As filed with the Securities and Exchange Commission on March 16, 202122, 2024

Registration No. 333-

 

 

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON,Washington, D.C. 20549

 

FORM S-3

 

FORM S-3

REGISTRATION STATEMENT

UNDER

THE SECURITIES ACT OF 1933

 

Motus GI Holdings, Inc.

(Exact name of registrant as specified in its charter)

MOTUS GI HOLDINGS, INC.
(Exact name of registrant as specified in its charter)

 

Delaware 81-4042793

(State or other jurisdiction of

incorporation or organization)

 

(I.R.S. Employer

Identification Number)

 

1301 East Broward Boulevard, 3rd Floor

Ft. Lauderdale, FL 33301

Telephone: (954) 541-8000

(Address, including zip code, and telephone number,

including area code, of registrant’s principal executive offices)offices)

 

Timothy P. MoranMark Pomeranz

Chief Executive Officer

Motus GI Holdings, Inc.

1301 East Broward Boulevard, 3rd 3rd Floor

Ft. Lauderdale, FL 33301

Telephone:Tel: (954) 541-8000

(Name, address, including zip code, and telephone number,

including area code, of agent for service)service)

 

Copies of all communications, including communications sent to the agent for service, to:

 

Steven M. Skolnick, Esq.

Michael J. Lerner, Esq.

Lowenstein Sandler LLP

1251 Avenue of the Americas

New York, New York 10020

Telephone: (212) 262-6700

 

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

 

If the only securities being registered on this Form are being offered pursuant to dividend or interest reinvestment plans, please check the following box: ☐

 

If any of the securities being registered on this Form are to be offered on a delayed or continuous basis pursuant to Rule 415 under the Securities Act of 1933, other than securities offered only in connection with dividend or interest reinvestment plans, check the following 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. ☐

 

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. ☐

 

If this Form is a registration statement pursuant to General Instruction I.D. or a post-effective amendment thereto that shall become effective upon filing with the Commission pursuant to Rule 462(e) under the Securities Act, check the following box. ☐

 

If this Form is a post-effective amendment to a registration statement filed pursuant to General Instruction I.D. filed to register additional securities or additional classes of securities pursuant to Rule 413(b) under the Securities Act, check the following box. ☐

 

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

 

Large accelerated filer:filerAccelerated filer:filer
Non-accelerated filer:filerSmaller reporting company:company
  Emerging growth company:company☒ 

 

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 7(a)(2)(B)13(a) of Securities Act ☒the Exchange Act. ☐

 

CALCULATION OF REGISTRATION FEE

Title of each class of securities to be registered Amount to
be
registered
  Proposed
maximum
offering
price per
share
  Proposed
maximum
aggregate
offering price
  Amount of
registration
fee
 
Common Stock, par value $0.0001 per share  6,000,000(1) $1.44(2) $8,640,000(2) $943.00 

(1)Pursuant to Rule 416 under the Securities Act, this registration statement covers an indeterminate number of shares that may be issued upon stock splits, stock dividends or similar transactions.
(2)Estimated in accordance with Rule 457(c) under the Securities Act of 1933, as amended, solely for the purpose of calculating the registration fee, based on the average of the high and low prices of shares of the registrant’s Common Stock, as reported on the Nasdaq Capital Market on March 10, 2021, a date within five business days prior to the initial filing of this registration statement on March 16, 2021.

The registrantRegistrant hereby amends this registration statementRegistration Statement on such date or dates as may be necessary to delay its effective date until the registrant 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 this registration statementthe Registration Statement shall become effective on such date as the Commission, acting pursuant to said Section 8(a), may determine.

 

 

 

 

 

The information in this preliminary prospectus is not complete and may be changed. AThe Selling Stockholder may not resell these securities until the registration statement relating to these securities has been filed with the Securities and Exchange Commission. These securities may not be sold until the registration statementCommission is effective. This preliminary prospectus is not an offer to sell these securities, and does not solicit an offernor is it a solicitation of offers to buy these securities, in any state or other jurisdiction where the offer or sale is not permitted.

 

Subject to completion, preliminary prospectus dated March 16, 2021SUBJECT TO COMPLETION, DATED MARCH 22, 2024

 

PRELIMINARY PROSPECTUS

 

6,000,000

4,400,001 Shares of Common Stock

Issuable upon Exercise of Outstanding Warrants

 

This prospectus relates to the resale from time to time, by the selling stockholder identified in this prospectus under the caption “Selling Stockholder,” of up to 6,000,0004,400,001 shares of Motus GI Holdings, Inc. (the “Company,” “we,” “our” or “us”) common stock, par value $0.0001 per share (the “Warrant Shares”Common Stock), it may acquireby the selling stockholder listed in this prospectus or their permitted transferees (the “Selling Stockholder”). The shares of Common Stock registered for resale pursuant to this prospectus consist of (i) 2,200,000 shares of Common Stock (the “Series B-1 Warrant Shares”) issuable upon the exercise of outstandingSeries B-1 warrants which we refer to as(the “Series B-1 Warrants”) and (ii) 2,200,001 shares of Common Stock (the “Series B-2 Warrant Shares”, and together with the “Warrants”Series B-1 Warrant Shares, the “Warrant Shares”) issuable upon the exercise of Series B-2 warrants (the “Series B-2 Warrants” and together with the Series B-1 Warrants, the “Warrants”). WeThe Warrants were issued the Warrants to the selling stockholder pursuant to that certain Warrant Exercise AgreementSelling Stockholder in a private placement offering (the “Exercise Agreement”Private Placement), dated as of January 27, 2021, between which closed on February 26, 2024.

For additional information about the CompanyPrivate Placement, see “Private Placement.”

The Series B-1 Warrants and the selling stockholder.

Series B-2 Warrants have an exercise price of $0.74 per share. The selling stockholderSeries B-1 Warrants will be exercisable upon issuance until the five (5) year anniversary of the date of issuance. The Series B-2 Warrants will be exercisable upon issuance until eighteen (18) months after the date of issuance. The Selling Stockholder may, from time to time, sell, transfer or otherwise dispose of any or all of their shares of common stockCommon Stock or interests in their shares of common stockCommon Stock on any stock exchange, market or trading facility on which the shares of common stockCommon Stock are traded or in private transactions. These dispositions may be at fixed prices, at prevailing market prices at the time of sale, at prices related to the prevailing market price, at varying prices determined at the time of sale, or at negotiated prices. See “PlanPlan of Distribution”Distribution in this prospectus for more information. We will not receive any proceeds from the resale or other disposition of the common stockshares of Common Stock by the selling stockholder.Selling Stockholder. However, we will receive the proceeds of any cash exercise of the Warrants. See “UseUse of Proceeds”Proceeds beginning on page 48 and “PlanPlan of Distribution”Distribution beginning on page 69 of this prospectus for more information.

 

No underwriter or other person has been engaged to facilitate the sale of the Warrant Shares in this offering. The Selling Stockholders may, individually but not severally, be deemed to be an “underwriter” within the meaning of the Securities Act, of the Warrant Shares that they are offering pursuant to this prospectus. We will bear all costs, expenses and fees in connection with the registration of the Warrant Shares. The Selling Stockholder will bear all commissions and discounts, if any, attributable to its sales of the Warrant Shares.

Our common stockCommon Stock is listed on theThe Nasdaq Capital Market (“Nasdaq”) under the symbol “MOTS.”“MOTS”. On March 15, 2021,20, 2024, the last reported sale price of our common stockCommon Stock as reported on the Nasdaq Capital Market was $1.60 per share.$0.52.

 

We are an “emerging growth company” as that term is used in the Jumpstart Our Business Startups Act of 2012, and, as such, we have elected to take advantage of certain reduced public company reporting requirements for this prospectus and future filings.

You should read this prospectus, together with additional information described under the headings “Information IncorporatedIncorporation of Certain Information by Reference”Reference and “WhereWhere You Can Find More Information,” carefully before you invest in any of our securities.

 

An investment in our securities involves a high degree of risk. Before deciding whether to invest in our securities, you should consider carefully the risks and uncertainties described in the section captioned “Risk Factors”Risk Factors contained in our Annual Report on Form 10-K for the fiscal year ended December 31, 20202023, filed with the Securities and Exchange Commission, or the SEC, on March 16, 202118, 2024 and our other filings we make with the Securities and Exchange CommissionSEC from time to time, which are incorporated by reference herein in their entirety, together with other information in this prospectus and the information incorporated by reference herein.

 

Neither the Securities and Exchange CommissionSEC nor any state securities commission has approved or disapproved of these securities or determined if this prospectus is truthful or complete. Any representation to the contrary is a criminal offense.

 

The date of this Prospectusprospectus is                 , 20212024

 

 

 

TABLE OF CONTENTS

 

Page
FORWARD-LOOKING STATEMENTSii
PROSPECTUS SUMMARY1
RISK FACTORS4
CAUTIONARY NOTE REGARDING FORWARD-LOOKING STATEMENTS5
PRIVATE PLACEMENT6
SELLING STOCKHOLDER7
USE OF PROCEEDS48
SELLING STOCKHOLDERS5
PLAN OF DISTRIBUTION6
DETERMINATION OF OFFERING PRICE8
DESCRIPTION OF CAPITAL STOCK8
LEGAL MATTERS9
EXPERTSDESCRIPTION OF SECURITIES9
ADDITIONAL INFORMATION10
LEGAL MATTERS12
EXPERTS12
WHERE YOU CAN FIND MORE INFORMATION13
INCORPORATION OF CERTAIN INFORMATION BY REFERENCE1014

Motus GI Holdings, Inc., and its consolidated subsidiaries are referred to herein as “Motus,” “the Company,” “we,” “us” and “our,” unless the context indicates otherwise.

You may only rely on the information contained in this prospectus or that we have referred you to. We have not authorized anyone to provide you with different information. This prospectus does not constitute an offer to sell or a solicitation of an offer to buy any securities other than the securities offered by this prospectus. This prospectus and any future prospectus supplement do not constitute an offer to sell or a solicitation of an offer to buy any securities in any circumstances in which such offer or solicitation is unlawful. Neither the delivery of this prospectus or any prospectus supplement nor any sale made hereunder shall, under any circumstances, create any implication that there has been no change in our affairs since the date of this prospectus or such prospectus supplement or that the information contained by reference to this prospectus or any prospectus supplement is correct as of any time after its date.

 

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CAUTIONARY NOTE REGARDING FORWARD-LOOKING STATEMENTSPROSPECTUS SUMMARY

 

This summary highlights information contained elsewhere in this prospectus and the documents incorporated by reference herein contain, and our officers and representatives may from time to time make, “forward-looking statements,” which include information relating to future events, future financial performance, financial projections, strategies, expectations, competitive environment and regulation. Words such as “may,” “should,” “could,” “would,” “predicts,” “potential,” “continue,” “expects,” “anticipates,” “future,” “intends,” “plans,” “believes,” “estimates,” “goal,” “seek,” “project,” “strategy,” “likely,” and similar expressions, as well as statements in future tense, identify forward-looking statements. Forward-looking statements are neither historical facts, nor should they be read as a guarantee of future performance or results and may not be accurate indications of when such performance or results will be achieved. Forward-looking statements are based on information we have when those statements are made or management’s good faith belief as of that time with respect to future events, and are subject to risks and uncertainties that could cause actual performance or results to differ materially from those expressed in or suggested by the forward-looking statements. Important factors that could cause such differences include, but are not limited to:

our limited operating history;
our history of operating losses in each year since inception and expectation that we will continue to incur operating losses for the foreseeable future;
our current and future capital requirements to support our development and commercialization efforts for the Pure-Vu System and our ability to satisfy our capital needs;
our dependence on the Pure-Vu System, our sole product;
our ability to obtain approval from regulatory agents in different jurisdictions for the Pure-Vu System;
our Pure-Vu System and the procedure to cleanse the colon in preparation for colonoscopy are not currently separately reimbursable through private or governmental third-party payors;
our lack of a developed sales and marketing organization and our ability to commercialize the Pure-Vu System;
our dependence on third-parties to manufacture the Pure-Vu System;
our ability to maintain or protect the validity of our patents and other intellectual property;
our ability to retain key executives and medical and science personnel;
our ability to internally develop new inventions and intellectual property;
interpretations of current laws and the passages of future laws;
acceptance of our business model by investors;
the accuracy of our estimates regarding expenses and capital requirements;
our ability to adequately support growth; and
our ability to project in the short term the hospital medical device environment considering the global pandemic and strains on hospital systems.

You should rely only on the information in this prospectus. We have not authorized any other person to provide you with different information. If anyone provides you with different or inconsistent information, you should not rely upon it.

These forward-looking statements, which are subject to risks, uncertainties and assumptions about us, may include projections of our future financial performance, our anticipated growth strategies and anticipated trends in our business. These statements are only predictions based on our current expectations and projections about future events. There are important factors that could cause our actual results, level of activity, performance or achievements to differ materially from the results, level of activity, performance or achievements expressed or implied by the forward-looking statements, including those factors discussed under the caption entitled “Risk Factors” in our Annual Report on Form 10-K for the fiscal year ended December 31, 2020 filed with the Securities and Exchange Commission on March 16, 2021 and other filings we make with the Securities and Exchange Commission from time to time.

Although we believe the expectations reflected in the forward-looking statements are reasonable, we cannot guarantee future results, level of activity, performance or achievements. Moreover, neither we nor any other person assumes responsibility for the accuracy and completeness of any of these forward-looking statements. We are under no duty to update any of these forward-looking statements after the date of this prospectus to conform our prior statements to actual results or revised expectations.

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PROSPECTUS SUMMARY

The followingherein. This summary highlights some information from this prospectus. It is not complete and does not contain all of the information that you should consider before making an investment decision.deciding to invest in our securities. You should read this entire prospectus carefully, including the section entitled “Risk Factors” sectionbeginning on page 4, and the disclosures to which that section refers you, theour consolidated financial statements and the related notes and the other more detailed information appearing elsewhere or incorporated by reference into this prospectus before investing in any of the securities described in this prospectus.making an investment decision.

 

When usedThis prospectus and the information incorporated by reference herein unless the context requires otherwise,contain references to the “Company,” “Holdings,” “we,” “our”trademarks, service marks and “us” refer to Motus GI Holdings, Inc., a Delaware corporation, collectively with our direct wholly-owned subsidiaries, Motus GI Medical Technologies, Ltd., an Israeli corporation,trade names owned by us or other companies. Solely for convenience, trademarks, service marks and Motus GI, LLC, a Delaware limited liability company.

All trademarks or trade names referred to in this prospectus and the information incorporated by reference herein, including logos, artwork, and other visual displays, may appear without the ® or ® symbols, but such references are not intended to indicate, in any way, that we will not assert, to the fullest extent under applicable law, our rights or the rights of the applicable licensor to these trademarks, service marks and trade names. We do not intend our use or display of other companies’ trade names, service marks or trademarks to imply a relationship with, or endorsement or sponsorship of us by, any other companies. Other trademarks, trade names and service marks appearing in this prospectus and the documents incorporated by reference herein are the property of their respective owners. Solely

Corporate Overview

We have developed the Pure-Vu System, a medical device that has been cleared by the U.S. Food and Drug Administration (the “FDA”) to help facilitate the cleansing of a poorly prepared gastrointestinal tract during colonoscopy and to help facilitate upper gastrointestinal (“GI”) endoscopy procedures and colonoscopies. A redesigned version of the system received FDA 510(k) clearance in Q4 of 2023 which improves the overall ease of use of the system and lowers the overall cost of goods by nearly 50%. An earlier version of the Pure-Vu System is also CE marked in the European Economic Area (EEA) for convenience,use in colonoscopy. The Pure-Vu System integrates with standard and slim colonoscopes, as well as gastroscopes, to improve visualization during colonoscopy and upper GI procedures while preserving established procedural workflow and techniques. Through irrigation and evacuation of debris, the Pure-Vu System is designed to provide better-quality exams. Challenges exist for inpatient colonoscopy and endoscopy, particularly for patients who are elderly, with comorbidities, or active bleeds, where the ability to visualize, diagnose and treat is often compromised due to debris, including fecal matter, blood, or blood clots. We believe this is especially true in high acuity patients, like GI bleeding where the existence of blood and blood clots can impair a physician’s view and removing them can be critical in allowing a physician the ability to identify and treat the source of bleeding on a timely basis. We believe use of the Pure-Vu System may lead to positive outcomes and lower costs for hospitals by safely and quickly improving visualization of the colon and upper GI tract, potentially enabling effective diagnosis and treatment without delay. In multiple clinical studies to date, involving the treatment of challenging inpatient and outpatient cases, the Pure-Vu System has consistently helped achieve adequate bowel cleanliness rates greater than 95% following a reduced prep regimen. We also believe that the technology may be useful in the future as a tool to help reduce user dependency on conventional pre-procedural bowel prep regimens. Based on our review and analysis of 2019 market data and 2021 projections for the U.S. and Europe, as obtained from iData Research Inc., we believe that during 2023 approximately 1.5 million inpatient colonoscopy procedures were performed in the U.S. and approximately 4.8 million worldwide. Upper GI bleeds occurred in the U.S. at a rate of approximately 400,000 cases per year in 2019, according to iData Research Inc. The Pure-Vu System has been assigned an ICD-10 code in the US. The system does not currently have unique codes with any private or governmental third-party payors in any other country or for any other use; however, we may pursue reimbursement activities in the future, particularly in the outpatient colonoscopy market. Since we received 510(k) clearance in Q4 2023 from the FDA for the new Pure-Vu EVS System for use in the Upper GI tract and Colon we commenced limited market introduction of this product at the end of 2023. Both devices leverage the same Workstation and feature key enhancements such as a larger and more powerful suction channel, more efficient irrigation jets, a smaller profile distal tip that offers enhanced flexibility during insertion, enhanced navigation and a much easier bed side set up.

Corporate Information

We are a Delaware corporation formed in September 2016 under the name Eight-Ten Merger Corp. In November 2016, we changed our name to Motus GI Holdings, Inc. We are the parent company of Motus GI Medical Technologies Ltd., an Israeli corporation, and Motus GI, LLC (formerly Motus GI, Inc.), a Delaware limited liability company. Motus GI, Inc. was converted from a Corporation into a Limited Liability Company effective January 1, 2021.

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Our principal executive offices are located at 1301 East Broward Boulevard, 3rd Floor, Ft. Lauderdale, FL 33301. Our phone number is (954) 541-8000 and our web address is www.motusgi.com.

We make available free of charge on or through the Investor Relations link on our website, www.motusgi.com, access to press releases and investor presentations, as well as all materials that we file electronically with the SEC, including our annual reports on Form 10-K, quarterly reports on Form 10-Q, current reports on Form 8-K and amendments to those reports, filed or furnished pursuant to Section 13(a) or 15(d) of the Exchange Act as soon as reasonably practicable after electronically filing such materials with, or furnishing them to, the SEC. The SEC maintains an Internet website, www.sec.gov, that contains reports, proxy and information statements and other information that we file electronically with the SEC.

“Motus GI,” “Pure-Vu,” and our other registered or common law trademarks, andservice marks or trade names appearing herein are the property of Motus GI Holdings, Inc. Some trademarks referred to in this prospectusreport are referred to without the ® and ™ symbols, but such references should not be construed as any indicator that their respective owners will not assert, to the fullest extent under applicable law, their rights thereto. We do not intend the use or display of other companies’ trademarks and trade names to imply a relationship with, or endorsement or sponsorship of us by, any other companies.

 

Overview

We have developed the Pure-Vu System (the “Pure-Vu System”), a medical device that has received 510(k) clearance from the U.S. Food and Drug Administration (the “FDA”). In June 2019, the 510(k) premarket notification for the second-generation of the Pure-Vu System was reviewed and cleared by the FDA. The second-generation of our Pure-Vu System has received CE Mark approval in the European Economic Area. The Pure-Vu System is indicated to help facilitate the cleaning of a poorly prepared colon during the colonoscopy procedure. The device integrates with standard and slim colonoscopes to enable safe and rapid cleansing during the procedure while preserving established procedural workflow and techniques by irrigating the colon and evacuating the irrigation fluid (water), feces and other bodily fluids and matter. We believe that the technology may be useful in the future as a tool to help reduce user dependency on conventional pre-procedural bowel prep regimens. Challenges with bowel preparation for inpatient colonoscopy represent a significant area of unmet need that directly affects clinical outcomes and increases the cost of care for a hospital in a market segment where most of the reimbursement is under a bundle payment based on a Medicare Severity Diagnostic Related Group (a “MS-DRG”). Based on our review and analysis of 2019 market data and 2021 projections for the U.S. and Europe, as obtained from iData Research Inc., we estimate that during 2021 approximately 1.5 million inpatient colonoscopy procedures will be performed in the U.S. and approximately 4.8 million inpatient colonoscopy procedures will be performed worldwide. The Pure-Vu System does not currently have a unique reimbursement code with any private or governmental third-party payors in any country. We began commercialization in the fourth quarter of 2019, with the first commercial placements of our second generation Pure-Vu System as part of our initial U.S. market launch targeting early adopter hospitals. We do not expect to generate significant revenue from product sales until the COVID-19 pandemic has subsided and we expand our commercialization efforts for the Pure-Vu System, which is subject to significant uncertainty.

Recent Developments

Warrant Exchange 

On January 27, 2021, we entered into the Exercise Agreement with the investor party thereto (the “Investor”). Pursuant to the Exercise Agreement, in order to induce the Investor to exercise certain previously issued warrants (the “Old Warrants”) for cash, we agreed, subject to beneficial ownership limitationsInformation contained in, the Old Warrants, to issue to the Investor Warrants to purchase 0.75 shares of common stock for each share of common stock issued upon such exercise of the remaining 8,000,000 outstanding Old Warrants, or an aggregate of 6,000,000 Warrants. The Warrants have an exercise price of $2.12, were immediately exercisable upon issuance and expire on January 27, 2026.

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Implications of Being an Emerging Growth Company

We are an “emerging growth company,” as defined in the Jumpstart Our Business Startups Act of 2012 (the “JOBS Act”), and, for as long as we continue to be an “emerging growth company,” we may choose to take advantage of exemptions from various reporting requirements applicable to other public companies but not to “emerging growth companies,” including, but not limited to, not being required to comply with the auditor attestation requirements of Section 404 of the Sarbanes-Oxley Act of 2002, as amended, (the “Sarbanes-Oxley Act”), reduced disclosure obligations regarding executive compensation in our periodic reports and proxy statements, and exemptions from the requirements of holding a nonbinding advisory vote on executive compensation and stockholder approval of any golden parachute payments not previously approved. We could be an “emerging growth company” for up to five years from the date of our initial public offering in February 2018, or until the earliest of (i) the last day of the first fiscal year in which our annual gross revenues exceed $1.07 billion, (ii) the date that we become a “large accelerated filer” as defined in Rule 12b-2 under the Exchange Act, which would occur if the market value of our Common Stock that is held by non-affiliates exceeds $700 million as of the last business day of our most recently completed second fiscal quarter, or (iii) the date on which we have issued more than $1 billion in non-convertible debt during the preceding three-year period. We intend to take advantage of these reporting exemptions described above until we are no longer an “emerging growth company.” Under the JOBS Act, “emerging growth companies” can also delay adopting new or revised accounting standards until such time as those standards apply to private companies. We have irrevocably elected not to avail ourselves of this exemption from new or revised accounting standards and, therefore, we will be subject to the same new or revised accounting standards as other public companies that are not “emerging growth companies.”

Corporate Information

We are a Delaware corporation formed in September 2016 under the name Eight-Ten Merger Corp. In November 2016, we changed our name to Motus GI Holdings, Inc. We are the parent company of Motus GI Medical Technologies Ltd., an Israeli corporation, and Motus GI, LLC a Delaware limited liability company.

Our principal executive offices are located at 1301 East Broward Boulevard, 3rd Floor, Ft. Lauderdale, FL 33301. Our phone number is (954) 541-8000 and our web address is www.motusgi.com. Our website and the information contained on, or that can be accessedaccessible through, our website willdoes not be deemed to be incorporated by reference in, and are not consideredconstitute part of this prospectus.prospectus or registration statement and inclusions of our website address in this prospectus or registration statement are inactive textual references only. You should not rely on our website or any such information in making your decision whether to purchase our securities.

 

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The Offering

This prospectus relates to the resale or other disposition from time to time by the selling stockholder identified in this prospectus of up to 6,000,000 shares of our common stock issuable upon exercise of the Warrants. None of the shares registered hereby are being offered for sale by us.THE OFFERING

 

Shares of Common stockStock offered by the selling stockholderSelling Stockholder Up to 6,000,0004,400,001 shares of common stockCommon Stock issuable upon exercise of the Warrants.
   
Use of proceedsProceeds We will not receive any proceeds from the sale of shares of common stockCommon Stock offered by the selling stockholder underSelling Stockholder pursuant to this prospectus. However, we will receive the proceeds of any cash exercise of the Warrants. If all of the Warrants were exercised for cash, we would receive aggregate proceeds of approximately $12.7 million. We intend to use the net proceeds from any cash exercise of the Warrants to fund commercialization activities for our Pure-Vu System, to continue research and development activities, including clinical and regulatory development and for the continued development and enhancement of the Pure-Vu System, and acquisitions or investments in businesses, products or technologies that are complementary to our own. We intend to use the remaining net proceeds for working capital and other general corporate purposes. Please see the section entitled see “Use of Proceeds” on page 8 of this prospectus for a more detailed discussion.
   
National Securities Exchange Listing Information Our common stockCommon Stock is currently listed on the Nasdaq Capital Market under the symbol “MOTS.” On March 15, 2021,“MOTS”. There is no established public trading market for the last reported sale priceWarrants 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 our common stock as reported on the Nasdaq Capital Market was $1.60 per share.Warrants will be limited.
   
Risk Factors 

An investment in our securities involves a high degree of risk. BeforePlease see the section entitled “Risk Factors” beginning on page 4 of this prospectus. In addition before deciding whether to invest in our securities, you should consider carefully the risks and uncertainties described in the section captioned “Risk Factors”Risk Factors contained in our Annual Report on Form 10-K for the fiscal year ended December 31, 20202023 filed with the Securities and Exchange CommissionSEC on March 16, 202118, 2024, and other filings we make with the Securities and Exchange CommissionSEC from time to time, which are incorporated by reference herein in their entirety, together with other information in this prospectus and the information incorporated by reference herein.

 

The number of shares of Common Stock to be outstanding upon completion of this offering is based on 5,210,876 of our shares of Common Stock outstanding as of March 19, 2024 and excludes the following:

98,905 shares of Common Stock reserved for future issuance under the 2016 Equity Incentive Plan, as amended, as of January 1, 2024;
60,170 shares of Common Stock issuable upon the exercise of options outstanding as of March 19, 2024, with a weighted average exercise price of $171.23 per share; and
18,487,402 shares of Common Stock issuable upon the exercise of outstanding warrants to purchase shares of Common Stock with a weighted-average exercise price of $1.64 per share.

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RISK FACTORS

 

An investment in our securities involves a high degree of risk. Before deciding whether to invest in our securities, you should consider carefully the risks and uncertainties described in the section captioned “Risk Factors”Risk Factors contained in our Annual Report on Form 10-K for the fiscal year ended December 31, 20202023 filed with the Securities and Exchange CommissionSEC on March 16, 202118, 2024, and our other filings we make with the Securities and Exchange CommissionSEC from time to time, which are incorporated by reference herein in their entirety, together with other information in this prospectus and the information incorporated by reference herein. For a description of these reports and documents, and information about where you can find them, see “Additional Information” and “Incorporation of Certain Information By Reference.” Additional risks not presently known or that we presently consider to be immaterial could subsequently materially and adversely affect our and the information incorporated by reference herein. If any of these risks actually occurs, our business, financial condition, results of operations or cash flow could suffer materially. In such an event, the trading price of our common stockshares of Common Stock could decline, and you might lose all or part of your investment.

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CAUTIONARY NOTE REGARDING FORWARD-LOOKING STATEMENTS

 

Except for historical information, this prospectus contains forward-looking statements made pursuant to the safe harbor provisions of the Private Securities Litigation Reform Act of 1995 under Section 27A of the Securities Act of 1933, as amended (the “USE OF PROCEEDSSecurities Act”) and Section 21E of the Securities Exchange Act of 1934, as amended (the “Exchange Act”). Forward-looking statements include statements with respect to our beliefs, plans, objectives, goals, expectations, anticipations, assumptions, estimates, intentions and future performance, and involve known and unknown risks, uncertainties and other factors, which may be beyond our control, and which may cause our actual results, performance or achievements to be materially different from future results, performance or achievements expressed or implied by such forward-looking statements. All statements other than statements of historical fact are statements that could be forward-looking statements. You can identify these forward-looking statements through our use of words such as “may,” “can,” “anticipate,” “assume,” “should,” “indicate,” “would,” “believe,” “contemplate,” “expect,” “seek,” “estimate,” “continue,” “plan,” “point to,” “project,” “predict,” “could,” “intend,” “target,” “potential” and other similar words and expressions of the future.

 

There are a number of important factors that could cause the actual results to differ materially from those expressed in any forward-looking statement made by us. These factors include, but are not limited to:

our limited operating history and need for additional capital;
our ability to execute our strategic restructuring program aimed at capital preservation, reduction in cash expenditures and reduction of our workforce;
our ability to enter into and consummate strategic alternatives, including any acquisition, merger, reverse merger, other business combination, sale of assets, licensing and other strategic transactions;
our history of operating losses in each year since inception and expectation that we will continue to incur operating losses for the foreseeable future;
our current and future capital requirements to support our development and commercialization efforts for the Pure-Vu System and our ability to satisfy our capital needs;
our ability to remain compliant with the requirements of The Nasdaq Capital Market for continued listing;
our dependence on the Pure-Vu System, our sole product;
our ability to commercialize the Pure-Vu System;
our Pure-Vu System and the procedure to cleanse the colon in preparation for colonoscopy are not currently separately reimbursable through private or governmental third-party payors;
our ability to obtain approval or certification from regulatory agents or other competent entities in different jurisdictions for the Pure-Vu System;
our dependence on third-parties to manufacture the Pure-Vu System;
our ability to maintain or protect the validity of our patents and other intellectual property;
our ability to retain key executives and medical and science personnel;
our ability to internally develop new inventions and intellectual property;
interpretations of current laws and the passages of future laws;
acceptance of our business model by investors;
the accuracy of our estimates regarding expenses and capital requirements;
our ability to adequately support growth;
our ability to predict the financial impact of inflation on costs such as labor, freight and materials;
our ability to project in the short term the hospital medical device environment considering the global pandemic and strains on hospital systems;
the impact of the events occurring in the Middle East and the conflict taking place in Israel; and
other factors discussed in our most recent Annual Report on Form 10-K.

The foregoing does not represent an exhaustive list of matters that may be covered by the forward-looking statements contained herein or risk factors that we are faced with that may cause our actual results to differ from those anticipated in such forward-looking statements. The events and circumstances reflected in our forward-looking statements may not be achieved or occur and actual results could differ materially from those projected in the forward-looking statements. You should review the factors and risks and other information we describe in our most recent Annual Report on Form 10-K, as well as any amendments thereto reflected in subsequent reports we will file from time to time with the SEC.

All forward-looking statements are expressly qualified in their entirety by this cautionary note. You are cautioned to not place undue reliance on any forward-looking statements, which speak only as of the date of this prospectus or the date of the document incorporated by reference herein. You should read this prospectus and the documents that we incorporate by reference and have filed as exhibits to the registration statement, of which this prospectus is a part, completely and with the understanding that our actual future results may be materially different from what we expect. In light of the significant uncertainties in these forward-looking statements, you should not regard these statements as a representation or warranty by us or any other person that will achieve our objectives and plans in any specified time frame, or at all. We have no obligation, and expressly disclaims any obligation, to update, revise or correct any of the forward-looking statements, whether as a result of new information, future events or otherwise. We have expressed our expectations, beliefs and projections in good faith and believe they have a reasonable basis. However, we cannot assure you that our expectations, beliefs or projections will not receive anyresult or be achieved or accomplished.

5

PRIVATE PLACEMENT

On February 21, 2024, we entered into a warrant exchange agreement (the “Warrant Exchange Agreement”) with the Selling Stockholder holding certain of our existing warrants to purchase up to an aggregate of 2,933,334 shares of Common Stock, issued to the Selling Stockholder on December 21, 2023 (the “Existing Warrants”). Pursuant to the Warrant Exchange Agreement, the Selling Stockholder agreed to exercise for cash its Existing Warrants at a reduced exercise price of $0.925 per share in consideration for our agreement to issue in a private placement the Series B-1 Warrants and the Series B-2 Warrants. The Series B-1 Warrants and the Series B-2 Warrants have an exercise price of $0.74 per share. The Series B-1 Warrants will be exercisable upon issuance until the five (5) year anniversary of the date of issuance. The Series B-2 Warrants will be exercisable upon issuance until eighteen (18) months after the date of issuance. The Series B-1 Warrants and the Series B-2 Warrants were issued on February 26, 2024. We received aggregate gross proceeds of approximately $2.7 million from the sale of shares of common stock offered by the selling stockholder under this prospectus. However, we will receive the proceeds of any cash exercise of the Warrants. If allExisting Warrants, before deducting financial advisory fees and other offering expenses payable by us.

Pursuant to the Warrant Exchange Agreement, we agreed to file a registration statement on Form S-3 (or other appropriate form if the Company is not then Form S-3 eligible) providing for the resale of the Series B-1 Warrant Shares and the Series B-2 Warrant Shares within five (5) business days of the filing of our Annual Report on Form 10-K for the fiscal year ended December 31, 2023, and to use commercially reasonable efforts to cause such registration statement to be declared effective by the SEC within 30 calendar days following the date of the filing of the resale registration statement with the SEC and to keep such registration statement effective at all times until the Holder no longer owns any Series B-1 Warrants were exercised foror Series B-2 Warrants or the shares issuable upon exercise thereof.

We engaged A.G.P./Alliance Global Partners (the “Financial Advisor”) to act as our financial advisor in accordance with that certain financial advisory agreement, by and between us and the Financial Advisor, dated as of February 21, 2023 (the “Engagement Letter”), in connection with the transactions summarized above. We paid the Financial Advisor (i) a cash we would receive aggregate proceedsfee of approximately $12.7 million. We intend$135,000, equal to use5.0% of the netaggregate gross proceeds received from any cashthe Selling Stockholder’s exercise of its Existing Warrants and (ii) $50,000 for reimbursement of certain expenses in connection with the Warrantstransaction pursuant to fund commercialization activities for our Pure-Vu System, to continue researchthe terms and development activities, including clinical and regulatory development and for the continued development and enhancementconditions of the Pure-Vu System, and acquisitions or investments in businesses, products or technologies that are complementary to our own. We intend to use the remaining net proceeds for working capital and other general corporate purposes.Engagement Letter.

 


6

SELLING STOCKHOLDER

 

This prospectus covers the resale or other disposition by the selling stockholderSelling Stockholder identified in the table below of up to an aggregate of 6,000,0004,400,001 shares of our common stockCommon Stock issuable upon the exercise of our outstandingthe Warrants.

The selling stockholderSelling Stockholder acquired its securities in the transactions described above under the heading “Prospectus Summary – Recent Developments – Warrant Exchange.“Private Placement.

 

The Warrants held by the selling stockholderSelling Stockholder contain limitations which prevent the holder from exercising those warrantssuch Warrants if such exercise would cause the selling stockholder,Selling Stockholder, together with certain related parties, to beneficially own a number of shares of common stockCommon Stock which would exceed 4.99% of our then outstanding common stockshares of Common Stock following such exercise, excluding for purposes of such determination, common stockshares of Common Stock issuable upon exercise of the Warrants which have not been exercised.

 

The table below sets forth, as of February 23, 2021,March 19, 2024, the following information regarding the selling stockholder:Selling Stockholder:

 

 the namenames of the selling stockholder;Selling Stockholder;

 the number of shares of common stockCommon Stock owned by the selling stockholderSelling Stockholder prior to this offering, without regard to any beneficial ownership limitations contained in the Warrants ;Warrants;

 the number of shares of common stockCommon Stock to be offered by the selling stockholderSelling Stockholder in this offering;

 the number of shares of common stockCommon Stock to be owned by the selling stockholderSelling Stockholder assuming the sale of all of the shares of common stockCommon Stock covered by this prospectus; and

 the percentage of our issued and outstanding shares of common stockCommon Stock to be owned by the selling stockholderSelling Stockholder assuming the sale of all of the common stockshares of Common Stock covered by this prospectus based on the number of shares of common stockCommon Stock issued and outstanding as of February 23, 2021.March 19, 2024.

 

Except as described above, the number of shares of common stockCommon Stock beneficially owned by the selling stockholderSelling Stockholder has been determined in accordance with Rule 13d-3 under the Exchange Act and includes, for such purpose, shares of common stockCommon Stock that the selling stockholderSelling Stockholder has the right to acquire within 60 days of February 23, 2021.March 19, 2024.

 

All information with respect to the common shareCommon Stock ownership of the selling stockholderSelling Stockholder has been furnished by or on behalf of the selling stockholder.Selling Stockholder. We believe, based on information supplied by the selling stockholder,Selling Stockholder, that except as may otherwise be indicated in the footnotes to the table below, the selling stockholderSelling Stockholder has sole voting and dispositive power with respect to the shares of common stockCommon Stock reported as beneficially owned by it.the Selling Stockholder. Because the selling stockholderSelling Stockholder identified in the table may sell some or all of the shares of common stockCommon Stock beneficially owned by itthem and covered by this prospectus, and because there are currently no agreements, arrangements or understandings with respect to the sale of any of the shares of common stock,Common Stock, no estimate can be given as to the number of shares of common stockCommon Stock available for resale hereby that will be held by the selling stockholderSelling Stockholder upon termination of this offering. In addition, the selling stockholderSelling Stockholder may have sold, transferred or otherwise disposed of, or may sell, transfer or otherwise dispose of, at any time and from time to time, the shares of common stockCommon Stock they beneficially own in transactions exempt from the registration requirements of the Securities Act after the date on which they provided the information set forth in the table below. We have, therefore, assumed for the purposes of the following table, that the selling stockholderSelling Stockholder will sell all of the shares of common stockCommon Stock owned beneficially by it that are covered by this prospectus, but will not sell any other shares of common stockCommon Stock that they presently own. The selling stockholderExcept as set forth below, the Selling Stockholder has not held any position or office, or hashave otherwise had a material relationship, with us or any of our subsidiaries within the past three years other than as a result of the ownership of our common stockshares of Common Stock or other securities.

 

Name of Selling Stockholder Shares
Owned prior to
Offering
  Shares
Offered
by this
Prospectus
  Shares
Owned after
Offering
  Percentage of
Shares
Beneficially
Owned after
Offering
  

Shares

Owned

prior to

Offering (1)(2)

 

Shares

Offered

by this Prospectus

 

Shares

Owned after Offering

  Percentage of Shares Beneficially Owned after Offering (3) 
Armistice Capital Master Fund Ltd. (1)  6,000,000   6,000,000   -   - 
Armistice Capital, LLC (4)  7,629,469(4)  4,400,001(5)  273,500(6)  4.99%

 

(1)Based upon the internal books and records of the Company.
(2)Includes shares of Common Stock that are not being offered pursuant to this prospectus.
(3)Percentage is based on 5,210,876 share of Common Stock outstanding as of March 19, 2024, and rounded to the nearest tenth of a percent.

(4)

Consists of (i) Series B-1 Warrants to purchase up to 6,000,0002,200,000 shares of common stock.Common Stock, (ii) Series B-2 Warrants to purchase up to 2,200,001 shares of Common Stock and (iii) warrants to purchase up to 3,229,468 shares of Common Stock (provided that the Warrants set forth in the foregoing (i), (ii) and (iii) are subject to a beneficial ownership blocker of 4.99%). The exercise of the Warrantssecurities are directly held by Armistice Capital Master Fund Ltd., a Cayman Islands exempted company (the “Fund”Master Fund), and may be deemed to be beneficially owned by: (i) Armistice Capital, LLC (“Armistice Capital”), as the investment manager of the Master Fund; and (ii) Steven Boyd, as the Managing Member of Armistice Capital. The warrants are subject to a 4.99% beneficial ownership blocker.  The numberlimitation of shares listed4.99%, which such limitation restricts the Selling Stockholder from exercising that portion of the warrants that would result in the secondSelling Stockholder and fourth columns are based on theits affiliates owning, after exercise, a number of shares of common stock and the Warrants held by Armistice, assuming exercise in fullexcess of the Warrants without regard to any limitations on exercise.  Armistice Capital, LLC (“Armistice Capital”), the investment manager of the Fund, and Steven Boyd, the managing memberbeneficial ownership limitation. The address of Armistice Capital hold shared voting and dispositive power over the shares held by the Fund.  Each of Armistice Capital and Steven Boyd disclaims beneficial ownership of the securities listed except to the extent of their pecuniary interest therein. The address of theMaster Fund Ltd. is c/o Armistice Capital, LLC, 510 Madison Avenue, 7th Floor, New York, NY 10022.
(5)The number of shares offered by this prospectus consists of Warrants issued in the Private Placement to purchase up to an aggregate of 4,400,001 shares of Common Stock (without giving effect to the 4.99% beneficial ownership limitation contained in such Warrants).
(6)The shares beneficially owned after this offering give effect to the 4.99% beneficial ownership limitation contained in the Warrants held by the Selling Stockholder.

5

7

 

 

PLANUSE OF DISTRIBUTIONPROCEEDS

 

The selling stockholder, which as used herein includes donees, pledgees, transferees or other successors-in-interest sellingCommon Stock to be offered and sold using this prospectus will be offered and sold by the Selling Stockholder named in this prospectus. Accordingly, we will not receive any proceeds from any sale of shares of common stock, or interestsCommon Stock in this offering. We will pay all of the sharesfees and expenses incurred by us in connection with this registration. However, we will receive the proceeds of common stock received afterany cash exercise of the dateWarrants. We intend to use the net proceeds from any cash exercise of this prospectus from a selling stockholder as a gift, pledge, partnership distribution or other transfer,the Warrants for working capital and general corporate purposes.

8

PLAN OF DISTRIBUTION

The Selling Stockholder of the securities and any of their pledgees, assignees and successors-in-interest may, from time to time, sell transfer or otherwise dispose of any or all of their shares of common stocksecurities covered hereby on The Nasdaq Capital Market or interests in the shares of common stock on any other stock exchange, market or trading facility on which the sharessecurities are traded or in private transactions. The selling stockholder may sell all or a portion of the shares of common stock held by it and offered hereby from time to time directly or through one or more underwriters, broker-dealers or agents. If the shares of common stock are sold through underwriters or broker-dealers, the selling stockholder will be responsible for underwriting discounts or commissions or agent’s commissions. The shares of common stock may be sold in one or more transactions at fixed prices, at prevailing market prices at the time of the sale, at varying prices determined at the time of sale or at negotiated prices. These sales may be effected in transactions, whichat fixed or negotiated prices. A Selling Stockholder may involve crosses or block transactions, pursuant touse any one or more of the following methods:methods when selling securities:

on any national securities exchange or quotation service on which the securities may be listed or quoted at the time of sale;

in the over-the-counter market;

in transactions otherwise than on these exchanges or systems or in the over-the-counter market;

through the writing or settlement of options or other hedging transactions, whether such options are listed on an options exchange or otherwise;

 

ordinary brokerage transactions and transactions in which the broker-dealer solicits purchasers;

block trades in which the broker-dealer will attempt to sell the sharessecurities as agent but may position and resell a portion of the block as principal to facilitate the transaction;

purchases by a broker-dealer as principal and resale by the broker-dealer for its account;

an exchange distribution in accordance with the rules of the applicable exchange;

privately negotiated transactions;

settlement of short sales effected after the date the registration statement of which this prospectus is a part was declared effective by the SEC;sales;

in transactions through broker-dealers maythat agree with a selling stockholderthe Selling Stockholder to sell a specified number of such sharessecurities at a stipulated price per share;security;

through the writing or settlement of options or other hedging transactions, whether through an options exchange or otherwise;
a combination of any such methods of sale; andor

any other method permitted pursuant to applicable law.

 

The aggregate proceeds to the selling stockholder from the sale of the shares of common stock offered by it will be the purchase price of the shares of common stock less discounts or commissions, if any. The selling stockholder reserves the right to accept and, together with their agents from time to time, to reject, in whole or in part, any proposed purchase of shares of common stock to be made directly or through agents. We will not receive any of the proceeds from sales of shares by the selling stockholder.

The selling stockholderSelling Stockholder may also sell shares of common stocksecurities under Rule 144 promulgatedor any other exemption from registration under the Securities Act, if available, rather than under this prospectus. In addition,

Broker-dealers engaged by the selling stockholderSelling Stockholder may transfer the shares of common stock byarrange for other means not describedbrokers-dealers to participate in this prospectus. If the selling stockholder effects such transactions by selling shares of common stock to or through underwriters, broker-dealers or agents, such underwriters, broker-dealers or agentssales. Broker-dealers may receive commissions in the form ofor discounts concessions or commissions from the selling stockholders or commissions from purchasers of the shares of common stock for whom they may actSelling Stockholder (or, if any broker-dealer acts as agent orfor the purchaser of securities, from the purchaser) in amounts to whom they may sell as principal (which discounts, concessions or commissions as to particular underwriters, broker-dealers or agents may be in excess of those customary in the types of transactions involvednegotiated, but, except as set forth in a supplement to this prospectus to the extent required,Prospectus, in the case of an agency transaction will not be in excess of a customary brokerage commission in compliance with Rule 2121 of the Financial Industry Regulatory Authority, or FINRA,; and in the case of a principal transaction a markup or markdown in compliance with FINRA Rule 5110).2121.

 


In connection with salesthe sale of the shares of common stocksecurities or otherwise,interests therein, the selling stockholderSelling Stockholder may enter into hedging transactions with broker-dealers or other financial institutions, which may in turn engage in short sales of the shares of common stocksecurities in the course of hedging inthe positions they assume. The selling stockholderSelling Stockholder may also sell shares of common stocksecurities short and deliver shares of common stock covered by this prospectusthese securities to close out their short positions, and to return borrowed shares in connection with such short sales. The selling stockholder may alsoor loan or pledge shares of common stockthe securities to broker-dealers that in turn may sell such shares.these securities. The selling stockholderSelling Stockholder may also enter into option or other transactions with broker-dealers or other financial institutions or the creation ofcreate one or more derivative securities which require the delivery to such broker-dealer or other financial institution of shares of common stocksecurities offered by this prospectus, which shares of common stocksecurities such broker-dealer or other financial institution may resell pursuant to this prospectus (as supplemented or amended to reflect such transaction).

 

The selling stockholder may pledge or grant a security interest in some or all of the shares of common stock owned by it and, if they default in the performance of their secured obligations, the pledgees or secured parties may offer and sell the shares of common stock from time to time pursuant to this prospectus or any amendment to this prospectus under Rule 424(b)(3) or other applicable provision of the Securities Act amending, if necessary, the list of selling stockholders to include the pledgee, transferee or other successors in interest as selling stockholders under this prospectus. The selling stockholder also may transfer and donate the shares of common stock in other circumstances as permitted by applicable law, in which case the transferees, donees, pledgees or other successors in interest will be the selling beneficial owners for purposes of this prospectus.

To the extent required by the Securities Act and the rules and regulations thereunder, the selling stockholderSelling Stockholder and any broker-dealer participatingbroker-dealers or agents that are involved in selling the distribution of the shares of common stocksecurities may be deemed to be “underwriters” within the meaning of the Securities Act.Act in connection with such sales. In such event, any commission paid,commissions received by such broker-dealers or agents and any discounts or concessions allowed to, any such broker-dealerprofit on the resale of the securities purchased by them may be deemed to be underwriting commissions or discounts under the Securities Act. The Selling stockholders who are deemed to be “underwriters” under the Securities Act (if any) will be subject to the prospectus delivery requirements of the Securities Act and may be subject to certain statutory liabilities of, including but not limited to, Sections 11, 12 and 17 of the Securities Act and Rule 10b-5 under the Exchange Act.

Each selling stockholderStockholder has informed us that it is not a registered broker-dealer and does not have any written or oral agreement or understanding, directly or indirectly, with any person to engage in a distributiondistribute the securities.

We are required to pay certain fees and expenses incurred by us incident to the registration of the sharessecurities. We have agreed to indemnify the Selling Stockholder against certain losses, claims, damages and liabilities, including liabilities under the Securities Act.

We agreed to keep this prospectus effective until the earlier of common stock. Upon us being notified in writing(i) the date on which the securities may be resold by a selling stockholder thatthe Selling Stockholder without registration and without regard to any material arrangement has been entered into with a broker-dealervolume or manner-of-sale limitations by reason of Rule 144, without the requirement for the distributionCompany to be in compliance with the current public information under Rule 144 under the Securities Act or any other rule of sharessimilar effect or (ii) all of common stock, athe securities have been sold pursuant to this prospectus supplement, if required,or Rule 144 under the Securities Act or any other rule of similar effect. The resale securities will be distributed, which will set forth the aggregate amount of shares of common stock being distributed and the terms of the offering, including the name or names of any broker-dealers or agents, any discounts, commissions and other terms constituting compensation from the selling stockholder and any discounts, commissions or concessions allowed or re-allowed or paid to broker-dealers.

Under the securities laws of some states, the shares of common stock may be sold in such states only through registered or licensed brokers or dealers.dealers if required under applicable state securities laws. In addition, in somecertain states, the shares of common stockresale securities covered hereby may not be sold unless such sharesthey have been registered or qualified for sale in suchthe applicable state or an exemption from the registration or qualification requirement is available and is complied with.

 

The selling stockholder may sell all, some or noneUnder applicable rules and regulations under the Exchange Act, any person engaged in the distribution of the sharesresale securities may not simultaneously engage in market making activities with respect to the Common Stock for the applicable restricted period, as defined in Regulation M, prior to the commencement of commonthe distribution. In addition, the Selling Stockholder will be subject to applicable provisions of the Exchange Act and the rules and regulations thereunder, including Regulation M, which may limit the timing of purchases and sales of the Common Stock by the Selling Stockholder or any other person. We will make copies of this prospectus available to the Selling Stockholder and have informed them of the need to deliver a copy of this prospectus to each purchaser at or prior to the time of the sale (including by compliance with Rule 172 under the Securities Act).

Our Common Stock is quoted on The Nasdaq Capital Market under the symbol “MOTS”.

9

DESCRIPTION OF SECURITIES

The following summary of the rights of our capital stock registered pursuantis not complete and is subject to and qualified in its entirety by reference to our certificate of incorporation, as amended from time to time and currently in effect (the “Certificate of Incorporation”), and our bylaws, as amended from time to time and currently in effect (the “Bylaws”), copies of which are filed copies of which are filed as exhibits to the registration statement of which this prospectus forms a part. If sold under the registration statement ofpart, which this prospectus forms a part, the shares of common stock registered hereunder will be freely tradable in the hands of persons other than our affiliates that acquire such shares.are incorporated by reference herein.

 

We have advised the selling stockholder that the anti-manipulation rules of Regulation M under the Exchange Act may apply to sales ofone hundred and twenty five million (125,000,000) shares of commoncapital stock in the marketauthorized under our Certificate of Incorporation, consisting of (i) one hundred and to the activities of the selling stockholder and its affiliates. In addition, to the extent applicable, we will make copies of this prospectus (as it may be supplemented or amended from time to time) available to the selling stockholder for the purpose of satisfying the prospectus delivery requirements of the Securities Act. The selling stockholder may indemnify any broker-dealer that participates in transactions involving the sale of thefifteen million (115,000,000) shares of commonCommon Stock with a par value of $0.0001 per share and (ii) ten million (10,000,000) shares designated as preferred stock against certain liabilities, including liabilities arising under the Securities Act.


DETERMINATION OF OFFERING PRICEwith a par value of $0.0001 per share. As of March 19, 2024, we had 5,210,876 shares of Common Stock outstanding and no shares of preferred stock outstanding.

 

The prices at which theadditional shares of our authorized capital stock available for issuance may be issued at times and under circumstances so as to have a dilutive effect on earnings per share and on the equity ownership of the holders of our common stock. The ability of our board of directors to issue additional shares of stock covered by this prospectus may actuallycould enhance the board’s ability to negotiate on behalf of the stockholders in a takeover situation but could also be sold will be determinedused by the prevailing public market price forboard to make a change-in-control more difficult, thereby denying stockholders the potential to sell their shares common stock, by negotiations between the selling stockholderat a premium and buyersentrenching current management.

Common Stock

The holders of our Common Stock in private transactionsare entitled to receive, ratably, dividends only if, when and as declared by our board of directors out of funds legally available therefor and after provision is made for each class of capital stock having preference over our Common Stock. There are no redemption or as otherwise described in “Plansinking fund provisions applicable to our Common Stock. The holders of Distribution.”our Common Stock have no conversion rights. . Holders of Common Stock have no preemptive or subscription rights to purchase any of our securities.

 

DESCRIPTION OF CAPITAL STOCK

Capital Stock

For a descriptionEach holder of our capital stock, please see the Description of Securities included as Exhibit 4.15 to our Annual Report on Form 10-K for the year ended December 31, 2020, filed with the SEC on March 16, 2021, which is incorporated by reference herein. See “Information Incorporated by Reference” and “Where You Can Find More Information.”

Warrants 

The Warrants were issued pursuant to the Exercise Agreement. As of March 15, 2021, the Warrants were exercisable for an aggregate of 6,000,000 shares of common stock.

Duration and Exercise Price

The Warrants have an exercise price of $2.12 per share. The Warrants were immediately exercisable upon issuance and have a term of five years. The exercise price and number of shares of common stock issuable upon exercise are subjectis entitled to appropriate adjustmentone vote for each outstanding share held of record in the event of share dividends, share splits, reorganizations or similar events affecting our shares of common stock. The Warrants were be issued in certificated form only. 

Exercisability

The Warrants are 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 common stock purchased upon such exercise (except in the case of a cashless exercise as discussed below). A holder (together with its affiliates) may not exercise any portion of such holder’s Warrants to the extent that the holder would own more than 4.99% (or, at the election of the purchaser, 9.99%) of our outstanding shares of 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 ownership of outstanding shares of common stock after exercising the holder’s Private Placement Warrants up to 9.99% of the number of shares of common stock outstanding immediately after giving effect to the exercise, as such percentage ownership is determined in accordance with the terms of the Warrants. 

Cashless Exercise

If after the six month anniversary of the issue date of the Warrants there is no effective registration statement registering, or the prospectus contained therein is not available for the resale of the shares of common stock issuable upon exercise of the Warrants, then the Warrants will also be exercisablename on a “cashless exercise” basis underall matters on which the holders are entitled to vote (or consent to). No holder will receive upon such exercise a net number of common shares determined accordingCommon Stock is entitled to a formula set forthcumulate votes in the Warrants.

Fundamental Transactionsvoting for directors.

 

In the event of any fundamental transaction, as describedour liquidation, dissolution or winding-up, the holders of our common stock are entitled to share, ratably, in the Warrants and generally including any merger with or into another entity, saleall assets remaining available for distribution after payment of all or substantially allliabilities and after provision is made for each class of capital stock having preference over our common stock. All of the outstanding shares of our assets, tender offer or exchange offer, or reclassification of ourCommon Stock are fully paid and non-assessable. The shares of common stock, then upon any subsequent exerciseCommon Stock offered by this prospectus will also be fully paid and non-assessable.

Anti-Takeover Effects of a Warrant, the holder willDelaware law and Our Certificate of Incorporation and Bylaws

The provisions of Delaware law, our Certificate of Incorporation and our Bylaws may have the righteffect of delaying, deferring or discouraging another party from acquiring control of us.

10

Section 203 of the Delaware General Corporation Law

We are subject to receiveSection 203 of the DGCL, which prohibits a Delaware corporation from engaging in any business combination with any interested stockholder for a period of three years after the date that such stockholder became an interested stockholder, with the following exceptions:

before such date, the board of directors of the corporation approved either the business combination or the transaction that resulted in the stockholder becoming an interested stockholder;
upon completion of the transaction that resulted in the stockholder becoming an interested stockholder, the interested stockholder owned at least 85% of the voting stock of the corporation outstanding at the time the transaction began, excluding for purposes of determining the voting stock outstanding (but not the outstanding voting stock owned by the interested stockholder) those shares owned (i) by persons who are directors and also officers and (ii) employee stock plans in which employee participants do not have the right to determine confidentially whether shares held subject to the plan will be tendered in a tender or exchange offer; or
on or after such date, the business combination is approved by the board of directors and authorized at an annual or special meeting of the stockholder, and not by written consent, by the affirmative vote of at least 66 2/3% of the outstanding voting stock that is not owned by the interested stockholder.

In general, Section 203 defines business combination to include the following:

any sale, transfer, pledge or other disposition of 10% or more of the assets of the corporation involving the interested stockholder;
any merger or consolidation involving the corporation and the interested stockholder;
subject to certain exceptions, any transaction that results in the issuance or transfer by the corporation of any stock of the corporation to the interested stockholder;
any transaction involving the corporation that has the effect of increasing the proportionate share of the stock or any class or series of the corporation beneficially owned by the interested stockholder; or
the receipt by the interested stockholder of the benefit of any loss, advances, guarantees, pledges or other financial benefits by or through the corporation.

In general, Section 203 defines an “interested stockholder” as alternative consideration, for each share of common stock that would have been issuable upon such exercise immediatelyan entity or person who, together with the person’s affiliates and associates, beneficially owns, or within three years prior to the occurrencetime of such fundamental transaction,determination of interested stockholder status did own, 15% or more of the number of shares of commonoutstanding voting stock of the successor or acquiring corporation orcorporation.

Certificate of our company, if it is the surviving corporation,Incorporation and any additional consideration receivable upon or as a resultBylaws

Our Certificate of such transaction by a holder of the number of shares of common stock for which the Warrant is exercisable immediately prior to such event.Incorporation and Bylaws provide for:

authorizing the issuance of up to up to 10,000,000 shares of “blank check” preferred stock, the terms of which may be established and shares of which may be issued without stockholder approval;
requiring at least a majority in voting power of the outstanding shares entitled to vote, voting together as a single class, to amend our Bylaws or certain provisions our Certificate of Incorporation;
prohibiting stockholder action by written consent, thereby requiring all stockholder actions to be taken at a meeting of our stockholders;
eliminating the ability of stockholders to call a special meeting of stockholders;
establishing advance notice requirements for nominations for election to the board of directors or for proposing matters that can be acted upon at stockholder meetings; and
establishing Delaware as the exclusive jurisdiction for certain stockholder litigation against us.

8

11

 

TransferabilityLEGAL MATTERS

 

In accordance with its terms and subject to applicable laws, a Warrant may be transferred at the optionThe validity of the holder upon surrender of the Warrant to us together with the appropriate instruments of transfer and payment of funds sufficient to pay any transfer taxes (if applicable). 

Fractional Shares

No fractional shares of common stock will be issued upon the exercise of the Warrants. Rather, the number of shares of common stock to be issued will, at our election, either be rounded up to the nearest whole number or we will pay a cash adjustment in respect of such final fraction in an amount equal to such fraction multiplied by the exercise price. 

Trading Market

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

Rights as a Shareholder

Except as otherwise provided in the Warrants or by virtue of the holders’ ownership of shares of common stock, the holders of Warrants do not have the rights or privileges of holders of our shares of common stock, including any voting rights, until such Warrant holders exercise their warrants.

Amendment and Waiver.

A Warrant may be modified or amended or the provisions thereof waived with the written consent of our company and the holder of the Warrant.

Registration Rights.

We have filed this registration statement with the SEC that includes this prospectus to register for resale under the Securities Act of 1933, the shares of common stock issuable upon exercise of the Warrants to satisfy our obligations in connection with Exercise Agreement. We will use commercially reasonable efforts to keep such registration statement effective at all times until the selling stockholder no longer owns any Warrants or shares issuable upon exercise thereof.

LEGAL MATTERS

Unless otherwise indicated in the applicable prospectus supplement, the validity of the securitiesCommon Stock offered hereby will be passed upon for us by Lowenstein Sandler LLP, New York, New York. If the validity of the securities offered hereby in connection with offerings made pursuant to this prospectus are passed upon by counsel for the underwriters, dealers or agents, if any, such counsel will be named in the prospectus supplement relating to such offering.

 

EXPERTS

 

The consolidated balance sheets of Motus GI Holdings, Inc. and Subsidiariesits subsidiaries as of December 31, 20202023 and 2019,2022, and the related consolidated statements of comprehensive loss, changes in shareholders’ equity, and cash flows for each of the years then ended have been audited by EisnerAmper LLP, independent registered public accounting firm, as stated in their report which is incorporated herein by reference, which report includes an explanatory paragraph about the existence of substantial doubt concerning the Company’s ability to continue as a going concern. Such financial statements have been incorporated herein by reference in reliance on the report of such firm given upon their authority as experts in accounting and auditing.

 


12

ADDITIONALWHERE YOU CAN FIND MORE INFORMATION

 

This prospectus is part ofWe have filed with the SEC a registration statement on Form S-3 that we have filedunder the Securities Act with the SEC relatingrespect to the securities beingshares of Common Stock offered hereby.by this prospectus. This prospectus, does not contain all of the information in the registration statement and its exhibits. The registration statement, its exhibits and the documents incorporated by reference in this prospectus and their exhibits, all contain information thatwhich is material to the offering of the securities hereby. Whenever a reference is made in this prospectus to any of our contracts or other documents, the reference may not be complete. You should refer to the exhibits that are a part of the registration statement, omits certain information, exhibits, schedules and undertakings set forth in orderthe registration statement. For further information pertaining to review a copy ofus and our securities, reference is made to our SEC filings and the contract or documents. The registration statement and the exhibits and schedules to the registration statement. Statements contained in this prospectus as to the contents or provisions of any documents referred to in this prospectus are not necessarily complete, and in each instance where a copy of the document has been filed as an exhibit to the registration statement, reference is made to the exhibit for a more complete description of the matters involved.

In addition, registration statements and certain other filings made with the SEC electronically are publicly available atthrough the SEC’s Public Reference Room or through its Website.web site at http://www.sec.gov. The registration statement, including all exhibits and amendments to the registration statement, has been filed electronically with the SEC.

 

We are subject to the information and periodic reporting requirements of the Exchange Act, and, in accordance with such requirements, will file annual, quarterly and currentperiodic reports, proxy statements, and other information with the SEC. You can read and copy any materials we file with the SEC at its Public Reference Room at 100 F Street, N.E., Washington, D.C. 20549 and at its regional offices, a list of which is available on the Internet at http://www.sec.gov/contact/addresses.htm. You may obtain information on the operation of the Public Reference Room by calling the SEC at 1-800-SEC-0330. The SEC maintains an Internet site at http://www.sec.gov that containsThese periodic reports, proxy and information statements, and other information regarding issuers, such as us, that file electronically withwill be available for inspection and copying at the SEC. Additionally,web site of the SEC referred to above. We also maintain a website at https://www.motusgi.com, at which you may access our filingsthese materials free of charge as soon as reasonably practicable after they are electronically filed with, or furnished to, the SEC through our website at http://www.sonnetbio.com.SEC. The information oncontained in, or that can be accessed through, our website is not part of, and is not incorporated into, this prospectus.

We will provide you without charge, upon your oral or written request, with a copy of any or all reports, proxy statements and other documents we file with the SEC, as well as any or all of the documents incorporated by referencehave included our website address in this prospectus or the registration statement (other than exhibits to such documents unless such exhibits are specifically incorporated by reference into such documents). Requests for such copies should be directed to:solely as an inactive textual reference.

 

13

Motus GI Holdings, Inc.

Attn: Timothy P. Moran

1301 East Broward Boulevard, 3rd Floor

Ft. Lauderdale, FL, 33301

Telephone: (954) 541-8000

 

You should rely only on the information in this prospectus and the additional information described above and under the heading “Incorporation of Certain Information by Reference” below. We have not authorized any other person to provide you with different information. If anyone provides you with different or inconsistent information, you should not rely upon it. We are not making an offer to sell these securities in any jurisdiction where the offer or sale is not permitted. You should assume that the information in this prospectus was accurate on the date of the front cover of this prospectus only. Our business, financial condition, results of operations and prospects may have changed since that date.

INCORPORATION OF CERTAIN INFORMATION BY REFERENCE

 

The SEC allows us to “incorporate by reference” information that we file with it into this prospectus, which means that we can disclose important information to you by referring you to those documents. The information incorporated by reference is an important part of this prospectus. The information incorporated by reference is considered to be a part of this prospectus, and information that we file later with the SEC will automatically update and supersede information contained in this prospectus and any accompanying prospectus supplement.

 

We incorporate by reference the documents listed below that we have previously filed with the SEC:

 

our Annual Report on Form 10-K for the fiscal year ended December 31, 2020,2023, as filed with the SEC on March 16, 2021;18, 2024;
our Current Reports on Form 8-K as filed with the SEC on January 20, 202122, 2024, February 21, 2024, February 22, 2024, March 7, 2024 and January 27, 2021March 11, 2024 (other than information “furnished” under Items 2.02 or 7.01, or corresponding informationany portions thereof deemed furnished under Item 9.01 or included as an exhibit)and not filed); and
the description of our common stockCommon Stock contained in our Registration Statementregistration statement on Form 8-A,, filed with the SEC on February 6, 2018, including any amendments thereto orand reports filed for the purposespurpose of updating thissuch description, including the Description of Securities filed as Exhibit 4.15 to our Annual Report on Form 10-K for the fiscal year ended December 31, 2020.2022, filed with the SEC on March 16, 2021.

 

All reports and other documents that we file with the SEC under Sections 13(a), 13(c), 14 or 15(d) of the Exchange Act after the date of the initial registration statement and prior to effectiveness of the registration statement, and after the date of this prospectus but before the termination of the offering of the securities hereunder will also be considered to be incorporated by reference into this prospectus from the date of the filing of these reports and documents, and will supersede the information herein; provided, however, that all reports, exhibits and other information that we “furnish” to the SEC will not be considered incorporated by reference into this prospectus. We undertake to provide without charge to each person (including any beneficial owner) who receives a copy of this prospectus, upon written or oral request, a copy of all of the preceding documents that are incorporated by reference (other than exhibits, unless the exhibits are specifically incorporated by reference into these documents). You may request a copy of these materials in the manner set forth under the heading “AdditionalWhere You Can Find More Information,” above.

We will provide you without charge, upon your oral or written request, with a copy of any or all reports, proxy statements and other documents we file with the SEC, as well as any or all of the documents incorporated by reference in this prospectus or the registration statement (other than exhibits to such documents unless such exhibits are specifically incorporated by reference into such documents). Requests for such copies should be directed to

Motus GI Holdings, Inc.

Attn: Mark Pomeranz

Chief Executed Officer

1301 East Broward Boulevard, 3rd Floor

Ft. Lauderdale, F.L. 33301

Telephone: (954) 541-8000

 


14

PART II

 

4,400,001 Shares of Common Stock

PRELIMINARY PROSPECTUS

              , 2024

15

PART II

INFORMATION NOT REQUIRED IN PROSPECTUS

 

Item 14. Other Expenses of Issuance and DistributionDistribution.

 

The following table sets forthindicates the costs and expenses payableto be incurred in connection with the saleoffering described in this registration statement, other than underwriting discounts and distributioncommissions, all of the securities being registered.which will be paid by us. All amounts are estimatesestimated except the Securities and Exchange Commission (“SEC”)SEC registration fee.

 

SEC Registration Fee $943 
Legal Fees and Expenses  25,000*
Accounting Fees and Expenses  10,000*
Printing  5,000*
Miscellaneous  4,057*
     
Total $45,000 

*Estimated.
  Amount 
SEC Registration Fee $344.21 
Legal Fees and Expenses  15,000
Accounting Fees and Expenses  15,000
Transfer Agent and Registrar fees and expenses  2,000
Miscellaneous Expenses  1,000
Total expenses $33,344.21

 

Item 15. Indemnification of Directors and OfficersOfficers.

 

As permitted by Section 102 of the Delaware General Corporation Law, we have adopted provisions in our Certificate of Incorporation and our Bylaws that limit or eliminate the personal liability of our directors for a breach of their fiduciary duty of care as a director. A director of the Company will not be personally liable to us or our stockholders for monetary damages for breach of fiduciary duty as a director, except for liability for:

any breach of the director’s duty of loyalty to us or our stockholders;
any act or omission not in good faith or that involves intentional misconduct or a knowing violation of law;
any act related to unlawful stock repurchases, redemptions or other distributions or payment of dividends; or
any transaction from which the director derived an improper personal benefit.

These limitations of liability do not affect the availability of equitable remedies such as injunctive relief or rescission. Our Certificate of Incorporation also authorizes us to indemnify our officers, directors and other agents to the fullest extent permitted under Delaware law.

As permitted by Section 145 of the Delaware General Corporation Law, (the “DGCL”) provides, in general, that a corporation incorporated under the laws of the State of Delaware, as we are, may indemnify any person who was or is a party or is threatened to be made a party to any threatened, pending or completed action, suit or proceeding (other than a derivative action by or in the right of the corporation) by reason of the fact that such person is or was a director, officer, employee or agent of the corporation, or is or was serving at the request of the corporation as a director, officer, employee or agent of another enterprise, against expenses (including attorneys’ fees), judgments, fines and amounts paid in settlement actually and reasonably incurred by such person in connection with such action, suit or proceeding if such person acted in good faith and in a manner such person reasonably believed to be in or not opposed to the best interests of the corporation and, with respect to any criminal action or proceeding, had no reasonable cause to believe such person’s conduct was unlawful. In the case of a derivative action, a Delaware corporation may indemnify any such person against expenses (including attorneys’ fees) actually and reasonably incurred by such person in connection with the defense or settlement of such action or suit if such person acted in good faith and in a manner such person reasonably believed to be in or not opposed to the best interests of the corporation, except that no indemnification will be made in respect of any claim, issue or matter as to which such person will have been adjudged to be liable to the corporation unless and only to the extent that the Court of Chancery of the State of Delaware or any other court in which such action was brought determines such person is fairly and reasonably entitled to indemnity for such expenses.our Bylaws provide that:

we may indemnify our directors, officers, and employees to the fullest extent permitted by the Delaware General Corporation Law, subject to limited exceptions;
we may advance expenses to our directors, officers and employees in connection with a legal proceeding to the fullest extent permitted by the Delaware General Corporation Law, subject to limited exceptions; and
the rights provided in our Bylaws are not exclusive.

 

Our certificateCertificate of incorporationIncorporation, to be attached as Exhibit hereto, and bylawsour Bylaws, to be attached as Exhibit hereto, provide that we will indemnify our directors, officers, employeesfor the indemnification provisions described above and agents to the extent and in the manner permitted by the provisions of the DGCL, as amended from time to time, subject to any permissible expansion or limitation of such indemnification, as may be set forth in any amendment by stockholders or directors resolution. Any repeal or modification of these provisions approved by our stockholders will be prospective only and will not adversely affect any limitation on the liability of any of our directors or officers existing as of the time of such repeal or modification 

elsewhere herein. We have directorentered into and officer liability insuranceintend to cover liabilitiescontinue to enter into separate indemnification agreements with our directors and officers which may incurbe broader than the specific indemnification provisions contained in connection with their services tothe Delaware General Corporation Law. These agreements require us including matters arising under the Securities Act.

We have entered into indemnification agreements with all of our directors and named executive officers whereby we have agreed to indemnify those directors and officersthese individuals to the fullest extent permitted byunder Delaware law including indemnification against expenses and liabilities incurred in legal proceedings to which the director or officer was, or is threatened to be made, a partythat may arise by reason of the fact that such director or officer is or wastheir service to us, and to advance expenses incurred as a director, officer, employee or agentresult of the Company provided that such director or officer acted in good faith and in a manner that the director or officer reasonably believedany proceeding against them as to which they could be in, or not opposed to, the best interests of the Company.indemnified.

 

II-1

16

 

 

Item 16. Exhibits

The Index to Exhibits listing the exhibits required by Item 601 of Regulation S-K is located on the page immediately following the signature page to this registration statement.

Item 17. Undertakings

The undersigned registrant hereby undertakes:

 

(1)Exhibit No.Description
3.1Certificate of Incorporation of Motus GI Holdings, Inc. (incorporated by reference to Exhibit 3.1 of the Registrant’s Registration Statement on Form S-1 (File No. 333-222441) filed with the Securities and Exchange Commission on January 5, 2018).
3.2Certificate of Amendment to the Certificate of Incorporation of Motus GI Holdings, Inc. (incorporated by reference to Exhibit 3.2 of the Registrant’s Registration Statement on Form S-1 (File No. 333-222441) filed with the Securities and Exchange Commission on January 5, 2018).
3.3Certificate of Amendment to the Certificate of Incorporation of Motus GI Holdings, Inc., dated August 13, 2023 (incorporated by reference to Exhibit 3.1 of the Registrant’s Current Report on Form 8-K (File No. 001-38389) filed with the Securities and Exchange Commission on August 14, 2020).
3.4Certificate of Amendment of Certificate of Incorporation of Motus GI Holdings, Inc., dated July 25, 2022 (incorporated by reference to Exhibit 3.1 of the Registrant’s Current Report on Form 8-K (File No. 001-38389) filed with the Securities and Exchange Commission on July 26, 2022).
3.5Bylaws, as amended and currently in effect, of Motus GI Holdings, Inc. (incorporated by reference to Exhibit 3.1 of the Registrant’s Quarterly Report on Form 10-Q (File No. 001-38389) filed with the Securities and Exchange Commission on November 14, 2022).
3.6Certificate of Designations of Series A Convertible Preferred Stock of Motus GI Holdings, Inc. (incorporated by reference to Exhibit 3.4 of the Registrant’s Registration Statement on Form S-1 (File No. 333-222441) filed with the Securities and Exchange Commission on January 5, 2018).
3.7Certificate of Amendment of Certificate of Designations of Series A Convertible Preferred Stock of Motus GI Holdings, Inc. (incorporated by reference to Exhibit 3.1 of the Registrant’s Quarterly Report on Form 10-Q (File No. 001-38389) filed with the Securities and Exchange Commission on May 14, 2018).
3.8Certificate of Amendment of Certificate of Incorporation, as amended, dated November 1, 2023 (incorporated by reference to Exhibit 3.1 of the Registrant’s Current Report on Form 8-K (File No. 001-38389) filed with the Securities and Exchange Commission on November 2, 2023).
4.1Form of New Warrant for the Series B-1 Warrant (incorporated by reference to Exhibit 4.1 of the Registrant’s Current Report on Form 8-K (File No. 001-38389) filed with the Securities and Exchange Commission on February 22, 2024).
4.2Form of New Warrant for the Series B-2 Warrant (incorporated by reference to Exhibit 4.2 of the Registrant’s Current Report on Form 8-K (File No. 001-38389) filed with the Securities and Exchange Commission on February 22, 2024).

17

5.1*Opinion of Lowenstein Sandler LLP.
10.1Form of Warrant Exchange Agreement (incorporated by reference to Exhibit 10.1 of the Registrant’s Current Report on Form 8-K (File No. 001-38389) filed with the Securities and Exchange Commission on February 22, 2024).
10.2Form of Amendment to the Common Warrant (incorporated by reference to Exhibit 10.2 of the Registrant’s Current Report on Form 8-K (File No. 001-38389) filed with the Securities and Exchange Commission on February 22, 2024).
10.3Form of Amendment No. 1 to the Series A Common Stock Purchase Warrant (incorporated by reference to Exhibit 10.3 of the Registrant’s Current Report on Form 8-K (File No. 001-38389) filed with the Securities and Exchange Commission on February 22, 2024).
23.1*Consent of Independent Registered Public Accounting Firm – EisnerAmper LLP
23.2*Consent of Lowenstein Sandler LLP (Included in Exhibit 5.1).
24.1*Power of Attorney (included in the signature page hereto).
107*Filing Fee Table.

*Filed herewith.

18

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:

 

 (a)i.To include any prospectus required by Section 10(a)(3) of the Securities Act of 1933,1933;
   
 (b)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 the registration statement. Notwithstanding the foregoing, any increase or decrease in volume of securities offered (if the total dollar value of 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 Commission pursuant to Rule 424(b) if, in the aggregate, the changes in volume and price represent no more than a 20 percent change in the maximum aggregate offering price set forth in the “CalculationCalculation of Registration Fee”Fee table in the effective registration statement,statement;
   
 (c)iii.To include any material information with respect to the plan of distribution not previously disclosed in the registration statement or any material change to such information in the registration statement.

 

Provided, however, that paragraphs (1)(a), (1)(b) and (1)(c) above do not apply if the information required to be included in a post-effective amendment by those paragraphs is contained in periodic reports filed with or furnished to the Commission by the registrant pursuant to Section 13 or Section 15(d) of the Securities Exchange Act of 1934 that are incorporated by reference in the registration statement, or is contained in a form of prospectus filed pursuant to Rule 424(b) that is part of the registration statement.

(2)Provided, however, That: Paragraphs (1)(i), (1)(ii) and (1)(iii) above do not apply if the information required to be included in a post-effective amendment by those paragraphs is contained in periodic reports filed with or furnished to the Commission by the registrant pursuant to Section 13 or Section 15(d) of the Securities Exchange Act of 1934 that are incorporated by reference in the registration statement, or is contained in a form of prospectus filed pursuant to Rule 424(b) that is part of the 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)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)4)That, for the purpose of determining liability under the Securities Act of 1933 to any purchaser:

 

19

 (a)i.If the registrant is relying on Rule 430B:

 

 (i)A.Each prospectus filed by the registrant pursuant to Rule 424(b)(3)shall be deemed to be part of the registration statement as of the date the filed prospectus was deemed part of and included in the registration statement; and

 (ii)
B.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)(1)(i), (vii), or (x) for the purpose of providing the information required by section 10(a) of the Securities Act of 1933 shall be deemed to be part of and included in the registration statement as of the earlier of the date such form of 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.date; or

 

 (b)ii.If the registrant is subject to Rule 430C, each prospectus filed pursuant to Rule 424(b) as part of a registration statement relating to an offering, other than registration statements relying on Rule 430B or other than prospectuses filed in reliance on Rule 430A, shall be deemed to be a part of and included in the registration statement as of the date it is first used after effectiveness. 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 first use, 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 date of first use.

 

II-2

(5)5)That, for the purpose of determining liability of the registrant under the Securities Act of 1933 to any purchaser in the initial distribution of the securities, the undersigned registrant undertakes that in a primary offering of securities of the 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 registrant will be a seller to the purchaser and will be considered to offer or sell such securities to such purchaser:

 

 (a)i.Any preliminary prospectus or prospectus of the undersigned registrant relating to the offering required to be filed pursuant to Rule 424;
   
 (b)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;
   
 (c)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 registrant; and
   
 (d)iv.Any other communication that is an offer in the offering made by athe undersigned registrant to the purchaser.

 

(6)6)That, for the purposes of determining any liability under the Securities Act of 1933, each filing of the registrant’s annual report pursuant to Section 13(a) or 15(d) of the Securities Exchange Act of 1934 (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) 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.
  
(9)7)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 forgoing 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.

 

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20

 

 

SIGNATURES

 

Pursuant to the requirements of the Securities Act of 1933, as amended, the registrant certifies that it has reasonable grounds to believe that it meets all of the requirements for filing on Form S-3 and has duly caused this Registration Statementregistration statement to be signed on its behalf by the undersigned, thereunto duly authorized, in the City of Ft. Lauderdale, State of FloridaFL, on March 16, 2021.22, 2024.

 

 MOTUS GI HOLDINGS, INC.
   
 By:/s/ Timothy P. MoranMark Pomeranz
  Timothy P. MoranMark Pomeranz
  

Chief Executive Officer

(Principal Executive Officer)

 

POWER OF ATTORNEY AND SIGNATURES

 

Each person whose signature appears below constitutes and appoints Timothy P. MoranMark Pomeranz and Andrew TaylorRavit Ram and each of them singly, his or her true and lawful attorneys-in-fact and agents, with full power of substitution and resubstitution, for him or her and in his or her name, place and stead, in any and all capacities, to sign any and all amendments (including, without limitation, post-effective amendments) to this registration statement and any and all additional registration statements pursuant to Rule 462(b) of the Securities Act of 1933, as amended, (the “Securities Act”) and to file the same, with all exhibits thereto and all other documents in connection therewith, with the SEC, granting unto each said attorney-in-fact and agent full power and authority to do and perform each and every act in person, hereby ratifying and confirming all that said attorneys-in-fact and agents or either of them or their, his or her substitute or substitutes may lawfully do or cause to be done by virtue hereof.

 

Pursuant to the requirements of the Securities Act of 1933, as amended, this Registration Statementregistration statement has been signed by the following persons on behalf of the registrant in the capacities and on the dates indicated.

 

PersonSignature CapacityTitle Date
/s/ Mark PomeranzChief Executive Officer and Director (Principal Executive Officer)March 22, 2024
Mark Pomeranz
/s/ Ravit Ram

Chief Financial Officer

March 22, 2024
Ravit Ram(Principal Financial Officer)
/s/ Elad AmorChief Accounting OfficerMarch 22, 2024
Elad Amor(Principal Accounting Officer)
     
/s/ Timothy P. Moran Chief Executive Officer and

Director Chairman of the Board

 March 22, 2024
Timothy P. Moran (Principal Executive Officer) March 16, 2021
     
/s/ Andrew TaylorScott Durbin Chief Financial OfficerDirectorMarch 22, 2024
Scott Durbin  
Andrew Taylor (Principal Financial and Accounting Officer)March 16, 2021
     
/s/ David HochmanSonja Nelson
David HochmanChairman of the BoardMarch 16, 2021
/s/ Mark Pomeranz
Mark PomeranzPresident, Chief Operating Officer, and DirectorMarch 16, 2021
/s/ Darren Sherman
Darren Sherman Director March 16, 202122, 2024
Sonja Nelson    
/s/ Samuel Nussbaum
Samuel NussbaumDirectorMarch 16, 2021
/s/ Shervin Korangy
Shervin KorangyDirectorMarch 16, 2021
     
/s/ Gary Pruden Director March 22, 2024
Gary Pruden Director March 16, 2021

II-4

INDEX TO EXHIBITS

Exhibit   Incorporated by Reference Filed
Number Exhibit Description Form File No. Exhibit Filing Date Herewith
             
3.1 Certificate of Incorporation S-1 333-222441 3.1 1/5/2018  
             
3.2 Certificate of Amendment to the Certificate of Incorporation S-1 333-222441 3.2 1/5/2018  
             
3.3 Certificate of Amendment to the Certificate of Incorporation 8-K 001-38389 3.1 8/14/2020  
             
3.4 Bylaws S-1 333-222441 3.3 1/5/2018  
             
3.5 Certificate of Designations of Series A Convertible Preferred Stock S-1 333-222441 3.4 1/5/2018  
             
3.6 Certificate of Amendment of Certificate of Designations of Series A Convertible Preferred Stock 10-Q 001-38389 3.1 5/14/2018  
             
4.1 Form of Common Stock Certificate S-1 333-222441  4.1 1/5/2018  
             
4.2 Form of Warrant 8-K 001-38389 4.1 1/27/2021  
             
5.1 Opinion of Lowenstein Sandler LLP         
             
10.31 Form of Warrant Exercise Agreement, dated as of January 27, 2021, by and between Motus GI Holdings, Inc. and the Investor party thereto 8-K 001-38389 10.1 1/27/2021  
             
23.1 Consent of Independent Registered Public Accounting Firm         
             
23.2 Consent of Lowenstein Sandler LLP (included in Exhibit 5.1)         X
             
24.1 Power of Attorney (contained in the signature page of this registration statement)         X

 

II-5

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