Exhibit 107
Calculation of Filing Fee Table
Form F-3
(Form Type)
PainReform Ltd.
(Exact Name of Registrant as Specified in its Charter)
Table 1: Newly Registered Securities
Security Type | Security Class Title | Fee Calculation Rule | Amount Registered(1) | Proposed Maximum Offering Price Per Share(4) | Maximum Aggregate Offering Price | Fee Rate | Amount of Registration Fee | ||||||||||||||||||||
Equity | Ordinary shares, par value NIS 0.30 per share | 457(c) | 968,545 | (2) | $ | 2.53 | (3) | $ | 2,450,418.85 | 0.0001476 | $ | 361.69 | |||||||||||||||
Total Offering Amount | 968,545 | $ | 2,450,418.85 | $ | 361.69 | ||||||||||||||||||||||
Total Fees Previously Paid | — | ||||||||||||||||||||||||||
Total Fee Offsets | — | ||||||||||||||||||||||||||
Net Fee Due | $ | 361.69 |
(1) | Pursuant to Rule 416 under the Securities Act of 1933, as amended, or the Securities Act, the Registrant is also registering hereunder an indeterminate number of additional ordinary shares that shall be issuable pursuant to Rule 416 to prevent dilution resulting from stock splits, stock dividends or similar transactions. |
(2) | Consists of (i) 935,792 ordinary shares issuable upon the exercise of new warrants issued to a certain holder in connection with the warrant repricing and (ii) 32,753 ordinary shares issuable upon the exercise of new warrants issued to the placement agent in connection with the warrant repricing. |
(3) | Estimated solely for the purpose of calculating the registration fee pursuant to Rule 457(c) under the Securities Act and based upon the average of the high and low sale prices of the Registrant’s ordinary shares on the Nasdaq Capital Market on January 8, 2024. |
(4) | The Registrant will not receive any proceeds from the sale of its ordinary shares by the selling shareholders. |