lock-Up Securities; make any demand for or exercise any right or cause to be filed a registration statement, including any amendments thereto, with respect to the registration of any Lock-Up Securities; enter into any transaction, swap, hedge, or other arrangement relating to any Lock-Up Securities subject to customary exceptions; or publicly disclose the intention to do any of the foregoing.

Execution of Definitive Agreements to Acquire the Wisconsin Fertility Institute

On March 16, 2023, INVO Bioscience Inc., a Nevada corporation (“INVO”), through Wood Violet Fertility LLC, a Delaware limited liability company (“Buyer”) and wholly owned subsidiary of INVO Centers LLC, a Delaware company wholly-owned by INVO, entered into binding purchase agreements to acquire Wisconsin Fertility Institute (the “Clinic”) for a combined purchase price of $10 million. million, including an asset purchase agreement with Wisconsin Fertility and Reproductive Surgery Associates, S.C., a Wisconsin professional service corporation d/b/a Wisconsin Fertility Institute (“WFRSA”) and The Elizabeth Pritts Revocable Living Trust and a Membership Interest Purchase Agreement with Fertility Labs of Wisconsin, LLC, a Wisconsin limited liability company (“FLOW”)., IVF Science, LLC owned by Wael Megid Ph.D. and Dr. Elizabeth Pritts as trustee for the Elizabeth Pritts Revocable Living Trust.

The purchase price is payable in four installments of these shares will$2.5 million each (which payments may be 92%offset by assumption of certain Clinic liabilities, payable at closing and on each of the “VWAP”subsequent three anniversaries of closing. The sellers have the option to take all or a portion of the final three installments in shares of INVO common stock valued at $125.00, $181.80, and $285.80, for the second, third, and final installments, respectively. The additional $7.5 million in payments are secured by the Clinic having a lien on the assets purchased to acquire the Clinic.

The Clinic is comprised of (a) a medical practice, WFRSA, and (b) a laboratory services company, FLOW. WFRSA owns, operates and manages the Clinic’s fertility practice that provides direct treatment to patients focused on fertility, gynecology and obstetrics care and surgical procedures, and employs physicians and other healthcare providers to deliver such services and procedures. FLOW provides WFRSA with related laboratory services. The combined financial statements of WFRSA and FLOW are incorporated by reference into this prospectus as further described under “Experts” on page 50.

On July 7, 2023 Buyer entered into closing agreements with the Clinic under which Buyer agreed to complete the closing of the acquisition by July 31, 2023 which closing agreements further provide that unless a new closing date is agreed to in writing the acquisition agreements would automatically terminate if the closing does not occur on or before July 31, 2023.

The Buyer and the Clinic have agreed in principle to extend the closing date of the acquisition to August 10, 2023 and we expect to have executed written amendments to the closing agreements to memorialize such agreement prior to the closing of this offering.

Notices from Nasdaq of Failure to Satisfy Continued Listing Rules.

Notice Regarding Non-Compliance with Minimum Stockholders’ Equity

On November 23, 2022, we received notice from The Nasdaq Stock Market LLC (“Nasdaq”) advising us that we were not in compliance with the minimum stockholders’ equity requirement for continued listing on The Nasdaq Capital Market. Nasdaq Listing Rule 5550(b)(1) (the “Equity Rule”) requires companies listed on The Nasdaq Capital Market to maintain stockholders’ equity of at least $2,500,000 (the “Stockholders’ Equity Requirement”). In our Quarterly Report on Form 10-Q for the quarter ended September 30, 2022, we reported stockholders’ equity of $1,287,224, which is below the Stockholders’ Equity Requirement for continued listing. Additionally, as of the date of the notice, we did not meet either of the alternative Nasdaq continued listing standards under the Nasdaq Listing Rules, market value of listed securities of at least $35 million, or net income of $500,000 from continuing operations in the most recently completed fiscal year, or in two of the three most recently completed fiscal years.

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The notice had no immediate effect on the listing of our common stock and our common stock continues to trade on The Nasdaq Capital Market under the symbol “INVO” subject to our compliance with the other continued listing requirements.

Pursuant to the notice, Nasdaq gave us 45 calendar days, or until January 7, 2023, to submit to Nasdaq a plan to regain compliance. We submitted our plan within the prescribed time and, on January 18, 2023, we received a letter from Nasdaq stating that based on our submission that Nasdaq had determined to grant us an extension of time to regain compliance with the Equity Rule until May 22, 2023.

On May 23, 2023, we were notified by the Listing Qualifications department (the “Staff”) of Nasdaq that, based upon the Company’s non-compliance with the $2.5 million stockholders’ equity requirement for continued listing on The Nasdaq Global Market, as set forth in the Equity Rule, as of May 22, 2023, the Company’s common stock was subject to delisting from Nasdaq unless the Company timely requested a hearing before the Nasdaq Hearings Panel (the “Panel”).

We requested a hearing before the Panel, which stayed any further action by Nasdaq at least until the hearing process was concluded and any extension that may be granted by the Panel has expired.

On July 6, 2023, we had our hearing before the Panel at which time we provided the Panel our plan to regain compliance under the Equity Rule.

On July 27, 2023, we received a letter from the Panel under which they granted our request for continued listing of Nasdaq subject to us demonstrating compliance with the Equity Rule as well as Nasdaq Listing Rule 5550(a)(2) (to maintain a minimum bid price of $1; the “Price Rule”) on or before September 29. 2023. The Panel reserves the right to reconsider the terms of this exception based on any event, condition or circumstance that exists or develops that would, in the opinion of the Panel, make continued listing of our securities on Nasdaq inadvisable or unwarranted. In that regard, the Panel advises us that it is a requirement during the five consecutive trading days afterexception period we give AGS aprovide prompt notification of any significant events that occur during this time that may affect our compliance with Nasdaq requirements. This includes, but is not limited to, prompt advance notice of an advanceany event that may call into question our ability to meet the terms of funds (an “Advance”) under the REF (the “Pricing Period”). “VWAP” generally means, as of any date,exception granted.

Notice Regarding Failure to Maintain Minimum Bid Price

On January 11, 2023, we received a letter from the daily dollar volume weighted averagestaff indicating that, based upon the closing bid price of our common stock as reported by Bloomberg, L.P. or comparable financial news service.  The amount of an Advance will automatically be reduced by 50% if on any day during the Pricing Period, the VWAP for that day does not meet or exceed 85% of the VWAP for the five tradinglast 30 consecutive business days, priorwe were not in compliance with the requirement to the notice of Advance (the “Floor Price”).

The REF does not prohibit us from raising additional debt or equity financings, other than financings similar to the REF.
Our ability to require AGS to purchase our common stock is subject to various conditions and limitations. The maximum amount of each Advance is 100% of the average daily trading volume for the five days immediately preceding the notice of Advance, as reported by Bloomberg or comparable financial news service (the “Maximum Advance Amount”).  In addition, unless AGS agrees otherwise,maintain a minimum bid price of five calendar days must elapse between each$1.00 per share for continued listing under the Price Rule.

The notice of Advance.

Before AGS is obligated to buy any shareshad no immediate effect on the listing of our common stock, pursuantand our common stock continues to trade on The Nasdaq Capital Market under the symbol “INVO.”

In accordance with Nasdaq Listing Rule 5810(c)(3)(A), we were provided an initial period of 180 calendar days, or until July 10, 2023, to regain compliance with the minimum bid price requirement. If at any time before July 10, 2023, the closing bid price of our common stock closed at or above $1.00 per share for a minimum of 10 consecutive business days, Nasdaq would provide written notification that we have achieved compliance with the minimum bid price requirement, and the matter would be resolved. If we did not regain compliance prior to July 10, 2023, then Nasdaq may grant us a second 180 calendar day period to regain compliance, provided we (i) meet the continued listing requirement for market value of publicly-held shares and all other initial listing standards for The Nasdaq Capital Market, other than the minimum closing bid price requirement, and (ii) notify Nasdaq of its intent to cure the deficiency within such second 180 calendar day period, by effecting a reverse stock split, if necessary.

We were unable to regain compliance by July 10, 2023 and accordingly on July 11, 2023, we received a notice from Staff of Advance,Nasdaq that, based upon our non-compliance with the following conditions, noneminimum bid price requirement set forth in the Price Rule. We presented our plan to regain compliance with the minimum bid price requirement at our hearing with the Panel on July 6, 2023.

On July 27, 2023, we received a letter from the Panel under which they granted our request for continued listing of whichNasdaq subject to us demonstrating compliance with the Equity Rule and the Price Rule on or before September 29. 2023. The Panel reserves the right to reconsider the terms of this exception based on any event, condition or circumstance that exists or develops that would, in the opinion of the Panel, make continued listing of our securities on Nasdaq inadvisable or unwarranted. In that regard, the Panel advises us that it is a requirement during the exception period we provide prompt notification of any significant events that occur during this time that may affect our compliance with Nasdaq requirements. This includes, but is not limited to, prompt advance notice of any event that may call into question our ability to meet the terms of the exception granted.

Available Information

Our principal executive offices 5582 Broadcast Court Sarasota, Florida 34240 and our telephone number is (978) 878-9505.

Our common stock trades on the Nasdaq Capital Market under the symbol “INVO”.

Our principal internet address is www.invobio.com. Information contained on, or that can be accessed through, our website, is not, and shall not be deemed to be, incorporated in AGS’s control, must be met:

this prospectus supplement or considered a part thereof. We make available free of charge on www.invobio.com our annual, quarterly and current reports, and amendments to those reports, as soon as reasonably practicable after we electronically file such material with, or furnish it to, the SEC. The SEC maintains an Internet site that contains reports, proxy and information statements, and other information regarding issuers that file electronically with the SEC at www.sec.gov.

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·  The Registration Statement (which includes this prospectus) shall have previously become effective and shall remain effective in accordance with and subject to the terms of the registration rights agreement.

THE OFFERING

·  Securities Offered by usWe shall have obtained all permits

Up to a maximum of 1,585,000 Units, each consisting of one share of common stock and qualifications required by any applicable statetwo warrants, each to purchase one share of common stock at an assumed public offering price of $4.59 per Unit.

The Units will not be certificated or issued in accordance with the registration rights agreement for the offer and sale of thestand-alone form. The shares of common stock or shall have(or Pre-Funded Warrants) and the availabilitywarrants comprising the Units are immediately separable upon issuance and will be issued separately in this offering.

Warrants offered by usWarrants, each to purchase one share of exemptions there from. The saleour common stock, which will be exercisable during the period commencing on the date of their issuance and ending years from such date at an exercise price per share of common stock equal to 100% of the public offering price per Unit in this offering. This prospectus also relates to the issuance of the shares of our common stock shallissuable upon exercise of such warrants
Pre-funded warrants offered by us

We are also offering to investors in Units that would otherwise result in the investor’s beneficial ownership exceeding 4.99% of our outstanding common stock immediately following the consummation of this offering the opportunity to invest in Units consisting of one Pre-Funded Warrant to purchase one share of common stock in lieu of one share of common stock and two warrants. Subject to limited exceptions, a holder of Pre-Funded Warrants will not have the right to exercise any portion of its Pre-Funded Warrant if the holder, together with its affiliates, would beneficially own in excess of 4.99% (or, at the election of the holder, such limit may be legally permittedincreased to up to 9.99%) of the common stock outstanding immediately after giving effect to such exercise. Each Pre-Funded Warrant will be exercisable for one share of common stock. The purchase price of each Unit including a Pre-Funded Warrant will be equal to the price per Unit including one share of common stock, minus $0.01, and the exercise price of each Pre-Funded Warrant will equal $0.01 per share. The Pre-Funded Warrants will be immediately exercisable (subject to the beneficial ownership cap) and may be exercised at any time in perpetuity until all of the Pre-Funded Warrants are exercised in full.

For each Unit we sell that includes a Pre-Funded Warrant we sell, the number of Units that include a share of common stock we are offering will be decreased on a one-for-one basis.
This prospectus also relates to the issuance of the shares of our common stock issuable upon exercise of the Pre-Funded Warrants. To better understand the terms of the Pre-Funded Warrants, you should carefully read the “Description of Securities” section of this prospectus. You should also read the form of Pre-Funded Warrant, which is filed as an exhibit to the registration statement of this prospectus forms a part.
Best Efforts OfferingWe have agreed to offer and sell the Units offered hereby directly to the purchasers. We have retained Maxim Group LLC to act as our exclusive placement agent to use its reasonable best efforts to solicit offers to purchase the securities offered by all lawsthis prospectus. The Placement Agent is not required to buy or sell any specific number or dollar amount of the securities offered hereby. See “Plan of Distribution” section beginning on page 43 for more information.
Assumed public offering price$4.59 per Unit, which is the assumed public offering price and regulationsthe closing price of our common stock on Nasdaq on July 28, 2023
Common stock to be outstanding immediately after this offering2,428,267 shares assuming that the maximum number of Units offered hereby are sold (and assuming no sale of Units that include Pre-Funded Warrants).
Placement Agent Warrants

We have agreed to issue to the Placement Agent, warrants (the “Placement Agent Warrants”) to purchase a number of common stock equal to 7.0% of the Units sold in this offering. The Placement Agent Warrants will have an exercise price equal to 110.0% of the offering price of the Units sold in this offering and may be exercised on a cashless basis. The Placement Agent Warrants are exercisable commencing on a date which is the later of (i) one hundred eighty days from the effective date of the registration statement for this offering of which this prospectus forms a part and (ii) the date on which we file an amendment to our articles of incorporation to increase the number of authorized shares of our common stock and will terminate five (5) years after such date. The Placement Agent Warrants are subject.not redeemable by us. We have agreed to one demand registration at our expense, an additional demand registration at the warrant holders’ expense, and unlimited “piggyback” registration rights of the common stock underlying the Placement Agent Warrants at our expense for a period of five (5) years after the closing of this offering. The Placement Agent Warrants and the shares underlying the Placement Agent Warrants have been deemed compensation by FINRA and are therefore subject to a 180-day lock-up pursuant to Rule 5110(e)(1) of FINRA. See “Plan of Distribution” for additional information regarding the Placement Agent Warrants.

·  There shall
Use of ProceedsWe estimate that the net proceeds from this offering will be approximately $6.54 million, if the maximum number of Units being offered hereby are sold. after deducting the placement agent fees and estimated offering expenses payable by us.
We intend to utilize (i) up to $2,125,000 of the net proceeds to fund the initial installment of the purchase price required to consummate our acquisition of the Wisconsin Fertility Institute (net of a $350,000 holdback); (ii) $1,000,000 of the net proceeds of this offering to pay Armistice the Armistice Amendment Fee for agreeing to remove the Subsequent Equity Financing Provision from the Armistice SPA; (iii) up to $543,750 to repay our Standard Merchant Advance Agreement with Cedar Advance LLC; (iv) $100,000 to repay that certain 8% Debenture with a maturity date of February 3, 2024 issued to Peak One Opportunity Fund LP plus accrued interest and fees of approximately $7,609; and (v) $39,849 to repay that certain 8% Debenture with a maturity date of February 17, 2024 issued to First Fire Global Opportunities Fund, LLC, plus accrued interest and fees of approximately $3,058. We intend to use the remaining net proceeds from this offering for working capital and general corporate purposes. Additionally, we may use a portion of the proceeds to us for acquisitions of complementary businesses, technologies, or other assets. However, we have no commitments to use the proceeds from this Offering for any such acquisitions or investments at this time. See “Use of Proceeds” for a more complete description of the intended use of proceeds from this offering.
Dividend PolicyThe Company has never declared any cash dividends on its common stock. The Company currently intends to use all available funds and any future earnings for use in financing the growth of its business and does not anticipate paying any cash dividends for the foreseeable future. See “Dividend Policy.”
Trading SymbolOur common stock is currently trading on the Nasdaq Capital Market under the symbol of “INVO.” We do not intend to list the Pre-Funded Warrants or the warrants offered hereby on Nasdaq or any other national securities exchange.
Reverse Stock SplitOn July 28, 2023, we effectuated a 1-for-20 reverse split of our outstanding shares of common stock prior to effectiveness of the registration statement of which this prospectus forms a part. No fractional shares will be any fundamental changesissued in connection with the reverse stock split and all such fractional interests are being be rounded up to the nearest whole number of shares of common stock. The conversion and/or exercise prices of our issued and outstanding convertible securities, including shares issuable upon exercise of outstanding stock options and warrants, and conversion of our outstanding convertible notes will be adjusted accordingly. All information presented in this prospectus assumes a 1-for-20 reverse split of our outstanding shares of common stock (and corresponding proportionate reduction of our authorized shares of common stock), and unless otherwise indicated, all such amounts and corresponding conversion price and/or exercise price data set forth in this prospectus have been adjusted to give effect to the reverse stock split.
Risk FactorsYou should carefully consider the information set forth in this prospectus and, in particular, the Registration Statement which are not already reflected in a post-effective amendment to the Registration Statement.
·  We shall have performed, satisfied and complied in all material respects with all covenants, agreements and conditions required by the REF and the registration rights agreement to be performed, satisfied or complied with by us.
·  No statute, rule, regulation, executive order, decree, ruling or injunction shall have been enacted, entered, promulgated or endorsed by any court or governmental authority of competent jurisdiction that prohibits the consummation of or which would materially modify or delay any of the transactions contemplated by the REF agreement, and no proceeding shall have been commenced that may have the effect of prohibiting the consummation of or materially modify or delay any of the transactions contemplated by the REF.
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·  The common stock is trading on a principal market (as definedspecific factors set forth in the REF, and including the OTC Bulletin Board). The trading“Risk Factors” section beginning on page 7 of the common stock is not suspended by the SECthis prospectus before deciding whether or the principal market. The issuance of shares of common stock with respect to the applicable closing will not violate the shareholder approval requirements of the principal market. We shall not have received any notice threatening the continued quotation of the common stock on the principal market and we shall have no knowledge of any event which would be more likely than not to haveinvest in the effectCompany’s common stock.
Lock-upWe and our directors, officers and holder of causing the common stock to not be trading or quoted on a principal market.
·  
The amount5% of an Advance shall not exceed the Maximum Advance Amount. In no event shall the number of shares issuable to AGS pursuant to an Advance cause the aggregate number of shares of common stock beneficially owned by AGS and its affiliates to exceed 4.99% of the then outstanding sharesmore of our common stock (“Ownership Limitation”). Any portionhave agreed with the not to offer for sale, issue, sell, contract to sell, pledge or otherwise dispose of an Advance that would cause AGS to exceedany of our common stock or securities convertible into common stock for a period of six months after the Ownership Limitation shall automatically be withdrawn. For the purposesdate of this provision, beneficial ownership is calculated in accordance with Section 13(d)prospectus. See “Plan of the Securities Exchange Act of 1934, as amended (the “Exchange Act”).
Distribution” section on page 43.
·  We have no knowledge of any event which would be more likely than not to have the effect of causing such Registration Statement to be suspended or otherwise ineffective at closing.
·  AGS shall have received an Advance notice executed by an officer of ours and the representations contained in such Advance notice shall be true and correct.
There is no guarantee that we will be able to meet the foregoing conditions or any other conditions under the REF or that we will be able to draw down any portion of the amounts available under the REF.

The Registration Statement covers only 8,790,000 shares of common stock under the REF.  The entire share requirement for the full $10 million under the REF would be approximately 32,938,000 based on an assumed VWAP of $0.33 less the 8% discount.  However, we have decided to limit ourselves to 8,790,000 shares available, or $2,668,000, based on current market prices.  If our share price rises, we will be able to draw down in excess of $2,668,000. If we decide to issue more than 8,790,000 shares, we will need to file one or more additional registration statements with the SEC covering those additional shares. 

The REF contains representations and warranties by us and AGS which are typical for transactions of this type.
AGS agreed that during the term of the REF, neither AGS nor any of its affiliates, nor any entity managed or controlled by it, will, or cause or assist any person to, enter into or execute any short sale of any shares of our common stock as defined in Regulation SHO promulgated under the Exchange Act.  The REF also contains a variety of covenants by us which are typical for transactions of this type, as well as the obligation, without the prior written consent of AGS, not to enter into any other agreement similar to the REF with a third party during the term of the REF. 
The REF obligates us to indemnify AGS for certain losses resulting from a misrepresentation or breach of any representation or warranty made by us or breach of any obligation of ours. AGS also indemnifies us for similar matters.
We paid no fees, and are not obligated to pay any fees in the future, to AGS in connection with the REF, other than a due diligence fee of $10,000, all of which has been paid as of the date hereof.
We may terminate the REF effective upon fifteen trading days’ prior written notice to AGS; provided that (i) there are no Advances outstanding, and (ii) we have paid all amounts owed to AGS pursuant to the REF. The obligation of AGS to make an Advance to us pursuant to the REF shall terminate permanently if (i) there shall occur any stop order or suspension of the effectiveness of the Registration Statement for an aggregate of 50 trading days, or (ii) we shall at any time fail materially to comply with certain covenants specified in the REF and such failure is not cured within 30 days after receipt of written notice from AGS, subject to exceptions.
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The issuance of our shares of common stock under the REF will have no effect on the rights or privileges of existing holders of common stock except that the economic and voting interests of each stockholder will be diluted as a result of the issuance of our shares.  Although the number of shares of common stock that stockholders presently own will not decrease, these shares will represent a smaller percentage of our total shares that willto be outstanding immediately after any issuances ofthis offering is based on 843,267 shares of common stock to AGS.  If we draw down amounts under the REF when our share price is decreasing, we will need to issue more shares to raise the same amount than if our stock price was higher.  Such issuances will have a dilutive effectoutstanding as of July 28, 2023 and may further decrease our stock price. An example of the effect of issuing shares when our stock price is comparatively low is set forth below.
Under the REF, the purchase price of the shares to be sold to AGS will be at a discount of 8% from the volume weighted average price of our common stock for each of the five trading days following our election to sell shares to AGS. The table below illustrates an issuance of shares of common stock to AGS under the REF for a hypothetical draw down amount of $50,000 at an assumed volume weighted average price of $0.33, which is equal to the closing price of our common stock on the OTC Bulletin Board on December 11, 2009.
Draw Down        Price to be Paid by  Number of Shares 
Amount  VWAP  % Discount  AGS  to be Issued 
$50,000  $0.33   8%    $0.30   164,690 
By comparison, if the volume weighted average price of our common stock was lower than $0.33, the number of shares that we would be required to issueexcludes:

348,127 shares of common stock issuable upon exercise of outstanding warrants with a weighted average exercise price of $15.11 per share;
121,241 shares of common stock issuable upon exercise of outstanding options with a weighted average exercise price of $42.00 per share;
54,570 shares of common stock issuable upon conversion of outstanding convertible notes with a weighted average exercise price of $10.53 per share;
10,141 shares of common stock reserved for future issuance under the 2019 Stock Incentive Plan;
up to 3,170,000 shares of common stock issuable upon the exercise of the warrants offered hereby; and
up to 332,850 shares of common stock issuable upon the exercise of the Placement Agent Warrants.

Except as otherwise indicated herein, all information in order to have the same draw down amount of $50,000 would be larger, as shown by the following table:

Draw Down        Price to be Paid by  Number of Shares 
Amount  VWAP  % Discount  AGS  to be Issued 
$50,000  $0.30   8%    $0.276   181,160 
Accordingly, the effect of the second example outlined above from the first example outlined above, would be dilution of an additional 16,470 shares issued due to the lower stock price. In effect, a lower price per share of our common stock means a higher number of shares to be issued to AGS, which equates to greater dilution of existing stockholders. The effect of this dilution may, in turn, cause the price of our common stock to decrease further, both because of the downward pressure on the stock price that would be caused by a large number of sales of our shares into the public market by AGS, and because our existing stockholders may disagree with a decision to sell shares to AGS at a time when our stock price is low, and may in response decide to sell additional numbers of shares, further decreasing our stock price.
There is no limit to the number of shares that we may be required to obtain funds from the REF as it is dependent upon our trading volume and share price, which varies from day to day. This also could cause significant downward pressure on the price of our common stock. The following table shows the effect on the number of shares required for an Advance for the value of the full $10 million REF, in the event the common stock price declines by 25%, 50% and 75% from the trading price.
     Price Decreases By 
  12/11/2009   25%   50%   75% 
VWAP during the Purchase Period (as defined above)         $     0.33   $    0.248   $   0.165   $0.083 
Purchase Price (defined above as 92% of the VWAP)  $     0.304   $    0.228   $    0.152   $  0.076 
Number Subject to the REF if 100% of the REF is Executed.  32,938,076   43,917,435   65,876,152   131,752,306 
We entered into the REF with the intention to grow our business, which in turn should increase our value. Because of the nature of the REF it appears unlikely that we will be able to draw down the full $10 million without significant positive value being added as a result of the aggregate draw downs. In addition, as reflected above, if our share price declines significantly and we still desire to draw down on the REF, in addition to having to file oneprospectus reflects or more additional registration statements, we may need to amend our charter to increase our authorized shares of common sock, which is currently 200 million shares.
4

Placement Agent
We engaged Gilford Securities, Inc. (“Gilford”) to act as placement agent on a non-exclusive basis in connection with the REF.  Gilford will receive a cash commission equaling six percent (6%) of the total proceeds received by us from the sale of securities sold to AGS.  In addition, we have issued to Gilford and/or its designees, for a total cost of one dollar, 600,000 shares of our common stock.  If we elect to (and have the ability to) have a closing under the REF on more than $6,000,000, then we shall issue and sell to Gilford and/or its designees, for a total cost of one dollar, an additional 400,000 shares of our common stock.
We agreed to pay all reasonable expenses, not to exceed $10,000, incurred by Gilford in connection with the negotiation, preparation and execution of the definitive documents in connection with the REF, including but not limited to attorneys’ fees and consulting expenses, in two installments.  The first installment of $5,000 was paid in connection with the execution of the definitive documents, and the balance will be due upon the first funding under the REF based on actual expenses.   The placement agent agreement also contains customary mutual indemnification provisions.
assumes:

The Offering
a one-for-twenty reverse stock split of our common stock effected on July 28, 2023.
no exercise of the outstanding options or warrants described above;
 
 no sale of any Pre-Funded Warrants
Common stock offered:
Up to 8,790,000 shares of common stock, $.0001 par value, to be offered for resale by AGS.
Common stock to be outstanding
after this offering:
Approximately 66,800,000 shares.no exercise of the Placement Agent Warrants; and
Use of proceeds:
We will not receive any proceeds from the sale
no exercise of the shares of common stockwarrants offered by AGS. However, we will receive proceeds from the Reserved Equity Financing.  See “Use of Proceeds”.
us in this offering.

Risk factors:
An investment in our common stock involves a high degree of risk. See “Risk Factors” beginning on page 6 of this prospectus.
OTC Bulletin Board symbol:
“IVOB.OB”
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RISK FACTORS

Investing

An investment in the securities offered under this prospectus involves a high degree of risk. You should carefully consider and evaluate all of the information contained in this prospectus and in the documents that we incorporate by reference herein before you decide to invest in our shares of common stock is very risky.  Before making an investment decision,securities. In particular, you should carefully consider alland evaluate the risks and uncertainties described under the heading “Risk Factors” in this prospectus and in the documents incorporated by reference herein. Investors are further advised that the risks described below may not be the only risks we face. Additional risks that we do not yet know of, or that we currently think are immaterial, may also negatively impact our business operations or financial results. Any of the risks described in this prospectus.  If any of the risks discussedand uncertainties set forth in this prospectus actually occur,and in the documents incorporated by reference herein, as updated by annual, quarterly and other reports and documents that we file with the SEC and incorporate by reference into this prospectus, could materially and adversely affect our business, financial condition and results of operations and financial condition, which in turn could be materially and adversely affected,affect the pricevalue of our shares could decline significantly, and you might lose all or a partsecurities.

Risks Related to the Proposed Acquisition of your investment.  The risk factors described below arethe Wisconsin Fertility Institute

Our potential acquisition of the Wisconsin Fertility Institute may not close.

On March 16, 2023, we signed definitive acquisition agreement to acquire the only ones that may affect us.  Our forward-looking statements in this prospectus are alsoWisconsin Fertility Clinic (“WFI”). This transaction is subject to the following risks and uncertainties.  In deciding whether to purchase our shares, you should carefully consider the following factors, among others,certain customary closing conditions, as well as information contained in this prospectus.

Risks Relatingan initial cash payment of approximately $2.5 million less certain assumed liabilities and a holdback. We have not currently secured sufficient funds to Our Company

Our business has posted net operating losses, has limited operating history and our independent certified public accountants have raised doubts aboutmake the initial closing payment which may impact our ability to continue as a going concern.

Forclose the year ended December 31, 2008, our independent auditor issued a report relating to our audited financial statements which contains a qualification with respect to our ability to continue as a going concern because, among other things, our ability to continue as a going concern is dependent upon our ability to generate profits from operations intransaction. In the future or to obtain the necessary financing to meet our obligations and repay our liabilities when they come due. The financial statements do not include any adjustmentsevent that might be necessary if we are unable to continue as a going concern.  

As reflected inconsummate our most recent unaudited condensed consolidated financial statements, we have incurred a net loss for the most recent three months ended September 30, 2009 of $3,409,000 and a cumulative net loss of $6,586,000, a working capital deficiency of $4,677,000, a stockholder deficiency of $4,577,000 and cash used in operations of $673,000 for the nine months ended September 30, 2009.  This raises substantial doubt about our ability to continue as a going concern. The adverse effects of a limited operating history include reduced management visibility into forward sales, marketing costs, and customer acquisition which could lead to missing targets for achievement of profitability.
5

We need additional capital to continue operations; if we do not raise additional capital, we will need to curtail or cease operations.

Since our inception, we have financed our operations primarily through the sale of our common stock and convertible notes and loans from management.  On September 30, 2009, we had $194,405 in cash.  To execute on our business plan successfully, we will need to raise additional money in the future.  Additional financing may not be available on favorable terms, or at all.  The exact amount of funds raised, if any, will determine how quickly we can complete our clinical trials that are required to receive FDA approval to market and sell our products in the United States and how aggressively we can grow our business internationally.  No assurance can be given that we will be able to raise capital when needed or at all, or that such capital, if available, will be on terms acceptable to us.  If we are not able to raise additional capital, we will likely need to curtail or cease operations.  Although we have entered into the REF with AGS, there can be no assurance that we will be successful in raising any capital pursuant to the REF. Other than the REF, we currently have no commitments for funding. If adequate funds are not available when required, we will need to curtail or cease operations.

We are required by the FDA to conduct a clinical trial related to our INVOcell device. As noted above, we need additional capital to undertake the clinical trial.  In addition, the clinical trial may prove unsuccessful.  If unsuccessful, we will not be able to market and sell our product in the United States, which would materially adversely affect our US business.
We are looking to use some of the funds from the REF to conduct a clinical trial related to the INVOcell device. We anticipate thatWisconsin Fertility Institute, it will take nine months and approximately $1,000,000 of funding to complete the data collection on all required subjects, analyze the data, have an independent audit and submit the full 510(k) to the FDA.  The FDA has 90 days to review the submission from INVO Bioscience.  All preclinical data and testing has been completed and reviewed by FDA.  There is no assurance that our clinical trial will be successful.  An unsuccessful trial would affect the marketability in the U.S. of this product in the future and will prevent the receipt of FDA clearance, which would materially adversely affect our business.
Our business is subject to significant competition, including from more established infertility treatments such as IVF.

The infertility industry is highly competitive and characterized by technological improvements.  New artificial reproductive technology (“ART”) services, devices and techniques may be developed that may render obsolete the INVOcell.  Competition in the areas of infertility and ART services is largely based on pregnancy rates and other patient outcomes.  Accordingly, the ability of our business to compete is largely dependent on our ability to achieve adequate pregnancy rates and patient satisfaction levels.  Our business operates in highly competitive areas that are subject to continual change.  New health care providers and medical technology companies entering the market may reduce our market share, patient volume and growth rates.  Additionally, increased competitive pressures may require us to commit more resources to our marketing efforts, thereby increasing our cost structure and affecting our profitability.  There can be no assurance that we will be able to compete effectively nor can there be assurance that additional competitors will not enter the market, or that such competition will not make it more difficult for us to enter into additional contracts with fertility clinics.
We need to manage growth in operations to maximize our potential growth.

In order to maximize potential growth in our current and potential markets, we believe that we must expand the scope of our services in the bioscience industry.  This expansion will place a significant strain on our management and our operational and sales systems.  We expect that we will need to continue to improve our INVO technology, operating procedures and management information systems.  We will also need to effectively train, motivate and manage our employees.  Our failure to manage our growth could disrupt our operations and ultimately prevent us from generating the revenues we expect.

Our internal growth strategy may not be successful which may result in a negative impact on our growth, financial condition, results of operations and cash flow.

One of our strategies is to grow internally through increasing the customers we target.  However, many obstacles to this expansion exist, including, but not limited to, increased competition from similar businesses, unexpected costs, costs associated with marketing efforts and maintaining a strong client base.  Therefore, we cannot assure you that we will be able to successfully overcome such obstacles and establish our services in any additional markets.  Our inability to implement this internal growth strategy successfully may have a negative impact on our growth, future financial condition, results of operations or cash flows.

Our products incorporate intellectual property rights developed by us that may be difficult to protect or may be found to infringe on the rights of others.

While we currently own four patents, there can be no assurance that any of these patents will not be challenged, invalidated or circumvented, or that any rights granted under these patents will in fact provide competitive advantages to us.  The United States, European Union and other jurisdictions could place restrictions on the patentability of medical devices. Any limitations on the patentability of medical devices may materially adversely affect our business.  We utilize a combination of trade secrets, confidentiality policies, non-disclosure and other contractual arrangements in addition to relying on patent, copyright and trademark laws to protect our intellectual property rights.  However, these measures may not be adequate to prevent or deter infringement or other misappropriation.  Moreover, we may not be able to detect unauthorized use or take appropriate and timely steps to establish and enforce our proprietary rights.  In fact, existing laws of some countries in which we conduct business or intend to conduct business offer only limited protection of our intellectual property rights, if at all.  As the number of market entrants as well as the complexity of the technology increases, the possibility of functional overlap and inadvertent infringement of intellectual property rights also increases.  Our limited capital resources could put us at a disadvantage if we are required to take legal action to enforce our intellectual property rights.
6

We must defend our intellectual property rights from infringement through extensive legal action.

Third parties may assert in the future claims against us alleging that we infringe their intellectual property rights.  Defending such claims may be expensive, time consuming and divert the efforts of our management and/or technical personnel.   As a   result of litigation, we could be required to pay damages and other compensation, develop non-infringing products or enter   into royalty or licensing agreements.  However, we cannot be certain that any such licenses, if available at all, will be available to us on commercially reasonable terms.
We face potential liability as a provider of a medical device.  These risks may be heightened in the area of artificial reproduction.

The provision of medical devices entails the substantial risk of potential claims of tort injury claims.  We do not engage in the practice of medicine or assume responsibility for compliance with regulatory requirements directly applicable to physicians.  Although we currently maintain product liability insurance that we believe is adequate as to risk and amount, successful claims could exceed the limits of our insurance and could have a material adverse effect on our business, financial condition and results of operation. In addition, on July 7, 2023 we entered into closing agreements with the Clinic under which we agreed to complete the closing of the acquisition by July 31, 2023 which closing agreements further provide that unless a new closing date is agreed to in writing the acquisition agreements would automatically terminate if the closing does not occur on or operating results.  Moreover, there canbefore July 31, 2023. The parties have agreed in principle to extend the closing date of the acquisition to August 10, 2023 and we expect to have executed written amendments to the closing agreements to memorialize such agreement prior to the closing of this offering.

We may not be no assuranceable to successfully integrate the Wisconsin Fertility Institute into INVO Bioscience and achieve the benefits expected to result from the acquisition.

The proposed acquisition of the Wisconsin Fertility Institute may present challenges to management, including the integration of the operations, and personnel of INVO Bioscience and the Wisconsin Fertility Institute and special risks, including possible unanticipated liabilities, unanticipated integration costs and diversion of management attention.

We cannot assure you that we will besuccessfully integrate or profitably manage WFI’s business. Even if we are able to obtain such insurance on commercially reasonable terms inintegrate and profitably manage WFI’s business, we cannot assure you that, following the futuretransaction, our business will achieve sales levels, profitability, efficiencies or synergies that justify the acquisition or that the acquisition will result in increased earnings for us in any such insurance will provide adequate coverage against potential claims.  In addition, a claim asserted against us could be costly to defend, could consume management resources and could adversely affectfuture period.

If we close our reputation and business, regardlessacquisition of the merit or eventual outcomeWisconsin Fertility Institute and fail to make the required $7.5 million in additional payments, our business would be adversely affected.

Following closing of such claim.


Thereour pending acquisition of the Wisconsin Fertility Institute, if consummated, we would be required to make additional payments of approximately $7.5 million, which payments are inherent risks specificsecured the sellers having a lien on the assets purchased to acquire Wisconsin Fertility Institute. If we default on our additional payment obligations to the provision of infertility and ART services.  For example, the long-term effects on womensellers of the administration of fertility medication, integralWisconsin Fertility Institute, such sellers could exercise their rights and remedies under acquisition agreements, which could include seizing the assets sold to most infertility and ART services, are of concernus to certain physicians and others who fearacquire the medication may prove to be carcinogenic or cause other medical problems.  Currently, fertility medication is critical to most infertility and ART services and a ban by the FDA or foreign regulatory or other limitation on its useWisconsin Fertility Institute. Any such action would have a material adverse effect on our business.

business and prospects.

We may incur debt financing to provide the cash proceeds necessary to acquire the Wisconsin Fertility Institute. If we were unable to service any such debt, our business would be adversely affected.

In order to finance our proposed acquisition of the Wisconsin Fertility Institute, we may look to secure debt financing. Any such debt financing would likely require us to pledge all or substantially all of our assets as collateral. If we were unable to any such debt obligation and fail to maintain adequate quality standards for our products, our business maypay such debt obligations in a timely fashion, we would be adversely affectedin default under such debt financing agreement and our reputation harmed.

Our customers are expecting that our products will perform as we claim.  Our manufacturing companiessuch lender could exercise its rights and packaging processes will be relied up on heavily.  A failure to sustain the specified quality requirementsremedies under such debt financing agreements, which could result in the loss of demand for our products.  Delays or quality lapses in our outsourced production lines could result in substantial economic losses to us.  Although we believe that our continued focus on quality throughout the Company adequately addresses these risks, there can be no assurance that we will not experience occasional or systemic quality lapses in our outsourced manufacturing and service operations.  We have limited manufacturing capabilities, and if our manufacturing capabilities are insufficient to produce an adequate supply of products at appropriate quality levels, our growth could be limited and our business could be harmed.  If we experience significant or prolonged quality problems, our business and reputation may be harmed, which may result in the loss of customers, our inability to participate in future customer product opportunities and reduced revenue and earnings.

We depend on our key management personnel and the loss of their services could adversely affect our business.

We place substantial reliance upon the efforts and abilitiesinclude seizing all of our executive officers, Kathleen Karloff and Claude Ranoux.  The loss of the services of our executive officers couldassets. Any such action would have a material adverse effect on our business operations, revenuesand prospects.

-7-

Risks Related to Our Need for Additional Capital

We will need to raise additional funding, which may not be available on acceptable terms, or prospects.  at all. Failure to obtain this necessary capital when needed may force us to delay, limit or terminate operations.

We do not maintain key man life insurance on the lives of these individuals.

Currency exchange fluctuations may affect the results ofexpect that our operations.

We intend to distribute our INVOcell product throughout the world.  We intend to transact our international sales in U.S. dollars, and European, Latin American and Asian currencies.  Our results of operations thuscurrent cash position will be affected by fluctuations in currency exchange rates.  Although we may insufficient to fund our current operations for the future enter into foreign currency exchange forward contracts from time to time to reduce our risk related to currency exchange fluctuation, our results of operations might still be impacted by foreign currency exchange rates.  Becausenext 12 months and we do not anticipate that we will hedge against allhave sufficient funds to consummate our acquisition of our foreign currency exposure, our business will continue to be susceptible to foreign currency fluctuations.

We are subject to risks in connection with changes in international, national and local economic and market conditions because of global developments.

the Wisconsin Fertility Institute. Our business is subject to risks in connection with changes in international, national and local economic and market conditions because of global developments.  Beyond the risks of doing business internationally, there is also the potential impact of changes in the international, national and local economic and market conditionsoperating plan may change as a result of global developments, includingmany factors currently unknown to us, and we may need to seek additional funds sooner than planned, through public or private equity or debt financings, government or other third-party funding or a combination of these approaches. Raising funds in the effects of global financial crisis, effects of terrorist acts and war on terrorism, U.S. and Canadian presence in Iraq and Afghanistan, potential conflictcurrent economic environment may present additional challenges. Even if we believe we have sufficient funds for our current or crisis in North Koreafuture operating plans, we may seek additional capital if market conditions are favorable or Middle East and current global credit crisis, negatively affecting infertile couples’if we have specific strategic considerations.

Any additional fundraising efforts may divert our management from their day-to-day activities, which may adversely affect our ability to pay for fertility treatment arounddevelop and commercialize our product candidates. In addition, we cannot guarantee that future financing will be available in sufficient amounts or on terms acceptable to us, if at all. Moreover, the world.

7

International sales are expected to account for a significant partany financing may adversely affect the holdings or the rights of our revenue especiallystockholders and the issuance of additional securities, whether equity or debt, by us, or the possibility of such issuance, may cause the market price of our shares to decline. The sale of additional equity or convertible securities may dilute our existing stockholders. The incurrence of indebtedness would result in the ensuing period beforeincreased fixed payment obligations and we obtain FDA clearance, if ever.may be required to agree to certain restrictive covenants, such as limitations on our ability to incur additional debt, limitations on our ability to acquire, sell or license intellectual property rights and other operating restrictions that could adversely impact our ability to conduct our business. We will experience additional risks associatedcould also be required to seek funds through arrangements with these sales including:
• political and economic instability;
• export controls;
• changes in legal and regulatory requirements;
• United States and foreign government policy changes affecting the markets for our products; and
• changes in tax laws and tariffs.
Anycollaborative partners or otherwise at an earlier stage than otherwise would be desirable and we may be required to relinquish rights to some of these factors couldour technologies or product candidates or otherwise agree to terms unfavorable to us, any of which may have a material adverse effect on our business, operating results of operations and financial condition.  We sell our products in certain international markets mainly through independent distributors.  If a distributor fails to meet annual sales goals, it may be difficult and costly to locate an acceptable substitute distributor.  If a change in our distributors becomes necessary, we may experience increased costs, as well as a substantial disruption in operations and a resulting loss of revenue.

We are subject to significant regulation by the government and other regulatory authorities.

Our business is heavily regulated in the United States and internationally.  In addition to the FDA, various other federal, state and local regulations also apply.  If we fail to comply with FDA or other regulatory requirements, we could be subjected to civil and criminal penalties, or even required to suspend or cease operations.  Any such actions could severely curtail our sales.   In addition, more restrictive laws, regulations or interpretations could be adopted, which could make compliance more difficult or expensive or otherwise adversely affect our business.  We devote substantial resources to complying with laws and regulations; however, the possibility cannot be eliminated that interpretations of existing laws and regulations will result in findings that we have not complied with significant existing regulations.  Such a finding could materially harm our business.   Moreover, healthcare reform is continually under consideration by regulators, and we do not know how laws and regulations will change in the future.

Changes in the healthcare industry may require us to decrease the selling price for our products or could result in a reduction in the size of the market for our products, each of which could have a negative impact on our financial performance.
Trends in managed care, healthcare cost containment and other changes in government and private sector initiatives in the U.S. and other countries in which we do business could place increased emphasis on the delivery of more cost-effective medical therapies, which could work in our favor unless more cost-effective devices become available, which could adversely affect the sale and/or the prices of our products.  There are proposed and existing laws and regulations in domestic and international markets regulating pricing and profitability of companies in the healthcare industry.  There have been initiatives by third-party payers to challenge the prices charged for medical products, which could affect our ability to sell products on a competitive basis in the future.  There has been a consolidation among healthcare facilities and purchasers of medical devices in the U.S. who prefer to limit the number of suppliers from whom they purchase medical products, and these entities may decide to stop purchasing our products or demand discounts on our prices.  Both the pressure to reduce prices for our products in response to these trends and the decrease in the size of the market because of these trends could adversely affect our levels of revenues and profitability of sales, which could have a material adverse effect on our business.
We are subject to the reporting requirements of U.S. federal securities laws, which can be expensive.

We are subject to the information and reporting requirements of the Exchange Act and other federal securities laws, including compliance with the Sarbanes-Oxley Act.  The costs of preparing and filing annual and quarterly reports, proxy statements and other information with the SEC and furnishing audited financial statements to stockholders will cause our expenses to be higher than they would be if we had remained privately-held.  In addition, it may be time consuming, difficult and costly for us to develop and implement the internal controls and reporting procedures required by the Sarbanes-Oxley Act.   We may need to hire additional financial reporting, internal controls and other finance personnel in order to develop and implement appropriate internal controls and reporting procedures.  prospects.

If we are unable to comply withobtain funding on a timely basis, we may be required to significantly curtail, delay or be unable to expand our operations or otherwise capitalize on our business opportunities, as desired, which could materially affect our business, financial condition and results of operations.

Even if we can raise additional funding, we may be required to do so on terms that are dilutive to you.

The capital markets have been unpredictable in the internal controls requirementspast for unprofitable companies such as ours. In addition, it is generally difficult for development stage companies to raise capital under current market conditions. The amount of the Sarbanes-Oxley Act,capital that a company such as ours is able to raise often depends on variables that are beyond our control. As a result, we may not be able to obtainsecure financing on terms attractive to us, or at all. If we are able to consummate a financing arrangement, the independent accountant certificationsamount raised may not be sufficient to meet our future needs. If adequate funds are not available on acceptable terms, or at all, our business, including our results of operations, financial condition and our continued viability will be materially adversely affected.

Risks Related to this Offering and Ownership of Shares of our Common Stock

This is a reasonable best efforts offering, in which no minimum number or dollar amount of securities is required to be sold, and we may not raise the amount of capital we believe is required for our business plans.

The Placement Agent has agreed to use its reasonable best efforts to solicit offers to purchase the securities in this offering. The Placement Agent has no obligation to buy any of the securities from us or to arrange for the purchase or sale of any specific number or dollar amount of the securities. There is no required minimum number of securities that must be sold as a condition to completion of this offering, and there can be no assurance that the offering contemplated hereby will ultimately be consummated. Even if we sell securities offered hereby, because there is no minimum offering amount required as a condition to the closing of this offering, the actual offering amount is not presently determinable and may be substantially less than the maximum amount set forth on the cover page. We may sell fewer than all of the securities offered hereby, which may significantly reduce the amount of proceeds received by us. Thus, we may not raise the Sarbanes-Oxley Act.amount of capital we believe is required for our operations in the short-term and may need to raise additional funds, which may not be available or available on terms acceptable to us.

-8-

Public company compliance may make it more difficult to attract and retain officers and directors.

The Sarbanes-Oxley Act and new rules subsequently implemented bysecurities sold in this Offering, as well as the SEC have required changes in corporate governance practicesresale of public companies.  As a public entity, we expect these rules and regulations to increase compliance costs and to make certain activities more time consuming and costly.  As a public entity, we also expect that these new rules and regulations may make it more difficult and expensive for us to obtain director and officer liability insurancethose securities in the future, and it may be required to accept reduced policy limits and coverage or incur substantially higher costs to obtain the same or similar coverage.  Aswill constitute a result, it may be more difficult for us to attract and retain qualified persons to serve as directors or as executive officers.

Risks Related to the REF and our common stock

We are registering an aggregate of 8,790,000 shares of common stock to be issued underin the REF.public markets. The sale ofsales or the perception that such sharessales could occur, could depress the market price of our common stock.
We are registering an aggregate of 8,790,000 shares of common stock underand/or increase the registration statementvolatility of which this prospectus formsour trading.

Sales of a part for issuancesubstantial number of our shares of common stock in the public markets pursuant to the REF. The saleterms of these shares intothis Offering, or the public market by AGSperception that such sales could occur, could depress the market price of our common stock.  As of September 30, 2009, there were 55,247,833 shares of our common stock issued and outstanding.


Assuming we are ableimpair our ability to utilizeraise capital through the maximum amount available under the REF, existing shareholders could experience substantial dilution upon the issuance of common stock.
Our REF contemplates the potential future issuance and sale of up to $10 million of our common stock to AGS subject to certain conditions and limitations. The following table is an example of theadditional equity securities. A substantial number of shares that could be issued at various prices assuming we utilize the maximum amount available under the REF. These examples assume issuances at a market price of $0.33 per share and at 5%,10%, 25% and 50% below  the discounted $0.30 per share. The following table should be read in conjunction with the footnotes immediately following the table.
              
Percent below market price as of 12/11/09
  
Price per share (1)
  
Number of shares issuable (2)
  
Shares outstanding  (3)
  
Percent of
outstanding shares (4)
 
 5%  .288   34,671,659   92,674,422   37%
 10%  .273   36,597,863   94,600,626   39%
 25%  .228   43,917,435   101,920,198   43%
 50%  .152   65,876,153   123,878,916   53%
(1)Represents purchase prices equal to 92% of $0.33 and potential reductions thereof of 5%, 10%, 25% and 50%.
(2)Represents the number of shares issuable if the entire $10 million under the REF were drawn down at the indicated purchase prices.
(3)Based on 58,002,763 shares of common stock outstanding at December 11, 2009.
(4)Percentage of the total outstanding shares of common stock after the issuance of the shares indicated, without considering any contractual restriction on the number of shares the selling shareholder may own at any point in time or other restrictions on the number of shares we may issue.
We may not have access to the full amount under the REF.

The REF provides that the dollar value that we will be permitted to raise from AGS (subject to the conditions and limitations described elsewhere in this prospectus) for each draw down will be 100% of the average daily volume on the OTC Bulletin Board for the five trading days prior to the notice of Advance, multiplied by the average of the five-day VWAP subsequent to the date of our election to sell shares to AGS.  During the nine months ended September 30, 2009, the average market price of our common stock was $0.64 and the average trading volume per day was 127,000. There is no assurance that the market price and/or trading volume of our common stock will be maintained or will increase substantially in the near future.  Assuming we will maintainare being offered by this prospectus. In addition to depressing the market price of our common stock, at $0.33, aftersuch sales could also greatly increased the 8% discount we will need to issue 32,938,076 shares of common stock to AGS in order to have access tovolatility associated with the full amount under the REF.
AGS will pay less than the then-prevailing market price for our common stock.

The common stock to be issued to AGS pursuant to the REF will be purchased at an 8% discount to the VWAP of the common stock during the five consecutive trading days immediately following the date of our notice to AGSstock. We cannot predict the number of our election to sellthese shares pursuant tothat might be sold nor the REF. AGS has a financial incentive to sell our common stock immediately upon receiving the shares to realize the profit equal to the difference between the discounted price and the market price. If AGS sells the shares, the priceeffect that future sales of our common stock could decrease. If our stock price decreases, AGS may have a further incentive to sell the shares of our common stock that it holds. These sales may put further downward pressure on our stock price.

Our shares of common stock are very thinly traded, and the price may not reflect our value; there can be no assurance that there will be an active market for our shares now or in the future.

We have a trading symbol for our common stock ("IVOB”), which permits our shares to be quoted on the OTC Bulletin Board, which is a quotation medium for subscribing members, not an issuer listing service.  However, our shares of common stock are very thinly traded, andwould have on the market price if traded, may not reflect our value.  There can be no assurance that there will be an active market forof our shares of common stock.

Our stock either now or in the future.  The market liquidity will be dependent on the perception of our operating business and any steps that our management might take to bring us to the awareness of investors.  There can be no assurances that there will be any awareness generated.  Consequently, investors may not be able to liquidate their investment or liquidate it at a price that reflects the value of the business.  If a more active market should develop, the price may be highly volatile.  Because there may bevolatile following this Offering.

Historically, following an offering of a lowsubstantial number of a company’s securities, the volatility related to the market price of such securities increases. An increase in the volatility or fluctuations in the market price for our shares of common stock, many brokerage firms may not be willing to effect transactions in our securities.  Even if an investor finds a broker willing to effect a transaction inadversely affect the sharestrading price of our common stock,stock.

Due to the combinationamount of brokerage commissions, transfer fees, taxes, if any, and any other selling costs may exceed the selling price.  Further, many lending institutionssecurities being offered, it is possible that a change of control could occur.

Prior to this offering, we will not permit the use of suchhave 843,267 shares of common stock as collateral for any loans.

The market for penny stocks has experienced numerous fraudsone share of common stock and abuses, which could adversely affecttwo warrants, each to purchase one share of common stock. While we have provided investors in our stock.

We believe thatwho would own more than 4.99% (or, at the market for penny stocks has suffered from patternselection of fraud and abuse.  Such patterns include:
o  control of the market for the security by one or a few broker-dealers;
o  manipulation of prices through prearranged matching of purchases and sales and false and misleading statements made by parties unrelated to the issuer;
o  “boiler room" practices involving high pressure sales tactics and unrealistic price projections by inexperienced sales persons;
o  excessive and undisclosed bid-ask differentials and markups by selling broker-dealers; and
o  wholesale dumping of the same securities by promoters and broker-dealers after prices have been manipulated to a desired level, along with the inevitable collapse of those prices with consequent investor losses.
We believe that many of these abuses have occurred with respect to the promotion of low price stock companies that lacked experienced management, adequate financial resources, an adequate business plan and/or marketable and successful business or product.

Our controlling stockholders may take actions that conflict with your interests.

Certain of our officers and directors beneficially own approximately 54.1%holder, 9.99%) of our outstanding shares of common stock asimmediately following the consummation of this offering, the opportunity to purchase, if the purchaser so chooses, Units consisting of one Pre-Funded Warrant to purchase one share of common stock, (in lieu of one share of common stock) and two warrants, each to purchase one share of common stock, and have also included blockers in the warrants to prevent a holder from exercising the warrant if such exercise would cause the investor to own more than 4.99% (or, at the election of the date hereof.  Our officers and directors will be ableholder, 9.99%) of our outstanding shares of common stock immediately following exercise to prevent and/or limit a change of control, an investor could immediately exercise the Pre-Funded Warrants and/or waive the blocker provision. Accordingly, an investor could purchase a sufficient amount of securities to cause a change of control. Any such investor causing a change of control could take actions which could result in such stockholder having the ability to exercise a significant level of control over all matters requiring stockholder approval, including the election of directors, amendment of our certificatearticles of incorporation and approval of significant corporate transactions,transactions. Such stockholder could have different views than current management on our business plan and they willstrategy, which could have significanta material adverse effect on our operations and financial position. Further, this control over our management and policies.  The directors elected by these stockholders will be able to influence decisions affecting our capital structure significantly.  This control maycould have the effect of delaying or preventing changes in controlmanagement and will make the approval of certain transactions difficult or changesimpossible without the support of this stockholder.

Assuming that we are able to sell the maximum number of Units in management, or limitingthis offering, we expect that the abilityconsummation of this offering could cause the price of our other stockholdersCommon Stocks to approvedecline.

In this offering, are offering up to 1,585,000 Units at an assumed price per Unit $4.59. Assuming that we are able to sell the maximum number of Units offered hereby (and assuming the sale of no Units that include Pre-Funded Warrants), immediately following the completion of the offering, based on the number of shares outstanding as of July 28, 2023, we will have 2,428,267 shares of common stock outstanding. We cannot predict the effect, if any, that market sales of those shares of common stock or the availability of those shares of common stock for sale will have on the market price of our common stock.

The shares of common stock included in the Units offered in the offering may be resold in the public market immediately without restriction, unless purchased by our “affiliates” as that term is defined in Rule 144 under the Securities Act, which may be resold only if registered under the Securities Act or in accordance with the requirements of Rule 144 or another applicable exemption from the registration requirements of the Securities Act. Shares of common stock held by our directors and executive officers will be subject to the lock-up agreements described in the “Plan of Distribution” section of this prospectus. If, after the period during which such lock-up agreements restrict sales of our common stock or if the Placement Agent waives the restrictions set forth therein (which may occur at any time), one or more of these securityholders sell substantial amounts of common stock in the public market, or the market perceives that such sales may occur, the market price of our common stock and our ability to raise capital through an issue of equity securities in the future could be adversely affected.

We will have broad discretion in the use of the net proceeds from this offering and may fail to apply these proceeds effectively.

Our management will have broad discretion in the application of the net proceeds of this offering, including using the proceeds to conduct operations, expand the Company’s business lines and for general working capital. The Company may also use the net proceeds of this offering to acquire or invest in complementary businesses, products, or technologies, or to obtain the right to use such complementary technologies. We have no commitments with respect to any acquisition or investment; however, we seek opportunities and transactions that they may deem to be in their best interest.  For example, our controlling stockholdersmanagement believes will be ableadvantageous to control the saleCompany and its operations or prospects. We cannot specify with certainty the actual uses of the net proceeds of this offering. You may not agree with the manner in which our management chooses to allocate and spend the net proceeds. We may invest the net proceeds from this offering in a manner that does not produce income or that loses value. The failure by our management to apply these funds effectively could harm our business, financial condition and results of operations.

There is no public market for the warrants or the Pre-Funded Warrants being offered in this offering.

There is no established public trading market for the warrants or the Pre-Funded Warrants being offered in this offering, and we do not expect a market to develop. In addition, we do not intend to apply to list the warrants or the Pre-Funded Warrants on any national securities exchange or other dispositionnationally recognized trading system, including The NASDAQ Capital Market. Without an active market, the liquidity of the warrants and the Pre-Funded Warrants will be limited.

Holders of our operating businesseswarrants and subsidiariesour Pre-Funded Warrants will have no rights as a common stockholder until they acquire our common stock.

Until you acquire shares of our common stock upon exercise of the warrants or Pre-Funded Warrants, you will have no rights with respect to another entity.shares of our common stock issuable upon exercise of such warrants or Pre-Funded Warrants. Upon exercise of your warrants or Pre-Funded Warrants, you will be entitled to exercise the rights of a common stockholder only as to matters for which the record date occurs after the exercise date.

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The warrants are speculative in nature.

The warrants offered hereby merely represent the right to acquire shares of common stock at a fixed price. Specifically, commencing on the date of issuance, holders of the warrants may acquire the common stock issuable upon exercise of such warrants at an assumed exercise price of $4.59 per share. Moreover, following this offering, the market value of the warrants is uncertain and there can be no assurance that the market value of the warrants will equal or exceed their public offering price. There can be no assurance that the market price of the common stock will ever equal or exceed the exercise price of the warrants and consequently, whether it will ever be profitable for holders of the warrants to exercise the warrants.

The Pre-Funded Warrants are speculative in nature.

The Pre-Funded Warrants do not confer any rights of common stock ownership on their respective holders, such as voting rights or the right to receive dividends, but rather merely represent the right to acquire shares of common stock at a fixed price. Commencing on the date of issuance, holders of the Pre-Funded Warrants may exercise their right to acquire the common stock and pay the stated exercise price per share.

You will experience immediate and substantial dilution as a result of this offering and may experience additional dilution in the future.

If you purchase Units in this offering, the value of the shares of common stock included in the Units based on our actual book value will immediately be less than the price you paid. This reduction in the value of your equity is known as dilution. This dilution occurs in large part because our existing stockholders paid less than the assumed public offering price when they acquired their shares of common stock. Based upon the issuance and sale of 1,585,000 Units by us in this offering at an assumed public offering price of $4.59 per Unit, you will incur immediate dilution of $3.14 in the net tangible book value per share of common stock. For more information, see “Dilution.”

The market price for our common stock is particularly volatile given our status as a relatively unknown company with a small and thinly traded public float, limited operating history and lack of revenues,profits, which could lead to wide fluctuations in our share price.  The price at which you purchase our common stock may not be indicative of the price that will prevail in the trading market.


The market for our common stock is characterized by significant price volatility when compared to seasoned issuers,the shares of larger, more established companies that have large public floats, and we expect that our share price will continue to be more volatile than a seasoned issuerthe shares of such larger, more established companies for the indefinite future.  In fact,future, although such fluctuations may not reflect a material change to our financial condition or operations during the period from January 1, 2009 until September 30, 2009, the high and low sale prices of a share of our common stock were $0.05 and $5.50, respectively. Theany such period. Such volatility in our share price iscan be attributable to a number of factors. First, as noted above, our common stock is, compared to the shares of our common stock aresuch larger, more established companies, sporadically and/orand thinly traded.  As a consequence of this lack of liquidity, the trading of relatively small quantities of shares by our shareholders may disproportionately influence the price of those shares in either direction. The price for our sharescommon stock could, for example, decline precipitously in the event that a large number of shares of our common stockshares are sold on the market without commensurate demand, as compared to a seasoned issuer which could better absorb those sales without adverse impact on its share price.


demand. Secondly, we are a speculative or “risky” investment due to our limited operating history and lack of meaningful revenues and profits to date, and uncertainty of future market acceptance for our products and services.date. As a consequence of this enhanced risk, more risk-adverse investors may, under the fear of losing all or most of their investment in the event of negative news or lack of progress, be more inclined to sell their shares on the market more quickly and at greater discounts than would be the case with the stock of a seasoned issuer.

You may be unable to sell your common stock at or above your purchase price, which may result in substantial losses to you.

The following factors may add to the volatility in the price of our common stock: uncertainty regarding the amount and price of sales of our common stock to AGS under the REF; actual or anticipated variations in our quarterly or annual operating results; government regulations, announcements of significant acquisitions, strategic partnerships or joint ventures; our capital commitments; and additions or departures of our key personnel.larger, more established company that has a large public float. Many of these factors are beyond our control and may decrease the market price of our common stock regardless of our operating performance.

In addition to being highly volatile, our common stock could be subject to wide fluctuations in response to a number of factors that are beyond our control, including, but not limited to:

variations in our revenues and operating expenses;
actual or anticipated changes in the estimates of our operating results or changes in stock market analyst recommendations regarding our common stock, other comparable companies or our industry generally;
market conditions in our industry, the industries of our customers and the economy as a whole;
actual or expected changes in our growth rates or our competitors’ growth rates;
developments in the financial markets and worldwide or regional economies;
announcements of innovations or new products or services by us or our competitors;

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announcements by the government relating to regulations that govern our industry;
sales of our common stock or other securities by us or in the open market;
changes in the market valuations of other comparable companies; and
other events or factors, many of which are beyond our control, including those resulting from such events, or the prospect of such events, including war, terrorism and other international conflicts, public health issues including health epidemics or pandemics, such as the COVID-19 pandemic, and natural disasters such as fire, hurricanes, earthquakes, tornados or other adverse weather and climate conditions, whether occurring in the United States or elsewhere, could disrupt our operations, disrupt the operations of our suppliers or result in political or economic instability.

In addition, if the market for healthcare stocks or the stock market in general experiences loss of investor confidence, the trading price of our common stock could decline for reasons unrelated to our business, financial condition or operating results. The trading price of our shares might also decline in reaction to events that affect other companies in our industry, even if these events do not directly affect us. Each of these factors, among others, could harm the value of our common stock. In the past, following periods of volatility in the market, securities class-action litigation has often been instituted against companies. Such litigation, if instituted against us, could result in substantial costs and diversion of management’s attention and resources, which could materially and adversely affect our business, operating results and financial condition.

We cannothave been notified by Nasdaq of our failure to comply with certain continued listing requirements and, if we are unable to regain compliance with all applicable continued listing requirements and standards of Nasdaq, our common stock could be delisted from Nasdaq. Additionally, if Nasdaq does not grant us an extension or if a favorable decision is not obtained from a hearings panel, or the Panel, after the hearing, our common stock would be delisted from Nasdaq.

Our common stock is currently listed on Nasdaq. In order to maintain that listing, we must satisfy minimum financial and other continued listing requirements and standards, including those regarding director independence and independent committee requirements, minimum stockholders’ equity, minimum share price, and certain corporate governance requirements.

On November 23, 2022, we received notice from The Nasdaq Stock Market LLC (“Nasdaq”) advising us that we were not in compliance with the minimum stockholders’ equity requirement for continued listing on The Nasdaq Capital Market. Nasdaq Listing Rule 5550(b)(1) (the “Equity Rule”) requires companies listed on The Nasdaq Capital Market to maintain stockholders’ equity of at least $2,500,000 (the “Stockholders’ Equity Requirement”). In our Quarterly Report on Form 10-Q for the quarter ended September 30, 2022, we reported stockholders’ equity of $1,287,224, which is below the Stockholders’ Equity Requirement for continued listing. Additionally, as of the date of the notice, we did not meet either of the alternative Nasdaq continued listing standards under the Nasdaq Listing Rules, market value of listed securities of at least $35 million, or net income of $500,000 from continuing operations in the most recently completed fiscal year, or in two of the three most recently completed fiscal years.

The Notice had no immediate effect on the listing of our common stock and our common stock continues to trade on The Nasdaq Capital Market under the symbol “INVO” subject to our compliance with the other continued listing requirements.

Pursuant to the notice, Nasdaq gave us 45 calendar days, or until January 7, 2023, to submit to Nasdaq a plan to regain compliance. We submitted our plan within the prescribed time and, on January 18, 2023, we received a letter from Nasdaq stating that based on our submission that Nasdaq had determined to grant us an extension of time to regain compliance with the Equity Rule until May 22, 2023.

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On May 23, 2023, we were notified by the Listing Qualifications department (the “Staff”) of Nasdaq that, based upon the Company’s non-compliance with the $2.5 million stockholders’ equity requirement for continued listing on The Nasdaq Global Market, as set forth in the Equity Rule, as of May 22, 2023, the Company’s common stock was subject to delisting from Nasdaq unless the Company timely requested a hearing before the Nasdaq Hearings Panel (the “Panel”).

We requested a hearing before the Panel, which stayed any further action by Nasdaq at least until the hearing process was concluded and any extension that may be granted by the Panel has expired.

On July 6, 2023, we had our hearing before the Panel at which time we provided the Panel our plan to regain compliance under the Equity Rule.

On July 27, 2023, we received a letter from the Panel under which they granted our request for continued listing of Nasdaq subject to us demonstrating compliance with the Equity Rule as well as Nasdaq Listing Rule 5550(a)(2) (to maintain a minimum bid price of $1; the “Price Rule”) on or before September 29. 2023. The Panel reserves the right to reconsider the terms of this exception based on any event, condition or circumstance that exists or develops that would, in the opinion of the Panel, make continued listing of our securities on Nasdaq inadvisable or unwarranted. In that regard, the Panel advises us that it is a requirement during the exception period we provide prompt notification of any predictionssignificant events that occur during this time that may affect our compliance with Nasdaq requirements. This includes, but is not limited to, prompt advance notice of any event that may call into question our ability to meet the terms of the exception granted.

In addition, on January 11, 2023, we received a letter from the Staff indicating that, based upon the closing bid price of our common stock for the last 30 consecutive business days, we were not in compliance with the requirement to maintain a minimum bid price of $1.00 per share for continued listing under the Price Rule.

In accordance with Nasdaq Listing Rule 5810(c)(3)(A), we were provided an initial period of 180 calendar days, or projectionsuntil July 10, 2023, to regain compliance with the minimum bid price requirement. If at any time before July 10, 2023, the closing bid price of our common stock closed at or above $1.00 per share for a minimum of 10 consecutive business days, Nasdaq would provide written notification that we have achieved compliance with the minimum bid price requirement, and the matter would be resolved. If we did not regain compliance prior to July 10, 2023, then Nasdaq may grant us a second 180 calendar day period to regain compliance, provided we (i) meets the continued listing requirement for market value of publicly-held shares and all other initial listing standards for The Nasdaq Capital Market, other than the minimum closing bid price requirement, and (ii) notify Nasdaq of its intent to cure the deficiency within such second 180 calendar day period, by effecting a reverse stock split, if necessary.

We were unable to regain compliance by July 10, 2023 and accordingly on July 11, 2023, we received a notice from Staff of Nasdaq that, based upon our non-compliance with the Price Rule. We presented our plan to regain compliance with the minimum bid price requirement at our hearing with the Panel on July 6, 2023.

On July 27, 2023, we received a letter from the Panel under which they granted our request for continued listing of Nasdaq subject to us demonstrating compliance with the Equity Rule and the Price Rule on or before September 29. 2023. The Panel reserves the right to reconsider the terms of this exception based on any event, condition or circumstance that exists or develops that would, in the opinion of the Panel, make continued listing of our securities on Nasdaq inadvisable or unwarranted. In that regard, the Panel advises us that it is a requirement during the exception period we provide prompt notification of any significant events that occur during this time that may affect our compliance with Nasdaq requirements. This includes, but is not limited to, prompt advance notice of any event that may call into question our ability to meet the terms of the exception granted.

In the event that our common stock is delisted from Nasdaq, as a result of our failure to whatcomply with either the prevailingStockholders’ Equity Requirement or the Minimum Bid Price Requirement, or as a result of Nasdaq not granting us an extension or the Panel not granting us a favorable decision, or due to our failure to continue to comply with any other requirement for continued listing on Nasdaq, and is not eligible for listing on another exchange, trading in the shares of our common stock could be conducted in the over-the-counter market or on an electronic bulletin board established for unlisted securities such as the Pink Sheets or the OTC Bulletin Board. In such event, it could become more difficult to dispose of, or obtain accurate price quotations for, our common stock, willand it would likely be at any time, including asmore difficult to whetherobtain coverage by securities analysts and the news media, which could cause the price of our common stock will sustain itsto decline further. Also, it may be difficult for us to raise additional capital if we are not listed on a national exchange.

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In the event that our Common Stock is delisted from Nasdaq, U.S. broker-dealers may be discouraged from effecting transactions in shares of our Common Stock because they may be considered penny stocks and thus be subject to the penny stock rules.

The SEC has adopted a number of rules to regulate “penny stock” that restricts transactions involving stock which is deemed to be penny stock. Such rules include Rules 3a51-l, 15g-l, 15g-2, 15g-3, 15g-4, 15g-5, 15g-6, 15g-7, and 15g-9 under the Exchange Act. These rules may have the effect of reducing the liquidity of penny stocks. “Penny stocks” generally are equity securities with a price of less than $5.00 per share (other than securities registered on certain national securities exchanges or quoted on Nasdaq if current price and volume information with respect to transactions in such securities is provided by the exchange or system). Our shares have in the past constituted, and may again in the future constitute, “penny stock” within the meaning of the rules. The additional sales practice and disclosure requirements imposed upon U.S. broker-dealers for sales of penny stocks may discourage such broker-dealers from effecting transactions in shares of our Common Stock, which could severely limit the market price,liquidity of such shares and impede their sale in the secondary market.

A U.S. broker-dealer selling penny stock to anyone other than an established customer or as“accredited investor” (generally, an individual with a net worth in excess of $1,000,000 or an annual income exceeding $200,000, or $300,000 together with his or her spouse) must make a special suitability determination for the purchaser and must receive the purchaser’s written consent to what effect that the transaction prior to sale, of sharesunless the broker-dealer or the availabilitytransaction is otherwise exempt. In addition, the “penny stock” regulations require the U.S. broker-dealer to deliver, prior to any transaction involving a “penny stock”, a disclosure schedule prepared in accordance with SEC standards relating to the “penny stock” market, unless the broker-dealer or the transaction is otherwise exempt. A U.S. broker-dealer is also required to disclose commissions payable to the U.S. broker-dealer and the registered representative and current quotations for the securities. Finally, a U.S. broker-dealer is required to submit monthly statements disclosing recent price information with respect to the “penny stock” held in a customer’s account and information with respect to the limited market in “penny stocks”.

Stockholders should be aware that, according to the SEC, the market for “penny stocks” has suffered in recent years from patterns of fraud and abuse. Such patterns include: (i) control of the market for the security by one or a few broker-dealers that are often related to the promoter or issuer; (ii) manipulation of prices through prearranged matching of purchases and sales and false and misleading press releases; (iii) “boiler room” practices involving high-pressure sales tactics and unrealistic price projections by inexperienced sales persons; (iv) excessive and undisclosed bid-ask differentials and markups by selling broker-dealers; and (v) the wholesale dumping of the same securities by promoters and broker-dealers after prices have been manipulated to a desired level, resulting in investor losses. Our management is aware of the abuses that have occurred historically in the penny stock market. Although we do not expect to be in a position to dictate the behavior of the market or of broker-dealers who participate in the market, management will strive within the confines of practical limitations to prevent the described patterns from being established with respect to our securities.

You may experience future dilution as a result of future equity offerings and other issuances of our common stock for sale at any time will have on the prevailing market price.

Shares eligible for future sale by our current shareholderscommon stock or other securities may adversely affect our common stock price.

To date,

In order to raise additional capital, we have had a limited trading volumemay in the future offer additional shares of our common stock.  As longstock or other securities convertible into or exchangeable for our common stock at prices that may not be the same as the price per share in this condition continues,offering. We may not be able to sell shares or other securities in any other offering at a price per share that is equal to or greater than the saleprice per share paid by the investor in this offering, and investors purchasing shares or other securities in the future could have rights superior to existing stockholders. The price per share at which we sell additional shares of a significant numberour common stock or securities convertible into common stock in future transactions may be higher or lower than the price per share in this offering. You will incur dilution upon exercise of any outstanding stock options, warrants or upon the issuance of shares of common stock at any particular time could be difficult to achieve at the market prices prevailing immediately before such shares are offered.under our stock incentive programs. In addition, the sale of shares in this offering and any future sales of a substantial amountsnumber of shares of our common stock including shares issued uponin the exercise of outstanding options and warrants, under SEC Rule 144public market, or otherwisethe perception that such sales may occur, could adversely affect the price of our common stock. We cannot predict the effect, if any, that market sales of those shares of common stock or the availability of those shares for sale will have on the market price of our common stock.

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Future sales, or the perception of future sales, by us or our stockholders in the public market could cause the market price of our common stock to decline, and any issuance of additional common stock, or securities convertible into common stock, could dilute common stockholders. We may issue additional common stock, or securities convertible into common stock, pursuant to our shelf registration statement (including our at-the-market facility), upon exercise of outstanding warrants, for additional financing purposes, in connection with strategic transactions such as acquisitions or collaboration agreements, or otherwise, any of which could result in dilution to existing stockholders.

The sale of shares of our common stock in the public market, or the perception that such sales could occur, could harm the prevailing market price of shares of our common stock. These sales, or the possibility that these sales may occur, also might make it more difficult for us to sell equity securities in the future at a time and at a price that we deem appropriate.

Shares of our common stock held by certain other of our stockholders are eligible for resale, subject to volume, manner of sale and other limitations under Rule 144 under the Securities Act (“Rule 144”). By exercising their registration rights and selling a large number of shares, these stockholders could cause the prevailing market price of our common stock to decline.

As restrictions on resale end or if these stockholders exercise their registration rights, the market price of shares of our common stock could drop significantly if the holders of these shares sell them or are perceived by the market as intending to sell them. These factors could also make it more difficult for us to raise additional funds through future offerings of shares of our common stock or other securities.

In addition, the shares of our common stock reserved for future issuance under our equity incentive plans will become eligible for sale in the public market once those shares are issued, subject to provisions relating to various vesting agreements, lock-up agreements and, in some cases, limitations on volume and manner of sale applicable to affiliates under Rule 144, as applicable. We have filed registration statements on Form S-8 under the Securities Act to register shares of our common stock issuable pursuant to our equity incentive plan and our employee stock purchase plan and may in the future file one or more additional registration statements on FormS-8 for the same or similar purposes. Any such Form S-8 registration statements will automatically become effective upon filing. Accordingly, shares registered under such registration statements will be available for sale in the open market.

Substantial future sales of shares of our common stock could cause the market price of our common stock to decline.

We expect that significant additional capital will be needed in the near future to continue our planned operations. Sales of a substantial number of shares of our common stock in the public market, or the perception that these sales might occur, could depress the market price of our common stock and could impair our ability to raise capital at that time through the sale of additional equity securities. We are unable to predict the effect that such sales may have on the prevailing market price of our securities.  On December 11, 2009, approximately 39,500,000 sharesshares.

We have financed our operations, and we expect to continue to finance our operations, acquisitions, if any, and the development of strategic relationships by issuing equity, warrants and/or convertible securities, which could significantly reduce the percentage ownership of our existing stockholders. Further, any additional financing that we secure may require the granting of rights, preferences or privileges senior to, or pari passu with, those of our common stock. Additionally, we may finance strategic alliances and/or acquisitions by issuing our equity or equity-linked securities, which may result in additional dilution. Any issuances by us of equity securities may be at or below the prevailing market price of our common stock became subject to resale under Rule 144 asand in any event may have a result ofdilutive impact on your ownership interest, which could cause the expiration of the one-year period following our filing of the From 8-K reporting our share exchange. Sales of a substantial number of such shares could adversely affect our stock price.


We entered into the REF on October 28, 2009 with AGS. The perceived risk of dilution from salesmarket price of our common stock to decline. We may also raise additional funds through the incurrence of debt or by AGS in connection with the REFissuance or sale of other securities or instruments senior to our shares of common stock. The holders of any securities or instruments we may causeissue may have rights superior to the rights of our holders of our common stockstock. If we experience dilution from issuance of additional securities and we grant superior rights to sell their shares, ornew securities over common stockholders, it may encourage short selling by market participants, whichnegatively impact the trading price of our shares of common stock.

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We could contribute to a declineissue “blank check” preferred stock without stockholder approval with the effect of diluting then current stockholder interests and impairing their voting rights; and provisions in our stock price. The registration rights agreement entered into in connection with the REF requirescharter documents could discourage a takeover that we use commercially reasonable efforts to ensure that the registration statement in connection with the REF remains effective for the termstockholders may consider favorable.

Our Articles of such agreement.  As of the date hereof, we have not drawn down funds and have not issued shares of our common stock under our REF. Our ability to draw down funds and sell shares under the REF requires the continued effectiveness of and the ability to use the registration statement that we filed registering the resale of any shares issuable to AGS under the REF.


Our directors have the right to authorizeIncorporation authorizes the issuance of shares of our“blank check” preferred stock with designations, rights and additional shares of our common stock.

Our directors, within the limitations and restrictions contained in our Articles of Incorporation and without further action by our shareholders, have the authority to issue shares of preferred stockpreferences as may be determined from time to time in one or moreby the Board. The Board is empowered, without stockholder approval, to issue a series and to fix the number of shares and the relative rights, conversion rights, voting rights, and terms of redemption, liquidation preferences and any other preferences, special rights and qualifications of any such series.  While we have no intention of issuing shares of preferred stock atwith dividend, liquidation, conversion, voting or other rights which could dilute the present time, we continue to seek to raise capital throughinterest of, or impair the salevoting power of, our securities and may issue shares of preferred stock in connection with a particular investment.  Anycommon stockholders. The issuance of sharesa series of preferred stock could adversely affectbe used as a method of discouraging, delaying or preventing a change in control. For example, it would be possible for the Board to issue preferred stock with voting or other rights or preferences that could impede the success of holdersany attempt to change control of our common stock.

Should we issue additionalCompany.

We do not intend to pay dividends on shares of our common stock at a later time, each investor’s ownership interest in our stock would be proportionally reduced.  No investor will have any preemptive right to acquire additional shares of our common stock, or any of our other securities.


If we fail to remain current on our reporting requirements, we could be removed from the OTC Bulletin Board, which would limit the ability of broker-dealers to sell our securities and the ability of shareholders to sell their securities in the secondary market.

Companies trading on the OTC Bulletin Board, such as INVO Bioscience, must be reporting issuers under Sections 13 or 15(d) of the Exchange Act, and must be current in their reports under Section 13 of the Exchange Act, in order to maintain price quotation privileges on the OTC Bulletin Board.  If we fail to remain current on our reporting requirements, we could be removed from the OTC Bulletin Board.  As a result, the market liquidity for our securities could be adversely affected by limiting the ability of broker-dealers to sell our securities and the ability of shareholders to sell their securities in the secondary market.

Our common stock is subject to the “penny stock” rules of the SEC, and the trading market in our common stock is limited, which makes transactions in our stock cumbersome and may reduce the investment value of our stock.

Our shares of common stock are “penny stocks” because they are not registered on a national securities exchange or listed on an automated quotation system sponsored by a registered national securities association, pursuant to Rule 3a51-1(a) under the Exchange Act.  For any transaction involving a penny stock, unless exempt, the rules require, among other things:

o  That a broker or dealer approve a person’s account for transactions in penny stocks;
o  That 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;
o  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

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 our common stock and cause a decline in the market value of our 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 quotationsCommon Stock 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.
SPECIAL NOTE REGARDING FORWARD-LOOKING STATEMENTS
This prospectus includes forward-looking statements.  All statements, other than statements of historical fact, contained in this prospectus constitute forward-looking statements.  In some cases, you can identify forward-looking statements by terms such as “may,” “intend,” “might,” “will,” “should,” “could,” “would,” “expect,” “believe,” “estimate,” “anticipate,” “predict,” “project,” “potential,” or the negative of these terms and similar expressions intended to identify forward-looking statements.
Forward-looking statements are based on assumptions and estimates and are subject to risks and uncertainties.  foreseeable future.

We have identified in this prospectus some of the factors that may cause actual results to differ materially from those expressed or assumed in any of our forward-looking statements.  There may be other factors not so identified.  You should not place undue reliance on our forward-looking statements.  As you read this prospectus, you should understand that these statements are not guarantees of performance or results.  Further, any forward-looking statement speaks only as of the date on which it is made and, except as required by law, we undertake no obligation to update any forward-looking statement to reflect events or circumstances after the date on which it is made or to reflect the occurrence of anticipated events or circumstances.  New factors emerge from time to time that may cause our business not to develop as we expect and it is not possible for us to predict all of them.  Factors that may cause actual results to differ materially from those expressed or implied by our forward-looking statements include, but are not limited to, those described under the heading “Risk Factors” beginning on page 6.

USE OF PROCEEDS
We will not receive any proceeds from the sale of common stock offered by AGS pursuant to this prospectus. However, we will receive proceeds from the sale of our common stock to AGS pursuant to the REF. The proceeds from our rights to sell shares pursuant to the REF will be used for working capital and general corporate expenses.

We propose to expend these proceeds as follows:
  
Proceeds if 100%, or 8,790,000 shares, are sold
At an assumed price of $0.304
  Proceeds if 50% of 8,790,000 shares sold 
Gross proceeds $2,669,000  $1,334,500 
Offering expenses:        
  Legal fees  30,000   30,000 
  Accounting and auditing fees  10,000   10,000 
  State securities fees  2,000   2,000 
  Transfer agent fees  10,000   10,000 
  Broker’s fees  160,100   80,100 
         
  Miscellaneous expenses  5,000   5,000 
Total offering expenses  217,100   137,100 
Net proceeds $2,451,900  $1,197,400 

We expect to use the net proceeds, if any, from sales of our common stock to AGS under the REF for working capital needs, including paying accounts payable, notes payable, inventory, FDA medical device clinical trials, as well as accrued but unpaid salaries of our employees.  The amounts and timing of the expenditures will depend on numerous factors, such as the timing and progress of our clinical trial for FDA approval and the competitive environment. As of the date of this prospectus, we cannot specify with certainty all of the particular uses for the net proceeds to us from the sale of shares to AGS. Accordingly, we will retain broad discretion over the use of proceeds.
MARKET FOR COMMON EQUITY AND RELATED SHAREHOLDER MATTERS
Our common stock has been traded on the OTC Bulletin Board since February 17, 2009 under the symbol "IVOB".  Prior to that date, our common stock was traded under the symbol of “EMYS” in the public market on the OTC Bulletin Board as well.  The following table sets forth, for the periods indicated, the high and low bid prices for our common stock on the OTC Bulletin Board. The quotations do not reflect adjustments for retail mark-ups, mark-downs, or commissions and may not necessarily reflect actual transactions.
 
 
 Price
  High  Low
2009       
First Quarter $5.50  $0.40 
Second Quarter $1.01  $0.05 
Third Quarter $0.46  $0.08 
On December 11, 2009 the high and low bid prices of our common stock on the OTC Bulletin Board were $0.33 and $0.31 per share, respectively, and there were approximately 98 holders of record of our common stock with 58,002,763 shares issued and outstanding.

To date, we have never declared or paid any cash dividends on shares of our Common Stock and do not intend to pay any cash dividends in the foreseeable future. We anticipate that we will retain all of our future earnings for use in the development of our business and for general corporate purposes. Any determination to pay dividends in the future will be at the discretion of our Board. Accordingly, investors must rely on sales of their Common Stock after price appreciation, which may never occur, as the only way to realize any future gains on their investments.

USE OF PROCEEDS

We estimate that we will receive net proceeds of approximately $6.54 million if the maximum number of Units being offered are sold, after deducting the Placement Agent fees and estimated offering expenses payable by us.

We intend to utilize (i) up to $2,125,000 of the net proceeds to fund the initial installment of the purchase price required to consummate our acquisition of the Wisconsin Fertility Institute (net of a $350,000 holdback); (ii) $1,000,000 of the net proceeds of this offering to pay Armistice the Armistice Amendment Fee for agreeing to remove the Subsequent Equity Financing Provision from the Armistice SPA; (iii) up to $543,750 to repay our Standard Merchant Advance Agreement with Cedar Advance LLC; (iv) $100,000 to repay that certain 8% Debenture with a maturity date of February 3, 2024 issued to Peak One Opportunity Fund LP, plus accrued interest and fees of approximately $7,609; and (v) $39,849 to repay that certain 8% Debenture with a maturity date of February 17, 2024 issued to First Fire Global Opportunities Fund, LLC, plus accrued interest and fees of approximately $3,058 We intend to use the remaining net proceeds of this offering for general corporate purposes, which could include future acquisitions, capital stock.expenditures and working capital. Pending these uses, we may invest the net proceeds in short-and intermediate-term interest-bearing obligations, investment-grade instruments, certificates of deposit or direct or guaranteed obligations of the United States government.

The expected use of net proceeds from this offering represents our intentions based upon our current plans and business conditions, which could change in the future as our plans and business conditions evolve and change. As a result, our management will retain broad discretion over the allocation of the net proceeds from this offering. See “Risk Factors—Risks Related to this Offering and the Ownership of Our Common Stock— We will have broad discretion in the use of the net proceeds from this offering and may fail to apply these proceeds effectively.”

DIVIDEND POLICY

We have never declared or paid any dividends on our Common Stock. We currently intend to retain all available funds and any future earnings for funding growththe operation and expansion of our business and, therefore, we do not expect to pay anyanticipate declaring or paying dividends in the foreseeable future. The payment of dividends will be at the discretion of our Board and will depend on our results of operations, capital requirements, financial condition, prospects, contractual arrangements, any limitations on payment of dividends present in our future debt agreements, and other factors that our Board may deem relevant.

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CAPITALIZATION

CAPITALIZATION

The following table sets forth our capitalization as of September 30, 2009:


capitalization:

·  on an actual basis; andbasis as of March 31, 2023;
·  as adjustedon a pro forma basis to reflectgive effect to: (a) the saleissuance of 8,790,000115,000 shares of common stock offered by this prospectus,upon the exercise of prefunded warrants at an assumed initialexercise price of $0.304$0.01; (b) repayment of $190,151 of convertible notes; (c) 13,316 shares of common stock issued in consideration for services rendered ; (d) $543,750 cash advance against future receivables; (e) $100,000 in related party demand notes; and (f) 16,250 shares of common stock issued in consideration of a settlement with an unrelated third party; and
on a pro forma as adjusted basis to give effect to: (a) the issuance and sale by us of 1,585,000 Units at an offering price of $4.59 per share,Unit (assuming that no Units that include Pre-Funded Warrants are sold), and (b) the receipt of approximately $6.54 million in net proceeds after deducting the placement agent fees and estimated offering expensescosts payable by us.

This information

You should be read the following table in conjunction with our Management’s Discussion and Analysis or Plan“Use of Operation and our consolidated financial statements and the related notes appearing elsewhere in this prospectus.


We had a net loss of ($4,499,000) for the nine months ended September 30, 2009 and a total net loss of $6,586,000 from January 5, 2007, (inception) through September 30, 2009, included in the accumulated deficit in the table below:
  September 30, 2009   
  Actual  Adjusted   
Capitalization:        
Preferred Stock, $.0001 par value; 100,000,000 shares authorized; no shares issued and outstanding  -   -   
Common Stock, $0.0001 par value; 200,000,000 share authorized; 55,247,833 issued
and outstanding and 66,792,763(1) issued and outstanding as adjusted.
 $2,213,878  $4,665,768  (1) 
Stock subscription receivable  (205,000)  (205,000)  
Accumulated deficit during the development stage  (6,586,312)  (6,586,312)  
 Total Capitalization $(4,577,434) $(2,125,544)  
  (1)  Reflects the sale of the 8,790,000 shares included in this prospectus, at a price of $0.304 per share.

The following consolidated selected financial data as of December 31, 2008 and for the years ended December 31, 2008 and 2007 are derived from our consolidated financial statements. The following selected financial data as of September 30, 2009 is derived from unaudited financial statements that, in our opinion, reflect all adjustments (consisting of normal recurring adjustments) necessary for a fair presentation of the financial position as of such date and results of operations for these periods.  Operating results for the nine-month period ended September 30, 2009 are not necessarily indicative of the results that may be expected for the entire year ending December 31, 2009. The data set forth below should be read in conjunction with our financial statements and notes thereto included elsewhere in this prospectus and withProceeds,” “Management’s Discussion and Analysis of Financial Condition and Results of Operations.Operations, “Description of Securities” and other financial information contained in this prospectus, including the financial statements and related notes appearing elsewhere in this prospectus.

  As of March 31, 2023 
Capitalization in U.S. Dollars Actual  Pro Forma  Pro Forma As Adjusted (1) 
Current Debt                  
Related party demand notes $770,000  $870,000  $870,000 
Convertible notes  740,000   549,849   410,000 
Cash advance  -   543,750   - 
Total debt  1,510,000   1,963,599   1,280,000 
Shareholders’ Equity            
Common stock, $.0001 par value, 6,250,000 authorized, 698,565, 843,267, and 2,428,267 shares issued and outstanding on an actual, pro forma and pro forma as adjusted basis, respectively  70   84   243 
Additional paid-in capital  52,422,808   52,596,545   59,139,166 
Accumulated deficit  (52,334,412)  (52,334,412)  (52,334,412)
             
Total shareholders’ equity  88,466   262,217   6,804,997 
             
Total capitalization $1,598,466  $2,225,816  $8,084,997 

(1)The number of shares of our common stock to be outstanding after this offering is based on 843,267 shares of our common stock outstanding as of July 28, 2023, excludes the following:

59,771 shares of common stock reserved as of March 31, 2023 for future issuance under our 2019 Equity Incentive Plan;
70,628 shares of common stock issuable upon exercise of outstanding options as of March 31, 2023 with a weighted average exercise price of $62.80 per share;
348,127 shares of common stock issuable upon exercise of outstanding warrants as of March 31, 2023 with a weighted average exercise price of $15.11 per share;
73,679 shares of common stock issuable upon conversion of outstanding convertible notes with a weighted average exercise price of $10.54 per share;
up to 332,850 shares of common stock issuable upon the exercise of the Placement Agent Warrants; and
up to 3,170,000 shares of common stock underlying the warrants issued in this offering.

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DILUTION

If you invest in our Units in this offering, your ownership interest will be diluted to the extent of the difference between the assumed offering price per share of our common stock and the as adjusted net tangible book value per share of its common stock immediately after the offering. Historical net tangible book value per share represents the amount of the Company’s total tangible assets less total liabilities, divided by the number of shares of its common stock outstanding.

The historical net tangible book value (deficit) of our common stock as of March 31, 2023 was approximately $(2.8) million or $(4.06) per share based upon shares of common stock outstanding on such date. Historical net tangible book value (deficit) per share represents the amount of its total tangible assets reduced by the amount of its total liabilities, divided by the total number of shares of common stock outstanding.

After giving effect to (a) the issuance of 115,000 shares of common stock upon the exercise of prefunded warrants at an exercise price of $0.01; (b) repayment of $200,000 of convertible notes; (c) 13,316 shares of common stock issued in consideration for services rendered; (d) $543,750 cash advance against future receivables; (e) $100,000 in related party demand notes; and (f) 16,250 shares of common stock issued in consideration of a settlement with an unrelated third party, the Company’s pro forma as adjusted net tangible book value as of March 31, 2023 would have been approximately $(3.0) million or $(3.58) per share.

After giving effect to the Company’s sale of all of the 1,585,000 Units offered in this offering (assuming that no units that include Pre-Funded Warrants are sold) at an assumed public offering price of $4.59 per Unit after deducting estimated placement agent fees and the Company’s estimated offering expenses, the Company’s pro forma as adjusted net tangible book value as of March 31, 2023 would have been approximately $3.5 million or $1.45 per share. This represents an immediate increase in net tangible book value of $5.03 per share to the Company’s existing stockholders, and an immediate dilution in net tangible book value of $3.14 per share to new investors. The following table illustrates this per share dilution:

Assumed public offering price per share     $4.59 
Pro forma net tangible book value per share as of March 31, 2023 $(3.58)    
Increase in net tangible book value per share attributable to new investors in this offering  5.03      
         
Pro forma, as adjusted net tangible book value, after this offering       1.45 
         
Dilution per share to new investors in this offering     $3.14  

The information discussed above is illustrative only, and the dilution information following this offering will be adjusted based on the actual public offering price and other terms of this offering determined at pricing. A $1.00 increase (decrease) in the assumed public offering price of $4.59 per Unit would increase (decrease) the pro forma as adjusted net tangible book value by $0.65 per share and increase (decrease) the dilution to new investors by $0.35 per share, assuming the number of Units offered by us, as set forth on the cover page of this prospectus, remains the same, and after deducting the estimated Placement Agent fees and estimated expenses payable by us. An increase of 100,000 Units offered by it would increase the pro forma as adjusted net tangible book value by $0.12 per share and decrease the dilution to new investors by $0.12 per share, assuming the assumed public offering price of $4.59 per Unit remains the same and after deducting the estimated Placement Agent fees and estimated expenses payable by the Company. Similarly, a decrease of 100,000 Units offered by the Company would decrease the pro forma as adjusted net tangible book value by $0.14 per share and increase the dilution to new investors by $0.14 per share, assuming the assumed public offering price of $4.59 per Unit remains the same and after deducting the estimated Placement Agent fees and estimated expenses payable by us.

The above discussion and table are based on 843,267 shares of common stock issued and outstanding as of July 28, 2023, and excludes the following:

348,127 shares of common stock issuable upon exercise of outstanding warrants with a weighted average exercise price of $15.11 per share;

121,241 shares of common stock issuable upon exercise of outstanding options with a weighted average exercise price of $42.00 per share.

54,570 shares of common stock issuable upon conversion of outstanding convertible notes with a weighted average exercise price of $10.53 per share;

10,141 shares of common stock reserved for future issuance under the 2019 Stock Incentive Plan.
up to 3,170,000 shares of common stock issuable upon the exercise of the warrants offered in this offering and
up to 332,850 shares of common stock issuable upon the exercise of the Placement Agent Warrants

Except as otherwise indicated herein, all information in this prospectus reflects or assumes:

a one-for-twenty reverse stock split of our common stock effected immediately prior to the consummation of this offering;
no exercise of the outstanding options or warrants described above;
no sale of any pre-funded warrants;
no exercise of the Placement Agent Warrants; and
no exercise of the warrants offered by us in this offering.

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  For the Nine  Year  From January 5, 2007 
  Months Ended  Ended  (Inception) to 
  September 30, 2009  December 31, 2008  December 31, 2007 
Revenue:         
Product Revenue $56,298  $37,955  $- 
Cost of Goods Sold:            
Product Costs  30,528   10,088    - 
             
Gross Margin:  25,770   27,907    - 
             
Operating Expenses:            

  Research and development  4,950   51,761   33,350 
  Selling, general and administrative  1,394,592   1,837,606   77,170 
   Total Operating Expenses  1,399,542   1,889,367   210,520 
             
Loss from operations  (1,373,772)  (1,861,460)  (210,520)
             
Other Expenses:            
  Change in fair value of derivative liability
  380,036   -   - 
   Interest and financing expenses  2,745,010   11,945   3,569 
   Total other expenses  3,125,046   11,945   3,569 
             
Loss before income taxes  (4,498,818)  (1,873,405)  (214,089)
             
Provisions for income taxes  -   -   - 
             
Net Loss $(4,498,818) $(1,873,405) $(214,089)
             
Basic and diluted net loss per weighted average shares of common stock $(0.08) $(0.05) $(0.01) 
Basic and diluted Weighted average number of shares of common stock  53,849,481   36,691,176   24,649,031 
MANAGEMENTS

MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

The

You should read the following discussion of our financial condition and results of operations should be read in conjunction with the financial statements and notes thereto, as well as the notes to those statements“Risk Factors” and “Description of Business” sections included elsewhere or incorporated by reference in this prospectus. ThisThe following discussion includescontains forward-looking statements that involve riskreflect our plans, estimates and uncertainties. As a result of many factors, such as those set forth in this prospectus under “Risk Factors,”beliefs. Our actual results maycould differ materially from those anticipateddiscussed in thesethe forward-looking statements.

Factors that could cause or contribute to these differences include those discussed below and elsewhere or incorporated by reference in this prospectus, particularly in “Risk Factors.”

Overview

We are a development stagecommercial-stage fertility company dedicated to expanding the assisted reproductive technology (“ART”) marketplace by making fertility care accessible and inclusive to people around the world. Our primary mission is to implement new medical technologies aimed at increasing the availability of affordable, high-quality, patient-centered fertility care. Our flagship product is INVOcell, a revolutionary medical device that has recently begun to commercialize our provenallows fertilization and patented technology that we believe will revolutionize the treatment of infertility.  Our device, the INVOcell, and the INVO procedure are designed to provide an alternative infertility treatment for the patient and the clinician; it is less expensive and simpler to perform than current infertility treatments.  The simplicity of the INVO procedure relates to the ability to potentially perform the infertility procedure in a physician’s practice rather than in a specialized facility at a much lower cost overall than current infertility treatments, including in vitro fertilization (“IVF”).  Therefore, we believe that the INVO procedure will be available in many more locations than conventional IVF especially outside the United States.  INVO also allows conception andearly embryo development to take place insidein vivo within the woman's body; an attractive feature for most couples.

Our primary focuswoman’s body. This treatment solution is the saleworld’s first intravaginal culture technique for the incubation of oocytes and sperm during fertilization and early embryo development. This technique, designated as “IVC”, provides patients a more connected and intimate experience at a more affordable cost in comparison to in vitro fertilization (“IVF”), the other advanced ART treatment. The IVC procedure can deliver comparable results to IVF and is a significantly more effective treatment than intrauterine insemination.

While the INVOcell remains central to our efforts, our commercialization and corporate development strategy was expanded to focus primarily on providing ART services to the significantly underserved patient population seeking access to affordable fertility treatment. The Company is now largely focused on the opening of dedicated “INVO Centers” offering the INVOcell and IVC procedure (with three centers in North America now operational) and the acquisition of existing IVF clinics, in addition to continuing to distribute and sell our technology solution into existing IVF clinics.

Unlike IVF where the oocytes and sperm develop into embryos in an expensive laboratory incubator, the INVOcell allows fertilization and early embryo development to take place in the woman’s body. This allows for many benefits in the IVC procedure, including:

Eliminates expensive and time-consuming lab procedures, allowing clinics and doctors to increase patient capacity and reduce costs;
Provides a natural, stable incubation environment;
Offers a more personal, intimate experience in creating a baby; and
Reduces the risk of errors and wrong embryo transfers.

In both current utilization of the INVOcell, device and in clinical studies, the INVO technology to assist infertile couples in having a baby.  Our patentedIVC procedure has demonstrated equivalent pregnancy success and proven INVOcell technology is an effective low cost alternative to current treatments.  Along with being offeredlive birth rates as an option in traditional IVF clinics, the INVO technique may be provided in a physician’s office or a small labwhen comparing similar incubation periods and therefore, may be offered by physicians around the world to couples who do not have access to IVF facilities.  INVO uses a device, the INVOcell, which we currently sell to distributors around the world (outside of the U.S.) at prices ranging from $75 to $400.  Currently, we are only authorized to sell the INVOcell device in certain international markets. We do not expect to be able to sell the device in the United States until the first quarter of 2011, assuming we receive the necessary capital to complete our clinical trial and receive FDA clearance by such date.  We are establishing agreements with distributors and beginning to train physicians around the world in places such as South America, Europe, Africa and the Middle East.  While we penetrate the infertility markets in Europe and Canada along with certain developing countries, we anticipate pursuing the completion of the U.S. Federal Food and Drug Administration’s (“FDA”) “510(k)” process.  We have completed the first step for medical device companies who manufacture Class 2 devices and the filing of a Premarket Notification with the FDA (i.e., an FDA 510(k) submission).  Technically, the FDA does not “approve” Class 1 and 2 medical devices for sale in the U.S. they give “clearance” for them to be sold.  We are hoping to receive clearance to market in the U.S. by the end of 2010 upon completion of our clinical trial, which we will commence sometime after the start of funding from our REF with AGS Capital Group, LLC.  However, there can be no assurance that we will receive such clearance by that date or ever.

patient demographics.

Operations

We operate by outsourcing many keywith a core internal team and outsource certain operational functions in the developmentorder to help advance our efforts as well as reduce fixed internal overhead needs and manufacturing of the INVOcell device to keep fixed costs to a minimum.and in-house capital equipment requirements. Our most critical management and leadership functions are carried out by our core management team. We have contracted out the following functions: manufacturing, packaging/assembly, packaging, labeling, and sterilization of the INVOcell device to a certified manufacturer to mold the parts; to a medical manufacturing company to assemble packages and label the product and to a sterilization specialist to perform the gamma sterilization process.

To date, we have completed a series of important steps in the successful development and manufacturing of the INVOcell:

Manufacturing: we are ISO 13485:2016 certified and manage all aspects of production and manufacturing with qualified suppliers. Our key suppliers have been steadfast partners since our company first began and can provide us with virtually an unlimited capability to support our growth objectives, with all manufacturing performed in the New England region of the U.S..

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Raw Materials: all raw materials utilized for the INVOcell are medical grade and commonly used in medical devices (e.g., medical grade silicone, medical grade plastic). Our principal molded component suppliers are well-established companies in the molding industry and are either ISO 13485 or ISO 9001 certified. The molded components are supplied to our contract manufacturer for assembly and packaging of the INVOcell system. The contract manufacturer is ISO 13485 certified, and U.S. Food & Drug Administration (“FDA”) registered.
CE Mark: INVO Bioscience received the CE Mark in October 2019. The CE Mark permits the sale of devices in Europe, Australia and other countries that recognize the CE Mark, subject to local registration requirements.
US Marketing Clearance: the safety and efficacy of the INVOcell has been demonstrated and cleared for marketing and use by the FDA in November 2015.
Clinical: we are actively seeking to expand the labeling on our device, the indication for use, to cover a day 5 incubation period, in addition to the currently approved use of day 3 incubation. This may be accomplished with a prospective clinical study, which we previously designed and had the Institutional Review Board (“IRB”) approve to evaluate the modified INVOcell system for effectiveness of achieving fertilization, implantation, embryo development, clinical pregnancy, and live birth after day 5 continuous vaginal incubation (clinicaltrials.gov identifier: NCT04246268). The objective of this study would be to assess the efficacy, safety, comfort and retention of the INVOcell with the retention device and demonstrate superior efficacy following day 5 vaginal incubation as compared to the current day 3 vaginal incubation indication. As a result of the COVID-19 pandemic, we elected to place the trial on hold, but expect to move it forward with some improved design parameters this year. In the meantime, and as a result of available retrospective, real-market usage (day 5) data, we initiated an effort to pursue a 510(k) filing utilizing retrospective data as a separate effort to achieve our label enhancement. On June 22, 2023, we received U.S. Food and Drug Administration (FDA) 510(k) clearance to expand the labeling on the INVOcell device and its indication for use to provide for a 5-day incubation period. The data supporting the expanded 5-day incubation clearance demonstrated improved patient outcomes.

Market Opportunity

The global ART marketplace is a large, multi-billion industry growing at a strong pace in many parts of the world as increased infertility rates, increased patient awareness, acceptance of treatment options, and improving financial incentives such as insurance and governmental assistance continue to drive demand. According to the European Society for Human Reproduction 2020 ART Fact Sheet, one in six couples worldwide experience infertility problems. Additionally, the worldwide market remains vastly underserved as a high percentage of patients in need of care continue to go untreated each year for many reasons, but key among them are capacity constraints and cost barriers. While there have been large increases in the use of IVF, there are still only approximately 2.6 million ART cycles, including IVF, IUI and other fertility treatments, performed globally each year, producing around 500,000 babies. This expedites productionamounts to less than 3% of the infertile couples worldwide being treated and eliminatesonly 1% having a child though IVF. The industry remains capacity constrained which creates challenges in providing access to care to the volume of patients in need. A survey by “Resolve: The National Infertility Association,” indicates the two main reasons couples do not use IVF is cost and geographical availability (and/or capacity).

In the United States, infertility, according to the American Society of Reproductive Medicine (2017), affects an estimated 10%-15% of the couples of childbearing-age. According to the Centers for Disease Control (“CDC”), there are approximately 6.7 million women with impaired fertility. Based on preliminary 2020 data from CDC’s National ART Surveillance System, approximately 326,000 IVF cycles were performed at 449 IVF centers, leaving the U.S. with a large, underserved patient population, similar to most markets around the world.

We estimate that approximately 200 of the United States IVF clinics are single-location, owner operated, and of these that approximately 80 to 100 clinics represent suitable acquisitions for the Company.

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Competitive Advantages

We believe that the INVOcell, and the IVC procedure it enables, have the following key advantages:

Lower cost than IVF with equivalent efficacy. The IVC procedure can be offered for less than IVF due to lower cost of supplies, labor, capital equipment and general overhead. The laboratory equipment needed to perform an IVF cycle is expensive and requires ongoing costs as compared to what is required for an IVC cycle. As a result, we also believe INVOcell and the IVC procedure enable a clinic and its laboratory to be more efficient as compared to conventional IVF.

The IVC procedure is currently being offered at several IVF clinics at a price range of $5,000 - $11,000 per cycle and from $4,500 to $7,000 at the existing INVO Centers, thereby making it more affordable than IVF (which tends to average $12,000 to $17,000 per cycle or higher).

Improved efficiency providing for greater capacity and improved access to care and geographic availability. In many parts of the world, including the U.S., IVF clinics tend to be concentrated in higher population centers and are often capacity constrained in terms of how many patients a center can treat, since volume is limited by the number of capital-intensive incubators available in IVF clinic labs. With the significant number of untreated patients along with the growing interest and demand for services, the industry remains challenged to provide sufficient access to care and to do so at an economical price. We believe INVOcell and the IVC procedure it enables can play a significant role in helping to address these challenges. According to the 2020 CDC Report, there are approximately 449 IVF centers in the U.S. We estimate that by adopting the INVOcell, IVF clinics can increase fertility cycle volume by up to 30% without adding to personnel, space and/or equipment costs. Our own INVO Centers also address capacity constraints by adding to the overall ART cycle capacity and doing so with comparable efficacy to IVF outcomes as well as at a lower per cycle price. Moreover, we believe that we are uniquely positioned to drive more significant growth in fertility treatment capacity in the future by partnering with existing OB/GYN practices. In the U.S., there are an estimated 5,000 OB/GYN offices, many of which offer fertility services (usually limited to consultation and IUI, but not IVF). Since the IVC procedure requires a much smaller lab facility, less equipment and fewer lab personnel (in comparison to conventional IVF), it could potentially be offered as an extended service in an OB/GYN office. With proper training and a lighter lab infrastructure, the INVOcell could expand the business for these physicians and allow them to treat patients that are unable to afford IVF and provide patients with a more readily accessible, convenient, and cost-effective solution. With our three-pronged strategy (IVF clinics, INVO Centers and OB/GYN practices), in addition to lowering costs, we believe INVOcell and the IVC procedure can address our industry’s key challenges, capacity and cost, by their ability to expand and decentralize treatment and increase the number of points of care for patients in need. This powerful combination of lower cost and added capacity has the potential to open up access to care for underserved patients around the world.

Greater patient involvement. With the IVC procedure, the patient uses their own body for fertilization, incubation, and early embryo development which creates a greater sense of involvement, comfort, and participation. In some cases, this may also free people from barriers related to due to ethical or religious concerns, or fears of laboratory mix-ups.

INVOcell Sales and Marketing

Our approach to market is focused on identifying partners within targeted geographic regions that we believe can best promote support our efforts to expand access to advanced fertility treatment for the large number of underserved infertile people hoping to have a baby. We believe that the INVOcell-based IVC procedure is an effective and affordable treatment option that greatly reduces the need for in-housemore expensive IVF lab facilities and allows providers to pass on related savings to patients without compromising efficacy. We have been cleared to sell the INVOcell in the United States since November 2015 after receiving de novo class II clearance from the FDA. Our primary focus over the past two years has been on establishing INVO Centers in the U.S. and abroad to promote the INVOcell and the IVC procedure and acquiring existing U.S.-based IVF clinics where we can integrate the INVOcell. While we continue selling the INVOcell directly to IVF clinics and via distributors and other partners around the world, we have transitioned INVO from being a medical device company to one that is mostly focused on providing fertility services.

International Distribution Agreements

We have entered into exclusive distribution agreements for a number of international markets. These agreements usually have an initial term with renewal options and require the distributors to meet minimum annual purchases, which vary depending on the market. We are also required to register the product in each market before the distributor can begin importing, a process and timeline that can vary widely depending on the market.

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The following table sets forth a list of our current international distribution agreements:

INVOcell

Registration

MarketDistribution PartnerDateInitial TermStatus in Country
Mexico (a)Positib Fertility, S.A. de C.V.Sept 2020TBD**Completed
MalaysiaiDS Medical SystemsNov 20203-yearCompleted
PakistanGalaxy PharmaDec 20201-yearIn process
ThailandIVF Envimed Co., Ltd.April 20211-yearCompleted
SudanQuality Medicines, Cosmetics & Medical Equipment ImportSept 20201-yearIn process
EthiopiaQuality Medicines, Cosmetics & Medical Equipment ImportSept 20201-yearIn process
UgandaQuality Medicines, Cosmetics & Medical Equipment ImportSept 20201-yearNot required
NigeriaG-Systems LimitedSept 20205-yearCompleted
IranTasnim BehboudDec 20201-yearCompleted
Sri LankaAlsonic LimitedJuly 20211-yearIn process
ChinaOnesky Holdings LimitedMay 20225-yearIn process

(a)Our Mexico JV. Please note that the registration is temporarily in the name of Proveedora de Equipos y Productos, S.A. de C.V. and will be transferred to Positib Fertility as soon as practicable.

Investment in Joint Ventures and Partnerships

As part of our commercialization strategy, we entered into a number of joint ventures and partnerships designed to establish new INVO Centers.

The following table sets forth a list of our current joint venture arrangements:

Affiliate NameCountry

Percent (%)

Ownership

HRCFG INVO, LLCUnited States50%
Bloom Invo, LLCUnited States40%
Positib Fertility, S.A. de C.V.Mexico33%

Alabama JV Agreement

On March 10, 2021, our wholly owned subsidiary, INVO Centers, LLC (“INVO CTR”), entered into a limited liability company agreement with HRCFG, LLC (“HRCFG”) to form a joint venture for the purpose of establishing an INVO Center in Birmingham, Alabama. The name of the joint venture LLC is HRCFG INVO, LLC (the “Alabama JV”). The responsibilities of HRCFG’s principals include providing clinical practice expertise, performing recruitment functions, providing all necessary training, and providing day-to-day management of the clinic. The responsibilities of INVO CTR include providing certain funding to the Alabama JV and providing access to and being the exclusive provider of the INVOcell to the Alabama JV. INVO CTR will also perform all required, industry specific compliance and accreditation functions, and product documentation for product registration.

The Alabama JV opened to patients on August 9, 2021.

The Alabama JV is accounted for using the equity method in our financial statements. As of March 31, 2023 we invested $1.6 million in the Alabama JV in the form of a note. For the three months ended March 31, 2023 and 2022, the Alabama JV recorded net losses of $37 thousand and $110 thousand, respectively, of which we recognized losses from equity method investments of $18 thousand and $55 thousand, respectively.

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Georgia JV Agreement

On June 28, 2021, INVO CTR entered into a limited liability company agreement (the “Bloom Agreement”) with Bloom Fertility, LLC (“Bloom”) to establish a joint venture entity, formed as “Bloom INVO LLC” (the “Georgia JV”), for the purposes of commercializing INVOcell, and the related IVC procedure, through the establishment of an INVO Center, (the “Atlanta Clinic”) in the Atlanta, Georgia metropolitan area.

In consideration for INVO’s commitment to contribute up to $800,000 within the 24-month period following execution of the Bloom Agreement to support the start-up operations of the Georgia JV, the Georgia JV issued 800 of its units to INVO CTR and in consideration for Bloom’s commitment to contribute physician services having an anticipated value of up to $1,200,000 over the course of a 24-month vesting period, the Georgia JV issued 1,200 of its units to Bloom.

The responsibilities of Bloom include providing all medical services required for the operation of the Atlanta Clinic. The responsibilities of INVO CTR include providing certain funding to the Georgia JV, lab services quality management, and providing access to and being the exclusive provider of the INVOcell to the Georgia JV. INVO CTR will also perform all required, industry specific compliance and accreditation functions, and product documentation for product registration.

The Georgia JV opened to patients on September 7, 2021.

The results of the Georgia JV are consolidated in our financial statements. As of March 31, 2023, INVO invested $0.9 million in the Georgia JV in the form of capital equipment expenditures.contributions as well as $0.5 million in the form of a note. For the three months ended March 31, 2023 and 2022, the Georgia JV recorded net losses of $32 thousand and $0.2 million respectively. Noncontrolling interest in the Georgia JV was $0. See Note 3 of the Notes to Consolidated Financial Statements included in Item 1 of this Quarterly Report on Form 10-Q for additional information on the Georgia JV.

Mexico JV Agreement

Effective September 24, 2020, INVO CTR entered into a Pre-Incorporation and Shareholders Agreement with Francisco Arredondo, MD PLLC (“Arredondo”) and Security Health LLC, a Texas limited liability company (“Ramirez”, and together with INVO CTR and Arredondo, the “Shareholders”) under which the Shareholders will commercialize the IVC procedure and offer related medical treatments in Mexico. Each party owns one-third of the Mexican incorporated company, Positib Fertility, S.A. de C.V. (the “Mexico JV”).

The Mexico JV will operate in Monterrey, Nuevo Leon, Mexico and any other cities and places in Mexico as approved by the Mexico JV’s board of directors and Shareholders. In addition, the Shareholders agreed that the Mexico JV will be our exclusive distributor in Mexico. The Shareholders also agreed not to compete directly or indirectly with the Mexico JV in Mexico.

The Mexico JV opened to patients on November 1, 2021.

The Mexico JV is accounted for using the equity method in our financial statements. As of March 31, 2023, INVO invested $0.1 million in the Mexico JV. For the three months ended March 31, 2023, the Mexico JV recorded net losses of $27 thousand and $49 thousand, respectively, of which we recognized a loss from equity method investments of $9 thousand and $16 thousand, respectively.

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Terminated JV Agreements

As of May 15, 2023, the Company’s JV agreements to establish INVO Centers in the Republic of North Macedonia and in the Bay Area of California were terminated due to lack of progress.

Recent Developments

July 2023 Standard Merchant Cash Advance Agreement

On July 19, 2023, we entered into a Standard Merchant Cash Advance Agreement with Cedar Advance LLC (“Cedar”) under which Cedar purchased $543,750 of our receivables for a gross purchase price of $375,000. We anticipatereceived net proceeds of $356,250. If we repay the purchase price within 30-days then the amount payable shall be reduced to $465,000. Until the purchase price has been repaid, we agreed to pay Cedar $19,419.64 per week. In addition, we granted Cedar a security interest in our accounts, including deposit accounts and accounts receivable. We intend to use the proceeds for working capital and general corporate purposes.

Amendment to Armistice SPA

On July 7, 2023, we entered into an Amendment to Securities Purchase Agreement (the “Armistice Amendment”) with Armistice Capital Markets Ltd. to delete Section 4.12(a) of our March 23, 2023 Securities Purchase Agreement (the “Armistice SPA”) with Armistice pursuant to which we agreed that from March 23, 2023 until 45 days after the effective date of the Resale Registration Statement (as defined below) we would not (i) issue, enter into any agreement to issue or announce the issuance or proposed issuance of any shares of Common Stock or Common Stock Equivalents or (ii) file any registration statement or any amendment or supplement thereto, other than the prospectus supplement filed in connection with that offering and the Resale Registration Statement (the “Subsequent Equity Financing Provision”). In consideration of Armistice’s agreement to enter into the Armistice Amendment and delete the Subsequent Equity Financing Provision from the Armistice SPA, we agreed to pay Armistice a fee a $1,000,000 (the “Armistice Amendment Fee”) within two days of the closing of this Offering. Additionally, we agreed to include a proposal in our proxy statement for our 2023 Annual Meeting of Stockholders for the purpose of obtaining the approval of the holders of a majority of our outstanding voting common stock, to effectuate the reduction of the exercise price set forth in Section 2(b) of the Common Stock Purchase Warrants issued to Armistice on March 27, 2023 (the “Existing Warrants”) to the per unit public offering price of this Offering, in accordance with Nasdaq Rule 5635(d) (the “Shareholder Approval”) with the recommendation of our board of directors that such proposal be approved. We also agreed to solicit proxies from our shareholders in connection therewith in the same manner as all other management proposals in such proxy statement and that all management-appointed proxyholders shall vote their proxies in favor of such proposal. Further, if we do not obtain Shareholder Approval at the first meeting, we will experience significant quarterly fluctuationscall a meeting every six (6) months thereafter to seek Shareholder Approval until the earlier of the date Shareholder Approval is obtained or the Existing Warrants are no longer outstanding. Until such approval is obtained, the exercise price of the Existing Warrants will remain unchanged.

Reverse Stock Split

On June 28, 2023, our board of directors approved a reverse stock split of our common stock at a ratio of 1-for-20 and also approved a proportionate decrease in our salesauthorized common stock to 6,250,000 shares from 125,000,000. Pursuant to Nevada Revised Statutes, a company may effect a reverse split without stockholder approval if both the number of authorized shares of common stock and revenuesthe number of outstanding shares of common stock are proportionally reduced as a result of our effortsthe reverse split, the reverse split does not adversely affect any other class of stock of the company, and the company does not pay money or issue scrip to stockholders who would otherwise be entitled to receive a fractional share as a result of the reverse split, We intend to file a certificate of change with the Nevada Secretary of State pursuant to Nevada Revised Statutes 78.209 to (i) decrease the number of authorized shares of common stock from 125,000,000 to 6,250,000 shares and (ii) effectuate a 1-for-20 reverse stock split of the outstanding common stock prior to effectiveness of this registration statement. On July 27, 2023, we received notice from Nasdaq that the reverse split would take effect at the open of business on July 28, 2023 and the reverse stock split took effect on that date.

510(k) FDA Clearance

On June 22, 2023, we received U.S. Food and Drug Administration (FDA) 510(k) clearance to expand the saleslabeling on the INVOcell device and its indication for use to provide for a 5-day incubation period. The data supporting the expanded 5-day incubation clearance demonstrated improved patient outcomes.

March 2023 Registered Direct Offering

On March 23, 2023, INVO entered into a securities purchase agreement (the “March Purchase Agreement”) with a certain institutional investor, pursuant to which the Company agreed to issue and sell to such investor (i) in a registered direct offering (the “RD Offering”), 69,000 shares of Common Stock, and a pre-funded warrant (the “Pre-Funded Warrant”) to purchase up to 115,000 shares of Common Stock, at an exercise price of $0.20 per share, and (ii) in a concurrent private placement (the “March Warrant Placement”), a common stock purchase warrant (the “March Warrant”), exercisable for an aggregate of up to 276,000 shares of Common Stock, at an exercise price of $12.60 per share. The securities to be issued in the RD Offering (priced at the marked under Nasdaq rules) were offered pursuant to the Company’s shelf registration statement on Form S-3 (File 333-255096), initially filed by the Company with the SEC under the Securities Act of 1933, as amended (the “Securities Act”), on April 7, 2021 and declared effective on April 16, 2021. The Pre-Funded Warrant is exercisable upon issuance and will remain exercisable until all of the INVO technology to new markets.  Operating results will depend upon andshares underlying the Pre-Funded Warrant are exercised in full. All Pre-Funded Warrants were exercised by the investor in June 2023.

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The March Warrant (and the shares of Common Stock issuable upon the timingexercise of signingthe Private Warrants) was not registered under the Securities Act and was offered pursuant to an exemption from the registration requirements of new distributor contractsthe Securities Act provided in Section 4(a)(2) of the Securities Act and Rule 506(b) promulgated thereunder. The March Warrant is immediately exercisable upon issuance, will expire eight years from the date of issuance, and in certain circumstances may be exercised on a cashless basis.

On March 27, 2023, the Company closed the RD Offering and March Warrant Placement, raising gross proceeds of approximately $3 million before deducting placement agent fees and other offering expenses payable by the Company. In the event the March Warrant is fully exercised for cash, the Company would receive additional gross proceeds of approximately $3.5 million. The Company used $383,879 in proceeds to repay a portion of the convertible debenture issued in February 2023 and the trainingremainder of the proceeds are being used for working capital and general corporate purposes.

Under the March Purchase Agreement, the Company is required within 30 days of the closing date of the March Warrant Placement to file a registration statement on Form S-1 (the “Resale Registration Statement”) registering the resale of the shares of Common Stock issuable upon the exercise of the March Warrant. The Company is required to use commercially reasonable efforts to cause such registration to become effective within 75 days of the closing date of the offering (or 120 days if the registration statement is subject to a full review by the SEC), and to keep the Resale Registration Statement effective at all times until no shares of Common Stock remain exercisable under the March Warrant.

In addition, pursuant to certain “lock-up” agreements, our officers and directors have agreed, for a period of 180 days from the date of the RD Offering and March Warrant Placement, not to engage in any of the following, whether directly or indirectly, without the consent of the March Purchase Agreement investor: offer to sell, sell, contract to sell pledge, grant, lend, or otherwise transfer or dispose of our common stock or any securities convertible into or exercisable or exchangeable for Common Stock (the “Lock-Up Securities”); enter into any swap or other arrangement that transfers to another, in whole or in part, any of the economic consequences of ownership of the Lock-Up Securities; make any demand for or exercise any right or cause to be filed a registration statement, including any amendments thereto, with respect to the registration of any Lock-Up Securities; enter into any transaction, swap, hedge, or other arrangement relating to any Lock-Up Securities subject to customary exceptions; or publicly disclose the intention to do any of the foregoing.

Execution of Definitive Agreements to Acquire the Wisconsin Fertility Institute

On March 16, 2023, INVO, through Wood Violet Fertility LLC, a Delaware limited liability company (“Wood Violet”) and wholly owned subsidiary of INVO Centers LLC, a Delaware company (“INVO CTR”) wholly owned by INVO, entered into binding purchase agreements to acquire Wisconsin Fertility Institute (“Wisconsin Fertility”) for a combined purchase price of $10 million.

The purchase price is payable in four installments of $2.5 million each (which payments may be offset by assumption of certain Wisconsin Fertility liabilities, payable at closing and on each of the subsequent three anniversaries of closing. The sellers have the option to take all or a portion of the final three installments in shares of INVO common stock par value $0.0001 per share (“Common Stock”) valued at $125.00, $181.80, and $285.80, for the second, third, and final installments, respectively.

On July 7, 2023 Wood Violet entered into closing agreements with the Clinic under which Wood Violet agreed to complete the closing of the acquisition by July 31, 2023 which closing agreements further provide that unless a new closing date is agreed to in writing the acquisition agreements would automatically terminate if the closing does not occur on or before July 31, 2023.

Wood Violet and the Clinic have agreed in principle to extend the closing date of the acquisition to August 10, 2023 and we expect to have executed written amendments to the closing agreements to memorialize such agreement prior to the closing of this offering.

Wisconsin Fertility is comprised of (a) a medical practice, Wisconsin Fertility and Reproductive Surgery Associates, S.C., a Wisconsin professional service corporation d/b/a Wisconsin Fertility Institute (“WFRSA”), and (b) a laboratory services company, Fertility Labs of Wisconsin, LLC, a Wisconsin limited liability company (“FLOW”). WFRSA owns, operates and manages the Clinic’s fertility practice that provides direct treatment to patients focused on fertility, gynecology and obstetrics care and surgical procedures, and employs physicians and their staffsother healthcare providers to deliver such services and procedures. FLOW provides WFRSA with related laboratory services.

Notices from Nasdaq of Failure to Satisfy Continued Listing Rules.

Notice Regarding Non-Compliance with Minimum Stockholders’ Equity

On November 23, 2022, we received notice from The Nasdaq Stock Market LLC (“Nasdaq”) advising us that we were not in compliance with the minimum stockholders’ equity requirement for continued listing on The Nasdaq Capital Market. Nasdaq Listing Rule 5550(b)(1) (the “Equity Rule”) requires companies listed on The Nasdaq Capital Market to maintain stockholders’ equity of at least $2,500,000 (the “Stockholders’ Equity Requirement”). In this Quarterly Report on Form 10-Q, we reported stockholders’ deficit of $16,090, which, although improved from the $977,612 deficit recorded as of December 31, 2022, is below the Stockholders’ Equity Requirement for continued listing. Additionally, we do not meet either of the alternative Nasdaq continued listing standards under the Nasdaq Listing Rules, market value of listed securities of at least $35 million, or net income of $500,000 from continuing operations in the INVO procedure.  International salesmost recently completed fiscal year, or in two of the three most recently completed fiscal years.

The notice had no immediate effect on the listing of our Common Stock and our Common Stock continues to trade on The Nasdaq Capital Market under the symbol “INVO” subject to our compliance with the other continued listing requirements.

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Pursuant to the notice, Nasdaq gave us 45 calendar days, or until January 7, 2023, to submit to Nasdaq a plan to regain compliance We submitted our plan within the prescribed time and, on January 18, 2023, we received a letter from Nasdaq stating that based on our submission that Nasdaq had determined to grant us an extension of time to regain compliance with the Equity Rule until May 22, 2023.

On May 23, 2023, we were notified by the Listing Qualifications department (the “Staff”) of Nasdaq that, based upon the Company’s non-compliance with the $2.5 million stockholders’ equity requirement for continued listing on The Nasdaq Global Market, as set forth in the equity Rule, as of May 22, 2023, the Company’s common stock was subject to delisting from Nasdaq unless the Company timely requested a hearing before the Nasdaq Hearings Panel (the “Panel”).

We requested a hearing before the Panel, which stayed any further action by Nasdaq at least until the hearing process was concluded and any extension that may be granted by the Panel has expired.

On July 6, 2023, we had our hearing before the Panel at which time we provided the Panel our plan to regain compliance under the Equity Rule.

On July 27, 2023, we received a letter from the Panel under which they granted our request for continued listing of Nasdaq subject to us demonstrating compliance with the Equity Rule and Nasdaq Listing Rule 5550(a)(2) (to maintain a minimum bid price of $1; the “Price Rule”) on or before September 29. 2023. The Panel reserves the right to reconsider the terms of this exception based on any event, condition or circumstance that exists or develops that would, in the opinion of the Panel, make continued listing of our securities on Nasdaq inadvisable or unwarranted. In that regard, the Panel advises us that it is a requirement during the exception period we provide prompt notification of any significant events that occur during this time that may affect our compliance with Nasdaq requirements. This includes, but is not limited to, prompt advance notice of any event that may call into question our ability to meet the terms of the exception granted.

Notice Regarding Failure to Maintain Minimum Bid Price

On January 11, 2023, we received a letter from the Staff indicating that, based upon the closing bid price of our Common Stock for the previous 30 consecutive business days, we were not in compliance with the requirement to maintain a minimum bid price of $1.00 per share for continued listing under the Price Rule.

The notice had no immediate effect on the listing of our Common Stock, and our Common Stock will continue to trade on The Nasdaq Capital Market under the symbol “INVO.”

In accordance with Nasdaq Listing Rule 5810(c)(3)(A), we were provided an initial period of 180 calendar days, or until July 10, 2023, to regain compliance with the minimum bid price requirement. If at any time before July 10, 2023, the closing bid price of our Common Stock closed at or above $1.00 per share for a minimum of 10 consecutive business days, Nasdaq would provide written notification that we have achieved compliance with the minimum bid price requirement, and the matter would be resolved. If we did not regain compliance prior to July 10, 2023, then Nasdaq may grant us a second 180 calendar day period to regain compliance, provided we (i) meet the continued listing requirement for market value of publicly-held shares and all other initial listing standards for The Nasdaq Capital Market, other than the minimum closing bid price requirement, and (ii) notify Nasdaq of its intent to cure the deficiency within such second 180 calendar day period, by effecting a reverse stock split, if necessary.

We were unable to regain compliance by July 10, 2023 and accordingly on July 11, 2023, we received a notice from Staff of Nasdaq that, based upon our only sourcenon-compliance with the minimum bid price requirement set forth in the Price Rule. We presented our plan to regain compliance with the minimum bid price requirement at our hearing with the Panel on July 6, 2023.

On July 27, 2023, we received a letter from the Panel under which they granted our request for continued listing of Nasdaq subject to us demonstrating compliance with the Equity Rule and Price Rule on or before September 29, 2023. The Panel reserves the right to reconsider the terms of this exception based on any event, condition or circumstance that exists or develops that would, in the opinion of the Panel, make continued listing of our securities on Nasdaq inadvisable or unwarranted. In that regard, the Panel advises us that it is a requirement during the exception period we provide prompt notification of any significant events that occur during this time that may affect our compliance with Nasdaq requirements. This includes, but is not limited to, prompt advance notice of any event that may call into question our ability to meet the terms of the exception granted.

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Results of Operations

During the first quarter of 2023, we achieved several important developments. Our existing three INVO Centers made steady progress producing record quarterly revenue on a combined basis. We also made important progress toward opening our planned Tampa INVO Center. With respect to our previously announced acquisition strategy, we reached a major milestone by signing binding agreements to acquire Wisconsin Fertility Institute (“WFI”). WFI is a well-established and profitable clinic that would substantially increase the size and scope of our operations. We expect to close the acquisition during August 2023.

Looking ahead, we anticipate opening additional INVO Centers in key domestic, and select international, markets, and pursuing additional acquisitions. With respect to INVO Centers, we have selected an initial list or about 20 markets in the U.S. that we believe are excellent potential locations, and we believe the universe of suitable acquisition targets for INVO exceeds 80 clinics in the U.S. We also continue to work on the expansion of INVOcell distribution into existing fertility clinics.

From a market strategy perspective, our commercialization efforts will continue to focus on the substantial, underserved patient population and on expanding access to advanced fertility treatments. We believe our solutions can help address the key challenges of affordability and capacity to provide care to the vast number of patients that go untreated every year. This represents the major opportunity for INVOcell and the IVC procedure it enables. Despite the COVID pandemic, the fertility industry continues to expand, and we believe our growing volume of partners (both distributors and JV INVO Centers) affords us strong forward-looking opportunities. We believe our INVO Center approach and our plans to implement IVC procedures in acquired clinics can help to add much needed capacity and affordability and aligns with our key mission to open access to care to the underserved patient population.

The ART market also continues to benefit from a number of industry tailwinds, including 1) the large under-served potential patient population, 2) increasing infertility rates around the world 3) growing awareness and education of fertility treatment options, 4) a growing acceptance of fertility treatment, 5) improvements in procedure techniques and hence improvements in pregnancy success rates and 6) generally improving insurance (private and public) reimbursement trends.

Comparison of the Three Months Ended March 31, 2023, and 2022

Revenue

Revenue for the three months ended March 31, 2023, was approximately $348 thousand compared to approximately $163 thousand for the three months ended March 31, 2022. Of the $348 thousand in revenue for the comingfirst three months of 2023, approximately $297 thousand was related to clinic revenue from the consolidated Georgia JV. The increase of approximately $185 thousand, or approximately 114%, was primarily related to increased revenue from the Georgia JV.

Gross Profit

Gross profit for the three months ended March 31, 2023, was approximately $275 thousand compared to approximately $98 thousand for the three months ended March 31, 2022. Gross margins were approximately 79% and 60% for the three months ended March 31, 2023, and 2022, respectively. The gross margin improvement is primarily due to increased efficiencies at the Georgia JV.

Selling, General and Administrative Expenses

Selling, general and administrative expenses for the three months ended March 31, 2023, were approximately $2.5 million compared to approximately $2.7 million for the three months ended March 31, 2022. The decrease of approximately $0.2 million, or approximately 7%, was primarily the result of decreased non-cash, stock-based compensation expense, which was $0.5 million in the period, compared to $0.7 million for the same period in the prior year.

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Research and Development Expenses

We are aware of many significant international opportunities, and we expect international revenuesbegan to continue to grow.  International sales are, however, difficult to forecast.  Subject to having available financial resources, we are committed in our ongoing sales, marketingfund additional research and development activities(“R&D”) efforts in 2020 as part of our 5-day label expansion efforts. R&D expenses were approximately $74 thousand and $104 thousand for the three months ended March 31, 2023, and March 31, 2022, respectively.

Loss from equity investment

Loss from equity investments for the three months ended March 31, 2023, was approximately $27 thousand compared to sustain$71 thousand for the three months ended March 31, 2022. The decrease in loss is due to an increase in revenue in the equity method JV’s and growa decrease in expenses associated with one-time startup costs.

Interest Expense and Financing Fees

Interest expense and financing fees were approximately $217 thousand for the three months ended March 31, 2023, compared to approximately $0.1 thousand for the three months ended March 31, 2022. The expense in 2023 was primarily non-cash and due to the debt discount, debt issuance cost and interest from convertible notes.

Comparison of the years ended December 31, 2022 and 2021

Revenues

Revenue for the years ended December 31, 2022 and 2021 was $0.8 million and $4.2 million, respectively, representing a decrease of $3.4 million, or 80% in the year ended December 31, 2022. The decrease was due to the termination of our salesagreement with Ferring, which resulted in the full recognition, in 2021, of the remaining $3.6 million in deferred revenue related to the Ferring agreement and revenues from our products and services.  

During thewas partially offset by an increase in 2022 clinic revenue. Excluding Ferring, revenue was $0.6 million last year we continuedcompared to market our products$0.8 million this year.

Gross Profit

Gross profit for the years ended December 31, 2022 and 2021 was $0.5 million and $4.0 million, respectively. Gross margin was 60% and 97% for the years ended December 31, 2022 and 2021, respectively. The decrease in strategic markets utilizing our limited resourcesgross margin was attributable to the change in the most economical fashion possible. We focused our efforts on South America and parts of Europerevenue mix as we see these as our best opportunities to introduce the INVO procedure to many willing physicians quickly.  During this period, we reduced our travel and planned trips furtherno longer have license revenue in advance to benefit from travel discounts, which reduced our travel expenses considerably.  We had a presence at the World Congress of Gynecology and Obstetrics held in Cairo, Egypt in October 2009, as we continued to introduce the INVOcell across new regions of the Middle East and Africa.  This annual meeting is the largest infertility conference of physicians in Northern Africa and was felt to be an essential component in gaining name recognition and traction in this part of the world.

The INVOcell is cleared for use within a particular country by its CE mark, but still must undergo a registration process in certain countries because it is a Class II medical device.  In some countries, the process is relatively quick - approximately three to six weeks - while we have discovered in other countries it may take months.  While we are continuing to tend to the needs of the regional health organizations for registering the INVOcell, INVO Bioscience has continued to actively train physicians and teach distributors in the INVOcell technology.  Physicians have demonstrated that their patients would like to see current success rates within their own geographic and cultural areas and therefore we are assisting them in sponsoring clinical marketing trials. As of September 30, 2009, we have the necessary approvals to sell the INVOcell device in the following countries: Canada, Colombia, Guatemala,Belgium, Greece, Bulgaria, Turkey, Poland, Spain, Switzerland, Cyprus, Pakistan, Cameroon, Nigeria, South Africa and India. We have started the registration process in the following countries as well: Peru, Argentina, Venezuela, Egypt, Russia and Taiwan,
Because of the registration process and delays to wait for “local results” in certain geographic and cultural areas, along with limited resources to assist in moving things forward in some countries, revenues were significantly less than anticipated for the quarter.  However, we are starting to receive registration notifications2022, as well as receiving favorable initial local results that willincrease in clinic revenue which has lower percentage margins, but much higher revenue on a per procedure basis and the potential for higher margins on an absolute dollar basis.

Selling, General and Administrative Expenses

Selling, general and administrative expenses for the years ended December 31, 2022 and 2021 were $10.6 million and $9.0 million, respectively, of which $2.2 million and $2.7 million, respectively, was for non-cash, stock-based compensation expense. The increase of approximately $1.6 million or 17% was primarily the result of approximately $1.0 million in increased personnel expense, approximately $0.7 million in increased expenses related to the full-year operations of the consolidated Georgia JV, approximately $0.4 million in increased marketing spend and was partially offset by an approximate $0.3 million decrease in legal and startup costs related to new and potential INVO Centers and an approximate $0.6 million decrease in professional fees.

Research and Development Expenses

We began to fund additional research and development (“R&D”) efforts in 2020 as part of our 5-day label expansion efforts. R&D expenses were $0.5 million and $0.2 million, for the years ended December 31, 2022 and 2021, respectively. The increase of approximately $0.3 million was primarily related to our FDA response efforts on the 5-day label expansion.

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Loss from equity investment

Loss from equity investments for the years ended December 31, 2022 and 2021, was $0.2 million and $0.3, respectively. The decrease in loss is due to the Alabama JV and Mexico JV being in start-up mode and operational for only a portion of 2021.

Other Income

Other income for the years ended December 31, 2022 and 2021, was nil and $0.2 million, respectively. The decrease of $0.2 million was the result of our Paycheck Protection Program note and related interest being forgiven in 2021.

Interest Expense and Financing Fees

Interest expense and financing fees were for the years ended December 31, 2022 and 2021 were $0.1 million and $1.3 million, respectively. The decrease of approximately $1.2 million, or approximately 96%, was primarily due to a decrease in non-cash amortization of discount, debt issuance cost and interest on convertible notes.

Income Taxes

As of December 31, 2022, we had unused federal net operating loss carryforwards (“NOLs”) of $32.8 million. These losses expire in various amounts at varying times beginning in 2027 with a portion carrying on indefinitely. Unless expiration occurs, these NOLs may be used for regional marketing campaigns.   In addition to these developments,offset future taxable income and thereby reduce our income taxes.

We recorded a valuation allowance against our deferred tax assets at December 31, 2022 and 2021 totaling $9.3 million and $6.8 million, respectively.

Liquidity and Capital Resources

For the three months ended March 31, 2023, and 2022, we are continuinghad net losses of approximately $2.6 million and $2.8 million, respectively, and an accumulated deficit of approximately $52.3 million as of March 31, 2023. Approximately $0.9 million of the net loss was related to plan sales and training trips actively.  We believe that we will begin increasing revenues in the future; however, our growth is limited by both the registration processes that we must undertake as well as our limited capital resources, and therefore we anticipate that revenues will continue to be lower than originally anticipatednon-cash expenses for the next few quarters.three months ended March 31, 2023, compared to $0.9 million for the three months ended March 31, 2022. We had negative working capital of approximately $1.6 million as of March 31, 2023, compared to negative working capital of approximately $2.8 million as of December 31, 2022. As of March 31, 2023, we had stockholder’s equity of approximately $88 thousand compared to negative stockholder’s equity of approximately $1.0 million as of December 31, 2022.

For the years ending December 31, 2022, and 2021, we had net losses of approximately $10.9 million and $6.7 million, respectively. The registration process differsincrease in net loss primarily was due to the increase in operating loss resulting from a clinical approval, which the INVOcell hasabsence of license revenue in the form2022 and an increase in operating expenses. Approximately $3.0 million of the CE mark; instead,net loss was related to non-cash expenses for the process is more akinyear ended December 31, 2022, compared to a governmental tracking$4.2 million for the year ended December 31, 2021. We had negative working capital of approximately $2.8 million as of December 31, 2022, compared to monitor what products are sold and used within its borders.

Our most significant challenge in growing our business has been our limited resources.positive working capital of approximately $5.1 million as of December 31, 2021. As of September 30, 2009,December 31, 2022, we generally requirehad negative stockholder’s equity of approximately $175,000 per month$1.0 million compared to positive stockholder’s equity of approximately $7.3 million as of December 31, 2021. Cash used in operations for the year of 2022 was approximately $6.6 million, compared to approximately $6.0 million for the year of 2021.

We have been dependent on raising capital from debt and equity financings to meet our needs for cash required to fund our planned operations.  This amount may increase asoperating expenses and investing activities. During the first three months of 2023, we expandreceived proceeds of approximately $2.7 million for the sale of our salesCommon Stock and marketing efforts$0.7 million in proceeds from the sale of convertible notes. During the first three months of 2022, we received approximately $0.3 million for the sale of Common Stock. Over the next 12 months, our plan includes opening additional INVO Centers, completing the acquisition of Wisconsin Fertility Institute and develop new products and services; however, ifpursuing additional IVF clinic acquisitions. Until we do notcan generate positive cash from operations, we will need to raise additional capital in the near future we will havefunding to curtailmeet our spendingliquidity needs and downsize our operations.  Our cash needs are primarily attributable to funding our clinical trial, sales and marketing efforts, strengthening our training capabilities, satisfying existing obligations and building an administrative infrastructure, including costs and professional fees associated with being a public company. 

We believe we are taking the necessary steps to provide the capital resources we need to execute our business plan and growstrategy. As in the business as expected, including throughpast, we will seek debt and/or equity financing, which may not be available on reasonable terms, if at all.

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Although our audited financial statements for the REF with AGS Capital Group, LLC, although no assurances can be madeyear ended December 31, 2022 were prepared under the assumption that we will be able to draw down onwould continue operations as a going concern, the REF.  We also seek other sources of capital through private placementsreport of our securities. The exact amount of funds raised, if any, will determine how aggressively we can grow and what additional projects we will be able to undertake,independent registered public accounting firm that accompanies our financial statements for the year ended December 31, 2022 contains a going concern qualification in which such as initiating the final required FDA clinical trial.  No assurance can be given that we will be able to raise additional capital when needed.  If we are unable to raise additional capital, we will be required to substantially curtail or cease operations.

Our registered independent certified public accountants have stated in their report dated April 15, 2009, filed with the Company’s Annual Report on Form 10-K that we have a generated negative cash outflows from operating activities, experienced recurring net operating losses, and we are dependent on securing additional equity and debt financing to support our business efforts.  These factors among others raisefirm expressed substantial doubt about our ability to continue as a going concern.
Resultsconcern, based on the financial statements at that time. Specifically, as noted above, we have incurred significant operating losses and we expect to continue to incur significant expenses and operating losses as we continue to ramp up the commercialization of Operations
NineINVOcell and develop new INVO Centers. These prior losses and expected future losses have had, and will continue to have, an adverse effect on our financial condition. If we cannot continue as a going concern, our stockholders would likely lose most or all of their investment in us.

Cash Flows

The following table shows a summary of our cash flows for the three months ended September 30, 2009,March 31, 2023 and 2022:

  2023  2022 
Cash (used in) provided by:        
Operating activities  (1,148,461)  (2,078,119)
Investing activities  (8,447)  (81,890)
Financing activities  3,255,018   315,000 

The following table shows a summary of our cash flows for the year ended December 31:

  2022  2021 
Cash (used in) provided by:        
Operating activities  (6,603,319)  (6,029,914)
Investing activities  (81,217)  (2,153,512)
Financing activities  1,089,800   3,770,537 

Cash Flows from Operating Activities

As of March 31, 2023, we had approximately $2.2 million in cash compared to the nine months ended September 30, 2008

approximately $3.8 million as of March 31, 2022. Net Sales and Revenues
Net sales and revenuecash used in operating activities for the ninefirst three months ending September 30, 2009 were $56,300of 2023 was approximately $1.1 million, compared to no revenueapproximately $2.1 million for the same period in 2008.2022. The increasedecrease in net cash used in operating activities was primarily due to starting international shipmentsthe increase in accounts payable and accrued compensation. As of small orders to our newly signed distributors as well as direct shipments to physicians who want to use the INVOcell.  We expect this trend to continue as we introduce the INVO technology into our targeted countries over the next few months while continuing to assist our current customer base in the Mid-East and South America. As noted above, our ability to generate revenues is also impacted by our ability to obtain appropriate approvals/registrations in local jurisdictions, as well as our success in raising additional capital to fund sales and marketing efforts.
Cost of Sales and Revenues
Cost of sales as a percentage of revenues for the nine months ended September 30, 2009 was 54%.  This is significantly higher than we expect in the future as we are producing small lot quantities and have higher shipping costs per unit as a result of the small volume shipments.  There were no sales or costs for the comparative period of 2008 with which to compare our results.  As our products become an accepted method of assisting couples with infertility and subject to raising additional capital, we expect to be manufacturing larger quantities of our devices, which in we expect will reduce our cost of sales.  Further, shipping larger quantities to distributors via common carriers will reduce our shipping costs.  Collectively, we anticipate that eventually these volume discounts would reduce our cost of sales by approximately 50%, or approximately 25% of revenues. 
Selling, General and Administrative Expenses
Selling, general and administrative expenses for the nine months ended September 30, 2009 and 2008 were $1,395,000 and $661,000, respectively.  Our higher general and administrative expenses in 2009 were due to expanding the marketing of our products and technology across the world outside of the United States.  During the initial six months of 2008,December 31, 2022, we had three senior employees who did not take a salary.  In 2009, we grew to six employees, all earning a salary as well as all the associated expenses that relate to them, including benefits and travel.  Salaries and benefits for the period were $680,000approximately $0.09 million in cash compared to $375,000approximately $5.7 million as of December 31, 2021. Net cash used in operating activities in 2022 was approximately $6.6 million, compared to approximately $6.0 million for the same period ending September 30, 2008.  We incurred considerable travel costs as our employees continued to travel internationally to introduce the INVOcell and the INVO process to physicians and distributors in Europe, Mid-East, Asia and South America. Travel related expenses for the nine months ending September 30, 2009 were $131,000 compared to $32,000 in the same period in 2008.  We continued to protect our patent rights around the world with legal and filing fees totaling $31,000 for the nine months ended September 30, 2009 compared to $23,000 for the nine months ended September 30, 2008.  Some of  the new expenses incurred by us during the nine months ended September 30, 2009 relate to being a public entity, including investor relations, insurance, accounting and legal costs,  which together were $242,000 versus $77,000 for the nine months ended September 30, 2008. 
Research and Development Expenses
Research and development expenses increased to $5,000 for the nine months ended September 30, 2009, as compared to $0 spent in the nine months ended September 30, 2008.2021. The increase in research and development expensenet cash used in operations was for a new product model.  We do not anticipate much spendingprimarily due to the increase in R&D in the next 6-12 months as we focus our resources on launching and training doctors on our current products.
Interest Income and Expense and Financing Fees
operating expenses.

Cash Flows from Investing Activities

During the nine-month periodthree months ended September 30, 2009, we incurred significant non-cash financing liability expenseMarch 31, 2023, cash used in investing activities of $8 thousand was primarily related to the convertible loans with detachable warrants that we issued to raise capital during the period.  We incurred $3,100,000 in non-cash expense primarily from the common stock market price appreciation compared to the conversion feature of $0.10 per share and warrant price per share of $0.20.  We had net interest expense of $24,600a loss on equity method for the nineJVs. During the three months ended September 30, 2009, as comparedMarch 31, 2022, cash used in investing activities of approximately $0.1 million was primarily related to $5,900a loss on equity method for the nine months ended September 30, 2008 as a result of having higher loans including the convertible loans in 2009 versus 2008.

Income Taxes
Our aggregate unused net operating losses approximate $3,400,000, which expire at various times through 2029, subjectJVs, payments to limitations of Section 382 of the Internal Revenue Code of 1986, as amended.  The deferred tax asset related to the carry forward is approximately $540,000.  We have provided a valuation reserve against the full amount of the net operating loss benefit, since in the opinion of management based upon our earnings history, it is more likely than not that we will not realize the net operating loss benefits.
Year ended December 31, 2008acquire property, plant, and December 31, 2007

Net Sales and Revenues

Net sales and revenues for 2008 increased 100% to $38,000 compared to no revenues in 2007.  The increase was due to starting international shipments of small orders to our newly signed distributorsequipment, as well as direct shipments to physicians who wanted to use the INVOcell.

Cost of Sales and Revenues

Cost of sales as a percentage of revenues was 27% for 2008   This is slightly higher than we expectinvestment in the future as we are producing small lot quantities and have higher shipping cost per unit as a result of the small volume shipments.  There were no sales or costs in 2007 to compare to.
Selling, General and Administrative Expenses

Selling, general and administrative expenses were $1,837,600 in 2008 as compared to $177,200 in 2007.  We experienced higher general and administrative costs in 2008 due to hiring our first employees and all the associated expenses that relate to them, including benefits, a stock compensation charge for common stock grants and travel, which costs totaled approximately $1,070,000.trademarks. During the year ended December 31, 2008, we also incurred considerable travel costs as our employees started to travel internationally to introduce the INVOcell and the INVO process to physicians and distributors in Europe, the Mid-East, Asia and South America. Such travel related expenses totaled $150,000 during 2008.  We continued to protect our patent rights throughout the world, resulting in legal and filing fees totaling $54,000 in 2008.  Also, in December 2008, we completed our share exchange and the accounting and legal costs in preparing for and completing that transaction was approximately $375,000.

Research and Development Expenses

Research and development expenses increased to $51,800 in 2008 from $33,400 in 2007.  The increase in research and development expense was a result of our efforts to continually understand the regulations and guidelines for selling the INVOcell in foreign countries.

Interest Income and Expense, Net

We had net interest expense of $11,900 in 2008 as compared to $3,600 in 2007 as a result of having our loans for all of 2008 versus only part of 2007.

Income Taxes

Our aggregate unused net operating losses as of the end of 2008 approximated $1,800,000 and expire at various times through 2028 and are subject to limitations of Section 382 of the Internal Revenue Code, as amended.  The deferred tax asset related to the carry forward is approximately $540,000.  We have provided a valuation reserve against the full amount of the net operating loss benefit, since in the opinion of management based upon our earnings history, it is more likely than not that the benefits will not be realized.

Liquidity and Capital Resources
Our lack of financial resources continues to be our major challenge.  As of September 30, 2009, we had $194,400 in2022, cash and no cash equivalents.  Net cash used by operating activities was $673,000 for the nine months ended September 30, 2009, compared to net cash used by operating activities of $375,000 for the nine months ended September 30, 2008.  The increase in net cash used was due to the significant costs of staffing, compliance and introducing our products into new markets.  In addition, all of the current employees have assisted INVO Bioscience in its funding requirements by deferring their salaries ($377,000, as of September 30, 2009) for the last seven months ending September 30, 2009.
No cash was used during the first nine months of 2009 in investing activities comparedof approximately $0.1 million was primarily related to $44,000investments in support of our INVO Center joint ventures. During the year ended December 31, 2021, cash used byin investing activities of approximately $2.2 million was primarily related to payments to acquire equipment for and to investments for the same periodstart-up and initial operation of 2008.  The cash used during 2008 was forour INVO Center joint ventures.

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Cash Flows from Financing Activities

During the purchase of patents to protect our proprietary products.  During 2009, we maintained our current patents across the globe and currently do not believe it is necessary to expand any of them at this time.  Also during 2008, we purchased manufacturing molds and a telephone system.

Netthree months ended March 31, 2023 cash provided by financing activities of approximately $3.3 million was $852,000 forprimarily related to the ninesale of Common Stock and convertible notes. During the three months ended September 30, 2009. Of that amount, $88,000 was provided by a short term 5% loan by Kathleen Karloff, our CEO.  In addition, on September 15, 2009, we completed a bridge offering of $545,000 principal amount of 10% convertible notes (the “Notes”).  Each Note bears interest, payable in shares of common stock, at a rate equal to 9-12% per annum from the date of issuance of the Note until paid in full on the Maturity Date (defined below). The initial investor’s Notes have a 12% interest rate. All outstanding principal and accrued interest under each Note is payable on the first to occur of (i) one year following the original issue date (as defined below), or (ii) a follow-on financing of at least $2,500,000 (the “Maturity Date”).  We can prepay the Notes at any time without penalty or premium. The Notes are secured by all of our assets and carry detachable common stock purchase warrants.  The Notes rank junior to our SBA $50,000 Century Bank Line of Credit Loan and rank senior in all respects to all other existing and future indebtedness. The Notes are convertible into our common stock at a conversion price of $0.10 per share. The investors have the option to convert all or any portion of the principal amount of the Notes outstanding at any time, together with any accrued and unpaid interest hereunder into shares of common stock at the conversion price.  In addition, as additional consideration for the investment in the Notes, we issued to the initial investor in the Notes a warrant to purchase the number of shares of common stock equal to 100% of the quotient of the principal amount of the Note issued to such investor divided by the Conversion Price, as set forth in such Note, which Conversion Price equals $0.10 per share and the exercise price of the Warrants equals $0.20 per share.  The purchase agreement for the Notes also includes certain negative covenants of the company, including, without limitation, limitations on:  incurring additional indebtedness and liens, transactions with affiliates and payment of dividends.
The remaining $245,000 of netMarch 31, 2022, cash provided by financing activities of approximately $0.3 million primarily related to the sale of Common Stock, net of offering costs. During the year ended December 31, 2022, cash provided by financing activities of approximately $1.1 million was related to proceeds from Lionshare Ventures, per a subscription receivable agreement dateddemand notes and from the sale of common stock. During the year ended December 5, 2008, and revised on June 10, 2009, for31, 2021, cash provided by financing activities of approximately $3.8 million was primarily related to proceeds from the previous sale of common stock to Lionshare Ventures.  Asand the exercise of September 30, 2009, $205,000 is still due to us from Lionshare Ventures.
We maintain a $50,000 working capital line of credit with Century Bank.  Interest is payable monthly at the rate of 0.24% above the bank’s prime lending rate.  As of September 30, 2009, the rate was 3.74%.  This line of credit matures on May 31, 2010.  At September 30, 2009unit purchase options and December 31, 2008, the balance outstanding on the line of credit was $50,000.
Our registered independent certified public accountants have stated in their report dated April 15, 2009, that we have generated negative cash outflows from operating activities, experienced recurring net operating losses,warrants.

Critical Accounting Policies and are dependent on securing additional equityEstimates

The discussion and debt financing to support our business efforts.  These factors among others may raise substantial doubt about our ability to continue as a going concern.

Our existing cash resources, cash flow from operations and short-term borrowings on the existing credit line or from management will not provide adequate resources for supporting operations during fiscal 2009 and 2010.  We are actively seeking the funding we need to continue to execute our business plan.  We intend to achieve additional funding through additional salesanalysis of our securities, including in connection with the $10 million REF described elsewherefinancial condition presented in this prospectus.  Although there can be no assurance that an additional source of funding will materialize, we currently believe that we will be able to obtain the funding we need to continue to growsection is based upon our business.  However, if we do not raise additional capital in the near future we will have to further curtail our spending and downsize or cease our operations.
Critical Accounting Policies
The preparation ofaudited consolidated financial statements, and related disclosureswhich have been prepared in conformityaccordance with generally accepted accounting principles generally accepted in the United States requires us to make judgments, assumptions and estimates that affect the amounts reported. Note 1 of Notes to Financial Statements describes the significant accounting policies used inStates. During the preparation of the financial statements. Certain of these significant accounting policies are considered to be critical accounting policies, as defined below.
A critical accounting policy is defined as one that is both material to the presentation of our financial statements, and requires management to make difficult, subjective or complex judgments that could have a material effect on our financial condition and results of operations. Specifically, critical accounting estimates have the following attributes: 1) we are required to make assumptions about mattersestimates and judgments that are highly uncertain ataffect the timereported amounts of the estimate;assets, liabilities, revenue and 2) different estimatesexpenses, and related disclosure of contingent assets and liabilities. On an ongoing basis, we could reasonably have used, or changes in the estimate that are reasonably likely to occur, would have a material effect on our financial condition or results of operations.
Estimates and assumptions about future events and their effects cannot be determined with certainty. We base our estimatesevaluate, based on historical experience and on various other assumptions that are believed to be applicable and reasonable under the circumstances. Thesecircumstances, our results, which allows us to form a basis for making judgments on the carrying values of assets and liabilities that are not readily apparent from other sources. Actual results may differ from these estimates may change as new events occur, as additionalbased on variance with our assumptions and conditions. A summary of significant accounting policies is included below. Management believes that the application of these policies on a consistent basis enables us to provide useful and reliable financial information is obtained and asabout our operating environment changes. These changes have historically been minorresults and have been included infinancial condition.

See Note 1 of the consolidated financial statements as soon as they became known. Based onNotes to Consolidated Financial Statements for the period ended March 31, 2023 for a critical assessmentsummary of oursignificant accounting policies and the underlying judgments and uncertainties affecting the application of those policies, management believes that our financial statements are fairly stated in accordance with accounting principles generally accepted in the United States, and present a meaningful presentation of our financial condition and results of operations.

In preparing our financial statements to conform to accounting principles generally accepted in the United States, we make estimates and assumptions that affect the amounts reported in our financial statements and accompanying notes. These estimates include useful lives for fixed assets for depreciation calculations and assumptions for valuing options and warrants. Actual results could differ from these estimates.
We are a development stage company, as defined by Accounting Standards Codification (“ASC”) Topic 915, “Accounting and Reporting by Development Stage Enterprise” formerly (“SFAS”) No. 7.  The Company’s activities during our development stage to date has included developing the business plan, seeking regulatory clearance in the European Union and the United States, raising capital, conducting beta tests, sales and marketing of the INVOcell device and offering instructions in the INVO technique to doctors in numerous foreign countries.
Through September 30, 2009, we have generated minimal sales revenues, have incurred significant expenses and have sustained losses.  Consequently, our operations are subject to all of the risks inherent in the establishment of a new business enterprise.
We consider that the following are critical accounting policies:

Derivatives  In June 2008, the FASB ratified EITF Issue No. 07-5, “Determining Whether an Instrument (or Embedded Feature) Is Indexed to an Entity’s Own Stock” (EITF 07-5, included in ASC 815-40). EITF 07-5 mandates a two-step process for evaluating whether an equity-linked financial instrument or embedded feature is indexed to the entity’s own stock. It is effective for fiscal years beginning on or after December 15, 2008.  We recently adopted EITF 07-5 and had a significant effect on our consolidated condensed financial statements.
Fair Value Measurements — On January 1, 2008, we adopted FASB ASC 820-10, “Fair Value Measurements and Disclosures.” FASB ASC 820-10 defines fair value, and establishes a three-level valuation hierarchy for disclosures of fair value measurement that enhances disclosure requirements for fair value measures. The carrying amounts reported in the consolidated balance sheets for receivables and current liabilities each qualify as financial instruments and are a reasonable estimate of their fair values because of the short period of time between the origination of such instruments and their expected realization and their current market rate of interest. The three levels of valuation hierarchy are defined as follows:
·Level 1 inputs to the valuation methodology are quoted prices for identical assets or liabilities in active markets.

·Level 2 inputs to the valuation methodology include quoted prices for similar assets and liabilities in active markets, and inputs that are observable for the asset or liability, either directly or indirectly, for substantially the full term of the financial instrument.

·Level 3 inputs to the valuation methodology are unobservable and significant to the fair value measurement.

Management analyzes all financial instruments with features of both liabilities and equity under FASB ASC 480, “Distinguishing Liabilities From Equity” and FASB ASC 815, “Derivatives and Hedging.” Derivative liabilities are adjusted to reflect fair value at each period end, with any increase or decrease in the fair value being recorded in results of operations as adjustments to fair value of derivatives. The effects of interactions between embedded derivatives are calculated and accounted for in arriving at the overall fair value of the financial instruments. In addition, the fair values of freestanding derivative instruments such as warrant and option derivatives are valued using the Black-Scholes model.

Stock Based Compensation

We account for stock-based compensation under the provisions of FASB ASC 718 “Compensation-Stock Compensation.”-10 Share-Based Payment (formerly SFAS 123R). This statement requires us to measure the cost of employee services received in exchange for an award of equity instruments based on the grant-date fair value of the award. That cost is recognized over the period in which the employee is required to provide service or performance goals in exchange for the award, which is usually theimmediate but sometimes over a vesting period.

Warrants granted to non-employees are recorded as an expense over the requisite service period based on the grant date and the estimated fair value of the grant, which is determined using the Black-Scholes option pricing model.

Revenue Recognition

We will recognize revenue on arrangements in accordance with SecuritiesASC 606, Revenue from Contracts with Customers. The core principle of ASC 606 is to recognize revenues when promised goods or services are transferred to customers in an amount that reflects the consideration to which an entity expects to be entitled for those goods or services ASC 606 requires companies to assess their contracts to determine the timing and Exchange Commission Staff Accounting Bulletin No. 101, “Revenue Recognition in Financial Statements” and No. 104, “Revenue Recognition”.  In all cases,amount of revenue is recognized only whento recognize under the price is fixed and determinable, persuasive evidence of an arrangement exists,new revenue standard. The model has a five-step approach:

1.Identify the contract with the customer.
2.Identify the performance obligations in the contract.
3.Determine the total transaction price.
4.Allocate the total transaction price to each performance obligation in the contract.
5.Recognize as revenue when (or as) each performance obligation is satisfied.

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Variable Interest Entities

The Company’s consolidated financial statements include the service is performed and collectabilityaccounts of the resulting receivable is reasonably assured.

Recently Issued Accounting Pronouncements
On July 1, 2009, the Financial Accounting Standards Board (“FASB”) launched the FASB Accounting Standards Codification (“ASC”) 105, Generally Accepted Accounting Principles (“ASC 105”Company, its wholly owned subsidiaries and formerly referred to as FAS 168). ASC 105, establishes the FASB Accounting Standards Codification as the source of authoritative accounting principles recognized by the FASB to be applied by nongovernmental entities in the preparation of financial statements in conformity with GAAP. Rules and interpretive releases of the Securities and Exchange Commission (SEC) under authority of federal securities laws are also sources of authoritative GAAP for SEC registrants. ASC 105 is effective for financial statements issued for interim and annual periods ending after September 15, 2009.
 GAAP is not intended to be changed as a result of the FASB’s Codification project, but it will change the way the guidance is organized and presented. As a result, these changes will have a significant impact on how companies reference GAAP in their financial statements and in their accounting policies for financial statements issued for interim and annual periods ending after September 15, 2009.
In June 2009, the FASB issued SFAS No. 167, Amendments to FASB Interpretation No. 46(R) (“SFAS 167”).  SFAS 167, which amends ASC 810-10, Consolidation  (“ASC 810-10”), prescribes a qualitative model for identifying whether a company has a controlling financial interest in a variable interest entityentities (“VIE”), where the Company is the primary beneficiary under the provisions of ASC 810, Consolidation (“ASC 810”). A VIE must be consolidated by its primary beneficiary when, along with its affiliates and eliminatesagents, the quantitative model prescribed by ASC 810-10.  The new model identifies two primary characteristics of a controlling financial interest: (1) provides a company withbeneficiary has both: (i) the power to direct significantthe activities that most significantly impact the VIE’s economic performance; and (ii) the obligation to absorb losses or the right to receive the benefits of the VIE and (2) obligates a companythat could potentially be significant to absorb losses of and/or provides rights to receive benefits from the VIE. SFAS 167 requiresThe Company reconsiders whether an entity is still a companyVIE only upon certain triggering events and continually assesses its consolidated VIEs to reassess on an ongoing basis whetherdetermine if it holds a controlling financial interest in a VIE.  A company that holds a controlling financial interest is deemedcontinues to be the primary beneficiarybeneficiary.

Equity Method Investments

Investments in unconsolidated affiliates in which we exert significant influence but do not control or otherwise consolidate are accounted for using the equity method. Equity method investments are initially recorded at cost. These investments are included in investment in joint ventures in the accompanying consolidated balance sheets. Our share of the VIEprofits and losses from these investments is required to consolidatereported in loss from equity method investment in the VIE.  SFAS 167, which is referencedaccompanying consolidated statements of operations. Management monitors its investments for other-than-temporary impairment by considering factors such as current economic and market conditions and the operating performance of the investees and records reductions in ASC 105-10-65, hascarrying values when necessary.

Recently Issued Accounting Standards Not Yet Effective or Adopted

Management does not believe that any recently issued, but not yet beeneffective accounting pronouncements, if adopted, into the Codification and remains authoritative.  This statement is effective for fiscal years beginning after November 15, 2009.  We plan to adopt SFAS 167 effective January 1, 2010.  The adoption of SFAS 167 is not expected towould have a material impact on ourthe accompanying condensed consolidated financial position and results of operations.

In June 2009, the FASB issued SFAS No. 166, Accounting for Transfers of Financial Assets (“SFAS 166”).  SFAS 166 removes the concept of a qualifying special-purpose entity from ASC 860-10,  Transfers and Servicing (“ASC 860-10”), and removes the exception from applying ASC 810-10.  This statement also clarifies the requirements for isolation and limitations on portions of financial assets that are eligible for sale accounting.  SFAS 166, which is referenced in ASC 105-10-65, has not yet been adopted into the Codification and remains authoritative.  This statement is effective for fiscal years beginning after November 15, 2009.  We plan to adopt SFAS 166 effective January 1, 2010.  The adoption of SFAS 166 is not expected to have a material impact on our financial position and results of operations.    
BUSINESS
COMPANY BACKGROUND
INVO Bioscience was formed in January 2007 under the laws of the Commonwealth of Massachusetts under the name “Bio X Cell, Inc.,” which was the business successor to Medelle Corporation (“Medelle”).  Dr. Claude Ranoux was the founder and vice president of Medelle and Kathleen Karloff was a vice president of Medelle. Between 2001 and 2006, Medelle raised $8 million in venture capital, which was used to develop and validate a device called the “INVOcell.”  Medelle conducted pre-clinical safety testing and performed a human efficacy clinical study.  Due to a delay in obtaining U.S. Food and Drug Administration (“FDA”) clearance for the INVOcell, venture capital investments ceased and, by the end of 2006, Medelle ceased operations.  Medelle assigned all of its assets to a trustee who liquidated those assets and distributed the proceeds to creditors.  In that process, Dr. Ranoux purchased all of the assets of Medelle for $20,000 and contributed those assets to Bio X Cell, Inc. upon its formation in January 2007, including four patents related to the INVOcell technology.
On December 5, 2008, Bio X Cell, Inc., doing business as INVO Bioscience, and each of the shareholders of INVO Bioscience (the “INVO Bioscience Shareholders”) entered into a share exchange agreement (the “Share Exchange Agreement”) and consummated a share exchange (the “Share Exchange”) with our predecessor Emy’s Salsa Aji Distribution Company, Inc. (“Emy’s”). Upon the closing of the Share Exchange on December 5, 2008 (the “Closing”), the INVO Bioscience Shareholders transferred all of their shares of common stock in INVO Bioscience to Emy’s.  In exchange, Emy’s issued to the INVO Bioscience Shareholders an aggregate of 38,307,500 shares of Emy’s common stock, representing 71.9% of the shares issued and outstanding immediately after the Closing.  As a result of the Share Exchange, INVO Bioscience became a wholly-owned subsidiary of Emy’s.  After the Closing, the Company had 53, 245,000 shares of common stock outstanding.

At Closing, Emy’s officers and directors resigned from their positions.  Kathleen Karloff was appointed as Chief Executive Officer, Secretary and Director and Dr. Claude Ranoux was appointed as President, Treasurer and Director.
Immediately following the Closing, the Company entered into a securities purchase agreement (the “Securities Purchase Agreement”) with GRQ Consulting, LLC and Whalehaven Capital Fund Limited.  Pursuant to the Securities Purchase Agreement, the investors invested $375,000 in exchange for 375,000 shares of our common stock at a price of $1.00 per share, subject to anti-dilution protection. After the Closing, the Company had 53, 245,000 shares of common stock outstanding.
COMPANY OVERVIEW
We are a development stage company that has recently begun to commercialize our proven and patented technology that we believe will revolutionize the treatment of infertility.  Our device, the INVOcell, and the INVO procedure are designed to provide an alternative infertility treatment for the patient and the clinician; it is less expensive and simpler to perform than current infertility treatments.  The simplicity of the INVO procedure relates to the ability to potentially perform the infertility procedure in a physician’s practice rather than in a specialized facility at a much lower cost overall than current infertility treatments, including in vitro fertilization (“IVF”).  Therefore, we believe that the INVO procedure will be available in many more locations than conventional IVF especially outside the United States.  INVO also allows conception and embryo development to take place inside the woman's body; an attractive feature for most couples.

In May 2008, we received notice that the INVOcell product meets all the essential requirements of the relevant European Directive(s), and received CE Marking.  The CE marking (also known as CE mark) is a mandatory conformity mark on many products placed on the single market in the European Economic Area (EEA).  The CE marking (an acronym for the French “Conformité Européenne”) certifies that a product has met EU health, safety and environmental requirements, which ensure consumer safety.  With CE marking, we possess the regulatory authority to distribute its product in the European Economic Area, provided we comply with local registration requirements as discussed herein (i.e., the European Union, Canada, Australia, New Zealand and most parts of the Middle East).  We have sold approximately 900 INVOcell units through September 30, 2009.
THE INVOCELL TECHNOLOGY
Our product, the INVOcell medical device, is designed to treat infertility at a far lower cost than other treatments available in today’s marketplace, including IVF.  The INVOcell technology is a fertility treatment where either mild ovarian stimulation or no ovarian stimulation is used.  Using a mild stimulation protocol, 1-10 follicles are retrieved in a physician’s office with the patient under light sedation with or without local anesthesia.  The follicle retrieval is performed using a vaginal probe under ultrasound guidance.  Eggs are identified immediately after retrieval in the follicular fluid.  During the INVO procedure, fertilization and embryo development occurs inside the woman’s vaginal cavity in a disposable single use device -- the INVOcell -- that holds the eggs, sperm and culture medium.
Sperm collection and preparation generally occur before egg retrieval.  Nutrient medium (~1ml) is placed in the inner vessel of the INVOcell.  Eggs and a fraction of motile sperm are placed into the medium and the inner vessel is closed and secured in the protective outer vessel.  The INVOcell is placed in the patient’s vaginal cavity for an incubation period of 2-3 days.  A retention system can be used to maintain the INVOcell system in the vagina during the incubation period.  The retention system consists of a diaphragm with holes in the membrane to allow natural elimination of vaginal secretions.  The INVOcell is designed so that no vaginal fluids penetrate the outer vessel thus ensuring that the inner vessel is not contaminated.  Obtaining eggs, sperm and media then inserting them into the INVOcell and then placing it in the vagina takes approximately 90 minutes.
After 2-3 days, the patient returns to the physician’s office where the retention system and the INVOcell are removed.  The protective outer vessel is discarded and the inner vessel is placed in INVO Bioscience’s patented holding block in a vertical position for 15 minutes.  Embryos are collected in the micro chamber located at the bottom of the inner vessel.  The embryos can be directly viewed in the micro chamber in the holding block by using a microscope.  Embryos can be loaded directly from the device in a transfer catheter from the INVOcell device.  A trained clinician can readily identify the best embryos for transfer.  The embryos to be transferred are aspirated into a standard catheter for transfer into the patient’s uterus.  This second visit should take approximately 45 minutes.  All INVO related medical procedures can be performed in a physician’s office thereby avoiding the requirement of an IVF facility and the associated costs to build and maintain such a facility.
SUMMARY OF OPERATIONS
INVO Bioscience operates by outsourcing many key operational functions in the development and manufacturing of the INVOcell device to keep fixed costs to a minimum.  Our most critical management and leadership functions are carried out by our core team.  We have contracted out the following functions: manufacturing, packaging/labeling and sterilization of the device to a certified manufacturer to mold the parts; to a medical manufacturing company to assemble packages and label the product and to a sterilization specialist to perform the gamma sterilization process.  This expedites production and eliminates the need for in-house capital equipment expenditures.
To date, we have completed a series of important steps in the development and manufacturing of the INVOcell:
statements.

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Manufacturing:  All parts and processes have been validated.  Manufacturing of inventory is ongoing.  To date, we have 400 INVOcell devices ready for sale.  We have an additional 9,000 devices molded and ready for sterilization and packaging.
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CE Mark:  INVO Bioscience has obtained a CE Mark that will allow sales of INVO in Europe, Canada and many other countries, subject to local registration requirements.
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Clinical Trials:  Safety and efficacy of the INVOcell device has been demonstrated and accepted by both the CE Mark governing body and the FDA.
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Support of Practitioners:  Clinicians and laboratory directors having used the INVO method are enthusiastic about the fact that it is a patient-friendly procedure, easy to perform, simple and efficacious.
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Initiate FDA Clearance: In parallel to the sale of products outside of the United States in Europe, Canada, Mid-East  and South America, INVO Bioscience intends to complete, subject to receipt of additional funding, all clinical and non-clinical studies by 2010 and thereafter intends to finalize its FDA 510 (k) filing and hopefully receive FDA clearance in early 2011.
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Marketing Trials/Studies: Currently clinical studies are underway in South America, the Mid-East and soon to commence in India by doctors currently using the INVOcell to have “local” data on patient efficacy and experience for marketing collateral and advertising.
CURRENT MARKET OPPORTUNITY
According to the European Society for Human Reproduction (“ESHRE”) in 2007, there are more than 100 million infertile couples in the world.  While there have been large increases in the use of IVF, only about one million IVF cycles were performed in 2006, which amounts to a treatment of less than 1% of the infertile couples worldwide.  Knowing that an average of 2-3 cycles of IVF is performed per infertile couple, there are only 300,000-500,000 couples treated by IVF.  A survey by “Resolve: The National Infertility Association,” the number one reason couples do not use IVF is cost and geographical availability.  We can provide a locally available treatment option at less than half the cost of IVF that will help millions of infertile couples throughout the world where IVF is not currently available.
IVF is an effective treatment option for many infertile couples.  Our patented and proven INVO technology is a low cost, unique fertility treatment option that is much simpler to perform than IVF.  The procedure can be provided without an IVF center and therefore can be available in many more locations than IVF.  We believe we are well positioned to capture a significant share of the unmet market needs.  With the INVOcell device and technique, fertilization and early embryo development is done within the vaginal cavity rather than an incubator.  Oocytes and sperm are fertilized and developed into embryos within the INVO device while contained by the woman’s vaginal cavity.
Currently, according to European Society for Human Reproduction (ESHRE, 2007) the 1% of infertile couples who receive infertility treatment, including IVF, intra uterine insemination (“IUI”) and other fertility treatment, represents a $6 billion worldwide market.  This leaves 99% of the infertile couples untreated with an estimated unmet market opportunity of $594 billion, a portion of which, we believe will be met by the INVO device.  Much of the unmet market is located in developing countries where many patients cannot afford, and have limited access to, IVF.  We believe that developing countries offer a large and ready market for the INVOcell.
In May 2008, we received notice that the INVOcell device meets all of the essential requirements of the relevant European Directive, and received CE marking.  The CE marking (also known as a CE mark) is a mandatory conformity mark on many products placed on the single medical device market in the European Economic Area ( i.e., Europe, Canada, Australia, New Zealand and most parts of the Middle East) (“EEA”).  The CE marking (an acronym for the French "Conformité Européenne") certifies that a product has met European health, safety and environmental requirements, which ensure consumer safety.   Manufacturers in Europe and abroad must meet CE marking requirements where applicable in order to market their products in Europe.  With CE marking, we now have the necessary regulatory authority to distribute our INVOcell device in the EEA, subject to local registration regulations.  
Currently, we are continuing to establish agreements with distributors and train physicians in the areas outside of the US they include Canada, South America, Latin America, Europe, the Middle East and Africa.  While we penetrate the infertility markets in Europe and Canada along with the certain developing countries, we anticipate also pursuing the completion of the FDA ’ s “510(k)” process.  We have completed the first step for medical device companies who manufacture Class 2 devices (and a small number of Class 1 and 3 devices), the filing of a Premarket Notification with the FDA (i.e., an FDA 510(k) submission).  Technically, the FDA does not "approve" Class 1 and 2 medical devices for sale in the U.S. they give "clearance" for them to be sold.  We believe we are presently halfway completed with our clinical trial and anticipate its completion by the end of 2010, subject to funding through the AGS REF or other sources.  However, there can be no assurance that our trial will be successful and that we will receive FDA clearance thereafter.
COMPETITION
The infertility industry is highly competitive and characterized by technological improvements.  New artificial reproductive technology (“ART”) services, devices and techniques may be developed that may render the INVOcell obsolete.  Competition in the areas of infertility and ART services is largely based on pregnancy rates and other patient outcomes.  Accordingly, the ability of our business to compete is largely dependent on our ability to achieve adequate pregnancy rates and patient satisfaction levels.  The INVO procedure will offer an alternative treatment to couples who currently do not have access to treatments because of cost or location.  Infertility clinics can expand their businesses by offering INVO in satellite centers that can be opened at a substantially lower cost than an IVF center.  We are not aware of any direct competitors to INVO Bioscience or the INVO process using the INVOcell device.  However, there are existing infertility treatment regimes that the INVOcell will compete with when the infertile couple, in conjunction with their physician, is choosing the treatment method for their infertility.  We believe that the menu of currently available clinical infertility treatment methods generally is limited to IUI and IVF.
Competing Treatments
Intra Uterine Insemination (IUI):  In IUI treatments, ovarian stimulation protocols with induction of ovulation are frequently used to recruit several follicles and improve clinical pregnancy rates.  When monitoring ovulation indicates that the female patient is ready to ovulate, the male patient will produce a sperm sample in the fertility doctor’s office.  The sperm is then prepared and delivered to the uterus through a catheter.  IUI can only treat approximately 40% of the causes of infertility.  For example, IUI does not address infertility causes such as tubal disease and other conditions that are treatable by IVF and the INVOcell device and process.  In addition, IUI does not produce the diagnostic information such as fertilization that an IVF or INVO cycle produces.  Approximately 600,000 IUI cycles are performed annually by a subset of 5,000 of the 40,000 fertility doctors in the U.S. as well as by IVF providers.  In Europe, at least 550,000 IUI cycles are performed annually.  The cost of a single IUI treatment can range from $500 to $4,000 per cycle in the U.S. and $500 to $2,000 in Europe.  The intra-country differences in cost depend on the stimulation protocol and the accuracy of the ovulation monitoring used by physician.
In Vitro Fertilization (IVF):  IVF addresses tubal factor, ovulatory dysfunction, diminished ovarian reserve, endometriosis, uterine factor, male factor, unexplained infertility and other causes.  IVF bypasses the function of the fallopian tube by achieving fertilization within a laboratory environment.  Ovarian hyper-stimulation is common with IVF treatments to recruit numerous follicles and increase the chances for success.  Follicles are retrieved trans-vaginally using a vaginal probe and ultrasound guidance.  General anesthesia is frequently used due to the number of follicles retrieved and the resulting discomfort experienced by the patient.  The eggs are identified in the follicular fluid and combined with sperm and culture medium in culture dishes, which are placed in an incubator with a temperature and gas environment designed to mimic the condition of the fallopian tubes.  Once the embryos develop, they are transferred to the uterine cavity.  The transfer of several embryos allows an average success rate for IVF of 27%, but it is also responsible for a high multiple birth rate of approximately 40% of IVF pregnancies.  Multiple births bring risks to mother and babies and significant expenses for third party payers.  In addition, due to the high number of embryos produced in IVF, cryo-preservation of excess embryos occurs in more than 30% of the cycles.  In the U.S., there are approximately 1,000 reproductive endocrinologists who collectively perform more than 125,000 IVF cycles per year at 430 specialized facilities.  In Europe, nearly 300,000 IVF cycles are reportedly performed at more than 1,000 facilities.
The cost to the patient for a single IVF cycle (including drugs) averages $12,400 in the U.S. and can go as high as $20,000 depending on the IVF center.  The cost of drugs for an IVF cycle ranges from $2,500 to $3,500.  The average cost per live birth using IVF can exceed $50,000 since the successful patient generally requires more than one cycle.  Many patients who would be good candidates for IVF are unable to access it because of the high cost and lack of insurance reimbursement.  Additional obstacles to IVF often include significant distances to IVF clinics; travel costs; and time off from work.  In addition, some couples experience concerns regarding IVF such as the possibility of laboratory errors resulting in receiving another person’s embryo.
Competitors
We operate in a highly competitive industry, which is subject to competitive pricing and rapid technological change.  The market for fertility treatment and devices are highly competitive in terms of pricing, functionality and service quality, the timing of development and introduction of new products and services and terms of financing.  We face competition from all ART practitioners and device manufacturers.  Our competitors may implement new technologies before we do, allowing them to offer more attractively priced or enhanced products, services or solutions than we provide.  Most of our competitors may have greater resources in certain business segments or geographic markets than we do.  We may also encounter increased competition from new market entrants or alternative ART technologies.  Our operating results significantly depend on our ability to compete in this market environment, in particular on our ability to adapt to economic or regulatory changes, to introduce new products to the market and to enhance the functionality while reducing the cost of new and existing products.
Our principal ART medical-device competitor is Anecova, a Swiss start-up life sciences company with an intrauterine device under development for infertility treatment.  This device is a very small silicone tube with 360 micro perforations.  Oocytes are fertilized outside the device and then placed in the tube, which is placed inside the woman’s uterus for early embryo development.  After 1-5 days, the device is removed and the best embryo(s) are transferred back into the woman’s uterus.  We believe that the device is much more difficult to use than the INVOcell due to its size and the requirement to place the device in the uterus, a sterile environment.  The precision manufacturing of the Anecova device will drive its cost close to $1,500, which is higher than our price.  If the Anecova device is shown to be effective, it is likely that the device would only be available in hospitals and IVF Centers at a significantly higher cost than the INVOcell.  This procedure still needs the complex equipment of an IVF center.
Competitive Advantages
We believe that the INVOcell has the following competitive advantages:
Lower cost than IVF with similar efficacy:  The INVOcell is substantially less expensive than IVF due to the shorter time to execute the procedure, lower costs of supplies, labor, capital equipment and overhead.  An IVF center requires at least $500,000 of laboratory capital equipment and highly trained personnel.  In contrast, the cost of laboratory capital equipment to set-up an INVOcell procedure is approximately $30,000 and does not require highly trained specialists beyond the traditional obstetrician and gynecological practice.  The global success rate for IVF varies dramatically from 13.6% to 40.5% with an average of 27% per cycle (ESHRE, ICMART Committee, June 21, 2006).  We foresee INVO will be offered at approximately $5,000 per cycle with a pregnancy rate comparable to traditional IVF (20% versus 27%, INVO to IVF, respectively).  In Europe, IUI currently averages $1,000 per cycle and IVF averages $5,000.  INVO in Europe will be offered at approximately $2,500 per cycle.  In Europe, the average cost per pregnancy for IVF is $21,354.
Similar cost than IUI with greater efficacy: In the U.S. currently, IUI averages $1,500 per cycle with <10% pregnancy rate while IVF averages $12,400 per cycle with an average of 27% pregnancy rate.  With INVO, we believe that the Ob/Gyn or reproductive endocrinologist practitioners will benefit by providing a superior product than IUI with good financial margins, efficacy rates more than double IUI while treating the full range of infertility indications.  In Europe, the average cost per pregnancy using IUI is $12,000.  The average cost per pregnancy for IVF is $21,354 while for INVO it is only $13,888: a savings of more than $7,000 per pregnancy.  Using INVO could reduce annual infertility costs in Europe by more than $650 million.
Greater geographic availability:   In Europe, there are more than 1,000 IVF centers, and there are approximately 430 IVF centers in the U.S.  In addition, by having INVO geographically available in Ob/Gyn offices, couples will not have the travel costs and absence from work associated with IVF treatments.  The medical staff at these centers could easily learn INVO and offer it as a lower cost treatment option for their patients through satellite centers.  There are also 5,000 Ob/Gyn physicians in the U.S. who offer infertility services (IUI).  Since INVO does not require a specialized lab facility, large costly equipment or highly specialized staff, it may possible be offered in a doctors’ office setting.  Therefore, in the U.S. alone, INVO could be 10 times more available than conventional IVF.  This also allows Ob/Gyn offices worldwide to offer INVO as an alternative or follow up treatment to IUI and generate a significant new revenue stream.
Greater patient involvement: With INVO, the patient uses her own body as the incubation environment.  This creates a greater sense of involvement, comfort and participation for patients who know that the fertilization is happening within their own bodies.  In some cases, this frees the couples from ethical or religious concerns, or fears of laboratory mix-ups that could result in a patient receiving another couple’s embryo(s).
SALES AND MARKETING
Product Pricing
We anticipate employing the following pricing system for the INVOcell technology.  These prices were determined through discussions with our advisory board of physicians and potential strategic partners and reflect the innovative features of the device, the savings in physician’s laboratory fixed costs and the amount that a physician will receive from patients to perform INVO. Our goal is to have the INVO procedure be a lower cost alternative, with comparable success rates.
INVOcell device:    We expect to sell the INVOcell device and its retention system for between $75 and $400 per unit.  IVF centers or Ob/Gyn groups purchasing a large number of devices and promoting the INVO process will receive discounted prices and a limited amount of free advertising of their facility on our website.  It is expected that the INVOcell will sell for $400 in the U.S., which grants a single-use license under our patents. In Central and South America and Europe, the price of the device will be reduced to between $100-$300 to reflect a generally lower cost of infertility procedures in most of these countries and to make INVOcell available to populations with lower incomes.
Holding/Warming Blocks:  The holding blocks will be sold as a tool for viewing and retrieving the embryos from the inner chamber.  Each physician will need a minimum of two blocks depending on the number of cycles he/she performs.  The blocks cost $100 per block and will sell for $200 and will constitute an additional revenue stream.
Fixed Laboratory Equipment: The equipment used in the INVO procedure (microscope with video system, bench centrifuge, incubator without CO2, bench warmer and laminar flow hood) is readily available in the market.  We have had initial discussions with an equipment supplier that has a mobile bench and hood with all the required equipment.  We intend to establish an agreement with this company to provide our customers with a discount and financing to facilitate new customer entry into the INVO market in the future, however, there can be no assurance that we will be successful in this effort.  The complete set up for the INVO procedure is approximately $33,000 in Europe and $50,000 in the U.S.
Our Sales Team
As of the date of this prospectus, we employ two sales and marketing individuals who are charged with all of our sales efforts.  We anticipate growing our sales team to eight in 2010, subject to raising additional capital.  Our sales efforts follow two approaches:
Direct Physician Sales through Distributors -- In many countries, we intend to establish local distributors to access the countries’ markets.  With the distributor-to-physician model, the distributors will be selling to IVF centers, medical practices and physicians directly.  We will support the distributor’s efforts with training, both to the distributor’s trainers as well as to the physicians directly.  We current maintain distribution agreements in the following countries: Canada, Colombia, Venezuela, Ecuador, Panama, Argentina, Peru, Pakistan, Turkey and Taiwan. Additionally we are in discussions with potential distributors for Spain, Greece, Cyprus, Bulgaria, Poland, Russia, Egypt, India, and South Africa
Direct Sales to Physicians -- We are also following a parallel path directly to leading infertility doctors in regions where there is demand but either distributors do not exist such as in Western Africa or we have not yet signed distribution agreements.  
Target Markets
Currently and through 2010, we anticipate that we will launch the sale of the INVOcell device in Europe, Canada, South America and the Middle East.  During 2011, or at such time that we receive FDA approval, we anticipate launching the INVOcell in the U.S.  In 2010, we also anticipate the launch of the INVOcell device in India and Russia.  In 2011, we anticipate the launch of the INVOcell device in China and other countries where an alternative treatment is needed.  With the cost of the INVO procedure being less than half the cost of IVF, we expect to penetrate 5% of the currently untreated infertility market, although no assurances can be made in this regard.
Worldwide -- According to the European Society for Human Reproduction (ESHRE, 2007) there are more than 100 million infertile couples in the world.  About one million IVF cycles were performed in 2006, which is less than 1% of the infertile couples worldwide.  More than 99 million infertile couples remain untreated due to cost, availability, awareness and other factors.
U.S. -- According to the Centers for Disease Control, 7.3 million people in the U.S. have difficulty conceiving.  With only 350,000 couples receiving fertility treatment, more than six million couples receive no treatment.  According to Integramed, Inc., a U.S. based network of fertility centers, 97% of the untreated infertile couples do not receive treatment due to cost.  Working with our advisory board, we estimate that an INVO procedure in the U.S. will cost approximately $5,000 dollars.  
Europe -- Europe has approximately 10 million infertile couples, of which 137,000 are estimated to have received IVF treatment and 183,000 received IUI (ESHRE) leaving 9.5 million infertile couples untreated.
Preliminary Sales Strategy
We have received the CE Mark that allows us to sell product in Europe, Canada and other countries in South America, the Middle East, and Africa along with Russia, and India subject to local registration requirements.  Our strategy is to launch the product in the developing world first because of the high demand and relatively low availability of IVF procedures. 
Launching INVO in the U.S. market requires 510(k) clearance, which we anticipate receiving in early 2011 upon completion of our clinical trials estimated for 2010 based on adequate funding from the REF.  We have completed the required human confirmatory study.  The births of normal babies have been confirmed in this study using the INVOcell.  It will take nine months and approximately $1,000,000 of funding to complete the data collection on all required subjects, analyze the data, have an independent audit and submit the full 510(k) to the FDA.  The FDA has 90 days to review the submission from INVO Bioscience.  All preclinical data and testing has been completed and reviewed by FDA.  We expect to receive approval to sell the INVOcell without further studies at that time.  However, there is no assurance that will be the case.  We intend to launch INVOcell through key IVF centers in the U.S. once FDA clearance is achieved.  Our U.S. based board of advisors and participants in our clinical trials have indicated a desire to be among the first to offer the INVOcell to their patients.  The success of these IVF centers with the INVOcell will assist in expanding our share of the market in the U.S.  We will also target the 5,000 Ob/Gyn doctors with experience in infertility treatment.
Insurance Reimbursement for Infertility Treatment
Most European countries have some level of coverage for infertility treatment, but the level of coverage varies from country to country and even within countries.  For example, the National Health Service in the UK covers 20% of most costs for infertility treatment.  However, that standard is not applied universally throughout the country and some counties provide almost none.  In the U.S., fifteen states mandate some form of insurance reimbursement for infertility treatment.  Three states mandate reimbursement for IVF, while other states cover some form of infertility treatment, but they may also specifically exclude IVF due to cost.  In addition, fifteen other states are considering mandating some form of coverage for infertility treatment.  Finally, there are bills under consideration in the U.S. Congress for a federal mandate to provide insurance coverage for infertility treatments universally across the nation.
We believe that the INVOcell process will be treated favorably by insurance companies because it lowers cost and has a high efficacy rate.  In Europe, the average cost per pregnancy using IUI is $12,000 and IUI is appropriate for only 40% of the infertile population.  However, for INVO, which is marginally more expensive at $13,888 per pregnancy, is a more effective treatment for a majority of infertile couples.  The average cost per pregnancy for IVF is $21,354.  Therefore, there is a savings of more than $7,000 (over 33%) per pregnancy by using INVO versus IVF.  Using INVO could reduce infertility costs in Europe by more than $650 million.
Currently, many third-party payers require that an infertile patient have at least three cycles of IUI before going on to IVF.  The aggregate success rate of three IUI’s is 25%.  Therefore, up to 75% of those patients are often referred to IVF.  In the future, third-party insurance payers could save more than $7,000 per pregnancy by requiring the patient to try INVOcell first.
Branding and Promotion
We have a new logo refined for the infertility market.  We have trademarked the logo, device and technology.  At the same time, we are developing a website that includes special pages for clinicians and patients.  Subject to available capital, the next generation website will include materials that medical professionals and patients can print, including status reports and news items.  It will include a training videos for potential customers both physician and patients who want to learn exactly how the INVOcell works.
REGULATION
Domestic Regulations
The manufacture and sale of our products are subject to extensive regulation by numerous governmental authorities, principally by the FDA in the U.S. and corresponding foreign agencies.  The FDA administers the Federal Food, Drug and Cosmetic Act and the regulations promulgated there under.  We are subject to the standards and procedures with respect to the manufacture of medical devices and are subject to inspection by the FDA for compliance with such standards and procedures.  The FDA classifies medical devices into one of three classes depending on the degree of risk associated with each medical device and the extent of control needed to ensure safety and effectiveness.  The INVOcell device and process must secure a 510(k) pre-market notification clearance before it can be introduced into the United States market.  The process of obtaining 510(k) clearance typically takes several months and may involve the submission of limited clinical data supporting assertions that the product is substantially equivalent to an already approved device or to a device that was on the market before the enactment of the Medical Device Amendments of 1976.
Every company that manufactures or assembles medical devices is required to register with the FDA and adhere to certain “good manufacturing practices” in accordance with the FDA’s Quality System Regulation, which regulates the manufacture of medical devices, prescribes record-keeping procedures and provides for the routine inspection of facilities for compliance with such regulations.  The FDA also has broad regulatory powers in the areas of clinical testing, marketing and advertising of medical devices.
Medical device manufacturers are routinely subject to periodic inspections by the FDA.  If the FDA believes that a company may not be operating in compliance with applicable laws and regulations, it can:
·  place the company under observation and re-inspect the facilities;
·  issue a warning letter apprising of violating conduct;
·  detain or seize products;
·  mandate a recall;
·  enjoin future violations; and
·  assess civil and criminal penalties against the company, its officers or its employees.
At present, we believe are more than halfway completed with the clinical trials requested by the FDA through our predecessor company.  Subject to available capital, we anticipate completing those clinical trials by the end of 2010.  Thus, we believe that we will receive FDA clearance by 2011, though there can be no assurance that we will be successful in doing so on a timely basis, if at all.
International Regulations
We are also subject to regulation in each of the foreign countries where our products are sold.  Many of the regulations applicable to our products in such countries are similar to those of the FDA.  The national health or social security organizations of certain countries require that our products be qualified before they can be marketed in those countries.  Many of the countries we are targeting do not have a formal approval process of their own but rely on either FDA clearance or the European approval, CE Mark, they follow that up with a registration process of listing the INVOcell with the governing body.
Our activities during our development stage have included developing the business plan, seeking regulatory clearance in Europe and the United States and raising capital.  In May 2008, we received notice that the INVOcell product met all the essential requirements of the relevant European Directive(s), and received CE marking.  The CE mark is a mandatory conformity mark on many products placed on the single market in the European Economic Area (EEA).  The CE mark (an acronym for the French "Conformité Européenne") certifies that a product has met EU health, safety and environmental requirements, which ensure consumer safety.
With CE marking, we now have the ability and necessary regulatory authority to distribute our product after registration in the European Economic Area (i.e., Europe, Canada, Australia, New Zealand, along with most parts of the Middle East and South America). Every country is different we have completed registrations in some, are in process with others, upon funding from the REF we will be submitting additional registrations and for a few others we have to wait until we have FDA clearance. We are registering the product based on the size of the market and our ability to service it given our resources.
INTELLECTUAL PROPERTY
More than 800 cases of an INVO procedure have been documented in peer-reviewed journals since the 1980s, using an incubation device not specifically designed for the process but functionally capable of demonstrating success rates equivalent to IVF at that time.  The INVOcell device was specially developed and manufactured to optimize the ease of use and effectiveness of the procedure at an affordable price.  This product development process has resulted in five active patents worldwide covering both the INVOcell device and the INVO process.  
LEGAL PROCEEDINGS
We are not involved in any lawsuit outside the ordinary course of business, the disposition of which would have a material effect upon either our results of operations, financial position or cash flows.
PROPERTY
We currently do not own any property.  Our principal executive office is located at 100 Cummings Center, Suite 421E, Beverly, Massachusetts 01915, pursuant to a lease entered into by INVO Bioscience in January 2007 for 3,294 square feet of general office space.  The lessor is Cummings Properties, LLC and the lease commenced in January 2007 and concludes on December 31, 2010.  The lease is subject to a cost of living increase equal to the Boston, Massachusetts Consumer Price Index at the beginning of each calendar year.  
EMPLOYEES
As of September 30, 2009, we have 5 full-time employees.  We consider our relationship with our employees to be good.
MANAGEMENT
The following table sets forth the names and positions of our directors and executive officers and other key personnel as of September 30, 2009:
 
NameAgePosition
Kathleen T. Karloff
54
Chief Executive Officer, Secretary and Director
Dr. Claude Ranoux
58
President, Treasurer, Chief Scientific Officer and Director
Robert J. Bowdring
52
Chief Financial Officer
Each Director holds office until the next annual meeting of the shareholders or until his successor is elected and duly qualified. Executive officers are appointed by and serve at the pleasure of the Board of Directors. The following sets forth biographical information concerning our directors, and executive officers for the past three years:
Kathleen T. Karloff, Chief Executive Officer, secretary and member of the Board of Directors, co-founded INVO Bioscience in January 2007.  Since that time, Ms. Karloff has obtained ISO certification and the CE mark for the INVOcell device and has implemented manufacturing and distribution systems.  From 2000 through 2003, Ms. Karloff was the Vice President of Operations for a start-up company called Control Delivery Systems, which was developing an intra-ocular drug therapy for Uveitus and Diabetic Macular Edema.  That company was acquired by Psivida LTD in December 2005.  From 2004 until September 2006, Ms. Karloff was the Vice President of Operations for Medelle Corporation.  Prior to that, she has held various positions at Boston Scientific during 13 years of dynamic growth from 1983 to 1997 her last position being the Director of Manufacturing.  Since leaving Boston Scientific, she has been Vice President of Operations on start-up teams of three device/pharmaceutical companies.  Ms. Karloff earned her B.S. in microbiology from Montana State University and attended Northeastern University for MBA coursework.

Dr. Claude Ranoux, President, Treasurer and member of the Board of Directors, co-founded INVO Bioscience in January 2007.  He has more than 30 years of experience in the research and treatment of infertility; he is the inventor and developer of the INVO™ procedure and INVOcell device.  From 2000 through 2005, Dr. Ranoux was president of Medelle Corporation and worked on development of the INVOcell.  Dr. Ranoux has built and run 12 IVF centers worldwide and has established 12 reproductive centers worldwide.  Before founding INVO Bioscience and recruiting the highly experience management team, Dr. Ranoux had 6 years of experience in creating  and finding financing for a start-up company.  He has been scientific consultant for a new instrument (Immuno1) from Bayer Corporation.  During this collaboration, the North West area became the first area for the sales of the instrument 2 years in a row. Dr. Ranoux was the founder of several non-profit organizations and foreign trade advisor in the New England area.  Dr. Ranoux earned his M.D. and his M.S. in Reproductive Biology from the Medical University of Paris (V & XI) where he was an Associate Professor.  Dr. Ranoux has served as a scientific consultant for eight other centers and is  the author of numerous scientific publications as first author.  He has given numerous invited lectures, conferences and workshops and is the author of five medical and scientific theses and mentor for several others.  He is co-author of six scientific and medical films.  He received a prize for the one of the best scientific presentation at the Fifth World Congress in IVF, in Norfolk, VA, and is the recipient of several other awards.  Dr. Ranoux is the main inventor in six international patents.
Robert J. Bowdring, Chief Financial Officer, Mr. Bowdring joined the Company as its Corporate Controller in October 2008.  In January 2009, the Company appointed Mr. Bowdring as its Chief Financial Officer.  From April 2003 to August 2008, Mr. Bowdring served as Vice President of Finance and Administration for Cyphermint, Inc., a software development firm.  For the fourteen prior years, he was the Controller and Vice President of Lifeline Systems Inc., a public manufacturing and service company (NASDAQ: LIFE) in the personal emergency response market.  Mr. Bowdring has a strong history in senior financial management with more than 25 years experience serving in capacities such as chief financial officer, vice president of finance and controller.  Rob has been in both public and private manufacturing and service companies throughout his career.  Mr. Bowdring has a Bachelors degree in Accounting from the University of Massachusetts in Amherst.
Board of Directors
Currently, we only have two board members, Claude Ranoux and Kathleen Karloff, who are also our CEO and President.  We expect to add three independent members to expand our Board of Directors to five in 2010, depending upon our ability to reach and maintain financial stability.
Committees of the Board of Directors
We do not currently have an Audit Committee,

EXECUTIVE COMPENSATION

Summary Compensation Committee, Nominating Committee, or any other committee of the Board of Directors. The responsibilities of these committees are fulfilled by our Board of Directors and all of our directors participate in such responsibilities. In addition, we do not currently have an "audit committee financial expert" as such term is defined in the Securities Act, as our financial constraints have made it extremely difficult to attract and retain qualified outside Board members. We hope to add qualified independent members of our Board of Directors in 2010, depending upon our ability to reach and maintain financial stability.

Compensation Committee Interlocks and Insider Participation
We do not have a Compensation Committee or any other committee of the Board of Directors performing similar functions during the years ended September 30, 2009. Kathleen Karloff, our Chief Executive Officer, Claude Ranoux, President and Robert Bowdring CFO make decisions relating to compensation.
Code of Ethics
We have adopted a Code of Ethics that applies to all employees including our officers, our principal executive officer, our president and principal financial & accounting officer.
EXECUTIVE COMPENSATION
Compensation Discussion and Analysis

Compensation before the Share Exchange

Prior to the closing of the Share Exchange, the named executive officers received stock awards as their compensation from February 2007 until June 2008.  In July 2008 through the year end of December 31, 2008, which included the closing of the Share Exchange, our officers drew an annualized salary of $175,000 each.  The named executive officers’ salaries did not change as a result of the Share Exchange. The Board of Directors, who are also named executive officers, determined the compensation for themselves and the other executive officers and employees of INVO Bioscience. The members of the Board of Directors do not receive separate compensation for serving as directors, although it is anticipated that any non-employee directors who may be appointed to the Board will be compensated in a manner to be determined by the Board at such time as new directors are appointed.

Compensation after the Share Exchange

From January 1, 2009 to present the named executive officers compensation consisted solely of each executive officer’s salary; no cash bonuses were paid or accrued.  On January 2, 2009, Mr. Robert J. Bowdring was promoted to the position of Chief Financial Officer by the Board of Directors, thus making him a named executive as of that date.  From March 1, 2009 until present, the named executive officers’ salaries have been accrued, but not paid, to financially assist the Company during this period.  The Board of Directors of INVO Bioscience believes that the salaries paid and accrued to our executive officers during 2008 and 2009 are indicative of the objectives of its compensation program as this stage of our development.
Salary is designed to attract, as needed, individuals with the skills necessary for us to achieve our business plan, to motivate those individuals, to reward those individuals fairly over time, and to retain those individuals who continue to perform at or above the levels that we expect.  When setting and adjusting individual executive salary levels, we consider the relevant established salary range, the named executive officer’s responsibilities, experience, potential, individual performance and contribution.  We also consider other factors such as our overall corporate budget for annual merit increases, unique skills, demand in the labor market and succession planning.  We determine the levels of salary as measured primarily by the local market in Boston/New England, which determinations are made based on anecdotal evidence rather than compensation studies or surveys.  

Corporate performance goals include sales, margin and net profit targets.  Additional key areas of corporate performance taken into account in setting compensation policies and decisions are new business development, cost control, and innovation.  The key factors may vary depending on which area of business a particular executive officer’s work is focused.  Individual performance goals include subjective evaluation, based on an employee’s team-work, creativity and management capability, and objective goals such as sales targets.  We have not paid bonuses to our executive officers in the past.  If we are successful in raising capital and building our business, we intend to establish a bonus program for all of our employees including our named executive officers.  Although no such program has been designed, the program is expected to be based on both corporate and individual performance goals.    
Our intention is to establish a compensation committee comprised of both non-employee and employee directors, once we expand the Board.  The compensation committee will perform, at least annually, a strategic review of the compensation program for our executive officers to determine whether it provides adequate incentives and motivation to our executive officers and whether it adequately compensates our executive officers relative to comparable officers in other companies with which we compete for executives.  Those companies may or may not be public companies or companies located in the Boston area or even, in all cases, companies in a similar business.   We would like to establish a compensation program for executive officers that is designed to attract, as needed, individuals with the skills necessary for us to achieve our business plan, to motivate those individuals, to reward those individuals fairly over time, and to retain those individuals who continue to perform at or above the levels that we expect.  

We also intend to expand the scope of our compensation, such as the possibility of granting options or other stock-based awards to executive officers and tying compensation to predetermined performance goals.  We intend to adopt an equity incentive plan in the near future and issue stock-based awards under the plan to aid our long-term performance, which we believe will create an ownership culture among our named executive officers that fosters beneficial, long-term performance by our company.  We do not currently have a general equity grant policy with respect to the size and terms of grants that we intend to make in the future, but we will evaluate our achievements for each fiscal year based on performance factors and results of operations such as revenues generated, cost of revenues, and net income. No such goals have been determined for this fiscal year.

The following Summary Compensation Table sets forth, for the years indicated, all cash compensation paid, distributed or accrued for services, including salary and bonus amounts, rendered in all capacities by the Company’s chief“named executive officer,  president and chief financial officer who received or was entitled to receive remuneration in excess of $100,000 during the stated periods.  As reflected below, none of our officers received cash compensation during fiscal 2007.

officers” for SEC reporting purposes.

SUMMARY COMPENSATION TABLE

Name and Principal Position Year Salary  Bonus ($)  
Stock Award
($)
  Option Award ($)  Non-Equity Incentive Plan Compensation Earnings ($)  Non-Qualified Deferred Compensation Earnings ($)  All other Compensation ($)  
Total ($)
 
                           
Kathleen Karloff, CEO/Director(1) (2) 2009 $131,252   -   -   -   -   -   -  $131,252 
  2008 $93,074   -   -   -   -   -   -  $93,074 
   2007 $-   -  $4,498   -   -   -   -  $4,498 
                                   
Claude Ranoux, President/Director(2) (3) 2009 $ 131,252   -   -   -   -   -   -  $131,252 
  2008 $91,974   -   -   -   -   -   -  $91,974 
  2007 $-   -  $19,731   -    -    -   -  $19,731 
                                   
Robert Bowdring, CFO (2)  2009 $108,750   -   -   -   -   -   -  $108,750 
  2008 $24,518   -   -   -   -   -   -  $24,518 
  2007 $-   -   -   -   -   -   -  $- 

Name and Principal Position Year  Salary ($)  Bonus ($)  Stock Awards ($)  Option Awards ($)  

All other

Compensation ($)

  Total ($) 
                      
Steven Shum  2022   260,000(2)  -   72,601(3)  169,400(4)  -   502,001 
Chief Executive Officer (1)  2021   260,000   37,500   -   -   -   297,500 
                             
Andrea Goren  2022   215,000(5)  -   19,353(6)  361,468(7)  -   595,821 
Chief Financial Officer  2021   171,458(8)  76,275(9)  36,875(10)  -   -   284,608 
                             
Michael Campbell  2022   220,000(11)  -   55,002(12)  55,002(13)  -   330,004 
Chief Operating Officer  2021   220,000   110,000   -   -   -   330,000 
Vice President, Business Development                            

(1)Kathleen Karloff was elected as the Chief Executive Officer, Secretary andMr. Shum did not receive any additional compensation for being a member of the Boardboard.
(2)As of DirectorsDecember 31, 2022, Mr. Shum deferred $49,771 of his salary, which the Company expects to pay before the end of 2023.
(3)Amounts reflect the aggregate grant date fair value of the Company effective upon1,006 shares of common stock. This amount does not reflect the resignationactual economic value realized by Mr. Shum. The restricted stock grant issued to Mr. Shum provides for 50% vesting at 6 months and 50% vesting at 12 months based on continued employment during that time.
(4)Amounts reflect the aggregate grant date fair value of Andrew Uribe in connection with the Share Exchange between INVO Bioscience and Emys on December 5, 2008.  During 2007, Ms. Karloff received2,851 shares of common stock valued at $.2857/share.underlying the stock option on the date of grant without regards to forfeitures, computed in accordance with ASC 718. This amount does not reflect the actual economic value realized by Mr. Shum. The options issued to Mr. Shum provide for equal monthly vesting over a 3-year period based on continued employment during that time.
(2)(5)2009As of December 31, 2022, Mr. Goren deferred $40,502 of his salary, includes both paid and accrued salary for all officers.which the Company expects to pay before the end of 2023.
(3)(6)Claude Ranoux was elected asAmounts reflect the President, Treasurer and memberaggregate grant date fair value of the Board269 shares of Directors effective uponcommon stock. This amount does not reflect the resignationactual economic value realized by Mr. Goren. The restricted stock grant issued to Mr. Goren provides for 50% vesting at 6 months and 50% vesting at 12 months based on continued employment during that time.
(7)Amounts reflect the aggregate grant date fair value of Andrew Uribe, in connection with the Share Exchange between INVO Bioscience and Emys on December 5, 2008.  During 2007, Dr. Ranoux received4,385 shares of common stock valuedunderlying the stock option on the date of grant without regards to forfeitures, computed in accordance with ASC 718. This amount does not reflect the actual economic value realized by Mr. Goren. The options issued to Mr. Goren provide for equal monthly vesting over a 3-year period based on continued employment during that time.
(8)Mr. Goren received $50,000 in salary as advisor to CEO and $121,458 salary as CFO.
(9)Mr. Goren received $25,000 bonus as advisor to the CEO and $61,275 bonus as CFO.
(10)Amounts reflect the aggregate grant date fair value of the 250 shares of common stock. This amount does not reflect the actual economic value realized by Mr. Goren. The restricted stock grant issued to Mr. Goren provide for equal monthly vesting over a 12-month period based on continued employment during that time.
(11)As of December 31, 2022, Mr. Campbell deferred $15,369 of his salary, which the Company expects to pay before the end of 2023.
(12)Amounts reflect the aggregate grant date fair value of the 762 shares of common stock. The restricted stock grant issued to Mr. Campbell provide for 50% vesting at $.2857/share.6 months and 50% vesting at 12 months based on continued employment during that time.
(13)Amounts reflect the aggregate grant date fair value of the 926 shares of common stock underlying the stock option on the date of grant without regards to forfeitures, computed in accordance with ASC 718. This amount does not reflect the actual economic value realized by Mr. Campbell. The options issued to Mr. Campbell provide for equal monthly vesting over a 3-year period based on continued employment during that time.

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Stock Option Grants
Since January 1, 2008, we have signed agreements

Narrative Disclosure to compensate certain officers, employees and service providersSummary Compensation Table

Except as otherwise described below, there are no compensatory plans or arrangements, including payments to be received from the Company with commonrespect to any named executive officer, that would result in payments to such person because of his resignation, retirement or other termination of employment with the Company, or our subsidiaries, any change in control, or a change in the person’s responsibilities following a change in control of the Company.

OUTSTANDING EQUITY AWARDS AT END OF 2022

The following table provides information about outstanding stock or options to acquire common stock.  Asissued by the Company held by each of our NEOs as of December 31, 2008, a total2022. None of 857,000 shares of common stock and options to purchase an additional 440,000 shares of common stock were agreed to be issued.  As of September 30, 2009, we have issuedour NEOs held any other equity awards from the 857,000 shares of common stock against its previously recorded accrued liability.  However,Company as of September 30, 2009, we terminated 70,000 ofDecember 31, 2022.

  Option Awards Stock Awards 
Name Number of
Securities
Underlying
Unexercised
Options (#)
Exercisable
  Number of
Securities
Underlying
Unexercised
Options (#)
Unexercisable
  Option
Exercise
Price
($)
  Option
Expiration
Date
 

Number of

Shares of

Stock That

Has Not

Yet Vested

  

Market Value

of Stock

that has not

Yet Vested

 
Steve Shum  7,027   4,980   72.2-161.4  12/05/30-01/14/32  503   4,262 
                       
Andrea Goren  7,550   4,961   61.4-161.4  08/10/30-01/14/32  135   1,136 
                       
Michael Campbell  12,188   3,393   61.4-161.4  01/17/30-01/14/32  381   3,228 

Employment Agreements

Steven Shum

On October 16, 2019, the options and agreed to issue an additional 300,000 to two employees hired during 2009 bringing the total options to 670,000 as of this date.  We have not yet adopted a formal stock option plan and, consequently, the options to purchase 670,000 shares of common stock are deemed not yet issued. 

Long-Term Incentive Compensation:  We are looking to establish a program that will provide long-term incentive compensation through awards of stock options, restricted stock, and/or stock awards.  Our equity compensation program is intended to align the interests of the officers with those of our shareholders by creating an incentive for our officers to maximize shareholder value.  The equity compensation program will be designed to encourage officers to remain employed with us despite a competitive labor market, and the fact that we are a development stage company and have a limited operating history and limited revenue to date, and may not necessarily be able to sustain a market rate base salary.  Stock options, stock grants, warrants and other incentives are based on combination of factors including the need and urgency for such an executive, the experience level of the executive and the balance of such incentives with a lower than market base salary or fees that is paid in cash. Employees and consultants are granted such incentives from time to time to maintain their continuing services, sometimes without increases in salaries or fees.
Deferred Compensation Benefits:  We do not have a deferred compensation program at this time.
Retirement Benefits:  We do not have a 401(k) plan or other retirement program at this time.
Executive Perquisites and Generally Available Benefits:  We have no executive perquisite program at this time.
Employment Agreements; Termination of Employment and Change of Control Arrangements
Kathleen T. Karloff, Chief Executive Officer, Secretary and member of the Board of Directors, has executedCompany entered into an employment agreement with INVO Bioscience effectiveSteven Shum (the “Shum Employment Agreement”), pursuant to which Mr. Shum serves as of February 1, 2008.  The agreement provides forchief executive officer on an at-will basis at an annual base salary of $175,000$260,000. The Shum Employment Agreement provided for a performance bonus of $75,000 upon a successful up-listing to the Nasdaq Stock Market, with all other bonuses to be determined by the Board in its sole discretion. In addition to his base salary and healthperformance bonus, Mr. Shum was granted: (i) 625 shares of our common stock and life(ii) a three-year option to purchase 10,130 shares of our common stock at an exercise price of $163.20 per share. This option vested monthly over its 3-year term. Pursuant to the Shum Employment Agreement, Mr. Shum is also entitled to customary benefits, including health insurance and retirement plan along with the reimbursement of expenses.  In the eventparticipation in employee benefit plans. The Shum Employment Agreement provides that Ms. Karloff’s employmentif Mr. Shum is terminated other than for goodwithout cause (as defined in the Shum Employment Agreement) or he resigns his employment agreement), shedue to a constructive termination (as defined in the Shum Employment Agreement) then he will be entitled to receive, heras severance, (a) 12 month’s base salary continuation, (b) 6 months reimbursement of payments for continuing health coverage, pursuant to COBRA, and full medical benefits(c) continued vesting of his shares for twelve (12)a period of 6 months thereafter.  following such employment termination.

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Dr. Claude Ranoux, President, Treasurer and member of

Andrea Goren

On June 14, 2021, the Board of Directors, has executedCompany entered into an employment agreement with INVO Bioscience effectiveAndrea Goren (the “Goren Employment Agreement”), pursuant to which Mr. Goren was hired as of February 1, 2008.the Company’s chief financial officer. The agreementGoren Employment Agreement provides for an annual base salary of $175,000$215,000 and healtha target annual incentive bonus of up to 50% of base salary if the Company achieves goals and lifeobjectives determined by the Board. In connection with the Goren Employment Agreement, on June 14, 2021 the Company granted Mr. Goren a stock option under the 2019 Plan to purchase 3,625 shares of the Company common stock (the “Goren Option”). The Goren Option vests in equal monthly installments over a 3-year period, has a term of 10 years and can be exercised at a price of $104.10 per share. Also, in connection with the Goren Employment Agreement, as of July 1, 2021, Mr. Goren was granted a restricted stock award for 250 share of Company common stock (the “Goren RSA”). The Goren RSA vested in equal monthly installments over a 12-month period. Mr. Goren is also entitled to customary benefits, including health insurance and retirement plan along withparticipation in employee benefit plans. The Goren Employment Agreement provides that if Mr. Goren terminates the reimbursement of expenses.  In the event that Dr. Ranoux’s employment is terminated other thanGoren Employment Agreement for good cause“cause” (as defined in the employment agreement),Goren Employment Agreement) or the Company terminates the Goren Employment Agreement without “cause,” then he will continue to receive his base salary for three months after termination and full medicalcertain insurance benefits for twelve (12) months thereafter.  

Robert J. Bowdring, Chief Financial Officer, has executedafter termination. The Company may terminate the Goren Employment Agreement without “cause” on 30 days’ notice.

Michael Campbell

On January 15, 2020, the Company entered into an employment agreement (the “Campbell Employment Agreement”) with INVO Bioscience effectiveMichael Campbell to serve as the Company’s chief operating officer and vice president of October 27, 2008.business development. The agreementCampbell Employment Agreement provides for an annual base salary of $150,000$220,000, and healtha target annual incentive bonus of up to 50% of base salary if the Company achieves goals and lifeobjectives determined by the Board. In connection with the Campbell Employment Agreement, on January 17, 2020, the Company granted Mr. Campbell 1,563 shares of Company common stock, and an option to purchase 6,250 shares of Company common stock (the “Campbell Option”) at an exercise price of $136.82 per share. One quarter of the Campbell Option vested upon grant, and the remainder vested in monthly increments over a period of two years from the date of grant. Mr. Campbell is also entitled to customary benefits, including health insurance and retirement plan along withparticipation in employee benefit plans. The Campbell Employment Agreement provides that if Mr. Campbell terminates the reimbursement of expenses.  In the event that Mr. Bowdring’s employment is terminated other thanCampbell Employment Agreement for cause“cause” (as defined in the employment agreement),Campbell Employment Agreement) or the Company terminates the Campbell Employment Agreement without “cause,” then he will continue to receive a severance package of two months ofhis base salary and full medicalcertain insurance benefits per service year

Outstanding Equity Awards
for three months after termination. The Company has not yet adoptedmay terminate the Campbell Employment Agreement without “cause” on 60 days’ notice.

POTENTIAL PAYMENTS UPON TERMINATION OR CHANGE IN CONTROL

If Mr. Shum is involuntarily terminated without cause or constructively terminated (in each case, as defined in the Shum Employment Agreement), then he is entitled to 12 months’ severance and continued vesting of his shares for a formal stock option plan.  Accordingly, there are no outstanding equity awards asperiod of September 30, 2009.

CERTAIN RELATIONSHIPS AND RELATED PARTY TRANSACTIONS

On September 18, 2008, we entered into a related party transaction with Dr. Claude Ranoux, the President, Director and Chief Scientific Officer of the Company.  Dr. Ranoux had loaned funds to6-months following termination.

If (i) Mr. Goren terminates his employment agreement for cause, (ii) the Company provides notice not to sustain its operations since January 5, 2007 (inception).  Dr. Ranoux’s total cumulative loans at September 30, 2009 were $70,462.  On March 26, 2009,renew his employment agreement on any anniversary date, or (iii) the Company terminates his employment agreement without cause, then he is entitled to three months’ severance and Dr. Ranoux agreed to amend theinsurance benefits.

If (i) Mr. Campbell terminates his employment agreement to a non-convertible note payable bearing interest at 5% per annum and extended the repayment date to March 31, 2010.  The Company and Dr. Ranoux can jointly decide to repay the loan earlier without prepayment penalties.  During the three months and nine months ended September 30, 2009, $26,000 was repaid on the principal of the loan.

On March 5, 2009, we entered into a related party transaction with Kathleen Karloff, the Chief Executive Officer and a Director of the Company.  Ms. Karloff provided a short-term loan in the amount of $75,000 bearing interest at 5% per annum tofor cause, (ii) the Company provides notice not to fund operations.  In May 2009, Ms. Karloff loaned torenew his employment agreement on any anniversary date, or (iii) the Company an additional $13,000, making her total cumulative loan $88,000 as of September 30, 2009.  This note was due on September 15, 2009, which has since been extendedterminates his employment agreement without cause, then he is entitled to March 4, 2010. 
PRINCIPAL SHAREHOLDERS
three months’ severance and insurance benefits.

The following table sets forth quantitative information with respect to potential payments to be made to either Mr. Shum, Mr. Goren and Mr. Campbell upon termination in various circumstances. The potential payments are based on the terms of each of the employment agreements discussed above. For a more detailed description of the employment agreements, see the “Employment Agreements” section above.

Name Potential Payment Upon
Termination
 
  ($)  Option
Awards (#)
 
Steven Shum $260,000(1)  4,980(2)
Andrea Goren $53,750(3)  4,962(4)
Michael Campbell $55,000(5)  3,393(6)

(1)Mr. Shum is entitled to twelve months’ severance at the then applicable base salary rate. Mr. Shum’s current base salary is $260,000 per annum.
(2)Represents the number of unvested options at December 31, 2022. Mr. Shum’s options vest equally over a 36-month period. At December 31, 2022, there were 12 to 24 months remaining in his vesting schedule. The potential payment of shares subject to Mr. Shum’s unvested options will reduce every month as his options vest and the value of his unvested options will be based on our market price at such time.
(3)Mr. Goren is entitled to three months’ severance at the then applicable base salary rate. Mr. Goren’s current base salary is $215,000 per annum.
(4)Represents the number of unvested options at December 31, 2022. Mr. Goren’s options vest equally over a 36-month period. At December 31, 2022, there were 7 to 24 months remaining in his vesting schedule. The potential payment of shares subject to Mr. Goren’s unvested options will reduce every month as his options vest and the value of his unvested options will be based on our market price at such time.
(5)Mr. Campbell is entitled to three months’ severance at the then applicable base salary rate. Mr. Campbell’s current base salary is $220,000 per annum.
(6)Represents the number of unvested options at December 31, 2022. Mr. Campbell’s options vest equally over a 36-month period. At December 31, 2022, there were 12 to 24 months remaining in his vesting schedule. The potential payment of shares subject to Mr. Campbell’s unvested options will reduce every month as his options vest and the value of his unvested options will be based on our market price at such time.

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Disclosure of Equity Awards Based on Material Nonpublic Information: None

Pay Versus Performance

As required by Section 953(a) of the Dodd-Frank Wall Street Reform and Consumer Protection Act of 2010 and Item 402(v) of Regulation S-K, we are providing the following information about the relationship between executive compensation and certain financial performance metrics. The disclosure included in this section is prescribed by SEC rules and does not necessarily align with how we or the compensation committee view the link between financial performance and the compensation actually received or realized by our named executive officers. All information provided above under the “Pay Versus Performance” heading will not be deemed to be incorporated by reference into any filing of the Company under the Securities Act of 1933, as amended, or the Exchange Act, whether made before or after the date hereof and irrespective of any general incorporation language in any such filing, except to the extent the Company specifically incorporates such information by reference.

The table below presents information on the compensation of our Chief Executive Officer and other named executive officers in comparison to certain performance metrics for 2022 and 2021. These metrics are not those that the compensation committee uses when setting executive compensation. The use of the term Compensation Actually Paid (CAP) is required by the rules and regulations of the SEC, and under such rules, CAP was calculated by adjusting the Summary Compensation Table (“SCT”) Total values for the applicable year as described in the footnotes to the table.

Year Summary Compensation Table Total for PEO (1)(2)  Compensation Actually Paid to PEO (3)  Average Summary Compensation Table Total for Non-PEO NEOs (1)(2)  Average Compensation Actually Paid to Non-PEO NEOs (3)  Value of Initial Fixed $100 Investment Based On Total Shareholder Return  Net Income 
(a)  (b)   (c)   (d)   (e)   (f)   (g) 
2022  502,001   53,054   462,913   (22,301)  14   (10,892,511)
2021  297,500   381,828   307,304   414,742   110   (6,654,940)

(1)The Principal Executive Officer (“PEO”) information reflected in columns (a) and (b) relates to our CEO, Steven Shum. The non-Principal Executive Officer (“non-PEO”) NEOs information reflected in columns (c) and (d) above relates to our CFO Andrea Goren and our COO Michael Campbell.
(2)The amounts shown in this column are the amounts of total compensation reported for Steven Shum or the average total compensation reported for the non-PEO NEOs, as applicable, for each corresponding year in the “Total” column of the Summary Compensation. Please refer to “Executive Compensation—Compensation Tables—Summary Compensation Table.”
(3)The amounts shown have been calculated in accordance with Item 402(v) of Regulation S-K and do not reflect compensation actually realized or received by the Company’s PEO and non-PEO NEOs. In accordance with the requirements of Item 402(v) of Regulation S-K, adjustments were made to Mr. Shum’s total compensation, or the average total compensation of the non-PEO NEOs, as applicable, as described in the tables below.

PEO SCT Total to CAP Reconciliation

Year Summary Compensation Total  

Less Stock

Awards

  

Less Option

Awards

  

Fair Value

Adjustments

to SCT

Total

  CAP 
2022 $502,001  $72,601  $169,400  $(206,946) $53,054 
2021  297,500   -   -   84,328   381,828 

Average Non-PEO NEOs SCT Total to CAP Reconciliation

Year Summary Compensation Total  

Less Stock

Awards

  

Less Option

Awards

  

Fair Value

Adjustments

to SCT

Total

  CAP 
2022 $462,913  $37,178  $208,235  $(239,801) $(22,301)
2021  307,304   18,438   -   125,876   414,472 

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PEO Equity Component of CAP

Year 

Fair Value of

Current Year

Equity Awards at

December 31,

  

Change in

Fair Value of

Prior Years’

Awards

Unvested at

December 31,

  

Change in Fair

Value of Prior

Years’ Awards

Vested through the

Year Ended

December 31,

  

Change in Fair

Value of Prior

Years’ Awards

Failed to Vest

through the Year

Ended
December 31,

  

Equity Value

Included in CAP

 
  (a)  (b)  (c)  (d)  

(e) =

(a)+(b)+(c)+(d)

 
2022 $14,953  $(159,116) $31,772  $(94,556) $(206,946)
2021  -   42,470   -   41,858   84,328 

Average Non-PEO NEOs Equity Component of CAP

Year 

Fair Value of

Current Year

Equity Awards at

December 31,

  

Change in

Fair Value of

Prior Years’

Awards

Unvested at

December 31,

  

Change in Fair

Value of Prior

Years’ Awards

Vested through the

Year Ended

December 31,

  

Change in Fair

Value of Prior

Years’ Awards

Failed to Vest

through the Year

Ended
December 31,

  

Equity Value

Included in

CAP

 
  (a)  (b)  (c)  (d)  (e) = (a)+(b)+(c)+(d) 
2022 $12,550  $(191,259) $38,928  $(100,021) $(239,801)
2021  4,856   41,360   3,802   75,858   125,876 

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Compensation of Directors

DIRECTOR COMPENSATION TABLE

Name Year  

Fees earned or paid in cash

($)

  Stock awards ($)  Option awards ($)  All other compensation ($)  Total ($) 
                   
Trent Davis  2022   42,500(1)  32,000   31,613      -   106,113 
   2021   42,500   32,000   32,000   -   106,000 
                         
Barbara Ryan  2022   41,250(2)  31,000   30,267   -   102,877 
   2021   40,000   31,002   31,000   -   102,002 
                         
Matthew Szot  2022   55,000(3)  37,000   36,552   -   128,552 
   2021   55,000   37,002   37,002   -   129,004 
                         
Rebecca Messina  2022   41,250(4)  30,000   29,638   -   100,888 
   2021   22,417   20,666   22,897   -   65,980 
                         
Jeffrey Segal  2022   37,500(5)  29,000   28,651   -   95,151 
Former Director  2021   30,000   27,000   27,001   -   84,001 
                         
Kevin Doody  2022   25,978   27,000   26,673   -   79,651 
Former Director  2021   25,000   25,002   25,000   -   75,002 

(1)As of December 31, 2022, Mr. Davis deferred $10,625 of fees earned, which the Company expects to pay before the end of 2023.
(2)As of December 31, 2022, Ms. Ryan deferred $11,250 of fees earned, which the Company expects to pay before the end of 2023.
(3)As of December 31, 2022, Mr. Szot deferred $13,750 of fees earned, which the Company expects to pay before the end of 2023.
(4)As of December 31, 2022, Ms. Messina deferred $9,375 of fees earned, which the Company expects to pay before the end of 2023.
(5)As of December 31, 2022, Mr. Segal deferred $8,750 of fees earned, which the Company expects to pay before the end of 2023.

Director Compensation Program

Our current director compensation program is designed to align our director compensation program with the long-term interests of our stockholders by implementing a program comprised of cash and equity compensation.

In setting director compensation, we consider the amount of time that directors expend in fulfilling their duties to the Company as well as the skill level and experience required by our board of directors. We also consider board compensation practices at similarly situated companies, while keeping in mind the compensation philosophy of us and the stockholders’ interests. The directors also receive reimbursement for expenses, including reasonable travel expenses to attend board and committee meetings, reasonable outside seminar expenses, and other special board related expenses.

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SECURITIES AUTHORIZED FOR ISSUANCE UNDER EQUITY COMPENSATION PLANS

The following table shows information regarding our equity compensation plans as of December 31, 2022.

Plan Category 

Number of

securities to be

issued upon exercise of

outstanding options,

warrants and rights (a)

  

Weighted average

exercise price

of outstanding options,

warrants and rights (b)

  

Number of securities

remaining available

for future issuance

under equity

compensation plans

(excluding securities

reflected in column

(a))

(c)

 
Equity compensation plans approved by security holders (1)  64,851(2) $68.00   33,117 
Equity compensation plans not approved by security holders  -   -   - 
Total  64,851  $68.00   33,117 

(1) 2019 Stock Incentive Plan. On October 3, 2019, our Board adopted the 2019 Stock Incentive Plan (as amended, the “Plan”). The purpose of our Plan is to advance the best interests of the company by providing those persons who have a substantial responsibility for our management and growth with additional incentive and by increasing their proprietary interest in the success of the company, thereby encouraging them to maintain their relationships with us. Further, the availability and offering of stock options and common stock under the plan supports and increases our ability to attract and retain individuals of exceptional talent upon whom, in large measure, the sustained progress, growth and profitability which we depend. The total number of shares available for the grant of either stock options or compensation stock under the plan, including 20,641 shares approved at our shareholders meeting on October 12, 2022, is 125,000 shares, subject to annual increases of six percent (6%) of the total number of shares of outstanding Common Stock on December 31st of the preceding calendar year.

(2) We granted 10,206 shares subject to restricted stock grants under the Plan in the year ended December 31, 2022.

Our Board administers our plan and has full power to grant stock options and common stock, construe and interpret the plan, establish rules and regulations and perform all other acts, including the delegation of administrative responsibilities, it believes reasonable and proper. Any decision made, or action taken, by our Board arising out of or in connection with the interpretation and administration of the plan is final and conclusive.

The Board, in its absolute discretion, may award common stock to employees of, consultants to, and directors of the company, and such other persons as the Board or compensation committee may select, and permit holders of common stock options to exercise such options prior to full vesting therein and hold the common stock issued upon exercise of the option as common stock. Stock options may also be granted by our Board or compensation committee to non-employee directors of the company or other persons who are performing or who have been engaged to perform services of special importance to the management, operation or development of the company.

In the event that our outstanding common stock is changed into or exchanged for a different number or kind of shares or other securities of the company by reason of merger, consolidation, other reorganization, recapitalization, combination of shares, stock split-up or stock dividend, prompt, proportionate, equitable, lawful and adequate adjustment shall be made of the aggregate number and kind of shares subject to stock options which may be granted under the plan.

Our Board may at any time, and from time to time, suspend or terminate the plan in whole or in part or amend it from time to time in such respects as our Board may deem appropriate and in our best interest.

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SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT

The following table and notes set forth the beneficial ownership of ourthe common stock of the Company as of December 11, 2009, (i) by each of our directors; (ii)July 28, 2023, by each person who was known by usthe Company to beneficially own beneficially more than five percent5% of ourthe common stock; (iii)stock, by theeach director and named executive officer, named in the Summary Compensation Table set forth in "Executive Compensation" and (iv) by all of our directors and executive officers as a group. Beneficial ownership is determined in accordance with Rule 13d-3(d) promulgated bythe rules of the SEC and includes voting or dispositive power with respect to the securities. Unless otherwise indicated below, to our knowledge, all persons listed below have sole voting and dispositive power with respect to their shares of our common stock, except to the extent authority is shared by spouses under the Securities Exchange Act of 1934, as amended.applicable law. Unless otherwise noted, the address of all of the individuals and entities named below is c/o INVO Bioscience, Inc., 5582 Broadcast Court Sarasota, Florida, 34240.

The following table sets forth the beneficial ownership of our common stock as of July 28, 2023 for:

each person, or group of affiliated persons, who is known by us to beneficially own more than 5% of our common shares;
each of our named executive officers;
each of our directors; and
all of our current executive officers and directors as a group.

The percentage ownership information is based upon 843,267 shares of common stock outstanding as of July 28, 2023. The percentage ownership information shown in the table after this offering is based upon 1,585,000 Units offered in this offering (and 2,428,267 shares of common stock outstanding after the offering). We have determined beneficial ownership in accordance with the rules of the SEC. These rules generally attribute beneficial ownership of securities to persons who possess sole or groupshared voting power or investment power with respect to those securities. Unless otherwise indicated, the persons or entities identified possessesin this table have sole voting and investment power with respect to theall shares shown as beneficially owned by them, subject to applicable community property laws where applicable. The percentage of shares beneficially owned priorlaws. Unless otherwise indicated the address for persons listed in the table is c/o INVO Bioscience, Inc., 5582 Broadcast Court, Sarasota, FL 34240.

Name and Address of Beneficial Owner (1) 

Number

of Shares

  Percentage of Common Stock  Percentage of Common Stock Beneficially Owned After this Offering 
5% Stockholders:            
None  -   -   - 
             
Officers and Directors            
Andrea Goren  18,965(2)  2.22%  0.78%
Michael Campbell  18,353(3)  2.14%  0.75%
Steve Shum  16,492(4)  1.93%  0.68%
Matthew Szot  5,634(5)  0.67%  0.23%
Trent Davis  5,201(6)  0.63%  0.22%
Barbara Ryan  5,021(7)  0.61%  0.21%
Rebecca Messina  4,092(8)  0.48%  0.17%
All directors and executive officers as a group (7 persons)  73,759   8.64%  3.03%

(1)Unless otherwise indicated, the business address of each current director or executive officer is INVO Bioscience, Inc. 5582 Broadcast Court Sarasota, Florida 34240.
(2)Includes: 11,505 shares of common stock under options (either presently exercisable or within 60 days of July 28, 2023).

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(3)Includes: 14,945 shares of common stock under options (either presently exercisable or within 60 days of July 28, 2023).
(4)Includes: 10,573 shares of common stock under options (either presently exercisable or within 60 days of July 28, 2023).
(5)Includes: 3,675 shares of common stock under options (either presently exercisable or within 60 days of July 28, 2023).
(6)Includes: 3,520 shares of common stock under options (either presently exercisable or within 60 days of July 28, 2023).
(7)Includes: 3,442 shares of common stock under options (either presently exercisable or within 60 days of July 28, 2023).
(8)Includes: 2,942 shares of common stock under options (either presently exercisable or within 60 days of July 28, 2023).

CERTAIN RELATIONSHIPS AND RELATED PARTY TRANSACTIONS

Related Party Transactions Policy and Procedures

We have adopted a written policy with respect to the review, approval, and ratification of related party transactions. Under the policy, any transactions where the amount involved exceeds the lesser of $120,000 or one percent (1%) of the average of our total assets at year-end for the last two completed fiscal years and in which any related person has or will have a direct or indirect material interest, other than equity and other compensation, termination and other arrangements which are described under the headings “Compensation of Directors” and “Executive and Director Compensation,” is defined as a related party transaction. Any such related party transactions are reviewed and must be approved by the Company’s board of directors.

Certain Related Party Transactions

In October 2021, Paulson Investment Company served as a placement agent for the Company’s registered direct offering and received fees and commissions for such role in the amount of $323,584. Trent Davis, one of the Company’s directors, is based on 58,002,763President of Paulson Investment Company. Mr. Davis did not receive any compensation related to the fees and commissions received by Paulson. Steve Shum and Andrea Goren, the CEO and CFO of the Company, respectively, each purchased 1,534 shares in the registered direct offering for gross proceeds of $199,994.

In the fourth quarter of 2022, the Company received $700,000 through the issuance of demand notes from related parties, as follows: (a) $500,000 from JAG; (b) $100,000 from our chief executive officer, Steve Shum; and (c) $100,000 from our chief financial officer, Andrea Goren. The Company’s CFO is a beneficiary of JAG but does not have any control over JAG’s investment decisions with respect to the Company. See Note 9 of the Notes to Consolidated Financial Statements for additional information.

As of December 31, 2022 the Company owed accounts payable to related parties totaling $76,948, primarily related to unpaid employee expense reimbursements and unpaid board fees.

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DESCRIPTION OF SECURITIES

The following description of the Company’s capital stock and provisions of its Articles of Incorporation and Bylaws are summaries and are qualified by reference to the Company’s Articles of Incorporation and Bylaws.

General

Our Articles of Incorporation authorizes the issuance of 106,250,000 shares of capital stock, 6,250,000 shares of which are designated as common stock, par value $0.0001 per share, and 100,000,000 of which are designated as preferred stock, par value $0.0001 per share. As of July 28, 2023, we have 843,267 shares of common stock issued and outstanding and no shares of preferred stock issued or outstanding.

Common Stock

Each stockholder of our common stock actually outstanding asis entitled to a pro rata share of December 11, 2009.

Name of Principal Shareholder Number of Shares Owned  
Percent of Shares
Outstanding
 
Dr. Claude Ranoux  25,501,473   44.0%
Kathleen Karloff  5,862,159   10.1%
Christopher Esposito  3,931,763   6.8%
Phillip Warren  3,457,778   6.0%
         
All Officers and Directors as a Group (two persons)  31,363,632   54.1%
We have 58,002,763 shares issued and outstanding as of December 11, 2009.
SELLING SHAREHOLDER
This prospectus relatescash distributions made to the possible resale by the selling stockholder, AGS Capital, LLC, of shares of common stock that we may issue pursuant to the Reserve Equity Financing Agreement, or REF, that we entered into with AGS on October 28, 2009. We are filing the registration statement of which this prospectus is a part pursuant to the provisions of the registration rights agreement we entered into with AGS on October 28, 2009.
stockholders, including dividend payments. The selling stockholder may from time to time offer and sell pursuant to this prospectus any or all of the shares that it acquires under the REF.
The following table presents information regarding AGS and the shares that it may offer and sell from time to time under this prospectus. This table is prepared based on information supplied to us by the selling stockholder. As used in this prospectus, the term “selling stockholder” includes AGS and any donees, pledgees, transferees or other successors in interest selling shares received after the date of this prospectus from a selling stockholder as a gift, pledge or other non-sale related transfer. The number of shares in the column “Number of Shares Being Offered” represents all of the shares that the selling stockholder may offer under this prospectus. The selling stockholder may sell some, all or none of its shares. We do not know how long the selling stockholder will hold the shares before selling them, and we currently have no agreements, arrangements or understandings with the selling stockholder regarding the sale of any of the shares.
Beneficial ownership is determined in accordance with Rule 13d-3(d) promulgated by the SEC under the Securities Exchange Act of 1934, as amended. Unless otherwise noted, each person or group identified possesses sole voting and investment power with respect to the shares, subject to community property laws where applicable. The percentage of shares beneficially owned prior to the offering is based both on 58,002,763 sharesholders of our common stock actually outstanding as of December 11, 2009 and on the assumption that all shares of common stock issuable under the REF we entered into with AGS are outstanding as of that date.
              
 
Name of Beneficial Owner
 
Shares Beneficially Owned
Prior to the Offering
 
Number of
Shares Offered
  
Shares Beneficially Owned
After the Offering
 
 Number Percent Number  Percent 
AGS Capital Group, LLC(1)  8,790,000(2)  8,790 ,000       
(1) The address of AGS is:   2 Water Street, 17th Floor, New York, New York
(2) Consists of 8,790,000 shares of common stock issuable under the REF we entered into with AGS on October 28, 2009. For the purposes hereof, we assumed the issuance of the 8,790,000 shares of common stock issuable pursuant to the REF, but no additional shares of common stock potentially issuable pursuant to the REF. We will file subsequent registration statements covering the resale of any additional shares of common stock beginning approximately 60 days after we have substantially completed the sale to AGS under the REF of the shares subject to this registration statement. Allen Silberstein has voting and investment control of the securities held by AGS.
DESCRIPTION OF CAPITAL STOCK
Our authorized capital stock consists of 200,000,000 shares of common stock, $0.0001 par value and 100,000,000 shares of preferred stock, $0.0001 par value. As of December 11, 2009, there were 58,002,763 shares of our common stock outstanding that were held of record by approximately 98 stockholders, and options and warrants to purchase 9,100,000 shares of common stock were outstanding.
The following description is only a summary. You should also refer to our amended and restated certificate of incorporation and bylaws, both of which have been filed with the SEC as exhibits to our registration statement of which this prospectus forms a part.  
Common Stock

Each holder of common stock is entitled to one vote for each share of record on all matters submitted to a vote of the stockholders, includingbe voted on by stockholders. There is no cumulative voting with respect to the election of our directors and each holder does not have cumulative voting rights. Accordingly,or any other matter. Therefore, the holders of a majoritymore than 50% of the shares of common stock entitled to vote in anyvoted for the election of those directors can elect all of the directors standing for election, if they so choose.
Subject to preferences that may be applicable to any then outstanding preferred stock, holders ofour common stock are entitled to receive ratably those dividends when and if any, as may be declared from time to time by theour board of directors out offrom funds legally available funds.therefore. Cash dividends are at the sole discretion of our board of directors. In the event of our liquidation, dissolution or winding up, the holders of common stock will beare entitled to share ratably in the netall assets legallyremaining available for distribution to stockholdersthem after the payment of all of our debts and other liabilities and the satisfactionafter provision has been made for each class of stock, if any, liquidationhaving any preference grantedin relation to the holdersour common stockholders of any outstanding shares of preferred stock.
Holders ofour common stock have no preemptive or conversion, rightspreemptive or other subscription rights, and there are no redemption or sinking fund provisions applicable to theour common stock. All outstanding shares of common stock are, and the shares of common stock offered by us in this offering, when issued and paid for, will be fully paid and nonassessable. The rights, preferences and privileges of the holders of common stock are subject to, and may be adversely affected by, the rights of the holders of shares of any series of preferred stock which we may designate in the future.

Preferred Stock


The board of directors is authorized, subject to any limitations prescribed by law, without stockholder approval, to issue up to an aggregate of 100,000,000 shares of preferred stock in one or more series and to fix the rights, preferences, privileges and restrictions granted to or imposed upon the preferred stock, including voting rights, dividend rights, conversion rights, redemption privileges and liquidation preferences. The rights of the holders of common stock will be subject to, and may be adversely affected by, the rights of holders of any preferred stock that may be issued in the future. Issuance of preferred stock, while providing flexibility in connection with possible acquisitions and other corporate purposes, could have the effect of delaying, deferring or preventing a change in control of INVO Bioscience. We have no present plans to issue any shares of preferred stock.

Options

As of July 28, 2023, we have options to purchase up to 121,241 shares of our common stock issued and outstanding at a weighted average exercise price of $42.00 per share.

Unit Purchase Options

As of July 28, 2023, we have unit purchase options to purchase up to 4,645 shares of our common stock at an exercise price of $64.00 per share.

Warrants

As of July 28, 2023, we have warrants to purchase up to 343,482 shares of our common stock issued and outstanding at an exercise price between $10.00 and $192.00 per share.

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Registration Rights

Registration rights with respect

Warrants Offered in this Offering

The following summary of certain terms and provisions of the warrants to shares coveredpurchase common stock that are being offered hereby (not including the Placement Agent Warrants, as described in the section of this prospectus titled “Plan of Distribution”) is not complete and is subject to, and qualified in its entirety by, thisthe provisions of the warrants, the form of which is filed as an exhibit to the registration statement of which this prospectus forms a part. Prospective investors should carefully review the terms and prospectus –shares soldprovisions of the form of warrant for a complete description of the terms and conditions of the warrants. The warrants will be issued in certificated form.

Duration and Exercise Price

The warrants are exercisable from and after the date of their issuance and expire on the anniversary of such date, at an exercise price per share of common stock equal to 100% of the public offering price per Unit in this offering. The holder of a warrant will not be deemed a holder of our underlying common stock until the warrant is exercised. No fractional shares of common stock will be issued in connection with the Reserve Equity Financing Agreement,exercise of warrant. Instead, for any such fractional share that would have otherwise been issued upon exercise of a warrant, we will round such fraction down to the next whole share.

Exercisability

The warrants will be exercisable, at the option of each holder, in whole or REF,in part, by delivering to us a duly executed exercise notice accompanied by payment in full for the number of shares of our common stock purchased upon such exercise (except in the case of a cashless exercise as discussed below). A holder (together with AGS Capitalits affiliates) may not exercise any portion of the warrant to the extent that the holder would own more than 4.99% of the outstanding common stock immediately after exercise, except that upon at least 61 days’ prior notice from the holder to us, the holder may increase the amount of beneficial ownership of outstanding stock after exercising the holder’s warrants up to 9.99% of the number of shares of our common stock outstanding immediately after giving effect to the exercise, as such percentage ownership is determined in accordance with the terms of the warrants and Delaware law. Purchasers of warrants in this offering may also elect prior to the issuance of the warrants to have the initial exercise limitation set at 9.99% of our outstanding common stock.

Cashless Exercise

If, at the time a holder exercises its warrants, a registration statement registering the issuance of the shares of common stock underlying the warrants under the Securities Act is not then effective or available for the issuance of such shares, then in lieu of making the cash payment otherwise contemplated to be made to us upon such exercise in payment of the aggregate exercise price, the holder may elect instead to receive upon such exercise (either in whole or in part) the net number of shares of common stock determined according to a formula set forth in the warrants.

Transferability

Subject to applicable laws, a warrant may be transferred at the option of the holder upon surrender of the warrant to us together with the appropriate instruments of transfer.

Fractional Shares

No fractional shares of common stock will be issued upon the exercise of warrant. Rather, the number of shares of common stock to be issued will be rounded to the nearest whole number.

Trading Market

There is no established public trading market for the warrants, and we do not expect a market to develop. In addition, we do not intend to apply to list the warrants on any national securities exchange or other nationally recognized trading system. Without an active trading market, the liquidity of the warrants will be limited.

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Right as a Stockholder

Except as otherwise provided in the warrants or by virtue of such holder’s ownership of shares of our common stock, the holders of the warrants do not have the rights or privileges of holders of our common stock with respect to the shares of common stock underlying the warrants, including any voting rights, until they exercise their warrants. The warrants will provide that holders have the right to participate in distributions or dividends paid on our common stock.

Fundamental Transaction

In the event of a fundamental transaction, as described in the warrants and generally including any reorganization, recapitalization or reclassification of our common stock, the sale, transfer or other disposition of all or substantially all of our properties or assets, our consolidation or merger with or into another person, the acquisition of more than 50% of our outstanding common stock, or any person or group becoming the beneficial owner of 50% of the voting power represented by our outstanding common stock, the holders of the warrants will be entitled to receive upon exercise of the warrants the kind and amount of securities, cash or other property that the holders would have received had they exercised the warrants immediately prior to such fundamental transaction.

Pre-Funded Warrants Issued in this Offering

The following summary of certain terms and provisions of the pre-funded warrants that are being offered hereby in lieu of a share of common stock is not complete and is subject to, and qualified in its entirety by, the provisions of the pre-funded warrant, the form of which is filed as an exhibit to the registration statement of which this prospectus forms a part.

Duration and Exercise Price.

Each pre-funded warrant offered hereby will have an initial exercise price per share equal to $0.01. The pre-funded warrants will be immediately exercisable and may be exercised at any time until the pre-funded warrants are exercised in full. The exercise price and number of shares of common stock issuable upon exercise is subject to appropriate adjustment in the event of stock dividends, stock splits, reorganizations or similar events affecting our common stock and the exercise price.

Exercisability.

The pre-funded warrants will be exercisable, at the option of each holder, in whole or in part, by delivering to us a duly executed exercise notice accompanied by payment in full for the number of shares of our common stock purchased upon such exercise (except in the case of a cashless exercise as discussed below). There is no expiration date for the pre-funded warrants. A holder (together with its affiliates) may not exercise any portion of the pre-funded warrant to the extent that the holder would own more than 4.99% (or at the election of the holder prior to the issuance of any pre-funded warrants, 9.99%) of the outstanding shares of common stock immediately after exercise. Any holder may increase such percentage to any percentage not in excess of 9.99% upon at least 61 days’ prior notice to us. No fractional shares of common stock will be issued in connection with the exercise of a pre-funded warrant. In lieu of fractional shares of common stock, we will pay the holder an amount in cash equal to the fractional amount multiplied by the exercise price of such pre-funded warrant or round up to the next whole share.

Cashless Exercise.

In lieu of making the cash payment otherwise contemplated to be made to us upon such exercise in payment of the aggregate exercise price, the holder may elect instead to receive upon such exercise (either in whole or in part) the net number of shares of common stock determined according to a formula set forth in the pre-funded warrants.

Fundamental Transaction.

In the event of a fundamental transaction, as described in the pre-funded warrants and generally including any reorganization, recapitalization or reclassification of our common stock, the sale, transfer or other disposition of all or substantially all of our properties or assets, our consolidation or merger with or into another person, the acquisition of more than 50% of our outstanding shares of common stock, or 50% or more of the voting power of our common equity, the holders of the pre-funded warrants will be entitled to receive upon exercise of the pre-funded warrants the kind and amount of securities, cash or other property that the holders would have received had they exercised the pre-funded warrants immediately prior to such fundamental transaction.

Transferability.

Subject to applicable laws, a pre-funded warrant may be transferred at the option of the holder upon surrender of the pre-funded warrant to us together with the appropriate instruments of transfer.

Exchange Listing.

We do not intend to list the pre-funded warrants on any securities exchange or nationally recognized trading system.

Rights as a Stockholder.

Except as otherwise provided in the pre-funded warrants or by virtue of such holder’s ownership of shares of our common stock, the holders of the pre-funded warrants do not have the rights or privileges of holders of our common stock, including any voting rights, until they exercise their pre-funded warrants

PLAN OF DISTRIBUTION

Pursuant to a placement agency agreement, we have engaged Maxim Group LLC. LLC to act as our exclusive placement agent to solicit offers to purchase the securities offered by this prospectus. The Placement Agent is not purchasing or selling any securities, nor is it required to arrange for the purchase and sale of any specific number or dollar amount of securities, other than to use its “reasonable best efforts” to arrange for the sale of the securities by us. Therefore, we may not sell the entire amount of securities being offered. The placement agency agreement also provides that the Placement Agent’s obligations are subject to conditions contained in the placement agency agreement. We will enter into a securities purchase agreement directly with the investors, at the investor’s option, who purchase our securities in this offering. Investors who do not enter into a securities purchase agreement shall rely solely on this prospectus in connection with the purchase of our securities in this offering. The Placement Agent may engage one or more subagents or selected dealers in connection with this offering.

We are offering up to a maximum of 1,585,000 Units in this offering. There will be no minimum amount of proceeds as a condition to closing of this offering. The actual amount of gross proceeds, if any, in this offering could vary substantially from the gross proceeds from the sale of the maximum amount of securities being offered in this prospectus.

In connection with establishingthis offering, the REFPlacement Agent may distribute prospectuses electronically.

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Placement Agent, Commissions and Expenses

Upon the closing of this offering, we will pay the Placement Agent a cash transaction fee equal to seven percent (7.0%) of the aggregate gross cash proceeds to us from the sale of the securities in the offering. In addition, we will reimburse the Placement Agent for its out-of-pocket expenses incurred in connection with AGS,this offering, including the fees and expenses of the counsel for the Placement Agent of up to $90,000.

The following table shows the public offering price, Placement Agent fees and proceeds, before expenses, to us.

Per Share and

Accompanying

Warrants

Per Pre-Funded WarrantTotal
Public offering price$$$
Placement Agent’s fee$$$
Proceeds, before expenses, to us$$$

We estimate that the total expenses of the offering, including registration, filing and listing fees, printing fees and legal and accounting expenses, but excluding Placement Agent fees and the Placement Agent’s accountable expense, will be approximately $[●], all of which are payable by us.

Placement Agent Warrants

We have also agreed to issue to the Placement Agent warrants (the “Placement Agent Warrants”) to purchase a number of common stock equal to 7.0% of the Units sold in this offering. The Placement Agent Warrants will have an exercise price equal to 110.0% of the offering price of the Units sold in this offering and may be exercised on a cashless basis. The Placement Agent Warrants are exercisable commencing on a date which is the later of (i) one hundred eighty days from the effective date of the registration statement for this offering of which this prospectus forms a part and (ii) the date on which we entered intofile an amendment to our articles of incorporation to increase the number of authorized shares of our Common Stock and will terminate five (5) years from the effective date of the registration statement for this offering of which this prospectus forms a part. The Placement Agent Warrants are not redeemable by us. We have agreed to one demand registration at our expense, an additional demand registration at the warrant holders’ expense, and unlimited “piggyback” registration rights of the common stock underlying the Placement Agent Warrants at our expense for a period of five (5) years after the closing of this offering. The Placement Agent Warrants and the shares underlying the Placement Agent Warrants have been deemed compensation by FINRA and are therefore subject to a 180-day lock-up pursuant to Rule 5110(e)(1) of FINRA. The Placement Agent (or permitted assignees under the Rule) may not sell, transfer, assign, pledge or hypothecate the warrants or the shares underlying the warrants, nor will they be the subject of any hedging, short sale, derivative, put or call transaction that would result in the effective economic disposition of the warrants or the underlying shares for a period of 180 days from the effective date of the registration statement for this offering, except to any FINRA member participating in the offering and their bona fide officers or partners or as otherwise permitted under FINRA Rule 5110(e)(2). The Placement Agent Warrants will provide for adjustment in the number and price of such warrants (and the shares underlying such warrants) in the event of recapitalization, merger or other structural transaction to prevent mechanical dilution or in the event of a future financing undertaken by us.

Lock-Up Agreements

We, all of our directors and officers, and the holders of 5% or more of our outstanding Common Stock (and all holders of securities exercisable for or convertible into shares of common stock), have agreed, subject to certain exceptions, not to offer, issue, sell, contract to sell, encumber, grant any option for the sale of or otherwise dispose of any of our Common Stock or other securities convertible into or exercisable or exchangeable for our Common Stock for a period of six (6) months after this offering is completed without the prior written consent of the Placement Agent.

The Placement Agent may in its sole discretion and at any time without notice release some or all of the shares subject to lock-up agreements prior to the expiration of the lock-up period. When determining whether or not to release shares from the lock-up agreements, the Placement Agent will consider, among other factors, the security holder’s reasons for requesting the release, the number of shares for which the release is being requested and market conditions at the time.

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Right of First Refusal

Upon the closing of this offering, until December 27, 2024, we shall grant the Placement Agent the right of first refusal to act as sole managing underwriter and sole book runner, sole placement agent, or sole sales agent, for any and all future public or private equity, equity-linked or debt (excluding commercial bank debt) offerings for which the Company retains the service of an underwriter, agent, advisor, finder or other person or entity in connection with such offering during such period of the Company, or any successor to or any subsidiary of the Company. The Company shall not offer to retain any entity or person in connection with any such offering on terms more favorable than terms on which it offers to retain the Placement Agent. Such offer shall be made in writing in order to be effective. The Placement Agent shall notify the Company within ten (10) business days of its receipt of the written offer contemplated above as to whether or not it agrees to accept such retention. If the Placement Agent should decline such retention, the Company shall have no further obligations to the Placement Agent with respect to the offering for which it has offered to retain the Placement Agent.

Indemnification

We have agreed to indemnify the Placement Agent against certain liabilities, including liabilities under the Securities Act, and to contribute to payments that the Placement Agent may be required to make for these liabilities.

Tail

If there is a closing of this offering, or if our agreement with AGS. Pursuantthe Placement Agent is terminated prior to closing of this offering, then if within twelve (12) months following such time, the Company completes any financing of equity, equity-linked, convertible or debt or other capital raising activity with, or receives any proceeds from, any of the investors contacted or introduced by the Placement Agent during the term of the engagement agreement, then the Company will pay the Placement Agent upon the closing of such financing or receipt of such proceeds a cash transaction fee equal to seven percent (7.0%) of the aggregate gross cash proceeds of such transaction, Placement Agent Warrants in an amount equal to 7% of the number of securities sold in that financing plus accountable expenses not to exceed $90,000.

Regulation M

The Placement Agent may be deemed to be an underwriter within the meaning of Section 2(a)(11) of the Securities Act, and any commissions received by it and any profit realized on the resale of the securities sold by it while acting as principal might be deemed to be underwriting discounts or commissions under the Securities Act. As an underwriter, the Placement Agent would be required to comply with the requirements of the Securities Act and the Exchange Act, including, without limitation, Rule 10b-5 and Regulation M under the Exchange Act. These rules and regulations may limit the timing of purchases and sales of our securities by the placement agent acting as principal. Under these rules and regulations, the Placement Agent (i) may not engage in any stabilization activity in connection with our securities and (ii) may not bid for or purchase any of our securities or attempt to induce any person to purchase any of our securities, other than as permitted under the Exchange Act, until it has completed its participation in the distribution.

Determination of Offering Price

The actual offering price of the securities were negotiated between us, the Placement Agent and the investors in the offering based on the trading of our Common Stock prior to the registration rights agreement,offering, among other things. Other factors considered in determining the public offering price of the securities we filedare offering, include our history and prospects, the stage of development of our business, our business plans for the future and the extent to which they have been implemented, an assessment of our management, the general conditions of the securities markets at the time of the offering and such other factors as were deemed relevant.

Electronic Distribution

A prospectus in electronic format may be made available on a website maintained by the Placement Agent. In connection with the offering, the Placement Agent or selected dealers may distribute prospectuses electronically. No forms of electronic prospectus other than prospectuses that are printable as Adobe® PDF will be used in connection with this offering.

Other than the prospectus in electronic format, the information on the Placement Agent’s website and any information contained in any other website maintained by the Placement Agent is not part of the prospectus or the registration statement of which this prospectus forms a part, withhas not been approved and/or endorsed by us or the SecuritiesPlacement Agent in its capacity as placement agent and Exchange Commission. Weshould not be relied upon by investors.

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Certain Relationships

The Placement Agent and its affiliates have agreed to use our commercially reasonable efforts to cause this registration statement to be declared effective by the Securities and Exchange Commission. The effectiveness of this registration statement is a condition precedent to our ability to sell the shares of common stock subject to this registration statement to AGS under the REF. This registration statement covers only a portion of the shares of our common stock issuable pursuant to the REF. We will file subsequent registration statements covering the resale of additional shares of our common stock issuable pursuant to the REF beginning approximately 60 days after we have substantially completed the sale to AGS under the REF of the shares subject to this registration statement. These subsequent registration statements are subject to our ability to prepare and file them, and may be subject to review and comment by the Staff of the Securities and Exchange Commission, as well as consent by our independent registered accounting firm. Therefore, the timing of effectiveness of these subsequent registration statements cannot be assured. The effectiveness of these subsequent registration statements is a condition precedent to our ability to sell the shares of common stock subject to these subsequent registration statements to AGS under the REF.

Transfer Agent and Registrar
We have engaged the services of Island Stock Transfer as our transfer agent and registrar.
PLAN OF DISTRIBUTION
We are registering 8,790,900 shares of common stock under this prospectus on behalf of AGS. Except as described below, to our knowledge, the selling stockholder has not entered into any agreement, arrangement or understanding with any particular broker or market maker with respect to the shares of common stock offered hereby, nor, except as described below, do we know the identity of any brokers or market makers that may participate in the sale of the shares.
The selling stockholder may decide not to sell any shares. The selling stockholder mayfuture provide, from time to time, investment banking and financial advisory services to us in the ordinary course of business, for which they may receive customary fees and commissions.

Selling Restrictions

Other than in the United States of America, no action has been taken by us or the Placement Agent that would permit a public offering of the securities offered by this prospectus in any jurisdiction where action for that purpose is required. The securities offered by this prospectus may not be offered or sold, directly or indirectly, nor may this prospectus or any other offering material or advertisements in connection with the offer someand sale of any such securities be distributed or published in any jurisdiction, except under circumstances that will result in compliance with the applicable rules and regulations of that jurisdiction. Persons into whose possession this prospectus comes are advised to inform themselves about and to observe any restrictions relating to the offering and the distribution of this prospectus. This prospectus does not constitute an offer to sell or a solicitation of an offer to buy any securities offered by this prospectus in any jurisdiction in which such an offer or a solicitation is unlawful.

European Economic Area

In relation to each Member State of the European Economic Area (each, a Member State), no Common Shares have been offered or will be offered pursuant to this offering to the public in that Member State prior to the publication of a prospectus in relation to our Common Shares which has been approved by the competent authority in that Member State or, where appropriate, approved in another Member State and notified to the competent authority in that Member State, all in accordance with the Prospectus Regulation, except that offers of shares may be made to the public in that Member State at any time under the following exemptions under the Prospectus Regulation:

(a)to any legal entity which is a qualified investor as defined in the Prospectus Regulation;

(b)by the placement agent to fewer than 150 natural or legal persons (other than qualified investors as defined in the Prospectus Regulation), subject to obtaining the prior written consent of the representatives for any such offer; or

(c)in any other circumstances falling within Article 1(4) of the Prospectus Regulation,

provided that no such offer of our Common Shares shall result in a requirement for us or any underwriter to publish a prospectus pursuant to Article 3 of the Prospectus Regulation or supplement a prospectus pursuant to Article 23 of the Prospectus Regulation.

Each person in a Member State who initially acquires any of our Common Shares or to whom any offer is made will be deemed to have represented, acknowledged, and agreed with us and the representatives that it is a qualified investor within the meaning of the Prospectus Regulation.

In the case of any of our Common Shares are being offered to a financial intermediary as that term is used in Article 5(1) of the Prospectus Regulation, each such financial intermediary will be deemed to have represented, acknowledged and agreed that the Common Shares acquired by it in the offer have not been acquired on a non-discretionary basis on behalf of, nor have they been acquired with a view to their offer or resale to, persons in circumstances which may give rise to an offer to the public other than their offer or resale in a Member State to qualified investors, in circumstances in which the prior written consent of the representatives has been obtained to each such proposed offer or resale.

We, the placement agent, and their affiliates will rely upon the truth and accuracy of the foregoing representations, acknowledgments, and agreements.

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For the purposes of this provision, the expression an “offer to the public” in relation to any of our Common Shares in any Member State means the communication in any form and by any means of sufficient information on the terms of the offer and any of our Common Shares to be offered so as to enable an investor to decide to purchase or subscribe for our Common Shares, and the expression “Prospectus Regulation” means Regulation (EU) 2017/1129.

United Kingdom

No shares have been offered or will be offered pursuant to this offering to the public in the United Kingdom prior to the publication of a prospectus in relation to the shares which has been approved by the Financial Conduct Authority, except that the shares may be offered to the public in the United Kingdom at any time:

(a)to any legal entity which is a qualified investor as defined under Article 2 of the UK Prospectus Regulation;

(b)to fewer than 150 natural or legal persons (other than qualified investors as defined under Article 2 of the UK Prospectus Regulation), subject to obtaining the prior consent of the representatives for any such offer; or

(c)in any other circumstances falling within Section 86 of the Financial Services and Markets Act 2000, or FSMA;

provided that no such offer of the shares shall require the us or any placement agent to publish a prospectus pursuant to Section 85 of common stock through brokers, dealersthe FSMA or agents who may receive compensationsupplement a prospectus pursuant to Article 23 of the UK Prospectus Regulation. For the purposes of this provision, the expression an “offer to the public” in relation to the shares in the United Kingdom means the communication in any form and by any means of discounts, concessionssufficient information on the terms of the offer and any shares to be offered so as to enable an investor to decide to purchase or commissionssubscribe for any shares and the expression “UK Prospectus Regulation” means Regulation (EU) 2017/1129 as it forms part of domestic law by virtue of the European Union (Withdrawal) Act 2018.

Canada

The securities may be sold in Canada only to purchasers purchasing, or deemed to be purchasing, as principal that are accredited investors, as defined in National Instrument 45-106 Prospectus Exemptions or subsection 73.3(1) of the Securities Act (Ontario), and are permitted clients, as defined in National Instrument 31 103 Registration Requirements, Exemptions and Ongoing Registrant Obligations. Any resale of the securities must be made in accordance with an exemption from, or in a transaction not subject to, the selling stockholder and/prospectus requirements of applicable securities laws.

Securities legislation in certain provinces or territories of Canada may provide a purchaser with remedies for rescission or damages if this prospectus supplement (including any amendment thereto) contains a misrepresentation, provided that the remedies for rescission or damages are exercised by the purchaser within the time limit prescribed by the securities legislation of the purchaser’s province or territory. The purchaser should refer to any applicable provisions of the securities legislation of the purchaser’s province or territory for particulars of these rights or consult with a legal advisor.

Pursuant to section 3A.3 of National Instrument 33 105 Underwriting Conflicts (NI 33 105), the placement agent are not required to comply with the disclosure requirements of NI 33-105 regarding placement agent conflicts of interest in connection with this offering.

Israel

This document does not constitute a prospectus under the Israeli Securities Law, 5728-1968, or the purchasersSecurities Law, and has not been filed with or approved by the Israel Securities Authority. In the State of Israel, this document is being distributed only to, and is directed only at, and any offer of the shares is directed only at, investors listed in the first addendum, or the Addendum, to the Israeli Securities Law, consisting primarily of common stockjoint investment in trust funds, provident funds, insurance companies, banks, portfolio managers, investment advisors, members of the Tel Aviv Stock Exchange, placement agent, venture capital funds, entities with equity in excess of NIS 50 million and “qualified individuals,” each as defined in the Addendum (as it may be amended from time to time), collectively referred to as qualified investors (in each case purchasing for whomtheir own account or, where permitted under the Addendum, for the accounts of their clients who are investors listed in the Addendum). Qualified investors will be required to submit written confirmation that they fall within the scope of the Addendum, are aware of the meaning of same and agree to it.

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Hong Kong

Our Common Shares may act as agent. In effecting sales, broker-dealers that are engagednot be offered or sold in Hong Kong by means of any document other than (1) in circumstances which do not constitute an offer to the selling stockholder may arrange for other broker-dealerspublic within the meaning of the Companies (Winding Up and Miscellaneous Provisions) Ordinance (Cap. 32 of the Laws of Hong Kong) (“Companies (Winding Up and Miscellaneous Provisions) Ordinance”) or which do not constitute an invitation to participate. AGS is an “underwriter”the public within the meaning of the Securities Act. Any brokers, dealersand Futures Ordinance (Cap. 571 of the Laws of Hong Kong), or agents who participatethe Securities and Futures Ordinance, or (2) to “professional investors” as defined in the distributionSecurities and Futures Ordinance and any rules made thereunder, or (3) in other circumstances which do not result in the document being a “prospectus” as defined in the Companies (Winding Up and Miscellaneous Provisions) Ordinance, and no advertisement, invitation or document relating to our Common Shares may be issued or may be in the possession of any person for the sharespurpose of common stock may also be deemedissue (in each case whether in Hong Kong or elsewhere), which is directed at, or the contents of which are likely to be “underwriters,”accessed or read by, the public in Hong Kong (except if permitted to do so under the securities laws of Hong Kong) other than with respect to shares which are or are intended to be disposed of only to persons outside Hong Kong or only to “professional investors” in Hong Kong as defined in the Securities and Futures Ordinance and any profits onrules made thereunder.

Singapore

This prospectus has not been registered as a prospectus with the saleMonetary Authority of the shares of common stock by themSingapore. Accordingly, this prospectus and any discounts, commissionsother document or concessions received by any such brokers, dealersmaterial in connection with the offer or agents may be deemed to be underwriting discounts and commissions under the Securities Act. AGS has advised us that it may effect resalessale, or invitation for subscription or purchase, of our common stock through any oneCommon Shares may not be circulated or more registered broker-dealers. Becausedistributed, nor may our Common Shares be offered or sold, or be made the selling stockholder is deemedsubject of an invitation for subscription or purchase, whether directly or indirectly, to bepersons in Singapore other than (1) to an underwriter, the selling stockholder will be subject to the prospectus delivery requirementsinstitutional investor (as defined under Section 4A of the Securities and Futures Act, and may be subject to certain statutory liabilitiesChapter 289 of including but not limited to, Sections 11, 12 and 17Singapore, or the SFA) under Section 274 of the Securities Act and Rule 10b-5 under the Securities Exchange Act of 1934, as amended, or the Exchange Act.

The selling stockholder will act independently of usSFA, (2) to a relevant person (as defined in making decisions with respect to the timing, manner and size of each sale. Such sales may be made, on the over-the-counter market, otherwise or in a combination of such methods of sale, at then prevailing market prices, at prices related to prevailing market prices or at negotiated prices. The shares of common stock may be sold according to one or moreSection 275(2) of the following methods:
a block trade in which the broker or dealer so engaged will attemptSFA) pursuant to sell the shares of common stock as agent but may position and resell a portionSection 275(1) of the block as principal to facilitate the transaction;
purchases by a brokerSFA, or dealer as principal and resale by such broker or dealer for its accountany person pursuant to this prospectus;
an over-the-counter distributionSection 275(1A) of the SFA, and in accordance with the FINRA rules;
ordinary brokerage transactionsconditions specified in Section 275 of the SFA or (3) otherwise pursuant to, and transactions in whichaccordance with the broker solicits purchasers;
privately negotiated transactions;
a combinationconditions of, such methods of sale; and
any other method permittedapplicable provision of the SFA, in each case subject to conditions set forth in the SFA.

Where our Common Shares are subscribed or purchased under Section 275 of the SFA by a relevant person which is a corporation (which is not an accredited investor (as defined in Section 4A of the SFA)) the sole business of which is to hold investments and the entire share capital of which is owned by one or more individuals, each of whom is an accredited investor, the securities (as defined in Section 239(1) of the SFA) of that corporation shall not be transferable for six months after that corporation has acquired our Common Shares under Section 275 of the SFA except: (1) to an institutional investor under Section 274 of the SFA or to a relevant person (as defined in Section 275(2) of the SFA), (2) where such transfer arises from an offer in that corporation’s securities pursuant to applicable law.

Any shares coveredSection 275(1A) of the SFA, (3) where no consideration is or will be given for the transfer, (4) where the transfer is by this prospectus which qualify for sale pursuant to Rule 144operation of law, (5) as specified in Section 276(7) of the SFA, or (6) as specified in Regulation 32 of the Securities and Futures (Offers of Investments) (Shares and Debentures) Regulations 2005 of Singapore, or Regulation 32.

Where our Common Shares are subscribed or purchased under Section 275 of the SFA by a relevant person which is a trust (where the trustee is not an accredited investor (as defined in Section 4A of the SFA)) whose sole purpose is to hold investments and each beneficiary of the trust is an accredited investor, the beneficiaries’ rights and interest (howsoever described) in that trust shall not be transferable for six months after that trust has acquired our Common Shares under Section 275 of the SFA except: (1) to an institutional investor under Section 274 of the SFA or to a relevant person (as defined in Section 275(2) of the SFA), (2) where such transfer arises from an offer that is made on terms that such rights or interest are acquired at a consideration of not less than $200,000 (or its equivalent in a foreign currency) for each transaction (whether such amount is to be paid for in cash or by exchange of securities or other assets), (3) where no consideration is or will be given for the transfer, (4) where the transfer is by operation of law, (5) as specified in Section 276(7) of the SFA, or (6) as specified in Regulation 32.

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Japan

The securities have not been and will not be registered under the Financial Instruments and Exchange Act of Japan (Act No. 25 of 1948, as amended), or the FIEA. The securities may not be offered or sold, directly or indirectly, in Japan or to or for the benefit of any resident of Japan (including any person resident in Japan or any corporation or other entity organized under Rule 144 rather thanthe laws of Japan) or to others for reoffering or resale, directly or indirectly, in Japan or to or for the benefit of any resident of Japan, except pursuant to this prospectus. In addition,an exemption from the selling stockholder may transfer the shares by other means not described in this prospectus.

Any broker-dealer participating in such transactions as agent may receive commissions from AGS (and, if they act as agent for the purchaser of such shares, from such purchaser). Broker-dealers may agree with AGS to sell a specified number of shares at a stipulated price per share, and, to the extent such a broker-dealer is unable to do so acting as agent for AGS, to purchase as principal any unsold shares at the price required to fulfill the broker-dealer commitment to AGS. Broker-dealers who acquire shares as principal may thereafter resell such shares from time to time in transactions (which may involve crosses and block transactions and which may involve sales to and through other broker-dealers, including transactionsregistration requirements of the nature described above)FIEA and otherwise in compliance with any relevant laws and regulations of Japan.

Dubai International Financial Centre

This prospectus relates to an “Exempt Offer” in accordance with the Offered Securities Rules of the Dubai Financial Services Authority, or the DFSA. This prospectus is intended for distribution only to persons of a type specified in the Offered Securities Rules of the DFSA. It must not be delivered to, or relied on the Nasdaq Capital Market, on the over-the-counter market, in privately-negotiated transactionsby, any other person. The DFSA has no responsibility for reviewing or otherwise at market prices prevailing at the time of sale or at negotiated prices, andverifying any documents in connection with such resales may pay to or receive from the purchasers of such shares commissions computed as described above. To the extent required under the Securities Act, an amendment toExempt Offers. The DFSA has not approved this prospectus or a supplemental prospectus will be filed, disclosing:

the name of any such broker-dealers;
the number of shares involved;
the price at which such shares are to be sold;
the commission paid or discounts or concessions allowed to such broker-dealers, where applicable;
that such broker-dealers did not conduct any investigationnor taken steps to verify the information set out or incorporated by reference inforth herein and has no responsibility for the prospectus. Our Common Shares to which this prospectus as supplemented;relates may be illiquid and/or subject to restrictions on their resale. Prospective purchasers of our Common Shares should conduct their own due diligence on such shares. If you do not understand the contents of this prospectus, you should consult an authorized financial advisor.

Switzerland

Our Common Shares may not be publicly offered in Switzerland and

will not be listed on the SIX Swiss Exchange, or the SIX, or on any other facts materialstock exchange or regulated trading facility in Switzerland. This document does not constitute a prospectus within the meaning of, and has been prepared without regard to the transaction.
Underwriters and purchasers that are deemed underwritersthe Swiss Code of Obligations or the disclosure standards for listing prospectuses under art. 27 ff. of the Securities ActSIX Listing Rules or the listing rules of any other stock exchange or regulated trading facility in Switzerland. Neither this document nor any other offering or marketing material relating to our Common Shares or this offering may engage in transactions that stabilize, maintainbe publicly distributed or otherwise affect the price of the securities, including the entry of stabilizing bids or syndicate covering transactions or the imposition of penalty bids. AGS andmade publicly available in Switzerland.

Neither this document nor any other persons participating in the saleoffering or distribution of the shares will be subjectmarketing material relating to the applicable provisions of the Exchange Act and the rules and regulations thereunder including, without limitation, Regulation M. These provisions may restrict certain activities of, and limit the timing of, purchases by the selling stockholderthis offering, our company or other personsour Common Shares have been or entities. Furthermore, under Regulation M, persons engaged in a distribution of securities are prohibited from simultaneously engaging in market making and certain other activities with respect to such securities for a specified period of time prior to the commencement of such distributions, subject to special exceptions or exemptions. Regulation M may restrict the ability of any person engaged in the distribution of the securities to engage in market-making and certain other activities with respect to those securities. In addition, the anti-manipulation rules under the Exchange Act may apply to sales of the securities in the market. All of these limitations may affect the marketability of the shares and the ability of any person to engage in market-making activities with respect to the securities.

We have agreed to pay the expenses of registering the shares of common stock under the Securities Act, including registration and filing fees, printing expenses, administrative expenses and certain legal and accounting fees. The selling stockholder will bear all discounts, commissions or other amounts payable to underwriters, dealers or agents, as well as transfer taxes and certain other expenses associated with the sale of securities.
Under the terms of the AGS common stock purchase agreement and the registration rights agreement, we have agreed to indemnify the selling stockholder and certain other persons against certain liabilities in connection with the offering of the shares of common stock offered hereby, including liabilities arising under the Securities Act or, if such indemnity is unavailable, to contribute toward amounts required to be paid in respect of such liabilities.
At any time a particular offer of the shares of common stock is made, a revised prospectus or prospectus supplement, if required, will be distributed. Such prospectus supplement or post-effective amendment will be filed with or approved by any Swiss regulatory authority. In particular, this document will not be filed with, and the SEC,offer of our Common Shares will not be supervised by, the Swiss Financial Market Supervisory Authority and the offer of our Common Shares have not been and will not be authorized under the Swiss Federal Act on Collective Investment Schemes, or the CISA. The investor protection afforded to reflectacquirers of interests in collective investment schemes under the CISA does not extend to acquirers of our Common Shares.

Australia

No placement document, prospectus, product disclosure statement or other disclosure document has been lodged with the Australian Securities and Investments Commission, or ASIC, in relation to this offering. This prospectus does not constitute a prospectus, product disclosure statement or other disclosure document under the Corporations Act 2001, or the “Corporations Act”, and does not purport to include the information required for a prospectus, product disclosure statement or other disclosure document under the Corporations Act.

Any offer in Australia of required additional information with respectour Common Shares may only be made to persons, or “Exempt Investors”, who are “sophisticated investors” (within the distributionmeaning of section 708(8) of the sharesCorporations Act), “professional investors” (within the meaning of common stock. We may suspendsection 708(11) of the sale of shares by the selling stockholderCorporations Act) or otherwise pursuant to one or more exemptions contained in section 708 of the Corporations Act so that it is lawful to offer our Common Shares without disclosure to investors under Chapter 6D of the Corporations Act.

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Our Common Shares applied for by Exempt Investors in Australia must not be offered for sale in Australia in the period of 12 months after the date of allotment under this offering, except in circumstances where disclosure to investors under Chapter 6D of the Corporations Act would not be required pursuant to an exemption under section 708 of the Corporations Act or otherwise or where the offer is pursuant to a disclosure document which complies with Chapter 6D of the Corporations Act. Any person acquiring our Common Shares must observe such Australian on-sale restrictions.

This prospectus contains general information only and does not take account of the investment objectives, financial situation, or particular needs of any particular person. It does not contain any securities recommendations or financial product advice. Before making an investment decision, investors need to consider whether the information in this prospectus for certain periodsis appropriate to their needs, objectives, and circumstances, and, if necessary, seek expert advice on those matters.

We have not engaged counsel outside of time for certain reasons, including if the prospectus is requiredUnited States to be supplemented or amended to include additional material information.

LEGALreview any other country’s securities laws and therefore, notwithstanding the above, neither we nor the placement agent can assure you that the summary of the laws above are accurate as of the date of this prospectus.

LEGAL MATTERS

The validity of the issuance of the common stocksecurities offered hereby will be passed upon for us by Shulman, Rogers, Gandal PordySheppard Mullin Richter & Ecker, P.A..

EXPERTS
Hampton LLP of New York, New York. Loeb & Loeb LLP, New York, New York is acting as counsel to the Placement Agent.

EXPERTS

The consolidated financial statements of INVO Bioscience, Inc. for the two most recent fiscal years ended December 31, 20072022 and 2008,December 31, 2021 have been audited by Webb & Company, P.A. and RBSM, LLP respectively,included herein in reliance upon the reports of M&K CPAs, PLCC, independent registered public accounting firms, tofirm, upon the extent and for the periods set forth in their report, whichauthority of said firm as experts (which contains an explanatory paragraph regarding ourrelating to the Company’s ability to continue as a going concern appearing elsewhere hereinas described in Note 2 to the consolidated financial statements). The combined financial statements of Wisconsin Fertility and Reproductive Surgery Associates, S.C. and Fertility Labs of Wisconsin, LLC as of December 31, 2022 and 2021 and for each of the two years in the registration statement,period ended December 31, 2022 incorporated into this prospectus and are includedthe Registration Statement on Form S-1 of which it forms a part by reference to the Current Report on Form 8-K/A filed with the Securities and Exchange Commission on June 21, 2023, have been so incorporated in reliance upon suchon the report of M&K CPAs, PLCC, an independent registered public accounting firm, given uponon the authority of said firmsfirm as experts in auditing and accounting.

WHEREaccounting .

WHERE YOU CAN FIND ADDITIONALMORE INFORMATION

We have filed with the SEC

This prospectus constitutes a part of a registration statement on Form S-1 filed under the Securities Act that registersAct. As permitted by the sharesSEC’s rules, this prospectus and any prospectus supplement, which form a part of our common stock to be sold in this offering. Thethe registration statement, includingdo not contain all the attached exhibits and schedules, contains additional relevant information about us and our capital stock. The rules and regulations of the SEC allow us to omit from this prospectus certain informationthat is included in the registration statement. For furtherYou will find additional information about us in the registration statement and our common stock,its exhibits. Any statements made in this prospectus or any prospectus supplement concerning legal documents are not necessarily complete and you should referread the documents that are filed as exhibits to the registration statement and the exhibits and schedulesor otherwise filed with the SEC for a more complete understanding of the document or matter.

You can read our electronic SEC filings, including such registration statement. With respectstatement, on the internet at the SEC’s website at www.sec.gov. We are subject to the statements contained in this prospectus regarding the contents of any agreement or any other document, in each instance, the statement is qualified in all respects by the complete textinformation reporting requirements of the agreement or document, a copy of which has been filed as an exhibit to the registration statement.

WeExchange Act, and we file reports, proxy statements and other information with the SEC under the Securities Exchange Act of 1934. You may read and copy this information from the Public Reference Room of the SEC, 100 F Street, N.E., Room 1580, Washington, D.C. 20549, at prescribed rates. You may obtain information on the operation of the Public Reference Room by calling the SEC at 1-800-SEC-0330. The SEC also maintains an Internet website that containsSEC. These reports, proxy statements and other information about issuers, like us, that filewill be available at the website of the SEC referred to above. We also maintain a website at www.invobio.com, at which you may access these materials free of charge as soon as reasonably practicable after they are electronically filed with, or furnished to, the SEC. The address of thatHowever, the information contained in or accessible through our website is www.sec.gov.not part of this prospectus or the registration statement of which this prospectus forms a part, and investors should not rely on such information in making a decision to purchase our securities in this offering.

-50-
You should rely only

INCORPORATION OF DOCUMENTS BY REFERENCE

We incorporate by reference the filed documents listed below (excluding those portions of any Current Report on Form 8-K that are not deemed “filed” pursuant to the information providedGeneral Instructions of Form 8-K), except as superseded, supplemented or modified by this Prospectus Supplement or any subsequently filed document incorporated by reference herein as described below:

our Annual Report on Form 10-K for the fiscal year ended December 31, 2022, filed with the SEC on April 17, 2023 and our Annual Report on Form 10-K/A for the fiscal year ended December 31, 2022 filed with the SEC on April 27,2023;
our Quarterly Reports on Form 10-Q for the fiscal quarters ended March 31, 2023, filed with the SEC on May 15, 2023;
our Current Reports on Forms 8-K filed with the SEC on January 5, 2023,January 5, 2023, January 12, 2023, January 23, 2023, February 9, 2023, February 23, 2023, March 20, 2023, March 20, 2023, March 23, 2023, March 28, 2023, March 30, 2023, April 4, 2023, May 30, 2023;June 21, 2023:June 30, 2023July 7, 2023; July 13, 2023;July 21, 2023;July 24, 2023; and July 27, 2023 (except for Item 2.02 and Item 7.01 of any Current Report on Form 8-K which are not deemed “filed” for purposes of Section 18 of the Exchange Act and are not incorporated by reference in this prospectus); and
the description of the Registrant’s securities, which is contained in the Registrant’s Registration Statement on Form 8-A filed with the SEC on November 12, 2020 under Section 12(b) of the Exchange Act, including any amendments or reports filed for the purpose of updating such description, as amended and Exhibit 4.1 to the Registrant’s Annual Report on Form 10-K form 10-K for the year ended December 31, 2022 filed on April 17, 2023.

We also incorporate by reference in this prospectus supplement and the accompanying prospectus any future filings we make with the SEC under Sections 13(a), 13(c), 14 or any prospectus supplement. We have not authorized anyone else to provide you with different information.  We are not making an offer to sell, nor soliciting an offer to buy, these securities in any jurisdiction where that would not be permitted or legal.  Neither15(d) of the delivery of this prospectus nor any sales made hereunderExchange Act after the date hereof but before the completion or termination of this prospectus shall create an implication thatoffering (excluding any information not deemed “filed” with the informationSEC).

Any statement contained in a document incorporated by reference herein or therein shall be deemed to be modified or superseded for all purposes to the extent that a statement contained in this Prospectus Supplement and the Base Prospectus or in any other subsequently filed document which is also incorporated or deemed to be incorporated by reference herein or therein, modifies or supersedes such statement. Any statement so modified or superseded shall not be deemed, except as so modified or superseded, to constitute a part of this Prospectus Supplement and the Base Prospectus. You may request a copy of these filings (other than an exhibit to a filing unless that exhibit is specifically incorporated by reference into that filing) at no cost by writing, telephoning or e-mailing us at the following address, telephone number or e-mail address:

INVO Bioscience, Inc.

5582 Broadcast Court

Sarasota, Florida 34240

(978) 878-9505

legal@invobio.com

Copies of these filings are also available through the “Investor Relations” section of our affairs have not changed since the date hereof.website at www.invobio.com. For other ways to obtain a copy of these filings, please refer to “Where You Can Find More Information” above.

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INDEX TO FINANCIAL STATEMENTS

INVO BIOSCIENCE, INC.

(A DEVELOPMENT STAGE COMPANY)
INDEX to

FINANCIAL STATEMENTS

For the years ended December 31, 2008 and 2007
F-19F-2
F-21F-3
F-4
Consolidated Statements of Stockholders’ Deficiency for the periodPeriod January 5, 2007 (Inception)1, 2021 to December 31, 2007 2022F-22F-5
 F-23
F-24F-6
Notes to Consolidated Financial StatementsF-7

UNAUDITED FINANCIAL STATEMENTS

Condensed Consolidated Balance Sheets as of March 31, 2023 (Unaudited) and December 31, 2022F-25
Condensed Consolidated Statements of Operations for the three months ended March 31, 2023 and 2022 (Unaudited)F-26
Condensed Consolidated Statement of Stockholders’ Deficiency for the Period January 1, 2021 to December 31, 2022F-27
Condensed Consolidated Statement of Cash Flows for the three months ended March 31, 2023 and 2022 (Unaudited)F-28
Notes to Condensed Consolidated Financial Statements (Unaudited)F-29

F-1

Directors and

Stockholders of INVO BIOSCIENCE, INC.

(A DEVELOPMENT STAGE COMPANY)
CONDENSED CONSOLIDATED BALANCE SHEETS
  
As of
September 30,
2009
 
As of
December 31,
2008
  (unaudited)  
Assets 
Current Assets:      
  Cash $194,405  $15,716 
  Accounts receivable, net  66,889   34,195 
  Other receivable  -   7,500 
  Inventory  66,545   70,722 
  Prepaid expenses  11,250   73,785 
Total current assets  339,089   201,918 
Property and equipment, net  34,939   41,245 
Other Assets:        
  Capitalized patents, net  64,167   68,392 
 Total other assets  64,167   68,392 
  Total assets $438,195  $311,555 
         
Liabilities and Stockholders' Deficiency 
Current Liabilities:        
  Accounts payable $650,193  $226,861 
  Accrued expenses and salaries  561,583   614,799 
  Notes payable- related party  158,462   - 
  Line of credit  50,000   50,000 
  Convertible notes, net of debt discount of  $543,023 and $0, respectively  1,977   - 
  Derivative liabilities  3,593,414   - 
 Total current liabilities  5,015,629   891,660 
         
         
Long Term Liabilities:        
               Note payable - related party  -   96,462 
Total long term liabilities  -   96,462 
Total liabilities  5,015,629   988,122 
         
Commitments and Contingencies        
Stockholders' Deficiency:        
Preferred Stock, $.0001 par value; 100,000,000 shares authorized; no shares issued and outstanding  -   - 
Common Stock, $.0001 par value; 200,000,000 shares authorized; 55,247,833 and
53,620,000 issued and outstanding as of September 30, 2009 and December 31, 2008, respectively.
  5,525   5,362 
Additional paid-in capital  2,208,353   1,855,565 
Stock subscription receivable  (205,000)   (450,000) 
Accumulated deficit during the development stage  (6,586,312)  (2,087,494)
 Total stockholders' deficiency  (4,577,434)  (676,567)
Total liabilities and stockholders' deficiency $438,195  $311,555 
The accompanying notes are an integral part of these unaudited condensed consolidated financial statements.

(A DEVELOPMENT STAGE COMPANY)
 CONDENSED CONSOLIDATED STATEMENT OF OPERATIONS
(unaudited)
   
Three
 months ended
September 30, 2009
  
Three
months ended
September 30, 2008
  
From January 5, 2007 (Inception) to
September 30, 2009
 
Revenue:         
Product Revenue $2,852  $-  $94,292 
Cost of Goods Sold:            
Product Costs  3,682   1,765   40,616 
Gross Margin:  (830)   (1,765  53,676 
Operating Expenses:            
Research and development     (17,500  90,061 
Selling, general and administrative  293,588   365,121   3,409,367 
              Total Operating Expenses  293,588   347,621   3,499,428 
Loss from operations  (294,418)  (349,386)  (3,445,752)
Other Expenses:            
             
Change in fair value of derivative liability  380,036       380,036 
             
Interest and financing expenses  2,734,579   1,907   2,760,524 
             
               Total other expenses  3,114,615   1,907   3,140,560 
Loss before income taxes  (3,409,033)  (351,293)  (6,586,312)
Provisions for income taxes  -   -   - 
Net Loss $(3,409,033) $(351,293) $(6,586,312)
Basic and diluted net loss per weighted average shares of common stock $(0.06) $(0.01)    
Basic and diluted Weighted average number of shares of common stock  54,114,000   36,419,937   - 
The

We have audited the accompanying notes are an integral partconsolidated balance sheets of these unaudited condensed consolidated financial statements.


INVO BIOSCIENCE, INC.
(A DEVELOPMENT STAGE COMPANY)
 CONDENSED CONSOLIDATED STATEMENT OF OPERATIONS
(unaudited)
   Nine months ended September 30, 2009  Nine months ended September 30, 2008  
From January 5, 2007
(Inception) to
September 30, 2009
 
Revenue:         
Product Revenue $56,298  $-  $94,292 
Cost of Goods Sold:            
Product Costs  30,528   1,765   40,616 
             
Gross Margin:  25,770   (1,765  53,676 
Operating Expenses:            
Research and development  4,950   -   90,061 
Selling, general and administrative  1,394,592   660,875   3,409,367 
               Total Operating Expenses  1,399,542   660,875   3,499,428 
Loss from operations  (1,373,772)  (662,640)  (3,445,752)
             
Other Expenses:            
Change in fair value of derivative liability  380,036       380,036 
 Interest and financing expenses  2,745,010   5,933   2,760,524 
             Total other expenses  3,125,046   5,933   3,140,560 
             
Loss before income taxes  (4,498,818)  (668,573)  (6,586,312)
             
Provisions for income taxes  -   -   - 
             
Net Loss $(4,498,818) $(668,573) $(6,586,312)
             
Basic and diluted net loss per weighted average shares of common stock $(0.08) $(0.02)    
Basic and diluted Weighted average number of shares of common stock  53,849,481   32,493,732     
The accompanying notes are an integral part of these unaudited condensed consolidated financial statements.
INVO BIOSCIENCE, INC
(A DEVELOPMENT STAGE COMPANY)
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(unaudited)
   
For the nine months ended
September 30, 2009
  
For the nine months ended
September 30, 2008
  
From
January 5, 2007
(Inception) to
September 30, 2009
 
             
Net Loss $(4,498,818) $(668,573) $(6,586,312)
Adjustments to reconcile net loss to net cash used in operating activities:            
Non-cash stock compensation issued for services  352,950   13,051   404,535 
In kind contribution to employees                  -   160,821   251,686 
Bad debt expense  2,600   -   6,400 
Interest expense - related party            4,168         3,690   10,156 
Depreciation and amortization  10,531   8,952   24,192 
Derivative liabilities  3,050,391   -   3,050,391 
             
Changes in operating assets and liabilities:            
Receivables  (35,294)  -   (73,289)
Inventories  4,177   (22,340  (66,545)
Prepaid expenses and other
  current assets
  70,035   (15,486  (23,100)
Accounts payable  423,332     112,705     649,922 
Accrued salaries  407,355   -   407,355 
Other accrued expense  (464,738)   32,123   88,626 
Net cash used in operating activities  (673,311)  (375,057)  (1,855,982)
             
Cash flows from investing activities:            
Purchase of equipment                  -      (23,801)  (42,858)
Purchase of intangible assets  -      (20,384)  (77,742)
Net cash used in investing activities  -   (44,185)  (120,600)
             
Cash flows from financing activities:            
Proceeds from demand note payable                  -   779   50,000 
Proceeds from convertible loan  545,000   -   545,000 
Proceeds from loan payable- insurance                  -                     -   70,587 
Proceeds from loan payable- related party  88,000   2,916   190,889 
Repayment of loan payable- related party                (26,000)      -   (32,427)
Proceeds from issuance of common stock                 -    442,000   1,101,938 
Proceeds from subscription receivable  245,000     -   245,000 
Net cash provided by financing activities  852,000   445,695   2,170,987 
             
Net increase in cash and cash equivalents  $178,689   $26,453   $194,405 
             
Cash and cash equivalents at beginning of period  $15,716   $-   $- 
             
Cash and cash equivalents at end of period  $194,405   $26,453   $194,405 
             
Supplemental disclosure of non-cash financing activity:            
Cash paid for interest  $18,538   $5,933   $25,945 
Cash paid for taxes  $456   $             -   $456 
The accompanying notes are an integral part of these unaudited condensed consolidated financial statements.
 INVO BIOSCIENCE, INC.
(A DEVELOPMENT STAGE COMPANY)
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
 September 30, 2009
(unaudited)
NOTE 1.  SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES AND ORGANIZATION
(A)              Description of Business
INVO Bioscience, Inc. (“(the Company) as of December 31, 2022 and 2021, and the Company”) offers novel solutions in assisted reproductive technologies while expanding geographicrelated consolidated statements of operations, stockholders’ equity (deficiency), and affordable access to the global reproductive health care community.  Our primary focus is the manufacture and salecash flows for each of the INVOcell deviceyears in the two-year period ended December 31, 2022, and the INVO technologyrelated notes (collectively referred to assist infertile couples in having a baby.    We designedas the financial statements). In our INVOcell device and our INVO procedure to provide an alternative infertility treatment foropinion, the patient and the clinician.  The INVO procedure is less expensive and simpler to perform than most comparable infertility treatments currently.  The simplicity of the INVO procedure relates to the ability to potentially perform the INVO procedure in a physician’s practice rather than in a specialized facility at a much lower cost overall than current infertility treatments.  
We believe that the INVO procedure will make infertility treatment more readily available throughout the world.  The INVO procedure is significantly less costly than conventional IVF.  The INVOcell device and INVO procedure facilitates conception and embryo development inside the woman's body, rather than in a dish in a laboratory, which is an attractive feature for most couples.
We are a development stage company, as defined by Accounting Standards Codification (“ASC”) Topic 915, “Accounting and Reporting by Development Stage Enterprise” formerly (“SFAS”) No. 7.  The Company’s activities during our development stage to date has included developing the business plan, seeking regulatory clearance in the European Union and the United States, raising capital, conducting beta tests, sales and marketing of the INVOcell device and offering instructions in the INVO technique to doctors in numerous foreign countries.
Through September 30, 2009, we have generated minimal sales revenues, have incurred significant expenses and have sustained losses.  Consequently, our operations are subject to all of the risks inherent in the establishment of a new business enterprise.
In May 2008, the Company received notice that the INVOcell product meets all the essential requirements of the relevant European Directive(s), and received CE Marking.  The CE marking (also known as CE mark) is a mandatory conformity mark on many products placed on the single market in the European Economic Area (EEA).  The CE marking (an acronym for the French “Conformité Européenne”) certifies that a product has met EU health, safety and environmental requirements, which ensure consumer safety.  With CE marking, the Company possesses the regulatory authority to distribute its product in the European Economic Area, provided we comply with local registration requirements as discussed herein (i.e., the European Union, Canada, Australia, New Zealand and most parts of the Middle East).  The Company has sold approximately 900 INVOcell units through September 30, 2009.
(B)              Basis of Presentation
On December 5, 2008, the Company completed a share exchange with Emy’s Salsa Aji Distribution Company, Inc. (“Emy’s”), a publicly registered shell corporation with no significant assets or operations.  Emy’s was incorporated on July 11, 2005, under the laws of the State of Nevada under the name Certiorari Corp.  In connection with the share exchange, INVO Bioscience became Emy’s wholly-owned subsidiary and the INVO Bioscience Shareholders acquired control of Emy’s.  
The Company accounted for the transaction as a recapitalization and the Company is the surviving entity.  In connection with the share exchange, Emy’s shareholders retained 14,937,500 shares.  Effective with the Agreement, all previously outstanding shares of common stock owned by the Company's shareholders were exchanged for an aggregate of 38,307,500 shares of Emy’s common stock.  Effective with the Agreement, Emy’s changed its name to INVO Bioscience, Inc.
All references to “common stock,” “share” and “per share” amounts have been retroactively restated to reflect the exchange ratio of 357.0197 shares of INVO Bioscience common stock for one share of Emy’s common stock outstanding immediately prior to the merger as if the exchange had taken place as of the beginning of the earliest period presented.
The accompanying unaudited condensed consolidated financial statements present fairly, in all material respects, the historical financial condition, results of operations and cash flowsposition of the Company prior toas of December 31, 2022 and 2021, and the merger with Emys.  The accompanying unaudited condensed consolidated financial statements present on a consolidated basis the accountsresults of its operations and its cash flows for each of the Company and its wholly owned subsidiaries.  All significant intercompany accounts and transactions have been eliminatedyears in consolidation.
INVO BIOSCIENCE, INC.
(A DEVELOPMENT STAGE COMPANY)
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
 September 30, 2009
(unaudited)
(C)              Significant Accounting Policies
The financial statements included herein have been prepared, without audit, pursuant to the rules and regulations of the Securities and Exchange Commission.  Certain information and disclosures includedtwo-year period ended December 31, 2022, in financial statements prepared in accordanceconformity with accounting principles generally accepted in the United States of America have been condensed or omitted pursuant to such rules and regulations.  These unaudited condensedAmerica.

Going Concern

The accompanying consolidated financial statements should be read in conjunction with the financial statements and notes thereto included in our 2008 Annual Report filed on Form 10-K on April 15, 2009.  The condensed consolidated balance sheet as of December 31, 2008 was derived from the audited financial statements for the year then ended.

In the opinion ofhave been prepared assuming that the Company all adjustments necessary to present fairly our financial position and the results of our operations and cash flows have been included in the accompanying unaudited condensed consolidated financial statements.  The results of operations for interim periods are not necessarily indicative of the expected results for the year ended December 31, 2009.
Use of Estimates
The preparation of interim Consolidated Financial Statements in conformity with U.S. GAAP requires us to make estimates and assumptions that affect the amounts reported and disclosed in the financial statements and the accompanying notes.  Actual results could differ materially from these estimates.  On an ongoing basis, we evaluate our estimates, including those related to accounts receivable, fair values of financial instruments, fair values of intangible assets and goodwill, useful lives of intangible assets, property, and equipment, fair values of stock-based awards, and income taxes, among others.  We base our estimates on historical experience and on various other assumptions that are believed to be reasonable, the results of which form the basis for making judgments about the carrying values of assets and liabilities.
Cash and Cash Equivalents
The Company considers all highly liquid temporary cash investments with an original maturity of three months or less to be cash equivalents.  As of September 30, 2009, and December 31, 2008, the Company had $194,400 and $15,700 in cash equivalents, respectively.
(D)             Effect of Recent Accounting Pronouncements
 With the exception of those discussed below, there have been no recent accounting pronouncements or changes in accounting pronouncements during the three and nine months ended September 30, 2009, as compared to the recent accounting pronouncements described in the Company’s Annual Report on Form 10-K for the year ended December 31, 2008, that are of significance, or potential significance to the Company.
On July 1, 2009, the Financial Accounting Standards Board (“FASB”) launched the FASB Accounting Standards Codification (“ASC”) 105, Generally Accepted Accounting Principles (“ASC 105” and formerly referred to as FAS 168). ASC 105, establishes the FASB Accounting Standards Codification as the source of authoritative accounting principles recognized by the FASB to be applied by nongovernmental entities in the preparation of financial statements in conformity with GAAP. Rules and interpretive releases of the Securities and Exchange Commission (SEC) under authority of federal securities laws are also sources of authoritative GAAP for SEC registrants. ASC 105 is effective for financial statements issued for interim and annual periods ending after September 15, 2009.
GAAP is not intended to be changedwill continue as a result of the FASB’s Codification project, but it will change the way the guidance is organized and presented.going concern. As a result, these changes will have a significant impact on how companies reference GAAPdiscussed in their financial statements and in their accounting policies for financial statements issued for interim and annual periods ending after September 15, 2009.
 In June 2008, the FASB ratified EITF Issue No. 07-5, “Determining Whether an Instrument (or Embedded Feature) Is Indexed to an Entity’s Own Stock” (EITF 07-5, included in ASC 815-40). EITF 07-5 mandates a two-step process for evaluating whether an equity-linked financial instrument or embedded feature is indexedNote 2 to the entity’s own stock. It is effective for fiscal years beginning on or after December 15, 2008. The adoption of EITF 07-5 had a significant effect on our consolidated condensed financial statements (see Note 10).
 INVO BIOSCIENCE, INC.
(A DEVELOPMENT STAGE COMPANY)
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
 September 30, 2009
(unaudited)
In June 2009, the FASB issued SFAS No. 167, Amendments to FASB Interpretation No. 46(R) (“SFAS 167”).  SFAS 167, which amends ASC 810-10,  Consolidation  (“ASC 810-10”), prescribes a qualitative model for identifying whether a company has a controlling financial interest in a variable interest entity (“VIE”) and eliminates the quantitative model prescribed by ASC 810-10.  The new model identifies two primary characteristics of a controlling financial interest: (1) provides a company with the power to direct significant activities of the VIE, and (2) obligates a company to absorb losses of and/or provides rights to receive benefits from the VIE.  SFAS 167 requires a company to reassess on an ongoing basis whether it holds a controlling financial interest in a VIE.  A company that holds a controlling financial interest is deemed to be the primary beneficiary of the VIE and is required to consolidate the VIE.  SFAS 167, which is referenced in ASC 105-10-65, has not yet been adopted into the Codification and remains authoritative.  This statement is effective for fiscal years beginning after November 15, 2009.  The Company plans to adopt SFAS 167 effective January 1, 2010.  The adoption of SFAS 167 is not expected to have a material impact on the Company’s financial position and results of operations.
In June 2009, the FASB issued SFAS No. 166, Accounting for Transfers of Financial Assets (“SFAS 166”).  SFAS 166 removes the concept of a qualifying special-purpose entity from ASC 860-10,  Transfers and Servicing (“ASC 860-10”), and removes the exception from applying ASC 810-10.  This statement also clarifies the requirements for isolation and limitations on portions of financial assets that are eligible for sale accounting.  SFAS 166, which is referenced in ASC 105-10-65, has not yet been adopted into the Codification and remains authoritative.  This statement is effective for fiscal years beginning after November 15, 2009.  The Company plans to adopt SFAS 166 effective January 1, 2010.  The adoption of SFAS 166 is not expected to have a material impact on the Company’s financial position and results of operations.    
NOTE 2.  GOING CONCERN
As reflected in the accompanying unaudited condensed consolidated financial statements, the Company is in the development stage and commencedhas suffered net losses from operations December 2008.  The Company had a net operating loss for the quarter of $294,000  and a net loss of $3,409,000 and has a cumulative net operating loss of $3,446,000 and a net loss of $6,586,000, a working capital deficiency, of $4,677,000, a stockholder deficiency of $4,577,000 and cash used in operations of $673,000 for the nine months ended September 30, 2009.  Thiswhich raises substantial doubt about its ability to continue as a going concern. Management’s plans regarding those matters are discussed in Note 2. The consolidated financial statements do not include any adjustments that might be necessary if the Company is unable to continue as a going concern.  The ability of the Company to continue as a going concern is dependent on the Company’s ability to raise additional capital and implement its business plan.
The Company’s development activities since inception have been financially sustained through stockholder loans and contributions to the Company and issuance of our common stock and convertible notes in private placements. The Company expects to raise additional funding to continue its operations through additional loans and issuances of additional shares of common stock and other securities.
NOTE 3.  INVENTORY
As of September 30, 2009 and December 31, 2008, the Company recorded the following inventory balances:
  
September 30,
2009
  
December 31,
2008
 
Raw Materials $-  $- 
Work in Process  49,507   55,465 
Finished Goods  17,038   15,257 
Total Inventory $66,545  $70,722 
INVO BIOSCIENCE, INC.
(A DEVELOPMENT STAGE COMPANY)
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
 September 30, 2009
(unaudited)
NOTE 4.  PROPERTY AND EQUIPMENT
The estimated useful lives and accumulated depreciation for furniture, equipment and software are as follows:
Estimated Useful Life
Molds3 to 7 years
Computers and Software3 to 5 years

  
September 30,
2009
  
December 31,
2008
 
Manufacturing Equipment- Molds $35,263  $35,263 
    Accumulated Depreciation  (5,387  (980
Network/IT Equipment  7,595   7,595 
    Accumulated Depreciation  (2,532  (633
  $34,939  $41,245 
During the nine months ended September 30, 2009 and 2008, the Company recorded $6,307 and $0 in depreciation expense respectively.
NOTE 5.  PATENTS
As of September 30, 2009 and December 31, 2008, the Company recorded the following patent balances:
  
September 30,
2009
  
December 31,
2008
 
Total Patents  $77,743   $77,743 
    Accumulated Amortization  (13,576)  (9,351)
Patent costs, net $64,167  $68,392 
During the nine months ended September 30, 2009 and 2008, the Company recorded $4,225 and $2,591, respectively in amortization expenses
NOTE 6.  WORKING LINE OF CREDIT
At September 30, 2009, the Company had a $50,000 working capital line of credit with Century Bank with interest payable monthly at 0.24% above the bank’s prime lending rate.  On September 30, 2009, the interest rate was 3.74%.  The line of credit is set to mature on May 31, 2010.  At September 30, 2009 and December 31, 2008, the balance outstanding on the line of credit was $50,000.
NOTE 7.  CONVERTIBLE NOTES
During the three months ended September 30, 2009, the Company issued convertible notes payable (“Bridge Notes”) to investors in the aggregate amount of $545,000.  The Bridge Notes carry interest rates ranging from 10-12% and are due in full in one yearresult from the date of issuance.  The Bridge Notes and accrued interest are convertible into common stock of the Company at a conversion price of $0.10 per share, subject to adjustments. In addition to the Bridge Notes, the Company issued warrants to purchase 5,750,000 shares of the Company’s common stock at a price of $0.20 per share (see Note 9).  Pursuant to the guidance of ASC 470-20-30 (formerly referred to as EITF 00-27), the Company valued the conversion  feature of the Bridge Notes and the warrants issued as consideration for the notes payable via the Black-Scholes valuation method.  The total fair value calculated for the conversion feature was $1,493,710, which is recorded as a derivative liability on the Company’s balance sheet (see note 10). Of this amount, $152,370 was allocated to the discount on the Bridge Notes and $1,341,340 was charged to operations.  The total fair value calculated for the warrants was $1,614,948, which is recorded as a derivative liability on the Company’s balance sheet (see note 10).  Of this amount, $392,630 was allocated to the discount on the Bridge Notes, and $1,222,318 was charged to operations.  The aggregate discount on the Bridge Notes was $545,000, and the aggregate amount charged to operations was $2,563,658.
The discount of $545,000 will be amortized to interest expense over the one year term of the Bridge Notes using the effective interest method. During the three and nine months ended September 30, 2009, the Company recorded $1,977 amortization expense of the discount on the Bridge Notes.  Interest in the aggregate amount of $6,117 was accrued on the Bridge Notes during the three and nine months ended September 30, 2009.
INVO BIOSCIENCE, INC.
(A DEVELOPMENT STAGE COMPANY)
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
 September 30, 2009
(unaudited)
NOTE 8.  NOTE PAYABLE AND OTHER RELATED PARTY TRANSACTIONS
On September 18, 2008, the Company entered into a related party transaction with Dr. Claude Ranoux, the President, Director and Chief Scientific Officer of the Company.  Dr. Ranoux had loaned funds to the Company to sustain its operations since January 5, 2007 (inception).  Dr. Ranoux’s total cumulative loans at September 30, 2009 were $70,462.  On March 26, 2009, the Company and Dr. Ranoux agreed to amend the agreement to a non-convertible note payable bearing interest at 5% per annum and extended the repayment date to March 31, 2010.  The Company and Dr. Ranoux can jointly decide to repay the loan earlier without prepayment penalties.  During the three months and nine months ended September 30, 2009, $26,000 was repaid on the principal of the loan.
On March 5, 2009, the Company entered into a related party transaction with Kathleen Karloff, the Chief Executive Officer and a Director of the Company.  Ms. Karloff provided a short-term loan in the amount of $75,000 bearing interest at 5% per annum to the Company to fund operations.  In May 2009, Ms. Karloff loaned to the Company an additional $13,000, making her total cumulative loan $88,000 as of September 30, 2009.  This note was due on September 15, 2009, which has since been extended to March 4, 2010. 
For the three months ended September 30, 2009 and 2008, the Company recorded $14,224 and $1,907 in interest expense respectively.  Additionally, for the nine months ended September 30, 2009 and 2008, the Company recorded $24,655 and $5,933 in interest expense respectively, with $3,690 of the 2008 expense being charged as an in-kind contribution.
NOTE 9.  STOCKHOLDERS’ EQUITY
Common Stock
For the period from January 5, 2007 (inception) through December 31, 2007, Bio X Cell, Inc., formerly a Commonwealth of Massachusetts corporation doing business as INVO Bioscience before the merger with Emy’s, issued 70,000 shares of common stock for $20,000, at $.2857/share.  The 70,000 shares were retroactively restated to 24,991,379 shares following the stock split on November 12, 2008 and the subsequent share exchange on December 5, 2008.
 On December 29, 2008, the Company filed amended and restated articles of incorporation with the Secretary of State of Nevada.  The Company’s authorized capital stock was changed from 75,000,000 shares, all of which were shares of common stock, par value $.0001 per share, to authorized common stock of 200,000,000 shares, par value $.0001, and 100,000,000 newly created shares of undesignated preferred stock, par value $.0001.
 On November 7, 2008, Emy’s Board of Directors approved a 5-1 forward stock split (the “Forward Split”) of common stock with a record date of November 10, 2008 for the Company’s issued and outstanding shares.  The Forward Split was effective on November 12, 2008.  Emy’s had 12,387,500 shares of common stock outstanding before the Forward Split and 61,937,500 shares outstanding thereafter.
 The Company had 61,937,500 shares issued and outstanding immediately before the Share Exchange.  Pursuant to the Share Exchange Agreement, certain shareholders of Emy’s agreed to cancel 47,000,000 shares of Emy’s common stock and Emys agreed to issue 38,307,500 newly-issued shares of common stock to INVO Bioscience shareholders.  As of December 5, 2008, and immediately after Closing, an aggregate of 53,245,000 shares of common stock were outstanding, including shares issued pursuant to the Closing.
Directly following the consummation of the Share Exchange Agreement transaction, on the day of the Closing, we entered into the Securities Purchase Agreement with investors pursuant to which, the investors contributed $375,000 in exchange for 375,000 shares of our common stock at a price of $1.00 per share.  The investors have piggyback registration rights that permit them to register their common stock on any registration statement filed by the Company, as well as anti-dilution protection per section 7.5.
As of the Closing, Lionshare Ventures, Inc.(LSV), a shareholder in INVO Bioscience  and  the Company executed a pledge agreement between the two parties reaffirming LSV‘s original agreement dated May 18, 2008, the outstanding balance as of the original agreement was $450,000 for shares of common stock previously issued but not paid for noted in the Company’s financial statements as a subscription receivable in its equity section of the balance sheet.  On June 10, 2009, the two parties executed an extension of the time in which the balance outstanding of $205,000 was to be paid, the date is now December 5, 2009, 775,000 shares of common stock are being held in escrow until the balance is paid.
In the same pledge agreement between the Company and LSV dated December 5, 2008, LSV committed to forfeiting a maximum of 562,500 common stock shares if the Company is required to issue additional shares of common stock per the anti-dilution clause (section 7.5) of the Securities Purchase Agreement mentioned previously.
INVO BIOSCIENCE, INC.
(A DEVELOPMENT STAGE COMPANY)
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
 September 30, 2009
(unaudited)
During the period from January 1, 2008 through November 30, 2008, the Company issued an aggregate of 4,561,641 shares of common stock for cash totaling $706,938 for share prices ranging from $0.15 to $1.50.
In March 2008, the Company issued an aggregate of 8,488,857 shares of common stock (net of forfeitures) for services rendered totaling $11,259.  In November 2008, the Company issued an aggregate of 265,623 shares of common stock for services rendered totaling $40,056.
In March 2009, the Company issued an aggregate of 83,333 shares of common stock for services rendered totaling $37,500.
During the 3 months ended March 30, 2009, the Company received $200,000 against the outstanding stock subscription receivable.
In April 2009, the Company received $45,000 against the outstanding stock subscription receivable.  As of September 30, 2009, $205,000 remains outstanding.
In May 2009, the Company issued an aggregate of 125,000 shares of common stock for services rendered totaling $15,500.
In September 2009, the Company issued an aggregate of 1,125,000 shares of common stock in connection with the execution by the Company of a $100,000 convertible note as part of a bridge offering, as discussed on the Company’s  Current Reports on Form 8-K filed July 17, 2009 and September 17, 2009.  The convertible notes have a conversion price of $0.10.  This transaction triggered the anti-dilution clause of the Securities Purchase Agreement executed on December 5, 2008 with the certain investors.  In addition, the Company took possession of the 562,500 shares pledged by Lionshare Ventures to meet this obligation, resulting in a net issuance of 562,500 shares of common stock.
In September 2009, the Company issued an aggregate of 857,000 shares of common stock for services rendered totaling $299,950.
Since January 1, 2008, the Company has signed agreements to compensate certain of its officers, employees and service providers with common stock or options to acquire common stock.  As of December 31, 2008, a total of 857,000 shares of common stock and options to purchase an additional 440,000 shares of common stock were agreed to be issued.  As of September 30, 2009, the Company has issued the 857,000 shares of common stock against its previously recorded accrued liability.  However, as of September 30, 2009, the Company has terminated 70,000 of the options and promised an additional 300,000 to  two employees hired during 2009 bringing the total  to 670,000 asoutcome of this date.   The Company has not yet adopted a formal stock option plan and, consequently, the options to purchase 670,000 shares of common stock are deemed not yet issued. 
Non-Statutory Stock Options
The following table summarizes the changes in stock options outstanding and the related pricesuncertainty.

Basis for the shares of the Company’s common stock issued.  Opinion

These options were agreed to be issued in lieu of cash compensation for services performed.

   Options Outstanding Options Exercisable 
Exercise Price  
Number
Outstanding
  
Weighted Average
Remaining Contractual
Life (Years)
 
Number
Exercisable
 
Weighted
Average
Exercise Price
 
$1.00   70,000   2.9   $-  $- 
Transactions involving options are summarized as follows:
  
Number of
Shares
  
Weighted
Average Price
Per Share
 
Outstanding at December 31, 2007  -  $- 
Granted  140,000   1.00 
Exercised  -   - 
Canceled or expired  -   - 
Outstanding at December 31, 2008  140,000  $1.00 
Granted  -   - 
Exercised  -   - 
Canceled or expired  70,000   1.00 
Outstanding at September 30, 2009  70,000  $1.00 
INVO BIOSCIENCE, INC.
(A DEVELOPMENT STAGE COMPANY)
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
 September 30, 2009
(unaudited)
 Aggregate intrinsic value of options outstanding and exercisable at September 30, 2009 was $23,800.  Aggregate intrinsic value represents the difference between the Company's closing stock price on the last trading day of the fiscal period, which was $0.34 as of September 30, 2009, and the exercise price multiplied by the number of options outstanding.  As of September 30, 2009, total unrecognized stock-based compensation expense related to stock options was $105,000.  During the quarters ended September 30, 2009 and 2008, the Company did not charge to operations the related expense to recognized stock-based compensation for the above stock options.
 Warrants
During the three months ended September 30, 2009, the Company issued warrants to purchase 5,750,000 shares of common stock pursuant to the Bridge Notes (see note 7) agreement. The warrants have an exercise price, of $0.20 per share.  The warrants are exercisable any time after the issue date, and have a term ranging from 3 to 5 years from the date of issuance.  These warrants were valued using the guidance of ASC 470-20-30 (formerly referred to as EITF 00-27), via the Black-Scholes valuation method resulting in a value of $1,614,948 and were recorded as a derivative liability on the Company’s balance sheet (see note 10).
The following table summarizes the changes in warrants outstanding and the related prices for the shares of the Company's common stock issued to non-employees of the Company. These warrants were granted in lieu of cash compensation for services performed or financing expenses and in connection with placement of convertible debentures.
Warrants Outstanding  Warrants Exercisable
      Weighted        Weighted
      Average  Weighted     Average
      Remaining  Average     Remaining
Exercise  Number  Contractual  Exercise  Number  Contractual
Prices  Outstanding  Life (years)  Price  Exercisable  Life (years)
$0.20   5,750,000   4.09  $0.20   5,750,000  4.09
     5,750,000   4.09       5.750,000  4.09
Transactions involving warrants are summarized as follows:
   Number of Shares  
Weighted Average
Price Per Share
 
Outstanding at December 31, 2008  -  $- 
Granted  5,750,000   0.20 
Exercised  -   - 
Cancelled or expired  -   - 
Outstanding at September 30, 2009  5,750,000  $0.20 
INVO BIOSCIENCE, INC.
(A DEVELOPMENT STAGE COMPANY)
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
 September 30, 2009
(unaudited)
The estimated value of the compensatory warrants granted to non-employees in exchange for financing expenses was determined using the Black-Scholes pricing model and the following assumptions:
September 30,
2009
Expected volatility309-275%
Expected life (years)3-5
Risk free interest rate0.18-0.26%
Forfeiture rate-
Dividend rate-
NOTE 10.  DERIVATIVE LIABILITY
In June 2008, the Financial Accounting Standards Board (“FASB”) ratified Emerging Issues Task Force (“EITF”) Issue No. 07-5, “Determining Whether an Instrument (or Embedded Feature) Is Indexed to Entity’s Own Stock (“EITF 07-5, included in ASC 815-40”).  ASC 815-40 mandates a two-step process for evaluating whether an equity-linked financial instrument or embedded feature is indexed to the entity’s own stock.  As disclosed in Note 7, during the nine months ended September 30, 2009, the Company entered into short term convertible loans with attached warrants which contain a strike price adjustment feature.  Upon the Company’s adoption of ASC 815-40, this resulted in the instruments no longer being considered indexed to the Company’s own stock.  Accordingly, adoption of ASC 815-40 changed the current classification (from equity to liability) and the related accounting for these warrants outstanding as of September 30, 2009.   During the third quarter of 2009, the liability was adjusted for warrants exercised and the change in fair value of the warrants.  In accordance with ASC 815-40, a derivative liability of $3,593,414 related to the loan conversion feature and warrants is included in our unaudited condensed consolidated balance sheet as of September 30, 2009.  During the three and nine months ended September 30, 2009, we recorded an expense of $380,000 related to the change in fair value of the loan conversion feature and warrants.  During the three and nine months ended September 30, 2009, we recorded an expense of  $2,563,658 related to the expense in excess of the discount on loan conversion feature and warrants.  
As a result of the adoption of ASC 815-40, the Company is required to disclose the fair value measurements required by ASC 820 (formerly SFAS No. 157), “Fair Value Measurements and Disclosures.” The other liabilities recorded at fair value in the balance sheet as of September 30, 2009 are categorized based upon the level of judgment associated with the inputs used to measure their fair value. Hierarchical levels, defined by ASC 820 are directly related to the amount of subjectivity associated with the inputs to fair valuations of these liabilities are as follows:
Level 1 —Inputs are unadjusted, quoted prices in active markets for identical assets or liabilities at the measurement date;
Level 2 — Inputs other than Level 1 inputs that are either directly or indirectly observable; and
Level 3 — Unobservable inputs, for which little or no market data exist, therefore requiring an entity to develop its own assumptions.
The following table summarizes the financial liabilities measured at fair value on a recurring basis as of September 30, 2009, segregated by the level of the valuation inputs within the fair value hierarchy utilized to measure fair value:
            Liabilities 
  Level 1  Level 2  Level 3  at fair value 
Line of credit and Notes payable – related party Convertible notes $208,500  $-  $545,000  $753,500 
Derivative liability  -   -   3,593,400   3,593,400 
Total $208,500  $-  $4,138,400  $4,346,900 
INVO BIOSCIENCE, INC.
(A DEVELOPMENT STAGE COMPANY)
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
 September 30, 2009
(unaudited)
 In accordance with EITF 07-5, we calculated the fair value of the loan conversion features and warrants using the Black–Scholes–Merton valuation model.  The assumptions used in the Black-Scholes-Merton valuation model were as follows:
September 30,
2009
Expected volatility309-275%
Expected life (years)3-5
Risk free interest rate0.18-0.26%
Forfeiture rate-
Dividend rate-
Expected volatility is based primarily on historical volatility. Historical volatility was computed using daily pricing observations for the recent two years.  The Company believes this method produces an estimate that is representative of the Company’s expectations of future volatility over the expected term of the notes and warrants. The Company currently has no reason to believe future volatility over the expected remaining life of the notes and warrants is likely to differ materially from historical volatility. The expected life is based on the remaining term of the notes and warrants. The risk-free interest rate is based on U.S. Treasury securities according to the remaining term of the notes and warrants. The Company has not, and does not intend to, issue dividends; therefore, the dividend yield assumption is 0.
NOTE 11.  INCOME TAXES
The Company has adopted Accounting Standard Codification (“ASC”) Topic 740, formerly Financial Accounting Standard (“FAS”) 109 that requires the recognition of deferred tax liabilities and assets for the expected future tax consequences of events that have been included in the financial statement or tax returns.  Topic 740 determines deferred tax liabilities and assets based on the difference between financial statements and tax basis of assets and liabilities using enacted tax rates in effect for the year in which the differences are expected to reverse.  Temporary differences between taxable income reported for financial reporting purposes and income tax purposes are insignificant.
For income tax reporting purposes, the Company's aggregate unused net operating losses (“NOL”) of approximately $3,400,000, expire at various times through 2029, subject to limitations of Section 382 of the Internal Revenue Code of 1986, as amended.  The deferred tax asset related to the NOL carryforward is approximately $540,000.  The Company has provided a valuation reserve against the full amount of the net operating loss benefit, since in the opinion of management based upon the earning history of the Company, it is more likely than not that the benefits will not be realized.
NOTE 12.  COMMITMENTS
A)Operating Leases
On January 1, 2007, the Company entered into an operating lease (the “lease”) with Cummings Properties, LLC, to lease 3,294 square feet of general office space.  The lease commenced on January 1, 2007 and was automatically extended in October 2008 until December 31, 2010.  The Company agreed to pay a security deposit of $3,000 on January 1, 2007, which was repaid to the Company in equal $500 installments over the first six months of the lease.  The Company received no rent incentives or improvement allowances under this agreement.  The lease requires the Company to pay minimum lease payments of $2,000 per month for the duration of the lease.  The lease is subject to a cost of living increase equal to the Boston, MA Consumer Price Index at the beginning of each calendar year.  As of January 1, 2009, the Company’s lease payments under this agreement increased 3.53% to $2,070.60.
B)Consulting agreements
On December 5, 2008 in conjunction with the closing of the Share Exchange Agreement, the Company signed a letter agreement with Lionshare Ventures LLC (“LSV”).  As part of the letter agreement, LSV agreed to invest the balance of its original commitment to the Company effective as of May 19, 2008 for $450,000.  Thereafter, 2,000,000 shares of common stock were escrowed pending LSV’s tendering of this amount to the Company.  As of September 30, 2009, LSV has delivered $245,000 to the Company and the Company has released 1,225,000 of the 2,000,000 common shares it held in escrow.  On June 10, 2009, the Company and LSV agreed to extend the time period until December 5, 2009 in which LSV has to deliver the outstanding balance of $205,000.
 INVO BIOSCIENCE, INC.
(A DEVELOPMENT STAGE COMPANY)
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
 September 30, 2009
(unaudited)
On March 10, 2009, the Company entered into an agreement with Wakabayashi Fund, LLC of Tokyo, Japan for investor relation services focused on the Asian financial markets. This agreement has expired as of September 30, 2009.
On April 17, 2009, the Company entered into an agreement with Red Chip Securities, Inc. of Alpharetta, Georgia to act as the Company’s investment banker and placement agent in assisting the Company in securing a private placement equity financing.  In May 2009, Red Chip Securities ceased operations and its members joined Moody Capital, Inc.  This agreement has expired as of September 30, 2009.
 On June 5, 2009, the Company engaged Hallmark Investments, Inc. for 90 days to act as its placement agent on an exclusive basis in connection a private placement bridge offering of convertible promissory notes for an aggregate principal amount of up to $500,000.  On July 15, 2009, the Company consummated the initial closing in the total principal amount of $100,000 to one accredited investor.  The Company continued to consummate additional closings for the bridge offering over the next 60 days as reported in its Current Report 8-K filed September 17, 2009.  This agreement has expired as of September 30, 2009.
 On September 1, 2009, the Company entered into a written agreement with CollegeStock, Inc. (“CollegeStock”) for certain investor relations services.    The Company’s one-year agreement with CollegeStock entitles the Company, in part, to: a detailed profile of the Company on the CollegeStock website, a minimum of one 60 second placement featuring client on the Wide World of Stocks television show, a detailed “Stock Wiki” featured on www.Wikinvest.com for the duration of the agreement, management of the Company’s twitter feed and other social networking outlets, and branding and advertising of the Company on the homepage of CollegeStock.com, for the duration of the agreement.  As compensation for the services, the Company has agreed to pay a retainer of 1,000,000 shares of common stock, 50% of which was due upon the signing of the agreement and the remainder is due by March 1, 2010.
On September 24, 2009, the Company engaged Gilford Securities, Inc. for a period of 60 days to act as its placement agent on a non-exclusive basis in connection with a proposed Reserve Equity Financing of securities by AGS Capital Group, LLC of up to $10,000,000.  The Company reported this agreement in its Current Report on Form 8-K filed November 2, 2009.
C)Anti-Dilution and Piggyback Registration Rights
The Securities Purchase Agreement we entered into on December 5, 2008, granted certain investors piggyback registration rights that permit them to register their common stock on certain registration statements filed by the Company.  In addition, pursuant to certain anti-dilution rights granted under the Securities Purchase Agreement to the investors, the Company may be obligated to issue additional shares of its common stock to the investors in the event it issues common stock to future investors at a per share purchase price less than $1.00.  The number of additional shares to be issued in such event is equal to that number of shares that the investors would have acquired at such price had that price been offered at the time of their original investment, minus the number of shares acquired in their original investment.  Further, pursuant to the letter agreement, LSV and its managing member, Christopher Esposito, have agreed to forfeit to us, one share of our common stock for every two shares we would be required to issue up to the maximum of 562,500 shares, which are being held in escrow by the Company until December 5, 2010.
As discussed above, in July 2009, the Company executed a $100,000 convertible note in connection with the initial closing of its bridge offering (discussed in Note 7), which has a conversion price of $0.10.  The conversion price triggered the anti-dilution clause contained in the Securities Purchase Agreement entered into with previous investors.  In September 2009, the Company issued 1,125,000  shares of common stock to the  investors that were parties to the Securities Purchase Agreement.  In addition, the Company took possession and cancelled the 562,500 shares pledged by LSV.
D)Employee Agreements
Since January 1, 2008, the Company has signed nine employee agreements for officers, executives and employees of the Company.  Three of these agreements were with the founders of the Company.  The remaining six of the agreements were executed with executives and staff of the Company.  The Company agreed to issue options and shares of common stock of the Company.  Under the terms of these agreements, the shares and options are only issued the completion of the share exchange and the implementation of the Company’s employee stock plan.  The share exchange closed on December 5, 2008, however, the Company has not yet implemented an employee stock plan.  The Company intends to implement an employee stock plan within the next 9 months.  As of September 30, 2009, options to purchase an additional 670,000 shares of the Company’s common stock have been promised but not issued.  In addition, in view of the fact that the Company has not yet adopted a formal stock option plan, these options to purchase shares of common stock are deemed not yet issued. 
INVO BIOSCIENCE, INC.
(A DEVELOPMENT STAGE COMPANY)
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
 September 30, 2009
(unaudited)
NOTE 13.  SUBSEQUENT EVENT
 Management has reviewed and evaluated material subsequent events from the balance sheet date of September 30, 2009 through the financial statements issue date of November 16, 2009. All appropriate subsequent event disclosures, if any, have been made in notes to our Unaudited Condensed Consolidated Financial Statements.
 On October 28, 2009, the Company entered into a Reserve Equity Financing Agreement (“REF”) with AGS Capital Group, LLC (“AGS”), pursuant to which AGS committed to purchase, from time-to-time over a period of two years, shares of our common stock for cash consideration up to $10,000,000, subject to certain conditions and limitations.  In connection with the REF, we also entered into a registration rights agreement with AGS, dated October 28, 2009.
The following is a summary of the REF and the registration rights agreement, is not complete, and is qualified in its entirety by reference to the full text of those agreements, each of which are incorporated by reference into this Quarterly Report on Form 10-Q from the Current Report on Form 8-K filed on November 2, 2009. Readers should review those agreements for a complete understanding of the terms and conditions associated with this financing. 
Reserve Equity Financing Agreement
For a period of 24 months from the effectiveness of a registration statement filed pursuant to the registration rights agreement (the “Registration Statement”), we may, from time to time, at our discretion, and subject to certain conditions that we must satisfy, draw down funds under the REF by selling shares of our common stock to AGS. The purchase price of these shares will be 92% of the “VWAP” of the common stock during the five consecutive trading days after we give AGS a notice of an advance of funds (an “Advance”) under the REF (the “Pricing Period”). “VWAP” generally means, as of any date, the daily dollar volume weighted average price of our common stock as reported by Bloomberg, L.P. or comparable financial news service.  The amount of an Advance will automatically be reduced by 50% if on any day during the Pricing Period, the VWAP for that day does not meet or exceed 85% of the VWAP for the five trading days prior to the notice of Advance (the “Floor Price”). The REF does not prohibit the Company from raising additional debt or equity financings, other than financings similar to the REF.
Our ability to require AGS to purchase our common stock is subject to various limitations. The maximum amount of each Advance is 100% of the average daily trading volume for the five days immediately preceding the notice of Advance, as reported by Bloomberg or comparable financial news service (the “Maximum Advance Amount”).  In addition, unless AGS agrees otherwise, a minimum of five calendar days must elapse between each notice of Advance.
In addition, before AGS is obligated to buy any shares of our common stock pursuant to a notice of Advance, the following conditions, none of which is in AGS’s control, must be met:
 ·  
The Company shall have filed with the SEC a Registration Statement with respect to the resale of the shares of common stock issued to AGS in accordance with and subject to the terms of the registration rights agreement.
 ·  
The Company shall have obtained all permits and qualifications required by any applicable state in accordance with the registration rights agreement for the offer and sale of the shares of common stock, or shall have the availability of exemptions therefrom. The sale and issuance of the shares of common stock shall be legally permitted by all laws and regulations to which the Company is subject.
 ·  
There shall not be any fundamental changes to the information set forth in the Registration Statement which are not already reflected in a post-effective amendment to the Registration Statement.
 ·  
The Company shall have performed, satisfied and complied in all material respects with all covenants, agreements and conditions required by the REF agreement and the registration rights agreement to be performed, satisfied or complied with by the Company.
 ·  
No statute, rule, regulation, executive order, decree, ruling or injunction shall have been enacted, entered, promulgated or endorsed by any court or governmental authority of competent jurisdiction that prohibits the consummation of or which would materially modify or delay any of the transactions contemplated by the REF agreement, and no proceeding shall have been commenced that may have the effect of prohibiting the consummation of or materially modify or delay any of the transactions contemplated by the REF Agreement.
INVO BIOSCIENCE, INC.
(A DEVELOPMENT STAGE COMPANY)
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
 September 30, 2009
(unaudited)
  ·  
The common stock is trading on a principal market (as defined in the REF, and including the OTC Bulletin Board). The trading of the common stock is not suspended by the SEC or the principal market. The issuance of shares of common stock with respect to the applicable closing will not violate the shareholder approval requirements of the principal market. The Company shall not have received any notice threatening the continued quotation of the common stock on the principal market and the Company shall have no knowledge of any event which would be more likely than not to have the effect of causing the common stock to not be trading or quoted on a principal market.
 ·  
The amount of an Advance shall not exceed the Maximum Advance Amount. In no event shall the number of shares issuable to AGS pursuant to an Advance cause the aggregate number of shares of common stock beneficially owned by AGS and its affiliates to exceed 4.99% of the then outstanding shares of common stock of the Company (“Ownership Limitation”). Any portion of an Advance that would cause AGS exceed the Ownership Limitation shall automatically be withdrawn. For the purposes of this provision, beneficial ownership is calculated in accordance with Section 13(d) of the Exchange Act.
 ·  
The Company has no knowledge of any event which would be more likely than not to have the effect of causing such Registration Statement to be suspended or otherwise ineffective at Closing.
 ·  
AGS shall have received an Advance notice executed by an officer of the Company and the representations contained in such Advance notice shall be true and correct.
There is no guarantee that we will be able to meet the foregoing conditions or any other conditions under the REF agreement or that we will be able to draw down any portion of the amounts available under the REF.
There is no contractual limit to the number of shares that we may be required to issue to obtain funds from the REF as it is dependent upon our share price, which varies from day to day. If we draw down amounts under the REF when our share price is decreasing, we will need to issue more shares to raise the same amount than if our stock price was higher. This could cause downward pressure on the price of our common stock.
The Company currently intends to issue and register approximately 8,100,000 shares of common stock under the REF.  The entire share requirement for the full $10,000,000 would be approximately 21,505,000 based on current market prices.  However, the Company has decided to limit itself to 8,100,000 shares available, or $3,756,500, based on current market prices.  If the Company’s share price rises, the Company will be able to draw down in excess of $3,800,000. If the Company decides to issue more than 8,100,000 shares, we will need to file an additional registration statement with the SEC covering those additional shares. 
The REF contains representations and warranties of the Company and AGS which are typical for transactions of this type. AGS agreed that during the term of the REF, neither AGS nor any of its affiliates, nor any entity managed or controlled by it, will, or cause or assist any person to, enter into or execute any short sale of any shares of our common stock as defined in Regulation SHO promulgated under the Exchange Act.  The representations and warranties made by the Company in the REF are qualified by reference to certain exceptions contained in disclosure schedules delivered to AGS. The REF also contains a variety of covenants on the part of the Company which are typical for transactions of this type, as well as the obligation, without the prior written consent of AGS, not to enter into any other equity line of credit agreement with a third party during the term of the REF. 
The REF obligates the Company to indemnify AGS for certain losses resulting from a misrepresentation or breach of any representation or warranty made by the Company or breach of any obligation of the Company. AGS also indemnifies the Company for similar matters.
The Company paid no fees, and is not obligated to pay any fees in the future, in connection with the REF, other than a due diligence fee of $10,000, all of which has been paid as of the date hereof.
The Company may terminate the REF effective upon fifteen trading days’ prior written notice to AGS; provided that (i) there are no Advances outstanding, and (ii) the Company has paid all amounts owed to AGS pursuant to the REF. The obligation of AGS to make an Advance to the Company pursuant to the REF shall terminate permanently if (i) there shall occur any stop order or suspension of the effectiveness of the Registration Statement for an aggregate of fifty (50) trading days or (ii) the Company shall at any time fail materially to comply with certain covenants specified in the REF and such failure is not cured within thirty (30) days after receipt of written notice from AGS, subject to exceptions.
INVO BIOSCIENCE, INC.
(A DEVELOPMENT STAGE COMPANY)
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
 September 30, 2009
(unaudited)
 Registration Rights Agreement
The shares of common stock that may be issued to AGS under the REF will be issued pursuant to an exemption from registration under the Securities Act of 1933, as amended, or the Securities Act of 1933, as amended (the “Securities Act”). Pursuant to the registration rights agreement, we will file a registration statement, covering the possible resale by AGS of the shares that we may issue to AGS under the REF (the “Registration Statement”). The Registration Statement may cover only a portion of the total shares of our common stock issuable pursuant to the REF with AGS. We may file subsequent Registration Statements covering the resale of additional shares of our common stock issuable pursuant to the REF.  As described above, the effectiveness of this Registration Statement is a condition precedent to our ability to sell common stock to AGS under the REF. We intend to file the Registration Statement within 30-45 days from the date hereof.
 Placement Agent
The Company engaged Gilford Securities, Inc. (“Gilford”) to act as its placement agent on a nonexclusive basis in connection with the REF.  Gilford will receive a cash commission equaling six percent (6%) of the total proceeds received by the Company from the sale of securities sold to AGS.  In addition, the Company is to issue and sell to Gilford and/or its designees, for a total cost of one dollar ($1.00), 600,000 shares of common stock of the Company.  If the Company elects to have a closing under the REF on more than $6,000,000, then the Company shall issue and sell to Gilford and/or its designees, for a total cost of one dollar ($1), an additional 400,000 shares of common stock of the Company.
The Company will pay all reasonable expenses, not to exceed $10,000, incurred by Gilford in connection with the negotiation, preparation and execution of the definitive documents, including but not limited to attorneys’ fees and consulting expenses in two installments.  The first installment of $5,000 was paid upon execution of the definitive documents and the balance will be due upon the first funding under the REF based on actual expenses.   The placement agent agreement also contains customary mutual indemnification provisions.



REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

Board of Directors
INVO Bioscience, Inc.
Beverly, MA

We have audited the accompanying consolidated balance sheet of INVO Bioscience, Inc. (“the Company”) ,  a development stage company, as of December 31, 2008, and the related consolidated statements of losses,  stockholders' deficiency, and cash flows for the year ended December 31, 2008 and the period January 5, 2007 (date of inception) through December 31, 2008.  These financial statements are the responsibility of the Company'sCompany’s management. Our responsibility is to express an opinion on the Company’s consolidated financial statements based uponon our audit.

audits. We conducted our audit in accordanceare a public accounting firm registered with standards of the Public Company Accounting Oversight Board (United StatesStates) (PCAOB) and are required to be independent with respect to the Company in accordance with the U.S. federal securities laws and the applicable rules and regulations of America).the Securities and Exchange Commission and the PCAOB.

We conducted our audits in accordance with the standards of the PCAOB. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatements.misstatement, whether due to error or fraud. The Company is not required to have, nor were we engaged to perform, an audit of its internal control over financial reporting. Our audit included considerationAs part of our audits, we are required to obtain an understanding of internal control over financial reporting, as a basis for designing audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the Company'sCompany’s internal control over financial reporting. Accordingly, we express no such opinion.  An audit includes

Our audits included performing procedures to assess the risks of material misstatement of the consolidated financial statements, whether due to error or fraud, and performing procedures that respond to those risks. Such procedures included examining, on a test basis, evidence supportingregarding the amounts and disclosures in the financial statements. An auditOur audits also includes assessingincluded evaluating the accounting principles used and significant estimates made by management, as well as evaluating the overall presentation of the consolidated financial statement presentation.statements. We believe that our auditaudits provide a reasonable basis for our opinion.


In our opinion,

Critical Audit Matter

The critical audit matter communicated below is a matter arising from the current period audit of the consolidated financial statements referredthat was communicated or required to above present fairly, in allbe communicated to the audit committee and that: (1) relates to accounts or disclosures that are material respects,to the financial position of Invo Bioscience, Inc. a development stage company, at December 31, 2008 and the results of its operations and its cash flows for the year ended December 31, 2008 and for the period January 5, 2007 (date of inception) through December 31, 2008 in conformity with accounting principles generally accepted in the United States of America.


The accompanying consolidated financial statements have been prepared assuming thatand (2) involved our especially challenging, subjective, or complex judgments. The communication of critical audit matters does not alter in any way our opinion on the Company will continueconsolidated financial statements, taken as a going concern.  whole, and we are not, by communicating the critical audit matter below, providing a separate opinion on the critical audit matter or on the accounts or disclosures to which it relates.

Investments/Variable Interest Entities

As discussed in Note 2,1 & 3 to the Company has a generated negative cash outflows from operating activities, experienced recurring net operating losses, and is dependent on securing additional equity and debt financing to support its business efforts.  These factors raise substantial doubt about the Company's ability to continue as a going concern.  Management's plans in regards to this matter are described in Note 2.  The consolidated financial statements do not include any adjustments that might result from the outcome of this uncertainty.



/s/ RBSM LLP
RBSM LLP                      
New York, New York
April 15, 2009                                                                 

REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM
To the Board of Directors of:
BioXcell, Inc.

We have audited the accompanying balance sheet of BioXcell, Inc. (A Development Stage Company) as of December 31, 2007, and the related statements of operations, changes in stockholders’ equity and cash flows for the period January 5, 2007 (Inception) to December 31, 2007. These financial statements are the responsibility of the Company’s management. Our responsibility is to express an opinion on these financial statements based on our audit.
We conducted our audit in accordance with the standards of the Public Company Accounting Oversight Board (United States).  Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation.  We believe that our audit provides a reasonable basis for our opinion.
In our opinion, the financial statements referred to above present fairly in all material respects, the financial position of BioXcell, Inc. (A Development Stage Company) as of December 31, 2007 and the results of its operations and its cash flows for the period January 5, 2007 (Inception) to December 31, 2007 in conformity with accounting principles generally accepted in the United States of America.
The accompanying financial statements have been prepared assuming that the Company will continue as a going concern. As discussed in Note 2 to the financial statements, the Company has material investments in consolidated and unconsolidated entities. The Company evaluated the need to consolidate as a VIE or equity investment under the provisions of ASC 810 and ASC 323, respectively.

Auditing management’s evaluation of the need to consolidate the entities associated with the investments involves significant judgment, given the fact that the agreements require management’s evaluation ownership percentages, influence, control and whether or not the Company is the primary beneficiary.

To evaluate the appropriateness and accuracy of the assessment by management, we evaluated management’s assessment in relationship to their application of the development stage with no operationsguidance outlined in ASC 810 and has a net loss of $214,089, stockholders’ deficiency of $100,926, and cash used in operations of $116,041ASC 323.

/s/ M&K CPAS, PLLC

We have served as the Company’s auditor since 2019.

Houston, TX

April 17, 2023, except for the period from January 5, 2007 (inception) to December 31, 2007.  This raises substantial doubt about its ability to continue as a going concern.  These factors raise substantial doubt abouteffect of the Company's ability to continue as a going concern.  Management's plans concerning these matters are also describedCompany’s reverse stock split disclosed in Note 2. The financial statements do not include any adjustments that might result from the outcome of this uncertainty.


WEBB & COMPANY, P.A.
Certified Public Accountants
Boynton Beach, Florida
November 6, 2008, except for11-Stockholders’ Equity and Note 8,16-Subsequent Events, as to which the date is December 10, 2008
July 28, 2023

F-2



INVO Bioscience, Inc.
(A DEVELOPMENT STAGE COMPANY)
Consolidated Balance Sheets
 
Assets 
  December 31,  December 31, 
  2008  2007 
       
Current Assets:      
  Cash $15,716  $- 
  Accounts receivable  34,195     
  Other receivable  7,500     
  Inventory  70,722   - 
  Prepaid expenses  73,785   3,349 
   Total current assets  201,918   3,349 
         
  Property and equipment, net  41,245   - 
         
Other Assets:        
  Deferred financing costs, net  -   9,153 
  Capitalized patents, net  68,392   43,270 
   Total other assets  68,392   52,423 
         
  Total assets $311,555  $55,772 
         
Liabilities and Stockholders' Deficiency 
         
Current Liabilities:        
  Accounts payable $226,861  $10,351 
  Accrued expenses  614,799   3,581 
  Line of credit  50,000   49,221 
   Total current liabilities  891,660   63,153 
         
Long Term Liabilities:        
  Note payable- related party  96,462   93,545 
   Total long term liabilities  96,462   93,545 
         
  Total liabilities  988,122   156,698 
         
Commitments and Contingencies        
Stockholders' Deficiency:        
Preferred Stock, $.0001 par value; 100,000,000 shares authorized;
No shares issued and outstanding as of December 31, 2008 and 2007 
  -   - 
Common Stock, $.0001 par value; 200,000,000 shares authorized; 53,620,000 and 24,991,379 issued
and outstanding as of December 31, 2008 and 2007, respectively.
  5,362   2,499 
Additional paid-in capital  1,855,565   110,664 
Stock subscription receivable  (450,000)   - 
  Accumulated deficit during the development stage  (2,087,494)  (214,089)
   Total stockholders' deficiency  (676,567)  (100,926)
         
  Total liabilities and stockholders' deficiency $311,555  $55,772 

INVO BIOSCIENCE, INC.

CONSOLIDATED BALANCE SHEETS

  2022  2021 
  December 31,  December 31, 
  2022  2021 
ASSETS        
Current assets        
Cash $90,135  $5,684,871 
Accounts receivable  77,149   50,470 
Inventory  263,602   287,773 
Prepaid expenses and other current assets  190,201   282,751 
Total current assets  621,087   6,305,865 
Property and equipment, net  436,729   501,436 
Intangible assets, net  -   132,093 
Lease right of use  1,808,034   2,037,052 
Investment in joint ventures  1,237,865   1,489,934 
Total assets $4,103,715  $10,466,380 
         
LIABILITIES AND STOCKHOLDERS’ EQUITY (DEFICIT)        
Current liabilities        
Accounts payable and accrued liabilities $1,349,038  $443,422 
Accrued compensation  946,262   581,689 
Notes payable, net  100,000   - 
Notes payable - related party, net  662,644   - 
Deferred revenue  119,876   5,900 
Lease liability, current portion  231,604   221,993 
Total current liabilities  3,409,424   1,253,004 
Lease liability, net of current portion  1,669,954   1,901,557 
Deferred tax liability  1,949   1,139 
Total liabilities  5,081,327   3,155,700 
         
Stockholders’ equity (deficit)        
Common Stock, $.0001 par value; 6,250,000 shares authorized; 608,611 and 596,457 issued and outstanding as of December 31, 2022, and 2021, respectively  61   60 
Additional paid-in capital  48,805,860   46,201,642 
Accumulated deficit  (49,783,533)  (38,891,022)
Total stockholders’ equity (deficit)  (977,612)  7,310,680 
Total liabilities and stockholders’ equity (deficit) $4,103,715  $10,466,380 

The accompanying notes are an integral part of these consolidated financial statements.

F-3

INVO Bioscience, Inc.
 
(A DEVELOPMENT STAGE COMPANY) 
Consolidated Statements of Losses 
  
          
  Year  From January 5, 2007  From January 5, 2007 
  Ended  (Inception)to  (Inception) to 
  December 31, 2008  December 31, 2007  December 31, 2008 
          
Revenue:         
Product Revenue $37,995  $-  $37,995 
Cost of Goods Sold:            
Product Costs  10,088       10,088 
             
Gross Margin:  27,907       27,907 
             
Operating Expenses:            
  Research and development  51,761   33,350   85,111 
  Selling, general and administrative  1,837,606   177,170   2,014,776 
   Total Operating Expenses  1,889,367   210,520   2,099,887 
             
Loss from operations  (1,861,460)  (210,520)  (2,071,980)
             
Other Expenses:            
  Interest expense  11,945   3,569   15,514 
   Total other expenses  11,945   3,569   15,514 
             
Loss before income taxes  (1,873,405)  (214,089)  (2,087,494)
             
Provisions for income taxes  -   -   - 
             
Net Loss $(1,873,405) $(214,089) $(2,087,494)
             
Basic and diluted net loss per weighted average shares of common stock $(0.05) $(0.01) $  
Basic and diluted Weighted average number of shares of common stock  36,691,176   24,649031     

INVO BIOSCIENCE, INC.

CONSOLIDATED STATEMENTS OF OPERATIONS

  2022  2021 
  For the Years 
  Ended December 31, 
  2022  2021 
Revenue:        
Product revenue $207,342   544,942 
Clinic revenue  614,854   43,745 
License revenue  -   3,571,429 
Total revenue  822,196   4,160,116 
Cost of revenue:        
Cost of revenue  286,923   126,326 
Depreciation  44,600   18,726 
Total cost of revenue  331,523   145,052 
Gross profit  490,673   4,015,064 
Operating expenses:        
Selling, general and administrative expenses  10,573,111   9,015,158 
Research and development expenses  544,043   216,430 
Total operating expenses  11,117,154   9,231,588 
Loss from operations  (10,626,481)  (5,216,524)
Other income (expense):        
Loss from equity method joint ventures  (200,558)  (327,542)
Gain on extinguishment of debt  -   159,126 
Interest income  308   3,657 
Interest expense  (59,445)  (1,265,359)
Foreign currency exchange loss  (3,463)  (3,534)
Total other expenses  (263,158)  (1,433,652)
Net loss before income taxes  (10,889,639)  (6,650,176)
Income taxes  2,872   4,764 
Net loss $(10,892,511) $(6,654,940)
Net loss per common share:        
Basic  (17.97)  (12.52)
Diluted  (17.97)  (12.52)
Weighted average number of common shares outstanding:        
Basic  606,131   531,621 
Diluted  606,131   531,621 

The accompanying notes are an integral part of these consolidated financial statements.

F-4
INVO Bioscience, Inc.
 
Consolidated Statement of Stockholders' Deficiency 
For the Period January 5, 2007 (Date of Inception) to December 31, 2008 
  
  Common Stock            
  Shares  Amount  Additional Paid in Capital  
 
Subscription
Receivable
 
Accumulated
Deficit during Development Stage
  Total 
                  
Stock issuance to founder in January 2007  24,991,379  $2,499  $17,501     -  $20,000 
                       
In Kind contribution of services in December 2007  -   -   90,865     -   90,865 
                       
In Kind contribution of interest in December 2007  -   -   2,298     -   2,298 
                       
Net Loss for the period January 5, 2007  (Inception)to December 31, 2007  -   -   -    $(214,089)  (214,089)
                            
Balance, December 31, 2007  24,991,379  $2,499  $110,664    $(214,089) $(100,926)
                       
Common stock issued for services in
March 2008
  10,728,442   1,073   11,978     -   13,051 
                       
Common stock issued for cash in April 2008  312,392   31   31,969     -   32,000 
                       
Common stock issued for cash in May 2008  365,588   37   54,963     -   55,000 
                       
Common stock issued for cash in June 2008  431,994   43   64,957     -   65,000 
                       
Common stock issued for cash in July 2008  399,148   40   59,960     -   60,000 
                       
Common stock issued for cash in
August 2008
  365,588   37   54,963     -   55,000 
                       
Common stock issued for cash in September 2008  1,136,751   114   174,886     -   175,000 
                       
In Kind Contribution of services in September 2008  -   -   160,821     -   160,821 
                       
In Kind Contribution of interest in September 2008  -   -   3,690     -   3,690 
                       
Common stock issued for cash in
October 2008
  1,118,186   112   199,826     -   199,938 
                       
Common stock issued for services in November 2008  265,623   27   40,029     -   40,056 
                       
Forfeited common stock for services not fully rendered during 2008  (2,239,585)  (224)  (1,568)    -   (1,792)
                       
Common stock issued for cash in November 2008  431,994   43   64,957     -   65,000 
                       
Common stock issued to Registrant’s shareholders in December 2008  14,937,500   1,494   448,506  (450,000) -   - 
                       
Common stock issued for Cash in December 2008  375,000   38   374,962     -   375,000 
                       
Net Loss, for the year ended
December 31, 2008
  -   -   -  - $(1,873,405)  (1,873,405)
                       
Balance, December 31, 2008  53,620,000  $5,362  $1,855,565  $(450,000$(2,087,494) $(676,567)

INVO BIOSCIENCE, INC.

CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ EQUITY (DEFICIT)

                     
  Common Stock  Additional
Paid-in
  Accumulated    
  Shares  Amount  Capital  Deficit  Total 
Balances, December 31, 2020  481,963  $48  $37,979,140  $(32,236,082) $5,743,106 
Common stock issued to directors and employees  2,490   -   360,153   -   360,153 
Common stock issued for services  11,888   1   804,123   -   804,124 
Conversion of notes payable and accrued interest  23,341   2   1,493,786   -   1,493,788 
Proceeds from the sale of common stock, net of offering costs  62,037   6   3,650,691   -   - 
Proceeds from warrant exercise  1,955   -   123,562   -   123,562 
Proceeds from unit purchase option exercise  3,872   1   246,277   -   246,278 
Cashless warrant exercise  4,585   1   (1)  -   - 
Cashless unit purchase option exercise  4,326   1   (1)  -   - 
Stock options issued to directors and employees as compensation  -   -   1,543,912   -   1,543,912 
Net Loss  -   -   -   (6,654,940)  (6,654,940)
Balances, December 31, 2021  596,457  $60  $46,201,642  $(38,891,022) $7,310,680
Common stock issued to directors and employees  4,360   1   484,806   -   484,807 
Common stock issued for services  3,063   -   123,211   -   123,211 
Proceeds from the sale of common stock, net of fees and expenses  4,731   -   289,800   -   289,800 
Stock options issued to directors and employees as compensation  -   -   1,616,401   -   1,616,401 
Warrants issued with notes payable  -   -   90,000   -   90,000 
Net loss  -   -   -   (10,892,511)  (10,892,511)
Balances, December 31, 2022  608,611   61   48,805,860   (49,783,533)  (977,612)

The accompanying notes are an integral part of these consolidated financial statements.

F-5
INVO Bioscience, Inc
 
(A DEVELOPMENT STAGE COMPANY) 
Consolidated Statements of Cash Flows 
  
  For the Year  From January 5, 2007  From January 5, 2007 
  
Ended
December 31, 2008
  
(Inception) to December 31,
2007
  (Inception) to December 31, 2008 
          
Net Loss $(1,873,405) $(214,089) $(2,087,494)
Adjustments to reconcile net loss to net cash used in operating activities:            
  Non-cash stock compensation issued for services  51,585   -   51,585 
  In kind contribution to employees  160,821   90,865   251,686 
  In kind interest on loan payable- related party  3,690   2,298   5,988 
  Depreciation and amortization  7,509   6,152   13,661 
Changes in operating assets and liabilities:            
 Receivables
  (41,695)  -   (41,695)
  Inventories  (70,721)  -   (70,721)
  Prepaid expenses and other current assets  (70,436)  (15,199)  (85,635)
  Accounts payable  216,240   10,351   226,591 
  Other accrued expenses  549,784   3,581   553,365 
Net cash used in operating activities  (1,066,629)  (116,041)  (1,182,670)
             
Cash flows from investing activities:            
Purchase of property and equipment  (42,858)  -   (42,858)
Purchase of intangible assets  (31,017)  (46,725)  (77,742)
Net cash used in investing activities  (73,875)  (46,725)  (120,600)
             
Cash flows from financing activities:            
Proceeds from demand note payable  779   49,221   50,000 
Proceeds from loan payable- insurance  70,587   -   70,587 
Proceeds from loan payable- related party  9,344   93,545   102,889 
Repayment of loan payable- related party  (6,428)  -   (6,248)
Proceeds from the issuance of common stock  1,081,938   20,000   1,101,938 
Net cash provided by financing activities  1,156,221   162,766   1,318,986 
             
Net increase in cash and cash equivalents  15,716   -   15,716 
             
Cash and cash equivalents at beginning of period  -   -   - 
             
Cash and cash equivalents at end of period  15,716   -   15,716 
             
Supplemental disclosure of non-cash financing activity:            
  Cash paid for interest  8,255   1,243   9,498 
  Cash paid for taxes  -   -   - 

INVO BIOSCIENCE, INC.

CONSOLIDATED STATEMENTS OF CASH FLOWS

  2022  2021 
  For the Years 
  Ended December 31, 
  2022  2021 
Cash flows from operating activities:        
Net loss $(10,892,511) $(6,654,940)
Adjustments to reconcile net loss to net cash used in operating activities:        
Non-cash stock compensation issued for services  123,211   804,124 
Non-cash stock compensation issued to directors and employees  484,807   360,153 
Fair value of stock options issued to employees  1,616,401   1,543,912 
Non-cash compensation for services  120,000   - 
Amortization of discount on notes payable  52,644   1,188,310 
Amortization of leasehold right of use asset  229,018   138,322 
Gain on extinguishment of debt  -   (159,126)
Loss on impairment of intangible assets  132,227   - 
Loss from equity method investment  200,558   327,542 
Depreciation and amortization  77,301   27,760 
Changes in assets and liabilities:        
Accounts receivable  (26,679)  (28,771)
Inventory  24,171   (22,401)
Prepaid expenses and other current assets  92,550  (124,811)
Accounts payable and accrued expenses  904,060   114,495 
Accrued compensation  364,573   54,363 
Deferred revenue  113,976   (3,565,529)
Leasehold liability  (221,992)  (53,846)
Accrued interest  1,556   20,921 
Income taxes payable  -   (392)
Deferred tax liabilities  810   - 
Net cash used in operating activities  (6,603,319)  (6,029,914)
Cash from investing activities:        
Payments to acquire property, plant, and equipment  (10,785)  (415,710)
Payments to acquire intangible assets  (1,943)  (38,939)
Investment in joint ventures  (68,489)  (1,698,863)
Net cash used in investing activities  (81,217)  (2,153,512)
Cash from financing activities:        
Proceeds from notes payable  100,000   - 
Proceeds from option exercises  -   - 
Proceeds from notes payable – related parties  700,000   - 
Proceeds from the sale of common stock, net of offering costs  289,800   3,650,697 
Proceeds from warrant exercise  -   123,562 
Proceeds from unit purchase option exercise  -   246,278 
Principal payment on notes payable  -   (250,000)
Net cash provided by financing activities  1,089,800   3,770,537 
Increase in cash and cash equivalents  (5,594,736)  (4,412,889)
Cash and cash equivalents at beginning of period  5,684,871   10,097,760 
Cash and cash equivalents at end of period $90,135  $5,684,871 
         
Supplemental disclosure of cash flow information:        
Cash paid during the period for:        
Interest $-  $52,603 
Taxes $800  $3,307 
Noncash activities:        
Fair value of warrants issued with debt $90,000  $- 
Common stock issued upon note payable and accrued interest conversion $-  $1,493,788 
Cashless exercise of warrants $-  $1 
Cashless exercise of unit purchase options $-  $1 
Initial ROU asset and lease liability $-  $2,096,055 
Fixed assets transferred to investment in joint venture $-  $20,529 

The accompanying notes are an integral part of these consolidated financial statements.

F-6
INVO

INVO BIOSCIENCE, INC.

(A DEVELOPMENT STAGE COMPANY)

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

as of

DECEMBER 31, 2008 and DECEMBER 31, 2007

NOTE 1SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES AND ORGANIZATION
(A) General
2022

Note 1 – Summary of Significant Accounting Policies

Description of Business

INVO Bioscience, Inc. (“INVO” or the Company”“Company”) intendsis a commercial-stage fertility company dedicated to commercialize its provenexpanding the assisted reproductive technology (“ART”) marketplace by making fertility care accessible and patented technology that will revolutionizeinclusive to people around the treatment of infertility.world. The Company’s primary mission is to implement new medical technologies aimed at increasing the availability of affordable, high-quality, patient-centered fertility care. The Company’s flagship product is INVOcell, a revolutionary medical device the INVOcellthat allows fertilization and the INVO procedure are designed to be simple for the patient and the clinician, less expensive and simpler to perform than conventional in vitro fertilization.  The simplicity of INVO means that it may be performed in a physician’s practice and therefore it will be available in many more locations than conventional IVF.  INVO also allows conception andearly embryo development to take place insidein vivo within the woman's body; an attractive feature for most women.

We are a development stage company, as defined by Statement of Financial Accounting Standards (“SFAS”) No. 7.woman’s body. The Company’s Activities duringcommercialization strategy involves the development stage include developingopening of dedicated “INVO Centers” focused on offering the business plan, seeking regulatory clearanceINVOcell and IVC procedure (with three centers in the European UnionNorth America now operational) and the United States and raising capital.
Through December 31, 2008, we have generated minimal sales revenues, have incurred significant expenses and have sustained losses.  Consequently, our operations are subject to all the risks inherent in the establishmentacquisition of a new business enterprise.
In May 2008, the Company received notice that the INVOcell product meets all the essential requirements of the relevant European Directive(s), and received CE Marking.  The CE marking (also knownexisting IVF clinics, as CE mark) is a mandatory conformity mark on many products placed on the single market in the European Economic Area (EEA).  The CE marking (an acronym for the French “Conformité Européenne”) certifies that a product has met EU health, safety and environmental requirements, which ensure consumer safety.
With CE Marking, the Company now has the ability and necessary regulatory authority to distributewell as selling its product in the European Economic Area (Includes: The European Union, Canada, Australia, New Zealand, and most parts of the Middle East).  The Company has sold 785 units of INVOcell to date.
(B) technology solution into existing fertility clinics.

Basis of Presentation(Reverse Merger and Corporate Structure)

On December 5, 2008, the Company completed a merger transaction with Emy’s Salsa Aji Distribution Company, Inc. (“Emy’s”) an inactive publicly registered shell corporation with no significant assets or operations.  Emy’s was incorporated on July 11, 2005, under the laws of the State of Nevada under the name Certiorari Corp.  In connection with the reverse merger, INVO Bioscience became our wholly-owned subsidiary and the INVO Bioscience Shareholders acquired control of Emy’s.  
For accounting purposes, the Company accounted for the transaction as a recapitalization and the Company is the surviving entity.  In connection with the reverse merger, 14,937,500 shares were retained by Emy’s shareholders.
Effective with the Agreement, all previously outstanding shares of common owned by the Company's shareholders were exchanged for an aggregate of 38,307,500 shares of Emy’s common stock.
Effective with the Agreement, Emys changed its name to INVO Bioscience Inc.
All references to common stock, share and per share amounts have been retroactively restated to reflect the exchange ratio of 357.0197 shares of INVO Bioscience common stock for 1 shares of the acquirer's common stock outstanding immediately prior to the merger as if the exchange had taken place as of the beginning of the earliest period presented.
The accompanying financial statements present the historical financial condition, results of operations and cash flows of the Company prior to the merger with Emys.

The accompanying consolidated financial statements present on a consolidated basis the accounts of the Company and its wholly owned subsidiaries.subsidiaries and controlled affiliates. The Company presents noncontrolling interest within the equity section of its consolidated balance sheets and the amount of consolidated net income (loss) that is attributable to the Company and to the noncontrolling interest in its consolidated statement of operations. All significant intercompany accounts and transactions have been eliminated in consolidation.

The Company uses the equity method of accounting when it owns an interest in an entity whereby it can exert significant influence over but cannot control the entity’s operations.

The preparation of the Company’s consolidated financial statements requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and the disclosure of contingent assets and liabilities at the date of the consolidated financial statements and the reported amounts of revenues and expenses during the reporting periods.

The Company considers events or transactions that have occurred after the consolidated balance sheet date of December 31, 2022, but prior to the filing of the consolidated financial statements with the SEC in this Annual Report on Form 10-K, to provide additional evidence relative to certain estimates or to identify matters that require additional disclosure, as applicable. Subsequent events have been evaluated through the date of the filing of this Annual Report on Form 10-K.

Business Segments

The Company operates in onesegment and therefore segment information is not presented.

Variable Interest Entities

The Company’s consolidated financial statements include the accounts of the Company, its wholly owned subsidiaries, and variable interest entities (“VIE”), where the Company is the primary beneficiary under the provisions of ASC 810, Consolidation (“ASC 810”). A VIE must be consolidated by its primary beneficiary when, along with its affiliates and agents, the primary beneficiary has both: (i) the power to direct the activities that most significantly impact the VIE’s economic performance; and (ii) the obligation to absorb losses or the right to receive the benefits of the VIE that could potentially be significant to the VIE. The Company reconsiders whether an entity is still a VIE only upon certain triggering events and continually assesses its consolidated VIEs to determine if it continues to be the primary beneficiary. See “Note 3 – Variable Interest Entities” for additional information on the Company’s VIEs.

F-7
INVO BIOSCIENCE, INC.
(A DEVELOPMENT STAGE COMPANY)
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

Equity Method Investments

Investments in unconsolidated affiliates, which the Company exerts significant influence but does not control or otherwise consolidate are accounted for using the equity method. Equity method investments are initially recorded at cost. These investments are included in investment in joint ventures in the accompanying consolidated balance sheets. The Company’s share of the profits and losses from these investments is reported in loss from equity method joint venture in the accompanying consolidated statements of operations. The Company monitors its investments for other-than-temporary impairment by considering factors such as current economic and market conditions and the operating performance of DECEMBER 31, 2008the investees and DECEMBER 31, 2007

(C) records reductions in carrying values when necessary.

Use of Estimates

In preparing financial statements in conformity with generally accepted accounting principles, management is required to make estimates and assumptions that affect the reported amounts of assets and liabilities and the disclosure of contingent assets and liabilities at the date of the consolidated financial statements and revenues and expenses during the reported period. Actual results could differ from those estimates.

(D)

Cash and Cash Equivalents

The

For financial statement presentation purposes, the Company considers time deposits, certificates of deposit and all highly liquid temporary cash investments with an original maturitymaturities of three months or less to be cash equivalents.  As of December 31, 2008 and 2007, the Company had $15,716 and $0 cash equivalents respectively.

(E) equivalents.

Inventory

Inventories consist of raw materials, work in process and finished productsgoods and are stated at the lower of cost or market;net realizable value, using the first-in, first-out (FIFO) method as a cost flow convention. 

(F) method.

Property and Equipment

The Company records property and equipment at cost. DepreciationProperty and amortization are providedequipment is depreciated using the straight-line method over the estimated economic lives of the assets, which are from 3 to 7 10 years. The Company capitalizes the expenditures for major renewals and improvements that extend the useful lives of property and equipment. Expenditures for maintenance and repairs are charged to expense as incurred. The Company reviews the carrying value of long-lived assets for impairment at least annually or whenever events or changes in circumstances indicate that the carrying amount of an asset may not be recoverable. Recoverability of long-lived assets is measured by a comparison of its carrying amount to the undiscounted cash flows that the asset or asset group is expected to generate. If such assets are considered impaired, the impairment to be recognized is measured by the amount by which the carrying amount of the property, if any, exceeds its fair market value.

(G) Stock Based Compensation
The Company accounts

Long- Lived Assets

Long-lived assets and certain identifiable assets related to those assets are periodically reviewed for stock-based compensation underimpairment whenever circumstances and situations change such that there is an indication that the provisionscarrying amounts may not be recoverable. If the non-discounted future cash flows of SFAS 123R, Share-Based Payment (“SFAS 123R”).  This statement requires the Companyasset are less than their carrying amount, their carrying amounts are reduced to measure the cost of employee services received in exchange for an award of equity instruments based on the grant-date fair value and an impairment loss recognized. There was an impairment of the award.  That cost is recognized over the period in which the employee is required to provide service in exchange for the award, which is usually the vesting period.

(H) Loss Per Share
We use SFAS No. 128, “Earnings Per Share” for calculating the basic and diluted loss per share.  We compute basic loss per share by dividing net loss and net loss attributable to common shareholders by the weighted average number of common shares outstanding.  Common equivalent shares are excluded from the computation of net loss per share if their effect is anti-dilutive.  There were 120,000 common share equivalents at December 31, 2008 and none at December 31, 2007.  For$132,227 recorded during the year ended December 31, 2008, these potential shares were excluded from2022, and noimpairment in the shares used to calculate diluted earnings per share as their inclusion would reduce net loss per share.
INVO BIOSCIENCE, INC.
(A DEVELOPMENT STAGE COMPANY)
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
as of DECEMBER 31, 2008 and DECEMBER 31, 2007
(I) Identifiable Intangible Assets
Intangible assets are stated at cost net of accumulated amortization and impairment.  During the periodyear ended December 31, 2008, the Company purchased $31,000 of additional patents that establish and protect its proprietary technology and product in several countries.  The Company intends to amortize these costs over the useful life of the patents.  2021.

F-8
(J)

Fair Value of Financial Instruments

SFAS No. 107,

ASC 825-10-50, “Disclosures Aboutabout Fair Value of Financial Instruments,” requires disclosure of the fair value of certain financial instruments. The carrying value of cash and cash equivalents, accounts payable and borrowings, as reflected in the balance sheets, approximate fair value because of the short-term maturity of these instruments.

Effective January 1, 2008, the Company adopted Statement of Financial Accounting Standards No. 157, FairASC 820-10, “Fair Value Measurements (SFAS 157)Measurements”, which provides a framework for measuring fair value under GAAP. SFAS 157ASC 820-10 defines fair value as the exchange price that would be received for an asset or paid to transfer a liability (an exit price) in the principal or most advantageous market for the asset or liability in an orderly transaction between market participants on the measurement date. SFAS 157ASC 820-10 requires that valuation techniques maximize the use of observable inputs and minimize the use of unobservable inputs.

(K)

Income Taxes

The Company accountsis subject to income taxes in the United States and its domestic tax liabilities are subject to the allocation of expenses in multiple state jurisdictions. The Company uses the asset and liability method to account for income taxes under the Statement of Financial Accounting Standards No. 109, “Accounting for Income Taxes” (“SFAS 109”).taxes. Under SFAS 109,this method, deferred income tax assets and liabilities are recognized for the future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax bases. Deferred tax assets and liabilities are measured using enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. Under SFAS 109,The recoverability of deferred tax assets is evaluated by assessing the adequacy of future expected taxable income from all sources, including taxable income in prior carryback years, reversal of taxable temporary differences, forecasted operating earnings and available tax planning strategies. To the extent the Company does not consider it more-likely-than-not that a deferred tax asset will be recovered, a valuation allowance is established.

Concentration of Credit Risk

Cash includes amounts deposited in financial institutions in excess of insurable Federal Deposit Insurance Corporation (“FDIC”) limits. As of December 31, 2022, the Company did not have cash balances in excess of FDIC limits.

Revenue Recognition

The Company recognizes revenue on arrangements in accordance with ASC 606, Revenue from Contracts with Customers (“ASC 606”). The core principle of ASC 606 is to recognize revenues when promised goods or services are transferred to customers in an amount that reflects the consideration to which an entity expects to be entitled for those goods or services ASC 606 requires companies to assess their contracts to determine the timing and amount of revenue to recognize under the new revenue standard. The model has a five-step approach:

1.Identify the contract with the customer.
2.Identify the performance obligations in the contract.
3.Determine the total transaction price.
4.Allocate the total transaction price to each performance obligation in the contract.
5.Recognize as revenue when (or as) each performance obligation is satisfied.

F-9

Revenue generated from the sale of INVOcell is typically recognized at the time the product is shipped, at which time the title passes to the customer, and there are no further performance obligations.

Revenue generated from clinical and lab services related at the Company’s affiliated INVO Centers is typically recognized at the time the service is performed.

On November 12, 2018, the Company entered into a U.S. Distribution Agreement (the “Ferring Agreement”) with Ferring International Center S.A. (“Ferring”), pursuant to which it granted Ferring an exclusive license in the United States market only, with rights to sublicense under patents related to our proprietary intravaginal culture device (INVOcell), together with the retention device and any other applicable accessories (collectively, the “Licensed Product”) to market, promote, distribute and sell the Licensed Product with respect to all therapeutic, prophylactic and diagnostic uses of medical devices or pharmaceutical products involving reproductive technology (including fertility treatment) in humans.

On November 2, 2021, Ferring notified the Company of its intention to terminate the Ferring Agreement, which requires 90-days prior written notice. Accordingly, the Ferring Agreement officially terminated on January 31, 2022.

The Ferring license was deemed to be a functional license that provides a customer with a “right to access” to the Company’s intellectual property during the subscription period and accordingly, under ASC 606-10-55-60 revenue is recognized over a period of time, which is generally the subscription period. The initial upfront payment of $5,000,000 which was received upon the signing of the agreement was being recognized as income over the 7-year term.

As of December 31, 2022, the Company had no deferred revenue related to the Ferring Agreement as it was recognized in the fourth quarter of fiscal year 2021 in relation to the contract termination. Per ASC 606-10-55-48 the likelihood of Ferring exercising its rights became remote at the time notice of termination was received so INVO recognized the full remaining amount of the deferred revenue.

Stock Based Compensation

The Company accounts for stock-based compensation under the provisions of Accounting Standards Codification (“ASC”) subtopic 718-10, Compensation (“ASC 718-10”). This statement requires the Company to measure the cost of employee services received in exchange for an award of equity instruments based on the grant-date fair value of the award. That cost is recognized over the period in which the employee is required to provide service or based on performance goals in exchange for the award, which is usually the vesting period.

Loss Per Share

Basic loss per share calculations are computed by dividing net loss attributable to the Company’s common shareholders by the weighted-average number of common shares outstanding. Diluted earnings per share are computed similar to basic earnings per share except that the denominator is increased to include potentially dilutive securities. The Company’s diluted loss per share is the same as the basic loss per share for the years ended December 31, 2022, and 2021, as the inclusion of any potential shares would have had an anti-dilutive effect due to the Company generating a loss.

Schedule of Earnings Per Share Basic and Diluted

         
  

Year Ended

December 31,

 
  2022  2021 
Net loss (numerator) $(10,892,511) $(6,654,940)
Basic and diluted weighted-average number of common shares outstanding (denominator)  606,131   531,621 
Basic and diluted net loss per common share  (17.97)  (12.52)

The Company has excluded the following dilutive securities from the calculation of fully diluted shares outstanding because the result would have been anti-dilutive:

Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share

  2022  2021 
  As of December 31, 
  2022  2021 
Options  64,850   52,795 
Unit purchase options and warrants  30,508   13,008 
Total  95,358   65,803 
Antidilutive securities  95,358   65,803 

F-10

Recently Adopted Accounting Pronouncements

The Company has reviewed all recently issued, but not yet effective, accounting pronouncements, and does not believe the future adoption of any such pronouncements will have a material impact on its financial condition or the results of its operations.

Note 2 – Liquidity

Historically, the Company has funded its cash and liquidity needs through operating cash flow, equity financings, and notes payable. For the years ended December 31, 2022 and 2021, the Company incurred a net loss of approximately $10.9million and $6.7million, respectively, and has an accumulated deficit of approximately $49.8million as of December 31, 2022. Approximately $3.0 million of the net loss was related to non-cash expenses for the year ended December 31, 2022, compared to $4.2 million for the year ended December 31, 2021

The Company has been dependent on raising capital through debt and equity financings to meet its needs for cash used in operating and investing activities. During 2021, the Company received proceeds of approximately $3.7 million from the sale of stock, converted approximately $1.5 million of outstanding debt to equity and received approximately $0.4 million of proceeds from unit purchase option and warrant exercises. During 2022, the Company received proceeds of $0.8 million from demand notes and net proceeds of approximately $0.3million for the sale of its common stock. Over the next 12 months, the Company’s plan includes opening additional INVO Centers, completing the acquisition of Wisconsin Fertility Institute and pursuing additional IVF clinic acquisitions. Until the Company can generate a sufficient amount of cash from operations, it will need to raise additional funding to meet its liquidity needs and to execute its business strategy. As in the past, the Company will seek debt and/or equity financing, which may not be available on reasonable terms, if at all.

Although the Company’s audited consolidated financial statements for the year ended December 31, 2022 were prepared under the assumption that it would continue operations as a going concern, the report of the Company’s independent registered public accounting firm that accompanies the Company’s consolidated financial statements for the year ended December 31, 2022 contains a going concern qualification in which such firm expressed substantial doubt about the Company’s ability to continue as a going concern, based on the consolidated financial statements at that time. Specifically, as noted above, the Company has incurred significant operating losses and the Company expects to continue to incur significant expenses and operating losses as it continues to ramp up the commercialization of INVOcell and develop new INVO Centers. These prior losses and expected future losses have had, and will continue to have, an adverse effect on the Company’s financial condition. If the Company cannot continue as a going concern, its stockholders would likely lose most or all of their investment in the Company.

Note 3 – Variable Interest Entities

Consolidated VIEs

Bloom INVO, LLC

On June 28, 2021, INVO Centers LLC, a Delaware limited liability company (“INVO CTR”) entered into a limited liability company operating agreement (the “Bloom Agreement”) with Bloom Fertility, LLC (“Bloom”) to establish a joint venture entity, formed as “Bloom INVO LLC” (the “Georgia JV”), for the purposes of commercializing INVOcell, and the related IVC procedure, through the establishment of an INVO Center, (the “Atlanta Clinic”) in the Atlanta, Georgia metropolitan area.

In consideration for INVO’s commitment to contribute up to $800,000 within the 24-month period following execution of the Bloom Agreement to support the start-up operations of the Georgia JV, the Georgia JV issued 800 of its units to INVO CTR and in consideration for Bloom’s commitment to contribute physician services having an anticipated value of up to $1,200,000 over the course of a 24-month vesting period, the Georgia JV issued 1,200 of its units to Bloom.

The responsibilities of Bloom include providing all medical services required for the operation of the Atlanta Clinic. The responsibilities of INVO CTR include providing certain funding to the Georgia JV, lab services quality management, and providing access to and being the exclusive provider of the INVOcell to the Georgia JV. INVO CTR will also perform all required, industry specific compliance and accreditation functions, and product documentation for product registration.

F-11

The Bloom Agreement provides Bloom with a “profits interest” in the Georgia JV and, in connection with such profits interest, states that profits and losses be allocated to its members based on a hypothetical liquidation of the Georgia JV. In such a scenario, liquidation proceeds would be distributed in the following order: (a) to INVO CTR until the difference between its capital contributions and distributions (the “Hurdle Amount”) equals $0; (b) to Bloom until its distributions equal 150% of the liquidation amounts distributed to INVO CTR (a “catch-up” to rebalance the distributions between members); and (c) thereafter on a pro rata basis. The Georgia JV had no assets or liabilities at the time the units were issued, and, as of December 31, 2022, INVO CTR had made capital contributions greater than the net loss of the Georgia JV. As such, the entire net loss was allocated to INVO CTR, and no loss was allocated to the noncontrolling interest of Bloom.

The Georgia JV opened to patients on September 7, 2021.

The Company determined the Georgia JV is a VIE, and that the Company is its primary beneficiary because the Company has an obligation to absorb losses that are potentially significant and the Company controls the majority of the activities that impact the Georgia JV’s economic performance, specifically control of the INVOcell and lab services quality management. As a result, the Company consolidated the Georgia JV’s results with its own. As of December 31, 2022, the Company invested $0.9 million in the Georgia JV in the form of capital contributions as well as $0.5 million in the form of a note. For the years ended December 31, 2022 and 2021, the Georgia JV recorded net losses of $0.6 million and $0.4 million, respectively. Noncontrolling interest in the Georgia JV was $0.

Unconsolidated VIEs

HRCFG INVO, LLC

On March 10, 2021, INVO CTR entered into a limited liability company agreement with HRCFG, LLC (“HRCFG”) to form a joint venture for the purpose of establishing an INVO Center in Birmingham, Alabama. The name of the joint venture entity is HRCFG INVO, LLC (the “Alabama JV”). The Company also provides certain funding to the Alabama JV. Each party owns 50% of the Alabama JV.

The Alabama JV opened to patients on August 9, 2021.

The Company determined the Alabama JV is a VIE, and that there is no primary beneficiary. As a result, the Company will use the equity method to account for its interest in the Alabama JV. As of December 31, 2022, the Company invested $1.6 million in the Alabama JV in the form of a note. For the years ended December 31, 2022 and 2021, the Alabama JV recorded net losses of $0.3 million and $0.6 million, respectively, of which the Company recognized losses from equity method investments of $0.2 million and $0.3 million, respectively.

Positib Fertility, S.A. de C.V.

On September 24, 2020, INVO CTR entered into a Pre-Incorporation and Shareholders Agreement with Francisco Arredondo, MD PLLC (“Arredondo”) and Security Health LLC, a Texas limited liability company (“Ramirez”, and together with INVO CTR and Arredondo, the “Shareholders”) under which the Shareholders will commercialize the IVC procedure and offer related medical treatments in Mexico. Each party owns one-third of the Mexican incorporated company, Positib Fertility, S.A. de C.V. (the “Mexico JV”).

The Mexico JV opened to patients on November 1, 2021.

The Company determined the Mexico JV is a VIE, and that there is no primary beneficiary. As a result, the Company will use the equity method to account for its interest in the Mexico JV. As of December 31, 2022, the Company invested $0.1 million in the Mexico JV. For the years ended December 31, 2022 and 2021, the Mexico JV recorded net losses of $0.1 million and $0.04 million, respectively, of which the Company recognized a loss from equity method investments of $0.05 million and $0.01 million, respectively.

F-12

The following table summarizes our investments in unconsolidated VIEs:

Schedule of Investments in Unconsolidated Variable Interest Entities

       Carrying Value as of 
  Location Percentage Ownership  December 31, 2022  December 31, 2021 
HRCFG INVO, LLC Alabama, United States  50% $1,106,905   1,387,495 
Positib Fertility, S.A. de C.V. Mexico  33%  130,960   102,439 
Total investment in unconsolidated VIEs      $1,237,865   1,489,934 

Earnings from investments in unconsolidated VIEs were as follows:

Schedule of Earnings from Investments in Unconsolidated Variable Interest Entities

  2022  2021 
  Year Ended December 31, 
  2022  2021 
HRCFG INVO, LLC $(154,954)  (313,033)
Positib Fertility, S.A. de C.V.  (45,604)  (14,509)
Total earnings from unconsolidated VIEs $(200,558)  (327,542)

The following tables summarize the combined unaudited financial information of our investments in unconsolidated VIEs:

Schedule of Financial Information of Investments in Unconsolidated Variable Interest Entities

  2022  2021 
  Year Ended December 31, 
  2022  2021 
Statements of operations:        
Operating revenue $822,490   151,672 
Operating expenses  (1,316,199)  (821,705)
Net loss $(493,709)  (670,033)

       
 December 31, 2022  December 31, 2021 
Balance sheets:        
Current assets $261,477   456,967 
Long-term assets  1,094,490   1,302,067 
Current liabilities  (396,619)  (404,155)
Long-term liabilities  (107,374)  (142,321)
Net assets $851,974   1,212,558 

Note 4 – Agreements and Transactions with VIE’s

The Company sells the INVOcell to its consolidated and unconsolidated VIEs and anticipates continuing to do so in the ordinary course of business. All intercompany transactions with consolidated entities are eliminated in the Company’s consolidated financial statements. Per ASC 323-10-35-8 the Company eliminates any sales to an unconsolidated VIE for INVOcell inventory that the VIE still has remaining on the books at period end.

The following table summarizes the Company’s transactions with VIEs:

Summary of Transaction with Variable Interest Entities

  2022  2021 
  Year Ended December 31, 
  2022  2021 
Bloom Invo, LLC        
INVOcell revenue $13,500   21,600 
Unconsolidated VIEs        
INVOcell revenue $30,000   16,310 

The Company had balances with VIEs as follows:

Summary of Balances with Variable Interest Entities

       
  December 31, 2022  December 31, 2021 
Bloom Invo, LLC        
Accounts receivable $13,500   21,600 
Notes payable  468,031   453,406 
Unconsolidated VIEs        
Accounts receivable $46,310   16,310 

F-13

Note 5 – Inventory

Components of inventory are:

Schedule of Inventory

       
  December 31, 2022  December 31, 2021 
Raw materials $68,723  $67,605 
Finished goods  194,879   220,168 
Total inventory $263,602  $287,773 

Note 6 – Property and Equipment

The estimated useful lives and accumulated depreciation for equipment are as follows as of December 31, 2022, and December 31, 2021:

Schedule of Estimated Useful Lives of Property and Equipment

Estimated Useful Life
Manufacturing equipment6 to 10 years
Medical equipment10 years
Office equipment3 to 7 years

Schedule of Property and Equipment

       
  December 31, 2022  December 31, 2021 
Manufacturing equipment $132,513  $132,513 
Medical equipment  283,065   275,423 
Office equipment  77,601   74,891 
Leasehold improvements  96,817   96,817 
Less: accumulated depreciation  (153,267)  (78,208)
Total equipment, net $436,729  $501,436 

During each of the years ended December 31, 2022, and 2021, the Company recorded depreciation expense of $75,492 and $25,952, respectively.

Note 7 – Intangible Assets

Components of intangible assets are as follows:

Schedule of Finite-Lived Intangible Assets

       
  December 31, 2022  December 31, 2021 
Trademarks $         -  $110,842 
Patents  -   95,355 
Accumulated amortization  -  (74,104)
Total patent costs, net $-  $132,093 

The Company capitalizes the initial expense related to establishing patents by country and then amortizes the expense over the life of the patent, typically 20 years. It then expenses annual filing fees to maintain the patents. The Company regularly reviews the value of its patents in the marketplace in proportion to the expense it must spend to maintain the patent.

During the years ended December 31, 2022, and 2021, the Company recorded amortization expenses related to patents of $1,809 and $1,809, respectively.

The trademarks have an indefinite life and therefore are not amortized. Trademarks are periodically reviewed for impairment whenever circumstances and situations change such that there is an indication that the carrying amounts may not be recoverable.

As of December 31, 2022 the Company recorded an impairment loss of $132,227 related to trademarks and patents.

F-14

Note 8 – Leases

The Company has various operating lease agreements in place for its office and joint ventures. Per FASB’s ASU 2016-02, Leases Topic 842 (“ASU 2016-02”), effective January 1, 2019, the Company is required to report a right-of-use asset and corresponding liability to report the present value of the total lease payments, with appropriate interest calculation. Per the terms of ASU 201-02, the Company can use its implicit interest rate, if known, or applicable federal rate otherwise. Since the Company’s implicit interest rate was not readily determinable, the Company utilized the applicable federal rate, as of the commencement of the lease. Lease renewal options included in any lease are considered in the lease term if it is reasonably certain the Company will exercise the option to renew. The Company’s operating lease agreements do not contain any material restrictive covenants.

As of December 31, 2022, the Company’s lease components included in the consolidated balance sheet were as follows:

Schedule of Lease Components

      
Lease component Balance sheet classification December 31,
2022
 
Assets      
ROU assets - operating lease Other assets $1,808,034 
Total ROU assets   $1,808,034 
       
Liabilities      
Current operating lease liability Current liabilities $231,604 
Long-term operating lease liability Other liabilities  1,669,954 
Total lease liabilities   $1,901,558 

Future minimum lease payments as of December 31, 2022 were as follows:

Schedule of Future Minimum Lease Payments

     
2023  264,108 
2024  251,671 
2025  247,960 
2026  253,235 
2027 and beyond  1,063,010 
Total future minimum lease payments $2,079,984 
Less: Interest  (178,426)
Total operating lease liabilities $1,901,558 

F-15

Note 9 – Notes Payable

Notes payables consisted of the following:

Schedule of Notes Payable

December 31, 2022December 31, 2021
Related party demand notes with a 10% financing fee. 10% annual interest starting January 31, 2023. Notes are callable starting March 31, 2023770,000-
Demand notes. 10% annual interest.100,000-
Less debt discount(107,356)-
Total, net of discount762,644-

Paycheck Protection Program

On July 1, 2020, the Company received a loan in the principal amount of $157,620 pursuant to the U.S. Small Business Administration’s Paycheck Protection Program. The loan matured 18 months from the date of funding, was payable over 18 equal monthly installments, and had an interest of 1% per annum. Up to 100% of the principal balance of the loan was forgivable based upon satisfaction of certain criteria under the Paycheck Protection Program.On June 16, 2021, the principal of the loan as well as $1,506 of accrued interest was forgiven and the note was extinguished. The Company recognized a gain of $159,126 on extinguishment of debt during the year ended December 31, 2021.

Related Party Demand Notes

In the fourth quarter of 2022, the Company received $500,000 through the issuance of five demand notes (the “JAG Notes”) from a related party, JAG Multi Investments LLC (“JAG”). The Company’s CFO is a beneficiary of JAG but does not have any control over JAG’s investment decisions with respect to the Company. If paid prior to December 31, 2022 for the initial 3 notes and January 31, 2023 for the last two months, the JAG Notes are interest free. For any amount that remains outstanding past such dates, 10% annual interest accrues from the date of issuance. The notes currently are callable with 10 days prior written notice, which may be delivered to the Company starting on March 31, 2023. At maturity, the Company agreed to pay outstanding principal, a 10% financing fee and accrued interest, if any. The financing fees were recorded as a debt discount and as of December 31, 2022 the Company had amortized $40,333 of the discount.

In consideration for subscribing to the JAG Note for $100,000 dated December 29, 2022, and for agreeing to extend the date on which the other JAG Notes are callable to March 31, 2023, the Company issued JAG a warrant to purchase 17,500 shares of Company common stock. The warrant may be exercised for a period of five (5) years from issuance at a price of $10.00 per share. The financing fees and the fair value of the warrants issued were capped at the total proceeds. The relative fair value of the warrants were recorded as a debt discount and as of December 31, 2022 the Company had amortized $2,903 of the discount.

In the fourth quarter of 2022, the Company received $200,000 through the issuance of demand promissory notes of which (1) $100,000 was received from our chief executive officer, Steven Shum ($60,000 on November 29, 2022, $15,000 on December 2, 2022, and $25,000 on December 13, 2022) and (2) $100,000 was received from an entity controlled by our chief financial officer, Andrea Goren ($75,000 on November 29, 2022 and $25,000 on December 13, 2022). If paid prior to January 31, 2023, these notes are interest free until January 31, 2023. For any amount that remains outstanding past January 31, 2023, 10% annual interest accrues from the date of issuance. These notes are callable with 10 days prior written notice, which may be delivered to the Company starting 30 days from issuance. At maturity, the Company agreed to pay outstanding principal, a 10% financing fee and accrued interest, if any.

The financing fees were recorded as a debt discount and as of December 31, 2022 the Company had amortized $9,419 of the discount.

Demand Notes

In the fourth quarter of 2022, the Company received $100,000 through the issuance of two demand notes. On January 4th, 2023 these notes were reissued as convertible notes with a fixed conversion prices of $10.00 and (ii) 5-year warrants to purchase 5,000 shares of the Company’s common stock at an exercise price of $20.00 (subject to adjustments).

Interest on the notes accrues at a rate of ten percent (10%) per annum and is payable at the holder’s option either in cash or in shares of the Company’s common stock at the conversion price set forth in the notes on December 31, 2023, unless converted earlier.

All amounts due under the notes are convertible at any time after the issuance date, in whole or in part (subject to rounding for fractional shares), at the option of the holders into the Company’s common stock at a fixed conversion price for the notes as described above.

Note 10 – Related Party Transactions

In October 2021, Paulson Investment Company served as a placement agent for the Company’s registered direct offering and received fees and commissions for such role in the amount of $323,584. Trent Davis, one of the Company’s directors, is President of Paulson Investment Company. Mr. Davis did not receive any compensation related to the fees and commissions received by Paulson. Steve Shum and Andrea Goren, the CEO and CFO of the Company, respectively, each purchased 1,534 shares in the registered direct offering for gross proceeds of $199,994.

In the fourth quarter of 2022, the Company received $700,000 through the issuance of demand notes from related parties, as follows: (a) $500,000 from JAG; (b) $100,000 from our chief executive officer, Steve Shum; and (c) $100,000 from our chief financial officer, Andrea Goren. The Company’s CFO is a beneficiary of JAG but does not have any control over JAG’s investment decisions with respect to the Company. See Note 9 of the Notes to Consolidated Financial Statements for additional information.

As of December 31, 2022 the Company owed accounts payable to related parties totaling $76,948, primarily related to unpaid employee expense reimbursements and unpaid board fees.

F-16

Note 11 – Stockholders’ Equity

Reverse Stock Splits

On December 16, 2019, the Company’s stockholders approved a reverse stock split at a ratio of between 1-for-5 and 1-for-25, with discretion for the exact ratio to be approved by the Company’s board of directors. On February 19, 2020, the Company’s board of directors approved a reverse stock split of the Company’s common stock at a ratio of 1-for-20. On May 21, 2020, the Company filed a certificate of change (with an effective date of May 26, 2020) with the Nevada Secretary of State pursuant to Nevada Revised Statutes 78.209 to effectuate a 1-for-20 reverse stock split of its outstanding common stock. The reverse split took effect at the open of business on May 26, 2020.

On October 22, 2020, the Company’s board of directors approved a reverse stock split of the Company’s common stock at a ratio of 5-for-8 and also approved a proportionate decrease in the Company’s authorized common stock to 125,000,000 shares from 200,000,000. On November 5, 2020, the Company filed a certificate of change (with an effective date of November 9, 2020) with the Nevada Secretary of State pursuant to Nevada Revised Statutes 78.209 to effectuate a 5-for-8 reverse stock split of its outstanding common stock. As a result of the reverse stock split, 133 shares were issued in lieu of fractional shares. On November 6, 2020, the Company received notice from FINRA/OTC Corporate Actions that the reverse split would take effect at the open of business on November 9, 2020, and the reverse stock split took effect on that date.

On June 28, 2023, the Company’s board of directors approved a reverse stock split of the Company’s common stock at a ratio of 1-for-20 and also approved a proportionate decrease in its authorized common stock to 6,250,000 shares from 125,000,000. On July 26, 2023, the Company filed a certificate of change (with an effective date of July 28, 2023) with the Nevada Secretary of State pursuant to Nevada Revised Statutes 78.209 to effectuate a 1-for-20 reverse stock split of its outstanding common stock. On July 27, 2023, the Company received notice from Nasdaq that the reverse split would take effect at the open of business on July 28, 2023, and the reverse stock split took effect on that date.

The consolidated financial statements presented reflect the reverse splits.

F-17

Public offerings

On October 1, 2021, the Company and certain institutional and accredited investors and members of the Company’s management team (the “Investors”) entered into a securities purchase agreement pursuant to which the Company agreed to issue and sell to the Investors 62,037 shares of its common stock, in a registered direct offering (the “Direct Offering”) for aggregate gross proceeds of $4,044,803. The purchase price for each share in the Direct Offering was $65.20. The net proceeds to the Company from the Direct Offering, after deducting placement agent fees and the Company’s estimated offering expenses, were approximately $3.65 million. Paulson Investment Company served as a placement agent for the Direct Offering and received a fee for its role in the amount of $323,584, as well as warrants to purchase 1,862 shares of the Company’s common stock at an exercise price of $78.24 per share.

Year Ended December 31, 2022

During 2022, the Company issued 2,577 shares of common stock to directors and 2,313 shares of common stock to consultants with a fair value of $218,196 and $95,851, respectively. The shares were issued under the Company’s 2019 Stock Incentive Plan (the “2019 Plan”).

During 2022, the Company granted 5,317 restricted stock units to employees that vest 50% at six months from grant date and 50% at twelve months from grant date. The shares were granted under the 2019 Plan. During 2022, the Company had issued 1,783 vested shares and recognized stock-based compensation expense of $266,611 associated with the equity grants.

During 2022, the Company issued 750 shares of its common stock to consultants in consideration of services rendered with a fair value of $27,360. These shares were issued pursuant to the exemption from registration provided by Section 4(a)(2) of the Securities Act of 1933, as amended. The Company did not receive any cash proceeds from this issuance.

In January 2022, the Company issued 4,731 shares of its common stock for net proceeds of $289,800.

Note 12 – Equity-Based Compensation

Equity Incentive Plans

In October 2019, the Company adopted the 2019 Plan. Under the 2019 Plan, the Company’s board of directors is authorized to grant both incentive and non-qualified stock options to purchase common stock, as well as restricted stock awards to its employees, directors, and consultants. The 2019 Plan initially provided for the issuance of 25,000 shares. A provision in the 2019 Plan provides for an automatic annual increase equal to 6% of the total number of shares of Company common stock outstanding on December 31 of the preceding calendar year.In January 2022, the number of available shares increased by 35,787 shares and on October 12, 2022 shareholders approved an amendment to the plan to add an additional 20,640 shares bringing the total shares available under the 2019 Plan to 125,000.

Options granted under the 2019 Plan generally have a life of 3 to 10 years and exercise prices equal to or greater than the fair market value of the common stock as determined by the Company’s board of directors. Vesting for employees typically occurs over a three-year period.

F-18

The following table sets forth the activity of the options to purchase common stock under the 2019 Plan.

Schedule of Stock Options Activity

  Number of
Shares
  Weighted
Average
Exercise
Price
  Aggregate
Intrinsic
Value
 
Outstanding as of December 31, 2021  52,795  $101.80  $17,250 
Granted  22,686   71.80   - 
Exercised  -   -   - 
Canceled  (10,630)  159.20   - 
Balance as of December 31, 2022  64,851   68.00   - 
Exercisable as of December 31, 2022  40,928  $87.80  $- 

The fair value of each option granted is estimated as of the grant date using the Black-Scholes option pricing model with the following assumptions:

Schedule of Share-Based Payment Award, Stock Options, Valuation Assumptions

   Years ended
December 31,
 
   2022   2021 
Risk-free interest rate range  1.6 to 3.94%  0.22% to 0.73%
Expected life of option-years  5.00 to 5.77   5.3 to 6.5 
Expected stock price volatility  110 to 114.6%  107% to 125%
Expected dividend yield  - %  -%

The risk-free interest rate is based on U.S. Treasury interest rates, the terms of which are consistent with the expected life of the stock options. Expected volatility is based upon the average historical volatility of the Company’s common stock over the period commensurate with the expected term of the related instrument. The expected life and estimated post-employment termination behavior is based upon historical experience of homogeneous groups, executives and non-executives, within the Company. The Company does not currently pay dividends on its common stock, nor does it expect to do so in the foreseeable future.

Schedule of Share Based Payments Arrangements Options Exercised and Options Vested

  Total Intrinsic
Value of Options
Exercised
  Total Fair
Value of Options
Vested
 
Year ended December 31, 2021 $-  $1,543,912 
Year ended December 31, 2022 $-  $1,616,401 

For the year ended December 31, 2022, the weighted average grant date fair value of options granted was $58.40 per share. The Company estimates the fair value of options at the grant date using the Black-Scholes model. For all stock options granted through December 31, 2022, the weighted average remaining service period is 1.13 years.

Restricted Stock and Restricted Stock Units

In the year ended December 31, 2022, the Company granted 10,206 in restricted stock units to certain employees, directors, and consultants under the 2019 Plan. Restricted stock issued to employees, directors, and consultants generally vest either at grant or vest over a period of one yearfrom the date of grant.

The following table summarizes the Company’s restricted stock awards activity under the 2019 Plan during the year ended December 31, 2022:

Schedule of Aggregate Restricted Stock Awards and Restricted Stock Unit Activity

  

Number of Unvested

Shares

  

Weighted

Average

Grant Date
Fair Value

  

Aggregate

Value

of Shares

 
          
Balance as of December 31, 2021  487  $74.40  $36,148 
Granted  10,206   58.40   595,846 
Vested  (7,159)  61.40   (423,077)
Forfeitures  -   -   - 
Balance as of December 31, 2022  3,534   8.40   29,949 

F-19

Note 13 – Unit Purchase Options and Warrants

The following table sets forth the activity of unit purchase options:

Schedule of Unit Purchase Stock Options Activity

  Number of
Unit Purchase
Options
  Weighted
Average
Exercise
Price
  Aggregate
Intrinsic
Value
 
Outstanding as of December 31, 2021  4,645  $64.00  $5,647 
Granted  -   -   - 
Exercised  -   -   - 
Canceled  -   -   - 
Balance as of December 31, 2022  4,645   64.00   - 

The following table sets forth the activity of warrants:

Schedule of Warrants Activity

  Number of
Warrants
  Weighted
Average
Exercise
Price
  Aggregate
Intrinsic
Value
 
Outstanding as of December 31, 2021  8,364  $72.40  $16,029 
Granted  17,500   10.00   - 
Exercised  -   -   - 
Canceled  -   -   - 
Balance as of December 31, 2022  25,864  $30.20  $- 

F-20

Note 14 – Income Taxes

The provision for income taxes consists of the following for the year ended December 31, 2022, and 2021:

Schedule of Components of Income Tax Expense (Benefit)

         
  December 31 
  2022  2021 
Federal income taxes:        
Current $-  $- 
Deferred  315   (280)
Total federal income taxes  315   (280)
         
State income taxes:        
Current  2,062   4,094 
Deferred  496   390 
Total state income taxes  2,558   4,484 
Total income taxes $

2,872

  $4,764 

The effective income tax rate is lower than the U.S. federal and state statutory rates primarily because of the valuation allowance and, to a lesser extent, permanent items. A reconciliation of the 2022 and 2021 federal statutory rate as compared to the effective income tax rate is as follows:

Schedule of Effective Income Tax Rate Reconciliation

  December 31 
  2022  2021 
Pre-Tax Book Income at Statutory Rate $(2,202,718)  21.00% $(1,363,829)  21.00%
State Tax Expense, net  1,629   -0.02%  3,624   -0.06%
Permanent Items  348,768   -3.33%  425,318   -6.55%
Hanging Credit  811   -0.01%  -   - 
True-Ups  (36,554)  0.35%  713,398   -10.98%
Change in Federal Valuation Allowance  1,890,936   -18.03%  226,255   -3.48%
Total Expense $2,872   -0.03% $4,764   -0.07%

Deferred income taxes reflect the net effect of temporary differences between the carrying amounts of assets and liabilities for financial reporting purposes and the amounts used for income tax. Significant components of the deferred tax assets and liabilities as of December 31, 2022 and 2021, are as follows:

Schedule of Deferred Tax Assets and Liabilities

         
  December 31 
  2022  2021 
       
Deferred tax assets:        
Accrued Compensation $

243,056

  $150,952 
Lease (ASC 842)  342,254   365,602 
Charitable Contributions  2,771   136 
Stock Option Expense  117,099   75,590 
Restricted Stock Unit  62,090   12,929 
Net Operating Losses  8,395,160   6,406,223 
Org Costs  81,255   72,455 
-IRC Sec. 174 Expense  275,519   - 
Investment in HRCFG INVO, LLC  123,217   81,234 
Equity in earnings - Positib  19,950   3,765 
Gross deferred tax assets  9,662,371   7,168,886 
         
Deferred tax liabilities:        
Fixed Assets  (21,560)  (26,907)
ROU Lease (ASC 842)  (5,858)  (353,551)
Trademark Amortization      (327,946)  (4,309)
Deferred Revenue  (47)  - 
Tax Amortization of Org Cost  (7,222)  - 
Gain/Loss on sale of assets  (2,561)  - 
Gross deferred tax liability  (365,194)  (384,767)
Less: valuation allowance  (9,299,126)  (6,785,258)
Net deferred tax liability $

(1,949

) $(1,139)

F-21

The Company recorded a full valuation allowance against its net deferred tax asset at December 31, 2022 and 2021 totaling $9.3 million and $6.8 million, respectively. A naked credit resulting from indefinite lived intangibles was valued at December 31, 2022, and 2021 totaling $(1,949) and ($1,139), respectively.

As of December 31, 2022, the Company has federal net operating loss carryforwards of approximately $32.8 million. Of that amount, $10.8 million will expire, if not utilized, in various years beginning in 2028 and which are also subject to the limitations of IRC §382. The remaining carryforward amount of $15.0 million, has no expiration period and can be applied to 80% of taxable income per year in future periods. State net operating loss carryforwards total $8.9 million. Of that amount, $3.5 million will begin to expire in 2033 and are subject to the limitations of IRC §382. The remaining $20.0 million of state net operating loss carryforwards are similar to the federal net operating loss in that it has no expiration period and can be applied to 100% of state taxable income per year.

Note 15 – Commitments and Contingencies

Insurance

The Company’s insurance coverage is carried with third-party insurers and includes: (i) general liability insurance covering third-party exposures; (ii) statutory workers’ compensation insurance; (iv) excess liability insurance above the established primary limits for general liability and automobile liability insurance; (v) property insurance, which covers the replacement value of real and personal property and includes business interruption; and (vi) insurance covering our directors and officers for acts related to our business activities. All coverage is subject to certain limits and deductibles, the terms and conditions of which are common for companies with similar types of operations.

Legal Matters

The Company is not currently subject to any material legal proceedings; however, it could be subject to legal proceedings and claims from time to time in the ordinary course of its business, or legal proceedings it considered immaterial may in the future become material. Regardless of the outcome, litigation can, among other things, be time consuming and expensive to resolve, and can divert management resources.

Note 16 – Subsequent Events

January and March 2023 Convertible Note and Warrant Financings

In January and March 2023, we sold unsecured convertible notes of the Company in the aggregate original principal amount of $410,000 (the “Convertible Notes”) with a fixed conversion prices of $10.00 (for the $275,000 of January 2023 Notes) and $12.00 (for the $135,000 of March 2023 Notes) and (ii) 5-year warrants (the “Note Warrants”) to purchase 19,375 shares of the Company’s common stock at an exercise price of $20.00 (subject to adjustments) (the “Note and Warrant Private Placement”). The proceeds were used for working capital and general corporate purposes.

Interest on the Convertible Notes accrues at a rate of ten percent (10%) per annum and is payable at the holder’s option either in cash or in shares of the Company’s common stock at the conversion price set forth in the Convertible Notes on December 31, 2023, unless converted earlier.

All amounts due under the Convertible Notes are convertible at any time after the issuance date, in whole or in part (subject to rounding for fractional shares), at the option of the holders into the Company’s common stock at a fixed conversion price for the Notes as described above.

Upon any issuance by the Company of any of its equity securities in an underwritten offering, including Common Stock, for cash consideration, indebtedness or a combination thereof after the date hereof (a “Subsequent Equity Financing”), each holder shall have the option to convert the outstanding principal and accrued but unpaid interest of its Convertible Note into the number of fully paid and non-assessable shares of securities issued in the Subsequent Equity Financing equal to the product of unpaid principal, together with the balance of unpaid and accrued interest and other amounts payable hereunder, divided by the price per share paid by the investors in the Subsequent Equity Financing multiplied by 80%, provided however, that any conversion shall only be allowed if the Subsequent Equity Financing conversion price is equal to or greater than the Minimum Price (as defined in the Convertible Notes) including an appropriate allocation any warrants offered.

A Convertible Note may not be converted and shares of common stock may not be issued under the Convertible Notes if, after giving effect to the conversion or issuance, the holder together with its affiliates would beneficially own in excess of 9.99% of the Company’s outstanding ordinary shares.

The Company may prepay the Convertible Notes at any time in whole or in part by paying a s sum of money equal to 100% of the principal amount to be redeemed, together with accrued and unpaid interest.

The Company entered into a registration rights agreement with the holders of and of even date with the Convertible Notes (the “Note RRA”). Pursuant to the terms of Note RRA, if the Company determines to register any of its securities, either for its own account or the account of a changesecurity holder or holders, other than (i) a registration relating solely to employee benefit plans on Form S-8 (or any successor form) or (ii) a registration relating solely to a Commission Rule 145 transaction on Form S-4 (or any successor form), the Company will include in tax rates is recognizedsuch registration, and in incomeany underwriting involved therein, the shares underlying the Convertible Notes and Note Warrants delivered pursuant to the Note and Warrant Purchase Agreements, subject to, in the periodcase of an underwritten registration, the discretion of the managing underwriter to reduce any or all piggyback registration shares if in its good faith judgment such inclusion would affect the successful marketing of the underwritten offering.

F-22

February 2023 Convertible Debentures

On February 3, and February 17, 2023, the Company entered into securities purchase agreements (the “February Purchase Agreements”) with accredited investors (the “February Investors”) for the purchase of (i) convertible debentures of the Company in the aggregate original principal amount of $500,000 (the “February Debentures”) for a purchase price of $450,000, (ii) warrants (the “February Warrant”) to purchase 12,500 shares (the “February Warrant Shares”) of the Company’s common stock par value $0.0001 per share (“Common Stock”) at an exercise price of $15.00 per share, and (iii) 4,167 shares of Common Stock (the “February Commitment Shares”) issued as an inducement for issuing the Debentures. The proceeds, net of placement agent and legal fees, are being used for working capital and general corporate purposes.

Pursuant to the February Debentures, interest on the February Debentures accrues at a rate of eight percent (8%) per annum and is payable at maturity, one year from the date of the February Debentures.

All amounts due under the February Debentures are convertible at any time after the issuance date, in whole or in part, at the option of the February Investors into Common Stock at an initial price of $10.40 per share. This conversion price is subject to adjustment for stock splits, combinations or similar events and anti-dilution provisions, among other adjustments and is subject to a floor price.

The Company may prepay the February Debentures at any time in whole or in part by paying a sum of money equal to 105% of the principal amount to be redeemed, together with accrued and unpaid interest.

While any portion of each February Debenture remains outstanding, if the Company receives cash proceeds of more than $2,000,000 (the “Minimum Threshold”) in the aggregate from any source or series of related or unrelated sources, the February Investors shall have the right in their sole discretion to require the Company to immediately apply up to 50% of all proceeds received by the Company above the Minimum Threshold to repay the outstanding amounts owed under the February Debentures.

The Company entered into a Registration Rights Agreement (the “February RRA”) with the February Investor that includessigned its purchase agreement on February 3, 2023 (the “Feb 3 Investor”). Pursuant to the enactmentterms of February RRA, the Company has agreed to file with the SEC an initial registration statement on Form S-3 (or Form S-1 if S-3 is not available) covering the resale of all of the securities acquired by the Feb 3 Investor under its February Purchase Agreement. The filing of such initial registration statement is to occur within 90 days of February 3, 2023.

On March 31, 2023, having received notice from the February Investor that signed its purchase agreement on February 17, 2023 (the “Feb 17 Investor”) requesting repayment of its February Debenture, the Company paid the Feb 17 Investor $170,000, including interest and the prepayment premium. After such payment, the principal due the Feb 17 Investor under its debenture was reduced from $200,000 to $39,849.

On April 3, 2023, having received notice from the Feb 3 requesting repayment of its February Debenture, the Company paid the Feb 3 Investor $213,879, including interest and the prepayment premium. After such payment, the principal due the Feb 3 Investor under its debenture was reduced from $300,000 to $100,000.

February 2023 Equity Purchase Agreement

On February 3, 2023, the Company entered into an equity purchase agreement (the “ELOC”) and registration rights agreement (the “ELOC RRA”) with the Feb 3 Investor pursuant to which the Company has the right, but not the obligation, to direct the Feb 3 Investor to purchase up to $10.0 million (the “Maximum Commitment Amount”) of shares of Common Stock, in multiple tranches. Further, under the ELOC and subject to the Maximum Commitment Amount, the Company has the right, but not the obligation, to submit notices to the Feb 3 Investor to purchase shares of Common Stock (i) in a minimum amount of not less than $25,000 and (ii) in a maximum amount of up to the lesser of (a) $750,000 or (b) 200% of the Company’s average daily trading value of the Common Stock.

Also on February 3, 2023, the Company issued to the Feb 3 Investor 7,500 shares of Common Stock for its commitment to enter into the ELOC.

The obligation of the Feb 3 Investor to purchase shares of Common Stock pursuant to the ELOC ends on the earlier of (i) the date on which the purchases under the ELOC equal the Maximum Commitment Amount, (ii) 24 months after the date of the ELOC (February 3, 2025), (iii) written notice of termination by the Company, (iv) the date that the ELOC RRA is no longer effective after its initial effective date, or (v) the date that the Company commences a voluntary case or any person or entity commences a proceeding against the Company pursuant to or within the meaning of federal or state bankruptcy law, a custodian is appointed for the Company or for all or substantially all of its property, or the Company makes a general assignment for the benefit of its creditors (the “Commitment Period”).

During the Commitment Period, the price that Feb 3 Investor will pay to purchase the shares of Common Stock that it is obligated to purchase under the ELOC shall be 97% of the “market price,” which is defined as the lesser of (i) the lowest closing price of our Common Stock during the 7 trading day-period following the clearance date associated with the applicable put notice from the Company or (ii) the lowest closing bid price of the Common Stock on the principal trading market for the Common Stock (currently, the Nasdaq Capital Market) on the trading day immediately preceding a put date.

F-23
In July 2006,

Wisconsin Fertility Institute Acquisition

On March 16, 2023, INVO, through Wood Violet Fertility LLC, a Delaware limited liability company (“Wood Violet”) and wholly owned subsidiary of INVO Centers LLC, a Delaware company wholly-owned by INVO, entered into binding purchase agreements to acquire Wisconsin Fertility Institute (“Wisconsin Fertility”) for a combined purchase price of $10 million.

The purchase price is payable in four installments of $2.5 million each (which payments may be offset by assumption of certain Wisconsin Fertility liabilities, payable at closing and on each of the FASB issued FIN 48, “Accountingsubsequent three anniversaries of closing. The sellers have the option to take all or a portion of the final three installments in shares of INVO common stock valued at $125.00, $181.80, and $285.80, for Uncertainty in Income Taxes-an interpretationthe second, third, and final installments, respectively.

Wisconsin Fertility is comprised of FASB Statement No. 109”(a) a medical practice, Wisconsin Fertility and Reproductive Surgery Associates, S.C., a Wisconsin professional service corporation d/b/a Wisconsin Fertility Institute (“FIN 48”WFRSA”), and (b) a laboratory services company, Fertility Labs of Wisconsin, LLC, a Wisconsin limited liability company (“FLOW”). FIN 48 clarifiesWFRSA owns, operates and manages the recognition thresholdClinic’s fertility practice that provides direct treatment to patients focused on fertility, gynecology and measurementobstetrics care and surgical procedures, and employs physicians and other healthcare providers to deliver such services and procedures. FLOW provides WFRSA with related laboratory services.

March 2023 Registered Direct Offering

On March 23, 2023, INVO entered into a securities purchase agreement (the “March Purchase Agreement”) with a certain institutional investor, pursuant to which the Company agreed to issue and sell to such investor (i) in a registered direct offering, 69,000 shares (the “March Shares”) of Common Stock, and pre-funded warrants (the “Pre-Funded Warrants”) to purchase up to 115,000 shares of Common Stock, at an exercise price of $0.20 per share, and (ii) in a tax position takenconcurrent private placement, common stock purchase warrants (the “March Warrants”), exercisable for an aggregate of up to 276,000 shares of Common Stock, at an exercise price of $12.60 per share. The securities to be issued in the registered direct offering (priced at the marked under Nasdaq rules) were offered pursuant to the Company’s shelf registration statement on Form S-3 (File 333-255096) (the “Shelf Registration Statement”), initially filed by the Company with the SEC under the Securities Act of 1933, as amended (the “Securities Act”), on April 7, 2021 and declared effective on April 16, 2021. The Pre-Funded Warrants are exercisable upon issuance and will remain exercisable until all of the Pre-Funded Warrants are exercised in full.

The March Warrants (and the shares of Common Stock issuable upon the exercise of the Private Warrants) were not registered under the Securities Act and were offered pursuant to an exemption from the registration requirements of the Securities Act provided in Section 4(a)(2) of the Securities Act and Rule 506(b) promulgated thereunder. The March Warrants are immediately exercisable upon issuance, will expire eight years from the date of issuance, and in certain circumstances may be exercised on a tax return.  FIN 48cashless basis.

On March 27, 2023, the Company closed the offering, raising gross proceeds of approximately $3 million before deducting placement agent fees and other offering expenses payable by the Company. In the event that all March Warrants are exercised for cash, the Company would receive additional gross proceeds of approximately $3.5 million. Under the March Purchase Agreement, the Company may use a portion of the net proceeds of the offering to (a) repay February Debentures, and (b) to pay the down payment for Wisconsin Fertility acquisition. The remainder of the net proceeds will be used for working capital, capital expenditures, and other general corporate purposes.

Under the March Purchase Agreement, the Company is required within 30 days of the closing date of the offering to file a registration statement on Form S-1 (the “Resale Registration Statement”) registering the resale of the shares of Common Stock issuable upon the exercise of the March Warrants. The Company is required to use commercially reasonable efforts to cause such registration to become effective within 75 days of the closing date of the offering (or 120 days if the registration statement is subject to a full-review by the SEC), and to keep such registration statement effective at all times until no March Warrants remain outstanding.

In addition, pursuant to certain “lock-up” agreements, our officers and directors have agreed, for fiscal years beginning after December 15, 2006.  FIN 48 also requires expanded disclosurea period of 180 days from the date of the offering, not to engage in any of the following, whether directly or indirectly, without the consent of the March Purchase Agreement investor: offer to sell, sell, contract to sell pledge, grant, lend, or otherwise transfer or dispose of our common stock or any securities convertible into or exercisable or exchangeable for Common Stock (the “Lock-Up Securities”); enter into any swap or other arrangement that transfers to another, in whole or in part, any of the economic consequences of ownership of the Lock-Up Securities; make any demand for or exercise any right or cause to be filed a registration statement, including any amendments thereto, with respect to the uncertaintyregistration of any Lock-Up Securities; enter into any transaction, swap, hedge, or other arrangement relating to any Lock-Up Securities subject to customary exceptions; or publicly disclose the intention to do any of the foregoing.

Stock Incentive Plan Issuances

During the first quarter of 2023, the Company issued 9,287 shares of common stock to employees and consultants under the 2019 Stock Incentive Plan.

Reverse Stock Split

Subsequent to year end the Company effected a 1-for-20 reverse stock split of its outstanding common stock, please see Note 11 for more details.

On July 11, 2023, the Company issued 16,250 shares of common stock in consideration of a settlement with an unrelated third party.

INVO BIOSCIENCE, INC.

CONSOLIDATED BALANCE SHEETS

(UNAUDITED)

  March 31,  December 31, 
  2023  2022 
     (audited) 
ASSETS        
Current assets        
Cash $2,188,245  $90,135 
Accounts receivable  99,720   77,149 
Inventory  270,919   263,602 
Prepaid expenses and other current assets  250,878   190,201 
Total current assets  2,809,762   621,087 
Property and equipment, net  417,642   436,729 
Lease right of use  1,750,175   1,808,034 
Investment in joint ventures  1,173,577   1,237,865 
Total assets $6,151,156  $4,103,715 
LIABILITIES AND STOCKHOLDERS’ EQUITY (DEFICIT)        
Current liabilities        
Accounts payable and accrued liabilities $1,847,208  $1,349,038 
Accrued compensation  1,220,682   946,262 
Notes payable, net  331,321   100,000 
Notes payable – related parties, net  770,000   662,644 
Notes payable  770,000   662,644 
Deferred revenue  46,746   119,876 
Lease liability, current portion  234,050   231,604 
Total current liabilities  4,450,007   3,409,424 
Lease liability, net of current portion  1,610,734   1,669,954 
Deferred tax liability  1,949   1,949 
Total liabilities  6,062,690   5,081,327 
         
Stockholders’ equity (deficit)        
Common Stock, $.0001 par value;6,250,000 shares authorized; 698,565 and 608,611 issued and outstanding as of March 31, 2023 and December 31, 2022, respectively  70   61 
Additional paid-in capital  52,422,808   48,805,860 
Accumulated deficit  (52,334,412)  (49,783,533)
Total stockholders’ equity (deficit)  88,466  (977,612)
Total liabilities and stockholders’ equity (deficit) $6,151,156  $4,103,715 

The accompanying notes are an integral part of these consolidated financial statements.

F-25

INVO BIOSCIENCE, INC.

CONSOLIDATED STATEMENTS OF OPERATIONS

(UNAUDITED)

  2023  2022 
  For the Three Months 
  Ended March 31, 
  2023  2022 
       
Revenue:        
Product revenue $50,644   56,750 
Clinic revenue  297,381   105,848 
Total revenue  348,025   162,598 
Cost of revenue:        
Cost of revenue  61,291   57,533 
Depreciation  11,263   7,428 
Total cost of goods sold  72,554   64,961 
Gross profit  275,471   97,637 
Operating expenses        
Selling, general and administrative expenses  2,508,371   2,694,395 
Research and development expenses  73,520   104,180 
Total operating expenses  2,581,891   2,798,575 
Loss from operations  (2,306,420)  (2,700,938)
Other income (expense):        
Loss from equity method joint ventures  (27,735)  (71,117)
Interest income  -   225 
Interest expense  (216,589)  (1,456)
Foreign currency exchange loss  (135)  (1,026)
Total other income (expense)  (244,459)  (73,374)
Net loss $(2,550,879)  (2,774,312)
         
Net loss per common share:        
Basic $(4.10)  (4.60)
Diluted $(4.10)  (4.60)
Weighted average number of common shares outstanding:        
Basic  622,504   602,535 
Diluted  622,504   602,535 

The accompanying notes are an integral part of these consolidated financial statements.

F-26

INVO BIOSCIENCE, INC.

CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ EQUITY (DEFICIT)

(UNAUDITED)

  Shares  Amount  Capital  Deficit  Total 
  Common Stock  Additional
Paid-in
  Accumulated    
  Shares  Amount  Capital  Deficit  Total 
                
Balances, December 31, 2021  596,457  $60  $46,201,642  $(38,891,022) $7,310,680 
Common stock issued to directors and employees  2,576   -   243,362   -   243,362 
Common stock issued for services  1,075   -   66,850   -   66,850 
Proceeds from sale of common stock, net of fees and expenses  4,731   -   315,000   -   315,000 
Stock options issued to directors and employees as compensation  -   -   428,488   -   428,488 
Net loss  -   -   -   (2,774,312)  (2,774,312)
Balances, March 31, 2022  604,839  $60  $47,255,342  $(41,665,334) $5,590,068 
                     
Balances, December 31, 2022  608,611  $61  $48,805,860  $(49,783,533) $(977,612)
Balances  608,611  $61  $48,805,860  $(49,783,533) $(977,612)
                     
Common stock issued to directors and employees  3,490   -   46,503   -   46,503 
Common stock issued for services  13,000   1   149,899   -   149,900 
Proceeds from the sale of common stock, net of fees and expenses  69,000   7   2,708,635   -   2,708,642 
Common stock issued with notes payable  

4,167

   

1

   

56,312

   

-

   

56,313

 
Options exercised for cash  297   -   2,376   -   2,376 
Stock options issued to directors and employees as compensation  -   -   325,834   -   325,834 
Warrants issued with notes payable  -   -   327,389   -   327,389 
Net loss  -   -   -   (2,550,879)  (2,550,879)
Balances, March 31, 2023  698,565  $

70

  $52,422,808  $(52,334,412) $88,466
Balances  698,565  $

70

  $52,422,808  $(52,334,412) $88,466

The accompanying notes are an integral part of these consolidated financial statements.

F-27

INVO BIOSCIENCE, INC.

CONSOLIDATED STATEMENTS OF CASH FLOWS

(UNAUDITED)

  2023  2022 
  For the Three Months Ended 
  March 31, 
  2023  2022 
Cash flows from operating activities:        
Net loss $(2,550,879) $(2,774,312)
Adjustments to reconcile net loss to net cash used in operating activities:        
Non-cash stock compensation issued for services  

149,900

   66,850 
Non-cash stock compensation issued to directors and employees  46,503   243,362 
Fair value of stock options issued to employees  325,834   428,488 
Non-cash compensation for services  45,000   - 
Amortization of discount on notes payable  

178,380

   - 
Amortization of leasehold right of use asset  57,859   56,899 
Loss from equity method investment  27,735   71,117 
Depreciation and amortization  19,087   15,547 
Changes in assets and liabilities:        
Accounts receivable  (22,571)  (8,250)
Inventory  (7,317)  (6,858)
Prepaid expenses and other current assets  (60,677)  54,573 
Accounts payable and accrued expenses  498,169   18,789 
Accrued compensation  274,420   (189,812)
Deferred revenue  (73,130)  (107)
Leasehold liability  (56,774)  (54,405)
Net cash used in operating activities  (1,148,461)  (2,078,119)
Cash from investing activities:        
Payments to acquire property, plant, and equipment  -   (5,654)
Payments to acquire intangible assets  -  (910)
Investment in joint ventures  (8,447)  (75,326)
Net cash used in investing activities  (8,447)  (81,890)
Cash from financing activities:        
Proceeds from the sale of notes payable  714,000   - 
Proceeds from the sale of common stock, net of offering costs  2,708,642   315,000 
Proceeds from option exercise  2,376   - 
Principal payments on note payable  (170,000)  - 
Net cash provided by financing activities  

3,255,018

   315,000 
Increase (decrease) in cash and cash equivalents  2,098,110   (1,845,009)
Cash and cash equivalents at beginning of period  90,135   5,684,871 
Cash and cash equivalents at end of period $2,188,245  $3,839,862 
         
Supplemental disclosure of cash flow information:        
Cash paid during the period for:        
Interest $-  $- 
Taxes $-  $- 
Noncash activities:        
Fair value of warrants issued with debt $327,389  $- 

The accompanying notes are an integral part of these consolidated financial statements.

F-28

INVO BIOSCIENCE, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

March 31, 2023

(UNAUDITED)

Note 1 – Summary of Significant Accounting Policies

Description of Business

INVO Bioscience, Inc. (“INVO” or the “Company”) is a commercial-stage fertility company dedicated to expanding the assisted reproductive technology (“ART”) marketplace by making fertility care accessible and inclusive to people around the world. The Company’s primary mission is to implement new medical technologies aimed at increasing the availability of affordable, high-quality, patient-centered fertility care. The Company’s flagship product is INVOcell, a revolutionary medical device that, in a procedure referred to as “IVC” (intravaginal culture), allows fertilization and early embryo development to take place in vivo within the woman’s body, instead of occurring in a lab incubator as with conventional in vitro fertilization (“IVF”). The Company’s commercialization strategy involves the opening of dedicated “INVO Centers” focused on offering the INVOcell and IVC procedure (with three centers in North America now operational) and the acquisition of existing IVF clinics, as well as selling its technology solution into existing fertility clinics.

Basis of Presentation

The accompanying consolidated financial statements present on a consolidated basis the accounts of the Company and its wholly owned subsidiaries and controlled affiliates. The Company presents noncontrolling interest within the equity section of its consolidated balance sheets and the amount of consolidated net income taxes.

(L) (loss) that is attributable to the Company and to the noncontrolling interest in its consolidated statement of operations. All significant intercompany accounts and transactions have been eliminated in consolidation.

The Company uses the equity method of accounting when it owns an interest in an entity whereby it can exert significant influence over but cannot control the entity’s operations.

The preparation of the Company’s consolidated financial statements requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and the disclosure of contingent assets and liabilities at the date of the consolidated financial statements and the reported amounts of revenues and expenses during the reporting periods.

The Company considers events or transactions that have occurred after the consolidated balance sheet date of March 31, 2023, but prior to the filing of the consolidated financial statements with the SEC in this Quarterly Report on Form 10-Q, to provide additional evidence relative to certain estimates or to identify matters that require additional disclosure, as applicable. Subsequent events have been evaluated through the date of the filing of this Quarterly Report on Form 10-Q.

Business Segments

The Company operates in onesegment and therefore segment information is not presented.

(M) Concentration

Variable Interest Entities

The Company’s consolidated financial statements include the accounts of Credit Risk

the Company, its wholly owned subsidiaries, and variable interest entities (“VIE”), where the Company is the primary beneficiary under the provisions of ASC 810, Consolidation (“ASC 810”). A VIE must be consolidated by its primary beneficiary when, along with its affiliates and agents, the primary beneficiary has both: (i) the power to direct the activities that most significantly impact the VIE’s economic performance; and (ii) the obligation to absorb losses or the right to receive the benefits of the VIE that could potentially be significant to the VIE. The Company reconsiders whether an entity is still a VIE only upon certain triggering events and continually assesses its consolidated VIEs to determine if it continues to be the primary beneficiary. See “Note 3 – Variable Interest Entities” for additional information on the Company’s VIEs.

F-29

Equity Method Investments

Investments in unconsolidated affiliates, which the Company exerts significant influence but does not control or otherwise consolidate, are accounted for using the equity method. Equity method investments are initially recorded at times has cashcost. These investments are included in banksinvestment in excessjoint ventures in the accompanying consolidated balance sheets. The Company’s share of FDIC insurance limits.the profits and losses from these investments is reported in loss from equity method joint venture in the accompanying consolidated statements of operations. The Company had nomonitors its investments for other-than-temporary impairment by considering factors such as current economic and market conditions and the operating performance of the investees and records reductions in carrying values when necessary.

Use of Estimates

In preparing financial statements in conformity with generally accepted accounting principles, management is required to make estimates and assumptions that affect the reported amounts of assets and liabilities and the disclosure of contingent assets and liabilities at the date of the financial statements and revenues and expenses during the reported period. Actual results could differ from those estimates.

Cash and Cash Equivalents

For financial statement presentation purposes, the Company considers time deposits, certificates of deposit and all highly liquid investments with original maturities of three months or less to be cash and cash equivalents. At times, cash and cash equivalents balances exceed amounts insured by the Federal Deposit Insurance Corporation.

Inventory

Inventories consist of raw materials, work in excessprocess and finished goods and are stated at the lower of FDIC insurance limitscost or net realizable value, using the first-in, first-out method as of December 31, 2008a cost flow method.

Property and December 31, 2007.

(N) Revenue Recognition
Equipment

The Company will recognize revenue on arrangementsrecords property and equipment at cost. Property and equipment is depreciated using the straight-line method over the estimated economic lives of the assets, which are from 3 to 10 years. The Company capitalizes the expenditures for major renewals and improvements that extend the useful lives of property and equipment. Expenditures for maintenance and repairs are charged to expense as incurred. The Company reviews the carrying value of long-lived assets for impairment at least annually or whenever events or changes in accordance with Securities and Exchange Commission Staff Accounting Bulletin No. 101, “Revenue Recognition in Financial Statements” and No. 104, “Revenue Recognition”.  In all cases, revenue is recognized only whencircumstances indicate that the price is fixed and determinable, persuasive evidencecarrying amount of an arrangement exists,asset may not be recoverable. The recoverability of long-lived assets is measured by a comparison of its carrying amount to the serviceundiscounted cash flows that the asset or asset group is performed and collectabilityexpected to generate. If such assets are considered impaired, the impairment to be recognized is measured by the amount by which the carrying amount of the resulting receivable is reasonably assured.property, if any, exceeds its fair market value.

F-30
INVO BIOSCIENCE, INC.
(A DEVELOPMENT STAGE COMPANY)
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
as of DECEMBER 31, 2008 and DECEMBER 31, 2007
(O)

Long- Lived Assets

Long-lived assets and certain identifiable assets related to those assets are periodically reviewed for impairment whenever circumstances and situations change such that there is an indication that the carrying amounts may not be recoverable. If the non-discounted future cash flows of the enterpriseasset are less than their carrying amount, their carrying amounts are reduced to the fair value and an impairment loss recognized. There was noimpairment recorded during the three months ended March 31, 2023, and 2022.

Fair Value of Financial Instruments

ASC 825-10-50, “Disclosures about Fair Value of Financial Instruments,” requires disclosure of the fair value of certain financial instruments. The carrying value of cash and cash equivalents, accounts payable and borrowings, as reflected in the balance sheets, approximate fair value because of the short-term maturity of these instruments.

Effective January 1, 2008, the Company adopted ASC 820-10, “Fair Value Measurements”, which provides a framework for measuring fair value under GAAP. ASC 820-10 defines fair value as the exchange price that would be received for an asset or paid to transfer a liability (an exit price) in the principal or most advantageous market for the asset or liability in an orderly transaction between market participants on the measurement date. ASC 820-10 requires that valuation techniques maximize the use of observable inputs and minimize the use of unobservable inputs.

Income Taxes

The Company is subject to income taxes in the United States and its domestic tax liabilities are subject to the allocation of expenses in multiple state jurisdictions. The Company uses the asset and liability method to account for income taxes. Under this method, deferred income tax assets and liabilities are recognized for the future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax bases. Deferred tax assets and liabilities are measured using enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. The recoverability of deferred tax assets is evaluated by assessing the adequacy of future expected taxable income from January 5, 2007 (inception)all sources, including taxable income in prior carryback years, reversal of taxable temporary differences, forecasted operating earnings and available tax planning strategies. To the extent the Company does not consider it more-likely-than-not that a deferred tax asset will be recovered, a valuation allowance is established.

Concentration of Credit Risk

Cash includes amounts deposited in financial institutions in excess of insurable Federal Deposit Insurance Corporation (“FDIC”) limits. As of March 31, 2023, the Company had cash balances in excess of FDIC limits.

Revenue Recognition

The Company recognizes revenue on arrangements in accordance with ASC 606, Revenue from Contracts with Customers (“ASC 606”). The core principle of ASC 606 is to December 31, 2008.recognize revenues when promised goods or services are transferred to customers in an amount that reflects the consideration to which an entity expects to be entitled for those goods or services ASC 606 requires companies to assess their contracts to determine the timing and amount of revenue to recognize under the new revenue standard. The model has a five-step approach:

1.Identify the contract with the customer.
2.Identify the performance obligations in the contract.
3.Determine the total transaction price.
4.Allocate the total transaction price to each performance obligation in the contract.
5.Recognize as revenue when (or as) each performance obligation is satisfied.

F-31
(P) Research

Revenue generated from the sale of INVOcell is typically recognized at the time the product is shipped, at which time the title passes to the customer, and Development

there are no further performance obligations.

Revenue generated from clinical and lab services related at the Company’s affiliated INVO Centers is typically recognized at the time the service is performed.

Stock Based Compensation

The Company accounts for research and development costs in accordance withstock-based compensation under the Financialprovisions of Accounting Standards Board's Statement of Financial Accounting Standards No. 2Codification (“SFAS 2”ASC”), “Accounting for Research and Development Costs.”  Research and development costs include expenses incurred by the Company for research, design and development of our proprietary technology and are charged to operations as incurred.  Accordingly, internal research and development costs are expensed as incurred.  Total expenditures on research and product development for 2008 and 2007 were approximately $52,000 and $33,000 respectively.

 (Q) Recent Accounting Pronouncements
In December 2007, the Financial Accounting Standards Board (FASB) issued SFAS No. 160, “Noncontrolling Interests in Consolidated Financial Statements – an amendment of ARB No. 51.”  This statement improves the relevance, comparability, and transparency of the financial information that a reporting entity provides in its consolidated financial statements by establishing accounting and reporting standards that require; the ownership interests in subsidiaries held by parties other than the parent and the amount of consolidated net income attributable to the parent and to the noncontrolling interest be clearly identified and presented on the face of the consolidated statement of income, changes in a parent’s ownership interest while the parent retains its controlling financial interest in its subsidiary be accounted for consistently, when a subsidiary is deconsolidated, any retained noncontrolling equity investment in the former subsidiary be initially measured at fair value, entities provide sufficient disclosures that clearly identify and distinguish between the interests of the parent and the interests of the noncontrolling owners.   SFAS No. 160 affects those entities that have an outstanding noncontrolling interest in one or more subsidiaries or that deconsolidate a subsidiary.  SFAS No. 160 is effective for fiscal years, and interim periods within those fiscal years, beginning on or after December 15, 2008.  Early adoption is prohibited.  The adoption of this statement is not expected to have a material effect on the Company's financial statements. 
In March 2008, the FASB issued SFAS No. 161, “Disclosures about Derivative Instruments and Hedging Activities, an amendment of FASB Statement No. 133” (SFAS 161) subtopic 718-10, Compensation (“ASC 718-10”). This statement is intendedrequires the Company to improve transparencymeasure the cost of employee services received in financial reporting by requiring enhanced disclosuresexchange for an award of an entity’s derivativeequity instruments and hedging activities and their effectsbased on the entity’s financial position, financialgrant-date fair value of the award. That cost is recognized over the period in which the employee is required to provide service or based on performance goals in exchange for the award, which is usually the vesting period.

Loss Per Share

Basic loss per share calculations are computed by dividing net loss by the weighted-average number of common shares outstanding. Diluted earnings per share are computed similar to basic earnings per share except that the denominator is increased to include potentially dilutive securities. The Company’s diluted loss per share is the same as the basic loss per share for the three months ended March 31, 2023, and cash flows.  SFAS 161 applies to all derivative instruments within2022, as the scopeinclusion of SFAS 133, “Accounting for Derivative Instruments and Hedging Activities” (SFAS 133) as well as related hedged items, bifurcated derivatives, and nonderivative instruments that are designated and qualify as hedging instruments.  Entities with instruments subject to SFAS 161 must provide more robust qualitative disclosures and expanded quantitative disclosures.  SFAS 161 is effective prospectively for financial statements issued for fiscal years and interim periods beginning after November 15, 2008, with early application permitted.  We are currently evaluating the disclosure implications of this statement.

In May 2008, the FASB issued SFAS No. 162, “The Hierarchy of Generally Accepted Accounting Principles.”  SFAS No. 162 identifies the sources of accounting principles and provides entities with a framework for selecting the principles used in preparation of financial statements that are presented in conformity with GAAP.  The current GAAP hierarchy has been criticized because it is directedany potential shares would have had an anti-dilutive effect due to the auditor rather thanCompany generating a loss.

Schedule of Earnings Per Share Basic and Diluted

  2023  2022 
  

Three Months Ended

March 31,

 
  2023  2022 
Net loss (numerator) $(2,550,879)  (2,774,312)
Basic and diluted weighted-average number of common shares outstanding (denominator)  622,504   602,535 
Basic and diluted net loss per common share  (4.10)  (4.60)

The Company has excluded the entity, it is complex,following dilutive securities from the calculation of fully diluted shares outstanding because the result would have been anti-dilutive:

Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share

  2023  2022 
  As of March 31, 
  2023  2022 
Options  70,627   73,730 
Convertible notes and interest  

70,481

   - 
Unit purchase options and warrants  

453,383

   13,008 
Total  

594,491

   86,738 
Antidilutive Securities  

594,491

   86,738 

F-32

Recently Adopted Accounting Pronouncements

The Company has reviewed all recently issued, but not yet effective, accounting pronouncements, and it ranks FASB Statements of Financial Accounting Concepts, which are subject todoes not believe the same level of due process as FASB Statements of Financial Accounting Standards, below industry practices that are widely recognized as generally accepted but that are not subject to due process.  The Board believes the GAAP hierarchy should be directed to entities because it is the entity (not its auditors) that is responsible for selecting accounting principles for financial statements that are presented in conformity with GAAP.  SFAS 162 is effective 60 days following the SEC’s approval of PCAOB Auditing Standard No. 6, Evaluating Consistency of Financial Statements (AS/6).  Thefuture adoption of FASB 162 is not expected toany such pronouncements will have a material impact on its financial condition or the results of its operations.

Note 2 – Liquidity

Historically, the Company has funded its cash and liquidity needs primarily through revenue collection, equity financings, and convertible notes. For the three months ended March 31, 2023, and 2022, the Company incurred a net loss of approximately $2.6 million and $2.8 million, respectively, and has an accumulated deficit of approximately $52.3million as of March 31, 2023. Approximately $0.9 million of the net loss was related to non-cash expenses for the three months ended March 31, 2023, compared to $0.9 million for the three months ended March 31, 2022.

The Company has been dependent on raising capital from debt and equity financings to meet its needs for cash flow used in operating and investing activities. During the first three months of 2023, the Company received net proceeds of approximately $2.7 million for the sale of its common stock par value $0.0001per share (“Common Stock”) as well as approximately $0.7 million from the sale of convertible notes. During the first three months of 2022, the Company received proceeds of approximately $0.3 million for the sale of Common Stock. Over the next 12 months, the Company’s financial position.

In May 2008,plan includes opening additional INVO Centers, completing the FASB issued SFAS No. 163, “Accounting for Financial Guarantee Insurance Contracts-an interpretationacquisition of FASB Statement No. 60.”  Diversity exists in practice in accounting for financial guarantee insurance contracts by insurance enterprises under FASB Statement No. 60, AccountingWisconsin Fertility Institute and Reporting by Insurance Enterprises.  This results in inconsistenciespursuing additional IVF clinic acquisitions. Until the Company can generate positive cash from operations, it will need to raise additional funding to meet its liquidity needs and to execute its business strategy. As in the recognition and measurement of claim liabilities.  This Statement requires that an insurance enterprise recognize a claim liability prior to an event of default (insured event) when there is evidence that credit deterioration has occurred in an insured financial obligation.  This Statement requires expanded disclosures about financial guarantee insurance contracts.  SFAS 163 is effective for financial statements issued for fiscal years beginning after December 15, 2008, and interim periods for those fiscal years.  The accounting and disclosure requirements ofpast, the StatementCompany will improve the quality of information provided to users of financial statements.  The adoption of FASB 163 isseek debt and/or equity financing, which may not expected to have a material impactbe available on reasonable terms, if at all.

Although the Company’s audited financial position.

INVO BIOSCIENCE, INC.
(A DEVELOPMENT STAGE COMPANY)
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
as of DECEMBER 31, 2008 and DECEMBER 31, 2007
In April 2008, the FASB issued FSP No. FAS 142-3, “Determination of the Useful Life of Intangible Assets.” This FSP amends the factors that should be considered in developing renewal or extension assumptions used to determine the useful life of a recognized intangible asset under SFAS No. 142, “Goodwill and Other Intangible Assets.”  The Company is required to adopt FSP 142-3 on January 1, 2009.  The guidance in FSP 142-3 for determining the useful life of a recognized intangible asset shall be applied prospectively to intangible assets acquired after adoption, and the disclosure requirements shall be applied prospectively to all intangible assets recognized as of, and subsequent to, adoption.  The Company is currently evaluating the impact of FSP 142-3 on its consolidated financial position, results of operations or cash flows.
In May 2008, the FASB issued FSP Accounting Principles Board (“APB”) 14-1 “Accounting for Convertible Debt Instruments That May Be Settled in Cash upon Conversion (Including Partial Cash Settlement)” (“FSP APB 14-1”).  FSP APB 14-1 requires the issuer of certain convertible debt instruments that may be settled in cash (or other assets) on conversion to separately account for the liability (debt) and equity (conversion option) components of the instrument in a manner that reflects the issuer's non-convertible debt borrowing rate.  FSP APB 14-1 is effective for fiscal years beginning after December 15, 2008 on a retroactive basis.  The Company is currently evaluating the potential impact, if any, of the adoption of FSP APB 14-1 on its consolidated financial position, results of operations or cash flows.
In June 2008, the FASB issued Emerging Issues Task Force No. 07-5 (EITF 07-5), Determining Whether an Instrument (or Embedded Feature) is Indexed to an Entity’s Own Stock.  EITF 07-5 requires entities to evaluate whether an equity-linked financial instrument (or embedded feature) is indexed to its own stock by assessing the instrument’s contingent exercise provisions and settlement provisions.  Instruments not indexed to their own stock fail to meet the scope exception of Statement of Financial Accounting Standards No. 133, Accounting for Derivative Instruments and Hedging Activities, paragraph 11(a), and should be classified as a liability and marked-to-market.  The statement is effective for fiscal years beginning after December 15, 2008 and is to be applied to outstanding instruments upon adoption with the cumulative effect of the change in accounting principle recognized as an adjustment to the opening balance of retained earnings.  The Company is assessing the impact of this EITFstatements for the year ended December 31, 2009.
Other recent2022 were prepared under the assumption that it would continue operations as a going concern, the report of the Company’s independent registered public accounting pronouncements issued byfirm that accompanies the FASB (including its Emerging Issues Task Force), the AICPA, and the SEC did not, or are not believed by management to, have a material impact on the Company's present or future consolidatedCompany’s financial statements.
NOTE 2GOING CONCERN
As reflected in the accompanying consolidated financial statements the Company is in the development stage and has just commenced operations in December 2008, has a net loss of $1,873,000 a working capital deficiency of $690,000, a stockholder deficiency of $677,000 and cash used in operations of $1,067,000 for the year ended December 31, 2008.  This raises2022 contains a going concern qualification in which such firm expressed substantial doubt about itsthe Company’s ability to continue as a going concern.  Theconcern, based on the financial statements do not include any adjustmentsat that might be necessary iftime. Specifically, as noted above, the Company is unablehas incurred significant operating losses and the Company expects to continue to incur significant expenses and operating losses as a going concern.  The abilityit continues to ramp up the commercialization of INVOcell and develop new INVO Centers. These prior losses and expected future losses have had, and will continue to have, an adverse effect on the Company’s financial condition. If the Company tocannot continue as a going concern, its stockholders would likely lose most or all of their investment in the Company.

Note 3 – Variable Interest Entities

Consolidated VIEs

Bloom INVO, LLC

On June 28, 2021, INVO CTR entered into a limited liability company agreement (the “Bloom Agreement”) with Bloom Fertility, LLC (“Bloom”) to establish a joint venture entity, formed as “Bloom INVO LLC” (the “Georgia JV”), for the purposes of commercializing INVOcell, and the related IVC procedure, through the establishment of an INVO Center (the “Atlanta Clinic”) in the Atlanta, Georgia metropolitan area.

In consideration for INVO’s commitment to contribute up to $800,000 within the 24-month period following the execution of the Bloom Agreement to support the start-up operations of the Georgia JV, the Georgia JV issued 800 of its units to INVO CTR and in consideration for Bloom’s commitment to contribute physician services having an anticipated value of up to $1,200,000 over the course of a 24-month vesting period, the Georgia JV issued 1,200 of its units to Bloom.

F-33

The responsibilities of Bloom include providing all medical services required for the operation of the Atlanta Clinic. The responsibilities of INVO CTR include providing certain funding to the Georgia JV, lab services quality management, and providing access to and being the exclusive provider of the INVOcell to the Georgia JV. INVO CTR also performs all required, industry specific compliance and accreditation functions, and product documentation for product registration.

The Bloom Agreement provides Bloom with a “profits interest” in the Georgia JV and, in connection with such profits interest, states that profits and losses be allocated to its members based on a hypothetical liquidation of the Georgia JV. In such a scenario, liquidation proceeds would be distributed in the following order: (a) to INVO CTR until the difference between its capital contributions and distributions equals $0; (b) to Bloom until its distributions equal 150% of the liquidation amounts distributed to INVO CTR (a “catch-up” to rebalance the distributions between members); and (c) thereafter on a pro rata basis. The Georgia JV had no assets or liabilities at the time the units were issued, and, as of March 31, 2023, INVO CTR had made capital contributions greater than the net loss of the Georgia JV. As such, the entire net loss was allocated to INVO CTR, and no loss was allocated to the noncontrolling interest of Bloom.

The Georgia JV opened to patients on September 7, 2021.

The Company determined the Georgia JV is dependenta VIE, and that the Company is its primary beneficiary because the Company has an obligation to absorb losses that are potentially significant and the Company controls the majority of the activities that impact the Georgia JV’s economic performance, specifically control of the INVOcell and lab services quality management. As a result, the Company consolidated the Georgia JV’s results with its own. As of March 31, 2023, the Company invested $0.9 million in the Georgia JV in the form of capital contributionsas well as $0.5 million in the form of a note. For the three months ended March 31, 2023 and 2022, the Georgia JV recorded net losses of $32 thousand and $0.2 million respectively. Noncontrolling interest in the Georgia JV was $0.

Unconsolidated VIEs

HRCFG INVO, LLC

On March 10, 2021, INVO CTR entered into a limited liability company agreement with HRCFG, LLC (“HRCFG”) to form a joint venture for the purpose of establishing an INVO Center in Birmingham, Alabama. The name of the joint venture entity is HRCFG INVO, LLC (the “Alabama JV”). The Company also provides certain funding to the Alabama JV. Each party owns 50% of the Alabama JV.

The Alabama JV opened to patients on August 9, 2021.

The Company determined the Alabama JV is a VIE, and that there is no primary beneficiary. As a result, the Company will use the equity method to account for its interest in the Alabama JV. As of March 31, 2023, the Company invested $1.6 million in the Alabama JV in the form of a note. For the three months ended March 31, 2023 and 2022, the Alabama JV recorded net losses of $37 thousand and $110 thousand, respectively, of which the Company recognized losses from equity method investments of $18 thousand and $55 thousand, respectively.

Positib Fertility, S.A. de C.V.

On September 24, 2020, INVO CTR entered into a Pre-Incorporation and Shareholders Agreement with Francisco Arredondo, MD PLLC (“Arredondo”) and Security Health LLC, a Texas limited liability company (“Ramirez”, and together with INVO CTR and Arredondo, the “Shareholders”) under which the Shareholders will commercialize the IVC procedure and offer related medical treatments in Mexico. Each party owns one-third of the Mexican incorporated company, Positib Fertility, S.A. de C.V. (the “Mexico JV”).

The Mexico JV opened to patients on November 1, 2021.

The Company determined the Mexico JV is a VIE, and that there is no primary beneficiary. As a result, the Company will use the equity method to account for its interest in the Mexico JV. As of March 31, 2023, the Company invested $0.1 million in the Mexico JV. For the three months ended March 31, 2023, the Mexico JV recorded net losses of $27 thousand and $49 thousand, respectively, of which the Company recognized a loss from equity method investments of $9 thousand and $16 thousand, respectively.

F-34

The following table summarizes our investments in unconsolidated VIEs:

Schedule of Investments in Unconsolidated Variable Interest Entities

    Carrying Value as of 
  Location Percentage Ownership  

March 31,

2023

  

December 31,

2022

 
HRCFG INVO, LLC Alabama, United States  50% $1,048,872   1,106,905 
Positib Fertility, S.A. de C.V. Mexico  33%  124,705   130,960 
Total investment in unconsolidated VIEs    $1,173,577   1,237,865 

Earnings from investments in unconsolidated VIEs were as follows:

Schedule of Earnings from Investments in Unconsolidated Variable Interest Entities

  2023  2022 
  

Three Months Ended

March 31,

 
  2023  2022 
HRCFG INVO, LLC $(18,670) $(54,920)
Positib Fertility, S.A. de C.V.  (9,065)  (16,197)
Total earnings from unconsolidated VIEs  (27,735)  (71,117)

The following tables summarize the combined unaudited financial information of our unconsolidated VIEs:

Schedule of Financial Information of Investments in Unconsolidated Variable Interest Entities

  2023  2022 
  

Three Months Ended

March 31,

 
  2023  2022 
Statements of operations:        
Operating revenue $349,326  $169,835 
Operating expenses  (413,866)  (328,756)
Net loss  (64,540)  (158,921)

  

March 31,

2023

  

December 31,

2022

 
Balance sheets:        
Current assets $395,561   261,477 
Long-term assets  1,082,606   1,094,490 
Current liabilities  (466,667)  (396,619)
Long-term liabilities  (114,824)  (107,374)
Net assets $896,676   851,974 

Note 4 – Agreements and Transactions with VIE’s

The Company sells the INVOcell to its consolidated and unconsolidated VIEs and anticipates continuing to do so in the ordinary course of business. All intercompany transactions with consolidated entities are eliminated in the Company’s consolidated financial statements. Per ASC 323-10-35-8 the Company eliminates any sales to an unconsolidated VIE for INVOcell inventory that the VIE still has remaining on the books at period end.

The following table summarizes the Company’s ability to raise additional capital and implement its business plan.

transactions with VIEs:

Summary of Transaction with Variable Interest Entities

  2023  2022 
  

Three Months Ended

March 31,

 
  2023  2022 
Bloom Invo, LLC        
INVOcell revenue $4,500  $- 
Unconsolidated VIEs        
INVOcell revenue $3,000  $7,500 

The Company had balances with VIEs as follows:

Summary of Balances with Variable Interest Entities

  

March 31,

2023

  

December 31,

2022

 
Bloom Invo, LLC        
Accounts receivable $18,000   13,500 
Notes payable  471,637   468,031 
Unconsolidated VIEs        
Accounts receivable $49,310   46,310 

F-35
NOTE 3INVENTORY
As

Note 5 – Inventory

Components of December 31, 2008inventory are:

Schedule of Inventory

  

March 31,

2023

  

December 31,

2022

 
Raw materials $61,251  $68,723 
Finished goods  209,668   194,879 
Total inventory $270,919  $263,602 

Note 6 – Property and 2007, the Company recorded the following inventory balances:

  
December 31,
2008
 
December 31,
2007
Raw Materials $- $-
Work in Process  55,466  -
Finished Goods  15,257  -
Total Inventory $70,722 $-
INVO BIOSCIENCE, INC.
(A DEVELOPMENT STAGE COMPANY)
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
as of DECEMBER 31, 2008 and 2007
NOTE 4PROPERTY AND EQUIPMENT
Equipment

The estimated useful lives and accumulated depreciation for furniture, equipment and software are as follows:

follows as of March 31, 2023, and December 31, 2022:

Schedule of Estimated Useful Lives of Property and Equipment

Estimated Useful Life
Manufacturing equipment6 to 10 years
Medical equipment7 to 10 years
Office equipment3 to 7 years

Schedule of Property and Equipment

  

March 31,

2023

  

December 31,

2022

 
Manufacturing equipment $132,513  $132,513 
Medical equipment  283,065   283,065 
Office equipment  77,601   77,601 
Leasehold improvements  96,817   96,817 
Less: accumulated depreciation  (172,354)  (153,267)
Total equipment, net $417,642  $436,729 

During the three months ended March 31, 2023, and 2022, the Company recorded depreciation expense of $19,087 and $15,095, respectively.

Note 7 – Intangible Assets

The Company capitalizes the initial expense related to establishing patents by country and then amortizes the expense over the life of the patent, typically 20 years. It then expenses annual filing fees to maintain the patents. The Company regularly reviews the value of its patents in the marketplace in proportion to the expense it must spend to maintain the patent. The Company fully impaired its patents as of December 31, 2022.

During the three months ended March 31, 2023, and 2022, the Company recorded amortization expenses related to patents of $nil and $452, respectively.

The trademarks have an indefinite life and therefore are not amortized. Trademarks are periodically reviewed for impairment whenever circumstances and situations change such that there is an indication that the carrying amounts may not be recoverable. The Company fully impaired its trademarks as of December 31, 2022.

F-36
 Estimated Useful Life

Note 8 – Leases

The Company has various operating lease agreements in place for its office and joint ventures. Per FASB’s ASU 2016-02, Leases Topic 842 (“ASU 2016-02”), effective January 1, 2019, the Company is required to report a right-of-use asset and corresponding liability to report the present value of the total lease payments, with appropriate interest calculation. Per the terms of ASU 2016-02, the Company can use its implicit interest rate, if known, or applicable federal rate otherwise. Since the Company’s implicit interest rate was not readily determinable, the Company utilized the applicable federal rate, as of the commencement of the lease. Lease renewal options included in any lease are considered in the lease term if it is reasonably certain the Company will exercise the option to renew. The Company’s operating lease agreements do not contain any material restrictive covenants.

As of March 31, 2023, the Company’s lease components included in the consolidated balance sheet were as follows:

Schedule of Lease Components

      
Lease component Balance sheet classification March 31, 2023 
Assets      
ROU assets – operating lease Other assets $1,750,175 
Total ROU assets   $1,750,175 
       
Liabilities      
Current operating lease liability Current liabilities $234,050 
Long-term operating lease liability Other liabilities  1,610,734 
Total lease liabilities   $1,844,784 

Future minimum lease payments as of March 31, 2023 were as follows:

Schedule of Future Minimum Lease Payments

     
2023  198,835 
2024  251,671 
2025  247,960 
2026  253,235 
2027 and beyond  1,063,010 
Total future minimum lease payments $2,014,711 
Less: Interest  (169,927)
Total operating lease liabilities $1,844,784 

Note 9 – Notes Payable

Notes payables consisted of the following:

Schedule of Notes Payable

  

March 31,

2023

  

December 31,

2022

 
Related party demand notes with a 10% financing fee. 10% annual interest starting January 31, 2023. Notes are callable starting March 31, 2023 $770,000  $770,000 
Convertible notes. 10% annual interest. Conversion price of $10.00  410,000   100,000 
Convertible debentures. 8% interest. Conversion price of $10.40  330,000   - 
Less debt discount  (408,679)  (107,356)
Total, net of discount $1,101,321  $762,644 

Related Party Demand Notes

In the fourth quarter of 2022, the Company received $500,000 through the issuance of five demand notes (the “JAG Notes”) from a related party, JAG Multi Investments LLC (“JAG”). The Company’s CFO is a beneficiary of JAG but does not have any control over JAG’s investment decisions with respect to the Company. The JAG Notes accrue 10% annual interest from the date of issuance. The JAG Notes currently are callable with 10 days prior written notice. At maturity, the Company agreed to pay outstanding principal, a 10% financing fee and accrued interest.

Molds3 to 7 years
Computers and Software3 to 5 yearsF-37
  
December 31,
2008
 
December 31,
2007
Manufacturing Equipment- Molds $35,263 $-
  Less: Accumulated Depreciation  980   
Network/IT Equipment  7,595  -
  Less: Accumulated Depreciation  633   
  $41,245 $-
During

In consideration for subscribing to the periodsJAG Note for $100,000 dated December 29, 2022, and for agreeing to extend the date on which the other JAG Notes are callable to March 31, 2008 and 2007,2023, the Company issued JAG a warrant to purchase 17,500 shares of Common Stock. The warrant may be exercised for a period of five (5) years from issuance at a price of $10.00 per share. The financing fees for said JAG Note and the fair value of the warrant issued were capped at the total proceeds. The relative fair value of the warrant was recorded $1,613as a debt discount and $0 in depreciation expense, respectively.

NOTE 5PATENTS
Asas of DecemberMarch 31, 2008 and 2007, the Company recorded the following patent costs:
  December 31, 2008  
December 31,
2007
 
Total Patents  $77,743   $46,725 
         
ACCUMULATED AMORTIZATION  (9,351)  (3,455)
         
Patent costs, net $68,392  $43,270 
During the periods December 31, 2008 and 2007, the Company recorded $ 5,896 and $3,455, respectively in amortization expenses.
NOTE 6WORKING LINE OF CREDIT
At December 31, 2008,2023 the Company had fully amortized the discount.

In the fourth quarter of 2022, the Company received $200,000 through the issuance of demand promissory notes of which (1) $100,000 was received from our chief executive officer, Steven Shum ($60,000 on November 29, 2022, $15,000 on December 2, 2022, and $25,000 on December 13, 2022) and (2) $100,000 was received from an entity controlled by our chief financial officer, Andrea Goren ($75,000 on November 29, 2022 and $25,000 on December 13, 2022). These notes accrue 10% annual interest accrues from the date of issuance. These notes are callable with 10 days prior written notice. At maturity, the Company agreed to pay outstanding principal, a $50,000 working capital line10% financing fee and accrued interest.

The financing fees for all demand notes were recorded as a debt discount and as of creditMarch 31, 2023 the Company had fully amortized the discount.

For the three months ended March 31, 2023, the Company incurred $25,064 in interest related to these demand notes.

Jan and March 2023 Convertible Notes

In January and March 2023, the Company issued $410,000 of convertible notes, for $310,000 in cash and the conversion of $100,000 of demand notes from the fourth quarter of 2022. These convertible notes were issued with Century Bank, interestfixed conversion prices of $10.00 (for the $275,000 issued in January 2023) and $12.00 (for the $135,000 issued in March 2023) and (ii) 5-year warrants to purchase 19,375shares of the Common Stock at an exercise price of $20.00.

The cumulative fair value of the warrants at issuance was $132,183. This was recognized as a debt discount and will be amortized on a straight-line basis over the life of the respective notes. For the three months ending March 31, 2023 the Company amortized $23,162 of the debt discount and as of March 31, 2023 had a remaining debt discount balance of $109,021.

Interest on these notes accrues at a rate of ten percent (10%) per annum and is payable monthly 0.24% aboveat the bank’s prime lending rateholder’s option either in cash or in shares of the Common Stock at the conversion price set forth in the notes on 12/31/08 the rate was 3.79%, maturing May 31, 2010.  At December 31, 20082023, unless converted earlier. For the three months ended March 31, 2023 the Company incurred $5,537 in interest related to these convertible notes.

All amounts due under these notes are convertible at any time after the issuance date, in whole or in part (subject to rounding for fractional shares), at the option of the holders into the Common Stock at a fixed conversion price for the notes as described above.

February 2023 Convertible Debentures

On February 3, and 2007, the balance outstanding on the line of credit was $50,000 and $49,221, respectively.

NOTE PAYABLE AND OTHER RELATED PARTY TRANSACTIONS
On September 18, 2008,February 17, 2023, the Company entered into a related party transactionsecurities purchase agreements (the “February Purchase Agreements”) with Dr. Claude Ranoux.  Dr. Ranoux isaccredited investors (the “February Investors”) for the President, Director and Chief Scientific Officerpurchase of (i) convertible debentures of the Company.  Dr. RanouxCompany in the aggregate original principal amount of $500,000 (the “February Debentures”) for a purchase price of $450,000, (ii) warrants (the “February Warrants”) to purchase 12,500 shares (the “February Warrant Shares”) of Common Stock at an exercise price of $15.00 per share, and (iii) 4,167 shares of Common Stock issued as an inducement for issuing the February Debentures. The proceeds, net of placement agent and legal fees, were used for working capital and general corporate purposes.

The cumulative fair value of the warrants at issuance was $291,207. This was recognized as a debt discount and will be amortized on a straight-line basis over the life of the respective notes. For the three months ending March 31, 2023 the Company amortized $47,862 of the debt discount and as of March 31, 2023 had loaned fundsa remaining debt discount balance of $299,658.

Pursuant to the February Debentures, interest on the February Debentures accrues at a rate of eight percent (8%) per annum and is payable at maturity, one year from the date of the February Debentures. For the three months ended March 31, 2023 the Company incurred $5,600 in interest on the February Debentures.

All amounts due under the February Debentures are convertible at any time after the issuance date, in whole or in part, at the option of the February Investors into Common Stock at an initial price of $10.40 per share. This conversion price is subject to adjustment for stock splits, combinations or similar events and anti-dilution provisions, among other adjustments and is subject to a floor price.

F-38

The Company may prepay the February Debentures at any time in whole or in part by paying a sum of money equal to 105% of the principal amount to be redeemed, together with accrued and unpaid interest.

While any portion of each February Debenture remains outstanding, if the Company receives cash proceeds of more than $2,000,000 (the “Minimum Threshold”) in the aggregate from any source or series of related or unrelated sources, the February Investors shall have the right in their sole discretion to require the Company to sustain its operations since January 5, 2007 (inception).  Ranoux’s total cumulative investment at December 31, 2008 is $96,462 (“the Principal Amount”) in INVO Bioscience.  On December 1, 2008, Dr. Ranoux executed a letter agreement withimmediately apply up to 50% of all proceeds received by the Company to amendabove the Promissory Note to allow conversion into shares of Emy’s common stock following the Closing.  On March 26, 2009, the Company and Dr Ranoux agreed to re-write the agreement to a non-convertible note payable bearing interest at 5% per annum and extended the repayment date to March 31, 2010. The Company and Dr. Ranoux can jointly decideMinimum Threshold to repay the loan earlier without prepayment penalties. 

Foroutstanding amounts owed under the years ended December 31, 2008 and 2007,February Debentures. The Company used $383,879 in proceeds from the Company charged an in-kind contribution relatedRD Offering (as described in Note 11 below) to interest expense totaling $3,690 and $2,298, respectively.
INVO BIOSCIENCE, INC.
(A DEVELOPMENT STAGE COMPANY)
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
repay a portion of the February Debentures, leaving $116,121 of the February Debentures outstanding as of DECEMBER 31, 2008 and 2007
NOTE  8STOCKHOLDERS’ EQUITY
ForMay 15, 2023.

The February Warrants include anti-dilution protection whereby a subsequent offering priced below the period from January 5, 2007 (inception) through December 31, 2007, BioXcell (INVO Bioscience) issued 70,000 sharesFebruary Warrants’ strike price then in effect would entitle the February Investors to a reduction of common stock for $20,000, at $.2857/share. This was retroactively restated to 24,991,379 shares duesuch strike price to the reverse merger on December 29, 2008.

On December 29, 2008,price of such subsequent offering and an increase in the Company filed an amended and restated articles of incorporation withFebruary Warrant Shares determined by dividing the Secretary of State of Nevada.  The Company’s authorized capital stock was changed from 75,000,000 shares, all ofdollar amount for which were shares of common stock, par value $.0001 per share, to authorized common stock of 200,000,000 shares, par value $.0001, and 100,000,000 newly created shares of undesignated preferred stock, par value $.0001.
On November 7, 2008, Emy’s Board of Directors approvedthe February Warrants are exercisable by such lower strike price. As a 5-1 forward stock split (the “Forward Split”) of our common stock with a record date of November 10, 2008 for the Company’s issued and outstanding shares and not its authorized shares.  The Forward Split was payable on November 12, 2008.  Emys had 12,387,500 shares outstanding prior to the Forward Split and 61,937,500 shares outstanding thereafter.
The Company had 61,937,500 shares issued and outstanding immediately prior to the Share Exchange.  Our charter does not authorize any shares of preferred stock.  Pursuant to the Share Exchange Agreement, certain shareholders of Emy’s agreed to cancel 47,000,000 shares of Emy’s common stock and Emys agreed to issue 38,307,500 newly-issued shares of common stock to INVO Bioscience shareholders.  As of December 5, 2008 and immediately after Closing, an aggregate of 53,245,000 shares of common stock were outstanding, including shares issued pursuant to the Closing.
After the consummationresult of the transaction contemplated by the Share Exchange Agreement, on the day$12.60 strike of the Closing, we entered intoMarch Warrant Placement (as described in Note 11 below), the Securities Purchase Agreement withFebruary Warrants now entitle the investors pursuantFebruary Investors to which, the investors contributed $375,000 in exchange for 375,000purchase a total of 14,881 shares of our common stock at a price of $1.00$12.60 per share.February Warrant Share.

Note 10 – Related Party Transactions

In the fourth quarter of 2022, the Company received $700,000 through the issuance of demand notes from related parties, as follows: (a) $500,000 from JAG; (b) $100,000 from our chief executive officer, Steve Shum; and (c) $100,000 from our chief financial officer, Andrea Goren. The investorsCompany’s CFO is a beneficiary of JAG but does not have piggyback registration rights that permit themany control over JAG’s investment decisions with respect to register their common stock on any registration statement filed by the Company.

DuringSee Note 9 of the period from January 1, 2008 through November 30, 2008,Notes to Consolidated Financial Statements for additional information.

As of March 31, 2023 the Company issued an aggregateowed accounts payable to related partiestotaling $122,219, primarily related to unpaid employee expense reimbursements and unpaid board fees.

Note 11 – Stockholders’ Equity

Reverse Stock Split

On June 28, 2023, the Company’s board of 4,561,641 shares of commondirectors approved a reverse stock for cash totaling $706,938 for share prices ranging from $0.15 to $1.50.

In March 2008, the Company issued an aggregate of 8,488,857 shares of common stock (net of forfeitures) for services rendered totaling $11,259.  In November 2008, the Company issued an aggregate of 265,623 shares of common stock for services rendered totaling $40,056.
Since January 1, 2008, the Company has signed agreements for officers, executives and service providers of the Company.   As of December 31, 2008, a total of 303,500 shares of common stock and options to purchase an additional 500,000 (including 461,000 of employee incentive stock options)split of the Company’s common stock were agreedat a ratio of 1-for-20 and also approved a proportionate decrease in its authorized common stock to be issued.  As6,250,000 shares from 125,000,000. On July 26, 2023, the Company filed a certificate of December 31, 2008,change (with an effective date of July 28, 2023) with the Nevada Secretary of State pursuant to Nevada Revised Statutes 78.209 to effectuate a 1-for-20 reverse stock split of its outstanding common stock. On July 27, 2023, the Company received notice from Nasdaq that the reverse split would take effect at the open of business on July 28, 2023, and the reverse stock split took effect on that date.

February 2023 Equity Purchase Agreement

On February 3, 2023, the Company entered into an equity purchase agreement (the “ELOC”) and registration rights agreement (the “ELOC RRA”) with an accredited investor (the “Feb 3 Investor”) pursuant to which the Company has the right, but not issued the committedobligation, to direct the Feb 3 Investor to purchase up to $10.0 million (the “Maximum Commitment Amount”) of shares of Common Stock, in multiple tranches. Further, under the ELOC and has recorded an accrued liability of $313,500.  As of December 31, 2008,subject to the Maximum Commitment Amount, the Company has the right, but not obtained shareholder approvalthe obligation, to submit notices to the Feb 3 Investor to purchase shares of Common Stock (i) in a minimum amount of not less than $25,000 and (ii) in a maximum amount of up to the lesser of (a) $750,000 or (b) 200% of the Company’s average daily trading value of the Common Stock.

Also on February 3, 2023, the Company issued to the Feb 3 Investor 7,500 shares of Common Stock for its commitment to enter into the ELOC.

The obligation of the Feb 3 Investor to purchase shares of Common Stock pursuant to the ELOC ends on the earlier of (i) the date on which the purchases under the ELOC equal the Maximum Commitment Amount, (ii) 24 months after the date of the ELOC (February 3, 2025), (iii) written notice of termination by the Company, (iv) the date that the ELOC RRA is no longer effective after its initial effective date, or (v) the date that the Company commences a voluntary case or any person or entity commences a proceeding against the Company pursuant to or within the meaning of federal or state bankruptcy law, a custodian is appointed for the employee incentive stock option plan and has not deemedCompany or for all or substantially all of its property, or the 500,000 options as granted untilCompany makes a general assignment for the plan is approved. 

benefit of its creditors (the “Commitment Period”).

During the Commitment Period, the price that Feb 3 Investor will pay to purchase the shares of Common Stock that it is obligated to purchase under the ELOC shall be 97% of the “market price,” which is defined as the lesser of (i) the lowest closing price of our Common Stock during the 7 trading day-period following the clearance date associated with the applicable put notice from the Company or (ii) the lowest closing bid price of the Common Stock on the principal trading market for the Common Stock (currently, the Nasdaq Capital Market) on the trading day immediately preceding a put date.

March 2023 Registered Direct Offering

On March 23, 2023, INVO entered into a securities purchase agreement (the “March Purchase Agreement”) with a certain institutional investor, pursuant to which the Company agreed to issue and sell to such investor (i) in a registered direct offering (the “RD Offering”), 69,000 shares of Common Stock, and a pre-funded warrant (the “Pre-Funded Warrant”) to purchase up to 115,000 shares of Common Stock, at an exercise price of $0.20 per share, and (ii) in a concurrent private placement (the “March Warrant Placement”), a common stock purchase warrant (the “March Warrant”), exercisable for an aggregate of up to 276,000 shares of Common Stock, at an exercise price of $12.60 per share. The securities to be issued in the RD Offering (priced at the marked under Nasdaq rules) were offered pursuant to the Company’s shelf registration statement on Form S-3 (File 333-255096), initially filed by the Company with the SEC under the Securities Act of 1933, as amended (the “Securities Act”), on April 7, 2021 and declared effective on April 16, 2021. The Pre-Funded Warrant is exercisable upon issuance and will remain exercisable until all of the shares underlying the Pre-Funded Warrant are exercised in full.

The March Warrant (and the shares of Common Stock issuable upon the exercise of the March Warrant) was not registered under the Securities Act and was offered pursuant to an exemption from the registration requirements of the Securities Act provided in Section 4(a)(2) of the Securities Act and Rule 506(b) promulgated thereunder. The March Warrant is immediately exercisable upon issuance, will expire eight years from the date of issuance, and in certain circumstances may be exercised on a cashless basis.

On March 27, 2023, the Company closed the RD Offering and March Warrant Placement, raising gross proceeds of approximately $3 million before deducting placement agent fees and other offering expenses payable by the Company. In the event the March Warrant is fully exercised for cash, the Company would receive additional gross proceeds of approximately $3.5 million. Under the March Purchase Agreement, the Company may use a portion of the net proceeds of the offering to (a) repay February Debentures, and (b) to pay the down payment for Wisconsin Fertility acquisition. The remainder of the net proceeds will be used for working capital, capital expenditures, and other general corporate purposes. The Company used $383,879 in proceeds to repay a portion of the February Debentures and the remainder of the proceeds are being used for working capital and general corporate purposes.

Under the March Purchase Agreement, the Company is required within 30 days of the closing date of the March Warrant Placement to file a registration statement on Form S-1 (the “Resale Registration Statement”) registering the resale of the shares of Common Stock issuable upon the exercise of the March Warrant. The Company is required to use commercially reasonable efforts to cause such registration to become effective within 75 days of the closing date of the offering (or 120 days if the registration statement is subject to a full review by the SEC), and to keep the Resale Registration Statement effective at all times until no shares of Common Stock remain exercisable under the March Warrant.

In addition, pursuant to certain “lock-up” agreements, our officers and directors have agreed, for a period of 180 days from the date of the RD Offering and March Warrant Placement, not to engage in any of the following, whether directly or indirectly, without the consent of the March Purchase Agreement investor: offer to sell, sell, contract to sell pledge, grant, lend, or otherwise transfer or dispose of our common stock or any securities convertible into or exercisable or exchangeable for Common Stock (the “Lock-Up Securities”); enter into any swap or other arrangement that transfers to another, in whole or in part, any of the economic consequences of ownership of the Lock-Up Securities; make any demand for or exercise any right or cause to be filed a registration statement, including any amendments thereto, with respect to the registration of any Lock-Up Securities; enter into any transaction, swap, hedge, or other arrangement relating to any Lock-Up Securities subject to customary exceptions; or publicly disclose the intention to do any of the foregoing.

F-39

Three Months Ended March 31, 2023

During the three months ended March 31, 2023, the Company issued 3,490 shares of Common Stock to employees and directors and 5,500 shares of Common Stock to consultants with a fair value of $46,503 and $56,900, respectively. The shares were issued under the Company’s 2019 Stock Incentive Plan (the “2019 Plan”).

During the three months ended March 31, 2023, the Company issued 297 shares of Common Stock upon the exercise of options. The Company received proceeds of $2,376.

In February 2023, the Company issued 4,167 shares of Common Stock with a fair value of $56,313 as inducement for issuing the February Debentures. The fair value of the shares was recognized as a discount to the February Debentures and will be amortized over the life of the notes.

In February 2023, the Company 7,500 shares of Common Stock in connection with the ELOC with a fair value of $93,000 that was expensed in the period.

In March 2023, the Company issued 69,000 shares of Common Stock in the RD Offering and March Warrant Placement. The Company received net proceeds of approximately $2.7 million.

Note 12 – Equity-Based Compensation

Equity Incentive Plans

In October 2019, the Company adopted the 2019 Plan. Under the 2019 Plan, the Company’s board of directors is authorized to grant stock options to purchase Common Stock, restricted stock units, and restricted shares of Common Stock to its employees, directors, and consultants. The 2019 Plan initially provided for the issuance of 25,000 shares. A provision in the 2019 Plan provides for an automatic annual increase equal to 6% of the total number of shares of Common Stock outstanding on December 31 2008of the preceding calendar year. In January 2023, the number of available shares increased by 36,498 shares bringing the total shares available under the 2019 Plan to 125,000.

Options granted under the 2019 Plan generally have a life of 3 to 10 years and 2007,exercise prices equal to or greater than the fair market value of the Common Stock as determined by the Company’s board of directors. Vesting for employees typically occurs over a three-yearperiod.

The following table sets forth the activity of the options to purchase Common Stock under the 2019 Plan.

Schedule of Stock Options Activity

  

Number of

Shares

  

Weighted

Average

Exercise

Price

  

Aggregate

Intrinsic

Value

 
Outstanding as of December 31, 2022  64,850  $68.00  $- 
Granted  7,230   12.40   3,904 
Exercised  (297)  8.00   1,419 
Canceled  (1,157)  79.00   - 
Balance as of March 31, 2023  70,626   62.80   18,038 
Exercisable as of March 31, 2023  53,446  $76.80  $18,038 

The fair value of each option granted is estimated as of the grant date using the Black-Scholes option pricing model with the following assumptions:

Schedule of Share-Based Payment Award, Stock Options, Valuation Assumptions

  

Three months ended

March 31,

 
  2023  2022 
Risk-free interest rate range  3.6-3.63%  1.6 to 1.9%
Expected life of option-years  5   5.25 to 5.75 
Expected stock price volatility  114.5-114.9%  110.4 to 113.2%
Expected dividend yield  -%  -%

F-40

The risk-free interest rate is based on U.S. Treasury interest rates, the terms of which are consistent with the expected life of the stock options. Expected volatility is based upon the average historical volatility of the Common Stock over the period commensurate with the expected term of the related instrument. The expected life and estimated post-employment termination behavior is based upon historical experience of homogeneous groups, executives and non-executives, within the Company. The Company does not currently pay dividends on its Common Stock, nor does it expect to do so in the foreseeable future.

Schedule of Share Based Payments Arrangements Options Exercised and Options Vested

  

Total

Intrinsic

Value of

Options

Exercised

  

Total Fair

Value of Options

Vested

 
Year ended December 31, 2022 $-  $1,616,401 
Three months ended March 31, 2023 $1,419  $594,966 

For the three months ended March 31, 2023, the weighted average grant date fair value of options granted was $10.40 per share. The Company estimates the fair value of options at the grant date using the Black-Scholes model. For all stock options granted through March 31, 2023, the weighted average remaining service period is 1 year.

Restricted Stock and Restricted Stock Units

In the three months ended March 31, 2023, the Company recorded related party contributed servicesgranted 6,207 restricted stock units and interestshares of $164,511restricted stock to certain employees, directors, and $93,163, respectively.

Non-Statutory Options
consultants under the 2019 Plan. Restricted stock issued to employees, directors, and consultants generally vest either at grant or vest over a period of one yearfrom the date of grant.

The following table summarizes the changes in options outstandingCompany’s restricted stock awards activity under the 2019 Plan during the three months ended March 31, 2023:

Schedule of Aggregate Restricted Stock Awards and the related prices for the shares of the Company’s common stock issued.  These options were granted in lieu of cash compensation for services performed.

Restricted Stock Unit Activity

  

Number of

Unvested

Shares

  

Weighted

Average

Grant Date

Fair Value

  

Aggregate

Value

of Shares

 
          
Balance as of December 31, 2022  3,533  $8.40  $29,949 
Granted  6,207   10.60   65,367 
Vested  (8,990)  27.00   242,185 
Forfeitures  -   -   - 
Balance as of March 31, 2023  750  $23.60  $17,764 

   Options Outstanding Options Exercisable 
Exercise Prices  
Number
Outstanding
  
Weighted Average
Remaining Contractual
Life (Years)
 
Number
Exercisable
 
Weighted
Average
Exercise Price
 
$1.00   140,000   2.9   $-  $- 
INVO BIOSCIENCE, INC.
(A DEVELOPMENT STAGE COMPANY)
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
as of DECEMBER 31, 2008 and 2007
Transactions involving warrants are summarized as follows:
  
Number of
Shares
 
Weighted
Average Price
Per Share
Outstanding at January 5, 2007  - $-
Granted  -  -
Exercised  -  -
Canceled or expired  -  -
Outstanding at December 31, 2007  - $-
Granted  140,000  1.00
Exercised  -  -
Canceled or expired  -  -
Outstanding at December 31, 2008  140,000 $1.00
Aggregate intrinsic value of options outstanding and exercisable at December 31, 2008 was $630,000.  Aggregate intrinsic value represents the difference between the Company's closing stock price on the last trading day of the fiscal period, which was $5.50 as of December 31, 2008, and the exercise price multiplied by the number of options outstanding.  As of December 31, 2008, total unrecognized stock-based compensation expense related to stock options was $210,000.  During the year ended December 31, 2008, the Company did not charge to operations the related expense to recognized stock-based compensation for the above stock options.
F-41
NOTE  9INCOME TAXES

Note 13 – Unit Purchase Options and Warrants

The following table sets forth the activity of unit purchase options:

Schedule of Unit Purchase Stock Options Activity

  

Number of

Unit Purchase

Options

  

Weighted

Average

Exercise

Price

  

Aggregate

Intrinsic

Value

 
Outstanding as of December 31, 2022  4,645  $64.00  $- 
Granted  -   -   - 
Exercised  -   -   - 
Canceled  -   -   - 
Balance as of March 31, 2023  4,645  $64.00  $- 

The following table sets forth the activity of warrants:

Schedule of Warrants Activity

  

Number of

Warrants

  

Weighted

Average

Exercise

Price

  

Aggregate

Intrinsic

Value

 
Outstanding as of December 31, 2022  25,864  $30.20  $- 
Granted  422,875   12.60   92,293 
Exercised  -   -   - 
Canceled  -   -   - 
Balance as of March 31, 2023  448,739  $14.00  $140,943 

Note 14 – Income Taxes

The Company has adopted Financial Accounting Standard number 109, which requiresuses the recognition of deferred tax liabilitiesasset and assetsliability method to account for the expected future tax consequences of events that have been included in the financial statement or tax returns.income taxes. Under this method, deferred income tax assets and liabilities are recognized for the future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and assets are determined based on the difference between financial statements andtheir respective tax basis ofbases. Deferred tax assets and liabilities are measured using enacted tax rates expected to apply to taxable income in effect for the yearyears in which thethose temporary differences are expected to reverse.  Temporary differences between taxablebe recovered or settled. The effect on deferred tax assets and liabilities of a change in tax rates is recognized in income reportedin the period that includes the enactment date. If a carryforward exists, the Company decides as to whether the carryforward will be utilized in the future. Currently, a valuation allowance is established for financial reporting purposesall deferred tax assets and carryforwards as their recoverability is deemed to be uncertain. If the Company’s expectations for future operating results at the federal or at the state jurisdiction level vary from actual results due to changes in healthcare regulations, general economic conditions, or other factors, it may need to adjust the valuation allowance, for all or a portion of the Company’s deferred tax assets. The Company’s income tax purposes are insignificant.

Forexpense in future periods will be reduced or increased to the extent of offsetting decreases or increases, respectively, in the Company’s valuation allowance in the period when the change in circumstances occurs. These changes could have a significant impact on the Company’s future earnings.

Income tax expense was $0for each of the three months ended March 31, 2023 and 2022. The annual forecasted effective income tax reporting purposes,rate for 2023 is 0%, with a year-to-date effective income tax rate for the Company's aggregate unused net operating losses approximate $1,800,000, expire at various times through 2028,three months ended March 31, 2023, of 0%.

Note 15 – Commitments and Contingencies

Insurance

The Company’s insurance coverage is carried with third-party insurers and includes: (i) general liability insurance covering third-party exposures; (ii) statutory workers’ compensation insurance; (iv) excess liability insurance above the established primary limits for general liability and automobile liability insurance; (v) property insurance, which covers the replacement value of real and personal property and includes business interruption; and (vi) insurance covering our directors and officers for acts related to our business activities. All coverage is subject to limitationscertain limits and deductibles, the terms and conditions of Section 382which are common for companies with similar types of operations.

Legal Matters

The Company is not currently subject to any material legal proceedings; however, it could be subject to legal proceedings and claims from time to time in the ordinary course of its business, or legal proceedings it considered immaterial may in the future become material. Regardless of the Internal Revenue Code, as amended.  The deferred tax asset relatedoutcome, litigation can, among other things, be time consuming and expensive to resolve, and can divert management resources.

Note 16 – Subsequent Events

On May 10, 2023, the carry forward is approximately $540,000.  The Company has provided a valuation reserve against the full amount of the net operating loss benefit, since in the opinion of management based upon the earning history ofpartnership agreement between the Company itand Lyfe Medical I, LLC was terminated by mutual agreement.

On May 12, 2023 the joint venture agreement between the Company and Ginekaliks Dooel Skopje was terminated by mutual agreement.

Subsequent to quarter end the Company effected a 1-for-20 reverse stock split of its outstanding common stock and proportionate decrease in its authorized common stock to 6,250,000 shares, please see Note 11 for more details.

A picture containing text, font, logo, graphics

Description automatically generated

INVO Bioscience, Inc.

Up to 1,585,00 Units each consisting of One Share of Common Stock

or One Pre-Funded Warrant to Purchase One Share of Common Stock

and Two Warrants , each to purchase One Share of Common Stock

PROSPECTUS

Sole Placement Agent

MAXIM GROUP LLC

The date of this prospectus is more likely than not that the benefits will not be realized.

, 2023.

NOTE 10COMMITMENTS
 A)Operating Leases
On January 1, 2007, the Company entered into an operating lease (the “lease”) with Cummings Properties, LLC, to lease 3,294 square feet of general office space.  The lease commenced on January 1, 2007 and was automatically extended in October 2008 until December 31, 2010.  The Company agreed to pay a security deposit of $3,000 on January 1, 2007, which was repaid to the Company in equal $500 installments over the first six months of the lease.  The Company received no rent incentives or improvement allowances under this agreement.  The lease requires the Company to pay minimum lease payments of $2,000 per month for the duration of the lease.  The lease is subject to a cost of living increase equal to the Boston, MA Consumer Price Index at the beginning of each calendar year.  As of January 1, 2009, the Company’s lease payments under this agreement increased 3.53% to $2,070.60.
Fiscal Year Minimum Future Lease Payments 
    2009 $24,847 
    2010 $24,847 
INVO BIOSCIENCE, INC.
(A DEVELOPMENT STAGE COMPANY)
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
as of DECEMBER 31, 2008 and 2007
B)Consulting agreements
On October 22, 2007, the Company entered into a fee agreement with Business Growth Resources, LLC (“BGR”), 28 Aspenwood St., Suite 215, Simsbury, CT to assist the Company with raising operating capital.  The Company agreed to pay Business Growth Resources a retainer of $7,500 payable as follows: $2,500 upon execution of the agreement, and $2,500 every thirty days thereafter.  The Company also agreed to pay Business Growth Resources, LLC 5% of any investment proceeds that were introduced to the Company by BGR.  Because of BGR’s inability to introduce viable investment opportunities to the Company, the two parties separated the agreement on August 9, 2008.  The Company paid $5,000 for BGR’s efforts.
On December 5, 2008 in conjunction with the closing of the Securities Exchange Agreement the Company signed a term sheet with Lionshare Ventures LLC (“LSV”).  The terms of the agreement were such that LSV agreed to invest the balance of its original commitment to the Company dated May 19, 2008 in the amount of $450,000.  2,000,000 shares of common stock were escrowed until the money was funded to the Company.  As of today, LSV has delivered $200,000 and the Company released 1,000,000 of common shares from escrow.
C)Anti-Dilution and Piggyback Registration Rights
On December 5, 2008, we entered into the Securities Purchase Agreement with the certain investors who have piggyback registration rights that permit them to register their common stock on any registration statement filed by the Company.  In addition, pursuant to certain anti-dilution rights granted under the Securities Purchase Agreement to the investors, the Company may be obligated to issue additional shares of its common stock to the investors in the event it issues common stock to future investors at a per share purchase price less than $1.00.  The number of additional shares to be issued in such event is equal to that number of shares that the investors would have acquired at such price had that price been offered at the time of their original investment, minus the number of shares acquired in their original investment.  Further, pursuant to the letter agreement, LSV and its managing member, Christopher Esposito, have agreed to forfeit to us, one share of our common stock for every two shares we would be required to issue up to the maximum of 562,5000 shares, which number of shares are being held in escrow by us until December 5, 2010.
D)Employee Agreements
Since January 1, 2008, the Company has signed nine employee agreements for officers, executives and employees of the Company.  Three of these agreements were with the founders of the Company.  
The remaining six of the agreements were executed with executives and staff of the Company.  These employees were issued common shares and options to purchase common shares of the Company.  Under the terms of these employee agreements, these shares only vest upon the completion of the Exchange Agreement and the implementation of the Company’s Employee Stock Plan.  The Exchange Agreement closed on December 5, 2008, the Company has yet to implement an Employee Stock Plan, it is planning to do so in the second quarter of 2009.  As of today, a total of 303,500 shares of common stock and options to purchase an additional 700,000 shares of the Company’s common stock have been promised but not issued.  


8,790,000 Shares of
Common Stock
________________________
PROSPECTUS
_______________________
December 21, 2009

PART II - INFORMATION NOT REQUIRED IN PROSPECTUS

ITEM

Item 13. OTHER EXPENSES OF ISSUANCE AND DISTRIBUTION

Other Expenses of Issuance and Distribution.

The following table sets forth an itemizationestimate of variousthe fees and expenses all of which we will pay, in connection withrelating to the saleissuance and distribution of the securities being registered.registered hereby, other than Placement Agent fees, all of which shall be borne by the registrant. All of such fees and expenses, except for the SEC registration fee, are estimated:

SEC registration fee $5,340.85 
FINRA Fees $7,769.65 
Transfer agent and registrar fees and expenses $

5,000.00

 
Legal fees and expenses $

180,000.00

 
Printing fees and expenses $

5,000.00

 
Accounting fees and expenses $

15,000.00

 
Miscellaneous fees and expenses $

5,000.00

 
Total $

223,110.50

 

Item 14. Indemnification of Officers and Directors.

We are a Nevada corporation and generally governed by the Nevada Private Corporations Code, Title 78 of the Nevada Revised Statutes (the “NRS”).

Section 78.138 of the NRS provides that, unless the corporation’s articles of incorporation provide otherwise, a director or officer will not be individually liable unless it is proven that (i) the director’s or officer’s acts or omissions constituted a breach of his or her fiduciary duties, and (ii) such breach involved intentional misconduct, fraud, or a knowing violation of the law. Our articles of incorporation provide the personal liability of our directors is eliminated to the fullest extent permitted under the NRS.

Section 78.7502 of the NRS permits a company to indemnify its directors and officers against expenses, judgments, fines, and amounts shownpaid in settlement actually and reasonably incurred in connection with a threatened, pending, or completed action, suit, or proceeding, if the officer or director (i) is not liable pursuant to NRS 78.138, or (ii) acted in good faith and in a manner the officer or director reasonably believed to be in or not opposed to the best interests of the corporation and, if a criminal action or proceeding, had no reasonable cause to believe the conduct of the officer or director was unlawful. Section 78.7502 of the NRS requires a corporation to indemnify a director or officer that has been successful on the merits or otherwise in defense of any action or suit. Section 78.7502 of the NRS precludes indemnification by the corporation if the officer or director has been adjudged by a court of competent jurisdiction, after exhaustion of all appeals, to be liable to the corporation or for amounts paid in settlement to the corporation, unless and only to the extent that the court determines that in view of all the circumstances, the person is fairly and reasonably entitled to indemnity for such expenses and requires a corporation to indemnify its officers and directors if they have been successful on the merits or otherwise in defense of any claim, issue, or matter resulting from their service as a director or officer.

Section 78.751 of the NRS permits a Nevada company to indemnify its officers and directors against expenses incurred by them in defending a civil or criminal action, suit, or proceeding as they are estimates, exceptincurred and in advance of final disposition thereof, upon determination by the Securitiesstockholders, the disinterested board members, or by independent legal counsel. If so provided in the corporation’s articles of incorporation, bylaws, or other agreement, Section 78.751 of the NRS requires a corporation to advance expenses as incurred upon receipt of an undertaking by or on behalf of the officer or director to repay the amount if it is ultimately determined by a court of competent jurisdiction that such officer or director is not entitled to be indemnified by the company. Section 78.751 of the NRS further permits the company to grant its directors and Exchange Commission registration fee.


Securities and Exchange Commission Registration Fee $200.57 
Accounting Fees and Expenses  10,000.00 
Legal Fees and Expenses  30,000.00 
State securities fees  2,000.00 
Transfer agent fees  10,000.00 
Miscellaneous  5,000.00 
Total $57,200.57 

ITEM 14. INDEMNIFICATION OF DIRECTORS AND OFFICERS
officers additional rights of indemnification under its articles of incorporation, bylaws, or other agreement.

Section 78.752 of the NRS provides that a Nevada company may purchase and maintain insurance or make other financial arrangements on behalf of any person who is or was a director, officer, employee, or agent of the company, or is or was serving at the request of the company as a director, officer, employee, or agent of another company, partnership, joint venture, trust, or other enterprise, for any liability asserted against him and liability and expenses incurred by him in his capacity as a director, officer, employee, or agent, or arising out of his status as such, whether or not the company has the authority to indemnify him against such liability and expenses.

Our Articlesarticles of Incorporation and By-lawsincorporation provide for indemnification of our officers and directors to the fullest extent permissible under Nevada law. Additionally, we have entered intoGeneral Corporation Law, in accordance with the Company’s Bylaws. Our Bylaws provide for indemnification agreements with each of our officers and Directors, and therefore purchasers of these securities may have a more limited right of action than they would have except for this limitation in the Articles of Incorporation and By-laws. These agreements provide, in general, that we shall indemnify and hold harmless such directors and officers to the fullest extent permittednot prohibited by law againstthe Nevada; provided however, that the Company may modify the extent of such indemnification by individual contracts with its directors and officers; and provided, further, that the Company shall not be required to indemnify any judgments, fines, amounts paid in settlement, and expenses, including attorneys' fees and disbursements, incurreddirector or officer in connection with orany proceeding (or part thereof) initiated by such person unless (i) such indemnification is expressly required to be made by law; (ii) the proceeding was authorized by the board of directors; (iii) such indemnification is provided by the Company, in any way arising out of, any claim, action or proceeding against, or affecting,its sole discretion, pursuant to the powers vested in the corporation under the Nevada General Corporation Law or; (iv) such directors and officers resulting from, relating to or in any way arising outindemnification is a result of the serviceenforcement of a contractual right.

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See “Item 17. Undertakings” for a description of the SEC’s position regarding such persons as our directors and officers.

ITEMindemnification provisions.

Item 15. RECENT SALES OF UNREGISTERED SECURITIES


We have sold certain sharesRecent Sales of common stock for cash and haveUnregistered Securities.

In November 2020, pursuant to Section 4(a)(2) of the Securities Act, we issued 6 shares of common stock in exchange for services.  Forconsideration of consulting services rendered. We did not receive any proceeds from the following issuancesissuance.

In November 2020, pursuant to Section 3(a)(9) of the Securities Act, we issued 22,685 shares of common stock with fair value of $1,366,249 are the result of the conversion of notes payables and accrued interest.

In November 2020, pursuant to Section 4(a)(2) of the Securities Act, we issued 1,113 shares of common stock with a fair value of $70,562 in consideration of consulting services rendered. We did not receive any proceeds from the issuance.

In March 2021, we issued 555 shares of our securities, we claimedcommon stock upon conversion of $35,513.60 of accrued interest under certain of our convertible notes. We did not receive any proceeds upon conversion. We relied on the exemption from registration set forth inprovided by Section 4(2)3(a)(9) and/or Section 4(a)(2) of the Securities Act of 1933, as amended.

In March 2021, we issued 4,279 shares of our common stock upon exercise of outstanding unit purchase options. The unit purchase options were issued to purchase 6,556 shares and were exercised in full on a cashless basis and accordingly 2,278 shares were withheld by us at the rules thereunder, as private transactions not involving a public distribution.  The facts wemarket price of $184.00 per share less the exercise price of $64.00 per share to fund the exercise price. We relied upon to claimon the exemption include: (i) the purchasers represented that they purchased shares from the Company for investment and not with a view to distribution to the public; (ii) each certificate issued for unregistered securities contains a legend stating that the securities have not been registered underregistration provided by Section 3(a)(9) and/or Section 4(a)(2) of the Securities Act and setting forthof 1933, as amended.

In March 2021, we issued 6,556 warrants upon the restrictionsexercise in full of 6,556 unit purchase options. We did not receive any proceeds upon exercise. We relied on the transferability and the saleexemption from registration provided by Section 3(a)(9) and/or Section 4(a)(2) of the securities; (iii)Securities Act of 1933, as amended.

In March 2021, we issued 4,538 shares of our common stock upon exercise of outstanding warrants. The warrants were issued to purchase 6,953 shares and were exercised in full on a cashless basis and accordingly 2,416 shares were withheld by us at the purchasers as well as mostmarket price of those who received shares for services represented that they were accredited investors and sophisticated and all were familiar with our business activities; and (iv)$184.00 per share less the purchasers and service providers were given full and complete accessexercise price of $64.00 per share to any corporate information requestedfund the exercise price. We relied on the exemption from registration provided by them.


On December 5, 2008, Bio X Cell, Inc., a Commonwealth of Massachusetts corporation doing business as INVO Bioscience (hereinafter “INVO Bioscience”), and eachSection 3(a)(9) and/or Section 4(a)(2) of the 8 shareholdersSecurities Act of INVO Bioscience (the “INVO Bioscience Shareholders”). entered into1933, as amended.

During 2021, we issued 4,875 shares of our common stock to consultants and employees in consideration of services rendered. These shares were issued pursuant to the exemption from registration provided by Section 4(a)(2) of the Securities Act of 1933, as amended. We did not receive any proceeds from this issuance.

In November 2021, we issued 1,500 shares of our common stock in consideration for purchasing Effortless IVF with a share exchange agreement (the “Share Exchange Agreement”) and consummatedfair value of $117,600. These shares were issued pursuant to the exemption from registration provided by Section 4(a)(2) of the Securities Act of 1933, as amended. We did not receive any proceeds from this issuance.

In December 2021, we issued 3,907 shares of our common stock upon conversion of $250,000 of a share exchange (the “Share Exchange”) withconvertible promissory note. We did not receive any proceeds upon conversion. We relied on the exemption from registration provided by Section 3(a)(9) and/or Section 4(a)(2) of the Securities Act of 1933, as amended.

In January 2022, the Company which was then known as Emy’s Salsa Aji Distribution Company, Inc. (“Emy’s”). Upon the closing of the Share Exchange on December 5, 2008 (the “Closing”), the INVO Bioscience Shareholders transferred all of theirissued 4,732 shares of common stock to Paradigm Opportunities Fund, LP (“Paradigm”). The shares were issued pursuant to the exemption from registration provided by Section 4(a)(2) of the Securities Act of 1933, as amended. The Company received $315,000 in INVO Bioscience to Emy’s.  proceeds from this issuance.

In exchange,February 2022, we issued 150 shares of common stock to consultants in consideration of services rendered. These shares were issued pursuant to the INVO Bioscience Shareholders an aggregateexemption from registration provided by Section 4(a)(2) of 38,307,500the Securities Act of 1933, as amended. We did not receive any cash proceeds from this issuance.

In February 2023, we issued 11,667 shares of Emy’s common stock (the “common stock”), $0.0001 par value per share, representing 71.9%to consultants in consideration of services rendered. These shares were issued pursuant to the exemption from registration provided by Section 4(a)(2) of the sharesSecurities Act of 1933, as amended. We did not receive any cash proceeds from this issuance.

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On March 27, 2023, we issued and outstanding immediately after the Closing.  As a result of the Share Exchange, INVO Bioscience became a wholly-owned subsidiary of Emy’s.


Immediately following the Closing of the Share Exchange, we entered into a securitiescommon stock purchase agreement (the “Securities Purchase Agreement”) with GRQ Consulting, LLC and Whalehaven Capital Fund Limited.  Pursuantwarrants to the Securities Purchase Agreement, the investors invested $375,000 in exchange for 375,000purchase 276,000 shares of our common stock at aan exercise price of $1.00$ $12.60 per share.  
Inshare to certain institutional investors in a concurrent private placement along with a registered direct offering. The warrants were issued pursuant to the exemption from registration provided by Regulation D of the Securities Act of 1933, as amended. We did not receive any cash proceeds from this issuance.

On March 2009,27, 2023, we issued an aggregate of 83,333common stock purchase warrants to purchase 7,360 shares of common stock Wakabayashi Fund, LLC for investor relations services in the Asian markets totaling $37,500.

In May 2009, we issued an aggregate of 125,000 shares of common stock for U.S. based investor relations and fund raising services rendered to Investor Awareness, Inc and Red Chip Securities for a combined value totaling $15,500.
During the period July 15, 2009 to September 15, 2009, we issued convertible notes payable (“Bridge Notes”) to accredited investors in the aggregate amount of $545,000.  The Bridge Notes carry interest rates ranging from 10-12% and are due in full in one year from the date of issuance.  The Bridge Notes and accrued interest are convertible into our common stock at a conversionan exercise price of $0.10$ $17.93 per share subject to adjustments. In addition to the Bridge Notes,placement agent for our registered direct offering and concurrent private placement as consideration for their services. The warrants were issued pursuant to the exemption from registration provided by Regulation D of the Securities Act of 1933, as amended. We did not receive any cash proceeds from this issuance.

In May 2023, we issued warrants to purchase 5,750,000 shares of the Company’s common stock at a price of $0.20 per share.


In September 2009, we issued an aggregate of 1,125,0006,115 shares of common stock to GRQ Consulting and Whalehaven (described above)consultants in connection withconsideration of services rendered. These shares were issued pursuant to the execution of a $100,000 convertible note as part of a bridge offering.  The Bridge Notes transaction triggered the anti-dilution clauseexemption from registration provided by Section 4(a)(2) of the Securities Purchase Agreement executed on December 5, 2008 with the investors.  

Act of 1933, as amended. We did not receive any cash proceeds from this issuance.

In September 2009, the CompanyJuly 2023, we issued an aggregate of 857,00016,250 shares of common stock forin consideration of a number of different services which renderedsettlement with a total of $299,950. The services included investor relations from College Stock LLC which received the majority of these shares (500,000), 140,000third party. These shares were issued pursuant to two former employees per their employment agreement, the balanceexemption from registration provided by Section 4(a)(2) of the shares were distributedSecurities Act of 1933, as amended. We did not receive any cash proceeds from this issuance.

Item 16. Exhibits.

The list of exhibits in the Exhibit Index to 7 other individuals for engineeringthis registration statement is incorporated herein by reference.

Item 17. Undertakings.

The undersigned registrant hereby undertakes:

(1)To file, during any period in which offers or sales are being made, a post-effective amendment to this registration statement:

(i)To include any prospectus required by Section 10(a)(3) of the Securities Act of 1933, as amended;

(ii)To reflect in the prospectus any facts or events arising after the effective date of this registration statement (or the most recent post-effective amendment thereof) which, individually or in the aggregate, represent a fundamental change in the information set forth in this registration statement. Notwithstanding the foregoing, any increase or decrease in the volume of securities offered (if the total dollar value of the securities offered would not exceed that which was registered) and any deviation from the low or high end of the estimated maximum offering range may be reflected in the form of prospectus filed with the Securities and Exchange Commission pursuant to Rule 424(b) if, in the aggregate, the changes in volume and price represent no more than a 20% change in the maximum aggregate offering price set forth in the “Calculation of Registration Fee” table in the effective registration statement; and

(iii)To include any material information with respect to the plan of distribution not previously disclosed in this registration statement or any material change to such information in this registration statement;

provided, however, that the undertakings set forth in paragraphs (1)(i), (1)(ii) and manufacturing support (25,000 shares), sales consulting (102,000 shares), legal guidance (50,000 shares) and technical assistance (40,000 shares),


In October, 2009, we entered into(1)(iii) above do not apply if the REF with AGS Capital Group, LLC pursuantinformation required to which AGS committed to purchase, from time to time over a period of two years, shares of our common stock for cash consideration up to $10,000,000, subject to certain conditions and limitations.  In connection with the REF, we also entered into a registration rights agreement with AGS, dated October 28, 2009.  The terms of the REF are described elsewhere in this Registration Statement.

In November 2009, we issued an aggregate of 612,000 shares of common stock of which 600,000 were issued to Gilford Securities for the REF and 12,000 for accounting & reporting services rendered for a value totaling $312,120.

In November 2009, we issued an aggregate of 2,100,000 shares of common stock for the conversion of $210,000 of the Bridge Notes described above.

In November 2009, we issued an aggregate of 42,930 shares of common stock for the interest related to conversion of $210,000 of Convertible Notes Payable into common stock at a price of $0.10 per common share.
ITEM 16. EXHIBITS AND FINANCIAL STATEMENT SCHEDULES
(a) (1)  Our un-audited and audited financial statements arebe included in the prospectus.
(a) (2)  The following exhibits are beinga post-effective amendment by those paragraphs is contained in reports filed herewith.
EXHIBIT  NUMBERDESCRIPTION
  2.  1Share Exchange Agreement, dated December 5, 2008, by and among Registrant, INVO Bioscience and INVO Bioscience Shareholders(3)
  2.  2
Securities Purchase Agreement dated December 5, 2008, between Registrant and the investors named   therein(3)
  3.  1Articles of Incorporation of Registrant(1)
  3.  2     Certificate of Amendmentwith or furnished to Articles of Incorporation of Registrant(1)
  3.  3        By-Laws of Registrant(2)
  3.  4Certificate of Amendment to Articles of Incorporation of Registrant dated December 22, 2008(4)
  4.  1Form of Senior Secured Convertible Promissory Note(9)
  4.  2 Form of Purchase Agreement(9)
  4.  3Form of Warrant Purchase Agreement(9)
  4.  4Reserve Equity Financing Agreement, dated October 28, 2009, by and between AGS Capital Group, LLC and Invo Bioscience, Inc(11)
  4.  5Registration Rights Agreement, dated October 28, 2009, by and between AGS Capital Group, LLC and Invo Bioscience, Inc.(11)
  5.  1
10.  1    Distribution Agreement between the company and Orbital Group, LLC.(2)
10.  2Employment Agreement for the Registrant’s President(7)
10.  3Employment Agreement for the Registrant’s Chief Executive Officer(7)
10.  4Employment Agreement for the Registrant’s Chief Financial Officer(7)
10.  5Customer Distribution Agreement – Canada – MediTech First(7)
10.  6Customer Distribution Agreement – Turkey – Gonagen(7)
10.  7Customer Distribution Agreement – Peru – CRHL(7)
10.  8Claude Ranoux Loan Agreement(8)
10.  9Claude Ranoux Loan Amendment(8)
10.10Wakabayashi Fund, LLC Agreement(8)
10.11Red Chip Securities, Inc. Agreement(8)
10.12Kathleen Karloff Loan Agreement(8)
10.13Hallmark Investments, Inc.  Agreement(9)
10.14Kathleen Karloff Revised Loan Agreement(10)
10.15Lionshare Ventures Revised Agreement(10)
10.16Placement Agent Agreement, dated September 22, 2009, by and between Gilford Securities, Inc. and Invo Bioscience, Inc.(11)
10.17College Stock, Inc. Agreement(12)
23.  1
23.  2
23.  3Consent of Shulman, Rogers, Gandal, Pordy & Ecker P.A (included in Exhibit 5.1)
(1)   Incorporated by reference to the Registrant’s Registration Statement on Form SB-2/A filed with the Securities and Exchange Commission on January 25, 2008
(2)   Incorporated by referencethe registrant pursuant to the Registrant’s Registration Statement on Form SB-2 filed with the Securities and Exchange Commission on NovemberSection 13 2007
(3)   Incorporated by reference to the Registrant’s Current Report on Form 8-K filed with the Securities and Exchange Commission on December 12, 2008
(4)   Incorporated by reference to the Registrant’s Current Report on Form 8-K filed with the Securities and Exchange Commission on January 5, 2009
(5)   Incorporated by reference to the Registrant’s Current Report on Form 8-K/A filed with the Securities and Exchange Commission on February 17, 2009
(6)   Incorporated by reference to the Registrant’s Current Report on Form 8-K/A filed with the Securities and Exchange Commission on March 19, 2009
(7)   Incorporated by reference to the Registrant’s Annual Report on Form 10-K for the fiscal year ended December 31, 2008 and filed with the Securities and Exchange Commission on April 15, 2009
(8)   Incorporated by reference to the Registrant’s Quarterly Report on Form 10-Q for the three months ended March 31, 2009 filed with the Securities and Exchange Commission on May 15, 2009
(9)   Incorporated by reference to the Registrant’s Current Report on Form 8-K filed with the Securities and Exchange Commission on July 17, 2009
(10) Incorporated by reference to the Registrant’s Quarterly Report on Form 10-Q for the three months ended June 30, 2009 filed with the Securities and Exchange Commission on August 15, 2009
(11)  Incorporated by reference to the Registrant’s Current Report on Form 8-K filed with the Securities and Exchange Commission on November 3, 2009
(12)  Incorporated by reference to the Registrant’s Quarterly Report on Form 10-Q for the three months ended September 30, 2009 filed with the Securities and Exchange Commission on November 16, 2009
ITEM 17. UNDERTAKINGS
(a) The undersigned registrant hereby undertakes:
(1) To file, during any period in which offers or sales are being made, a post-effective amendment to this registration statement:
(i) to include any prospectus required by Section 10(a)(3)15(d) of the Securities Exchange Act of 1933;
(ii) to reflect in the prospectus any facts or events arising after the effective date of the registration statement (or the most recent post-effective amendment thereof) which, individually or in the aggregate, represent a fundamental change in the information set forth in this registration statement. Notwithstanding the foregoing, any increase or decrease in volume of securities offered (if the total dollar value of securities offered would not exceed1934, as amended, that which was registered) and any deviation from the low or high end of the estimated maximum offering range may be reflected in the form of prospectus filed with the Commission pursuant to Rule 424(b) if, in the aggregate the changes in volume and price represent no more than 20 percent change in the maximum aggregate offering price set forth in the “Calculation of Registration Fee” table in the effective registration statement; and
(iii) to include any material information with respect to the plan of distribution not previously disclosedare incorporated by reference in this registration statement or any material change to such information in this registration statement.
(2) That, for the purpose of determining any liability under the Securities Act of 1933, each such post-effective amendment shall be deemed to be a new registration statement relating to the securities offered therein, and the offering of such securities at that time shall be deemed to be the initial bona fide offering thereof.
(3) To remove from registration by means of a post-effective amendment any of the securities being registered which remain unsold at the termination of the offering.
 (h) Insofar as indemnification for liabilities arising under the Securities Act of 1933 may be permitted to directors, officers and controlling persons of the registrant pursuant to the foregoing provisions, or otherwise, the registrant has been advised that in the opinion of the Securities and Exchange Commission such indemnification is against public policy as expressed in the Act and is, therefore, unenforceable. In the event that a claim for indemnification against such liabilities (other than the payment by the registrant of expenses incurred or paid by a director, officer or controlling person of the registrant in the successful defense of any action, suit or proceeding) is asserted by such director, officer or controlling person in connection with the securities being registered, the registrant will, unless in the opinion of its counsel the matter has been settled by controlling precedent, submit to a court of appropriate jurisdiction the question whether such indemnification by it is against public policy as expressed in the Act and will be governed by the final adjudication of such issue.
(i) The undersigned registrant hereby further undertakes that:
(1) For purposes of determining any liability under the Securities Act of 1933, the information omitted from the form of prospectus filed as part of this registration statement in reliance under Rule 430A and contained in a form of prospectus filed by the registrant pursuant to Rule 424(b)(1) or (4), or 497(h) under the Securities Act of 1933 shall be deemed to be that is part of this registration statement as of the time it was declared effective.statement;

(2)That, for the purpose of determining any liability under the Securities Act of 1933, as amended, each such post-effective amendment shall be deemed to be a new registration statement relating to the securities offered therein, and the offering of such securities at that time shall be deemed to be the initial bona fide offering thereof;

(3)To remove from registration by means of a post-effective amendment any of the securities being registered which remain unsold at the termination of the offering;

(4)That, for the purpose of determining liability under the Securities Act of 1933, as amended, to any purchaser:

(i)Each prospectus filed by the registrant pursuant to Rule 424 (b)(3) shall be deemed to be part of this registration statement as of the date the filed prospectus was deemed part of and included in this registration statement; and

(ii)Each prospectus required to be filed pursuant to Rule 424 (b)(2), (b)(5), or (b)(7) as part of a registration statement in reliance on Rule 430B relating to an offering made pursuant to Rule 415(a)(l)(i), (vii) or (x) for the purpose of providing the information required by Section 10(a) of the Securities Act of 1933, as amended, shall be deemed to be part of and included in the registration statement as of the earlier of the date such prospectus is first used after effectiveness or the date of the first contract of sale of securities in the offering described in the prospectus. As provided in Rule 430B, for liability purposes of the issuer and any person that is at that date an underwriter, such date shall be deemed to be a new effective date of the registration statement relating to the securities in the registration statement to which that prospectus relates, and the offering of such securities at that time shall be deemed to be the initial bona fide offering thereof; provided, however, that no statement made in a registration statement or prospectus that is part of the registration statement or made in a document incorporated or deemed incorporated by reference into the registration statement or prospectus that is part of the registration statement will, as to a purchaser with a time of contract of sale prior to such effective date, supersede or modify any statement that was made in the registration statement or prospectus that was part of the registration statement or made in any such document immediately prior to such effective date;

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(5)That, for the purpose of determining liability of the registrant under the Securities Act of 1933, as amended, to any purchaser in the initial distribution of the securities, the undersigned registrant undertakes that in a primary offering of securities of the undersigned registrant pursuant to this registration statement, regardless of the underwriting method used to sell the securities to the purchaser, if the securities are offered or sold to such purchaser by means of any of the following communications, the undersigned registrant will be a seller to the purchaser and will be considered to offer or sell such securities to such purchaser:

(i)Any preliminary prospectus or prospectus of the undersigned registrant relating to the offering required to be filed pursuant to Rule 424;

(ii)Any free writing prospectus relating to the offering prepared by or on behalf of the undersigned registrant or used or referred to by the undersigned registrant;

(iii)The portion of any other free writing prospectus relating to the offering containing material information about the undersigned registrant or its securities provided by or on behalf of the undersigned registrant; and

(iv)Any other communication that is an offer in the offering made by the undersigned registrant to the purchaser;

(6)That, for purposes of determining any liability under the Securities Act of 1933, as amended, each filing of the registrant’s annual report pursuant to Section 13(a) or Section 15(d) of the Securities Exchange Act of 1934, as amended (and, where applicable, each filing of an employee benefit plan’s annual report pursuant to Section 15(d) of the Securities Exchange Act of 1934, as amended) that is incorporated by reference in the registration statement shall be deemed to be a new registration statement relating to the securities offered therein, and the offering of such securities at that time shall be deemed to be the initial bona fide offering thereof;

(7)Insofar as indemnification for liabilities arising under the Securities Act of 1933, as amended, may be permitted to directors, officers and controlling persons of the registrant pursuant to the foregoing provisions, or otherwise, the registrant has been advised that in the opinion of the Securities and Exchange Commission such indemnification is against public policy as expressed in the Securities Act of 1933, as amended, and is, therefore, unenforceable. In the event that a claim for indemnification against such liabilities (other than the payment by the registrant of expenses incurred or paid by a director, officer or controlling person of the registrant in the successful defense of any action, suit or proceeding) is asserted by such director, officer or controlling person in connection with the securities being registered, the registrant will, unless in the opinion of its counsel the matter has been settled by controlling precedent, submit to a court of appropriate jurisdiction the question whether such indemnification by it is against public policy as expressed in the Securities Act of 1933, as amended, and will be governed by the final adjudication of such issue.

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(2) For the purpose of determining any liability under the Securities Act of 1933, each post-effective amendment that contains a form of prospectus shall be deemed

SIGNATURES

Pursuant to be a new registration statement relating to the securities offered therein, and the offering of such securities at that time shall be deemed to be the initial bona fide offering thereof.

SIGNATURES
In accordance with the requirements of the Securities Act of 1933, as amended, the Registrantregistrant has duly caused this Registration StatementAmendment No. 2 to registration statement to be signed on its behalf by the undersigned, thereunto duly authorized, in the City Beverly in the Commonwealth of Massachusetts,Sarasota, State of Florida, on December 28, 2009 .
INVO BIOSCIENCE, INC.
By: /s/ Kathleen T. Karloff
            Kathleen T. Karloff
            Chief Executive Officer
We the undersigned officers and directors of INVO Bioscience, hereby severally constitute and appoint Kathleen T. Karloff and Robert Bowdring, our true and lawful attorney-in-fact and agent, with full power of substitution and re-substitution in her, for her, and in her name, place and stead, and in any and all capacities,July 31, 2023.

INVO BIOSCIENCE, INC.
By:/s/ Steven Shum
Steven Shum
Chief Executive Officer

Pursuant to sign any and all amendments (including post-effective amendments) to this Registration Statement (or any other Registration Statement for the same offering that is to be effective upon filing pursuant to Rule 462(b)  under  the Securities  Act  of 1933),  and  to file the same, with all exhibits  thereto and other documents in connection therewith, with the Securities and Exchange Commission, granting unto said attorney-in- fact and agents full power and authority to do and perform each and every act and thing requisite or necessary to be done in and about the premises, as full to all intents and purposes as he might or could do in person, hereby ratifying and confirming all that said attorney-in-fact and agent or his substitute may lawfully do or cause to be done by virtue hereof.

In accordance with the requirements of the Securities Act of 1933, this Registration Statement was signed by the following persons in the capacities and on the dates indicated
have signed this Amendment No.2 to registration statement below.

SignatureTitleDate
INVO BIOSCIENCE, INC.
Date: December 28, 2009
By: /s/ Kathleen T. Karloff
Steven Shum
Name: Kathleen T. Karloff
Title:
Chief Executive Officer and DirectorJuly 31, 2023
Steven Shum(principal executive officer)
/s/ Andrea GorenChief Financial OfficerJuly 31, 2023
Andrea Goren(principal financial officer)
*DirectorJuly 31, 2023
Trent Davis
*DirectorJuly 31, 2023
Matthew Szot
*DirectorJuly 31, 2023
Barbara Ryan
*DirectorJuly 31, 2023
Rebecca Messina

*By:/s/ Steven Shum
Steven Shum, Attorney-in-Fact
Date:July 31, 2023

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EXHIBIT INDEX

Exhibit No.Exhibit
1.1*Form of Placement Agency Agreement
3.1Amended and Restated Articles of Incorporation. Incorporated by reference to Exhibit 3.1 to the Current Report on Form 8-K filed with the Securities and Exchange Commission on January 5, 2009.
3.2Certificate of Change. Incorporated by reference to Exhibit 3.1 to the Current Report on Form 8-K filed with the Securities and Exchange Commission on May 22, 2020.
3.3By-Laws of INVO Bioscience. Incorporated by reference to Exhibit 3.1 to the Registration Statement on Form SB-2 filed with the Securities and Exchange Commission on November 13, 2007.
4.1Description of Capital Stock, filed as an Exhibit to our Annual Report on Form 10-K for the year ended December 31, 2022 and incorporated herein by reference.
4.2Form of Senior Secured Convertible Promissory Note, dated July 2009. Incorporated by reference to Exhibit 10.1 to the Current Report on Form 8-K filed with the Securities and Exchange Commission on July 17, 2009.
4.3Form of Convertible Promissory Note Purchase Agreement, dated July 2009. Incorporated by reference to Exhibit 10.2 to the Current Report on Form 8-K filed with the Securities and Exchange Commission on July 17, 2009.
4.4Form of Convertible Promissory Note, dated January 2018. Incorporated by reference to Exhibit 4.3 to the Annual Report on Form 10-K filed on April 16, 2019.
4.5Form of Convertible Note Purchase Agreement, dated January 2018. Incorporated by reference to Exhibit 4.4 to the Annual Report on Form 10-K filed on April 16, 2019.
4.6Form of Secured Convertible Note, dated May 2020. Incorporated by reference to Exhibit 4.1 to the Quarterly Report on Form 10-Q filed with the Securities and Exchange Commission on May 15, 2020.
4.7Form of Unit Purchase Option, dated May 2020. Incorporated by reference to Exhibit 4.2 to the Quarterly Report on Form 10-Q filed with the Securities and Exchange Commission on May 15, 2020.
4.8Form of Warrant, dated May 2020. Incorporated by reference to Exhibit 4.3 to the Quarterly Report on Form 10-Q filed with the Securities and Exchange Commission on May 15, 2020.
4.9Form of Placement Agent Warrant to Purchase Common Stock, filed as Exhibit 4.1 to our Current Report dated October 1, 2021 and filed with the Securities and Exchange Commission on October 5, 2021 and incorporated herein by reference.
4.10Demand Promissory Note between the registrant and JAG Multi Investments LLC, filed as Exhibit 4.1 to our Quarterly Report on Form 10-Q filed with the Securities Exchange Commission on November 14, 2022 and incorporated herein by reference.
4.11Form of Warrant, filed as Exhibit 4.5 to our Current Report on Form 8-K filed with the Securities and Exchange Commission on January 5, 2023 and incorporated herein by reference.
4.12Form of Debenture, filed as Exhibit 4.1 to our Current Report on Form 8-K filed with the Securities and Exchange Commission on February 9, 2023 and incorporated herein by reference.
4.13Form of Warrant, filed as Exhibit 4.2 to our Current Report on Form 8-K filed with the Securities and Exchange Commission on February 9, 2023 and incorporated herein by reference.
4.14Form of Debenture, filed as Exhibit 4.1 to our Current Report on Form 8-K filed with the Securities and Exchange Commission on February 9, 2023 and incorporated herein by reference.
4.15Form of Warrant, filed as Exhibit 4.2 to our Current Report on Form 8-K filed with the Securities and Exchange Commission on February 9, 2023 and incorporated herein by reference.
4.17Form of Convertible Promissory Note, filed as Exhibit 4.1 to our Current Report on Form 8-K filed with the Securities and Exchange Commission on March 23, 2023 and incorporated herein by reference.
4.18Form of Warrant, filed as Exhibit 4.2 to our Current Report on Form 8-K filed with the Securities and Exchange Commission on March 23, 2023 and incorporated herein by reference.
4.20Form of Pre-funded Warrant, filed as Exhibit 4.1 to our Current Report on Form 8-K filed with the Securities and Exchange Commission on March 28, 2023 and incorporated herein by reference.
4.21Form of Private Placement Warrant, filed as Exhibit 4.2 to our Current Report on Form 8-K filed with the Securities and Exchange Commission on March 28, 2023 and incorporated herein by reference.
4.22Form of Placement Agent Warrant, filed as Exhibit 4.3 to our Current Report on Form 8-K filed with the Securities and Exchange Commission on March 28, 2023 and incorporated herein by reference.
4.23Demand Promissory Note dated July 10, 2023 issued by the registrant in favor of JAG Multi Investments LLC in the amount of $100,000, filed as Exhibit 4.2 to our Current Report on Form 8-K filed with the Securities and Exchange Commission on July 13, 2023 and incorporated herein by reference.
4.24*Form of Common Stock Purchase Warrant
4.25*Form of Pre-Funded Warrant
4.26*Form of Placement Agent Warrant
5.1*Opinion of Sheppard Mullin Richter & Hampton LLP
10.1Short Term Note, dated March 5, 2009 between the registrant and Kathleen Karloff. Incorporated by reference to Exhibit 10.5 to the Quarterly Report on Form 10-Q filed with the Securities and Exchange Commission on May 15, 2009.
10.2Short Term Note, dated May 19, 2019 between the registrant and Kathleen Karloff. Incorporated by reference to Exhibit 10.5 to the Quarterly Report on Form 10-Q filed with the Securities and Exchange Commission on August 14, 2009.
10.3Promissory Note, dated August 9, 2016, between the registrant and Kavanaugh Rosenthal Peisch & Ford, LLP. Incorporated by reference to Exhibit 10.3 the Annual Report on Form 10-K filed with the Securities and Exchange Commission on April 16, 2019.

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By: /s/ Claude Ranoux
10.4
Distribution Agreement, dated November 12, 2018, between the Registrant and Ferring International Center S.A,. Incorporated by reference to Exhibit 10.4 to the Annual Report on Form 10-K filed with the Securities and Exchange Commission on April 16, 2019.
Name: Claude Ranoux, MD10.5Supply Agreement, dated November 12, 2018, between the registrant and Ferring International Center S.A. Incorporated by reference to Exhibit 10.5 to the Annual Report on Form 10-K filed with the Securities and Exchange Commission on April 16, 2019.
Title: President10.6Joint Venture Agreement, dated January 13, 2020, between the registrant and DirectorMedesole Healthcare and Trading Private Limited, India. Incorporated by reference to Exhibit 10.1 to the Current Report on Form 8-K filed with the Securities and Exchange Commission on January 16, 2020.
10.7Employment Agreement, dated October 16, 2019, between the registrant and Steven Shum. Incorporated by reference to the Current Report on Form 8-K filed with the Securities and Exchange Commission on October 15, 2019.
10.8Employment Agreement, dated January 15, 2020, between the registrant and Michael Campbell. Incorporated by reference to Exhibit 10.1 to the Current Report on Form 8-K filed with the Securities and Exchange Commission on January 21, 2020.
10.9Commercial Lease Agreement, dated May 1, 2019 between the registrant and PJ LLC. Incorporated by reference to Exhibit 10.9 to the Annual Report on Form 10-K filed with the Securities and Exchange Commission on March 30, 2020.
10.102019 Stock Incentive Plan, incorporated by reference to the Registration Statement on Form S-8 with the Securities and Exchange Commission on October 16, 2019.
10.11Pre-Incorporation and Shareholders Agreement between INVO Centers, LLC, Francisco Arredondo, M.D. PLLC and Ramiro Ramirez Guiterrez. Incorporated by reference to Exhibit 10.1 to the Current Report on Form 8-K filed with the Securities and Exchange Commission on September 30, 2020.
10.12Distribution Agreement, dated November 23, 2020, between the registrant and IDS Medical Systems (M) Sdn Bhda. Incorporated by reference to Exhibit 10.1 to the Current Report on Form 8-K filed with the Securities and Exchange Commission on November 25, 2020.
10.13Joint Venture Agreement, dated November 23, 2020, between the registrant and SNS Nurni SDN BHD. Incorporated by reference to Exhibit 10.2 to the Current Report on Form 8-K filed with the Securities and Exchange Commission on November 25, 2020.
10.14Joint Venture Agreement, dated November 23, 2020, between the registrant and Ginekaliks Dooel. Incorporated by reference to Exhibit 10.3 to the Current Report on Form 8-K filed with the Securities and Exchange Commission on November 25, 2020.
10.15Distribution Agreement, dated December 2, 2020, between the registrant and Tasnim Behboud Arman. Incorporated by reference to Exhibit 10.1 to the Current Report on Form 8-K filed with the Securities and Exchange Commission on December 8, 2020.
10.16Form of Securities Purchase Agreement, dated May 2020. Incorporated by reference to Exhibit 10.1 to the Quarterly Report on Form 10-Q filed with the Securities and Exchange Commission on May 15, 2020.
10.17Form of Security Agreement, dated May 2020. Incorporated by reference to Exhibit 10.2 to the Quarterly Report on Form 10-Q filed with the Securities and Exchange Commission on May 15, 2020.
10.18Form of Registration Rights Agreement, dated May 2020. Incorporated by reference to Exhibit 10.3 to the Quarterly Report on Form 10-Q filed with the Securities and Exchange Commission on May 15, 2020.
10.19Amendment No. 1 to Distribution Agreement, between the registrant and Ferring International Center S.A. Incorporated by reference to Exhibit 10.1 to the Current Report on Form 8-K filed with the Securities and Exchange Commission on March 8, 2021.
10.20HRCFG INVO LLC Limited Liability Company Agreement, dated March 10, 2021, between the registrant and HRCFG, LLC. Incorporated by reference to Exhibit 10.1 to the Current Report on Form 8-K filed with the Securities and Exchange Commission on March 15, 2021.
10.21Note, dated March 10, 2021, between the registrant and HRCFG, LLC. Incorporated by reference to Exhibit 10.2 to the Current Report on Form 8-K filed with the Securities and Exchange Commission on March 15, 2021.
10.22Lease, dated March 2021, with Trustmark National Bank filed as Exhibit 10.22 to our Annual Report on Form 10-K for the year ended December 31, 2020 and incorporated herein by reference.
10.23Partnership Agreement dated April 9, 2021 between the registrant and Lyfe Medical, LLC, filed as Exhibit 10.1 to our Current Report on Form 8-K dated April 9, 2021 and filed with the Securities and Exchange Commission on April 13, 2021 and incorporated by reference herein.
10.24Amended and Restated Employment Agreement with Andrea Goren dated June 14, 2021, filed as Exhibit 10.1 to our Current Report on Form 8-K dated June 14, 2021 and filed with the Securities and Exchange Commission on June 15, 2021 and incorporated herein by reference.
10.25Joint Venture Agreement dated June 28, 2021 between INVO Centers, LLC and Bloom Fertility, LLC, filed as Exhibit 10.1 to our Current Report on Form 8-K dated June 28, 2021 and filed with the Securities and Exchange Commission on June 30, 2021 and incorporated herein by reference.

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10.26Limited Liability Company Agreement of Bloom INVO, LLC dated June 28, 2021, filed as Exhibit 10.2 to our Current Report on Form 8-K dated June 28, 2021 and filed with the Securities and Exchange Commission on June 30, 2021 and incorporated herein by reference.
10.27Management Services Agreement dated June 28, 2021 between Bloom INVO LLC, Bloom Fertility LLC and Sue Ellen Carpenter, filed as Exhibit 10.3 to our Current Report on Form 8-K dated June 28, 2021 and filed with the Securities and Exchange Commission on June 30, 2021 and incorporated herein by reference.
10.28INVOcell Supply Agreement dated June 28, 2021 between the registrant and Bloom INVO LLC, filed as Exhibit 10.4 to our Current Report on Form 8-K dated June 28, 2021 and filed with the Securities and Exchange Commission on June 30, 2021 and incorporated herein by reference.
10.29Intellectual Property License Agreement dated June 28, 2021 between Bloom INVO LLC and the registrant, filed as Exhibit 10.5 to our Current Report on Form 8-K dated June 28, 2021 and filed with the Securities and Exchange Commission on June 30, 2021 and incorporated herein by reference.
10.30Intellectual Property License Agreement dated June 28, 2021 between Bloom INVO LLC, Bio X Cell Inc. and the registrant, filed as Exhibit 10.6 to our Current Report on Form 8-K dated June 28, 2021 and filed with the Securities and Exchange Commission on June 30, 2021 and incorporated herein by reference.
10.31Sublease Agreement dated June 29, 201 between Assure Fertility Partners of Atlanta II, LLC and Bloom INVO LLC, filed as Exhibit 10.7 to our Current Report on Form 8-K dated June 28, 2021 and filed with the Securities and Exchange Commission on June 30, 2021 and incorporated herein by reference.
10.32Guarantee of Sublease made by the registrant in favor of Assure Fertility Partners of Atlanta II, LLC and Bloom INVO, LLC, filed as Exhibit 10.8 to our Current Report on Form 8-K dated June 28, 2021 and filed with the Securities and Exchange Commission on June 30, 2021 and incorporated herein by reference.
10.33Share Purchase Agreement dated September 1, 2021 among Ernest Broome, Lyle Oberg, Richard Ross, Dr. Seang Lin Tan, the registrant and Effortless IVF Canada Inc., filed as Exhibit 10.1 to our Current Report dated September 1, 2021 and filed with the Securities and Exchange Commission on September 7, 2021 and incorporated herein by reference.
10.34Stock Purchase Agreement dated September 30, 2021 between the registrant and Paradigm Opportunities Fund, LP, filed as Exhibit 10.1 to our Current Report dated October 1, 2021 and filed with the Securities and Exchange Commission on October 4, 2021 and incorporated herein by reference.
10.35Placement Agent Agreement dated October 1, 2021 between the registrant and Paulson Investment Company, LLC, filed as Exhibit 10.1 to our Current Report dated October 1, 2021 and filed with the Securities and Exchange Commission on October 5, 2021 and incorporated herein by reference.
10.36Form of Stock Purchase Agreement dated October 1, 2021 between the registrant and the purchasers set forth therein, filed as Exhibit 10.2 to our Current Report dated October 1, 2021 and filed with the Securities and Exchange Commission on October 5, 2021 and incorporated herein by reference.
10.37Termination Notice from Ferring International Center S.A. dated November 2, 2021, filed as Exhibit 10.1 to our Current Report on Form 8-K dated November 2, 2021 and filed with the Securities and Exchange Commission on November 8, 2021 and incorporated herein by reference.
10.38Amendment No. 1 to Stock Purchase Agreement dated November 29, 2021 between the registrant and Paradigm Opportunities Fund LP, filed as Exhibit 10.1 to our Current Report on Form 8-K dated November 29, 2021 and filed with the Securities and Exchange Commission on December 2, 2021 and incorporated herein by reference.
10.39Amendment No. 2 to Stock Purchase Agreement dated November 29, 2021 between the registrant and Paradigm Opportunities Fund LP, filed as Exhibit 10.1 to our Current Report on Form 8-K dated December 31, 2021 and filed with the Securities and Exchange Commission on January 6, 2022 and incorporated herein by reference.
10.41Exclusive Distribution Agreement between the registrant and Onesky Holding Limited dated May 13, 2022, filed as Exhibit 10.1 to our Quarterly Report on Form 10-Q filed with the Securities and Exchange Commission on May 16, 2022 and incorporated herein by reference.
10.42Lease Agreement with INVO Centers, LLC dated May 23, 2022, filed as Exhibit 10.1 to our Current Report on Form 8-K filed with the Securities and Exchange Commission on May 26, 2022 and incorporated herein by reference.
10.43Second Amended and Restated 2019 Stock Option Plan, filed as Appendix A to our Definitive Proxy Statement on Schedule 14A filed with the Securities and Exchange Commission on August 25, 2022 and incorporated herein by reference.
10.44Distribution Agreement by and between the registrant and Ming Mei Technology Co. Ltd. dated January 3, 2023, filed as Exhibit 10.1 to our Current Report on Form 8-K filed with the Securities and Exchange Commission on January 5, 2023 and incorporated herein by reference.
10.45Form of Convertible Promissory Note, filed as Exhibit 4.4 to our Current Report on Form 8-K filed with the Securities and Exchange Commission on January 5, 2023 and incorporated herein by reference.
10.46Securities Purchase Agreement dated January 4, 2023, filed as Exhibit 10.1 to our Current Report on Form 8-K filed with the Securities and Exchange Commission on January 5, 2023 and incorporated herein by reference.
10.47Registration Rights Agreement dated January 4, 2023, filed as Exhibit 10.2 to our Current Report on Form 8-K filed with the Securities and Exchange Commission on January 5, 2023 and incorporated herein by reference.

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By: /s/ Robert J. Bowdring

10.48Securities Purchase Agreement dated February 3, 2023, filed as Exhibit 10.1 to our Current Report on Form 8-K filed with the Securities and Exchange Commission on February 9, 2023 and incorporated herein by reference.
Name: Robert J. Bowdring
Title: Chief Financial10.49
Registration Rights Agreement to Debenture and Accounting OfficerWarrant dated February 3, 2023, filed as Exhibit 10.2 to our Current Report on Form 8-K filed with the Securities and Exchange Commission on February 9, 2023 and incorporated herein by reference.
10.50Equity Purchase Agreement dated February 3, 2023, filed as Exhibit 10.4 to our Current Report on Form 8-K filed with the Securities and Exchange Commission on February 9, 2023 and incorporated herein by reference.
10.51Registration Rights Agreement to Equity Purchase Agreement dated February 3, 2023, filed as Exhibit 10.5 to our Current Report on Form 8-K filed with the Securities and Exchange Commission on February 9, 2023 and incorporated herein by reference.
10.52Asset Purchase Agreement between the registrant, WFRSA and The Elizabeth Pritts Revocable Living Trust dated March 16, 2023, filed as Exhibit 10.1 to our Current Report on Form 8-K filed with the Securities and Exchange Commission on March 20, 2023 and incorporated herein by reference.
10.53Membership Interest Purchase Agreement by and between the registrant and FLOW, IVF Science, LLC dated March 16, 2023, filed as Exhibit 10.2 to our Current Report on Form 8-K filed with the Securities and Exchange Commission on March 20, 2023 and incorporated herein by reference.
10.54Securities Purchase Agreement dated March 17, 2023, filed as Exhibit 10.1 to our Current Report on Form 8-K filed with the Securities and Exchange Commission on March 23, 2023 and incorporated herein by reference.
10.55Registration Rights Agreement dated March 17, 2023, filed as Exhibit 10.2 to our Current Report on Form 8-K filed with the Securities and Exchange Commission on March 23, 2023 and incorporated herein by reference.
10.56Placement Agency Agreement by and between the registrant and Maxim Group, LLC dated March 23, 2023, filed as Exhibit 1.1 to our Current Report on Form 8-K filed with the Securities and Exchange Commission on March 28, 2023 and incorporated herein by reference.
10.57Amendment to Securities Purchase Agreement dated July 7, 2023 between the registrant and Armistice Capital Master Fund Ltd., filed as Exhibit 10.1 to our Current Report on Form 8-K filed with the Securities and Exchange Commission on July 7, 2023 and incorporated herein by reference.
10.58Payoff Commitment Agreement and Confession of Judgment dated July 7, 2023 between the registrant and Armistice Capital Master Fund Ltd., filed as Exhibit 10.1 to our Current Report on Form 8-K filed with the Securities and Exchange Commission on July 7, 2023 and incorporated herein by reference.
10.59Asset Purchase Agreement dated March 16, 2023, by and among Wood Violet Fertility LLC, a Delaware limited liability company, Wisconsin Fertility and Reproductive Surgery Associates, S.C., a Wisconsin professional service corporation d/b/t Wisconsin Fertility Institute (and The Elizabeth Pritts Revocable Living Trust filed as Exhibit 10.1 to our Current Report on Form 8-K filed with the Securities and Exchange Commission on March 20, 2023 and incorporated herein by reference.
10.60Membership Interest Purchase Agreement dated March 16, 2023 by and among Wood Violet Fertility LLC, a Delaware limited liability company, Fertility Labs of Wisconsin, LLC, a Wisconsin limited liability company, IVF Science, LLC, a Wisconsin limited liability company owned by Wael Megid, Ph.D. and Dr. Elizabeth Pritts as trustee for the Elizabeth Pritts Revocable List Trust, a Trust created under the laws of the State of Wisconsin, filed as Exhibit 10.1 to our Current Report on Form 8-K filed with the Securities and Exchange Commission on March 20, 2023 and incorporated herein by reference.
10.61Closing Agreement dated July 7, 2023 for the Asset Purchase Agreement referred to in Exhibit 10.59 above, filed as Exhibit 10.1 to our Current Report on Form 8-K filed with the Securities and Exchange Commission on July 13, 2023.
10.62Closing Agreement dated July 7, 2023 for the Membership Interest Purchase Agreement referred to in Exhibit 10.59 above, filed as Exhibit 10.2 to our Current Report on Form 8-K filed with the Securities and Exchange Commission on July 13, 2023.
10.63Letter Agreement dated July 10, 2023 with JAG Multi Investments LLC, filed as Exhibit 4.1 to our Current Report on Form 8-K filed with the Securities and Exchange Commission on July 13, 2023.
10.64Amended and Restated Letter Agreement dated July 21, 2023 with JAG Multi Investments LLC filed as Exhibit 10.2 to our Current Report on Form 8-K filed with the Securities and Exchange Commission on July 21, 2023 and incorporated herein by reference.
10.65Standard Merchant Cash Advance Agreement, filed as Exhibit 10.1 to our Current Report on Form 8-K filed with the Securities and Exchange Commission on July 21, 2023 and incorporated herein by reference.
10.66*Form of Securities Purchase Agreement
21.1Subsidiaries filed as an Exhibit to our Annual Report on Form 10-K for the year ended December 31, 2022 and incorporated herein by reference.
23.1*Consents of M&K CPAs, PLLC
23.2*Consent of Sheppard Mullin Richter & Hampton LLP (included as Exhibit 5.1).
24.1****Power of Attorney (included on signature page)
107*Filing Fee Table
101.INS*Inline XBRL Instance Document
101.SCH*Inline XBRL Taxonomy Extension Schema Document
101.CAL*Inline XBRL Taxonomy Extension Calculation Linkbase Document
101.DEF*Inline XBRL Taxonomy Extension Definition Linkbase Document
101.LAB*Inline XBRL Taxonomy Extension Label Linkbase Document
101.PRE *Inline XBRL Taxonomy Extension Presentation Linkbase Document
104*Cover Page Interactive Data File – the cover page of the registrant’s Annual Report on Form 10-K for the year ended December 31, 2022 is formatted in Inline XBRL

* Filed herewith

** Furnished herewith

***To be filed by amendment

****Previously filed

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