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(a)(1)(A)*
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(a)(1)(B)*
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(a)(1)(C)*
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(a)(1)(D)*
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(a)(1)(E)*
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(a)(5)(A)
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| | Press Release of Lumos Pharma, Inc. issued on October 23, 2024 (incorporated by reference to Exhibit 99.1 of the Current Report on Form 8-K filed by Lumos with the SEC on October 23, 2024) | |
| (b) | | | Not applicable | |
| (d)(1) | | | Agreement and Plan of Merger, dated as of October 22, 2024, by and among Lumos, the Purchaser and Parent (incorporated by reference to Exhibit 2.1 of the Current Report on Form 8-K filed by Lumos with the SEC on October 23, 2024) | |
| (d)(2) | | | Form of Contingent Value Rights Agreement between Parent and Rights Agent (incorporated by reference to Exhibit 10.1 of the Current Report on Form 8-K filed by Lumos with the SEC on October 23, 2024) | |
| (d)(3) | | | Form of Tender and Support Agreement, dated as of October 22, 2024 (incorporated by reference to Exhibit 10.2 of the Current Report on Form 8-K filed by Lumos with the SEC on October 23, 2024) | |
| (d)(4) | | | Clinical Trial Funding Agreement, by and among Double Point Ventures LLC and Lumos Pharma, Inc., dated October 22, 2024 (including the form of Note with respect thereto) (incorporated by reference to Exhibit 10.3 of the Current Report on Form 8-K filed by Lumos with the SEC on October 23, 2024) | |
| (d)(5)* | | | | |
| (g) | | | Not applicable | |
| (h) | | | Not applicable | |
| 107* | | | Filing Fee Table | |
| | | | | 1 | | | |
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| | | | | 50 | | | |
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| | | | | 53 | | | |
| | | | | 53 | | | |
| | | | | 53 | | | |
| SCHEDULE I | | | | | | | |
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High
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Low
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Fiscal Year Ended December 31, 2022 | | | | | | | | | | | | | |
First Quarter
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| | | $ | 10.27 | | | | | $ | 6.15 | | |
Second Quarter
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| | | $ | 10.00 | | | | | $ | 6.51 | | |
Third Quarter
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| | | $ | 9.56 | | | | | $ | 7.35 | | |
Fourth Quarter
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| | | $ | 9.53 | | | | | $ | 2.95 | | |
Fiscal Year Ending December 31, 2023 | | | | | | | | | | | | | |
First Quarter
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| | | $ | 4.40 | | | | | $ | 3.15 | | |
Second Quarter
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| | | $ | 4.52 | | | | | $ | 3.01 | | |
Third Quarter
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| | | $ | 3.59 | | | | | $ | 2.63 | | |
Fourth Quarter
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| | | $ | 4.55 | | | | | $ | 2.74 | | |
Fiscal Year Ending December 31, 2024 | | | | | | | | | | | | | |
First Quarter
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| | | $ | 3.30 | | | | | $ | 2.51 | | |
Second Quarter
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| | | $ | 3.19 | | | | | $ | 2.01 | | |
Third Quarter
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| | | $ | 4.40 | | | | | $ | 1.37 | | |
Fourth Quarter (through October 31, 2024)
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| | | $ | 4.58 | | | | | $ | 3.44 | | |
Name
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Position
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Christopher Uzpen | | | Authorized Person | |
Name
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Position
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Christopher Uzpen | | | Director, President, Treasurer and Secretary | |
Name
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Position
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Christopher Uzpen | | | Director, President, Treasurer and Secretary | |
|
If delivering by first class mail:
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If delivering by certified mail or courier:
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Computershare Trust Company, N.A.
Attn: Corporate Actions Voluntary Offer, COY: NLNK P.O. Box 43011 Providence, RI 02940-3011 |
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Computershare Trust Company, N.A.
Attn: Corporate Actions Voluntary Offer: COY: NLNK 150 Royall Street, Suite V Canton, MA 02021 |
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THE OFFER AND WITHDRAWAL RIGHTS WILL EXPIRE AT ONE MINUTE AFTER 11:59 P.M., NEW YORK CITY TIME, ON DECEMBER 11, 2024, UNLESS THE OFFER IS EXTENDED
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Computershare Trust Company, N.A.
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By Mail:
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If Delivering via UPS, FedEx or Overnight Courier:
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Computershare Trust Company, N.A.
Attn: Corporate Actions Voluntary Offer P.O. Box 40311 Providence, RI 02940-3011 |
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Computershare Trust Company, N.A.
Attn: Corporate Actions Voluntary Offer 150 Royall St, Suite V Canton, MA 02021 |
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DESCRIPTION OF SHARES SURRENDERED
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Name(s) and Address(es) of Registered Holder(s)
(Please fill in, if blank, exactly as name(s) appear(s) on certificate(s)) (Attach additional signed list if necessary) |
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Certificated Shares**
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Book Entry
Shares Surrendered |
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Certificate
Number(s)* |
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Total Number of
Shares Represented by Certificate(s)* |
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Number of
Shares Surrendered** |
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Total Shares
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*
Need not be completed by book-entry stockholders.
**
Unless otherwise indicated, it will be assumed that all shares of common stock represented by certificates described above are being surrendered hereby.
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| Name of Tendering Institution: | | | | |
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| Transaction Code Number: | | | | |
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| DTC Account Number: | | | | |
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SPECIAL PAYMENT INSTRUCTIONS
(See Instructions 1, 5, 6 and 7) |
| |
| | To be completed ONLY if the check for the purchase price of Shares accepted for payment and/or Certificates not tendered or not accepted for payment are to be issued in the name of someone other than the undersigned. | | |
| | Issue check and/or Certificates to: | | |
| | Name: | | |
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(Please Print)
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| | Address: | | |
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(Include Zip Code)
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(Taxpayer Identification No. (e.g., Social Security No.))
(Also complete, as appropriate, IRS Form W-9 included below) |
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SPECIAL DELIVERY INSTRUCTIONS
(See Instructions 1, 5, 6 and 7) To be completed ONLY if the check for the purchase price of Shares accepted for payment and/or Certificates evidencing Shares not tendered or not accepted are to be mailed to someone other than the undersigned or to the undersigned at an address other than that shown above. |
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| | Mail check and/or Certificates to: | | |
| | Name: | | |
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(Please Print)
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| | Address: | | |
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(Include Zip Code)
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IMPORTANT
STOCKHOLDER: YOU MUST SIGN BELOW (U.S. Holders: Please complete and return the IRS Form W-9 included below) (Non-U.S. Holders: Please obtain, complete and return appropriate IRS Form W-8) |
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(Signature(s) of Holder(s) of Shares)
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| | Dated: | | |
| | Name(s): | | |
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(Please Print)
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| | Capacity (Full Title) (See Instruction 5): | | |
| | Address: | | |
| | | | |
| | | | |
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(Include Zip Code)
|
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| | Area Code and Telephone No.: | | |
| | Tax Identification No. (e.g., Social Security No.) (See IRS Form W-9 included below): | | |
| | (Must be signed by registered holder(s) exactly as name(s) appear(s) on Certificate(s) or on a security position listing or by person(s) authorized to become registered holder(s) by Certificates and documents transmitted herewith. If signature is by a trustee, executor, administrator, guardian, agent, officer of a corporation or other person acting in a fiduciary or representative capacity, please set forth full title and see Instruction 5.) | | |
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Guarantee of Signature(s)
(If Required — See Instructions) |
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| | [Place Stamp Here] | | |
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(Include Zip Code)
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| | Area Code and Telephone No.: | | |
| | Dated: [•], 2024 | | |
|
Computershare Trust Company, N.A.
|
| |||
| By Mail | | | If Delivering via UPS, FedEx or Overnight Courier: | |
|
Computershare Trust Company, N.A.
Attn: Corporate Actions Voluntary Offer:COY NLNK P.O. Box 4031 Providence, RI 02940-3011 |
| |
Computershare Trust Company, N.A.
Attn: Corporate Actions Voluntary Offer:COY NLNK 150 Royall St, Suite V Canton, MA 02021 |
|
| |
THE OFFER AND WITHDRAWAL RIGHTS WILL EXPIRE AT ONE MINUTE AFTER 11:59 P.M., NEW YORK CITY TIME, ON DECEMBER 11, 2024, UNLESS THE OFFER IS EXTENDED
|
| |
| |
THE OFFER AND WITHDRAWAL RIGHTS WILL EXPIRE AT ONE MINUTE AFTER 11:59 P.M., NEW YORK CITY TIME, ON DECEMBER 11, 2024, UNLESS THE OFFER IS EXTENDED
|
| |
|
NUMBER OF SHARES BEING TENDERED
HEREBY: |
| | SHARES* | |
| Dated: | | |
|
| | | | | | |
| | | | | | |
Signature(s)
|
| |
|
|
| | | | | | |
Please Print
Name(s) |
| |
|
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| | THE OFFER AND WITHDRAWAL RIGHTS WILL EXPIRE ONE MINUTE AFTER 11:59 P.M. (NEW YORK CITY TIME), ON DECEMBER 11, 2024, UNLESS THE OFFER IS EXTENDED. | | |
| Lumos Pharma, Inc. | | | Double Point Ventures, LLC | | ||||||
| By | | |
/s/ Lori Lawley
|
| | By | | |
/s/ Christopher Uzpen
|
|
| | | |
Name:
Lori Lawley
|
| | | | |
Name:
Christopher Uzpen
|
|
| | | |
Title:
Chief Financial Officer
|
| | | | |
Title:
Duly Authorized
|
|
| | | |
Date:
1/3/2024
|
| | | | |
Date:
1/2/2024
|
|
Exhibit 107
Calculation of Filing Fee Tables
SC TO-T
(Form Type)
Lumos Pharma, Inc.
(Name of Subject Company – Issuer)
DPV MergerSub, Inc.
(Names of Filing Persons — Offeror)
DPV Parent, Inc.
(Names of Filing Persons — Parent of Offeror)
Double Point Ventures LLC
(Names of Filing Persons — Parent of DPV Parent, Inc.)
Table 1: Transaction Valuation
Transaction
Valuation* |
Fee
Rate |
Amount
of Filing Fee** | |
Fees to Be Paid | $37,840,671 | 0.00015310 | $5,793.41 |
Fees Previously Paid | $0.00 | $0.00 | |
Total Transaction Valuation | $37,840,671 | ||
Total Fees Due for Filing | $5,793.41 | ||
Total Fees Previously Paid | $0.00 | ||
Total Fee Offsets | $0.00 | ||
Net Fee Due | $5,793.41 |
* | The transaction valuation is estimated for purposes of calculating the amount of the filing fee only. The transaction valuation was estimated by multiplying (i) 8,679,053 issued and outstanding shares of common stock of Lumos Pharma, Inc. (“Lumos”) to be acquired by DPV MergerSub, Inc., par value $0.01 per share (the “Shares”), which is based on information provided by Lumos as of November 6, 2024; and (ii) $4.36, the average of the high and low sales prices per Share on November 6, 2024, as reported by the Nasdaq Stock Market LLC (which, for the purposes of calculating the filing fee only, shall be deemed to be the Reference Price). |
* * | The amount of the filing fee was calculated in accordance with Rule 0-11 of the Securities Exchange Act of 1934, as amended, and the Section 6(b) Filing Fee Rate Advisory for Fiscal Year 2025 beginning on October 1, 2024, issued August 20, 2024, by multiplying the transaction value by 0.00015310. |