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Aptorum Group Limited

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FY2019 Annual Report · Aptorum Group Limited
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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549

FORM 20-F

☐ REGISTRATION STATEMENT PURSUANT TO SECTION 12(b) OR (g) OF THE SECURITIES EXCHANGE ACT OF 1934

☒ ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

OR

For the fiscal year ended December 31, 2019

OR

☐ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

OR

☐ SHELL COMPANY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

Date of event requiring this shell company report

For the transition period from   __________ to __________

Commission file number: [        ]

APTORUM GROUP LIMITED
(Exact Name of Registrant as Specified in its Charter)

N/A
(Translation of Registrant’s Name into English)

Cayman Islands
(Jurisdiction of Incorporation or Organization)

Ian Huen, Chief Executive Officer
Aptorum Group Limited
17/F Guangdong Investment Tower, 148 Connaught Road Central, Hong Kong
Tel: +(852) 2117 6611
Fax: (852) 2850 7286
(Address of principal executive offices and Name, Telephone, E-mail and/or Facsimile number and Address of Company Contact Person)

Securities registered or to be registered pursuant to Section 12(b) of the Act:

Title of Each Class
Class A Ordinary shares, par value $1.00

Trading Symbol
APM

Name of Each Exchange on Which Registered
NASDAQ Global Market

Securities registered or to be registered pursuant to Section 12(g) of the Act:

None
(Title of Class)

Securities for which there is a reporting obligation pursuant to Section 15(d) of the Act:

None
(Title of Class)

 
  
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Indicate the number of outstanding shares of each of the issuer’s classes of capital or common stock as of the close of the period covered by the annual report.

Class A Ordinary Shares: 6,597,362
Class B Ordinary Shares: 22,437,754

Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act. Yes ☐ No ☒

If this report is an annual or transition report, indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or 15(d) of the Securities Exchange
Act of 1934. Yes ☐ No ☒

Indicate by check mark whether the registrant: (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding
12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes ☒ No ☐

Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation
S-T during the preceding 12 months (or for such shorter period that the registrant was required to submit such files). Yes ☒ No ☐

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

Large accelerated filer

☐

Accelerated filer

☐   

Non-accelerated filer
Emerging growth company

☒
☒

If  an  emerging  growth  company  that  prepares  its  financial  statements  in  accordance  with  U.S.  GAAP,  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 13(a) of the Exchange Act. ☐

+ The term “new or revised financial accounting standard” refers to any update issued by the Financial Accounting Standards Board to its Accounting Standards Codification
after April 5, 2012.

Indicate by check mark whether the registrant has filed a report on and attestation to its management’s assessment of the effectiveness of its internal control over financial
reporting under Section 404(b) of the Sarbanes-Oxley Act (15 U.S.C. 7262(b)) by the registered public accounting firm that prepared or issued its audit report. ☐

Indicate by check mark which basis of accounting the registrant has used to prepare the financial statements included in this filing:

U.S. GAAP ☒

International Financial Reporting Standards as issued by the International Accounting Standards Board ☐

  Other ☐

*

If “Other” has been checked in response to the previous question, indicate by check mark which financial statement item the registrant has elected to follow. Item 17 ☐
Item 18 ☐

If this is an annual report, indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes ☐ No ☒

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
TABLE OF CONTENTS

INTRODUCTION

PART I

ITEM 1.

IDENTITY OF DIRECTORS, SENIOR MANAGEMENT AND ADVISERS

ITEM 2.

OFFER STATISTICS AND EXPECTED TIMETABLE

ITEM 3.

KEY INFORMATION

ITEM 4.

INFORMATION ON THE COMPANY

ITEM 4A.

UNRESOLVED STAFF COMMENTS

ITEM 5.

OPERATING AND FINANCIAL REVIEW AND PROSPECTS

ITEM 6.

DIRECTORS, SENIOR MANAGEMENT AND EMPLOYEES

ITEM 7.

MAJOR SHAREHOLDERS AND RELATED PARTY TRANSACTIONS

ITEM 8.

FINANCIAL INFORMATION

ITEM 9.

THE OFFER AND LISTING

ITEM 10.

ADDITIONAL INFORMATION

ITEM 11.

QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

ITEM 12.

DESCRIPTION OF SECURITIES OTHER THAN EQUITY SECURITIES

PART II

ITEM 13.

DEFAULTS, DIVIDEND ARREARAGES AND DELINQUENCIES

ITEM 14.

MATERIAL MODIFICATIONS TO THE RIGHTS OF SECURITY HOLDERS AND USE OF PROCEEDS

ITEM 15.

CONTROLS AND PROCEDURES

ITEM 16A.

AUDIT COMMITTEE FINANCIAL EXPERT

ITEM 16B.

CODE OF ETHICS

ITEM 16C.

PRINCIPAL ACCOUNTANT FEES AND SERVICES

ITEM 16D.

EXEMPTIONS FROM THE LISTING STANDARDS FOR AUDIT COMMITTEES

ITEM 16E.

PURCHASES OF EQUITY SECURITIES BY THE ISSUER AND AFFILIATED PURCHASERS

ITEM 16F.

CHANGE IN REGISTRANT’S CERTIFYING ACCOUNTANT

ITEM 16G.

CORPORATE GOVERNANCE

ITEM 16H.

MINE SAFETY DISCLOSURE

PART III

ITEM 17.

FINANCIAL STATEMENTS

ITEM 18.

FINANCIAL STATEMENTS

ITEM 19.

EXHIBITS

i

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1

1

1

45

82

82

95

109

113

114

114

119

119

120

120

120

120

122

122

122

122

122

122

122

122

123

123

123

123

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
Unless the context otherwise requires, in this annual report on Form 20-F references to:

INTRODUCTION

● “505(b)(2) Application” refers to an application for which one or more of the investigations relied upon by the applicant for approval “were not conducted by or
for the applicant and for which the applicant has not obtained a right of reference or use from the person by or for whom the investigations were conducted” (21
U.S.C. 355(b)(2)).

● “Acticule” refers to Acticule Life Sciences Limited, an 80% owned subsidiary of Aptorum Group.

● “Aeneas”  refers  to  AENEAS  CAPITAL  LIMITED,  a  wholly-owned  subsidiary  of  Aeneas  Group  Limited,  which  is  an  indirect  wholly-owned  subsidiary  of
Jurchen Investment Corporation through Aeneas Limited. Because Mr. Huen, our CEO, holds 100% equity interest in Jurchen Investment Corporation, we refer
Aeneas as a fellow subsidiary of Aptorum Group.

● “AGL” refers to Aeneas Group Limited, a wholly-owned subsidiary of Aeneas Limited and we refer AGL as a fellow subsidiary of Aptorum Group.

● “AL” refers to Aeneas Limited, an entity 76.8% owned by Jurchen Investment Corporation and we refer AL as a fellow subsidiary of Aptorum Group.

● “AML” refers to Aptorum Medical Limited, a 93% owned subsidiary of Aptorum Group, as of the date of this report.

● “AML Clinic” refers to an outpatient medical clinic operated by AML under the name of Talem Medical.

● “APD” refers to Aptorum Pharmaceutical Development Limited, a wholly-owned subsidiary of Aptorum Group.

● “Aptorum  Group,”  “Company,”  “we,”  “Group”  and  “us”  refer  to  Aptorum  Group  Limited,  a  Cayman  Islands  exempted  company  with  limited  liability  whose

principal place of business is in Hong Kong.

● “Aptorum Non-Therapeutics Group” refers to the Company’s non-therapeutics segment that encompasses: (i) the development of surgical robotics and medical
devices,  which  is  operated  through  Signate  Life  Sciences  Limited,  (ii)  AML  Clinic  and  (iii)  the  sales  of  dietary  supplement  through  Nativus  Life  Sciences
Limited.

● “Aptorum  Therapeutics  Group”  refers  to  the  Company’s  therapeutics  segment  that  is  operated  through  its  wholly-owned  subsidiary,  Aptorum  Therapeutics
Limited, a Cayman Islands exempted company with limited liability, whose principal place of business is in Hong Kong and its indirect subsidiary companies,
whose principal places of business are in Hong Kong.

● “Bond” refers to the $15,000,000 convertible bond the Company originally issued to Peace Range (as hereinafter defined) in the Bond Offering, but which has
since been repurchased by one of the Company’s wholly owned subsidiaries, Aptorum Investment Holding Limited, pursuant to that certain Bond Repurchase
Agreement dated April 24, 2019 between the Company, Peace Range and Aptorum Investment Holding Limited, and which has matured and been redeemed on
October 25, 2019

● “Bond Offering” refers to the Company’s private offering of the Bond that closed on April 25, 2018.

● “Boustead” refers to Boustead Securities, LLC.

● “cGCP” refers to Current Good Clinical Practice as adopted by the applicable regulatory authority.

● “cGLP” refers to Current Good Laboratory Practice as adopted by the applicable regulatory authority.

● “cGMP” refers to Current Good Manufacturing Practice as adopted by the applicable regulatory authority.

● “China Renaissance” refers to China Renaissance Securities (HK) Limited.

● “Class A Ordinary Shares” refers to the Company’s Class A Ordinary Shares, par value $1.00 per share.

● “CMC” refers to chemical, manufacturing and control.

● “Covar” refers to Covar Pharmaceuticals Incorporated, a contract research organization engaged by the Company.

ii

 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
● “CROs” refers to contract research organizations.

● “EMA” refers to the European Medicines Agency.

● “EMEA” refers to Europe, the Middle East and Africa.

● “EPO” refers to the European Patent Organization or the European Patent Office operated by it.

● “European Patent” refers to patents issuable by the EPO.

● “Exchange Act” refers to the U.S. Securities Exchange Act of 1934, as amended.

● “FDA” refers to U.S. Food and Drug Administration.

● “FDCA” refers to the U.S. Federal Food, Drug and Cosmetic Act.

● “Fiscal year” refers to the period from January 31 of each calendar year to December 31 of the following calendar year.

● “HKD” refers to Hong Kong Dollars.

● “Hong Kong” or “H.K.” refers to Hong Kong Special Administrative Region of the People’s Republic of China.

● “Hong Kong Doctors” refers to the doctors in Hong Kong under the employment of AML Clinic.

● “IND” refers to Investigational New Drugs.

● “IP” refers to intellectual property.

● “IPO” or “Offering” means the initial public offering by the Company of 761,419 Class A Ordinary Shares consummated on December 17, 2018.

● “Jurchen” refers to Jurchen Investment Corporation, a company wholly-owned by our CEO, Ian Huen, and a holding company of Aptorum Group.

● “Lead Projects” refers to two of the Company’s therapeutic projects ALS-4 and SACT-1.

● “Major Patent Jurisdictions” refers to the United States, member states of the European Patent Organization and the People’s Republic of China.

● “Nativus” refers to Nativus Life Sciences Limited, a wholly-owned subsidiary of Aptorum Group.

● “NMPA” refers to China’s National Medical Products Administration and its predecessor, the China Food and Drug Administration.

● “NDA” refers to a New Drug Application issued by the FDA.

● “PRC” and “China” refer to the People’s Republic of China.

● “Registered Direct Offering” means the registered direct offering by the Company of 1,351,350 Class A Ordinary Shares and warrants to purchase up to 1,351,350

Class A Ordinary Share consummated on February 28, 2020.

● “Restructure” refers to the Company’s change from an investment fund with management shares and non-voting participating redeemable preference shares to a

holding company with operating subsidiaries, effective as of March 1, 2017.

● “Registration Statement” refers to the Company’s Registration Statement on Form F-1 (File No. 333-227198) for the sale of up to 3,493,969 Class A Ordinary
Shares  (including  Class  A  Ordinary  Shares  underlying  certain  warrants  and  a  bond,  as  fully  described  therein)  which  initially  filed  on  September  5,  2018  and
became effective on December 3, 2018.

● “R&D” refers to research and development.

● “R&D Center” refers to an in-house pharmaceutical development center operated by APD.

iii

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
● “Securities Exchange Commission,” “SEC,” “Commission” or similar terms refer to the Securities Exchange Commission.

● “Sarbanes-Oxley Act” refers to the Sarbanes-Oxley Act of 2002.

● “Securities Act” refers to the Securities Act of 1933.

● “Series A Notes” refers to Series A convertible notes, at a purchase price of $10,000 per note, sold in the Series A Note Offering.

● “Series A Note Investors” refers to the investors who purchased Series A Notes.

● “Series A Note Offering” refers to the private offering of Series A Notes, pursuant to Regulation S or Regulation D, as promulgated under the Securities Act that

closed on May 15, 2018.

● “Shares” or “Ordinary Share” are our Ordinary Shares, par value $1.00 per share.

● “Signate” refers to Signate Life Sciences Limited, a wholly-owned subsidiary of Aptorum Group.

● “UK” refers to the United Kingdom.

● “Underwriter Warrants” refers to warrants issued to the underwriters of the IPO, which have now been fully exercised on a cashless basis.

● “United States,” “U.S.” and “US” refer to the United States of America.

● “Videns” refers to Videns Incorporation Limited, a wholly-owned subsidiary of Aptorum Group.

● “US$,” “U.S. dollars,” or “dollars” are to the legal currency of the United States.

Discrepancies in any table between the amounts identified as total amounts and the sum of the amounts listed therein are due to rounding.

This  annual  report  on  Form  20-F  includes  our  audited  consolidated  balance  sheets  (successor  basis)  as  of  December  31,  2019  and  2018,  the  related  consolidated
statements (successor basis) of operations and comprehensive loss, equity and cash flows for the years ended December 31, 2019 and 2018, and the period March 1, 2017
through December 31, 2017, the statements (predecessor basis) of operations, changes in net assets, and cash flows for the period January 1, 2017 through February 28, 2017,
and the related notes to consolidated financial statements.

Our operations and equity are funded in U.S. dollars and we currently incur the majority of our expenses in U.S. dollars or in H.K. dollars. H.K. dollar is currently
pegged to the U.S. dollar; however, we cannot guarantee that such peg will continue to be in place in the future. Our exposure to foreign exchange risk primarily relates to the
limited cash denominated in currencies other than the functional currencies of each entity and limited revenue contracts dominated in H.K. dollars in certain PRC operating
entities. We do not believe that we currently have any significant direct foreign exchange risk and have not hedged exposures denominated in foreign currencies or any other
derivative financial instruments.

iv

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
Item 1. IDENTITY OF DIRECTORS, SENIOR MANAGEMENT AND ADVISERS

Not Applicable.

Item 2. OFFER STATISTICS AND EXPECTED TIMETABLE

Part I

Not Applicable.

Item 3. KEY INFORMATION

A. Selected Financial Data

The following summary consolidated balance sheets (successor basis) as of December 31, 2019 and 2018, consolidated statements of operations and comprehensive
loss  (successor  basis)  for  the  years  ended  December  31,  2019  and  2018,  and  the  period  March  1,  2017  through  December  31,  2017,  as  well  as  the  statement  of  operations
(predecessor basis) for the period January 1, 2017 through February 28, 2017, have been derived from our audited consolidated financial statements included elsewhere in this
annual  report.  The  following  summary  consolidated  balance  sheet  (successor  basis)  as  of  December  31,  2017  have  been  derived  from  our  audited  consolidated  financial
statements which are not included in this annual report.

You should not view our historical results as an indicator of our future performance.

The following table presents our summary consolidated statements of operations and comprehensive loss (successor basis) for the years ended December 31, 2019 and

2018, and the period March 1, 2017 through December 31, 2017.

1

 
 
 
 
 
 
 
 
 
 
 
  
Selected Consolidated Statements of Operations and Comprehensive Loss (Successor Basis)
(In U.S. Dollars, except number of shares)

Revenue
Healthcare service income

Operating expenses
Cost of healthcare service
Research and development expenses
General and administrative fees
Legal and professional fees
Other operating expenses
Total expenses

Other (loss) income
(Loss) gain on investments in marketable securities, net
Gain on non-marketable investments
Gain (loss) on investments in derivatives, net
Gain on use of digital currencies
Gain on extinguishment of convertible debts
Changes in fair value of warrant liabilities
Interest (expense) income, net
Rental income
Dividend income
Sundry income
Total other (loss) income, net

Net loss
Less: net loss attributable to non-controlling interests

Net loss attributable to Aptorum Group Limited

Net loss per share – basic and diluted*
Weighted-average shares outstanding – basic and diluted

Net loss

Other Comprehensive loss
Unrealized loss on investments in available-for-sale securities
Exchange differences on translation of foreign operations
Other Comprehensive loss

Comprehensive loss
Less: comprehensive loss attributable to non-controlling interests

Year Ended 
December 31, 
2019

Year Ended 
December 31, 
2018

March 1, 
2017 
through  
December 31, 
2017

  $

535,166 

  $

383,450    $ 

- 

(794,545)    
(6,939,051)    
(7,373,425)    
(3,405,705)    
(220,891)    
(18,733,617)    

(318,011)    
(3,101,432)    
(4,919,626)    
(1,811,770)    
(560,709)    
(10,711,548)    

(81,839)    

1,147,190 
87,599 
46,717 
1,198,490 
(866,300)    
(3,699,672)    
16,868 
- 
232,460 
(1,918,487)    

501,522     
-     
(974,444)    
-     
-     
124,726     
(4,458,191)    
-     
-     
-     
(4,806,387)    

- 
(2,560,323)
(1,480,093)
(1,395,490)
(257,177)
(5,693,083)

3,912,500 
- 
(827,501)
- 
- 
- 
44,269 
- 
2,308 
- 
3,131,576 

(20,116,938)    
(1,430,176)    

(15,134,485)    
(302,762)    

(2,561,507)
(14,045)

(18,686,762)   $

(14,831,723)   $ 

(2,547,462)

(0.64)   $

29,008,445 

(0.53)   $ 
27,909,788     

(0.09)
26,963,435 

  $

  $

  $

(20,116,938)   $

(15,134,485)   $ 

(2,561,507)

- 

(10,897)    
(10,897)    

(1,122,251)    
5,345     
(1,116,906)    

(367,782)
- 
(367,782)

(20,127,835)    
(1,430,176)    

(16,251,391)    
(302,762)    

(2,929,289)
(14,045)

Comprehensive loss attributable to the shareholders of Aptorum Group Limited

(18,697,659)    

(15,948,629)    

(2,915,244)

*

The shares and per share data are presented at a weighted average basis to reflect the nominal share issuance.

2

 
 
 
 
 
 
 
   
 
 
 
 
 
   
     
 
 
 
 
   
     
 
 
 
 
  
   
      
  
 
 
  
   
      
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
   
      
  
 
 
  
   
      
  
 
 
 
 
   
 
 
   
 
 
   
 
 
   
 
 
 
 
 
 
   
 
 
   
 
 
   
 
 
 
 
 
  
   
      
  
 
 
 
 
 
 
 
  
   
      
  
 
 
 
  
   
      
  
 
 
   
 
 
 
  
   
      
  
 
 
 
  
   
      
  
 
 
  
   
      
  
 
 
   
 
 
 
 
 
 
 
  
   
      
  
 
 
 
 
 
 
 
  
   
      
  
 
 
 
  
The following table presents our summary statements of operations (predecessor basis) for the period January 1, 2017 through February 28, 2017.

Selected Statement of Operations (Predecessor Basis)
(In U.S. Dollars)

Investment income:
Interest income

Total investment income
Expenses

General and administrative fees
Management fees
Legal and professional fees
Other operating expenses

Total expenses
Net investment loss

Realized and unrealized losses

Net realized losses on investments in unaffiliated issuers
Net change in unrealized depreciation on investments

Net realized and unrealized losses

Net decrease in net assets resulting from operations

January 1, 
2017 
through 
February 28, 
2017

  $

  $

  $

3,011 
3,011 

17,516 
108,958 
98,646 
1,907 
227,027 
(224,016)

(15,327)
(386,741)
(402,068)

  $

(626,084)

The following table presents our summary consolidated balance sheets (successor basis) as of December 31, 2019, 2018 and 2017.

As of 
December 31, 
2019

As of 
December 31, 
2018

As of 
December 31, 
2017

Cash and restricted cash
Total current assets
Total assets
Total current liabilities
Total liabilities
Total equity attributable to the shareholders of Aptorum Group Limited
Non-controlling interests
Total equity
Total liabilities and equity

Exchange Rate Information

  $

  $

  $

5,293,173 
8,032,881 
23,954,218 
2,674,675 
9,102,466 
16,361,208 
(1,509,456)  
14,851,752 
23,954,218 

  $

26,107,238    $
28,722,941     
45,074,640     
12,184,865     
12,328,738     
33,114,435     
(368,533)    
32,745,902     
45,074,640    $

16,725,807 
20,283,399 
31,559,982 
1,330,734 
1,330,734 
30,243,293 
(14,045)
30,229,248 
31,559,982 

Our operations and equity are funded in U.S. dollars and we currently incur the majority of our expenses in U.S. dollars or in H.K. dollars. H.K. dollar is currently

pegged to the U.S. dollar; however, we cannot guarantee that such peg will continue to be in place in the future.

If we are exposed to foreign currency exchange risk as our results of operations, cash flows maybe subject to fluctuations in foreign currency exchange rates. For
example, if a significant portion of our clinical trial activities may be conducted outside of the United States, and associated costs may be incurred in the local currency of the
country in which the trial is being conducted, which costs could be subject to fluctuations in currency exchange rates. We currently do not engage in hedging transactions to
protect against uncertainty in future exchange rates between particular foreign currencies and the U.S. dollar. A decline in the value of the U.S. dollar against currencies in
countries in which we conduct clinical trials could have a negative impact on our research and development costs. Foreign currency fluctuations are unpredictable and may
adversely affect our financial condition, results of operations and cash flows.

3

 
 
 
 
 
 
 
 
  
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
  
 
 
 
 
 
 
 
  
 
 
 
 
 
 
   
 
 
 
  
 
 
   
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The following table sets forth information concerning exchange rates between the H.K. dollar and the United States dollar for the periods indicated.

2016
2017
2018
2019
2020 (through April 24, 2020)
January, 2019
February, 2019
March, 2019
April, 2019
May, 2019
June, 2019
July, 2019
August, 2019
September, 2019
October, 2019
November, 2019
December, 2019
January, 2020
February, 2020
March, 2020
April, 2020

Period 
Ended 
December 31, 
(1)

Average 
(2)

7.7534     
7.8128     
7.8305     
7.7894     
7.7506     
7.8463     
7.8496     
7.8498     
7.8451     
7.8387     
7.8103     
7.8275     
7.8403     
7.8401     
7.8376     
7.8267     
7.7894     
7.7665     
7.7927     
7.7513     
7.7506     

7.7618 
7.7950 
7.8376 
7.8335 
7.7653 
7.8411 
7.8477 
7.8492 
7.8445 
7.8478 
7.8260 
7.8133 
7.8420 
7.8350 
7.8421 
7.8279 
7.8045 
7.7725 
7.7757 
7.7651 
7.7514 

(1) The exchange rates reflect the noon buying rate in effect in New York City for cable transfers of H.K. dollar.

(2) Annual averages are calculated from month-end rates. Monthly averages are calculated using the average of the daily rates during the relevant period.

B. Capitalization and Indebtedness

Not applicable.

C. Reasons for the Offer and Use of Proceeds

Not applicable.

D. Risk Factors

Risks Related to the Preclinical and Clinical Development of Our Drug Candidates

We currently do not generate revenue from product sales and may never become profitable; unless we can raise more capital through additional financings, of which there
can be no guarantee, our principal source of revenue will be from AML Clinic, which may not be substantial.

Our  ability  to  generate  revenue  and  become  profitable  depends  upon  our  ability  to  successfully  complete  the  development  of,  and  obtain  the  necessary  regulatory
approvals for, the drug candidates in our Lead Projects and any future drug candidates we may develop, as we do not currently have any drugs that are available for commercial
sale. We expect to continue to incur losses before commercialization of our drug candidates and any future drug candidates. None of our drug candidates has been approved for
marketing in the U.S., Europe, the PRC or any other jurisdictions and may never receive such approval. Our ability to generate revenue and achieve profitability is dependent
on our ability to complete the development of our drug candidates and any future drug candidates we develop in our portfolio, obtain necessary regulatory approvals, and have
our drugs products under development manufactured and successfully marketed, of which there can be no guarantee. Although AML Clinic commenced operations in June
2018 and we expect to receive some revenue from such operations, even at full capacity, AML Clinic may not bring enough revenue to support our operation and R&D. Thus,
we may not be able to generate a profit until our drug candidates become profitable.

Even  if  we  receive  regulatory  approval  and  marketing  authorization  for  one  or  more  of  our  drug  candidates  or  one  or  more  of  any  future  drug  candidates  for

commercial sale, a potential product may not generate revenue at all unless we are successful in:

● developing  a  sustainable  and  scalable  manufacturing  process  for  our  drug  candidates  and  any  approved  products,  including  establishing  and  maintaining

commercially viable supply relationships with third parties;

● launching and commercializing drug candidates following regulatory approvals and marketing authorizations, either directly or with a collaborator or distributor;

● obtaining market acceptance of our drug candidates as viable treatment options;

4

 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
● addressing any competing technological and market developments;

● negotiating and maintaining favorable terms in any collaboration, licensing or other arrangement into which we may enter to commercialize drug candidates for

which we have obtained required approvals and marketing authorizations; and

● maintaining, protecting and expanding our portfolio of IP rights, including patents, trade secrets and know-how.

In addition, our ability to achieve and maintain profitability depends on timing and the amount of expenses we will incur. Our expenses could increase materially if we
are required by the FDA, NMPA, EMA or other comparable regulatory authorities to perform studies in addition to those that we currently have anticipated. Even if our drug
candidates are approved for commercial sale, we anticipate incurring significant costs associated with the commercial launch of these products.

Our ability to become and remain profitable depends on our ability to generate revenue. Even if we are able to generate revenues from AML Clinic or the sale or
sublicense  of  any  products  we  may  develop  or  license,  we  may  not  become  profitable  on  a  sustainable  basis  or  at  all.  Our  failure  to  become  and  remain  profitable  would
decrease the value of our Company and adversely affect the market price of our Class A Ordinary Shares, which could impair our ability to raise capital, expand our business or
continue our operations.

AML  Clinic’s  operations  may  be  our  principal  source  of  revenue  for  the  foreseeable  future  and  most  likely,  without  additional  financing,  such  revenue  will  not  be
sufficient for us to carry out all of our plans.

As stated above, we have not generated any revenue and do not foresee generating any revenue from our drug candidates in the near future. Effective as of March

2018, we leased the property in Central, Hong Kong that is the home to AML Clinic, which commenced operations in June 2018.

Until our therapeutic candidates produce revenue, our principal source of revenue shall be from AML Clinic, but we cannot guarantee that it will provide the expected
revenue, and even if expected revenue is realized, it will not be sufficient by itself to fund our other operations. We believe that available cash, together with the efforts from
management plans and actions described elsewhere in this report, should enable the Company to meet presently anticipated cash needs for at least the next 12 months after the
date that the financial statements are issued and the Company has prepared the consolidated financial statements on a going concern basis. However, the Company continues to
have  ongoing  obligations  and  it  expects  that  it  will  require  additional  capital  in  order  to  execute  its  longer-term  development  plan.  If  the  Company  encounters  unforeseen
circumstances  that  place  constraints  on  its  capital  resources,  management  will  be  required  to  take  various  measures  to  conserve  liquidity,  which  could  include,  but  not
necessarily be limited to, deferring some of its research and seeking to dispose of marketable securities. Management cannot provide any assurance that the Company will raise
additional capital if needed.

We  depend  substantially  on  the  success  of  the  drug  candidates  being  researched  as  our  current  Lead  Projects,  which  are  in  the  preclinical  stage  of  development.  The
preclinical  development,  IND-enabling,  and  clinical  trials  of  our  drug  candidates  may  not  be  successful.  If  we  are  unable  to  license  or  sublicense,  sell  or  otherwise
commercialize our drug candidates, or experience significant delays in doing so, our business will be materially harmed.

Our  business  and  the  ability  to  generate  revenue  related  to  product  sales,  if  ever  achieved,  will  depend  on  the  successful  development,  regulatory  approval  and
licensing or sublicensing or other commercialization of our drug candidates or any other drug candidates we may develop. We have invested a significant amount of financial
resources  in  the  development  of  our  drug  candidates  and  we  expect  to  invest  in  other  drug  candidates.  The  success  of  our  drug  candidates  and  any  other  potential  drug
candidates will depend on many factors, including but not limited to:

● successful enrollment in, and completion of, studies in animals and clinical trials;

● other parties’ ability in conducting our clinical trials safely, efficiently and according to the agreed protocol;

5

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
● receipt of regulatory approvals from the FDA, NMPA, EMA and other comparable regulatory authorities for our drug candidates;

● our ability to establish commercial manufacturing capabilities by making arrangements with third-party manufacturers;

● reliance on other parties to conduct our clinical trials swiftly and effectively;

● launch of commercial sales of our drug candidates, if and when approved;

● obtaining and maintaining patents, trade secrets and other IP protection and regulatory exclusivity, as well as protecting our rights in our own IP;

● ensuring that we do not infringe, misappropriate or otherwise violate patents, trade secrets or other IP rights of other parties;

● obtaining acceptance of our drug candidates by doctors and patients;

● obtaining reimbursement from third-party payors for our drug candidates, if and when approved;

● our ability to compete with other drug candidates and drugs; and

● maintenance of an acceptable safety profile for our drug candidates following regulatory approval, if and when received.

We  may  not  achieve  regulatory  approval  and  commercialization  in  a  timely  manner  or  at  all.  Significant  delays  in  obtaining  approval  for  and/or  to  successfully

commercialize our drug candidates would materially harm our business and we may not be able to generate sufficient revenues and cash flows to continue our operations.

Preclinical development is a long, expensive and uncertain process, and we may terminate one or more of our current preclinical development programs.

it 

to 

to  make 

take  around  12  years 

Traditionally,  drug  discovery  and  development  is  a  time-consuming,  costly  and  high-risk  business.  On  average,  the  cost  of  launching  a  new  drug  is  estimated  to
approach  US$2.6  billion  and  can 
the  market  (4  key  benefits  of  drug  repositioning.  (n.d.).  Retrieved  from
http://www.totalbiopharma.com/2012/07/04/4-key-benefits-drug-repositioning/). Despite the huge expenditures, only approximately 1 in 1,000 potential drugs is graduated to
human clinical trials after pre-clinical testing in the United States, (Norman, G. A. Drugs, Devices, and the FDA: Part 1. JACC: Basic to Translational Science, 1(3), 170-179,
2016) and nearly 86.2% of drug candidates entering phase 1 trials fails to achieve drug approval. (Wong C. H., Siah K. W. & Lo A. W. (2019, April), “Estimation of clinical
trial success rates and related parameters,” retrieved from https://academic.oup.com/biostatistics/article/20/2/273/4817524). Even after a drug is commercialized, there are just
too many factors affecting the sales of pharmaceutical products, including unmet need/burden of disease (68.2%), clinical efficacy (47.3%), comparator choice (36.4%), safety
profile (36.4%), and price (35.5%) (Sendyona, S., Odeyemi, I., & Maman, K. “Perceptions and factors affecting pharmaceutical market access: Results from a literature review
and  survey  of  stakeholders  in  different  settings”  Journal  of  Market  Access  &  Health  Policy,  4(1),  31660,  2016).  In  the  end,  on  average,  only  20%  of  approved  new  drugs
generate  revenues  that  exceed  the  average  R&D  investment.  (Rosenblatt,  M.  (2014,  December  19)  “The  Real  Cost  of  “High-Priced”  Drugs,”  retrieved  from
https://hbr.org/2014/11/the-real-cost-of-high-priced-drugs). We may determine that certain preclinical product candidates or programs do not have sufficient potential to warrant
the allocation of resources toward them. Accordingly, we may elect to terminate our programs for and, in certain cases, our licenses to, such product candidates or programs. If
we terminate a preclinical program in which we have invested significant resources, we will have expended resources on a program that will not provide a full return on our
investment and missed the opportunity to have allocated those resources to potentially more productive uses.

6

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Management has discretion to terminate the development of any of our projects at any time.

In  light  of  the  costs,  both  in  time  and  expense,  as  well  as  the  preclinical  results  and  general  business  considerations,  management  may  decide  not  to  continue
developing a particular preclinical program without announcement. Management will always base its decision on what it believes to be the most efficient use of the Company’s
resources  to  provide  the  most  value  to  its  shareholders.  As  a  result,  investors  may  not  always  be  aware  of  the  termination  of  a  previously  announced  study  or  trial.  The
Company will continue to provide update on its active preclinical projects in its SEC filings and/or press releases, as appropriate.

We may not be successful in our efforts to identify or discover additional drug candidates. Due to our limited resources and access to capital, we must continue to prioritize
development of certain drug candidates; such decisions may prove to be wrong and may adversely affect our business.

Although we intend to explore other therapeutic opportunities in addition to the drug candidates that we are currently developing, we may fail to identify other drug
candidates for a number of reasons. For example, our research methodology may be unsuccessful in identifying potential drug candidates or those we identify may be shown to
have harmful side effects or other undesirable characteristics that make them unmarketable or unlikely to receive regulatory approval.

Research  programs  to  pursue  the  development  of  our  drug  candidates  for  additional  indications  and  to  identify  new  drug  candidates  and  disease  targets  require
substantial technical, financial and human resources whether or not we ultimately are successful. Our research programs may initially show promise in identifying potential
indications and/or drug candidates, yet fail to yield results for clinical development for a number of reasons, including but not limited to:

● the research methodology used may not be successful in identifying potential indications and/or drug candidates; 

● potential drug candidates may, after further study, be shown to have harmful adverse effects or other characteristics that indicate they are unlikely to be effective

drugs; or 

● it may take greater human and financial resources to identify additional therapeutic opportunities for our drug candidates or to develop suitable potential drug

candidates through internal research programs than we will possess, thereby limiting our ability to diversify and expand our drug portfolio.

Because  we  have  limited  financial  and  managerial  resources,  we  have  chosen  to  focus  at  present  on  our  two  Lead  Projects,  which  may  ultimately  prove  to  be
unsuccessful. As a result of this focus, we may forego or delay pursuit of opportunities with other drug candidates, or for other indications that later prove to have greater
commercial potential or a greater likelihood of success. Even if we determine to pursue alternative therapeutic or diagnostic drug candidates, these other drug candidates or
other potential programs may ultimately prove to be unsuccessful. In short, our resource allocation decisions may cause us to fail to capitalize on viable commercial products or
profitable market opportunities.

Accordingly,  there  can  be  no  assurance  that  we  will  ever  be  able  to  develop  suitable  potential  drug  candidates  through  internal  research  programs.  This  could

materially adversely affect our future growth and prospects.

If we encounter difficulties enrolling patients in our clinical trials, our clinical development activities could be delayed or otherwise adversely affected.

While we have not commenced any clinical trials and do not expect to start our first clinical trials until at least 2020 or 2021, assuming we obtain approval to do so
from at least one regulatory authority, of which there can be no assurance, timely completion of clinical trials in accordance with their protocols depends, among other things,
on  our  ability  to  enroll  a  sufficient  number  of  patients  who  meet  the  trial  criteria  and  remain  in  the  trial  until  its  conclusion.  We  may  experience  difficulties  enrolling  and
retaining appropriate patients in our clinical trials for a variety of reasons, including but not limited to:

● the size and nature of the patient population;

● patient eligibility criteria defined in the clinical protocol;

7

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
● the size of study population required for statistical analysis of the trial’s primary endpoints;

● the proximity of patients to trial sites;

● the design of the trial and changes to the design of the trial;

● our ability to recruit clinical trial investigators with the appropriate competencies and experience;

● competing clinical trials for similar therapies or other new therapeutics exist and will reduce the number and types of patients available to us;

● clinicians’  and  patients’  perceptions  as  to  the  potential  advantages  and  side  effects  of  the  drug  candidate  being  studied  in  relation  to  other  available  therapies,

including any new drugs or treatments that may be approved for the indications we are investigating;

● our ability to obtain and maintain patient consents;

● patients enrolled in clinical trials may not complete a clinical trial; and

● the availability of approved therapies that are similar to our drug candidates. 

Even if we are able to enroll a sufficient number of patients in our clinical trials, delays in patient enrollment may result in increased costs or may affect the timing or

outcome of the planned clinical trials, which could prevent completion of these trials and adversely affect our ability to advance the development of our drug candidates.

Clinical drug development involves a lengthy and expensive process and could fail at any stage of the process. We have limited experience in conducting clinical trials and
results of earlier studies and trials may not be reproduced in future clinical trials.

For our drug candidates, clinical testing is expensive and can take many years to complete, while failure can occur at any time during the clinical trial process. The
results of studies in animals and early clinical trials of our drug candidates may not predict the results of later-stage clinical trials. Drug candidates in later stages of clinical
trials  may  fail  to  show  the  desired  safety  and  efficacy  traits  despite  having  progressed  through  studies  in  animals  and  initial  clinical  trials.  In  some  instances,  there  can  be
significant variability in safety and/or efficacy results between different trials of the same drug candidate due to numerous factors, including changes in trial procedures set
forth in protocols, differences in the size and type of the patient populations (including genetic differences), patient adherence to the dosing regimen and the patient dropout
rate.  Results  in  later  trials  may  also  differ  from  earlier  trials  due  to  a  larger  number  of  clinical  trial  sites  and  additional  countries  and  languages  involved  in  such  trials.  In
addition, the design of a clinical trial can determine whether its results will support approval of a drug candidate, and flaws in the design of a clinical trial may not become
apparent until the clinical trial is well advanced and significant expense has been incurred.

A number of companies in the pharmaceutical and biotechnology industries have suffered significant setbacks in advanced clinical trials due to lack of demonstrated
efficacy  or  adverse  safety  profiles,  notwithstanding  promising  results  in  earlier  trials.  Clinical  trials  of  potential  products  often  reveal  that  it  is  not  practical  or  feasible  to
continue development efforts. Furthermore, if the trials we conduct fail to meet their primary statistical and clinical endpoints, they will not support the approval from the FDA,
NMPA, EMA or other comparable regulatory authorities for our drug candidates. If this occurs, we would need to replace the failed study with new trials, which would require
significant  additional  expense,  cause  substantial  delays  in  commercialization  and  materially  adversely  affect  our  business,  financial  condition,  cash  flows  and  results  of
operations. (See “We are subject to risks related to the carrying out and outcome of clinical trials of medical devices”)

8

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
If clinical trials of our drug candidates fail to demonstrate safety and efficacy to the satisfaction of the FDA, NMPA, EMA or other comparable regulatory authorities, or
do  not  otherwise  produce  positive  results,  we  may  incur  additional  costs  or  experience  delays  in  completing,  or  ultimately  be  unable  to  complete,  the  development  and
commercialization of our drug candidates.

Before applying for and obtaining regulatory approval for the sale of any of our drug candidates, we must conduct extensive clinical trials to demonstrate the safety
and efficacy of our drug candidates in humans. Clinical testing is expensive, difficult to design and implement, can take many years to complete and may fail. A failure of one
or more of our clinical trials can occur at any stage of testing and successful interim results of a clinical trial do not necessarily predict successful final results.

We and our CROs are required to comply with current Good Clinical Practices (“cGCP”) requirements, which are regulations and guidelines enforced by the FDA,
NMPA, EMA and other comparable regulatory authorities for all drugs in clinical development. Regulatory authorities enforce these cGCP through periodic inspections of trial
sponsors,  principal  investigators  and  trial  sites.  Compliance  with  cGCP  can  be  costly  and  if  we  or  any  of  our  CROs  fail  to  comply  with  applicable  cGCP,  the  clinical  data
generated in our clinical trials may be deemed unreliable and the FDA, NMPA, EMA or comparable regulatory authorities may require us to perform additional clinical trials
before approving our marketing applications.

We  may  experience  numerous  unexpected  events  during,  or  as  a  result  of,  clinical  trials  that  could  delay  or  prevent  our  ability  to  receive  regulatory  approval  or

commercialize our drug candidates, including but not limited to:

● regulators, institutional review boards (“IRBs”) or ethics committees may not authorize us or our investigators to commence a clinical trial or conduct a clinical

trial at a prospective trial site;

● clinical trials of our drug candidates may produce negative or inconclusive results, and we may decide, or regulators may require us, to conduct additional clinical

trials or abandon drug development programs;

● the  number  of  patients  required  for  clinical  trials  of  our  drug  candidates  may  be  larger  than  we  anticipate,  enrollment  may  be  insufficient  or  slower  than  we

anticipate or patients may drop out at a higher rate than we anticipate;

● our contractors and investigators may fail to comply with regulatory requirements or meet their contractual obligations to us in a timely manner, or at all;

● we  might  have  to  suspend  or  terminate  clinical  trials  of  our  drug  candidates  for  various  reasons,  including  a  lack  of  clinical  response  or  a  determination  that

participants are being exposed to unacceptable health risks;

● regulators,  IRBs  or  ethics  committees  may  require  that  we  or  our  investigators  suspend  or  terminate  clinical  research  for  various  reasons,  including  non-

compliance with regulatory requirements;

● the cost of clinical trials of our drug candidates may be greater than we anticipate;

● the supply or quality of our drug candidates or other materials necessary to conduct clinical trials of our drug candidates may be insufficient or inadequate; and

● our drug candidates may cause adverse events, have undesirable side effects or other unexpected characteristics, causing us, our investigators, or regulators to

suspend or terminate the trials.

If  we  are  required  to  conduct  additional  clinical  trials  or  other  testing  of  our  drug  candidates  beyond  those  that  we  currently  contemplate,  if  we  are  unable  to
successfully complete clinical trials of our drug candidates or other testing, if the results of these trials or tests are not positive or are only modestly positive or if they raise
safety concerns, we may:

● be delayed in obtaining regulatory approval for our drug candidates;

● not obtain regulatory approval at all;

9

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
● obtain approval for indications that are not as broad as intended;

● have a drug removed from the market after obtaining regulatory approval;

● be subject to additional post-marketing testing requirements;

● be subject to restrictions on how a drug is distributed or used; or

● be unable to obtain reimbursement for use of a drug.

Delays in testing or approvals may result in increases in our drug development costs. We do not know whether any clinical trials will begin as planned, will need to be
restructured, or will be completed on schedule, or at all. Clinical trials may produce negative or inconclusive results. Moreover, these trials may be delayed or proceed less
quickly than intended. Delays in completing our clinical trials will increase our costs, slow down our drug candidate development and approval process, and jeopardize our
ability  to  commence  product  sales  and  generate  revenues  and  we  may  not  have  sufficient  funding  to  complete  the  testing  and  approval  process.  Any  of  these  events  may
significantly harm our business, financial condition and prospects, lead to the denial of regulatory approval of our drug candidates or allow our competitors to bring drugs to
market before we do, impairing our ability to commercialize our drugs if and when approved.

Significant clinical trial delays also could shorten any periods during which we have the exclusive right to commercialize our drug candidates or allow our competitors

to bring products to market before we do, impair our ability to commercialize our drug candidates and may harm our business and results of operations.

We may in the future conduct clinical trials for our drug candidates in sites outside the U.S. and the FDA may not accept data from trials conducted in such locations.

We may in the future conduct certain of our clinical trials outside the U.S. Although the FDA may accept data from clinical trials conducted outside the U.S. for our
New Drug Application (“NDA”), acceptance of this data is subject to certain conditions imposed by the FDA. There can be no assurance the FDA will accept data from any of
the clinical trials we conduct outside the U.S. If the FDA does not accept the data from any of our clinical trials conducted outside the U.S., it would likely result in the need for
additional clinical trials in the U.S., which would be costly and time-consuming and could delay or prevent the commercialization of any of our drug candidates.

Risks Related to Obtaining Regulatory Approval for Our Drug Candidates

The regulatory approval processes of the FDA, NMPA, EMA and other comparable regulatory authorities are lengthy, time-consuming and inherently unpredictable, and
if we are ultimately unable to obtain regulatory approval for our current drug candidates or any future drug candidates we may develop, our business will be substantially
harmed.

We  cannot  commercialize  drug  candidates  without  first  obtaining  regulatory  approval  to  market  each  drug  from  the  FDA,  NMPA,  EMA  or  comparable  regulatory
authorities. Before obtaining regulatory approvals for the commercial sale of any drug candidate for a target indication, we must demonstrate in studies in animals and well-
controlled clinical trials, and, with respect to approval in the United States and other regulatory agencies, to the satisfaction of the FDA, NMPA, EMA or comparable regulatory
authorities, that the drug candidate is safe and effective for use for that target indication and that the manufacturing facilities, processes and controls are adequate.

The  time  required  to  obtain  approval  from  the  FDA,  NMPA,  EMA  and  other  comparable  regulatory  authorities  is  unpredictable  but  typically  takes  many  years

following the commencement of studies in animals and clinical trials and depends upon numerous factors, including the substantial discretion of the regulatory authorities.

In addition, approval policies, regulations or the type and amount of clinical data necessary to gain approval can differ among regulatory authorities and may change
during  the  course  of  the  development  of  a  drug  candidate.  We  have  not  obtained  regulatory  approval  for  any  drug  candidate.  It  is  possible  that  neither  our  existing  drug
candidates nor any drug candidates we may discover or acquire for development in the future will ever obtain regulatory approval. Even if we obtain regulatory approval in one
jurisdiction, we may not obtain it in other jurisdictions.

10

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
Our  drug  candidates  could  fail  to  receive  regulatory  approval  from  any  of  the  FDA,  NMPA,  EMA  or  other  comparable  regulatory  authorities  for  many  reasons,

including but not limited to:

● disagreement with regulators regarding the design or implementation of our clinical trials;

● failure to demonstrate that a drug candidate is safe and effective or safe, pure and potent for its proposed indication;

● failure of clinical trial results to meet the level of statistical significance required for approval;

● failure to demonstrate that a drug candidate’s clinical and other benefits outweigh its safety risks;

● disagreement with regulators regarding our interpretation of data from studies in animals or clinical trials;

● insufficiency  of  data  collected  from  clinical  trials  of  our  drug  candidates  to  support  the  submission  and  filing  of  a  New  Drug  Application  (“NDA”),  or  other

submission or to obtain marketing approval;

● the  FDA,  NMPA,  EMA  or  a  comparable  regulatory  authority’s  finding  of  deficiencies  related  to  the  manufacturing  processes  or  facilities  of  third-party

manufacturers with whom we contract for clinical and commercial supplies; and

● changes in approval policies or regulations that render our preclinical studies and clinical data insufficient for approval.

Any of the FDA, NMPA, EMA or other comparable regulatory authorities may require more information, including additional preclinical studies or clinical data, to
support  approval,  which  may  delay  or  prevent  approval  and  our  commercialization  plans,  or  we  may  decide  to  abandon  the  development  program.  If  we  were  to  obtain
approval, regulatory authorities may approve any of our drug candidates for fewer or more limited indications than we request. Regulatory authorities also may grant approval
contingent on the performance of costly post-marketing clinical trials, or may approve a drug candidate with a label that is not desirable for the successful commercialization of
that  drug  candidate.  In  addition,  if  our  drug  candidate  produces  undesirable  side  effects  or  involves  other  safety  issues,  the  FDA  may  require  the  establishment  of  a  Risk
Evaluation Mitigation Strategy (“REMS”), or NMPA, EMA or other comparable regulatory authorities may require the establishment of a similar strategy. Such a strategy may,
for instance, restrict distribution of our drug candidates, require patient or physician education, or impose other burdensome implementation requirements on us.

Regulatory approval may be substantially delayed or may not be obtained for one or all of our drug candidates if regulatory authorities require additional time or studies to
assess the safety or efficacy of our drug candidates.

We currently do not have any drug candidates that have gained approval for sale by the FDA, NMPA or EMA or other regulatory authorities in any other country, and
we cannot guarantee that we will ever have marketable drugs. Our business is substantially dependent on our ability to complete the development of, obtain marketing approval
for and successfully commercialize drug candidates in a timely manner. We cannot commercialize drug candidates without first obtaining marketing approval from the FDA,
NMPA, EMA and comparable regulatory authorities. In the U.S., we hope to file INDs for the drug candidates from our Lead Projects and, subject to the approval of IND,
Phase 1 clinical trials in humans. Even if we are permitted to commence such clinical trials, they may not be successful and regulators may not agree with our conclusions
regarding the data generated by our clinical trials.

We  may  be  unable  to  complete  development  of  our  drug  candidates  or  initiate  or  complete  development  of  any  future  drug  candidates  we  may  develop  on  our
projected schedule. While we believe that our existing cash will likely enable us to complete the preclinical development of at least one of our current Lead Projects, even
assuming we can complete such preclinical studies for any drug candidate by 2021, the full clinical development, manufacturing and launch of that drug candidate, will take
significant additional time and likely require funding beyond the existing cash. In addition, if regulatory authorities require additional time or studies to assess the safety or
efficacy of our drug candidates, we may not have or be able to obtain adequate funding to complete the necessary steps for approval for our drug candidates or any future drug
candidates.

11

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Preclinical  studies  in  animals  and  clinical  trials  in  humans  to  demonstrate  the  safety  and  efficacy  of  our  drug  candidates  are  time-consuming,  expensive  and  take
several years or more to complete. Delays in preclinical or clinical trials, regulatory approvals or rejections of applications for regulatory approval in the U.S., Europe, the PRC
or other markets may result from many factors, including but not limited to:

● our inability to obtain sufficient funds required to conduct or continue a trial, including lack of funding due to unforeseen costs or other business decisions;

● regulatory reports for additional analysts, reports, data, preclinical studies and clinical trials;

● failure to reach agreement with, or inability to comply with conditions imposed by the FDA, NMPA, EMA or other regulators regarding the scope or design of our

clinical trials;

● regulatory questions regarding interpretations of data and results and the emergence of new information regarding our drug candidates or other products;

● delay  or  failure  in  obtaining  authorization  to  commence  a  clinical  trial  or  inability  to  comply  with  conditions  imposed  by  a  regulatory  authority  regarding  the

scope or design of a clinical trial; 

● withdrawal of clinical trial sites from our clinical trials as a result of changing standards of care or the ineligibility of a site to participate in our clinical trials;

● unfavorable or inconclusive results of clinical trials and supportive non-clinical studies, including unfavorable results regarding effectiveness of drug candidates

during clinical trials;

● difficulty in maintaining contact with patients during or after treatment, resulting in incomplete data;

● our inability to obtain approval from IRBs or ethics committees to conduct clinical trials at their respective sites;

● our inability to enroll and retain a sufficient number of patients who meet the inclusion and exclusion criteria in a clinical trial;

● our inability to conduct a clinical trial in accordance with regulatory requirements or our clinical protocols;

● clinical sites and investigators deviating from trial protocol, failing to conduct the trial in accordance with regulatory requirements, withdrawing from or dropping

out of a trial, or becoming ineligible to participate in a trial;

● failure of our clinical trial managers to satisfy their contractual duties or meet expected deadlines;

● manufacturing issues, including problems with manufacturing or timely obtaining from third parties sufficient quantities of a drug candidate for use in a clinical

trial;

● ambiguous or negative interim results, or results that are inconsistent with earlier results;

● feedback  from  the  FDA,  NMPA,  EMA,  an  IRB,  data  safety  monitoring  boards,  or  comparable  entities,  or  results  from  earlier  stage  or  concurrent  studies  in

animals and clinical trials, regarding our drug candidates, including which might require modification of a trial protocol;

● unacceptable risk-benefit profile or unforeseen safety issues or adverse side effects; and

● a  decision  by  the  FDA,  NMPA,  EMA,  an  IRB,  comparable  entities,  or  the  Company,  or  recommendation  by  a  data  safety  monitoring  board  or  comparable

regulatory entity, to suspend or terminate clinical trials at any time for safety issues or for any other reason.

12

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
Changes in regulatory requirements and guidance may also occur, and we may need to amend clinical trial protocols submitted to applicable regulatory authorities to
reflect these changes. Amendments may require us to resubmit clinical trial protocols to IRBs or ethics committees for re-examination, which may increase the costs or time
required to complete a clinical trial.

If we experience delays in the completion of, or the termination of, a clinical trial, of any of our drug candidates, the commercial prospects of our drug candidates will
be harmed, and our ability to generate product sales revenues from any of those drug candidates will be delayed. In addition, any delay in completing our clinical trials will
increase our costs, slow down our drug candidate development and approval process, and jeopardize our ability to commence product sales and generate revenues. Any of these
occurrences may harm our business, financial condition and prospects significantly. In addition, many of the factors that cause, or lead to, a delay in the commencement or
completion of clinical trials may also ultimately lead to the denial of regulatory approval of our drug candidates.

If we are required to conduct additional clinical trials or other studies with respect to any of our drug candidates beyond those that we initially contemplated, if we are
unable to successfully complete our clinical trials or other studies or if the results of these studies are not positive or are only modestly positive, we may be delayed in obtaining
regulatory approval for that drug candidate, we may not be able to obtain regulatory approval at all or we may obtain approval for indications that are not as broad as intended.
Our product development costs will also increase if we experience delays in testing or approvals, and we may not have sufficient funding to complete the testing and approval
process. Significant clinical trial delays could allow our competitors to bring their products to market before we do and impair our ability to commercialize our drugs, if and
when approved. If any of this occurs, our business will be materially harmed.

Our drug candidates may cause undesirable adverse events or have other properties that could delay or prevent their regulatory approval, limit the commercial profile of
an approved label, or result in significant negative consequences following any regulatory approval.

Undesirable adverse events caused by our drug candidates or any future drug candidates we may develop could cause us or regulatory authorities to interrupt, delay or
halt clinical trials and could result in a more restrictive label or the delay or denial of regulatory approval by the FDA, NMPA, EMA or other comparable regulatory authorities.
Results of our potential clinical trials could reveal a high and unacceptable severity or prevalence of adverse effects. In such event, our trials could be suspended or terminated
and the FDA, NMPA, EMA or other comparable regulatory authorities could order us to cease further development of, or deny approval of, our drug candidates for any or all
target indications. Drug-related adverse events could also affect patient recruitment or the ability of enrolled subjects to complete the trial, could result in potential product
liability claims and may harm our reputation, business, financial condition and business prospects significantly.

Additionally, if any of our current or future drug candidates receives regulatory approval, and we or others later identify undesirable side effects caused by such drugs,

a number of potentially significant negative consequences could result, including but not limited to:

● suspending the marketing of the drug;

● having regulatory authorities withdraw approvals of the drug;

● adding warnings on the label;

● developing a REMS for the drug or, if a REMS is already in place, incorporating additional requirements under the REMS, or to develop a similar strategy as

required by a comparable regulatory authority;

13

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
● conducting post-market studies;

● being sued and held liable for harm caused to subjects or patients; and

● damage to our reputation.

Any of these events could prevent us from achieving or maintaining market acceptance of the particular drug candidate, if approved, and could significantly harm our

business, results of operations and prospects.

Even if we receive regulatory approval for our drug candidates, we will be subject to ongoing regulatory obligations and continued regulatory review, which may result in
significant additional expense and we may be subject to penalties if we fail to comply with regulatory requirements or experience unanticipated problems with our drug
candidates.

If our drug candidates or any future drug candidates we develop are approved, they will be subject to ongoing regulatory requirements for manufacturing, labeling,
packaging, storage, advertising, promotion, sampling, record-keeping, conduct of post-marketing studies, and submission of safety, efficacy, and other post-market information,
including both federal and state requirements in the United States and requirements of comparable regulatory authorities outside of the United States.

Manufacturers and manufacturers’ facilities are required to comply with extensive requirements from the FDA, NMPA, EMA and comparable regulatory authorities,
including, in the United States, ensuring that quality control and manufacturing procedures conform to cGMP regulations. As such, our contract manufacturers will be subject
to continual review and inspections to assess compliance with cGMP and adherence to commitments made in any NDA, other marketing application, and previous responses to
inspection  observations.  Accordingly,  we  and  others  with  whom  we  work  must  continue  to  expend  time,  money  and  effort  in  all  areas  of  regulatory  compliance,  including
manufacturing, production and quality control.

Any regulatory approvals that we receive for our drug candidates may be subject to limitations on the approved indicated uses for which the drug may be marketed or
to the conditions of approval, or contain requirements for potentially costly post-marketing testing, including Phase 4 clinical trials and surveillance to monitor the safety and
efficacy  of  the  drug  candidate.  The  regulatory  authorities  may  also  require  risk  management  plans  or  programs  as  a  condition  of  approval  of  our  drug  candidates  (such  as
REMS of the FDA and risk-management plan of the EMA), which could entail requirements for long-term patient follow-up, a medication guide, physician communication
plans or additional elements to ensure safe use, such as restricted distribution methods, patient registries and other risk minimization tools. In addition, if the FDA, NMPA,
EMA or a comparable regulatory authority approves our drug candidates, we will have to comply with requirements including, for example, submissions of safety and other
post-marketing information and reports, registration, as well as continued compliance with cGCP and cGMP, for any clinical trials that we conduct post-approval.

The FDA may impose consent decrees or withdraw approval if compliance with regulatory requirements and standards is not maintained or if problems occur after the
drug reaches the market. Later discovery of previously unknown problems with our drug candidates, including adverse events of unanticipated severity or frequency, or with
our third-party manufacturers or manufacturing processes, or failure to comply with regulatory requirements, may result in revisions to the approved labeling to add new safety
information;  imposition  of  post-market  studies  or  clinical  studies  to  assess  new  safety  risks;  or  imposition  of  distribution  restrictions  or  other  restrictions  under  a  REMS
program. Other potential consequences include, among other things:

● restrictions on the marketing or manufacturing of our drug candidates, withdrawal of the product from the market, or voluntary or mandatory product recalls;

● fines, untitled or warning letters, or holds on clinical trials;

● refusal by the FDA to approve pending applications or supplements to approved applications filed by us or suspension or revocation of license approvals;

● product seizure or detention, or refusal to permit the import or export of our drug candidates; and

● injunctions or the imposition of civil or criminal penalties.

The  FDA  strictly  regulates  marketing,  labeling,  advertising  and  promotion  of  products  that  are  placed  on  the  market.  Companies  may  promote  drugs  only  for  the
approved indications and in accordance with the provisions of the approved label and may not promote drugs for any off-label use, such as uses that are not described in the
product’s labeling and that differ from those approved by the regulatory authorities. However, physicians may prescribe drug products for off-label uses and such off-label uses
are common across some medical specialties. Thus, they may, unbeknownst to us, use our product for an “off label” indication for a specific treatment recipient. The FDA,
NMPA, EMA and other regulatory authorities actively enforce the laws and regulations prohibiting the promotion of off-label uses, and if we are found to be out of compliance
with the requirements and restrictions imposed on us under those laws and restrictions, we may be subject to significant liability, including civil and administrative remedies as
well as criminal sanctions, and the off-label use of our products may increase the risk of product liability claims. In addition, management’s attention could be diverted from our
business operations and our reputation could be damaged.

The policies of the FDA, NMPA, EMA and other regulatory authorities may change and we cannot predict the likelihood, nature or extent of government regulation
that may arise from future legislation or administrative action, either in the United States or abroad. If we are slow or unable to adapt to changes in existing requirements or the
adoption of new requirements or policies, or if we are not able to maintain regulatory compliance, we may lose any regulatory approval that we may have obtained and we may
not achieve or sustain profitability.

14

 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
        
 
Risks Related to Commercialization of Our Drug Candidates

Even if any of our drug candidates receive regulatory approval, it may fail to achieve the degree of market acceptance by physicians, patients, third-party payors and others
in the medical community necessary for commercial success.

After  we  complete  clinical  trials  and  receive  regulatory  approval  for  any  of  our  drug  candidates,  which  may  not  happen  for  some  time,  we  recognize  that  such
candidate(s) may ultimately fail to gain sufficient market acceptance by physicians, patients, third-party payors and others in the medical community. We may not be able to
achieve or maintain market acceptance of our products over time if new products or technology are introduced that are more favorably received than our products, are more cost
effective  or  render  our  drug  obsolete.  We  will  face  competition  with  respect  to  our  drug  candidates  from  other  pharmaceutical  companies  developing  products  in  the  same
disease/therapeutic area and specialty pharmaceutical and biotechnology companies worldwide. Many of the companies against which we may be competing have significantly
greater financial resources and expertise in research and development, manufacturing, animal testing, conducting clinical trials, obtaining regulatory approvals and marketing
approval for drugs than we do. Physicians, patients and third-party payors may prefer other novel products to ours, which means that we may not generate significant sales
revenues for that product and that product may not become profitable. The degree of market acceptance of our drug candidates, if approved for commercial sale, will depend on
a number of factors, including but not limited to:

● clinical indications for which our drug candidates are approved;

● physicians, hospitals, and patients considering our drug candidates as a safe and effective treatment;

● the potential and perceived advantages of our drug candidates over alternative treatments;

● the prevalence and severity of any side effects;

● product labeling or product insert requirements of the FDA, NMPA, EMA or other comparable regulatory authorities;

● limitations or warnings contained in the labeling approved by the FDA, NMPA, EMA or other comparable regulatory authorities;

● the timing of market introduction of our drug candidates as well as competitive drugs;

● the cost of treatment in relation to alternative treatments and their relative benefits;

● the availability of adequate coverage, reimbursement and pricing by third-party payors and government authorities;

● lack of experience and financial and other limitations on our ability to create and sustain effective sales and marketing efforts or ineffectiveness of our sales and

marketing partners; and

● changes  in  legislative  and  regulatory  requirements  that  could  prevent  or  delay  regulatory  approval  of  our  drug  candidates,  restrict  or  regulate  post-approval

activities and affect our ability to profitably sell any drug candidates for which we obtain regulatory approval.

Risks Related to Our IP

A  significant  portion  of  our  IP  portfolio  currently  includes  pending  patent  applications  that  have  not  yet  been  issued  as  granted  patents  and  if  the  pending  patent
applications  covering  our  product  candidates  fail  to  be  issued,  our  business  will  be  adversely  affected.  If  we  or  our  licensors  are  unable  to  obtain  and  maintain  patent
protection for our technology and drugs, our competitors could develop and commercialize technology and drugs similar or identical to ours, and our ability to successfully
commercialize our technology and drugs may be adversely affected.

Our success depends largely on our ability to obtain and maintain patent protection  and other forms of IP rights for the composition of matter, method of use and/or
method of manufacture for each of our drug candidates. Failure to obtain, maintain protection, enforce or extend adequate patent and other IP rights could materially adversely
affect  our  ability  to  develop  and  market  one  or  more  of  our  drug  candidates.  We  also  rely  on  trade  secrets  and  know-how  to  develop  and  maintain  our  proprietary  and  IP
position for each of our drug candidates. Any failure to protect our trade secrets and know-how with respect to any specific drug and device candidate could adversely affect the
market potential of that potential product.

15

 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
As  of  the  date  of  this  report,  the  Company  has,  through  its  licenses,  obtained  rights  to  patents  and  patent  applications  covering  some  or  all  its  drug  and  device
candidates that have been filed in major jurisdictions such as the United States, member states of the European Patent Organization (the “EPO”) and the PRC (collectively,
“Major  Patent  Jurisdictions”),  as  well  as  in  other  countries.  We  have  also  filed  a  number  of  provisional  applications  to  establish  earlier  filing  dates  for  certain  of  our  other
ongoing researches, the specifics of which are currently proprietary and confidential. To the extent we do not seek or obtain patent protection in a particular jurisdiction, we
may not have commercial incentive to seek marketing authorization in such jurisdiction. Nonetheless, other parties might enter those markets with generic versions or copies of
our products and received regulatory approval without having significantly invested in their own research and development costs compared to the Company’s investment. For
more information about our IP portfolio, please refer to the Intellectual Property section below.

With respect to issued patents in certain jurisdictions, for example in the U.S. and under the EPO, we may be entitled to obtain a patent term extension to extend the
patent expiration date provided we meet the applicable requirements for obtaining such patent term extensions. We have sought to support our proprietary position by working
with  our  licensors  in  filing  patent  applications  in  the  names  of  the  licensors  in  the  United  States  and  through  the  PCT,  related  to  the  Lead  Projects  and  certain  other  drug
candidates. In the future, we intend to file patent applications on supplemental or improvement IP derived from the licensed technologies, where those IP would be solely or
jointly owned by the Company pursuant to the terms of respective license agreements. Filing patents covering multiple technologies in multiple countries is time-consuming
and expensive, and we may not have the resources file and prosecute all necessary or desirable patent applications in a timely manner. It is also possible that we will fail to
identify patentable aspects of our research and development output before it is too late to obtain patent protection.

We cannot be certain that patents will be issued or granted with respect to patent applications that are currently pending, or that issued or granted patents will not later

be found to be invalid or unenforceable.

The patent position of biotechnology and pharmaceutical companies is generally uncertain because it involves complex legal and factual considerations. The standards
applied  by  the  EPO,  the  U.S.  Patent  and  Trademark  Office,  or  USPTO,  and  foreign  patent  offices  in  granting  patents  are  not  always  applied  uniformly  or  predictably.  For
example,  there  is  no  uniform  worldwide  policy  regarding  patentable  subject  matter  or  the  scope  of  claims  allowable  in  biotechnology  and  pharmaceutical  patents.
Consequently, patents may not issue from our pending patent applications and even if they do issue, such patents may not issue in a form that effectively prevents others from
commercializing competing products. As such, we do not know the degree of future protection that we will have on our proprietary products and technology.

Additionally, the issuance of a patent is not conclusive as to its inventorship, scope, validity or enforceability, and our patents may be challenged in the courts or patent
offices in the United States and abroad. Even if patents do successfully issue and even if such patents cover our drug candidates, other parties may initiate, for patents filed
before March 16, 2013 (i.e., the enactment of the America Invents Act), interference or re-examination proceedings, for patents filed on or after March 16, 2013, post-grant
review,  inter partes  review, nullification or derivation proceedings, in court or before patent offices, or similar proceedings challenging the validity, enforceability or scope of
such patents, which may result in the patent claims being narrowed or invalidated. Successful defense of its patents can constitute a material factor in a company’s expenses.
According  to  an  August  2017  article  published  by  Bloomberg  News  (https://www.bna.com/cost-patent-infringement-n73014463011/),  depending  on  the  value  at  stake,  the
American Intellectual Property Law Association’s “2017 Report of the Economic Survey” reported the average cost of a patent litigation in 2017 to be $1.7 million.

In addition, the fact that the Company has exclusive rights to prevent others from using a patented invention does not  necessarily  mean that the Company itself will
have the unrestricted right to use that invention.  Other parties may obtain ownership or licenses to patents or other IP rights that cover the manufacture, use or sale of our
current  or  future  products  (or  elements  thereof).    This  may  enable  such  other  parties  to  enforce  their  patents  or  IP  rights  against  us,  and  may,  as  a  result,  affect  the
commercialization of our products or exploitation of our own technology .  We endeavor to identify early patents and patent applications which may block development of a
product  or  technology  and  minimize  this  risk  by  conducting  prior  art  searches  before  and  during  the  projects.  However,  relevant  documents  may  be  overlooked,  yet-to-be
published or missed, which may in turn impact on the freedom to commercialize the relevant asset.  In such cases, we may not be in a position to develop or commercialize
products or drug candidates unless we successfully pursue litigation to nullify or invalidate the other IP rights concerned, or enter into a license agreement with the IP right
holder, if available on commercially reasonable terms.

16

 
 
 
 
 
 
 
 
If we are unable to obtain and maintain the appropriate scope for our patents, our competitors could develop and commercialize technology and drugs similar or identical
to ours, and our ability to successfully commercialize our technology and drugs may be adversely affected.

We  may  not  obtain  sufficient  claim  scope  in  those  patents  to  prevent  another  party  from  competing  successfully  with  our  drug  and  device  candidates.  Even  if  our
patent applications issue as patents, they may not issue in a form that will provide us with any meaningful protection, prevent competitors from competing with us or otherwise
provide  us  with  any  competitive  advantage.  Our  competitors  may  be  able  to  circumvent  our  patents  by  developing  similar  or  alternative  technology  or  drug  and  device
candidates in a non-infringing manner. The issuance of a patent is not conclusive as to its scope, validity or enforceability, and our patents may be challenged in the courts or
patent offices in the United States and abroad. Such challenges may result in patent claims being narrowed, invalidated or held unenforceable, which could limit our ability to
stop  or  prevent  us  from  stopping  others  from  using  or  commercializing  similar  or  identical  technology  and  drug  and  device  candidates,  or  limit  the  duration  of  the  patent
protection of our technology and drug and device candidates. Given the amount of time required for the development, testing and regulatory review of new drug and device
candidates, patents protecting such candidates might expire before or shortly after such candidates are commercialized. As a result, our patent portfolio may not provide us with
sufficient rights to exclude others from commercializing drug and device candidates similar or identical to ours.

Further, the issuance, scope, validity, enforceability and commercial value of our and our current or future licensors’ or collaboration partners’ patent rights are highly
uncertain. Our and our licensors’ pending and future patent applications may not result in patents being issued which protect our technology or products, in whole or in part, or
which effectively prevent others from commercializing competitive technologies and products.

We may not be able to protect and enforce our IP rights throughout the world.

Our commercial success will depend, in part, on our ability to maintain IP protection for our drug candidates in which we seek to develop and commercialize. While
we  rely  primarily  upon  a  combination  of  patents,  trademarks,  trade  secrets  and  other  contractual  obligations  to  protect  the  IP  related  to  our  brands,  products  and  other
proprietary technologies, these legal means may afford only limited protection.

Filing and prosecuting patents on drug candidates and defending the validity of the same (if challenged) in all countries throughout the world could be prohibitively
expensive for us, and our IP rights in countries outside the Major Patent Jurisdictions can be less extensive than those in the Major Patent Jurisdictions. In addition, the laws of
some countries in the rest of the world such as India do not protect IP rights to the same extent as laws in the Major Patent Jurisdictions. Consequently, we may not be able to
prevent other parties from practicing our inventions in the rest of the world. Competitors may use our technology in jurisdictions where we have not or not yet obtained patent
protection to develop their own drugs and further, may export otherwise infringing drugs to non-U.S. jurisdictions where we have patent protection.

Our, our licensors’ or collaboration partners’ patent applications cannot be enforced against other parties practicing the technology claimed in such applications unless
and until a patent issues from such applications, and then only to the extent the issued claims cover the technology. In addition, patents and other IP rights also will not protect
our technology, drug candidates if another party, including our competitors, design around our protected technology, drug candidates without infringing, misappropriating or
otherwise violating our patents or other IP rights.

17

 
 
 
 
 
 
 
 
 
Moreover,  currently  and  as  our  R&D  continues  to  progress,  some  of  our  patents  and  patent  applications  are  or  may  be  co-owned  with  another  party.  Some  of  our
licenses already provide that future-developed technologies (and any resulting patents) will be co-owned with the licensors and other patents for technologies we may acquire
or develop with other parties may also be jointly owned. If we are unable to obtain an exclusive license to any such co-owners’ interest in such patents or patent applications,
such co-owners may be able to license their rights to other persons, including our competitors, and our competitors could market competing products and technology, and we
will be unable to transfer or grant exclusive rights to potential purchasers or development partners of such co-owned technologies. In addition, we may need the cooperation of
any such co-owners of our patents in order to enforce such patents against other parties, and such cooperation may not be provided to us. Any of the foregoing could limit the
revenue we might generate from our patents or patent applications and thus have a material adverse effect on our competitive position, business, financial conditions, results of
operations, and prospects.

Because  patent  applications  are  confidential  for  a  period  of  time  after  filing,  and  some  remain  so  until  issued,  we  cannot  be  certain  that  we  or  our  licensors  or
collaborators were or will be the first to file any patent application related to a drug or device candidate. Furthermore, in the United States, if patent applications of other parties
have an effective filing date before March 16, 2013, an interference proceeding can be initiated by such other party to determine who was the first to invent any of the subject
matter covered by the patent claims of our applications. If patent applications of other parties have an effective filing date on or after March 16, 2013, in the United States a
derivation proceeding can be initiated by such other parties to determine whether our invention was derived from theirs.

Even where we have a valid and enforceable patent, we may not be able to exclude others from practicing our invention where the other party can show that they used
the  invention  in  commerce  before  our  filing  date  or  the  other  party  benefits  from  a  compulsory  license.  In  addition,  we  may  be  subject  to  other  challenges  regarding  our
exclusive ownership of our IP. If another party were successful in challenging our exclusive ownership of any of our IP, we may lose our right to use such IP, such other party
may be able to license such IP to other parties, including our competitors, and our competitors could market competing products and technology. Any of the foregoing could
have a material adverse effect on our competitive position, business, financial conditions, results of operations, and prospects.

Many companies have encountered significant problems in protecting and defending IP rights in jurisdictions outside Major Patent Jurisdictions. The legal systems of
some  countries  do  not  favor  the  enforcement  of  patents,  trade  secrets  and  other  IP,  which  could  make  it  difficult  in  those  jurisdictions  for  us  to  stop  the  infringement  or
misappropriation of our patents or other IP rights, or the marketing of competing drugs in violation of our proprietary rights generally.

To date, we have not sought to enforce any issued patents in any jurisdictions. Proceedings to enforce our patent and other IP rights in any jurisdictions could result in

substantial costs and divert our efforts and attention from other aspects of our business.

Furthermore, such proceedings could put our patents at risk of being invalidated, held unenforceable, or interpreted narrowly, could put our patent applications at risk
of  not  issuing,  and  could  provoke  other  parties  to  assert  claims  of  infringement  or  misappropriation  against  us.  We  may  not  prevail  in  any  lawsuits  that  we  initiate  in
jurisdictions  where  opposition  proceedings  are  available  and  the  damages  or  other  remedies  awarded,  if  any,  may  not  be  commercially  meaningful.  The  requirements  for
patentability  may  differ  in  certain  countries,  particularly  developing  countries.  Certain  countries  in  Europe,  the  PRC,  and  developing  countries  including  India,  have
compulsory licensing laws under which a patent owner may be compelled to grant licenses to other parties. In those countries, we and our licensors may have limited remedies
if patents are infringed or if we or our licensors are compelled to grant a license to another party, which could materially diminish the value of those patents. This could limit
our potential revenue opportunities. Accordingly, our efforts to enforce our IP rights around the world may be inadequate to obtain a significant commercial advantage from the
IP that we develop.

18

 
  
 
 
 
 
 
 
We may become involved in lawsuits to protect or enforce our IP, which could be expensive, time-consuming and unsuccessful. Our patent rights relating to our drug and
device candidates could be found invalid or unenforceable if challenged in court or before the USPTO or comparable non-U.S. authority.

Competitors  may  infringe  our  patent  rights  or  misappropriate  or  otherwise  violate  our  IP  rights.  To  counter  infringement  or  unauthorized  use,  litigation  may  be
necessary in the future to enforce or defend our IP rights, to protect our trade secrets or determine the validity and scope of our own IP rights or the proprietary rights of others.
This can be expensive and time-consuming. Any claim that we assert against perceived infringers could also provoke these parties to assert counterclaims against us alleging
that we infringe their IP rights. Many of our current and potential competitors have the ability to dedicate substantially greater resources to enforce and/or defend their IP rights
than we can. Accordingly, despite our efforts, we may not be able to prevent other parties from infringing upon or misappropriating our IP. Litigation could result in substantial
costs and diversion of management resources, which could harm our business and financial results. In addition, in an infringement proceeding, a court may decide that patent
rights or other IP rights owned by us are invalid or unenforceable, or may refuse to stop the other party from using the technology at issue on the grounds that our patent rights
or other IP rights do not cover the technology in question. An adverse result in any litigation proceeding could put our patent, as well as any patents that may issue in the future
from  our  pending  patent  applications,  at  risk  of  being  invalidated,  held  unenforceable  or  interpreted  narrowly.  Furthermore,  because  of  the  substantial  amount  of  discovery
required in connection with IP litigation, there is risk that some of our confidential information could be compromised by disclosure during this type of litigation.

If we initiate legal proceedings against another party to enforce our patent, or any patents that may be issued in the future from our patent applications, that relates to
one of our drug and device candidates, the defendant could counterclaim that such patent rights are invalid or unenforceable. In patent litigation in the United States, defendant
counterclaims alleging invalidity or unenforceability are commonplace, and there are numerous grounds upon which another party can assert invalidity or unenforceability of a
patent. Parties may also raise similar claims before administrative bodies in the United States or abroad, even outside the context of litigation. Such mechanisms include ex
parte  re-examination,    inter  partes    review,  post-grant  review,  derivation  and  equivalent  proceedings  in  non-U.S.  jurisdictions,  such  as  opposition  proceedings.  Such
proceedings could result in revocation or amendment to our patents in such a way that they no longer cover and protect our drug and device candidates. With respect to the
validity  of  our  patents,  for  example,  there  may  be  invalidating  prior  art  of  which  we,  our  patent  counsel,  and  the  patent  examiner  were  unaware  during  prosecution.  If  a
defendant were to prevail on a legal assertion of invalidity and/or unenforceability, we would lose at least part, and perhaps all, of the patent protection on our drug and device
candidates. Such a loss of patent protection could have a material adverse impact on our business.

We may not be able to prevent misappropriation of our trade secrets or confidential information, particularly in countries where the laws may not protect those rights
as  fully  as  in  the  United  States.  Furthermore,  because  of  the  substantial  amount  of  discovery  required  in  connection  with  IP  litigation,  there  is  a  risk  that  some  of  our
confidential information could be compromised by disclosure during this type of litigation.

We may be subject to claims challenging the inventorship of our patents and other IP.

Although we are not currently experiencing any claims challenging the inventorship of our patents or ownership of our IP, we may in the future be subject to claims
that former employees, collaborators or other parties have an interest in our patents or other IP as inventors or co-inventors. For example, we may have inventorship disputes
arise from conflicting obligations of consultants or others who are involved in developing our drug and device candidates and who have not clearly contracted to transfer or
assign any rights they may have to the Company. In addition, for our licensed patents, although a majority of our licensors have procured assignment forms and records from
inventors  to  affirm  their  ownership  in  the  licensed  IP,  a  nother  party  or  former  employee  or  collaborator  of  our  licensors  not  named  in  the  patents  may  challenge  the
inventorship of claim an ownership interest in one or more of our or our licensors’ patents.  Litigation may be necessary to defend against these and other claims challenging
inventorship. If we fail in defending any such claims, in addition to paying monetary damages, we may lose rights such as exclusive ownership of, or right to use, our patent
rights or other IP. Such an outcome could have a material adverse effect on our business. Even if we are successful in defending against such claims, litigation could result in
substantial costs and be a distraction to management and other employees.

If  we  are  sued  for  infringing  IP  rights  of  other  parties,  such  litigation  could  be  costly  and  time-consuming  and  could  prevent  or  delay  us  from  developing  or
commercializing our drug candidates, the outcome of which would be uncertain and could have a material adverse effect on the success of our business.

Our commercial success depends in part on our avoiding infringement of the patents and other IP rights of other parties. There is a substantial amount of litigation
involving patent and other IP rights in the biotechnology and pharmaceutical industries. Numerous issued patents, provisional patents and pending patent applications, which
are owned by other parties, exist in the fields in which we are developing drug candidates. As the biotechnology and pharmaceutical industries expand and more patents are
issued, the risk increases that our drug candidates may give rise to claims of infringement of the patent rights of others.

19

 
 
 
  
 
 
 
 
 
 
Other parties may assert that we are employing their proprietary technology without authorization. There may be other patents of which we are currently unaware with
claims to materials, formulations, methods of manufacture or methods for treatment related to the use or manufacture of our drug candidates. Because patent applications can
take  many  years  to  issue,  there  may  be  currently  pending  patent  applications  or  provisional  patents  which  may  later  result  in  issued  patents  that  our  drug  candidates  may
infringe. In addition, other parties may obtain patents in the future and claim that use of our technology infringes upon these patents. If any other patents were held by a court of
competent jurisdiction to cover the manufacturing process of any of our drug candidates, any molecules formed during the manufacturing process or any final drug itself, the
holders of any such patents may be able to prevent us from commercializing such drug candidate unless we obtain a license under the applicable patents, or until such patents
expire or they are finally determined to be held invalid or unenforceable. Similarly, if any other patent were held by a court of competent jurisdiction to cover aspects of our
formulations, processes for manufacture or methods of use, including combination therapy or patient selection methods, the holders of any such patent may be able to block our
ability to develop and commercialize the applicable drug candidate unless we obtain a license, limit our uses, or until such patent expires, or is finally determined to be held
invalid or unenforceable. In either case, such a license may not be available on commercially reasonable terms or at all.

Other parties who bring successful claims against us for infringement of their IP rights may obtain injunctive or other equitable relief, which could prevent us from
developing and commercializing one or more of our drug candidates. Defense of these claims, regardless of their merits, would involve substantial litigation expense and be a
substantial  diversion  of  employee  resources  from  our  business.  In  the  event  of  a  successful  claim  of  infringement  or  misappropriation  against  us,  we  may  have  to  pay
substantial damages, including treble damages and attorneys’ fees in the case of willful infringement, obtain one or more licenses from other parties, pay royalties or redesign
our infringing drug candidates, which may be impossible or require substantial time and monetary expenditure. In the event of an adverse result in any such litigation, or even
in the absence of litigation, we may need to obtain licenses from other parties to advance our research or allow commercialization of our drug candidates. Any required license
may not be available at all, or may not be available on commercially reasonable terms. In the event that we are unable to obtain such a license, we would be unable to further
develop and commercialize one or more of our drug candidates, which could harm our business significantly. We may also elect to enter into license agreements in order to
settle patent infringement claims or resolve disputes prior to litigation, and any such license agreements may require us to pay royalties and other fees that could significantly
reduce our profitability for any product related to that patent and thus harm our business.

Even if resolved in our favor, litigation or other legal proceedings relating to IP claims may cause us to incur significant expenses, and could distract our technical
personnel,  management  personnel,  or  both  from  their  normal  responsibilities.  In  addition,  there  could  be  public  announcements  of  the  results  of  hearings,  motions  or  other
interim proceedings or developments, and if securities analysts or investors perceive these results to be negative, it could have a substantial adverse effect on the market price of
our Class A Ordinary Shares. Such litigation or proceedings could substantially increase our operating losses and reduce the resources available for development activities or
any future sales, marketing or distribution activities. We may not have sufficient financial or other resources to adequately conduct such litigation or proceedings. Some of our
competitors may be able to sustain the costs of such litigation or proceedings more effectively than we can because of their greater financial resources. Uncertainties resulting
from the initiation and continuation of patent litigation or other proceedings could have a material adverse effect on our ability to compete in the marketplace.

There may be patent applications pending of which we are not aware, but which cover similar products to the ones we are attempting to license or develop, which may
result in lost time and money, as well as litigation.

It is possible that we have failed to identify relevant outstanding patents or applications. For example, U.S. applications filed before November 29, 2000 and certain
U.S. applications filed after that date that will not be filed outside the United States remain confidential until patents are issued. Patent applications filed in the United States
after November 29, 2000 and generally filed elsewhere are published approximately 18 months after the earliest filing for which priority is claimed, with such earliest filing
date being commonly referred to as the priority date. Therefore, patent applications covering our products could have been filed by others without our knowledge. Additionally,
pending  patent  applications  which  have  been  published  can,  subject  to  certain  limitations,  be  later  amended  in  a  manner  that  could  cover  our  products  or  the  use  of  our
products. Holders of any such unanticipated patents or patent applications may actively bring infringement claims against us, with the same potential litigation consequences as
alluded to elsewhere in this annual report. Any of these events could require us to divert substantial financial and management resources that we would otherwise be able to
devote to our business.

20

 
 
 
 
 
 
 
Obtaining and maintaining our patent protection depends on compliance with various procedural, document submission, fee payment, and other requirements imposed by
governmental patent agencies, and our patent protection could be reduced or eliminated for non-compliance with these requirements.

Periodic maintenance fees on any issued patent are due to be paid to the USPTO and other patent agencies in several stages over the lifetime of the patent. The USPTO
and various non-U.S. governmental patent agencies require compliance with a number of procedural, documentary, fee payment, and other similar provisions during the patent
application process. Although an inadvertent lapse can in many cases be cured by payment of a late fee or by other means in accordance with the applicable rules, there are
situations in which non-compliance can result in abandonment or lapse of the patent or patent application, resulting in partial or complete loss of patent rights in the relevant
jurisdiction. Non-compliance events that could result in abandonment or lapse of a patent or patent application include failure to respond to official actions within prescribed
time  limits,  non-payment  of  fees,  and  failure  to  properly  submit  documents  requesting  an  extension  of  time.  In  any  such  event,  our  competitors  might  be  able  to  enter  the
market, which would have a material adverse effect on our business.

The terms of our patents may not be sufficient to effectively protect our drug and device candidates and business.

In  most  countries  in  which  we  file,  including  the  United  States,  the  term  of  an  issued  patent  is  generally  20  years  from  the  earliest  claimed  filing  date  of  a  non-
provisional patent application in the applicable country. Although various extensions may be available, the life of a patent and the protection it affords is limited. For example,
depending upon the timing, duration and specifics of the FDA regulatory approval for our drug candidates, one or more of our U.S. patents, if issued, might be eligible for
limited patent term restoration under the Drug Price Competition and Patent Term Restoration Act of 1984, referred to as the Hatch-Waxman Amendments. The Hatch-Waxman
Amendments permit a patent term extension of up to five years as compensation for patent term lost during drug development and the FDA regulatory review process. Patent
term extensions, however, cannot extend the remaining term of a patent beyond a total of 14 years from the date of drug approval by the FDA, and only one patent can be
extended  for  a  particular  drug.  The  application  for  patent  term  extension  is  subject  to  approval  by  the  USPTO,  in  conjunction  with  the  FDA.  We  may  not  be  granted  an
extension because of, for example, failing to apply within applicable deadlines, failing to apply prior to expiration of relevant patents or otherwise failing to satisfy applicable
requirements. Moreover, the applicable time period or the scope of patent protection afforded could be less than we request. If we are unable to obtain a patent term extension
for a given patent or the term of any such extension is less than we request, the period during which we will have the right to exclusively market our drug will be that of the
originally issued patents themselves.

Even if patents covering one of our drug candidates are obtained, thereby giving us a period of exclusivity for manufacturing and marketing that drug, we will not be
able to assert such patent rights upon the expiration of the issued patents against potential competitors who may begin marketing generic copies of our medications, and our
business and results of operations may be adversely affected.

Changes in patent law in the United States could diminish the value of patents in general, thereby impairing our ability to protect our drug and device candidates.

The United States has recently enacted and is currently implementing wide-ranging patent reform legislation. Recent U.S. Supreme Court rulings have narrowed the
scope of patent protection available in certain circumstances and weakened the rights of patent owners in certain situations. In addition to increasing uncertainty with regard to
our ability to obtain patents in the future, this combination of events has created uncertainty with respect to the value of patents once obtained, if any. Depending on decisions
by the U.S. Congress, the federal courts and the USPTO, the laws and regulations governing patents in the United States could change in unpredictable ways that would weaken
our  ability  to  obtain  new  patents,  or  to  enforce  our  existing  patents  and  patents  that  we  might  obtain  in  the  future.  For  example,  in  a  recent  case,    Assoc.  for  Molecular
Pathology v. Myriad Genetics, Inc. , the U.S. Supreme Court held that certain claims to naturally-occurring substances are not patentable. Although we do not believe that any
of the patents owned or licensed by us will be found invalid based on this decision, future decisions by the courts, the U.S. Congress or the USPTO may impact the value of our
patent rights. There could be similar changes in the laws of foreign jurisdictions that may impact the value of our patent rights or our other IP rights.

21

 
 
 
 
 
 
 
 
 
In  addition,  recent  patent  reform  legislation  in  the  U.S.,  including  the  Leahy-Smith  America  Invents  Act,  or  the  America  Invents  Act,  could  increase  those
uncertainties and costs. The America Invents Act was signed into law on September 16, 2011, and many of the substantive changes became effective on March 16, 2013. The
America  Invents  Act  reforms  U.S.  patent  law  in  part  by  changing  the  U.S.  patent  system  from  a  “first  to  invent”  system  to  a  “first  inventor  to  file”  system,  expanding  the
definition of prior art, and developing a post-grant review system, thus changing the U.S. patent law in a way that may weaken our ability to obtain patent protection in the U.S.
for those applications filed after March 16, 2013. Further, the America Invents Act created new procedures to challenge the validity of issued patents in the U.S., including
post-grant  review  and    inter    partes  review  proceedings,  which  some  other  parties  have  been  using  to  cause  the  cancellation  of  selected  or  all  claims  of  issued  patents  of
competitors. For a patent with an effective filing date of March 16, 2013 or later, a petition for post-grant review can be filed by another party in a nine-month window from
issuance of the patent. A petition for  inter partes  review can be filed immediately following the issuance of a patent if the patent has an effective filing date prior to March 16,
2013. A petition for  inter partes  review can be filed after the nine-month-period for filing a post-grant review petition has expired for a patent with an effective filing date of
March  16,  2013  or  later.  Post-grant  review  proceedings  can  be  brought  on  any  ground  of  invalidity,  whereas   inter partes   review  proceedings  can  only  raise  an  invalidity
challenge based on published prior art and patents. These adversarial actions at the USPTO review patent claims without the presumption of validity afforded to U.S. patents in
lawsuits in U.S. federal courts, and use a lower burden of proof than used in litigation in U.S. federal courts. Therefore, it is generally considered easier for a competitor or
other party to have a U.S. patent invalidated in a USPTO post-grant review or  inter partes  review proceeding than invalidated in a litigation in a U.S. federal court. If any of
our patents are challenged by another party in such a USPTO proceeding, there is no guarantee that we or our licensors or collaborators will be successful in defending the
patent, which would result in our loss of the challenged patent right.

If we are unable to protect the confidentiality of our trade secrets, our business and competitive position would be harmed.

In addition to our issued patents, provisional patent, and pending patent applications, we expect to rely on trade secrets, including unpatented know-how, technology
and other proprietary information, to maintain our competitive position and protect our drug and device candidates. We seek to protect these trade secrets, in part, by entering
into  non-disclosure  and  confidentiality  agreements  with  parties  that  have  access  to  them,  such  as  our  employees,  corporate  collaborators,  outside  scientific  collaborators,
sponsored researchers, contract manufacturers, consultants, advisors and other parties. We also enter into confidentiality and invention or patent assignment agreements with
our employees and consultants. However, any of these parties may breach such agreements and disclose our proprietary information, and we may not be able to obtain adequate
remedies for such breaches. Enforcing a claim that a party illegally disclosed or misappropriated a trade secret can be difficult, expensive and time-consuming, and the outcome
is unpredictable. If trade secrets which are material to our business were to be obtained by a competitor, our competitive position would be harmed.

We may be subject to claims that our employees have wrongfully used or disclosed alleged trade secrets of their former employers.

Although we try to ensure that our employees do not use the proprietary information or know-how of others in their work for us, we may be subject to claims that we
or these employees have used or disclosed IP, including trade secrets or other proprietary information, of any such employee’s former employer. In addition, while we typically
require our employees, consultants and contractors who may be involved in the development of IP to execute agreements assigning such IP to us, we may be unsuccessful in
executing such an agreement with each party who in fact develops IP that we regard as our own, which may result in claims by or against us related to the ownership of such IP.
We are not aware of any threatened or pending claims that any of our projects involve misappropriated IP or other proprietary information, but in the future litigation may be
necessary  to  defend  against  such  claims.  If  we  fail  in  defending  any  such  claims,  in  addition  to  paying  monetary  damages,  we  may  lose  valuable  IP  rights.  Even  if  we  are
successful in defending against such claims, litigation could result in substantial costs and be a distraction to management.

22

 
 
 
 
 
 
 
We may be unable to execute on the optimal development plan for one or more of our existing product candidates if we are unable to obtain or maintain necessary rights
for some aspect of the developing technology through acquisitions or licenses.

Our existing programs currently use or may in the future use additional technologies subject to proprietary rights held by others, such as particular compositions or
methods of manufacture, treatment or use. The licensing and acquisition of IP rights is a competitive area, and more established companies may pursue strategies to license or
acquire such IP rights that we may consider necessary or useful. These established companies may have a competitive advantage over us due to their size, cash resources and
greater capabilities in clinical development and commercialization.

In addition, companies that perceive us to be a competitor may be unwilling to assign or license rights to us. We also may be unable to license or acquire IP rights on
terms that would allow us to make an appropriate return on our investment. If we are unable to successfully obtain or maintain licenses or other rights from other parties to use
IP of those parties, our business, financial condition and prospects for growth could suffer.

If  we  fail  to  comply  with  our  obligations  in  the  agreements  under  which  we  license  IP  rights  from  other  parties  or  otherwise  experience  disruptions  to  our  business
relationships with our licensors, we could be required to pay monetary damages or could lose license rights that are important to our business.

Many  of  our  projects  (including  our  Lead  Projects)  are  based  on  IP  which  we  have  licensed  from  other  parties.  (See  “Item  4.  Information  on  the  Company  –  B.
Business Overview – Intellectual Property”) Certain of these license agreements impose diligence, development or commercialization obligations on us, such as obligations to
pay  royalties  on  net  product  sales  of  our  drug  and  device  candidates  once  commercialized  by  us,  to  pay  a  percentage  of  sublicensing  revenues  if  the  licensed  product  is
sublicensed, to make other specified milestone and/or annual payments relating to our drug candidates or to pay license maintenance and other fees, as well as obligations to
pursue commercialization with due diligence. Specifically, a number of our license agreements also require us to meet development timelines in order to maintain the related
license(s). In spite of our efforts, our licensors might conclude that we have materially breached our obligations under such license agreements and might therefore seek to
terminate the license agreements. If one of our licensors, despite our efforts, were to be successful in terminating its agreement with us, we would not be able to continue to
develop, manufacture or market any drug candidate under that license agreements, and we could face claims for monetary damages or other penalties under that agreement.
Such an occurrence would diminish or eliminate the value of that project to our Company, even if we are able to negotiate new or reinstated agreements, which may have less
favorable  terms.  Depending  on  the  importance  of  the  IP  and  the  related  project,  any  such  development  could  have  a  material  adverse  effect  on  our  competitive  position,
business, financial conditions, results of operations, and prospects.

Moreover, disputes may arise regarding intellectual property subject to a licensing agreement, including: 

● the scope of rights granted under the license agreement and other interpretation-related issues;

● the extent to which our technology and processes infringe on intellectual property of the licensor that is not subject to the licensing agreement;

● the sublicensing of patent and other rights under our collaborative development relationships;

● our diligence obligations under the license agreement and what activities satisfy those diligence obligations; 

● the  inventorship  and  ownership  of  inventions  and  know-how  resulting  from  the  joint  creation  or  use  of  intellectual  property  by  our  licensors  and  us  and  our

partners; and

● the priority of invention of patented technology. 

In  addition,  the  agreements  under  which  we  currently  license  intellectual  property  or  technology  from  other  parties  are  complex,  and  certain  provisions  in  such
agreements may be susceptible to multiple interpretations. The resolution of any contract interpretation disagreement that may arise could narrow what we believe to be the
scope of our rights to the relevant intellectual property or technology, or increase what we believe to be our financial or other obligations under the relevant agreement, either of
which  (depending  on  the  importance  of  the  IP  and  the  related  project)  could  have  a  material  adverse  effect  on  our  business,  financial  condition,  results  of  operations,  and
prospects. Moreover, if disputes over intellectual property that we have licensed prevent or impair our ability to maintain our current licensing arrangement for a project on
commercially acceptable terms, we may be unable to successfully develop and commercialize the affected drug or device candidates, which could have a material adverse effect
on our business, financial conditions, results of operations, and prospects.

23

 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
We may not have complete control of the preparation, filing and prosecution of patent applications, or to maintain patents, licensed by us from other parties.

The Company has in-licensed, and expects in the future to in-license patents owned or controlled by others for our use as part of our development plans. We also may
out-license or sublicense patents which we own or control in collaborations with others for development and commercialization of our products. In either case, the continuing
right to control the preparation, filing and prosecution of patent applications, or to maintain the patents, covering technology under development is a matter for negotiation and
we may not always be the party that obtains such control, in which case we will be reliant on our licensors, collaboration partners or sublicensees for determining strategies
with respect to those patents. For our existing licenses, while we have an understanding with most of the licensors who maintain control over patent prosecution and we have
jointly appointed and engaged patent agents nominated by us under one or more of our licenses, we cannot guarantee that such licensors or collaborators will always accept
prosecution strategies proposed by us and/or our patent agents. Therefore, these patents and applications may not be prosecuted and enforced in a manner consistent with the
best interests of our business. If our current or future licensors or collaboration partners fail to establish, maintain or protect such patents and other IP rights, such rights may be
reduced or eliminated. If our licensors or joint development partners are not fully cooperative or disagree with us as to the prosecution, maintenance or enforcement of any
patent rights, such patent rights could be compromised.

Risks Related to Our Reliance on Unrelated Parties

We rely on unrelated parties to conduct discovery and further improvement of our innovations and licensed technologies, as well as our preclinical studies and clinical
trials. If these unrelated parties do not successfully carry out their contractual duties or meet expected deadlines, we may not be able to obtain regulatory approval for or
commercialize our drug candidates, and our business could be substantially harmed.

We  have  relied  upon  and  plan  to  continue  to  rely  upon  CROs  and  collaborating  institutions  to  monitor  and  manage  data  for  our  ongoing  preclinical  studies  and
programs. We rely on these parties for execution of preclinical studies and clinical trials, and control only certain aspects of their activities. Nevertheless, we are responsible for
ensuring that each of our studies is conducted in accordance with the applicable protocol, legal, and regulatory requirements and scientific standards, and our reliance on the
CROs and collaborating institutions does not relieve us of our regulatory responsibilities. If CROs, collaborating institutions or clinical investigators do not successfully carry
out their contractual duties or obligations or meet expected deadlines, development of our product candidates could be delayed and our business could be adversely affected.

In  addition,  our  CROs  and  collaborating  institutions,  are  subject  to  numerous  environmental,  health  and  safety  laws  and  regulations,  including  those  governing
laboratory procedures and the handling, use, storage, treatment and disposal of hazardous materials and waste. In the event of contamination or injury resulting from our use of
hazardous materials, we might be held liable for any resulting damages, and any liability could exceed our resources. We could also be subject to civil or criminal fines and
penalties, and significant associated costs.

24

 
 
 
 
 
 
 
 
If the Company obtains approval of an IND for one of our drug candidates and moves into human clinical trials requiring significantly larger quantities of the candidate
to  be  tested,  we  expect  to  rely  on  unrelated  parties  to  manufacture  supplies  of  that  candidate.  If  those  unrelated  parties  fail  to  provide  us  with  sufficient  quantities  of
clinical supply on that candidate or fail to do so at acceptable quality levels or prices, or fail to maintain required cGMP licenses, we may not be able to manufacture that
candidate  in  sufficient  quantities  to  conduct  the  necessary  human  trials.  Should  the  failure  by  the  CRO  occur  in  anticipation  of  or  after  marketing  approval  of  that
candidate, we may be unable to generate as much revenue as rapidly (and such revenue may not be as profitable) as we had anticipated.

The  manufacture  of  many  drug  products,  particularly  in  commercial  quantities,  can  be  complex  and  may  require  significant  expertise  and  capital  investment,
particularly if the development of advanced manufacturing techniques and process controls are required. If we obtain approval of an IND for any of our drug candidates, of
which there can be no assurance, we intend to contract with outside contractors to manufacture clinical supplies and process our drug candidates. We have not yet had our drug
candidates to be manufactured or processed on a commercial scale and may not be able to do so for any of our drug candidates.

As we expect to engage contract manufacturers, the Company will be exposed to the following risks:

● we  might  be  unable  to  identify  manufacturers  on  acceptable  terms  or  at  all  because  the  FDA,  NMPA,  EMA  or  other  comparable  regulatory  authorities  must

approve any manufacturers we determine to use and any potential manufacturer may be unable to satisfy federal, state or international regulatory standards;

● although we would be choosing manufacturers with the type of experience most suitable for our drug candidates, it is possible that our contract manufacturers may
not be able to execute unique manufacturing procedures and other logistical support requirements we have developed and they might require a significant amount
of support from us to implement and maintain the infrastructure and processes required to manufacture our particular drug candidates;

● our contract manufacturers might be unable to reproduce the quantity and quality of the drugs we need to meet our clinical and commercial needs within the time

frames when we require those drugs;

● our contract manufacturers may breach their contracts with us, including by not performing as agreed or not devoting sufficient resources to our drug candidates,
or they may not remain in the contract manufacturing business for the time required to supply our clinical trials or to successfully produce, store and distribute our
products;

● even if initially accepted by regulatory authorities, a manufacturer remains subject to ongoing periodic unannounced inspection by regulatory authorities to ensure
strict  compliance  with  cGMP  and  other  government  regulations,  and  our  contract  manufacturers  may  fail  to  comply  with  these  regulations  and  requirements,
resulting in rescission of cGMP licenses and our inability to continue using their services, requiring us to find a replacement manufacturer;

● depending  on  the  terms  of  our  agreement  with  a  manufacturer,  we  may  not  own,  or  may  have  to  share,  the  IP  rights  to  any  improvements  made  by  the

manufacturer in the manufacturing process for our drug candidates; and

● our contract manufacturers may have unacceptable or inconsistent product quality success rates and yields.

Each  of  these  risks  could  delay  or  prevent  the  completion  of  our  clinical  trials  or  the  approval  of  any  of  our  drug  candidates  by  the  FDA,  NMPA,  EMA  or  other

comparable regulatory authorities, result in higher costs or adversely impact commercialization of our drug candidates.

We are also responsible for quality control by our manufacturers. We intend to rely on those unrelated-party manufactures to perform certain quality assurance tests on
our drug candidates prior to delivery to patients. If these tests are not appropriately done and test data are not reliable, patients could be put at risk of serious harm and the FDA,
NMPA, EMA or other comparable regulatory authorities could place significant restrictions on our Company until deficiencies are remedied.

Manufacturers  of  drug  products  often  encounter  difficulties  in  production,  particularly  in  scaling  up  or  out,  validating  the  production  process,  and  assuring  high
reliability of the manufacturing process (including the absence of contamination). These problems include logistics and shipping, difficulties with production costs and yields,
quality control, including stability of the product, product testing, operator error, availability of qualified personnel, as well as compliance with strictly enforced federal, state
and non-U.S. regulations. Furthermore, if contaminants are discovered in our supply of our drug candidates or in the manufacturing facilities, such manufacturing facilities may
need to be closed for an extended period of time to investigate and remedy the contamination. It is possible that stability failures or other issues relating to the manufacture of
our  drug  candidates  may  occur  in  the  future.  Additionally,  our  manufacturers  may  experience  manufacturing  difficulties  due  to  resource  constraints,  or  as  a  result  of  labor
disputes or unstable political environments. If our manufacturers were to encounter any of these difficulties, or otherwise fail to comply with their contractual obligations, our
ability to provide our drug candidate to patients in clinical trials would be jeopardized. Any delay or interruption in the manufacturing of clinical trial supplies could delay the
completion of clinical trials, increase the costs associated with maintaining clinical trial programs and, depending upon the period of delay, require us to begin new clinical
trials with additional costs or terminate clinical trials completely.

25

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
Review of changes in the manufacturing process of our drug candidates could cause delays resulting from the need for additional regulatory approvals.

Changes in a process or procedure for manufacturing one of our drug candidates, including a change in the location where the drug candidate is manufactured or a
change of a contract manufacturer, could require prior review by the FDA, NMPA, EMA or other comparable regulatory authorities and approval of the manufacturing process
and procedures in accordance with the FDA, NMPA or EMA’s regulations, or comparable requirements. This review may be costly and time-consuming and could delay or
prevent the launch of a product. The new facility will also be subject to pre-approval inspection. In addition, we would have to demonstrate that the product made at the new
facility  is  equivalent  to  the  product  made  at  the  former  facility  by  physical  and  chemical  methods,  which  are  costly  and  time-consuming.  It  is  also  possible  that  the  FDA,
NMPA, EMA or other comparable regulatory authorities may require clinical testing as a way to prove equivalency, which would result in additional costs and delay.

Risks Related to AML Clinic

Failure to comply with all laws and regulations applicable to the business of AML Clinic could have a material, adverse impact on the Company’s business.

Operation of AML Clinic subjects the Company to a variety of Hong Kong laws and regulations specific to companies and professionals in the business of delivering
medical  care.  We  and  our  employees  will  be  subject  to  licensing  and  professional  qualifications  that  do  not  apply  to  our  other  businesses.  Breach  of  any  of  these  laws,
regulations or licensing requirements could subject the Company to significant fines and other penalties and possibly damage the Company’s reputation, which could have a
material adverse effect on the Company’s business.

Risks Related to Our Dietary Supplements  

We may be subject to government regulations for dietary supplements

From  a  regulatory  perspective,  some  of  the  Company’s  non-drug  candidates  (including  those  developed  under  the  project  company  Nativus),  may  be  regulated  as
dietary  supplements,  including  DOI  (NLS-2).  For  those  non-drug  candidates  that  the  Company  plans  to  develop,  they  are  subject  to  extensive  and  rigorous  domestic
government regulation, including regulation by the FDA, the Centers for Medicare & Medicaid Services, or CMS, other divisions of the U.S. Department of Health and Human
Services, state and local governments and their respective foreign equivalents. The FDA regulates dietary supplements, cosmetics and drugs under different regulatory schemes.

For  example,  the  FDA  regulates  the  processing,  formulation,  safety,  manufacturing,  packaging,  labeling,  advertising  and  distribution  of  dietary  supplements  and
cosmetics under its dietary supplement and cosmetic authority, respectively. The FDA also regulates the research, development, pre-clinical and clinical testing, manufacture,
safety,  effectiveness,  record  keeping,  reporting,  labeling,  storage,  approval,  advertising,  promotion,  sale,  distribution,  import  and  export  of  pharmaceutical  products  under
various regulatory provisions. If any drug products we develop are tested or marketed abroad, they will also be subject to extensive regulation by foreign governments, whether
or not we have obtained FDA approval for a given product and its uses. Such foreign regulation may be equally or more demanding than corresponding U.S. regulation.

Government  regulation  substantially  increases  the  cost  and  risk  of  researching,  developing,  manufacturing  and  selling  products.  Our  failure  to  comply  with  these
regulations could result in, by way of example, significant fines, criminal and civil liability, product seizures, recalls, withdrawals, withdrawals of approvals and exclusion and
debarment from government programs. Any of these actions, including the inability of our hormone therapy drug candidates to obtain and maintain regulatory approval, would
have a materially adverse effect on our business, financial condition, results of operations and prospects.

In addition, the FDA’s policies may change and additional government regulations may be issued that could prevent, limit, or delay regulatory approval of our drug

candidates, or impose more stringent product labeling and post-marketing testing and other requirements.

We intend to market DOI (NLS-2) in Hong Kong. In Hong Kong, dietary supplements are defined as “health food” products. “Health food” containing medicines are
subject to the Pharmacy and Poisons Ordinance (Cap 138) and such “health food” containing Chinese medicines are regulated by the Chinese Medicine Ordinance (Cap 549),
where they must meet the requirements in respect of safety, quality and efficacy before they can be registered.

For other “health food” products which cannot be classified as Chinese medicine or western medicine are regulated under the Public Health and Municipal Services
Ordinance (Cap 132) as general food products. The Public Health and Municipal Services Ordinance requires the manufacturers and sellers of food to ensure that their products
are fit for human consumption and comply with the requirements in respect of food safety, food standards and labelling. In addition, all prepackaged food should bear labels
which correctly list out the ingredients of the food under the Food and Drugs (Composition and Labelling) Regulations (Cap 132W) under the Ordinance.

The DOI (NLS-2) is made with the bioactive ingredient extracted Chinese yam powder and does not contain any western or Chinese medicine; therefore, registration
is not required under the local laws for marketing in Hong Kong. We will, however, ensure the compliance of the Food and Drugs (Composition and Labelling) Regulations
(Cap 132W) with by proper labelling in place.

26

 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
   
Risks Related to Our Device Candidates

We are subject to risks related to obtaining regulatory approval for device candidates.

The  Company’s  device  candidates  (including  those  being  developed  under  SLS-1),  are  likely  to  be  regulated  as  medical  devices.  Medical  devices  are  subject  to
extensive regulations, supervised by regulatory authorities around the world, including the FDA, NMPA and applicable national authorities in relevant European countries. The
regulatory  framework  related  to  medical  devices  covers  research,  development,  design,  manufacturing,  safety,  reporting,  testing,  labeling,  packaging,  storage,  installation,
servicing, marketing, sales and distribution. The Company is and may also be, in addition to these industry-specific regulations, subject to numerous other ongoing regulatory
obligations, such as data protection, environmental, health and safety laws and restrictions. The costs of compliance with applicable regulations, requirements or guidelines
could be substantial. Furthermore, the regulatory environment has generally become more stringent and extensive over time. Failure to comply with these regulations could
result in sanctions including fines, injunctions, civil penalties, denial of applications for marketing approval of the Company’s products, delays, suspension or withdrawal of
approvals, license revocation, seizures or recalls of products, operating restrictions, partial suspension or total shutdown of production and criminal prosecutions, any of which
could significantly increase the Company’s costs, delay the development and commercialization of its device candidates.

We are subject to risks related to the carrying out and outcome of clinical trials of medical devices.

The  Company  may  sponsor  studies  on  human  participants  in  clinical  studies  of  its  device  candidates.  Such  clinical  studies  are  performed  to  support  regulatory
approvals  for  market  access  or  to  generate  evidence  relating  to  clinical  benefits  and  cost  benefits  of  using  such  device  candidates.  Clinical  studies  are  costly  and  time
consuming and associated with risks such as finding trial sites, recruitment of suitable patients, the actual cost per patient exceeding budget and inadequacies in the execution of
the trials. There is also a risk of delays in the performance of clinical studies, which can occur for a variety of reasons. For example, delays in obtaining regulatory approval to
commence a trial, reaching agreements on acceptable terms with prospective contract research organizations (“CROs”) and clinical investigational sites, obtaining institutional
review board approval at each site, difficulties in patient enrolment, patients failing to complete a trial or return for follow-up, adding new sites or obtaining sufficient supplies
of products or clinical sites dropping out of a trial. If delays persist, there is a risk that studies eventually are suspended or terminated if the delays occur due to circumstances
that  a  sponsor  of  a  clinical  trial  has  difficulties  controlling,  or  is  unable  to  control,  or  if  the  measures  required  for  conducting  the  studies  further  are  deemed  too  costly  or
extensive in relation to the scopes and goals of the studies.

There are many factors which may affect patient enrollment. Amongst these are the size and nature of the patient population, the proximity of patients to clinical sites,
the  eligibility  criteria  for  the  trial,  the  design  of  the  clinical  study  and  competing  clinical  studies.  Furthermore,  clinicians’  and  patients’  perceptions  as  to  the  potential
advantages  of  the  product  being  studied  in  relation  to  other  available  therapies,  including  any  new  products  that  may  be  approved  for  the  indications  the  company  is
investigating. Clinical studies may also be suspended or terminated if participating subjects are exposed to unacceptable health risks or undesired side-effects.

Furthermore,  there  is  a  risk  that  clinical  studies  may  not  demonstrate  the  required  clinical  benefit  for  the  prospective  indication  the  trial  is  aimed  at.  Failure  in
premarketing clinical studies could lead to market clearance or approvals not being obtained which could delay or jeopardize the Company’s ability to develop, market and sell
the device candidates being studied. At any stage of the development, the Company may discontinue device candidate based on review of available preclinical and clinical data,
the  estimated  costs  of  continued  development,  market  considerations  and  other  factors.  Furthermore,  with  respect  to  the  clinical  studies  of  device  candidates  conducted  by
CROs and others, the Company may have less control over their timing or outcome.

Risks Related to Our Industry, Business and Operation 

If we do not comply with laws regulating the protection of the environment and health and human safety, our business could be adversely affected.

Our research, development and clinic operations involve the use of hazardous materials, chemicals and various radioactive compounds/radiation and AML Clinic may
create  medical  waste  and  radiation.  Our  R&D  Center  may  maintain  quantities  of  various  flammable  and  toxic  chemicals  in  our  facilities  that  are  required  for  our  research,
development  and  manufacturing  activities.  We  are  subject  to  local  laws  and  regulations  governing  the  use,  manufacture,  storage,  handling  and  disposal  of  these  hazardous
materials and of medical waste at the jurisdictions where we operate our clinic and research facilities, which are currently limited to Hong Kong. We believe our procedures for
storing, handling and disposing of these materials comply with the relevant guidelines and laws of the jurisdictions in which our facilities are located. Although we believe that
our  safety  procedures  for  handling  and  disposing  of  these  materials  comply  with  the  standards  mandated  by  applicable  regulations,  the  risk  of  accidental  contamination  or
injury  from  these  materials  cannot  be  eliminated.  If  an  accident  occurs,  we  could  be  held  liable  for  resulting  damages,  which  could  be  substantial.  We  are  also  subject  to
numerous  environmental,  health  and  workplace  safety  laws  and  regulations,  including  those  governing  laboratory  procedures,  exposure  to  blood-borne  pathogens  and  the
handling of biohazardous materials and medical waste.

Although we maintain workers’ compensation insurance to cover us for costs and expenses we may incur due to injuries to our employees resulting from the use of
these materials, this insurance may not provide adequate coverage against potential liabilities. We do not maintain insurance for environmental liability or toxic tort claims that
may be asserted against us in connection with our storage or disposal of biological, hazardous or radioactive materials. Additional federal, state and local laws and regulations
affecting our operations may be adopted in the future. We may incur substantial costs to comply with, and substantial fines or penalties, if we violate any of these laws or
regulations.

27

 
 
 
 
 
 
 
 
 
 
 
 
 
Our future success depends on our ability to retain our Chief Executive Officer, our scientific and clinical advisors, and other key executives and to attract, retain and
motivate qualified personnel.

We are highly dependent on Ian Huen, our Chief Executive Officer, as well as, other principal members of our management teams, scientific teams as well as scientific
and clinical advisors. Although we have formal employment agreements, which we refer to as appointment letters, with all of our executive officers, these agreements do not
prevent our executives from terminating their employment with us at any time, subject to applicable notice periods. Nevertheless, the loss of the services of any of these persons
could impede the achievement of our research, development and commercialization objectives.

To induce valuable employees to remain at our Company, in addition to salary and cash incentives, we plan to provide share incentive grants that vest over time. The
value to employees of these equity grants that vest over time may be significantly affected by movements in the price of our Class A Ordinary Shares that are beyond our
control, and may at any time be insufficient to counteract more lucrative offers from other companies. Although we have appointment letters with our key employees, any of
our employees could resign at any time, with 1-month to 3-months prior written notice or with payment in lieu of notice.

Recruiting and retaining qualified officers, scientific, clinical, sales and marketing personnel or consultants will also be critical to our success. In addition, we rely on
consultants and advisors, including scientific and clinical advisors, to assist us in formulating our discovery and preclinical studies development and commercialization strategy.
The loss of the services of our executive officers or other key employees and consultants could impede the achievement of our research, development and commercialization
objectives and seriously harm our ability to successfully implement our business strategy.

Furthermore, replacing executive officers and key employees or consultants may be difficult and may take an extended period of time, because of the limited number
of  individuals  in  our  industry  with  the  breadth  of  skills  and  experience  required  to  successfully  develop,  gain  regulatory  approval  of  and  commercialize  drug  and  device
candidates. Competition to hire from this limited pool is intense, and we may be unable to hire, train, retain or motivate these key personnel or consultants on acceptable terms
given the competition among numerous pharmaceutical and biotechnology companies for similar personnel.

We  also  experience  competition  for  the  hiring  of  scientific  and  clinical  personnel  from  universities  and  research  institutions.  Our  consultants  and  advisors  may  be
employed by employers other than us and may have commitments under consulting or advisory contracts with other entities that may limit their availability to us. If we are
unable to continue to attract and retain high quality personnel, our ability to pursue our growth strategy will be limited.

We will need to increase the size and capabilities of our organization, and we may experience difficulties in managing our growth.

As of the date of this annual report, we have 37 employees, including 36 full-time employees and 1 part-time employee. Of these, 12 are engaged in full-time research
and development and laboratory operations, 18 are engaged in general and administrative functions, 6 are full-time employees engaged in the clinic operation and 1 part-time
employee is engaged in legal clerical support. As of the date of annual report, 37 of our employees are located in Hong Kong. In addition, we have engaged and may continue
to engage 39 independent contracted consultants and advisors to assist us with our operations. As our development and commercialization plans and strategies develop, and as
we have transitioned into operating as a public company, we will need to establish and maintain effective disclosure and financial controls and make changes in our corporate
governance practices. We will need to add a significant number of additional managerial, operational, sales, marketing, financial and other personnel with the appropriate public
company experience and technical knowledge and we may not successfully recruit and maintain such personnel. Future growth will impose significant added responsibilities on
members of management, including:

● identifying, recruiting, integrating, maintaining and motivating additional employees;

● managing  our  internal  development  efforts  effectively,  including  clinical,  the  FDA  or  other  comparable  regulatory  authority  review  process  for  our  drug  and

device candidates, while complying with our contractual obligations to contractors and others; and

● improving our operational, financial and management controls, reporting systems and procedures.

28

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Our future financial performance and our ability to commercialize our drug candidates will depend, in part, on our ability to effectively manage our future growth, and
our management may also have to divert a disproportionate amount of its attention away from day-to-day activities in order to devote a substantial amount of time to managing
these growth activities.

We currently rely, and for the foreseeable future will continue to rely, in substantial part on certain independent organizations, advisors and consultants for significant
input in selecting and evaluating new products to pursue. These independent organizations, advisors and consultants may not continue to be available to us on a timely basis
when needed, and in such case, we may not have the ability to find qualified replacements. In addition, if we are unable to effectively manage our outsourced activities, or if the
quality or accuracy of the services provided by consultants is compromised for any reason, our clinical trials may be extended, delayed or terminated, and we may not be able to
obtain  regulatory  approval  of  our  drug  candidates  or  otherwise  advance  our  business.  Furthermore,  we  may  not  be  able  to  manage  our  existing  consultants  or  find  other
competent outside contractors and consultants on economically reasonable terms, if at all.

If we are not able to effectively expand our organization by hiring new employees and expanding our groups of consultants and contractors, we may not be able to
successfully implement the tasks necessary to further develop and commercialize our drug and device candidates and, accordingly, may not achieve our research, development
and commercialization goals.

We intend to seek additional collaborations, strategic alliances or acquisitions or enter into royalty-seeking or sublicensing arrangements in the future, but we may not
realize the benefits of these arrangements.

We intend to form or seek strategic alliances, create joint ventures or collaborations, acquire complimentary products, IP rights, technology or businesses or enter into
additional licensing arrangements with unrelated parties that we determine may complement or augment our development and commercialization efforts with respect to our
drug and device candidates. Any of these relationships may require us to incur non-recurring and other charges, increase our near and long-term expenditures, issue securities
that dilute our existing shareholders, or disrupt our management and business.

We  will  face  significant  competition  in  seeking  appropriate  strategic  partners  and  the  negotiation  process  is  likely  to  be  time-consuming,  costly  and  complex.
Moreover, we may not be successful in our efforts to establish a strategic partnership or another alternative arrangement for any of our drug and device candidates because their
state  of  development  may  be  deemed  to  be  too  early  for  collaborative  effort  and  others  may  not  view  our  drug  and  device  candidates  as  having  the  requisite  potential  to
demonstrate safety and efficacy. If and when we enter into an agreement with a collaboration partner or sublicensee for development and commercialization of a drug or device
candidate, we can expect to relinquish some or all of the control over the future success of that drug and device candidate to the unrelated-party.

Further, even if we enter into a collaboration involving any of our drug and device candidates, the arrangement will be subject to numerous risks, which may include

the following:

● the collaborators will likely have significant discretion in determining the efforts and resources that they will apply to a collaboration; 

● the collaborator may ultimately choose not pursue development and commercialization of our drug candidates or may elect not to continue or renew development
or commercialization programs, based on clinical trial results, changes in their strategic focus due to the acquisition of competitive drugs, availability of funding,
or other external factors, such as a business combination that diverts resources or creates competing priorities; 

29

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
● the collaborator may delay clinical trials, provide insufficient funding for a clinical trial, stop a clinical trial, abandon a drug or device candidate, repeat or conduct

new clinical trials, or require a new formulation of a drug or device candidate for clinical testing; 

● the  collaborator  could  independently  develop,  or  develop  with  unrelated  parties,  drugs  that  compete  directly  or  indirectly  with  our  drugs  or  drug  and  device

candidates; 

● the collaborator with marketing and distribution rights to one or more drugs may not commit sufficient resources to their marketing and distribution; 

● the collaborator may not properly maintain or defend our IP rights or may use our IP or proprietary information in a way that gives rise to actual or threatened

litigation that could jeopardize or invalidate our IP or proprietary information or expose us to potential liability; 

● disputes may arise between us and the collaborator that cause the delay or termination of the research, development or commercialization of our drug and device

candidates, or that result in costly litigation or arbitration that diverts management attention and resources; 

● the collaboration may be terminated and, if terminated, may result the Company needing additional capital to pursue further development or commercialization of

the applicable drug and device candidates; 

● the collaborator may own or co-own IP covering our drugs that results from our collaborating with them, and in such cases, we would not have the exclusive right

to commercialize such IP; 

● the collaboration may result in increased operating expenses or the assumption of indebtedness or contingent liabilities; and 

● the collaboration arrangement may result in the loss of key personnel and uncertainties in our ability to maintain key business relationships.

As a result, if we enter into collaboration agreements and strategic partnerships or license our drugs, we may not be able to realize the benefit of such transactions,
which could delay our timelines or otherwise adversely affect our business. Following a strategic transaction or license, we may not achieve the revenue or specific net income
that justifies such transaction. If we are unable to reach agreements with a suitable collaborator on a timely basis, on acceptable terms, or at all, we may have to curtail the
development of a drug or device candidate, reduce or delay its development program or one or more of our other development programs, delay its potential commercialization
or reduce the scope of any sales or marketing activities, or increase our expenditures and undertake development or commercialization activities at our own expense.

If we fail to enter into collaborations, we may seek to fund and undertake development or commercialization activities on our own, but we may not have sufficient
funds  or  expertise  to  undertake  the  necessary  development  and  commercialization  activities.  In  such  a  case,  we  may  not  be  able  to  further  develop  our  drug  and  device
candidates or bring them to market and generate product sales revenue, which would harm our business prospects, financial condition and results of operations.

30

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Our employees, independent contractors, consultants, commercial partners and vendors may engage in misconduct or other improper activities, including non-compliance
with regulatory standards and requirements.

We are exposed to the risk of fraud, misconduct or other illegal activity by our employees, independent contractors, consultants, commercial partners and vendors.
Misconduct by these parties could include intentional, reckless and negligent conduct that fails to: comply with the laws of the FDA and other similar non-U.S. regulatory
authorities;  provide  true,  complete  and  accurate  information  to  the  FDA  and  other  similar  non-U.S.  regulatory  authorities;  comply  with  manufacturing  standards  we  have
established;  comply  with  healthcare  fraud  and  abuse  laws  in  the  United  States  and  similar  non-U.S.  fraudulent  misconduct  laws;  or  report  financial  information  or  data
accurately or to disclose unauthorized activities to us. If we obtain the FDA approval for any of our drug and device candidates and begin commercializing those drugs in the
United States, our potential exposure under U.S. laws will increase significantly and our costs associated with compliance with such laws are also likely to increase. These laws
may impact, among other things, our current activities with principal investigators of our sponsored researches and research patients and our use of information obtained in the
course of patient recruitment for clinical trials, as well as proposed and future sales, marketing and education programs. In particular, the promotion, sales and marketing of
healthcare  items  and  services,  as  well  as  certain  business  arrangements  in  the  healthcare  industry,  are  subject  to  extensive  laws  designed  to  prevent  fraud,  kickbacks,  self-
dealing  and  other  abusive  practices.  These  laws  and  regulations  may  restrict  or  prohibit  a  wide  range  of  pricing,  discounting,  marketing  and  promotion,  structuring  and
commission(s), certain customer incentive programs and other business arrangements generally.

It is not always possible to identify and deter misconduct by employees and other parties, and the precautions we take to detect and prevent this activity may not be
effective in controlling unknown or unmanaged risks or losses, or in protecting us from governmental investigations or other actions or lawsuits stemming from a failure to
comply with these laws or regulations. If any such actions are instituted against us, and we are not successful in defending ourselves or asserting our rights, those actions could
have a significant impact on our business, including the imposition of significant fines or other sanctions.

Our disclosure controls and procedures may not prevent or detect all errors or acts of fraud.

Our  disclosure  controls  and  procedures  are  designed  to  reasonably  assure  that  information  required  to  be  disclosed  by  us  in  reports  we  file  or  submit  under  the
Exchange Act is accumulated and communicated to management, and recorded, processed, summarized and reported within the time periods specified in the rules and forms of
the SEC.

We believe that any disclosure controls and procedures, or internal controls and procedures, no matter how well conceived and operated, can provide only reasonable,

not absolute, assurance that the objectives of the control system are met.

These inherent limitations include the realities that judgments in decision-making can be faulty, and that breakdowns can occur because of simple error or mistake.
Additionally,  controls  can  be  circumvented  by  the  individual  acts  of  some  persons,  by  collusion  of  two  or  more  people  or  by  an  unauthorized  override  of  the  controls.
Accordingly, because of the inherent limitations in our control system, misstatements due to error or fraud may occur and not be detected, which  would likely cause investors
to lose confidence in our reported financial information. This could in turn limit our access to capital markets, harm our results of operations, and lead to a decline in the trading
price of our Class A Ordinary Shares. Additionally, ineffective internal control over financial reporting could expose us to increased risk of fraud or misuse of corporate assets
and subject us to potential delisting from the stock exchange on which we list, regulatory investigations and civil or criminal sanctions. We may also be required to restate our
financial statements from prior periods .

If we fail to establish and maintain proper internal financial reporting controls, our ability to produce accurate financial statements or comply with applicable regulations
could be impaired.

Pursuant to Section 404 of the Sarbanes-Oxley Act, we are required to file a report by our management on our internal control over financial reporting, including an
attestation  report  on  internal  control  over  financial  reporting  issued  by  our  independent  registered  public  accounting  firm.  However,  while  we  remain  an  emerging  growth
company, we will not be required to include an attestation report on internal control over financial reporting issued by our independent registered public accounting firm. The
presence of material weaknesses in internal control over financial reporting could result in financial statement errors which, in turn, could lead to errors in our financial reports
and/or  delays  in  our  financial  reporting,  which  could  require  us  to  restate  our  operating  results.  In  connection  with  the  audit  of  our  financial  statements  for  the  year  ended
December 31, 2018 and the period March 1, 2017 through December 31, 2017, we and our independent registered public accounting firm identified one material weakness in
our internal control over financial reporting, as defined in the standards established by the Public Company Accounting Oversight Board of the United States. The material
weakness identified was the lack of dedicated resources to take responsibility for the finance and accounting functions and the preparation of financial statements in compliance
with generally accepted accounting principles in the United States, or U.S. GAAP.

31

 
 
 
 
 
 
 
 
 
 
 
In  2019,  we  took  actions  to  remediate  the  abovementioned  material  weakness,  and  we  believe  we  have  remediated  the  material  weakness  by  implementing  the

following measures:

● provide trainings to staff regarding to the preparation of financial statements in compliance with generally accepted accounting principles in the United States;

● change to a new and well-established accounting system to enhance effectiveness and financial and system control;

● establish clear roles and responsibilities for accounting and financial reporting staff to address finance and accounting issues; and

● continue to monitor the improvement on internal control over financial reporting.

As  of  December  31,  2019,  we  determined  that  the  aforementioned  measures  have  remediated  the  material  weakness.  However,  since  we  are  still  in  the  process  of
replenishing and building up a qualified finance and accounting team with sufficient dedicated resources, our management assessed that the deficiency related to the lack of
dedicated resources to take responsibility for the finance and accounting functions and the preparation of financial statements in compliance with generally accepted accounting
principles in the United States, or U.S. GAAP, still existed as of December 31, 2019. Therefore, based on the definition of “material weakness” and “significant deficiency” in
the standards established by the Public Company Accounting Oversight Board of the United States, our management concluded that the deficiency now only rises to the level
of a significant deficiency. However, we cannot assure you that we will not identify additional material weaknesses or significant deficiencies in the future.

Our  management  concluded  that  our  internal  controls  over  financial  reporting  were  effective  as  of  December  31,  2019.  However,  if  we  fail  to  maintain  effective
internal  controls  over  financial  reporting  in  the  future,  our  management  and  our  independent  registered  public  accounting  firm  may  conclude  that  our  internal  control  over
financial reporting is not effective. Investors may lose confidence in our operating results, the price of the Class A Ordinary Shares could decline and we may be subject to
litigation or regulatory enforcement actions. In addition, if we are unable to meet the requirements of Section 404 of the Sarbanes-Oxley Act, the Class A Ordinary Shares may
not be able to remain listed on the NASDAQ Global Market.

We may market our products, if approved, globally; if we do, we will be subject to the risk of doing business internationally.

We operate and expect to operate in various countries, and we may not be able to market our products in, or develop new products successfully for, these markets. We

may also encounter other risks of doing business internationally including but not limited to:

● unexpected changes in, or impositions of, legislative or regulatory requirements; 

● efforts  to  develop  an  international  sales,  marketing  and  distribution  organization  may  increase  our  expenses,  divert  our  management’s  attention  from  the

acquisition or development of drug candidates or cause us to forgo profitable licensing opportunities in these geographies;  

● the occurrence of economic weakness, including inflation or political instability; 

● the effects of applicable non-U.S. tax structures and potentially adverse tax consequences; 

● differences in protection of our IP rights including patent rights of other parties; 

● the burden of complying with a variety of foreign laws including difficulties in effective enforcement of contractual provisions; 

● delays  resulting  from  difficulty  in  obtaining  export  licenses,  tariffs  and  other  barriers  and  restrictions,  potentially  longer  payment  cycles,  greater  difficulty  in

accounts receivable collection and potentially adverse tax treatment; and 

● production shortages resulting from any events affecting raw material supply or manufacturing capabilities abroad. 

In addition, we are subject to general geopolitical risks in foreign countries where we operate, such as political and economic instability and changes in diplomatic and
trade relationships, which could affect, among other things, customers’ inventory levels and consumer purchasing, which could cause our results to fluctuate and our net sales to
decline. The occurrence of any one or more of these risks of doing business internationally, individually or in the aggregate, could materially and adversely affect our business
and results of operations.

32

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
If  we  engage  in  future  acquisitions  or  strategic  partnerships,  this  may  increase  our  capital  requirements,  dilute  our  shareholders,  cause  us  to  incur  debt  or  assume
contingent liabilities, and subject us to other risks.

We may evaluate various acquisitions and strategic partnerships, including licensing or acquiring complementary products, IP rights, technology or businesses. Any

potential acquisition or strategic partnership may entail numerous risks, including, but not limited to:

● increase in operating expenses and cash requirements; 

● the assumption of additional indebtedness or contingent liabilities; 

● the issuance of our equity securities; 

● assimilation of operations, IP and products of an acquired company, including difficulties associated with integrating new personnel; 

● the diversion of our management’s attention from our existing product programs and initiatives in pursuing such a strategic merger or acquisition;

● retention of key employees, the loss of key personnel, and uncertainties in our ability to maintain key business relationships; 

● risks  and  uncertainties  associated  with  the  other  party  to  such  a  transaction,  including  the  prospects  of  that  party  and  their  existing  drugs  or  drug  and  device

candidates and regulatory approvals; and

● our inability to generate revenue from acquired technology and/or products sufficient to meet our objectives in undertaking the acquisition or even to offset the

associated acquisition and maintenance costs.

In addition, if we undertake acquisitions, we may issue dilutive securities, assume or incur debt obligations, incur large one-time expenses and acquire intangible assets
that could result in significant future amortization expense. Moreover, we may not be able to locate suitable acquisition opportunities and this inability could impair our ability
to grow or obtain access to technology or products that may be important to the development of our business.

If we fail to comply with the U.S. Foreign Corrupt Practices Act (“FCPA”), or other anti-bribery laws, our reputation may be harmed and we could be subject to penalties
and significant expenses that have a material adverse effect on our business, financial condition and results of operations.

We are subject to the FCPA. The FCPA generally prohibits us from making improper payments to non-U.S. officials for the purpose of obtaining or retaining business.
We are also subject to the anti-bribery laws of other jurisdictions, particularly the PRC. As our business expands, the applicability of the FCPA and other anti-bribery laws to
our operations will increase. Our procedures and controls to monitor anti-bribery compliance may fail to protect us from reckless or criminal acts committed by our employees
or agents. If we, due to either our own deliberate or inadvertent acts or those of others, fail to comply with applicable anti-bribery laws, our reputation could be harmed and we
could  incur  criminal  or  civil  penalties,  other  sanctions  and/or  significant  expenses,  which  could  have  a  material  adverse  effect  on  our  business,  including  our  financial
condition, results of operations, cash flows and prospects.

33

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
If we commence clinical trials of one of our drug or device candidates, and product liability lawsuits are brought against us, we may incur substantial liabilities and the
commercialization of such drug or device candidates may be affected.

If  any  of  our  drug  or  device  candidates  enter  clinical  trials,  we  will  face  an  inherent  risk  of  product  liability  suits  and  will  face  an  even  greater  risk  if  we  obtain
approval to commercialize any drugs. For example, we may be sued if our drug candidates cause or are perceived to cause injury or are found to be otherwise unsuitable during
clinical testing, manufacturing, marketing or sale. Any such product liability claims may include allegations of defects in manufacturing, defects in design, a failure to warn of
dangers inherent in the drug, negligence, strict liability or a breach of warranties. Claims could also be asserted under state consumer protection acts. If we cannot successfully
defend ourselves against product liability claims, we may incur substantial liabilities or be required to limit commercialization of our drug candidates. Even successful defense
would require significant financial and management resources. Regardless of the merits or eventual outcome, liability claims may result in:

● decreased demand for our drugs;

● injury to our reputation;

● withdrawal of clinical trial participants and inability to continue clinical trials;

● initiation of investigations by regulators;

● costs to defend the related litigation;

● a diversion of management’s time and our resources;

● substantial monetary awards to trial participants or patients;

● product recalls, withdrawals or labeling, marketing or promotional restrictions;

● loss of revenue;

● exhaustion of any available insurance and our capital resources;

● the inability to commercialize any drug candidate; and

● a decline in the price of our Class A Ordinary Shares.

We shall seek to obtain the appropriate insurance once our candidates are ready for clinical trial. However, our inability to obtain sufficient product liability insurance
at an acceptable cost to protect against potential product liability claims could prevent or inhibit the commercialization of drugs we develop, alone or with collaborators. We
currently do not have in place product liability insurance and although we plan to have in place such insurance as and when the products are ready for commercialization, as
well as insurance covering clinical trials, the amount of such insurance coverage may not be adequate, we may be unable to maintain such insurance, or we may not be able to
obtain additional or replacement insurance at a reasonable cost, if at all. Our insurance policies may also have various exclusions, and we may be subject to a product liability
claim for which we have no coverage. We may have to pay any amounts awarded by a court or negotiated in a settlement that exceed our coverage limitations or that are not
covered by our insurance, and we may not have, or be able to obtain, sufficient capital to pay such amounts. Even if our agreements with any future corporate collaborators
entitle us to indemnification against losses, such indemnification may not be available or adequate should any claim arise.

Additionally, we may be sued if the products that we commercialize, market or sell cause or are perceived to cause injury or are found to be otherwise unsuitable, and

may result in:

● decreased demand for those products;

● damage to our reputation;

● costs incurred related to product recalls;

● limiting our opportunities to enter into future commercial partnership; and

● a decline in the price of our Class A Ordinary Shares.

34

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Our insurance coverage may be inadequate to protect us against losses.

We  currently  maintain  property  insurance  for  our  office  premises  (including  one  unit  of  server  and  accessories).  We  hold  employer’s  liability  insurance  generally
covering death or work-related injury of employees; we maintain “Office Care Plan Insurance” for those persons working in our offices and “Medical Plan” for our employee.
We hold public liability insurance covering certain incidents involving unrelated parties that occur on or in the premises of the Company. We have directors and officers liability
insurance.  We  do  not  have  key-man  life  insurance  on  any  of  our  senior  management  or  key  personnel,  or  business  interruption  insurance.  Our  insurance  coverage  may  be
insufficient to cover any claim for product liability, damage to our fixed assets or employee injuries. If any claims for damage are brought against us, or if we experience any
business disruption, litigation or natural disaster, we might incur substantial costs and diversion of resources.

Fluctuations in exchange rates could result in foreign currency exchange losses

Our operations and equity are funded in U.S. dollars and we currently incur the majority of our expenses in U.S. dollars or in H.K. dollars. H.K. dollar is currently
pegged to the U.S. dollar; however, we cannot guarantee that such peg will continue to be in place in the future. Our exposure to foreign exchange risk primarily relates to the
limited  cash  denominated  in  currencies  other  than  the  functional  currencies  of  each  entity  and  limited  revenue  contracts  dominated  in  H.K.  dollars  in  certain  Hong  Kong
operating entities. We do not believe that we currently have any significant direct foreign exchange risk and have not hedged exposures denominated in foreign currencies or
any other derivative financial instruments.

If we are exposed to foreign currency exchange risk as our results of operations, cash flows maybe subject to fluctuations in foreign currency exchange rates. For
example, if a significant portion of our clinical trial activities may be conducted outside of the United States, and associated costs may be incurred in the local currency of the
country in which the trial is being conducted, which costs could be subject to fluctuations in currency exchange rates. We currently do not engage in hedging transactions to
protect against uncertainty in future exchange rates between particular foreign currencies and the U.S. dollar. A decline in the value of the U.S. dollar against currencies in
countries in which we conduct clinical trials could have a negative impact on our research and development costs. Foreign currency fluctuations are unpredictable and may
adversely affect our financial condition, results of operations and cash flows.

Our investments are subject to risks that could result in losses.

We had unrestricted cash of $5.19 million, $12.01 million and $16.25 million as of December 31, 2019, 2018 and 2017, respectively. We may invest our cash in a
variety of financial instruments. All of these investments are subject to credit, liquidity, market and interest rate risk. Such risks, including the failure or severe financial distress
of the financial institutions that hold our cash, cash equivalents and investments, may result in a loss of liquidity, impairment to our investments, realization of substantial future
losses, or a complete loss of the investments in the long-term, which may have a material adverse effect on our business, results of operations, liquidity and financial condition.
While we believe our cash position does not expose us to excessive risk, future investments may be subject to adverse changes in market value.

We are exposed to risks associated with our computer hardware, network security and data storage.

Similar to all other computer network users, our computer network system is vulnerable to attack of computer virus, worms, trojan horses, hackers or other similar
computer  network  disruptive  problems.  Any  failure  in  safeguarding  our  computer  network  system  from  these  disruptive  problems  may  cause  breakdown  of  our  computer
network system and leakage of confidential information of the Company. Any failure in the protection of our computer network system from external threat may disrupt our
operation and may damage our reputation for any breach of confidentiality to our customers, which in turn may adversely affect our business operation and performance. In the
event that our confidential information is stolen and misused, we may become exposed to potential risks of losses from litigation and possible liability.

In addition, we are highly dependent on our IT infrastructure to store research data and information and manage our business operations. We do not backup all data on
a real-time basis and the effectiveness of our business operations may be materially affected by any failure in our IT infrastructure. If our communications and IT systems do
not function properly, or if there is any partial or complete failure of our systems, we could suffer financial losses, business disruption or damage to our reputation.

35

 
 
 
 
 
 
 
 
 
 
 
  
Business disruptions could seriously harm our future revenue and financial condition and increase our costs and expenses.

Our  operations,  and  those  of  our  research  institution  collaborators,  CROs,  suppliers  and  other  contractors  and  consultants,  could  be  subject  to  earthquakes,  power
shortages, telecommunications failures, damage from computer viruses, material computer system failures, water shortages, floods, hurricanes, typhoons, fires, extreme weather
conditions,  medical  epidemics  and  other  natural  or  man-made  disasters  or  business  interruptions.  In  addition,  we  partially  rely  on  our  research  institution  collaborators  for
conducting  research  and  development  of  our  drug  candidates,  and  they  may  be  affected  by  government  shutdowns  or  withdrawn  funding.  The  occurrence  of  any  of  these
business disruptions could seriously harm our operations and financial condition and increase our costs and expenses. We rely on contract manufacturers to produce and process
our drug candidates. Our ability to obtain clinical supplies of our drug candidates could be disrupted if the operations of these suppliers are affected by a man-made or natural
disaster or other business interruption. A large portion of our contract manufacturer’s operations is located in a single facility. Damage or extended periods of interruption to our
corporate or our contract manufacturer’s development or research facilities due to fire, natural disaster, power loss, communications failure, unauthorized entry or other events
could cause us to cease or delay development of some or all of our drug candidates.

Although we do not currently conduct any business in the PRC, we may in the future; in doing so we would be exposed to various risks related to doing business in the
PRC.

Although we currently do not conduct any business in the PRC, we are the exclusive licensee to certain PRC patents directed to our drug candidates, and we intend to
file application for certain products in the PRC. The pharmaceutical industry in the PRC is subject to comprehensive government regulation and supervision, encompassing the
approval, registration, manufacturing, packaging, licensing and marketing of new drugs. (See “Item 4. Information on the Company – B. Business Overview – Regulations”). In
recent years, the regulatory framework in the PRC regarding the pharmaceutical industry has undergone significant changes, and we expect that it will continue to undergo
significant changes. Any such changes or amendments may result in increased compliance costs on our business or cause delays in or prevent the successful development or
commercialization of our drug candidates in the PRC and reduce the current benefits that we believe are available to us from developing and manufacturing drugs in the PRC.
Chinese  authorities  have  become  increasingly  vigilant  in  enforcing  laws  in  the  pharmaceutical  industry  and  any  failure  by  us  or  our  partners  to  maintain  compliance  with
applicable  laws  and  regulations  or  obtain  and  maintain  required  licenses  and  permits  may  result  in  the  suspension  or  termination  of  our  business  activities  in  the  PRC.  We
believe our strategy and approach is aligned with the PRC government’s policies, but we cannot ensure that our strategy and approach will continue to be aligned.

If in the future, we commence business or operation in the PRC, changes in the political and economic policies of the PRC government may materially and adversely
affect our business, financial condition and results of operations and may result in our inability to sustain our growth and expansion strategies. Once we start doing business in
the PRC, our financial condition and results of operation in the PRC could be materially and adversely affected by government control over capital investments or changes in
tax regulations that are applicable to us, and consequently have a material adverse effect on our businesses, financial condition and results of operations.

The  SEC  could  take  the  position  that  we  are  an  “investment  company”  subject  to  the  extensive  requirements  of  the  Investment  Company  Act  of  1940.  Such  a
characterization and the associated compliance requirements could have a material adverse effect on our business, financial condition, and results of operations.

Our business had historically included passive healthcare related investments in early stage companies primarily in the United States. Although we are in the process
of liquidating those securities that remain in our portfolio, we still hold some such investments and these are included as assets of our Company on a consolidated basis. As part
of  the  Restructure,  we  resolved  to  exit  such  portfolio  investments  over  an  appropriate  timeframe  and  focus  our  resources  on  our  current  business.  Since  the  date  of  the
Restructure, we have not held ourselves out as an investment company and we do not believe we are an “investment company” under the Investment Company Act of 1940. If
the SEC or a court, however, were to disagree with us, we could be required to register as an investment company. This would subject us to disclosure and accounting rules
geared toward investment companies, rather than operating companies, which may limit our ability to borrow money, issue options, issue multiple classes of stock and debt, and
engage in transactions with affiliates, and may require us to undertake significant costs and expenses to meet the disclosure and regulatory requirements to which we would be
subject as a registered investment company.

36

 
 
 
 
 
  
 
 
 
If we are classified as a passive foreign investment company for U.S. federal income tax purposes, United States holders of our Class A Ordinary Shares may be subject to
adverse United States federal income tax consequences.

A non-U.S. corporation will be a passive foreign investment company (“PFIC”) for U.S. federal income tax purposes, for such year, if either

● At least 75% of its gross income for such year is passive income; or

● The average percentage of our assets (determined at the end of each quarter) during such year which produce passive income or which are held for the production

of passive income is at least 50%.

Passive income generally includes dividends, interests, rents and royalties (other than rents or royalties derived from the active conduct of a trade or business) and

gains from the disposition of passive assets.

A separate determination must be made after the close of each taxable year as to whether a non-U.S. corporation is a PFIC for that year. For purposes of the PFIC
analysis, in general, a non-U.S. corporation is deemed to own its pro rata share of the gross income and assets of any entity in which it is considered to own at least 25% of the
equity  by  value.  Based  on  the  current  and  anticipated  value  of  our  assets,  we  believe  we  were  a  PFIC  for  U.S.  federal  income  tax  purposes  for  our  taxable  year  ending
December 31, 2018, and we may be a PFIC for U.S. federal income tax purposes for our current taxable year ending December 31, 2019.

In determining whether we are a PFIC, cash and investments are considered by the U.S. Internal Revenue Service (“IRS”) to be a passive asset. During our taxable
year ending December 31, 2019, we believe that the amount of restricted and unrestricted cash we had on hand and investments was greater than 50% of our total assets. The
composition of our assets during the current taxable year may cause us to continue to be classified as a PFIC. The determination of whether we will be a PFIC for our current
taxable year or a future year may depend in part upon how quickly we spend our liquid assets, and on the value of our goodwill and other unbooked intangibles not reflected on
our  balance  sheet,  which  may  depend  upon  the  market  value  of  our  Class  A  Ordinary  Shares  from  time  to  time.  Further,  while  we  will  endeavor  to  use  a  classification
methodology and valuation approach that is reasonable, the IRS may challenge our classification or valuation of our goodwill and other unbooked intangibles for purposes of
determining whether we are a PFIC in the current or one or more future taxable years.

If we are a PFIC for any taxable year during which a U.S. Holder owns our Class A Ordinary Shares, certain adverse U.S. federal income tax consequences could
apply to such U.S. Holder. As discussed under “Taxation – Material U.S. Federal Income Tax Considerations for U.S. Holders – Passive Foreign Investment Company Rules”, a
U.S.  Holder  may  be  able  to  make  certain  tax  elections  that  would  lessen  the  adverse  impact  of  PFIC  status;  however,  in  order  to  make  such  elections  the  U.S.  holder  will
usually have to have been provided information about the company by us, and there is no assurance that the company will provide such information.

For a more detailed discussion of the application of the PFIC rules to us and the consequences to U.S. holders if we were determined to be a PFIC. (See “Item 10.

Additional Information – E. Taxation – Material U.S. Federal Income Tax Considerations for U.S. Holders – Passive Foreign Investment Company Rules”)

Political risks associated with conducting business in Hong Kong.

While we operate our business globally, our business operations are principally based in Hong Kong. Accordingly, our business operation and financial conditions will
be affected by the political and legal developments in Hong Kong. During the period covered by the financial information incorporated by reference into and included in this
report, we derive substantially all of our revenue from operations in Hong Kong and, specifically, from the AML Clinic in Hong Kong operating under the name of Talem
Medical. Any adverse economic, social and/or political conditions, material social unrest, strike, riot, civil disturbance or disobedience, as well as significant natural disasters,
may affect the market may adversely affect the business operations of the AML Clinic. Hong Kong is a special administrative region of the PRC and the basic policies of the
PRC regarding Hong Kong are reflected in the Basic Law, namely, Hong Kong’s constitutional document, which provides Hong Kong with a high degree of autonomy and
executive, legislative and independent judicial powers, including that of final adjudication under the principle of “one country, two systems”. However, there is no assurance
that there will not be any changes in the economic, political and legal environment in Hong Kong in the future. Since a substantial part of our operations is based in Hong
Kong, any change of such political arrangements may pose immediate threat to the stability of the economy in Hong Kong, thereby directly and adversely affecting our results
of operations and financial positions.

37

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The Hong Kong protests that begun in 2019 are ongoing protests in Hong Kong (the “Hong Kong Protests”) triggered by the introduction of the Fugitive Offenders
amendment bill by the Hong Kong government. If enacted, the bill would have allowed the extradition of criminal fugitives who are wanted in territories with which Hong
Kong  does  not  currently  have  extradition  agreements,  including  mainland  China.  This  led  to  concerns  that  the  bill  would  subject  Hong  Kong  residents  and  visitors  to  the
jurisdiction and legal system of mainland China, thereby undermining the region’s autonomy and people’s civil liberties. Various sectors of the Hong Kong economy have been
adversely affected as the protests turned increasingly violent. Most notably, the airline, retail, and real estate sectors have seen their sales decline.

Under the Basic Law of the Hong Kong Special Administrative Region of the People’s Republic of China, Hong Kong is exclusively in charge of its internal affairs
and external relations, while the government of the PRC is responsible for its foreign affairs and defense. As a separate customs territory, Hong Kong maintains and develops
relations with foreign states and regions. We cannot assure that the Hong Kong Protests will not affect Hong Kong’s status as a Special Administrative Region of the People’s
Republic of China and thereby affecting its current relations with foreign states and regions.

Our revenue is susceptible to the ongoing Hong Kong Protests as well as any other incidents or factors which affect the stability of the social, economic and political
conditions in Hong Kong. Any drastic events may adversely affect our business operations. Such adverse events may include changes in economic conditions and regulatory
environment, social and/or political conditions, civil disturbance or disobedience, as well as significant natural disasters. Given the relatively small geographical size of Hong
Kong, any of such incidents may have a widespread effect on our business operations, which could in turn adversely and materially affect our business, results of operations
and financial condition.

We cannot assure that the Hong Kong Protests will end in the near future and that there will be no other political or social unrest in the near future or that there will not
be other events that could lead to the disruption of the economic, political and social conditions in Hong Kong. If such events persist for a prolonged period of time or that the
economic, political and social conditions in Hong Kong are to be disrupted, our overall business and results of operations may be adversely affected. 

We are subject to the risks of doing business globally.

Because we operate our business in Hong Kong and other countries, our business is subject to risks associated with doing business globally. Accordingly, our business
and financial results in the future could be adversely affected due to a variety of factors, including: changes in a specific country’s or region’s political and cultural climate or
economic  condition;  unexpected  changes  in  laws  and  regulatory  requirements  in  local  jurisdictions;  difficulty  of  effective  enforcement  of  contractual  provisions  in  local
jurisdictions; inadequate intellectual property protection in certain countries; enforcement of anti-corruption and anti-bribery laws; trade-protection measures, import or export
licensing requirements and fines, penalties or suspension or revocation of export privileges; the effects of applicable local tax regimes and potentially adverse tax consequences;
and significant adverse changes in local currency exchange rates.

Our results of operation may be negatively affected should the 2019-nCov virus (Coronavirus) continue to spread on a wider scale in Hong Kong.

Our business could be adversely affected by the effects of a widespread outbreak of contagious disease, including the recent outbreak of respiratory illness caused by a
novel coronavirus first identified in Wuhan, Hubei Province, China. Any outbreak of contagious diseases, and other adverse public health developments, particularly in China,
could have a material and adverse effect on our business operations. These could include disruptions or restrictions on our ability to travel or to distribute our products, as well
as temporary closures of our facilities or the facilities of our suppliers or customers.

38

 
 
 
 
 
 
 
 
 
 
Risks Related to Our Corporate Structure

Our CEO has control over key decision making as a result of his control of a majority of our voting shares.

Our Founder, CEO, and our Executive Director, Mr. Ian Huen, and his affiliates, over which he is deemed to have control and/or have substantial influence, has voting
rights with respect to an aggregate of 18,376,617 ordinary shares, on an as converted basis (2,315,148 Class A Ordinary Shares and 16,061,469 Class B Ordinary Shares),
representing approximately 70% of the voting power of our outstanding ordinary shares as of the date hereof. As a result, Mr. Huen has the ability to control the outcome of
matters submitted to our shareholders for approval, including the election of directors and any merger, consolidation, or sale of all or substantially all of our assets. In addition,
Mr. Huen has the ability to control the management and affairs of our company as a result of his position as our CEO and his ability to control the election of our directors.
Additionally, in the event that Mr. Huen controls our company at the time of his death, control may be transferred to a person or entity that he designates as his successor. As a
board member and officer, Mr. Huen owes a fiduciary duty to our shareholders and must act in good faith in a manner he reasonably believes to be in the best interests of our
shareholders.  As  a  shareholder,  even  a  controlling  shareholder,  Mr.  Huen  is  entitled  to  vote  his  shares,  and  shares  over  which  he  has  voting  control  as  a  result  of  voting
agreements, in his own interests, which may not always be in the interests of our shareholders generally.

The dual class structure of our ordinary shares has the effect of concentrating voting control with our CEO, directors and their affiliates.

Each Class B Ordinary Share has ten votes per share and each Class A Ordinary Share has one vote per share. Shareholders who hold shares of Class B Ordinary
Shares, including our executive officers and their affiliates who hold such shares, hold approximately 97% of the voting power of our outstanding ordinary shares as of the date
of this report. Because of the ten-to-one voting ratio between our Class B and Class A Ordinary Shares, the holders of our Class B Ordinary Shares collectively will continue to
control a majority of the combined voting power of our ordinary share and therefore be able to control all matters submitted to our shareholders for approval so long as the
shares of Class B Ordinary Shares represent at least 9.1% of all outstanding shares of our Class A Ordinary Shares and Class B Ordinary Shares. This concentrated control will
limit your ability to influence corporate matters for the foreseeable future.

Future transfers by holders of Class B Ordinary Shares will generally result in those shares converting to Class A Ordinary Shares, subject to limited exceptions, such
as certain transfers effected for estate planning purposes. The conversion of Class B Ordinary Shares to Class A Ordinary Shares will have the effect, over time, of increasing
the relative voting power of those holders of Class B Ordinary Shares who retain their shares in the long term. If, for example, Mr. Huen retains a significant portion of his
holdings of Class B Ordinary Share for an extended period of time, he could, in the future, continue to control a majority of the combined voting power of our Class A Ordinary
Shares and Class B Ordinary Shares.

As a “controlled company” under the rules of the NASDAQ Global Market, we may choose to exempt our company from certain corporate governance requirements that
could have an adverse effect on our public shareholders.

Our  directors  and  officers  beneficially  own  a  majority  of  the  voting  power  of  our  outstanding  Class  A  Ordinary  Shares.  Under  the  Rule  4350(c)  of  the  NASDAQ
Global Market, a company of which more than 50% of the voting power is held by an individual, group or another company is a “controlled company” and may elect  not  to
comply with certain corporate governance requirements, including the requirement that a majority of our directors be independent, as defined in the NASDAQ Global Market
Rules, and the requirement that our compensation and nominating and corporate governance committees consist entirely of independent directors. Although we do not intend to
rely  on  the  “controlled  company”  exemption  under  the  Nasdaq  listing  rules,  we  could  elect  to  rely  on  this  exemption  in  the  future.  If  we  elect  to  rely  on  the  “controlled
company” exemption, a majority of the members of our board of directors might not be independent directors and our nominating and corporate governance and compensation
committees might not consist entirely of independent directors. Accordingly, during any time while we remain a controlled company relying on the exemption and during any
transition period following a time when we are no longer a controlled company, you would not have the same protections afforded to shareholders of companies that are subject
to all of the NASDAQ Global Market corporate governance requirements. Our status as a controlled company could cause our Class A Ordinary Share to look less attractive to
certain investors or otherwise harm our trading price.

39

 
 
 
 
 
 
 
 
 
 
Risks Related to our Securities

Shares  eligible  for  future  sale  may  adversely  affect  the  market  price  of  our  Class  A  Ordinary  Shares  if  the  shares  are  successfully  listed  on  NASDAQ  or  other  stock
markets, as the future sale of a substantial amount of outstanding Class A Ordinary Shares in the public marketplace could reduce the price of our Class A Ordinary
Shares.

The market price of our Class A Ordinary Shares could decline as a result of sales of substantial amounts of our Class A Ordinary Shares in the public market, or the
perception that these sales could occur. In addition, these factors could make it more difficult for us to raise funds through future offerings of our Class A Ordinary Shares.
Most of the Class A Ordinary Shares are freely transferable without restriction or further registration under the Securities Act. The remaining Class A Ordinary Shares will be
“restricted securities” as defined in Rule 144. These Class A Ordinary Shares may be sold without registration under the Securities Act to the extent permitted by Rule 144 or
other exemptions under the Securities Act.

A sale or perceived sale of a substantial number of our Ordinary Shares may cause the price of our Class A Ordinary Shares to decline.

If our shareholders sell substantial amounts of our Class A Ordinary Shares in the public market, the market price of our Class A Ordinary Shares could fall. Moreover,
the perceived risk of this potential dilution could cause shareholders to attempt to sell their shares and investors to short our Class A Ordinary Shares. These sales also may
make it more difficult for us to sell equity or equity-related securities in the future at a time and price that we deem reasonable or appropriate.

Issuances by us of additional securities, whether in traditional or token format, could affect ownership and voting rights over us. In addition, the issuance of preferred
shares, or options or warrants to purchase those preferred shares, could negatively impact the value of the Class A ordinary shares as the result of preferential dividend
rights, conversion rights, redemption rights and liquidation provisions granted to the stockholders of such preferred shares.

From time to time, we may issue in public or private sales additional securities to third party investors. Such securities may provide holders with ownership and voting
rights that could provide the holders thereof with substantial influence over our business. Any preferred shares that may be issued shall have such rights, preferences, privileges
and restrictions as may be designated from time-to-time by our board, including preferential dividend rights, voting rights, conversion rights, redemption rights and liquidation
provisions. There cannot be any assurance that we will not issue preferred securities with rights and preferences that are more beneficial than those provided to our Ordinary
Shares.

We have not paid dividends in the past and do not expect to pay dividends in the future, and any return on investment may be limited to the value of our shares.

We  have  never  paid  any  cash  dividends  on  our  Class  A  Ordinary  Shares  and  do  not  anticipate  paying  any  cash  dividends  on  our  Class  A  Ordinary  Shares  in  the

foreseeable future, and any return on investment may be limited to the value of our Class A Ordinary Shares. We plan to retain any future earnings to finance growth.

Our  dividend  policy  is  subject  to  the  discretion  of  our  Board  of  Directors  and  will  depend  on,  among  other  things,  our  earnings,  financial  condition,  capital
requirements and other factors. There is no assurance that our Board of Directors will declare dividends even if we are profitable. Under Cayman Islands law, dividends may be
declared and paid only out of funds legally available therefor, namely out of either profit or our share premium account, and provided further that a dividend may not be paid if
this would result in our Company being unable to pay its debts as they fall due in the ordinary course of business and the realizable value of assets of our Company will not be
less than the sum of our total liabilities, other than deferred taxes as shown on our books of account, and our capital.

40

 
 
 
 
 
 
 
 
 
 
 
 
Our  Class  B  Ordinary  Shares  have  stronger  voting  power  than  our  Class  A  Ordinary  Shares  and  certain  existing  shareholders  have  substantial  influence  over  our
Company and their interests may not be aligned with the interests of our other shareholders.

We have a dual-class voting structure consisting of Class A Ordinary Shares and Class B Ordinary Shares. Under this structure, holders of Class A Ordinary Shares are
entitled to one vote per share, and holders of Class B Ordinary Shares are entitled to ten votes per share, which can cause the holders of Class B Ordinary Shares to have an
unbalanced,  higher  concentration  of  voting  power.  Our  management  team  as  a  group  beneficially  owns  over  18  million  Class  B  Ordinary  Shares  representing  80%  voting
power. As a result, until such time as their collective voting power is below 50%, our management team as a group of controlling shareholders have substantial influence over
our business, including decisions regarding mergers, consolidations and the sale of all or substantially all of our assets, election of directors and other significant corporate
actions. They may take actions that are not in the best interests of us or our other shareholders. These corporate actions may be taken even if they are opposed by our other
shareholders.  Further, concentration of ownership of our Class B Ordinary Shares may discourage, prevent or delay the consummation of change of control transactions that
shareholders may consider favorable, including transactions in which shareholders might otherwise receive a premium for their shares. Future issuances of Class B Ordinary
Shares may also be dilutive to the holders of Class A Ordinary Shares. As a result, the market price of our Class A Ordinary Shares could be adversely affected.

Shareholders who hold shares of Class B Ordinary Shares, including our executive officers and their affiliates, hold approximately 97% of the voting power of our
outstanding  ordinary  shares.  Because  of  the  ten-to-one  voting  ratio  between  our  Class  B  and  Class  A  Ordinary  Shares,  the  holders  of  our  Class  B  Ordinary  Shares  will
collectively continue to control a majority of the combined voting power of our Ordinary Shares and therefore be able to control all matters submitted to our shareholders for
approval, so long as the Class B Ordinary Shares represent at least 9.1% of all outstanding shares of our Ordinary Shares.

Raising  additional  capital  may  cause  dilution  to  our  shareholders,  restrict  our  operations  or  require  us  to  relinquish  rights  to  our  technology  or  drug  and  device
candidates.

We may seek additional funding through a combination of equity offerings, debt financings, collaborations, licensing arrangements, strategic alliances and marketing
or distribution arrangements. To the extent that we raise additional capital through the sale of equity or convertible debt securities, your ownership interest will be diluted, and
the terms may include liquidation or other preferences that adversely affect your rights as a holder of our Class A Ordinary Shares. The incurrence of additional indebtedness or
the issuance of certain equity securities could result in increased fixed payment obligations, and could also result in certain additional restrictive covenants, such as limitations
on our ability to incur additional debt or issue additional equity, limitations on our ability to acquire or license IP rights and other operating restrictions that could adversely
impact our ability to conduct our business. In addition, issuance of additional equity securities, or the possibility of such issuance, may cause the market price of our Class A
Ordinary Shares to decline. In the event that we enter into collaborations or licensing arrangements to raise capital, we may be required to accept unfavorable terms, including
relinquishing  or  licensing  to  another  party  on  unfavorable  terms  our  rights  to  technology  or  drug  and  device  candidates  that  we  otherwise  would  seek  to  develop  or
commercialize ourselves or potentially reserve for future potential arrangements when we might be able to achieve more favorable terms.

41

 
 
 
 
 
 
 
Since we are a Cayman Islands exempted company, the rights of our shareholders may be more limited than those of shareholders of a company organized in the United
States.

Our  corporate  affairs  are  governed  by  our  Second  Amended  and  Restated  Memorandum  and  Articles  of  Association  (as  may  be  amended  from  time  to  time)
(“Memorandum and Articles”), the Companies Law (2018 Revision) of the Cayman Islands (the “Companies Law”) and the common law of the Cayman Islands.  The rights of
shareholders  to  take  action  against  the  directors,  actions  by  minority  shareholders  and  the  fiduciary  responsibilities  of  our  directors  are  to  a  large  extent  governed  by  the
common law of the Cayman Islands. This common law is derived in part from comparatively limited judicial precedent in the Cayman Islands as well as from English common
law, which has persuasive, but not binding, authority on a court in the Cayman Islands.  Under the laws of some jurisdictions in the United States, majority and controlling
shareholders  generally  have  certain  fiduciary  responsibilities  to  the  minority  shareholders.  Shareholder  action  must  be  taken  in  good  faith,  and  actions  by  controlling
shareholders which are obviously unreasonable may be declared null and void. Cayman Islands law protecting the interests of minority shareholders may not be as protective in
all circumstances as the law protecting minority shareholders in some U.S. jurisdictions. In addition, the circumstances in which a shareholder of a Cayman Islands company
may  sue  the  company  derivatively,  and  the  procedures  and  defenses  that  may  be  available  to  the  company,  may  result  in  the  rights  of  shareholders  of  a  Cayman  Islands
company being more limited than those of shareholders of a company organized in the United States. Accordingly, shareholders may have fewer alternatives available to them
if  they  believe  that  corporate  wrongdoing  has  occurred.  The  Cayman  Islands  courts  are  also  unlikely  to  recognize  or  enforce  judgments  from  U.S.  courts  based  on  certain
liability provisions of U.S. securities laws that are penal in nature. There is no statutory recognition in the Cayman Islands of judgments obtained in the United States, although
the courts of the Cayman Islands will generally recognize and enforce non-penal judgment of a foreign court of competent jurisdiction for a liquidated sum without retrial on its
merits which is not obtained in a manner contrary to public policy in the Cayman Islands and in respect of which there are no concurrent proceedings in the Cayman Islands.
This means, even if shareholders were to sue us successfully, they may not be able to recover anything to make up for the losses suffered.

Furthermore, our directors have the power to take certain actions without shareholder approval which would require shareholder approval under the laws of most U.S.
jurisdictions. For example, the directors of a Cayman Islands company, without shareholder approval, may implement a sale of any assets, property, part of the business, or
securities of the Company.

While Cayman Islands law allows a dissenting shareholder to express the shareholder’s view that a court sanctioned reorganization of a Cayman Islands company
would  not  provide  fair  value  for  the  shareholder’s  shares,  Cayman  Islands  statutory  law  does  not  specifically  provide  for  shareholder  appraisal  rights  on  a  merger  or
consolidation of a company. This may make it more difficult for you to assess the value of any consideration you may receive in a merger or consolidation or to require that the
acquirer gives you additional consideration if you believe the consideration offered is insufficient. However, Cayman Islands’ statutory law does provide a mechanism for a
dissenting  shareholder  in  a  merger  or  consolidation  to  apply  to  the  Grand  Court  for  a  determination  of  the  fair  value  of  the  dissenter’s  shares,  if  it  is  not  possible  for  the
Company and the dissenter to agree a fair price within the time limits prescribed.

Shareholders  of  Cayman  Islands  exempted  companies,  such  as  our  Company,  have  no  general  rights  under  Cayman  Islands’  law  to  inspect  corporate  records  and
accounts or to obtain copies of lists of shareholders. Our directors have discretion under our Memorandum and Articles to determine whether or not, and under what conditions,
our corporate records may be inspected by our shareholders, but are not obliged to make them available to our shareholders. This may make it more difficult for you to obtain
the information needed to establish any facts necessary for a shareholder motion or to solicit proxies from other shareholders in connection with a proxy contest.

Lastly, under the law of the Cayman Islands, there is little statutory law for the protection of minority shareholders. The principal protection under statutory law is that
shareholders may bring an action to enforce the constituent documents of the corporation, our Memorandum and Articles. Shareholders are entitled to have the affairs of the
company conducted in accordance with the general law and the memorandum and articles of association.

There  are  common  law  rights  for  the  protection  of  shareholders  that  may  be  invoked,  largely  dependent  on  English  company  law,  since  the  common  law  of  the
Cayman Islands for business companies is limited. Under the general rule pursuant to English company law known as the rule in Foss v. Harbottle, a court will generally refuse
to interfere with the management of a company at the insistence of a minority of its shareholders who express dissatisfaction with the conduct of the company’s affairs by the
majority or the board of directors. However, every shareholder is entitled to have the affairs of the company conducted properly according to law and the constituent documents
of the company. As such, if those who control the company have persistently disregarded the requirements of company law or the provisions of the company’s memorandum
and articles of association, then the courts will grant relief. Generally, the areas in which the courts will intervene are the following: (1) an act complained of which is outside
the scope of the authorized business or is illegal or not capable of ratification by the majority; (2) acts that constitute fraud on the minority where the wrongdoers control the
company; (3) acts that infringe on the personal rights of the shareholders, such as the right to vote; and (4) where the company has not complied with provisions requiring
approval of a special or extraordinary majority of shareholders, which are more limited than the rights afforded minority shareholders under the laws of many states in the
United States subject to limited exceptions, under Cayman Islands Law a minority shareholder may not bring a derivative action against directors. Our Cayman Islands’ counsel
has advised us that they are aware of one recent as yet unreported derivative action having been brought in a Cayman Islands’ court. Class actions are not recognized in the
Cayman Islands, but groups of shareholders with identical interests may bring representative proceedings, which are similar.

42

 
 
 
 
 
 
 
 
 
As a result, you may be limited in your ability to protect your interests if you are harmed in a manner that would otherwise enable you to sue in a United States federal

court. In addition, shareholders of Cayman Islands companies may not have standing to initiate a shareholder derivative action in U.S. federal courts.

As  a  result  of  all  of  the  above,  shareholders  of  our  Company  may  have  more  difficulty  in  protecting  their  interests  in  the  face  of  actions  taken  by  management,

members of the board of directors or controlling shareholders than they would have as shareholders of a public U.S. company.

You may face difficulties in protecting your interests, and your ability to protect your rights through the U.S. federal courts may be limited because we are incorporated
under  Cayman  Islands  law,  we  currently  conduct  substantially  all  of  our  operations  outside  the  United  States  and  some  of  our  directors  and  executive  officers  reside
outside the United States.

We are incorporated in the Cayman Islands and currently conduct substantially all of our operations outside the United States through our subsidiaries. Some of our
directors and executive officers reside outside the United States and a substantial portion of their assets are located outside of the United States. As a result, it may be difficult
or impossible for you to bring an action against us or against these individuals in the Cayman Islands or in Hong Kong, in the event that you believe that your rights have been
infringed under the securities laws of the United States or otherwise. Even if you are successful in bringing an action of this kind, the laws of the Cayman Islands and Hong
Kong may render you unable to enforce a judgment against our assets or the assets of our directors and officers. There is no statutory recognition in the Cayman Islands of
judgments obtained in the United States or Hong Kong, although the courts of the Cayman Islands will generally recognize and enforce a non-penal judgment of a foreign court
of competent jurisdiction without retrial on the merits if such judgment is final, for a liquidated sum, not in the nature of taxes, a fine or penalty, is not inconsistent with a
Cayman Islands’ judgment in respect of the same matters, and was not obtained in a manner which is contrary to public policy. In addition, a Cayman Islands court may stay
proceedings if concurrent proceedings are being brought elsewhere.

As a foreign private issuer, we are permitted to adopt certain home country practices in relation to corporate governance matters that differ significantly from the NASDAQ
Global Market corporate governance listing standards. These practices may afford less protection to shareholders than they would enjoy if we complied fully with corporate
governance listing standards.

As  a  foreign  private  issuer,  we  are  permitted  to  take  advantage  of  certain  provisions  in  the  NASDAQ  Global  Market  listing  rules  that  allow  us  to  follow  Cayman
Islands law for certain governance matters. Certain corporate governance practices in the Cayman Islands may differ significantly from corporate governance listing standards
as, except for general fiduciary duties and duties of care, Cayman Islands law has no corporate governance regime which prescribes specific corporate governance standards.
We may follow Cayman Islands corporate governance practices in lieu of the corporate governance requirements of the Nasdaq Global Market in respect of the following. For
instance,  Cayman  law  does  not  require  that  we  obtain  shareholder  approval  to  issue  20%  or  more  of  our  outstanding  Ordinary  Shares  in  a  private  offering.  Therefore,  our
shareholders may be afforded less protection than they otherwise would have under corporate governance listing standards applicable to U.S. domestic issuers.

We are an emerging growth company within the meaning of the Securities Act and will take advantage of certain reduced reporting requirements.

We are an “emerging growth company,” as defined in the JOBS Act and take advantage of certain exemptions from various requirements applicable to other public
companies that are not emerging growth companies including, most significantly, not being required to comply with the auditor attestation requirements of Section 404 of the
Sarbanes-Oxley Act for so long as we are an emerging growth company. As a result, if we elect not to comply with such auditor attestation requirements, our investors may not
have access to certain information they may deem important.

43

 
 
 
  
 
 
 
 
 
 
The JOBS Act also provides that an emerging growth company does not need to comply with any new or revised financial accounting standards until such date that a
private company is otherwise required to comply with such new or revised accounting standards. The Company has elected to use the extended transition period for complying
with new or revised accounting standard under Section 102(b)(2) of the Jobs Act, that allows the Company to delay the adoption of new or revised accounting standards that
have different effective dates for public and private companies until those standards apply to private companies.

Risks Related to the SMPT tokens

There is no assurance that purchasers of the SMPT tokens will receive a return on their investment .

On April 24, 2019, the SMPT token was announced to be launched. The SMPT tokens are issued by Smart Pharmaceutical Limited Partnership (“SPLP”), a limited
partnership  registered  in  Seychelles,  which  is  managed  by  SMTPH  as  its  sole  general  partner.  SMTPH  is  a  wholly-owned  subsidiary  of  Aptorum  Therapeutics  Limited.
Aptorum Group Limited is not involved with the offer and sale of the SMPT token in any way, other than the potential indirect benefit it will receive as a result of its subsidiary,
Smart  Pharma,  from  drug  candidates  developed  by  the  Smart-ACT  TM   platform.  Each  Token  will  entitle  its  holder  (each,  a  “Tokenholder”)  to  receive  certain  sales-based
royalties, sublicensing income or additional cash flow generated by drug candidates developed by the Smart-ACT TM  platform (the “Token Distribution”).

As  identified  in  the  aforementioned  risk  factors,  a  pharmaceutical  company’s  ability  to  generate  revenue  and  achieve  profitability  is  dependent  on  its  ability  to
complete the development of drug candidates and any future drug candidates one develops in its portfolio, obtain necessary regulatory approvals, and have our drugs products
under  development  manufactured  and  successfully  marketed,  of  which  there  can  be  no  guarantee.  Furthermore,  the  research  methodology  used  may  be  unsuccessful  in
identifying potential drug candidates, or those drug candidates identified may have harmful side effects or other undesirable characteristics that make them unmarketable or
unlikely to receive regulatory approval (See “Item 3. Key Information—D. Risk Factors – Risks Related to the Preclinical and Clinical Development of Our Drug Candidates -
We currently do not generate revenue from product sales and may never become profitable; unless we can raise more capital through additional financings, of which there can
be no guarantee, our principal source of revenue will be from AML Clinic, which may not be substantial” and “We may not be successful in our efforts to identify or discover
additional drug candidates. Due to our limited resources and access to capital, we must continue to the prioritize development of certain drug candidates; such decisions may
prove to be wrong and may adversely affect our business”).

Therefore,  we  cannot  guarantee  that  any  drug  candidates  currently  and  subsequently  developed  by  SMTPH  using  the  Smart-ACT  TM    platform  will  generate  any

revenue that would derive any sales-based royalties, sublicensing income or additional cash flow for distribution to Tokenholders.

Accordingly, there is no assurance that purchasers of SMPT tokens will realize any return on their investments or that their entire investments will not be lost.

SMPT Tokenholders’ security interest in the intellectual property rights may affect our shareholder’s interest in the Company.

SPLP acts as the intellectual property holding company of Smart Pharma, and holds all title, rights and ownership interest of the intellectual property rights developed
by  Smart-ACT  TM   (“Project  IP”).  The  SMPT  tokens  are  secured  by  way  of  a  floating  charge  against  the  Project  IP  to  guarantee  the  distribution  of  accrued  sales-based
royalties, sublicensing income or additional cash flow generated by drug candidates developed by the Smart-ACT TM  platform.

Therefore, regardless of the number of the SMPT tokens sold and the amount of proceeds raised from the token sales, Tokenholders will only be eligible to receive a
Token Distribution if any sales-based royalties, sublicensing income or additional cash flow is generated by drug candidates developed by the Smart-ACT TM  platform, as and
when SPLP declares the distribution.

44

 
 
 
 
 
 
 
 
 
 
 
 
Because the Token Distribution is secured by a security interest in such intellectual property rights, if and when SPLP defaults in its distribution obligations to the
Tokenholders, or in the event of liquidation, dissolution or winding up of SPLP, the floating charge may crystallize into a fixed charge over the charged assets (i.e., the Project
IP owned by SPLP), while a receiver may be appointed by the Tokenholders to sell off the Project IP. If this were to occur, the disposal of the Project IP by an appointed
receiver may trigger a breach of any commercialization agreements between Smart Pharma and third parties with respect to the repurposed drug project, which may in turn
affect our business, revenue and reputation.

The distributions to SMPT Tokenholders are not correlated with the number of SMPT tokens sold or net proceeds raised through the SMPT token sales.

SMTPH intends to use all of the proceeds raised from the SMPT token sales towards the development and operation of the Smart-ACT TM  platform. If the issuance of
the SMPT tokens does not result in substantial proceeds, it could have a material adverse effect on SMTPH’s ability to fund these objectives and carry out its related business
plans, its ability to develop the Smart-ACT TM  platform may be limited.

Aptorum Group anticipates that the net proceeds from the sales of the SMPT tokens will not be sufficient to fully fund Smart Pharma’s current and future operations
until it becomes self-sustaining. Smart Pharma’s current funding needs include funding for validation and assessment of candidates, operation and improvement of the platform,
legal/professional services and exchanges-listing.

Therefore, Smart Pharma will likely require funding from Aptorum Group or other sources to subsidize and support its operations. The presence and level of funding
support from Aptorum Group or other sources will not affect the aggregate distribution entitled by the Tokenholders, as the aggregate distribution is dependent on the ability for
Smart-ACT TM  to develop drug candidates that can generate sales-based royalties, sublicensing income or additional cash flow and the extent of commercial success of such
candidate.

Therefore, the distributions to SMPT Tokenholders would not necessarily be correlated with the number of SMPT tokens sold or the net proceeds raised through the
SMPT  token  sales.  The  dollar  value  of  the  aggregate  distributions  will  not  be  affected  by  proceeds  from  the  SMPT  token  sales,  regardless  of  whether  the  proceeds  greatly
exceed or are significantly lower than the actual costs for funding Smart Pharma’s current and future operations.

Item 4. INFORMATION ON THE COMPANY

A. History and Development of the Company

Aptorum  was  incorporated  under  the  laws  of  the  Cayman  Islands  on  September  13,  2010.  Our  share  capital  is  $100,000,000.00  divided  into  60,000,000  Class A

Ordinary Shares with a nominal or par value of $1.00 each and 40,000,000 Class B Ordinary Shares with a nominal or par value of $1.00 each.

APTUS CAPITAL LIMITED, which has since been renamed to AENEAS CAPITAL LIMITED and which we refer to herein as Aeneas, was always under the direct
ownership of Jurchen and not under the ownership chain of Aptorum Group. However, Aptus Asia Financial Holdings Limited (“AAFH”), which has since been renamed to
Aeneas Group Limited, was transferred out of the Aptorum Group on November 10, 2017 to be held directly by Jurchen Investment Corporation and that subsequently, APTUS
CAPITAL LIMITED was then transferred to be under AAFH.

On May 4, 2017, Mr. Huen transferred all of the ordinary shares in the Company he owned (in the amount of 22,307,596) to Jurchen, a company incorporated in the
British  Virgin  Islands  and  wholly-owned  by  Mr.  Huen.  On  October  13,  2017,  as  part  of  the  Conversions  (as  defined  below)  the  ordinary  shares  held  by  Jurchen  were
redesignated as 2,230,760 Class A Ordinary Shares and 20,076,836 Class B Ordinary Shares.

45

 
 
 
 
 
 
 
 
 
 
 
 
 
On  February  21  and  March  1,  2017,  the  Company’s  board  of  directors  and  shareholders  resolved  to  restructure  the  Company  from  an  investment  fund  with

management shares and non-voting participating redeemable preference shares to a holding company with operating subsidiaries, respectively (the “Restructuring Plan”).

According  to  the  Restructuring  Plan,  the  256,571.12  issued  participating  shares  with  par  value  of  $0.01  (“Participating  Shares”)  were  redeemed  and  4,743,418.88
unissued Participating Shares were cancelled; following such redemption and cancellation, we no longer have any Participating Shares authorized or issued. Additionally, the
Company authorized a class of securities consisting of 100,000,000 ordinary shares, par value $1.00 per share (“Ordinary Shares”) and issued 25,657,110 Ordinary Shares to
our original investors.

During the period March 1, 2017 through October 13, 2017, an aggregate of 2,207,025 Ordinary Shares were issued at a price of approximately $3.90 per share in a
private placement we described as a “Series A” offering. Each investor of the Series A offering, in addition to a subscription agreement, signed a shareholder agreement, which
set forth the basic governance terms of the Company, as well as our capital structure. The shareholders agreement was terminated in October 2017.

On October 13, 2017, ordinary resolutions were passed at an extraordinary general meeting of the Company approving (the “Conversions”): (i) converting 72,135,865
of authorized but unissued Ordinary Shares into 54,573,620 authorized but unissued Class A ordinary shares, par value of $1.00 per share (“Class A Ordinary Shares”) and
17,562,245 authorized but unissued Class B ordinary shares, par value of $1.00 per share (“Class B Ordinary Shares”), respectively; (ii) converting 24,930,839 Ordinary Shares
held by three shareholders into an aggregate of 2,493,085 Class A Ordinary Shares and 22,437,754 Class B Ordinary Shares; and (iii) converting 2,933,296 Ordinary Shares
held by 24 shareholders into an aggregate 2,933,296 Class A Ordinary Shares. Following these issuances, we had 27 shareholders of record.

On October 19, 2017, we changed our name from APTUS Holdings Limited to our current name, Aptorum Group Limited.

On  March  23,  2018,  Jurchen  transferred  446,152  Class  A  Ordinary  Shares  and  4,015,367  Class  B  Ordinary  Shares  to  CGY  Investments  Limited,  a  company
incorporated  in  Hong  Kong  and  which  we  deem  Mr.  Darren  Lui  controls  and/or  of  which  he  has  substantial  influence  on  the  disposition  rights  and  voting  rights  of  such
shares. Following this transfer, Jurchen owns approximately 33% and 72% of our Class A Ordinary Shares and Class B Ordinary Shares, respectively.

On  December  17,  2018,  the  Company  consummated  its  IPO  of  761,419  Class  A  Ordinary  Shares.  The  Registration  Statement  was  declared  effective  by  the  U.S.
Securities  and  Exchange  Commission  on  December  3,  2018  (the  “Effective  Date”).  The  shares  were  sold  at  a  price  of  $15.80  per  share,  generating  gross  proceeds  to  the
Company of approximately $12,030,420. Immediately following the consummation of the IPO and automatic conversion of the Notes and Bonds, there were an aggregate of
6,537,269 Class A Ordinary Shares issued and outstanding.

On February 28, 2020, the Company consummated a Registered Direct Offering of 1,351,350 Class A Ordinary Shares and warrants to purchase up to 1,351,350 Class
A  Ordinary  Shares.  The  shares  were  sold  at  a  price  of  $7.40  per  share,  generating  gross  proceeds  to  the  Company  of  approximately  $10  million.  The  warrants  will  be
exercisable  immediately  following  the  date  of  issuance  for  a  period  of  seven  years  at  an  initial  exercise  price  of  $7.40.  Immediately  following  the  consummation  of  the
Registered Direct Offering, there were an aggregate of 7,948,712 Class A Ordinary Shares issued and outstanding.

Over  the  past  three  years,  we  have  invested  approximately  $9.9  million  towards  our  principal  capital  expenditures,  which  include  laboratory  equipment,  premises,

leasehold improvements, and medical and other equipment.

46

 
 
  
 
 
 
 
 
 
 
 
The following diagram illustrates our corporate structure as of the date of this annual report:

47

 
 
 
 
Emerging Growth Company Status

We are an “emerging growth company,” as defined in the Jumpstart Our Business Startups Act (the “JOBS Act”), and we are eligible to take advantage of certain
exemptions from various reporting and financial disclosure requirements that are applicable to other public companies, that are not emerging growth companies, including, but
not limited to, (1) not being required to comply with the auditor attestation requirements of Section 404 of the Sarbanes-Oxley Act, (2) reduced disclosure obligations regarding
executive  compensation  in  our  periodic  reports  and  proxy  statements,  and  (3)  exemptions  from  the  requirements  of  holding  a  non-binding  advisory  vote  on  executive
compensation and shareholder approval of any golden parachute payments not previously approved. We intend to take advantage of these exemptions.

In addition, Section 107 of the JOBS Act also provides that an emerging growth company can take advantage of the extended transition period provided in Section 7(a)
(2)(B) of the Securities Act, for complying with new or revised accounting standards. As a result, an emerging growth company can delay the adoption of certain accounting
standards until those standards would otherwise apply to private companies.

We could remain an emerging growth company for up to five years, or until the earliest of (1) the last day of the first fiscal year in which our annual gross revenues
exceed $1.07 billion, (2) 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
Ordinary Shares that is held by non-affiliates exceeds $700 million as of the last business day of our most recently completed second fiscal quarter and we have been publicly
reporting for at least 12 months, or (3) the date on which we have issued more than $1 billion in non-convertible debt during the preceding three-year period. 

Foreign Private Issuer Status

We  are  a  foreign  private  issuer  within  the  meaning  of  the  rules  under  the  Exchange.  As  such,  we  are  exempt  from  certain  provisions  applicable  to  United  States

domestic public companies. For example:

● we are not required to provide as many Exchange Act reports, or as frequently, as a domestic public company;

● for interim reporting, we are permitted to comply solely with our home country requirements, which are less rigorous than the rules that apply to domestic public

companies;

● we are not required to provide the same level of disclosure on certain issues, such as executive compensation;

● we are exempt from provisions of Regulation FD aimed at preventing issuers from making selective disclosures of material information;

● we  are  not  required  to  comply  with  the  sections  of  the  Exchange  Act  regulating  the  solicitation  of  proxies,  consents  or  authorizations  in  respect  of  a  security

registered under the Exchange Act; and

● we are not required to comply with Section 16 of the Exchange Act requiring insiders to file public reports of their share ownership and trading activities and

establishing insider liability for profits realized from any “short-swing” trading transaction.

48

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
B. Business Overview

Overview

We are a pharmaceutical company dedicated to developing and commercializing a broad range of therapeutic and diagnostic technologies to tackle unmet medical
needs. We have obtained exclusive licenses for our technologies. In addition, we are also developing certain proprietary technologies as product candidates. We are pursuing
therapeutic  and  diagnostic  projects  (including  projects  seeking  to  use  extracts  or  derivatives  from  natural  substances  to  treat  diseases)  in  neurology,  infectious  diseases,
gastroenterology, oncology and other disease areas. We also have projects focused on surgical robotics. (See “Item 4. Information on the Company – B. Business Overview –
Lead Projects, Dietary Supplement and Other Projects under Development – Lead Projects”) Also, we opened a medical clinic, AML Clinic, in June 2018.

Although none of our drug or device candidates has yet been approved for testing in humans, our goal is to develop a broad range of early stage novel therapeutics and
diagnostics  across  a  wide  range  of  disease/therapeutic  areas.  Key  components  of  our  strategy  for  achieving  this  goal  include:  (for  details  of  our  strategy,  See  “Item  4.
Information on the Company – B. Business Overview – Our Strategy”)

● Developing therapeutic and diagnostic innovations across a wide range of disease/therapeutic areas;

● Selectively expanding our portfolio with potential products that may be able to attain orphan drug designation and/or satisfy current unmet medical needs;

● Collaborating with leading academic institutions and CROs;

● Expanding our in-house pharmaceutical development center;

● Leveraging our management’s expertise, experience and commercial networks;

● Strategically developing opportunities in Hong Kong to promote access to the PRC market; and

● Obtaining and leveraging government grants to fund project development.

We have devoted a portion of the proceeds from our IPO, to two therapeutic projects (“Lead Projects”). The drug candidates being advanced as the Lead Projects are
ALS-4 and SACT-1, described in further detail below. If the results of the remaining preclinical studies of these drug candidates are positive, we expect to be able to submit by
the  second  half  of  2020,  subject  to  regulatory  review,  an  Investigational  New  Drug  Application  (“IND”)  for  at  least  one  of  these  candidates  to  the  U.S.  Food  and  Drug
Administration  (“FDA”)  or  an  equivalent  application  to  the  regulatory  authorities  in  one  or  more  other  jurisdictions  such  as  the  China  Food  and  Drug  Administration
(“NMPA”) and/or the European Medicines Agency (“EMA”). Acceptance of these applications by the relevant regulatory authority would enable the Company to begin testing
that drug candidate in humans in that jurisdiction. Our ability to obtain any approval of such applications is entirely dependent upon the results of our preclinical studies, none
of which have yet been completed.

Our current business consists of “therapeutics” and “non-therapeutics” segments. However, our focus is on the therapeutics segments. Because of the risks, costs and
extended development time required for successful drug development, we have determined to pursue projects within our non-therapeutics segments, such as AML Clinic, to
provide some interim revenue and medical robots that may be brought to market and generate revenue more quickly.

Therapeutics Segment . In our therapeutics segment (“Aptorum Therapeutics Group”), we are currently seeking to develop various drug molecules (including projects
seeking  to  use  extracts  or  derivatives  from  natural  substances  to  treat  diseases)  and  certain  technologies  for  the  treatment  (“therapeutics”)  and  diagnosis  (“diagnostics”)  of
human  disease  conditions  in  neurology,  infectious  diseases,  gastroenterology,  oncology  and  other  disease  areas.  In  addition,  we  are  seeking  to  identify  additional  prospects
which  may  qualify  for  potential  orphan  drug  designation  (e.g.,  rare  types  of  cancer)  or  which  address  other  current  unmet  medical  needs.  Aptorum  Therapeutics  Group  is
operated through Aptorum’s wholly-owned subsidiary, Aptorum Therapeutics Limited, a Cayman Islands exempted company with limited liability, whose principal place of
business is in Hong Kong and its indirect subsidiary companies (who we sometimes refer to herein as project companies), whose principal places of business are also in Hong
Kong.

49

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Non-Therapeutics  Segment  .  The  non-therapeutics  segment  (“Aptorum  Non-Therapeutics  Group”)  encompasses  three  businesses:  (i)  the  development  of  surgical
robotics and medical devices, (ii) AML Clinic and (iii) sales of dietary supplement. The development of surgical robotics and medical devices business is operated through
Signate Life Sciences Limited, a subsidiary of Aptorum Therapeutics Limited. The outpatient clinic is operated through our subsidiary, Aptorum Medical Limited. Effective as
of March 2018, we leased office space in Central, Hong Kong as the home to AML Clinic. AML Clinic commenced operations under the name of Talem Medical in June 2018.
The estimated general administrative expenses and other operating expenses of the AML Clinic is expected to be no more than USD120,000 per month. The clinic is expected
to reach operating profit in 18 months from the clinic reaching its full operating capacity upon (i) the successful recruitment of a minimum of six full time physicians (AML
Clinic currently has one full time physician and six part time physicians) and (ii) establishing steady patients flow via brand development. (See “Item 4. Information on the
Company  –  B.  Business  Overview  –  Lead  Projects,  Dietary  Supplement  and  Other  Projects  under  Development  –  Other  Projects  under  Development  –  Aptorum  Medical
Limited - AML Clinic”) The sale of dietary supplements is operated through Nativus Life Sciences Limited (“Nativus”), a subsidiary of Aptorum Therapeutics Limited. As part
of the commercialization, the Group, through Nativus, entered into a regional distribution and marketing agreement with Multipak Limited, a Hong Kong based group that
operates  household  brands,  including  the  Luk  Yu®  tea  bag  and  other  health  related  products.  Through  Multipak,  the  Group  will  be  able  to  increase  the  accessibility  of  the
product to a large consumer base regionally. The production of Aptorum Group’s dioscorea opposita bioactive nutraceutical tablets has commenced production in Canada and
will be marketed under the brand name NativusWell TM .

The  Company  has  already  obtained  opportunities  resulting  in  our  existing  licensing  agreements  from  various  contractual  relationships  that  we  have  entered  into,
including service/consulting agreements with some of the world’s leading specialists and clinicians in our areas of interest, with academic institutions and organizations, and
with CROs. We anticipate that these relationships will generate additional licensing opportunities in the future. In addition, we have established and are continuing to expand
our in-house research facilities (collectively, the “R&D Center”) to develop some of our drug and device candidates internally and to collaborate with third-party researchers. 

Prior to March 2017, the Company had pursued passive healthcare related investments in early stage companies primarily in the United States. However, we have
since ceased pursuing further passive investment operations and intend to exit all such portfolio investments over an appropriate timeframe to focus resources on our current
business.

On April 24, 2019, the Company signed an agreement with Aeneas Capital Limited, and A*ccelerate Technologies Pte. Ltd, the enterprise office of the Agency for
Science, Technology and Research (“A*STAR”), (collectively, the “Parties”) to co-create local deep tech startups. This agreement, which is part of A*ccelerate’s venture co-
creation (“VCC”) initiative, commits all parties to the co-creation of local startups in the healthcare and life science sector (the “Master Collaboration Agreement”). The goal is
to create a total of up to 20 deep tech ventures in Singapore will be created by this partnership over the next 5 years. A*STAR shall contribute a total of up to $30,000,000 to
any suitable startups, at their discretion. The Company and Aeneas Capital Limited will contribute a total of up to $30,000,000 to any suitable startups at their discretion with a
focus on (i) securing pilot customers; (ii) incorporation of the startups as companies and financial commitments of such customers; (iii) capital raising and capital market plans;
(iv) recruiting and building of the startup teams; (v) equipment and infrastructure; and (vi) licensing of IP to the startups under the Technology License Agreements. The Master
Collaboration Agreement shall continue for a period of 5 years, unless otherwise terminated or extended by the Parties.

Our Strategy

Although we plan to continue the development and improvement of a broad range of novel therapeutics and diagnostics across a wide range of disease/therapeutic
areas, over the next 24-36 months we plan to concentrate on development of our Lead Projects, while also allocating some resources to develop SLS-1, maintaining our AML
Clinic and sale of dietary supplement.

We believe that execution of this strategy will position the Company to catalyze the development and improvement of a broad range of early-staged novel therapeutics
and diagnostics across a wide range of disease/therapeutic areas. Failure to achieve positive results in at least one of the programs for a Lead Project could have a material
adverse effect on the Company’s prospects and business.

To achieve this goal, we are implementing the following strategies:

● Developing  therapeutic  and  diagnostic  innovations  across  a  wide  range  of  disease/therapeutic  areas.    We  are  currently  developing  drug  and  device
candidates  in  several  disease/therapeutic  areas.  We  believe  that  by  diversifying  our  research  efforts,  it  would  increase  the  likelihood  that  at  least  one  of  our
projects  will  achieve  clinical  success  and  therefore  add  value  to  the  Company.  As  of  date  of  this  annual  report,  we  have  obtained  12  exclusively  licensed
technologies  across  the  areas  of  neurology,  infectious  diseases,  gastroenterology,  oncology,  surgical  robotics  and  natural  health.  Our  initial  focus  will  be  on
developing our Lead Projects, but intend to continue developing our other current projects and seeking new licensing opportunities where we determine that the
market potential justifies the additional commitment of our limited resources.

50

 
 
 
 
 
 
 
 
 
 
 
 
● Selectively  expanding  our  portfolio  with  potential  products  that  may  be  able  to  attain  orphan  drug  designation  and/or  satisfy  current  unmet  medical
needs.  We have selected innovations for development which we believe are of superior scientific quality, whilst taking into account the potential market size and
demand for same, for example, taking into consideration whether the relevant product can satisfy significant unmet medical needs. In particular, Aptorum Group
Limited  has  established  a  Scientific  Advisory  Board,  which  helped  us  to  select  our  current  projects  and  which  we  expect  will  provide  input  from  a  scientific
perspective  towards  any  future  opportunities  for  acquiring  or  licensing  life  science  innovations.  We  intend  to  continue  expanding  our  line  of  projects  under
development,  and  subject  to  our  financial  and  other  resource  limitations,  exploring  acquisitions  or  licenses  of  additional  products  which  may  be  able  to  attain
orphan  drug  designations  (e.g.,  rare  types  of  cancer)  or  satisfy  significant  unmet  medical  needs  and  that  show  strong  preclinical  and/or  early  clinical  data  to
provide promising opportunities for clinical and commercial success.

● Collaborating with leading academic institutions and CROs.  In building and developing our product portfolio, we believe that accessing external innovation,
expertise  and  technology  through  collaboration  with  leading  academic  institutions  and  CROs  is  a  vital  and  cost-efficient  strategy.  We  have  established  strong
relationships with leading academic institutions around the world and expect to continue to strengthen our collaborations by, for example, seeking to provide their
affiliated Principal Investigators resources through sponsorship to conduct further research in specialty fields of interest and association with personnel connected
to our current project companies, in exchange for obtaining for the Company the first right to negotiate for an exclusive license to any resulting innovations. In
addition,  we  have  entered  and  will  continue  to  actively  source  arrangements  with  pharmaceutical  companies,  in  most  cases  in  roles  as  contract  research
organizations,  to  streamline  the  development  of  our  projects.  This  may  include  outsourcing  part  of  the  preclinical,  clinical  studies  and  clinical  supplies
manufacturing to externally accredited cGLP, cGMP and cGCP standard contract research organizations or laboratories in order to attain the required studies for
submission  to  the  regulatory  authorities  as  part  of  the  clinical  development  plan.  (See  “Item  4.  Information  on  the  Company  –  B.  Business  Overview  –
Arrangements with Other Parties”)

51

 
 
 
 
 
  
● Expanding our in-house pharmaceutical development center.  We believe collaborations between the R&D Center operated by APD and the scientists engaged
in work for our project companies will enhance clinical and commercial potential of the projects. In addition, APD will assist the project companies by engaging
external  pharmaceutical  companies  and/or  contract  research  organizations  to  outsource  any  part  of  the  preclinical  or  clinical  development  work  that  cannot  be
performed by the R&D Center in order to obtain the resources necessary for our development process.

● Leveraging our management’s expertise, experience and commercial networks.  We believe the combination of our management’s expertise and experience,
with their academic and commercial networks make us an effective platform for advancing healthcare innovations towards clinical studies and commercialization
in  key  global  markets.  We  have  assembled  a  management  team  with  global  experience  and  an  extensive  record  of  accomplishments  in  medical  research,
consulting  and  financing,  and  identification  and  acquisition  of  pharmaceutical  and  biopharmaceutical  drug  and  device  candidates.  Our  Head  of  Research  and
Development  also  has  extensive  experiences  in  drug  development.  We  also  employ  key  management  personnel  with  banking  and  financial  experience,  which
enhances our capability to establish the most efficient financial structure for the development of our programs.

● Strategically  developing  opportunities  in  Hong  Kong  to  provide  access  to  the  PRC  market.    The  PRC  is  the  world’s  second  largest  healthcare  market
(https://seekingalpha.com/article/4038677-opportunities-chinas-healthcare-market) and we plan to market our products there in the future as part of our overall
growth strategy. In October 2017, the PRC government announced that the country is planning to accept trial data gathered overseas to speed up drug approvals
(https://www.reuters.com/article/us-china-pharmaceuticals/china-to-accept-overseas-trial-data-in-bid-to-speed-up-drug-approvals-idUSKBN1CE080 
and
http://www.lawinfochina.com/display.aspx?id=26778&lib=law), which is a potential boon for foreign pharmaceutical companies. We believe strategically locating
our principal businesses in Hong Kong, as a Special Administrative Region of the PRC, may provide us distinctive advantages in accessing the PRC healthcare
market. Two of our key collaborators, The University of Hong Kong (the “HKU”) and the Chinese University of Hong Kong (the “CUHK”) have received clinical
(http://www.crmo.med.cuhk.edu.hk/en-us/cfdaaccreditation.aspx  and
trial  units/centers 
drug 
https://www.ctc.hku.hk/assurance_cfda.php).

trial  accreditation  by 

their  clinical 

the  NMPA 

for 

● Obtaining  and  leveraging  government  grants  to  fund  project  development.    The  Hong  Kong  government  pays  close  attention  to  the  development  of  the
biotechnology  sector  in  Hong  Kong  and  provides  support  and  funding.  We  intend  to  aggressively  seek  government  support  from  Hong  Kong  for  our  product
development and to facilitate the development of some of our projects.

Arrangements with Other Parties

As  mentioned  above,  part  of  our  business  model  includes  collaborating  with  research  entities  such  as  academic  institutions  and  CROs,  as  well  as  highly  regarded
experts in their respective fields. We engage these entities and researchers either for purposes of exploring new innovations or advancing preclinical studies of our existing
licensed drug candidates. Although the financial cost of these arrangements does not represent a material expense to the Company, the relationships we can access through,
specifically,  sponsored  research  arrangements  (“SRAs”)  with  academic  institutions  and  organizations  can  provide  significant  value  for  our  business;  for  example,  we  may
decide whether to continue development of certain early-staged projects and/or out-license a project based on the data and results from research governed by SRAs. However,
as of the date of this annual report, we do not consider the particulars of any of our SRAs to be material to the success of our current business plans. 

Our  drug  discovery  programs  are  based  upon  licenses  from  universities  and  are  mainly  conducted  in  universities  via  SRAs.  As  for  the  development  of  our  drug
candidates, our R&D Center conducts part of the CMC work. However, since our current facilities are not cGMP, cGLP or cGCP qualified, we will have to rely on CROs to
conduct that type of work, if and when our drug candidates reach the level of development that requires such qualification.

Lead Projects, Dietary Supplement and Other Projects under Development

We  are  actively  operating  and  managing  the  development  of  our  drug  and  device  candidates  through  various  subsidiaries.  Each  candidate  is  being  researched  in  a
subsidiary with a medical/scientific area of focus related to the drug and device candidate in development. We refer to these as our “Project Companies” and their products or
areas of focus as our Lead Projects (i.e., ALS-4 and SACT-1), our dietary supplement (i.e., DOI) or Other Projects under Development (as defined below). The selection of a
drug and device candidate is based on our estimate of the market potential for that candidate, the scientific expertise required to develop it, and our overall corporate strategy,
including our ability to commit personnel and future investment to that candidate.

52

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
To  pursue  a  number  of  our  current  projects,  our  Project  Companies  have  entered  into  standard  license  agreements  with  various  university  and  licensing  entities
customized to the nature of each project. These license agreements largely contain the same terms, as is typically seen in license agreements for an early-stage life science
invention; such terms include a worldwide license with licensed field comprising indications in the intended treatment areas, having upfront payments, certain royalty rates,
sublicensing royalties, as well as provisions for payments upon occurrence of development and/or regulatory milestones. Under the license agreements, the Project Company
must also adhere to certain diligence obligations and may or may not be required to obtain prior consent from the licensor to sublicense the invention. The license terms of our
Lead Projects are discussed in detail below.

Generally speaking, pharmaceutical development consists of preclinical and clinical phases. Our immediate efforts would be on the preclinical phase which can further

sub-divided into the following stages:

Target  Identification  &  Selection  :  The  target  is  the  naturally  existing  cellular  or  modular  structure  that  appears  to  have  an  important  role  in  a  particular  disease
pathway and will be targeted by the drug that will subsequently be developed. Target validation techniques for different disease areas can be very different but typically include
from in vitro and in silico methods through to the use of whole animal models.

Lead Discovery : Following “Target Identification & Selection,” compound screening assays are developed as part of the Lead Discovery. ‘Lead’ molecules can mean
slightly different things to different researches or companies, but in this annual report, we refer to Lead Discovery as the process of identifying one or more small molecules
with  the  desired  activity  against  the  identified  targets.  Leads  can  be  identified  through  one  or  more  approaches,  which  can  depend  on  the  target  and  what,  if  any,  previous
knowledge exists.

Lead Optimization : In this stage of the drug discovery process, the aim is to produce a preclinical drug candidate by maintaining the desired and favorable properties
in the lead compounds, while repairing or reducing deficiencies in their structures. For example, to optimize the chemical structures to improve, among others, efficacy, reduce
toxicity, improve metabolism, absorption and pharmacokinetic properties.

IND-Enabling Studies : Includes all the essential studies such as GLP toxicology studies, pharmacology and efficacy, pharmacokinetics, in vitro metabolism, CMC

studies, and the data of which are used for IND submission.

In vitro validation : At this stage, the efficacy and safety of a drug candidate are assessed at cellular levels.

In vivo validation : At this stage, the efficacy, safety and pharmacokinetic of a drug candidate are assessed in animal models.

IND Preparation and Submission : Preparation of a package of documents for different sections such as CMC, clinical, nonclinical, etc. and getting them reviewed,

approved and final checked and followed by submission to regulatory agencies.

53

 
 
 
 
 
 
   
 
 
 
 
Another subsidiary, Aptorum Medical Limited (“AML”), 1  is our vehicle for developing our business of delivering medical services in the form of AML Clinic.

We anticipate allocating approximately 20% of our resources to develop projects other than our Lead Projects (such other projects being referred to herein as “Other
Projects under Development”), with a strong focus on DOI, SLS-1 and AML Clinic. As part of the commercialization of DOI dietary supplement, we entered into a regional
distribution and marketing agreement with Multipak Limited, a Hong Kong based group that operates household brands, including the Luk Yu® tea bag and other health related
products.  Through  Multipak,  the  Group  will  be  able  to  increase  the  accessibility  of  the  product  to  a  large  consumer  base  regionally.  The  production  of  Aptorum  Group’s
dioscorea opposita bioactive nutraceutical tablets has commenced production in Canada and will be marketed under the brand name NativusWell TM . As a device candidate,
SLS-1 may not need to undergo the same regulatory approval process as a drug candidate and therefore we may be able to bring it to market sooner. AML Clinic is expected to
provide us with a modest amount of revenue. Even if DOI and SLS-1 achieves commercial sales, of which there can be no assurance, revenue from these products alone will
not be sufficient for us to carry out all of our plans, but it will assist with name recognition and supplement our income while we develop our Lead Projects. 

1 Clark Cheng, our Chief Medical Officer and an Executive Director, owns 7% of Aptorum Medical Limited as of the date of this annual report.

54

 
  
 
 
  
 
 
Lead Projects

After consideration of various factors, such as time and resources required for further development, potential success rate and market size, the Group decided to focus
the majority of its resources on ALS-4 and SACT-1 as the current Lead Projects. The Group will continue to invest some of its resources to develop other projects, including
those previously classified as Lead Projects.

55

 
 
 
 
  
ALS-4: Small molecule for the treatment of bacterial infections caused by Staphylococcus aureus including Methicillin-resistant Staphylococcus aureus (“MRSA”)

Just as certain strains of viruses, such as human immunodeficiency virus (“HIV”) and influenza have developed resistance to drugs developed to treat them, certain
bacteria such as  Staphylococcus aureus ,  Mycobacterium tuberculosis  and  Pseudomonas aeruginosa  have become “superbugs”, having developed resistance to many, if not
all,  of  the  existing  drugs  available  to  treat  them,  rendering  those  treatments  ineffective  in  many  instances.  MRSA  is  one  such  bacterium,  a  gram-positive  bacterium  that  is
genetically different from other strains of Staphylococcus aureus. Staphylococcus aureus and MRSA can cause a variety of problems ranging from skin infections and sepsis to
pneumonia and bloodstream infections. It is estimated that about one out of every three people (33%) carry Staphylococcus aureus in their nose, usually without any illness;
about two in a hundred (2%) carry MRSA (source: https://www.cdc.gov/mrsa/tracking/index.html). Both adults and children may carry MRSA.

Most  MRSA  infections  occur  in  people  who  have  been  in  hospital  or  other  health  care  settings,  such  as  nursing  homes  and  dialysis  centers  (source:
https://www.mayoclinic.org/diseases-conditions/mrsa/symptoms-causes/syc-20375336),  which  is  known  as  Healthcare-Associated  MRSA  (“HA-MRSA”).  HA-MRSA
infections are typically associated with invasive procedures or devices, such as surgeries, intravenous tubing or artificial joints. Another type of MRSA infection, known as
Community-Associated  MRSA  (“CA-MRSA”),  has  occurred  in  wider  community  among  healthy  people.  It  often  begins  as  a  painful  skin  boil  and  spreads  by  skin-to-skin
contact. About 85% of serious, invasive MRSA infections are healthcare associated infections (https://www.cdc.gov/media/pressrel/2007/r071016.htm). The incidence of CA-
MRSA varies according to population and geographic location. In the U.S., more than 94,000 people develop serious MRSA infection and about 19,000 patients die as a result
each  year  (https://www.cdc.gov/media/pressrel/2007/r071016.htm).  According  to  the  US  Centers  for  Disease  Control  and  Prevention  (“CDC”),  Staphylococcus  aureus,
including MRSA, caused about 11% of healthcare-associated infections in 2011 (source: http://www.healthcommunities.com/mrsa-infection/incidence.shtml). Each year in the
U.S., around one out of every twenty-five hospitalized patients contracts at least one infection in the hospital (N Engl J Med. 2014, 27;370(13):1198-208). In the U.S., there
were  over  80,000  invasive  MRSA  infections  and  11,285  related  deaths  in  2011  (source:  https://edition.cnn.com/2013/06/28/us/mrsa-fast-facts/index.html).  Indeed,  severe
MRSA infections most commonly occur during or soon after inpatient medical care. More than 290,000 hospitalized patients are infected with Staphylococcus aureus and of
these staphylococcal infections, approximately 126,000 are related to MRSA (source: http://www.healthcommunities.com/mrsa-infection/incidence.shtml).

ALS-4  is  a  small  drug  molecule  which  appears  to  target  the  products  produced  by  bacterial  genes  that  facilitate  the  successful  colonization  and  survival  of  the
bacterium in the body or that cause damage to the body’s systems. These products of bacterial genes are referred to as “virulence expression.” Targeting bacterial virulence is an
alternative approach to antimicrobial therapy that offers promising opportunities to overcome the emergence and increasing prevalence of antibiotic-resistant bacteria.

Professor Richard Kao from The University of Hong Kong (who is also the Founder and Principal Investigator of Acticule and Inventor of ALS-2, ALS-3 and ALS-4)

initiated a high throughput approach for screening compounds which are active against virulence expression, which resulted in the discovery of ALS-2, ALS-3 and ALS-4.  

56

 
 
 
 
 
 
 
ALS-4 targets an enzyme essential for Staphylococcus aureus (including MRSA) survival in vivo. This enzyme is involved in the production of Staphyloxanthin, a
carotenoid pigment produced by Staphylococcus aureus including MRSA, and is responsible for the characteristic golden color. This pigment has proven to be an important
factor  in  promoting  bacterial  invasion  as  well  as  rendering  the  bacteria  resistant  to  attack  from  reactive  oxygen  species  (ROS)  and  neutrophils.  In  other  words,  pigmented
bacteria  have  increased  resistance  to  the  host’s  immune  defenses.  ALS-4  may  have  particular  value  if  it  can  be  shown  to  be  an  effective  therapy  in  situations  where  a
Staphylococcus aureus infection is resistant to available antibiotics (i.e., where the pathogen is MRSA).

In a recent study by the inventor, Prof. Richard Kao, ALS-4 demonstrates potent activity against Staphylococcus aureus pigment formation in vitro, as indicated in
Figure 1, with an IC 50  (IC 50  is defined as the concentration of a drug which inhibits half of the maximal response of a biochemical process. In this case, inhibition of the
formation of the golden pigment is the response) equal to 20 nM.

Figure 1 

Figure 1: In vitro pigment inhibition by compound ALS-4.
(A) Inhibition of wild-type (WT) Staphylococcus aureus pigmentation in the presence of increasing concentrations of ALS-4.
(B) Pigment inhibition by ALS-4; the IC 50  for pigment formation is roughly 300 nM.
All data represent mean values ± SD.
NP16 = ALS-4
This assay was conducted in triplicate and repeated twice for confirmation
(Adapted from mBio (8(5): e01224, 2017))

57

 
 
 
  
 
  
   
 
By employing a systemic Staphylococcus aureus mouse infection model, the treatment (1mM of ALS-4 twice daily) and control groups (vehicle) were compared. In
both acute treatment and delayed treatment groups, the bacterial counts in the kidneys of mice treated with compound ALS-4 were significantly lower than those of the no
treatment group.

Figure 2

Figure 2: ALS-4 is observed to reduce bacterial load in mice 

CFU = Colony Forming Unit, a unit used to estimate the number of viable bacteria in a sample

ALS-4 is currently undergoing IND enabling stage to perform all the essential studies which the data will be used for IND submission.

Patent License

On October 18, 2017, the Company’s subsidiary, Acticule, entered into an exclusive license agreement with Versitech Limited, the licensing entity of HKU, for ALS-4.
Subsequently on June 7, 2018, the parties entered into a first amendment to the exclusive license agreement, and on July 10, 2019, the parties entered into a second amendment
to the license agreement.

On January 11, 2019, Acticule and Versitech Limited entered into a second license agreement for ALS-4, where Acticule exclusively licensed the intellectual property

rights on certain HKU-owned improvements to the original licensed invention.

58

 
  
  
 
  
 
  
 
 
 
       
 
Under the exclusive license agreements, we were granted an exclusive, royalty-bearing, sublicensable licenses to develop, make, have made, use, sell, offer for sale
and import products that are covered by the licensed patents (as described below). The territory of the licenses is worldwide and the field of the licenses is for treatment or
prevention of bacterial infections caused by Staphylococcus aureus including MRSA and bacterial virulence.

We paid an upfront fee upon entering into the license agreements. We are required to pay less than 10% of the net sales of the licensed products sold by us or our
affiliates  as  royalties,  as  well  as  a  low  teens  percentage  of  sublicense  royalties  that  we  receive  from  our  sublicensees,  if  any.  In  addition,  we  agreed  to  pay  to  the  licensor
aggregate regulatory milestones of up to US$1 million subject to the following achievements: submission of investigational new drug application; completion of phase 1, 2 and
3 clinical trials; and submission of new drug application; grant of regulatory approval. We also agreed to pay to the licensor aggregate sales milestones of up to US$7.8 million
subject to the following achievement: first commercial sale; and annual net sales exceeding US$100 million in one jurisdiction.

Pursuant  to  the  license  agreements,  Acticule  became  the  exclusive  licensee  of  2  pending  U.S.  non-provisional  patent  applications  and  2  PCT  applications  (now
expired). Prior to the expiration of the PCT applications, we filed national phase applications in member states of the EPO, in PRC and 11 other jurisdictions. The claimed
inventions are described as: “Compounds Affecting Pigment Production and Methods for Treatment of Bacterial Diseases.”

Acticule has the right to grant sublicenses to third parties under the license agreements without prior approval from Versitech Limited and to assign the agreements to
any  successor  to  the  business  related  to  the  licenses.  In  the  event  that  Acticule  makes  an  improvement  to  the  licensed  technologies,  so  long  as  the  improvement  does  not
incorporate any licensed patents, Acticule will be the owner to such improvement, subject to a non-exclusive royalty-free license being granted back to Versitech Limited for
academic and research purposes only.

The exclusive license agreements shall be in effect until the expiration of all licensed patents (please refer to the patent expiration dates under “Item 4. Information on
the  Company  –  B.  Business  Overview  –  Intellectual  Property”).  Acticule  may  terminate  the  licenses  at  any  time  with  6-month  written  notice  in  advance.  Either  party  may
terminate the agreements upon a material breach by other party.

SACT-1: A Repurposed Drug for the Treatment of Neuroblastoma

Drug repurposing is a strategy for identifying new indications for approved or investigational drugs that are outside the scope of the original medical uses. It is often
viewed  as  a  lower-cost  method  for  drug  commercialization,  as  it  is  based  on  already-approved  drugs  (which  has  been  proven  to  be  safe  for  human  use  by  the  respective
governing regulatory agency) and explores new target indications. (Ashburn, T. T. & Thor, K. B. Drug repositioning: identifying and developing new uses for existing drugs.
Nat. Rev. Drug Discov. 3, 673–683, 2004).

One of the advantages of drug repurposing is a lower development risk due to safety and toxicity, as well as other properties related to water solubility, absorption,
distribution and metabolism, as the safety and CMC profiles of marketed drugs are usually well-established. Due to the same reason, the development time is also shortened
because  there  is  no  need  to  repeat  the  whole  spectrum  of  the  safety  assessment. As  a  result,  the  drug  repurposing  approach  appears  to  be  attractive  due  to  its  superior  risk
management, smaller capital investment and quicker financial return. (Sudeep Pushpakom, et. al. Drug repurposing: progress, challenges and recommendations. Nat. Rev. Drug
Discov. 18, 41-58, 2019)

The cost of bringing a repurposed drug is estimated to be around US$300 million, which is only one-tenth of the development cost for a new drug. (Nosengo, N. Can

you teach old drugs new tricks? Nature. 534, 314-316, 2016).

In summary, drug repurposing offers the following advantages:

● Well-established safety profiles: The development risk for new indications can be substantially reduced by applying existing drugs that are approved or have been
shown  to  be  safe  in  large  scale  late-stage  trials.  Since  safety  accounts  for  approximately  30%  of  drug  failures  in  clinical  trials,  this  is  a  key  advantage  that
repositioned  drugs  can  harness  to  great  effect.  (Key  benefits  of  drug  repositioning.  (n.d.).  Retrieved  from  http://www.totalbiopharma.com/2012/07/04/4-key-
benefits-drug-repositioning/)

59

 
 
 
 
 
  
 
 
 
 
 
 
 
● Time-saving:  As  repositioned  drugs  can  rely  on  existing  data,  including  efficacy  and  toxicity  studies,  the  process  is  usually  faster  than  de  novo  development.
Developing a new chemical entity (NCE) can take 10 to 17 years, depending on indications. (Roin, B. N. Solving the Problem of New Uses, 2013). For a drug
repositioning  company,  the  development  process  from  compound  identification  to  launch  can  be  around  3  to  8  years.  (Walker,  N.  (2017,  December  07).
Accelerating Drug Development Through Repurposing, Repositioning and Rescue. Retrieved from https://www.pharmoutsourcing.com/Featured-Articles/345076-
Accelerating-Drug-Development-Through-Repurposing-Repositioning-and-Rescue/)

● Cost-saving: Along with time-saving, money-saving is also a key benefit. With a single compound to enter clinical trials costing around US$10 to $20 million, the
cost of identifying a repositioning candidate that already has phase 1 data could be as low as US$2 to $3 million. (http://www.totalbiopharma.com/2012/07/04/4-
key-benefits-drug-repositioning/)

● Potential for out-licensing: Pharmaceutical companies are said to be exploring new models to out-license some of their clinical drug candidates that may have
been shelved for pure business reasons unrelated to safety or efficacy, even though they have met their endpoints and have proven themselves to be safe. If such
drugs  were  to  be  repositioned,  the  pharmaceutical  company  increases  the  attractiveness  of  these  drugs  and  gives  itself  more  options  to  find  interested  buyers.
(http://www.totalbiopharma.com/2012/07/04/4-key-benefits-drug-repositioning/)

● Lower  failure  rate:  According  to  BCC  Research,  approval  rates  for  repurposed  drugs  are  close  to  30%,  which  is  greater  than  the  approval  rate  for  new  drug

applications. ( Front Oncol. 2017; 7: 273)

One of the major limitations of the current drug repurposing and repositioning practice is that there is a lack of a systematic way to identify and reinvestigate drugs that

are approved and/or have failed approval.

SACT-1  is  the  first  repurposed  drug  candidate  to  be  developed  under  the  Smart-ACT  TM drug  discovery  platform.  SCAT-1  is  one  of  the  Company’s  proprietary
technologies. Our first targeted indication is neuroblastoma. Neuroblastoma is a rare form of cancer, and classified as an orphan disease, that forms in certain types of nerve
tissue and most frequently in the adrenal glands as well as spine, chest, abdomen or neck, predominantly in children, especially for those aged 5 years and below. For the high-
risk group, which is close to 20% (Annu Rev Med. 2015; 66: 49–63.) of total new patient population per year, the 5-year survival rate of this condition is around 40-50% as
observed by the American Cancer Society (https://www.cancer.org/cancer/neuroblastoma/detection-diagnosis-staging/survival-rates.html). The current high drug treatment cost
for 
cycles)
(https://www.cadth.ca/sites/default/files/pcodr/Reviews2019/10154DinutuximabNeuroblastoma_fnEGR_NOREDACT-ABBREV_Post_26Mar2019_final.pdf  ).  In  addition,
most pediatric patients often do not tolerate or survive the relevant chemotherapy stage which, subject to further clinical studies, may be positively addressed by the SACT-1
candidate due to the potential synergistic effects when applied with standard chemotherapy.

USD200,000 

regimen 

patients 

average 

high 

risk 

can 

(all 

per 

6 

In our recent studies, SACT-1 has been shown to be effective against numerous neuroblastoma cell lines, of which 2 are MYCN-amplified cells, which represent the
high-risk neuroblastoma patient group. In addition, by using a bliss score as a quantitative measure of the extent of drug interaction, Aptorum Group has seen a high and robust
synergism between SACT-1 and traditional chemotherapy in vitro (Figure 3), indicating a potential efficacy enhancement/dose reduction of the chemotherapy.

60

 
 
 
 
 
 
 
 
 
Figure 3 synergism between SACT-1 and traditional chemotherapy in vitro

In addition, in our recent study, the maximum tolerable dose of SACT-1 in a rodent model was determined to be higher than 400mg/kg. Compared with the MTD of
standard chemotherapy such as paclitaxel (20-30mg/kg) (Clin Cancer Res. 5(11):3632-8) and cisplatin (6mg/kg) (BMC Cancer 17: 684 (2017)), the safety profile of SACT-1
appears to be very impressive. Based on our internal observations of pre-existing information from approved products, (subject to FDA’s approval and on a case-by-case basis,
a 505(b)(2) Application can rely in part on existing information from approved products (such as the FDA’s previous findings on safety and efficacy) or products in literature
(such as data available). However, typically speaking, the applicant is nonetheless required to carry out a Phase 1 bridging study to compare the Reference Listed Drug and
reference the established safety and efficacy information), SACT-1 also exhibits a well-established safety profile: at 150mg/day, the death rate was 0% in prior clinical studies
with no dosage related adverse events (Table 1). In addition, the pharmacokinetic profile of SACT-1 has also been reported (Table 2).

Table 1: Safety Profiles of SACT-1 in Human Clinical Trials

61

 
 
  
 
  
 
 
  
 
Table 2: The pharmacokinetic Profile of SACT-1 in Humans

We are currently developing a pediatric formulation of SACT-1 to better address the needs of neuroblastoma patients who are exclusively children younger than 5.
SACT-1 is currently undergoing the final stage of in vivo validation and an IND package is also being prepared and IND submission to FDA is targeted at the second half of
2020.

Statistical Significance

The term statistical significance is to define the probability that a measured difference between two groups (e.g. two treatment groups, treatment versus control groups)
is the result of a real difference in the tested variations and not the result of chance. It means that the result of a test does not appear randomly or by chance, but because of a
specific change that is tested, so it can be attributed to a specific cause.

The confidence level indicates to what percentage the test results will not commit a type 1 error, the false positive. A false positive occurs when a change in the result
is due to randomness (or other noise) and not the change in variations. At a 95% confidence level (p = 0.05), there is a 5% chance that the test results are due to a type 1 error.
95% has become the standard and usually be the minimum confidence level for the tests. To make the test more stringent, a 99% confidence level (p = 0.01) is also commonly
employed, which means that there is a 1% chance that the test results are due to a type 1 error.

In other words, a p value represents the confidence level. For example, if the p-value for a test is

We employed statistical testing to compare different treatment groups in animal studies simply for proof of concept and to aid internal decision making for further
development. We do not intend to use this standard for any regulatory submission. The US FDA or other regulatory agencies may not necessarily employ the same statistical
standard to assess the efficacy in clinical trials, the results of which would be submitted for regulatory approval. Although a p-value of 0.05 has become the standard, the US
FDA or other regulatory agencies may also individualize their efficacy standard for different clinical programs based on the indications, the purpose of a clinical trial, among
others.

FDA Application Status

As of the date of this annual report, we have not submitted any applications for investigational new drugs (“IND”) to the US Food and Drug Administration (“FDA”).
By the second half of 2020, subject to regulatory review, we expect to be in a position to submit at least one application for one of our drug candidates to commence trials in
humans (INDs to the FDA or an equivalent application to the regulatory authorities in another jurisdiction such as the China’s National Medical Products Administration (the
“NMPA”) or the European Medicines Agency (“EMA”)). However, there can be no assurance we will be able to make any such application by such time. Should we be delayed
in making such filing or should such filing not be approved, our business will be adversely affected.

Other Projects under Development

The following provides additional detail regarding Other Projects under Development. As noted elsewhere in this report, based on certain criteria, we sometimes cease
work on certain projects to focus on projects we believe are more promising. For example, prior filings disclose that we were developing the drug candidate NLS-3. However,
we  have  discontinued  the  development  of  such  candidate  because  the  expected  result  could  not  be  generated,  so  we  decided  to  focus  our  capital  and  efforts  on  our  other
candidates.

62

 
 
 
 
 
 
 
 
 
 
 
 
 
 
SACT-COV19: Drug repurposing for the treatment of infections caused by COVID-19

SACT-COV19  is  a  drug  repurposing  program  for  the  treatment  of  infections  caused  by  COVID-19.  We  have  completed  initial  screening  under  the  Smart-ACT™
platform  to  select,  out  of  more  than  2,600  small  drug  molecules  that  were  previously  approved  for  other  indications,  at  least  3  potential  candidates  for  further  preclinical
investigation against the new coronavirus disease, COVID-19. We are collaborating with Toronto based Covar Pharmaceuticals and have also entered into agreement with the
University of Hong Kong’s Microbiology Department to conduct further preclinical investigation of the selected candidates prior to seeking approval from regulatory agencies
to initiate clinical trials on suitable candidates.

Drug candidates from the SACT-COV19 program are currently undergoing in vitro validation.

ALS-1: Small molecule intended for the treatment of viral infections caused by Influenza virus A

Professor Richard Kao, the Inventor of ALS-1, was the first to identify viral nucleoproteins (NP) as an effective drug target (Nature Biotechnology. 28:600-605) We

are exploring ALS-1 as a potential treatment for viral infections caused by Influenza virus A.

It is our hypothesis that Influenza A NP is an essential protein for the proliferation of the influenza virus. ALS-1 targets NP and triggers the aggregation of NP and this
prevents the aggregated NP from entering the nucleus. In an animal study published by the inventor, Prof. Richard Kao, in Nature Biotechnology (28 (6): 600, 2010), after
treating with ALS-1, 50% of the mice receiving two doses of ALS-1 (100 μl of 2.3 mg/ml ALS-1) per day for 7 days survived for more than 21 days compared with 100%
mortality in the treatment-free control group within 7 days. In addition, about a 10x reduction of viral load in the lungs of the ALS-1-treated mice was observed compared to
the untreated control group. The animal study results suggest that ALS-1 has the potential to be developed into a useful anti-influenza therapeutic.

ALS-1 is designed to target a broad range of NP variants, a novel therapeutic target. Compared with the currently marketed antiviral drugs for which the viruses have

acquired extensive resistance, ALS-1 acts on a completely different therapeutic target.

ALS-1 is currently undergoing Lead Optimization to optimize its drug-like properties.

ALS-2: Small molecule for the treatment of bacterial infections caused by Staphylococcus aureus including MRSA

ALS-2 is a next generation small molecule targeting bacterial virulence for the treatment of bacterial infections caused by Staphylococcus aureus including MRSA. In
a  recent  paper  published  by  the  inventor,  Professor  Richard  Kao  from  The  University  of  Hong  Kong  (also  the  Founder  and  Principal  Investigator  of  Acticule),  in  PNAS
(115(310: 8003, 2018), ALS-2 suppresses the expression of multiple virulence factors in Staphylococcus aureus simultaneously. In a lethal infection mouse model, compared
with the vehicle group, ALS-2 protected against Staphylococcus aureus for all the mice in the group, with significant differences between the treatment and control groups [P =
0.0057, by log-rank (Mantel-Cox) test].

ALS-2 is currently at the Lead Optimization stage to optimize its drug-like properties.

ALS-3: Small molecule acting synergistically with certain existing antibiotics

ALS-3  is  a  novel  small  molecule  that  is  at  present  under  investigation  to  combine  with  certain  classes  of  existing  antibiotics  to  overcome  drug  resistance. We  are

exploring ALS-3 for the treatment of bacterial infections including MRSA. ALS-3 is currently at the Lead Optimization stage to optimize its drug-like properties.

CLS-1: An orally administered macromolecule for the treatment of obesity based on chemical signaling of gut microbiome

The  prevalence  of  obesity  continues  to  escalate  globally;  however,  there  is  no  current  optimal  therapy  for  this  condition.  For  the  majority  of  obese  patients,
conventional medical therapies (i.e., diet, exercise, behavioral counseling) often have a high failure rate for the long term. (Obes Surg. 2012:22(6):956-66). We believe current
pharmacotherapy has limited efficacy and is associated with substantial safety issues.

Chemical  signaling  of  gut  microbiota  is  known  to  be  one  of  the  major  causes  of  obesity.  CLS-1  is  an  orally  administered  non-absorbable  macromolecule  that  we
believe  modulate  the  metabolite  excreted  by  gut  microbiota  with  high  affinity  and  specificity.  In  this  way,  we  believe  the  absorption  of  this  particular  metabolite,  which  is
linked to obesity, can be inhibited.

CLS-1 is undergoing Lead Optimization.

63

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
NLS-1: A Derivative of Epigallocatechin-3-Gallate (“Pro-EGCG”) for the treatment of Endometriosis

NLS-1, a drug molecule derived from natural products (green tea), is currently under development for the treatment of endometriosis, a disease in which the tissue that

normally lines the uterus (endometrium) grows outside the uterus.

NLS-1 acts as an anti-angiogenic to offer a potential novel treatment of endometriosis. In a paper published by the inventors in Angiogenesis (16:59, 2013), NLS-1
brought a statistically significantly reduction in the lesion size and weight compared with EGCG and the control without any treatment in an experimental endometriosis mouse
model (Student t-test, p

We are currently undergoing some activities to enable NLS-1 to enter IND-enabling studies.

SPLS-1: A quinoline derivate for liver cancer treatment

SPLS-1, a novel quinoline derivative from Ephedra pachyclada, is at present under active investigation for the treatment of liver cancer. It is currently at the Lead

Discovery stage.

VLS-1: Curcumin-conjugated superparamagnetic iron oxide nanoparticles (“Curcumin-MNP”) for MRI (“magnetic resonance imaging”) imaging of amyloid beta
plaques in Alzheimer’s disease (“AD”)

VLS-1 is an MRI contrast agent, which the Company believes may enable superior imaging for identifying amyloid beta plaques in Alzheimer’s disease. VLS-1 differs
from other existing contrast agents for amyloid imaging, such as Amyvid (Eli Lilly), Vizamyl (GE Healthcare) and Neuraceq (Piramal Healthcare), in the following respects: 1)
utilization of a natural compound, curcumin, with a known high amyloid beta binding affinity and proven safety; 2) a nanoparticle-based system to enhance delivery efficiency
to the brain; and 3) the combination of curcumin with iron oxide, known to be an effective MRI contrast agent. VLS-1 is currently at the Lead Discovery stage.

VLS-2: mTOR-independent transcription factor EB activator (“MITA”) as autophagy activator for treatment of neurodegenerative diseases

Autophagy is an endogenous cellular mechanism for clearing multiple pathological protein aggregates including tau, the presence of which is believed to account for
neurodegeneration in AD and other neurodegenerative diseases. mTOR is part of a biological pathway that is a central regulator of mammalian metabolism and physiology.
Inhibition of mTOR activity is associated with various side effects, such as immunosuppression. Many other molecules that activate autophagy also inhibit mTOR activity.
VLS-2 is a small drug molecule that appears to activate autophagy without inhibiting mTOR function. VLS-2 is currently at the Lead Discovery stage.

VLS-4: Other contrast agents for MRI diagnostics

In addition to VLS-1, the Company is actively developing a new class of MRI contrast agents for diagnosis of neurodegenerative diseases. The design of these agents
takes  into  consideration  the  physicochemical  properties  that  need  to  be  optimized  for  best  imaging  performance,  and  the  novel  agents  are  currently  undergoing  rigorous
evaluation. VLS-4 is currently at the Lead Discovery stage.

64

 
 
 
 
 
 
 
 
 
 
 
 
 
 
SLS-1: Robotic Catheter Platform for Intra-operative MRI-guided Cardiac Catheterization

SLS-1  is  our  robotic  catheter  platform  for  MRI-guided  cardiovascular  intervention  for  the  treatment  of  arrhythmia.  The  platform  consists  of  a  magnetic  resonance
imaging-guided  (“MRI-guided”)  robotic  electrophysiology  (“EP”)  catheter  system,  an  MR-based  positional  tracking  unit,  and  a  navigation  interface.  This  platform  has  the
potential to offer a major step toward achievement of several clinical goals: (i) enhancing catheter manipulation and lesion ablation, which we believe will decrease the chance
of arrhythmia recurrence; (ii) improving the safety of catheter navigation, thereby decreasing the rates of undesired or inadvertent tissue damage; and (iii) enhancing catheter
control, thus facilitating shorter learning curves for surgeons and better treatment in more complex patient cases. Should such goals be demonstrated, patient outcomes should
be improved, compensating for the cost of using MRI and reducing the overall expenditure.

To  date,  a  product  prototype  has  been  developed.  Lab-based  experiments  have  been  conducted  to  verify  the  performance  of  the  robot  towards  an  image-guided
pulmonary vein isolation (“PVI”) task. The MR-based tracking unit has also been developed and validated in MRI scanners. The next step is to test the robotic catheterization
using a dynamic heart phantom simulated with the pulsatile liquid flow. Preclinical trials can then be conducted with all the components ready. Radiofrequency ablation will be
conducted in a live porcine model, prepared with arrhythmia. If all the results are positive, we will approach the US FDA or other regulatory agencies to apply for conducting
clinical trials on the equipment.

SLS-1 is currently in Lab-based Phantom Trial and it will follow the regulatory pathway for approval as indicated in the table in Page 43.

Aptorum Medical Limited - AML Clinic

Incorporated in August 2017, Aptorum Medical Limited is a Hong Kong-based company incorporated in Cayman Islands focused on delivering premium healthcare
and clinic services. AML can draw on the expertise of many of the region’s most experienced medical practitioners, and is committed to providing a comprehensive cross-
functional facility for healthcare professionals to practice evidence-based medicine and offer high-quality medical services to their patients. We also intend that AML will offer
to conduct clinical trials of both the Company’s and third parties’ new drug and device products.

Effective as of March 2018, we leased office space in Central, Hong Kong, the commercial and financial heart of Hong Kong, as the home to AML Clinic. We operate

the AML Clinic under the name of Talem Medical. AML Clinic commenced operation in June 2018.

The recently renovated medical center is staffed by our group of medical professionals and offers state-of-the-art facilities. Initially we expect to focus our expertise on

treatment of chronic diseases resulting from modern sedentary lifestyles and an aging population.

Dietary supplement

NLS-2: DOI, a Bioactive Ingredient (DOI) in Chinese Yam for the Relief of Menopausal Symptoms as a Dietary Supplement.

DOI is a dietary supplement made with the bioactive ingredient extracted Chinese yam powder containing “DOI”, which is Aptorum Group’s non-hormonal approach
intended to meet certain growing consumer nutritional trends and concerns. It is estimated that 1.2 billion women worldwide will be menopausal or postmenopausal by the year
2030 1 . The global woman’s health supplement market for menopausal symptoms is projected to reach over USD$50bn by 2025 with a CAGR rate of 16.4% (2016-2025) 2 .
Initially, the supplement will be commercialized and sold in Hong Kong; the Company is seeking regulatory clearance to market the product in other major jurisdictions.

1  World Health Technical Report Series. Research on the Menopause in the 1990’s. Geneva, Switzerland: World Health Organization; 1996.
2   https://www.grandviewresearch.com/press-release/global-isoflavones-market

65

 
 
 
 
 
    
 
 
 
 
 
 
 
 
 
 
As  part  of  the  commercialization,  Aptorum  Group,  through  its  wholly-owned  subsidiary  Nativus  Life  Sciences  Limited,  entered  into  a  regional  distribution  and
marketing agreement with Multipak Limited, a Hong Kong based group that operates household brands, including the Luk Yu® tea bag and other health related products (the
“Multipak Agreement”). Pursuant to the Multipak Agreement, Multipak is appointed as a non-exclusive distributor for the distribution and release of NativusWell TM ,  yam
powder tablets to be formulated according to proprietary technologies of Nativus and the Group in Hong Kong and China, and such other territories as agreed by both parties
from time to time.

Through Multipak, Aptorum Group will be able to increase the accessibility of the product to a large consumer base regionally. The production of Aptorum Group’s
dioscorea opposita bioactive nutraceutical tablets has commenced production in Canada and will be marketed under the brand name NativusWell TM . The Multipak Agreement
has a term of one year, which shall automatically renew for four additional one-year terms, unless terminated by either party with at least 30 days prior written notice. Either
party  may  also  terminate  the  Multipak  Agreement  upon  written  notice  to  the  other  party  if  such  other  party  commits  a  material  breach  of  the  terms  and  conditions  of  the
agreement and it is not remedied within 30 days’ notice or if the other party cannot pay its debts or becomes insolvent, or otherwise is involved in a bankruptcy or liquidation
proceeding. Nativus also has the option to terminate the agreement upon written notice to Multipak upon the occurrent of certain events, including: if Multipak is later by more
than 30 days in paying amounts due under the agreement, Multipak challenges the validity of any of Nativus’ or the Group’s intellectual property, Multipak does something that
could reasonably be expected to have an adverse effect on the reputation of Nativus or the Group, or Multipak has a change in control for which Nativus did not pre-approve.
During the 3-month period following any termination (the “Sell-Off Period”), Multipak may sell of it stock of products, but may not return any, nor shall Nativus have any
liability for breach of warranty for such product during the Sell-Off Period. At the end of Multipak Agreement also provides for certain indemnitees of each party.

The NativusWell TM tablets are natural, non-hormonal supplements containing DOI. The yam powder with DOI utilizes a non-hormonal approach that is intended to
boost  the  general  wellness  of  women  undergoing  menopause.  Third  party  scientific  studies  indicate  that  DOI,  the  naturally  occurring  bioactive  ingredient  in  Chinese  yam,
appears  to  stimulate  estradiol  biosynthesis,  induce  estradiol  and  progesterone  secretion  and  increase  bone  density,  thereby  potentially  counteracting  the  progression  of
osteoporosis 3 , one of the common symptoms associated with menopause 4 .

Competition

Our industry is highly competitive and subject to rapid and significant change. While we believe that our development and commercialization experience, scientific
knowledge  and  industry  relationships  provide  us  with  competitive  advantages,  we  face  competition  from  pharmaceutical  and  biotechnology  companies,  including  specialty
pharmaceutical companies, and generic drug companies, academic institutions, government agencies and research institutions.

There are a number of large pharmaceutical and biotechnology companies that currently market and sell drugs or are pursuing the development of drugs and devices
for the diagnosis and treatment of diseases for which we are developing products or technology. Moreover, a number of additional drugs are currently in clinical trials and may
become competitors if and when they receive regulatory approval.

Many of our competitors have longer operating histories, better name recognition, stronger management capabilities, better supplier relationships, a larger technical
staff and sales force and greater financial, technical or marketing resources than we do. Mergers and acquisitions in the pharmaceutical and biotechnology industries may result
in even more resources being concentrated among a smaller number of our competitors. Our commercial opportunity could be reduced or eliminated if our competitors develop
or market products or other novel therapies that are more effective, safer or less costly than our current drug candidates, or any future drug candidates we may develop, or
obtain regulatory approval for their products more rapidly than we may obtain approval for our current drug candidates or any such future drug candidates. Our success will be
based in part on our ability to identify, develop and manage a portfolio of drug and device candidates that are safer and more effective than competing products.

3 https://www.ke.hku.hk/story/innovation/the-magic-of-chinese-yam-for-treatment-of-menopausal-syndrome; see also, Scientific Reports, 5-10179.
4 https://www.everydayhealth.com/menopause/osteoporosis-and-menopause.aspx

66

 
 
 
 
 
 
 
 
 
 
 
Inflation

Inflation affects us by generally increasing our cost of labor and research and development costs, the way it does to all labor and research costs. However, we do not

anticipate that inflation will materially affect our business in the foreseeable future.

Seasonality

We believe our operation and sales do not experience seasonality.

Employees

As of the date of this annual report, we have 37 employees, including 36 full-time employees and 1 part-time employee. Of these, 12 are engaged in full-time research
and development and laboratory operations, 18 are engaged in general and administrative functions, 6 are full-time employees engaged in the clinic operation and 1 part-time
employee is engaged in legal clerical support. As of the date of this annual report, 37 of our employees are located in Hong Kong. In addition, we have engaged and may
continue to engage 39 independent contracted consultants and advisors to assist us with our operations. None of our employees are represented by a labor union or covered by a
collective bargaining agreement. We have never experienced any employment related work stoppages, and we consider our relations with our employees to be good.

Intellectual Property

The technologies underlying our various research and development projects are the subject of various patents and patent applications claiming, in certain instances,
composition  of  matter  and,  in  other  instances,  methods  of  use.  Prosecution,  maintenance  and  enforcement  of  these  patents,  as  well  as  those  on  any  future  protectable
technologies we may acquire, are and will continue to be an important part of our strategy to develop and commercialize novel medicines and medical devices, as described in
more detail below. Through entering into license agreements with their owners, we have obtained exclusive rights to these patents, applications and related know-how in the
U.S. and certain other countries to develop, manufacture and commercialize the products using or incorporating the protected inventions that are described in this annual report
and that are expected to contribute significant value to our business. The technologies protected by these patents may also for the basis for the development of other products.

In addition to licensed intellectual property, our in-house science team has been actively developing our own proprietary intellectual property. We have filed a number
of provisional applications to establish earlier filing dates for certain of our other ongoing researches, the specifics of which are currently proprietary and confidential, including
our Lead Project SACT-1.

The  U.S.  patent  system  permits  the  filing  of  provisional  and  non-provisional  patent  applications  (i.e.,  a  regular  patent  application).  A  non-provisional  patent
application is examined by the USPTO, and can mature into a patent once the USPTO determines that the claimed invention meets the standards for patentability. On the other
hand, a provisional patent application is not examined for patentability, and automatically expires 12 months after its filing date. As a result, a provisional patent application
cannot mature into a patent.

Provisional  applications  are  often  used,  among  other  things,  to  establish  an  earlier  filing  date  for  a  subsequent  non-provisional  patent  application.  The  term  of

individual patents depends upon the legal term of the patents in the countries in which they are obtained.

The effective filing date of a non-provisional patent application is used by the USPTO to determine what information is prior art when it considers the patentability of
a  claimed  invention.  If  certain  requirements  are  satisfied,  a  non-provisional  patent  application  can  claim  the  benefit  of  the  filing  date  of  an  earlier  filed  provisional  patent
application. As a result, the filing date accorded by the provisional patent application may supersede information that otherwise could preclude the patentability of an invention.

A provisional patent application is not eligible to become an issued patent unless, among other things, we file a non-provisional patent application within 12 months of
the filing date of the provisional patent application. If we do not timely file a non-provisional patent application claiming priority to said provisional application, we may lose
our priority date with respect to our provisional patent applications. Further, if any (self or by others) publication of the invention is made after such priority date, and if we do
not file a non-provisional application claiming priority to said provisional application, our invention may become unpatentable.

Moreover, we cannot predict whether such future patent applications will result in the issuance of patents that effectively protect any of our product candidates or will

effectively prevent others from commercializing competitive products.

67

 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
  
We do not expect to incur material expenses in the prosecution of the provisional applications or other licensed patent applications. We expect to fund the patent costs

from our cash and restricted cash.

The value of our drug and device products will depend significantly on our ability to obtain and maintain patent and other proprietary protection for those products,

preserve the confidentiality of our trade secrets and operate without infringing the valid and enforceable patents and proprietary rights of other parties.

As  of  the  date  hereof,  we  are  the  patentee  of  a  number  of  provisional  and  non-provisional  patent  applications,  both  on  our  proprietarily  developed  projects  and

improvement to our in-licensed projects.  

The following table sets forth a list of our patent rights under the exclusive licenses as of the date of this annual report related to our Lead Project, ALS-4; on the other

hand, our other Lead Project, SACT-1 is a proprietary technology not subject to any license agreement:

  Licensor(s)
  Versitech
Limited

  Licensee
  Acticule Life

Sciences
Limited

  Licensed / IP Rights
  Exclusive licensee: 1 U.S. patent (US10471045), 2
pending U.S. applications (16/041,838 and US
16/679,313), 2 pending European applications
(EP18835480.7 and EP18835238.9), 2 pending PRC
application (CN201880048665.6 and 201880048674.5),
17 pending applications in other foreign jurisdictions
including Australia, Brazil, Canada, Chile, Eurasia,
Israel, Japan, Korea, Malaysia, New Zealand, Singapore

  Patent Expiration Dates
  The licensed IP rights include granted patents in the
U.S. and pending patent applications in the U.S.,
Europe, PRC and 11 other foreign jurisdictions.

The U.S. patent will expire in 2038; any other patent
based on the pending application, if granted, will have
a 20-year patent term from 2018.

Project
Company /
Project
name
Acticule /
ALS-4   

License
Agreement

  Exclusive
Patent
License
Agreement,
dated October
18, 2017

First
Amendment
to Exclusive
License
Agreement,
dated June 7,
2018

Second
Amendment
to Exclusive
License
Agreement
dated July 10,
2019

Exclusive
Patent
License
Agreement
dated January
11, 2019

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Because of the extensive time required for clinical development and regulatory review of a drug we may develop, it is possible that, before any of our drug and device
candidates can be commercialized, any related patent may expire or remain in force for only a short period following commercialization, thereby reducing any advantage of any
such patent. If appropriate, the Company may seek to extend the period during which it has exclusive rights to a product by pursuing patent term extensions and marketing
exclusivity periods that are available from the regulatory authorities of certain countries (including the United States) and the EPO.

Even though the Company has certain patent rights, the ability to obtain and maintain protection of biotechnology and pharmaceutical products and processes such as
those we intend to develop and commercialize involves complex legal and factual questions. No consistent policy regarding the breadth of claims allowed in such patents has
emerged to date in the U.S. The scope of patent protection outside the United States is even more uncertain. Changes in the patent laws or in interpretations of patent laws in the
United States and other countries have diminished (and may further diminish) our ability to protect our inventions and enforce our IP rights and, more generally, could affect
the value of IP.

While we have already secured rights to a number of issued patents directed to our drug candidates, we cannot predict the breadth of claims that may issue from the
pending patent applications and provisional patents that we have licensed or that we have filed. Substantial scientific and commercial research has been conducted for many
years in the areas in which we have focused our development efforts, which has resulted in other parties having a number of issued patents, provisional patents and pending
patent applications relating to such areas. The patent examiner in any particular jurisdiction may take the view that prior issued patents and prior publications render our patent
claims “obvious” and therefore unpatentable or require us to reduce the scope of the claims for which we are seeking patent protection.

In addition, patent applications in the United States and elsewhere generally are not available to the public until at least 18 months from the priority date, and the
publication of discoveries in the scientific or patent literature frequently occurs substantially later than the date on which the underlying discoveries were made. Therefore,
patent applications relating to drugs and devices similar to our drug and device candidates may have already been filed, which (if they result in issued patents) could restrict or
prohibit our ability to commercialize our drug and device candidates.

The biotechnology and pharmaceutical industries are characterized by extensive litigation regarding patents and other IP rights. Our ability to prevent competition for
our  drug  and  device  candidates  and  technologies  will  depend  on  our  success  in  obtaining  patents  containing  substantial  and  enforceable  claims  for  those  candidates  and
enforcing those claims once granted. With respect to any applications which have not yet resulted in issued patents, there can be no assurance that meaningful claims will be
obtained. Even issued patents may be challenged or invalidated. If others have prepared and filed patent applications in the United States that also claim technology to which
we have filed patent applications or otherwise wish to challenge our patents, we may have to participate in interferences, post-grant reviews, inter parties reviews, derivation or
other proceedings in the USPTO and other patent offices to determine issues such as priority of claimed invention or validity of such patent applications as well as our own
patent applications and issued patents. Patents may also be circumvented, and our competitors may be able to independently develop and commercialize similar drugs or mimic
our  technology,  business  model  or  strategy  without  infringing  our  patents.  The  rights  granted  under  any  issued  patents  may  not  provide  us  with  proprietary  protection  or
competitive advantages against competitors with similar technology.

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We may rely, in some limited circumstances, on unpatented trade secrets and know-how to protect aspects of our technology. However, it is challenging to monitor and
prevent the disclosure of trade secrets. We seek to protect our proprietary trade secrets and know-how, in part, by entering into confidentiality agreements with consultants,
scientific advisors and contractors and invention assignment agreements with our employees. We also seek to preserve the integrity and confidentiality of our data and trade
secrets  by  maintaining  physical  security  of  our  premises  and  physical  and  electronic  security  of  our  information  technology  systems.  While  we  have  confidence  in  these
individuals, organizations and systems, agreements or security measures may be breached, giving our competitors knowledge of our trade secrets and know-how, and we may
not have adequate remedies for any such breach, in which case our business could be adversely affected. Our trade secrets will not prevent our competitors from independently
discovering  or  developing  the  same  know-how.  Although  our  agreements  with  our  consultants,  contractors  or  collaborators  require  them  to  provide  us  only  original  work
product and prohibit them from incorporating or using IP owned by others in their work for us, if they breach these obligations, disputes may arise as to the rights in any know-
how or inventions that arise from their work.

Our commercial success will also depend in part on not infringing the proprietary rights of other parties. Although we seek to review the patent landscape relevant to
our technologies on an ongoing basis, we may become aware of a new patent which has been issued to others with claims covering or related to aspects of one of our drug or
device  candidate.  The  issuance  of  such  a  patent  could  require  us  to  alter  our  development  plans  for  that  candidate,  redesign  the  candidate,  obtain  a  license  from  the  patent
holder or cease development. Our inability to obtain a license to proprietary rights that we may require to develop or commercialize any of our drug and device candidates
would have a material adverse impact on us.

Trademarks

As of the date of this annual report, we own trademark registrations covering the trade names and logos of Aptorum and our subsidiaries, including but not limited to
“APTORUM”,  “  APTORUM  THERAPEUTICS  ,”  “  VIDENS  LIFE  SCIENCES,  ”  “ACTICULE  LIFE  SCIENCES,”,  “CLAVES  LIFE  SCIENCES”,  “NATIVUS  LIFE
SCIENCES”, “:SCIPIO LIFE SCIENCES, “TALEM,” “Talem in Chinese characters,” “SMART PHARMA”, in jurisdictions Hong Kong, EU and the United Kingdom and
PRC. Furthermore, we are in the process of applying for registration of trademarks in jurisdictions including the U.S. and PRC. 

We also own certain unregistered trademark rights or have submitted applications for trademarks for our and our subsidiaries’ trade names and logos.

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All  other  trade  names,  trademarks  and  service  marks  of  other  companies  appearing  in  this  annual  report  are  the  property  of  their  respective  holders.  Solely  for
convenience, the trademarks and trade names in annual report 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 our 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.

Legal Proceedings

From time to time, we are subject to legal proceedings, investigations and claims incidental to the conduct of our business. We are not currently a party to any legal

proceeding or investigation which, in the opinion of our management, is likely to have a material adverse effect on our business, financial condition or results of operations.

Regulations

Government  authorities  in  the  United  States  at  the  federal,  state  and  local  level  and  in  other  countries  extensively  regulate,  among  other  things,  the  research  and
clinical  development,  testing,  manufacture,  quality  control,  approval,  labeling,  packaging,  storage,  record-keeping,  promotion,  advertising,  distribution,  post-approval
monitoring and reporting, marketing, pricing, export and import of drug and device products (“Regulated Products”), such as those we are developing. Generally, before a new
Regulated  Product  can  be  marketed,  considerable  data  demonstrating  its  quality,  safety  and  efficacy  must  be  obtained,  organized  to  address  the  requirements  of  and  in  the
format  specific  to  each  regulatory  authority,  submitted  for  review  and  approved  by  the  regulatory  authority.  This  process  is  very  lengthy  and  expensive,  and  success  is
uncertain.

Regulated Products are also subject to other federal, state and local statutes and regulations in the United States and other countries, as applicable. The process of
obtaining regulatory approvals and the subsequent compliance with appropriate federal, state, local and foreign statutes and regulations require the expenditure of substantial
time  and  financial  resources.  Failure  to  comply  with  the  applicable  regulatory  requirements  at  any  time  during  the  product  development  process,  approval  process  or  after
approval, may subject an applicant to administrative or judicial sanctions. These sanctions could include, among other actions, the regulatory authority’s refusal to approve
pending applications, withdrawal of an approval, clinical holds, untitled or warning letters, voluntary product recalls or withdrawals from the market, product seizures, total or
partial suspension of production or distribution, injunctions, disbarment, fines, refusals of government contracts, restitution, disgorgement, or civil or criminal penalties. Any
such administrative or judicial enforcement action could have a material adverse effect on us.

As the Company’s principal place of business is in Hong Kong, and because AML Clinic is located there, the Company is subject to various Hong Kong laws and
regulation covering its business activities there, described in further detail below. Also, the Company anticipates that, if it obtains marketing approval for any of its drug and
device candidates, it intends to focus its marketing and sales efforts primarily in three regions: the United States, Europe and PRC. The regulatory framework for each of these
regions is described below.

U.S. Drug Development Process

The process of obtaining regulatory approvals and maintaining compliance with appropriate federal, state and local statutes and regulations requires the expenditure of
substantial time and financial resources. Failure to comply with the applicable U.S. requirements at any time during the product development process, approval process, or after
approval,  may  subject  an  applicant  to  administrative  or  judicial  sanctions  or  lead  to  voluntary  product  recalls.  Administrative  or  judicial  sanctions  could  include  the  FDA’s
refusal to approve pending applications, withdrawal of an approval, a clinical hold, untitled or warning letters, product seizures, total or partial suspension of production or
distribution, injunctions, fines, refusals of government contracts, restitution, disgorgement or civil or criminal penalties. The process required by the FDA before a drug may be
marketed in the United States generally involves the following:

● completion of non-clinical laboratory tests, preclinical studies according to cGLP and manufacturing of clinical supplies according to cGMP;

● submission to the FDA of an IND, which must become effective before human clinical trials may begin;

● approval by an independent IRB, at each clinical site before each trial may be initiated;

● performance of adequate and well-controlled human clinical trials according to cGCP, to establish the safety and efficacy of the proposed product for its intended

use;

● preparation and submission to the FDA of an NDA, for a drug;

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● satisfactory completion of an FDA advisory committee review, if applicable;

● satisfactory  completion  of  an  FDA  inspection  of  the  manufacturing  facility  or  facilities  at  which  the  product,  or  components  thereof,  are  produced  to  assess

compliance with cGMP; and

● payment of user fees and the FDA review and approval of the NDA.

Devices are subject to different forms of testing and approval, but (except for certain laboratory-developed diagnostic tests) still require satisfaction of various FDA
requirements in order to be brought to market. As of the date of this annual report, the device candidate currently under development is SLS-1. We do not currently have a
commercialization timeline for SLS-1 and cannot assure you that SLS-1 will ever be ready for commercialization.

The testing and approval process requires substantial time, effort and financial resources and we cannot be certain that any approvals for our drug candidates, or any

future drug candidates we may develop, will be granted on a timely basis, if at all.

Once a drug candidate is identified for development, it enters the non-clinical testing stage. Non-clinical tests include laboratory evaluations of product chemistry,
toxicity, formulation and stability, as well as preclinical studies. An IND sponsor must submit the results of the non-clinical tests, together with manufacturing information,
analytical data and any available clinical data or literature, to the FDA as part of the IND prior to commencing any testing in humans. An IND sponsor must also include a
protocol detailing, among other things, the objectives of the clinical trial, dosing procedures, subject selection and exclusion criteria, the parameters to be used in monitoring
safety, and the effectiveness criteria to be evaluated if the initial clinical trial lends itself to an efficacy evaluation. Some non-clinical testing may continue even after the IND is
submitted. The IND automatically becomes effective 30 days after receipt by the FDA, unless the FDA raises concerns or questions related to a proposed clinical trial and
places the trial on a clinical hold within that 30-day time period. In such a case, the IND sponsor and the FDA must resolve any outstanding concerns before the clinical trial
can begin. Clinical holds also may be imposed by the FDA at any time before or during clinical trials due to safety concerns or non-compliance, and may be imposed on all
products within a certain class of products. The FDA also can impose partial clinical holds, for example, prohibiting the initiation of clinical trials for certain duration or for
certain doses.

All clinical trials must be conducted under the supervision of one or more qualified investigators in accordance with cGCP regulations. These regulations include the
requirement  that  all  research  subjects  provide  informed  consent  in  writing  before  their  participation  in  any  clinical  trial.  Further,  an  IRB  representing  each  institution
participating in a clinical trial must review and approve the plan for any clinical trial before it commences at that institution, and the IRB must conduct continuing review and
reapprove the study at least annually. An IRB is responsible for protecting the rights of clinical trial subjects and considers, among other things, whether the risks to individuals
participating in the clinical trial are minimized and are reasonable in relation to anticipated benefits. The IRB also approves the information regarding the clinical trial and the
consent form that must be provided to each clinical trial subject or his or her legal representative and must monitor the clinical trial until completed. Each new clinical protocol
and any amendments to the protocol must be submitted to the FDA for review, and to the IRBs for approval. Protocol detail, among other things, includes the objectives of the
clinical trial, testing procedures, sublease selection and exclusion criteria, and the parameters to be used to monitor subject safety.

Human clinical trials are typically conducted in three sequential phases that may overlap or be combined:

● Phase 1.   Phase  1  includes  the  initial  introduction  of  an  investigational  new  drug  into  humans.  These  studies  are  closely  monitored  and  may  be  conducted  in
patients, but are usually conducted in healthy volunteer subjects. These studies are designed to determine the metabolic and pharmacologic actions of the drug in
humans, the side effects associated with increasing doses, and, if possible, to gain early evidence on effectiveness. During Phase 1, sufficient information about
the drug’s pharmacokinetics and pharmacological effects should be obtained to permit the design of well-controlled, scientifically valid, Phase 2 studies. Phase 1
studies also evaluate drug metabolism, structure-activity relationships, and the mechanism of action in humans. These studies also determine which investigational
drugs are used as research tools to explore biological phenomena or disease processes. The total number of subjects included in Phase 1 studies varies with the
drug, but is generally in the range of twenty to eighty.

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● Phase  2.    Phase  2  includes  the  early  controlled  clinical  studies  conducted  to  obtain  some  preliminary  data  on  the  effectiveness  of  the  drug  for  a  particular
indication  or  indications  in  patients  with  the  disease  or  condition.  This  phase  of  testing  also  helps  determine  the  common  short-term  side  effects  and  risks
associated  with  the  drug.  Phase  2  studies  are  typically  well-controlled,  closely  monitored,  and  conducted  in  a  relatively  small  number  of  patients,  usually
involving several hundred people.

● Phase 3.  Phase 3 studies are expanded controlled and uncontrolled trials. They are performed after preliminary evidence suggesting effectiveness of the drug has
been obtained in Phase 2, and are intended to gather the additional information about effectiveness and safety that is needed to evaluate the overall benefit-risk
relationship of the drug. Phase 3 studies are designed to provide an adequate basis for extrapolating the results to the general population and transmitting that
information in the physician labeling. Phase 3 studies usually include several hundred to several thousand people.

Progress reports detailing the results of the clinical trials must be submitted at least annually to the FDA and safety reports must be submitted to the FDA and clinical
investigators within 15 calendar days for serious and unexpected suspected adverse events, any clinically important increase in the rate of a serious suspected adverse reaction
over that listed in the protocol or investigator’s brochure, or any findings from other studies or animal or in vitro testing that suggest a significant risk in humans exposed to the
drug  candidate.  Additionally,  a  sponsor  must  notify  the  FDA  of  any  unexpected  fatal  or  life-threatening  suspected  adverse  reaction  no  later  than  7  calendar  days  after  the
sponsor’s receipt of the information. There is no assurance that Phase 1, Phase 2 and Phase 3 testing can be completed successfully within any specified period, or at all. The
FDA or the sponsor may suspend or terminate a clinical trial at any time on various grounds, including a finding that the research subjects or patients are being exposed to an
unacceptable health risk. Similarly, an IRB can suspend or terminate approval of a clinical trial at its institution if the clinical trial is not being conducted in accordance with the
IRB’s requirements or if the product has been associated with unexpected serious harm to subjects.

Concurrent  with  clinical  trials,  companies  usually  complete  additional  preclinical  studies  and  must  also  develop  additional  information  about  the  chemistry  and
physical  characteristics  of  the  product  and  finalize  a  process  for  manufacturing  the  product  in  commercial  quantities  in  accordance  with  cGMP  requirements.  The
manufacturing process must be capable of consistently producing quality batches of the product drug and, among other things, the manufacturer must develop methods for
testing the identity, strength, quality and purity of the final product. Additionally, appropriate packaging must be selected and tested and stability studies must be conducted to
demonstrate that the product drug does not undergo unacceptable deterioration over its shelf life.

The results of product development, non-clinical studies and clinical trials, together with other detailed information regarding the manufacturing process, analytical
tests conducted on the product, proposed labeling and other relevant information, are submitted to the FDA as part of an NDA requesting approval to market the new drug. The
FDA reviews all NDAs submitted within 60 days of submission to ensure that they are sufficiently complete for substantive review before it accepts them for filing. If the
submission is accepted for filing, the FDA begins an in-depth substantive review.

The  approval  process  is  lengthy  and  difficult  and  the  FDA  may  refuse  to  approve  an  NDA  if  the  applicable  regulatory  criteria  are  not  satisfied  or  may  require
additional clinical data or other data and information. Even if such data and information are submitted, the FDA may ultimately decide that the NDA does not satisfy the criteria
for approval. Data obtained from clinical trials are not always conclusive, and the FDA may interpret data differently than we interpret the same data. The FDA will issue a
complete response letter if the agency decides not to approve the NDA in its present form. The complete response letter usually describes all of the specific deficiencies that the
FDA identified in the NDA that must be satisfactorily addressed before it can be approved. The deficiencies identified may be minor, for example, requiring labeling changes,
or major, for example, requiring additional clinical trials. Additionally, the complete response letter may include recommended actions that the applicant might take to place the
application in a condition for approval. If a complete response letter is issued, the applicant may either resubmit the NDA, addressing all of the deficiencies identified in the
letter, or withdraw the application or request an opportunity for a hearing.

If after such review a product receives regulatory approval, the approval may be significantly limited to specific diseases and dosages or the indications for use may
otherwise be limited, which could restrict the commercial value of the product. Further, the FDA may require that certain contraindications, warnings or precautions be included
in the product labeling. Any products for which we receive the FDA approval would be subject to continuing regulation by the FDA, including, among other things, record-
keeping requirements, reporting of adverse experiences with the product, providing the FDA with updated safety and efficacy information, product sampling and distribution
requirements, complying with certain electronic records and signature requirements and complying with the FDA promotion and advertising requirements. In addition, the FDA
may  require  post-approval  studies,  including  Phase  4  clinical  trials,  to  further  assess  a  product’s  safety  and  effectiveness  after  NDA  approval  and  may  require  testing  and
surveillance programs to monitor the safety of approved products that have been commercialized. The FDA also may conclude that an NDA may only be approved with a Risk
Evaluation and Mitigation Strategy designed to mitigate risks through, for example, a medication guide, physician communication plan, or other elements to assure safe use,
such as restricted distribution methods, patient registries and other risk minimization tools.

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Post-Approval Requirements

Any products for which we receive the FDA approval are subject to continuing regulation by the FDA, including, among other things, record-keeping requirements,
reporting of adverse experiences with the product, providing the FDA with updated safety and efficacy information, product sampling and distribution requirements, complying
with  certain  electronic  records  and  signature  requirements  and  complying  with  the  FDA  promotion  and  advertising  requirements.  The  FDA  strictly  regulates  labeling,
advertising, promotion and other types of information on products that are placed on the market. Products may be promoted only for the approved indications and in accordance
with  the  provisions  of  the  approved  label.  Further,  manufacturers  must  continue  to  comply  with  cGMP  requirements,  which  are  extensive  and  require  considerable  time,
resources and ongoing investment to ensure compliance. In addition, changes to the manufacturing process generally require prior the FDA approval before being implemented
and other types of changes to the approved product, such as adding new indications and additional labeling claims, are also subject to further the FDA review and approval.

The FDA may withdraw a product approval if compliance with regulatory requirements is not maintained or if problems occur after the product reaches the market.
Later discovery of previously unknown problems with a product may result in restrictions on the product’s marketing or even complete withdrawal of the product from the
market. Further, the failure to maintain compliance with regulatory requirements may result in administrative or judicial actions, such as fines, untitled or warning letters, holds
on clinical trials, product seizures, product detention or refusal to permit the import or export of products, refusal to approve pending applications or supplements, restrictions
on marketing or manufacturing, injunctions or consent decrees, or civil or criminal penalties, or may lead to voluntary product recalls.

Patent Term Restoration and Marketing Exclusivity

Because drug approval can take an extended period of time, there may be limited remaining life for the patents covering the approved drug, meaning that the company
has limited time to use the patents to protect the sponsor’s exclusive rights to make, use and sell that drug. In such a case, U.S. patents may be eligible for limited patent term
extension under the Drug Price Competition and Patent Term Restoration Act of 1984, commonly referred to as the Hatch-Waxman Act. The Hatch-Waxman Act permits a
patent restoration term of up to five years as compensation for patent term lost during product development and the FDA regulatory review process. However, patent term
restoration cannot extend the remaining term of a patent beyond a total of 14 years from the product’s approval date.

In addition, the FDCA provides a five-year period of non-patent marketing exclusivity within the United States to the first applicant to gain approval of an NDA for a
new chemical entity. A drug is a new chemical entity if the FDA has not previously approved any other new drug containing the same active moiety, which is the molecule or
ion responsible for the action of the drug substance. During the exclusivity period, the FDA may not accept for review an abbreviated new drug application (“ANDA”) or a
505(b)(2)  Application  submitted  by  another  company  for  another  version  of  such  drug  where  the  applicant  does  not  own  or  have  a  legal  right  of  reference  to  all  the  data
required for approval.

In  the  future,  if  appropriate,  we  intend  to  apply  for  restorations  of  patent  term  and/or  marketing  exclusivity  for  some  of  our  products;  however,  there  can  be  no

assurance that any such extension or exclusivity will be granted to us.

Disclosure of Clinical Trial Information

Sponsors  of  clinical  trials  of  the  FDA-regulated  products,  including  drugs  are  required  to  register  and  disclose  certain  clinical  trial  information,  which  is  publicly
available at www.clinicaltrials.gov. Information related to the product, patient population, phase of investigation, study sites and investigators, and other aspects of the clinical
trial is then made public as part of the registration. Sponsors are also obligated to disclose the results of their clinical trials after completion. Disclosure of the results of these
trials can be delayed until the new product or new indication being studied has been approved. Competitors may use this publicly available information to gain knowledge
regarding the progress of development programs.

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Pharmaceutical Coverage, Pricing and Reimbursement

Much  of  the  revenue  generated  by  new  Regulated  Products  depends  on  the  willingness  of  third-party  payors  to  reimburse  the  price  of  the  product.  Significant
uncertainty exists as to the coverage and reimbursement status of any products for which we may obtain regulatory approval. In the United States, sales of any products for
which  we  may  receive  regulatory  approval  for  commercial  sale  will  depend  in  part  on  the  availability  of  coverage  and  reimbursement  from  third-party  payors.  Third-party
payors  include  government  authorities,  managed  care  providers,  private  health  insurers  and  other  organizations.  The  process  for  determining  whether  a  payor  will  provide
coverage for a product may be separate from the process for setting the reimbursement rate that the payor will pay for the product. Third-party payors may limit coverage to
specific products on an approved list, or formulary, which is not required to include all of the FDA-approved products for a particular indication. Moreover, a payor’s decision
to provide coverage for a product does not imply that an adequate reimbursement rate will be approved. Adequate third-party reimbursement may not be available to enable us
to maintain price levels sufficient to realize an appropriate return on our investment in product development.

Third-party payors are increasingly challenging the price and examining the medical necessity and cost- effectiveness of medical products and services, in addition to
their safety and efficacy. To obtain coverage and reimbursement for any product that might be approved for sale, we may need to conduct expensive pharmacoeconomic studies
in order to demonstrate the medical necessity and cost-effectiveness of any products, in addition to the costs required to obtain regulatory approvals. Our product candidates
may not be considered medically necessary or cost-effective. If third-party payors do not consider a product to be cost-effective compared to other available therapies, they may
not cover the product after approval as a benefit under their plans or, if they do, the level of payment may not be sufficient to allow a company to sell its products at a profit.

The U.S. government and state legislatures have shown significant interest in implementing cost containment programs to limit the growth of government-paid health
care costs, including price controls, restrictions on reimbursement and requirements for substitution of generic products for branded prescription drugs. Adoption of government
controls and measures, and tightening of restrictive policies in jurisdictions with existing controls and measures, could limit payments for pharmaceuticals.

Even if favorable coverage and reimbursement status is attained for one or more products for which we receive regulatory approval, less favorable coverage policies
and reimbursement rates may be implemented in the future. Unfavorable coverage or reimbursement policies regarding any of the Company’s products would have a material
adverse impact on the value of that product.

Other Healthcare Laws and Compliance Requirements

If we obtain regulatory approval of our products, we may be subject to various federal and state laws targeting fraud and abuse in the healthcare industry. These laws
may  impact,  among  other  things,  our  proposed  sales,  marketing  and  education  programs.  In  addition,  we  may  be  subject  to  patient  privacy  regulation  by  both  the  federal
government and the states in which we conduct our business.

Patient Protection and the Affordable Care Act

The Affordable Care Act, enacted in March 2010, includes measures that have or will significantly change the way health care is financed in the United States by both

governmental and private insurers. Among the provisions of the Affordable Care Act of greatest importance to the pharmaceutical industry are the following:

● The Medicaid Drug Rebate Program requires pharmaceutical manufacturers to enter into and have in effect a national rebate agreement with the Secretary of the
Department  of  Health  and  Human  Services  as  a  condition  for  states  to  receive  federal  matching  funds  for  the  manufacturer’s  outpatient  drugs  furnished  to
Medicaid  patients.  The  Affordable  Care  Act  increased  pharmaceutical  manufacturers’  rebate  liability  on  most  branded  prescription  drugs  from  15.1%  of  the
average manufacturer price to 23.1% of the average manufacturer price, added a new rebate calculation for line extensions of solid oral dosage forms of branded
products, and modified the statutory definition of average manufacturer price. The Affordable Care Act also expanded the universe of Medicaid utilization subject
to drug rebates by requiring pharmaceutical manufacturers to pay rebates on Medicaid managed care utilization and expanding the population potentially eligible
for Medicaid drug benefits.

● In  order  for  a  pharmaceutical  product  to  receive  federal  reimbursement  under  the  Medicare  Part  B  and  Medicaid  programs  or  to  be  sold  directly  to  U.S.
government  agencies,  the  manufacturer  must  extend  discounts  to  entities  eligible  to  participate  in  the  340B  drug  pricing  program.  The  Affordable  Care  Act
expanded the types of entities eligible to receive discounted 340B pricing.

● The Affordable Care Act imposed a requirement on manufacturers of branded drugs to provide a 50% discount off the negotiated price of branded drugs dispensed

to Medicare Part D patients in the coverage gap (i.e., the “donut hole”).

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● The Affordable Care Act imposed an annual, non-deductible fee on any entity that manufactures or imports certain branded prescription drugs, apportioned among
these entities according to their market share in certain government healthcare programs, although this fee does not apply to sales of certain products approved
exclusively for orphan indications.

In addition to these provisions, the Affordable Care Act established a number of bodies whose work may have a future impact on the market for certain pharmaceutical
products. These include the Patient-Centered Outcomes Research Institute, established to oversee, identify priorities in, and conduct comparative clinical effectiveness research,
the Independent Payment Advisory Board, which has authority to recommend certain changes to the Medicare program to reduce expenditures by the program, and the Center
for Medicare and Medicaid Innovation within the Centers for Medicare and Medicaid Services, to test innovative payment and service delivery models to lower Medicare and
Medicaid spending.

These and other laws may result in additional reductions in healthcare funding, which could have a material adverse effect on customers for our product candidates, if
we  gain  approval  for  any  of  them.  Although  we  cannot  predict  the  full  effect  on  our  business  of  the  implementation  of  existing  legislation  or  the  enactment  of  additional
legislation  pursuant  to  healthcare  and  other  legislative  reform,  we  believe  that  legislation  or  regulations  that  would  reduce  reimbursement  for,  or  restrict  coverage  of,  our
products could adversely affect how much or under what circumstances healthcare providers will use our product candidates if we gain approval for any of them.

U.S. Medical Device Regulatory Approval Process

Medical Devices are subject to different forms of testing and approval, and require satisfaction of various FDA requirements including the Food, Drug and Cosmetic

Act (FDCA) in order to be brought to market.

The  two  primary  types  of  FDA  marketing  authorization  applicable  to  a  medical  device  are  premarket  notification,  also  called  510(k)  clearance,  and  premarket
approval. The type of marketing authorization is generally linked to the classification of the device. The FDA classifies medical devices into one of three classes — Class I,
Class  II  or  Class  III  —  based  on  the  degree  of  risk  the  FDA  determines  to  be  associated  with  a  device  and  the  level  of  regulatory  control  deemed  necessary  to  ensure  the
device’s safety and effectiveness. Devices requiring fewer controls because they are deemed to pose lower risk are placed in Class I or II. Class I devices are deemed to pose the
least risk and are subject only to general controls applicable to all devices, such as requirements for device labeling, premarket notification, and adherence to the FDA’s Good
Manufacturing Practices. Class II devices are intermediate risk devices that are subject to general controls and may also be subject to special controls such as performance
standards, product-specific guidance documents, special labeling requirements, patient registries, or post-market surveillance. Class III devices are those for which insufficient
information exists to assure safety and effectiveness solely through general controls or if the device is a life-sustaining, life-supporting or a device of substantial importance in
preventing  impairment  of  human  health,  or  which  presents  a  potential,  unreasonable  risk  of  illness  or  injury  and  special  controls  are  not  adequate  to  assure  safety  and
effectiveness.

Most Class I devices and some Class II devices are exempted by regulation from the 510(k) clearance requirement and can be marketed without prior authorization
from the FDA. Most Class II devices (and certain Class I devices that are not exempt) are eligible for marketing through the 510(k) clearance pathway. By contrast, devices
placed in Class III generally require premarket approval or 510(k) de novo clearance prior to commercial marketing. The premarket approval process is more stringent, time-
consuming, and expensive than the 510(k) clearance process. However, the 510(k) clearance process has also become increasingly stringent and expensive.

510(k)  Clearance  Pathway.  When  a  510(k)  clearance  is  required,  a  premarket  notification  must  be  submitted  to  the  FDA  demonstrating  that  a  proposed  device  is
“substantially equivalent” to a previously cleared and legally marketed 510(k) device or a device that was in commercial distribution before May 28, 1976 for which the FDA
has not yet called for the submission of a premarket approval application, which is commonly known as the “predicate device.” A device is substantially equivalent if, with
respect  to  the  predicate  device,  it  has  the  same  intended  use  and  has  either  (i)  the  same  technological  characteristics  or  (ii)  different  technological  characteristics  and  the
information submitted demonstrates that the device is as safe and effective as a legally marked device and does not raise different questions of safety or effectiveness. By law,
the FDA is required to clear or deny a 510(k) premarket notification within 90 days of submission of the application. As a practical matter, clearance often takes significantly
longer. The FDA may require further information, including clinical data, to make a determination regarding substantial equivalence. If the FDA determines that the device, or
its intended use, is not substantially equivalent to a previously-cleared device or use, the FDA will issue a not substantially equivalent decision. This means the device cannot
be cleared through the 510k process and will require marketing authorization through the premarket approval pathway.

76

 
 
 
 
 
 
 
 
 
 
 
Premarket  Approval  Pathway.  A  premarket  approval  application  must  be  submitted  to  the  FDA  if  the  device  cannot  be  cleared  through  the  510(k)  process.  The
premarket approval application process is much more demanding than the 510(k) premarket notification process and requires the payment of significant user fees. A premarket
approval application must be supported by valid scientific evidence, which typically requires extensive data, including but not limited to technical, preclinical, clinical trials,
manufacturing and labeling to demonstrate to the FDA’s satisfaction reasonable evidence of safety and effectiveness of the device. The FDA has 45 days from its receipt of a
premarket approval application to determine whether the application will be accepted for filing based on the FDA’s threshold determination that it is sufficiently complete to
permit substantive review. After the FDA determines that the application is sufficiently complete to permit a substantive review, the FDA will accept the application and begin
its in-depth review. The FDA has 180 days to review an “accepted” premarket approval application, although this process typically takes significantly longer and may require
several years to complete. During this review period, the FDA may request additional information or clarification of the information already provided. Also, an advisory panel
of experts from outside the FDA may be convened to review and evaluate the application and provide recommendations to the FDA as to the approvability of the device. In
addition, the FDA will conduct a preapproval inspection of the manufacturing facility to ensure compliance with quality system regulations. The FDA may delay, limit or deny
approval of a premarket approval application for many reasons, including:

● failure  of  the  applicant  to  demonstrate  that  there  is  reasonable  assurance  that  the  medical  device  is  safe  or  effective  under  the  conditions  of  use  prescribed,

recommended or suggested in the proposed labeling;

● insufficient data from the preclinical studies and clinical trials;

● the  manufacturing  processes,  methods,  controls  or  facilities  used  for  the  manufacture,  processing,  packing  or  installation  of  the  device  do  not  meet  applicable
requirements.  If  the  FDA  evaluations  of  both  the  premarket  approval  application  and  the  manufacturing  facilities  are  favorable,  the  FDA  will  either  issue  an
approval order or an approvable letter, which usually contains a number of conditions that must be met in order to secure final approval of the premarket approval
application.  If  the  FDA’s  evaluation  of  the  premarket  approval  application  or  manufacturing  facilities  is  not  favorable,  the  FDA  will  deny  approval  of  the
premarket approval application or issue a not approvable letter. A not approvable letter will outline the deficiencies in the application and, where practical, will
identify what is necessary to make the premarket approval application. The FDA may also determine that additional clinical trials are necessary, in which case the
premarket approval application may be delayed for several months or years while the trials are conducted and then the data submitted in an amendment to the
premarket approval application. Once granted, a premarket approval application may be withdrawn by the FDA if compliance with post approval requirements,
conditions of approval or other regulatory standards is not maintained or problems are identified following initial marketing.

Clinical Trials. Clinical trials are almost always required to support premarket approval and are sometimes required for 510(k) clearance. In the United States, these
trials generally require submission of an application for an Investigational Device Exemption, or IDE, to the FDA. The IDE application must be supported by appropriate data,
such as animal and laboratory testing results, showing it is safe to test the device in humans and that the testing protocol is scientifically sound. The FDA must approve the IDE
in advance of trials for a specific number of patients unless the product is deemed a non-significant risk device eligible for more abbreviated IDE requirements or the clinical
investigation is exempt from the IDE regulations. Clinical trials for significant risk devices may not begin until the IDE application is approved by the FDA and the appropriate
institutional review boards, or IRBs, at the clinical trial sites. The applicant, the FDA or the IRB at each site at which a clinical trial is being performed may suspend a clinical
trial at any time for various reasons, including a belief that the risks to study subjects outweigh the benefits. Even if a trial is completed, the results of clinical testing may not
demonstrate the safety and efficacy of the device, may be equivocal or may otherwise not be sufficient to obtain approval or clearance of the product.

Both the 510(k) and premarket approval processes can be expensive and lengthy and require the payment of significant fees, unless an exemption applies. The FDA’s
510(k) clearance process usually takes from approximately three to 12 months, but may take longer. The process of obtaining a premarket approval is much more costly and
uncertain than the 510(k) clearance process and generally takes from approximately one to five years, or longer, from the time the application is submitted to the FDA until an
approval is obtained. The process of obtaining regulatory clearances or approvals to market a medical device can be costly and time consuming, and the applicant may not be
able to obtain these clearances or approvals on a timely basis, if at all.

77

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
As  of  the  date  of  this  annual  report,  our  sole  device  candidate  currently  under  development  is  SLS-1,  which  is  a  platform  for  the  dexterous  manipulation  of
cardiovascular robotic surgical catheter, conventionally classified as a cardiovascular steerable catheter, in the MRI environment. We do not currently have a commercialization
timeline for SLS-1 and cannot assure you that SLS-1 will ever be ready for commercialization. If we are ready to seek regulatory approval for the SLS-1 device in the U.S., we
expect that the FDA will classify it as a Class II non-exempted device requiring premarket clearance under Section 510(k) of the FDCA. If our device cannot clear through the
510(k) process, we will need to obtain marketing authorization through the premarket approval pathway, which will be more costly, lengthy and uncertain.

European Union Regulation

Regulation in the European Union

The  process  governing  approval  of  medicinal  products  in  the  EU  generally  follows  the  same  lines  as  in  the  United  States.  It  entails  satisfactory  completion  of
pharmaceutical development, non-clinical studies and adequate and well-controlled clinical trials to establish the safety and efficacy of the medicinal product for each proposed
indication. It also requires the submission to relevant competent authorities for clinical trials authorization and to the European Medicines Authority, or EMA, for a marketing
authorization application, or MAA, and granting of a marketing authorization by these authorities before the product can be marketed and sold in the EU.

Clinical Trial Approval

Pursuant to the currently applicable Clinical Trials Directive 2001/20/EC and the Directive 2005/28/EC on cGCP, a system for the approval of clinical trials in the EU
(the equivalent of the IND process in the United States) has been implemented through national legislation of the EU member states. Under this system, an applicant must
obtain approval from the competent national authority of an EU member state in which the clinical trial is to be conducted or in multiple EU member states if the clinical trial is
to be conducted in a number of EU member states. Furthermore, the applicant may only start a clinical trial at a specific study site after the independent ethics committee has
issued a favorable opinion. The clinical trial application, or CTA, must be accompanied by an investigational medicinal product dossier with supporting information prescribed
by Directive 2001/20/EC and Directive 2005/28/EC and corresponding national laws of the EU member states and further detailed in applicable guidance documents.

In  April  2014,  the  EU  adopted  a  new  Clinical  Trials  Regulation  (EU)  No  536/2014,  which  is  set  to  replace  the  current  Clinical  Trials  Directive  2001/20/EC.  It  is
expected  that  the  new  Clinical  Trials  Regulation  will  apply  in  2019.  It  will  overhaul  the  current  system  of  approvals  for  clinical  trials  in  the  EU.  Specifically,  the  new
regulation,  which  will  be  directly  applicable  in  all  EU  member  states,  aims  at  simplifying  and  streamlining  the  approval  of  clinical  trials  in  the  EU.  For  instance,  the  new
Clinical  Trials  Regulation  provides  for  a  streamlined  application  procedure  using  a  single  entry  point  and  strictly  defined  deadlines  for  the  assessment  of  clinical  trial
applications.

Marketing Authorization

To obtain a marketing authorization for a product under the EU regulatory system (the equivalent of the NDA process in the United States), an applicant must submit
an MAA, either under a centralized procedure administered by the EMA or one of the procedures administered by competent authorities in EU member states (decentralized
procedure, national procedure, or mutual recognition procedure). A marketing authorization may be granted only to an applicant established in the EU. Regulation (EC) No.
1901/2006 provides that prior to obtaining a marketing authorization in the EU, an applicant must demonstrate compliance with all measures included in an EMA-approved
Pediatric Investigation Plan, or PIP, covering all subsets of the pediatric population, unless the EMA has granted a product-specific waiver, class waiver, or a deferral for one or
more of the measures included in the PIP.

The centralized procedure provides for the grant of a single marketing authorization by the European Commission that is valid for all EU member states. Pursuant to
Regulation (EC) No. 726/2004, the centralized procedure is compulsory for specific products, including for medicines produced by certain biotechnological processes, products
designated  as  orphan  medicinal  products,  advanced  therapy  products  and  products  with  a  new  active  substance  indicated  for  the  treatment  of  certain  diseases,  including
products for the treatment of cancer. For products with a new active substance indicated for the treatment of other diseases and products that are highly innovative or for which
a centralized process is in the interest of patients, the centralized procedure may be optional.

78

 
 
 
 
 
 
 
 
 
 
 
 
Under  the  centralized  procedure,  the  Committee  for  Medicinal  Products  for  Human  Use,  or  the  CHMP,  established  by  the  EMA  is  responsible  for  conducting  the
assessment of a product to define its risk/benefit profile. Under the centralized procedure, the maximum timeframe for the evaluation of an MAA is 210 days, excluding clock
stops  when  additional  information  or  written  or  oral  explanation  is  to  be  provided  by  the  applicant  in  response  to  questions  of  the  CHMP.  Accelerated  evaluation  may  be
granted by the CHMP in exceptional cases, when a medicinal product is of major interest from the point of view of public health and, in particular, from the viewpoint of
therapeutic innovation.

If the CHMP accepts such a request, the time limit of 210 days will be reduced to 150 days, but it is possible that the CHMP may revert to the standard time limit for

the centralized procedure if it determines that it is no longer appropriate to conduct an accelerated assessment.

Periods of Authorization and Renewals

A marketing authorization is valid for five years, in principle, and it may be renewed after five years on the basis of a reevaluation of the risk benefit balance by the
EMA or by the competent authority of the authorizing Member State. To that end, the marketing authorization holder must provide the EMA or the competent authority with a
consolidated version of the file in respect of quality, safety and efficacy, including all variations introduced since the marketing authorization was granted, at least six months
before  the  marketing  authorization  ceases  to  be  valid.  Once  renewed,  the  marketing  authorization  is  valid  for  an  unlimited  period,  unless  the  European  Commission  or  the
competent authority decides, on justified grounds relating to pharmacovigilance, to proceed with one additional five-year renewal period. Any authorization that is not followed
by the placement of the drug on the EU market (in the case of the centralized procedure) or on the market of the authorizing Member State within three years after authorization
ceases to be valid.

Regulatory Requirements after Marketing Authorization

Following  approval,  the  holder  of  the  marketing  authorization  is  required  to  comply  with  a  range  of  requirements  applicable  to  the  manufacturing,  marketing,
promotion  and  sale  of  the  medicinal  product.  These  include  compliance  with  the  EU’s  stringent  pharmacovigilance  or  safety  reporting  rules,  pursuant  to  which  post-
authorization studies and additional monitoring obligations can be imposed. In addition, the manufacturing of authorized products, for which a separate manufacturer’s license
is  mandatory,  must  also  be  conducted  in  strict  compliance  with  the  EMA’s  cGMP  requirements  and  comparable  requirements  of  other  regulatory  bodies  in  the  EU,  which
mandate the methods, facilities and controls used in manufacturing, processing and packing of drugs to assure their safety and identity. Finally, the marketing and promotion of
authorized products, including industry-sponsored continuing medical education and advertising directed toward the prescribers of drugs and/or the general public, are strictly
regulated in the EU under Directive 2001/83EC, as amended.

Orphan Drug Designation and Exclusivity

Regulation (EC) No. 141/2000 and Regulation (EC) No. 847/2000 provide that a product can be designated as an orphan drug by the European Commission if its
sponsor can establish: that the product is intended for the diagnosis, prevention or treatment of (1) a life-threatening or chronically debilitating condition affecting not more than
five in ten thousand persons in the EU when the application is made, or (2) a life-threatening, seriously debilitating or serious and chronic condition in the EU and that without
incentives it is unlikely that the marketing of the drug in the EU would generate sufficient return to justify the necessary investment. For either of these conditions, the applicant
must  demonstrate  that  there  exists  no  satisfactory  method  of  diagnosis,  prevention,  or  treatment  of  the  condition  in  question  that  has  been  authorized  in  the  EU  or,  if  such
method exists, the drug has to be of significant benefit compared to products available for the condition.

An orphan drug designation provides a number of benefits, including fee reductions, regulatory assistance and the possibility to apply for a centralized EU marketing
authorization.  Marketing  authorization  for  an  orphan  drug  leads  to  a  ten-year  period  of  market  exclusivity.  During  this  market  exclusivity  period,  neither  the  EMA  nor  the
European Commission or the EU member states can accept an application or grant a marketing authorization for a “similar medicinal product.” A “similar medicinal product” is
defined as a medicinal product containing a similar active substance or substances as contained in an authorized orphan medicinal product, and which is intended for the same
therapeutic  indication.  The  market  exclusivity  period  for  the  authorized  therapeutic  indication  may,  however,  be  reduced  to  six  years  if,  at  the  end  of  the  fifth  year,  it  is
established that the product no longer meets the criteria for orphan drug designation because, for example, the product is sufficiently profitable not to justify market exclusivity.

79

 
 
 
 
 
 
 
 
 
 
 
European Medical Device Regulatory Approval Process

Similar to the United States, there is a separate regulatory framework for approval of medical devices. If the Company determines to commercialize SLS-1 or another

medical device, it will become subject to all of the requirements for approval required by those regulations.

PRC Regulation

In order to protect our potential market in the PRC, we have obtained an exclusive license of certain PRC patents directed to certain of the drug candidates that we are
developing and are currently seeking approval of additional patent and other IP filings in the PRC. We do not otherwise conduct business in the PRC. Seeking IP approval in
the PRC subjects us to some of the rules and practices of the PRC government. Since the Company intends eventually to market its products in the PRC, at least some of our
drug candidates may become subject to regulatory approval and marketing authorization in the PRC.

Hong Kong Regulation

The operations of AML Clinic in Hong Kong are subject to certain general laws and regulations in relation to clinic medical professionals, trade description and safety

of consumer goods, medical advertisement and importation, exportation, dealing in and sale of pharmaceutical products and drugs.

Medical Clinics Ordinance

The Medical Clinics Ordinance provides for the registration, control and inspection of medical clinics. It requires a medical clinic to be registered, with name and
address and other prescribed particulars. “Medical clinic” means any premises used or intended to be used for the medical diagnosis or treatment of persons suffering from, or
believed to be suffering from, any disease, injury or disability of mind or body, with specific exceptions, including private consulting rooms used exclusively by registered
medical practitioners in the course of their practice on their own account and not bearing any title or description which includes the word “clinic” or “polyclinic” in the English
language.

The application of registration may be refused if:

(i)

the income derived or to be derived from the establishment or operation of the clinic is not, or will not be, applied solely towards the promotion of the objects of
the clinic; or

(ii) any portion of such income, except payment of remuneration to employed registered medical practitioners, nurses and menial servants, will be paid by way of
dividend, bonus or otherwise howsoever by way of profit to the applicant himself, or to any persons properly so employed, or to any other persons howsoever.

We  do  not  believe  that  the  Medical  Clinic  Ordinance  is  applicable  to  the  business  of  our  Company  and  its  subsidiaries,  having  considered,  among  others,  the

following:

(iii) the legislative intent behind the Medical Clinics Ordinance was to provide for registration of non-profit making clinics;

(iv) the Food and Health Bureau of Hong Kong published a consultation document, “Regulation of Private Healthcare Facilities” in 2014 which specifically states that
the Medical Clinics Ordinance and the Code of Practice For Clinics Registered Under The Medical Clinics Ordinance (Chapter 343 of the Laws of Hong Kong)
set out the regulatory framework for non-profit-making medical clinics and that other private healthcare facilities, such as ambulatory medical centers and clinics
operated by medical groups or individual medical practitioners, are not subject to direct statutory control beyond the regulation of an individual’s professional
practice; and

(v) our business is one which makes and intends to continue making profit as a listed entity. The payment of bonuses to some of our Hong Kong Doctors is clearly a

reflection of the profit-making nature of our business.

Hence, we do not believe that AML Clinic is required to be registered under the Medical Clinics Ordinance.

80

 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Waste Disposal Ordinance

The Waste Disposal Ordinance (Chapter 354 of the Laws of Hong Kong) (“WDO”) and the Waste Disposal (Clinical Waste) (General) Regulation (Chapter 354O of

the Laws of Hong Kong) (the “WDR”) provide for, among others, the control and regulation of the production, storage, collection and disposal of clinical waste.

Under the WDO, clinical waste means waste consisting of any substance, matter or thing generated in connection with:

● a dental, medical, nursing or veterinary practice;

● any  other  practice,  or  establishment  (howsoever  described),  that  provides  medical  care  and  services  for  the  sick,  injured,  infirm  or  those  who  require  medical

treatment;

● dental, medical, nursing, veterinary, pathological or pharmaceutical research; or

● a dental, medical, veterinary or pathological laboratory practice,

and which consists wholly or partly of any of the materials specified in one or more of the groups listed below:

● used or contaminated sharps;

● laboratory waste;

● human and animal tissues;

● infectious materials;

● dressings; and

● such other wastes as specified by the Director of the Environmental Protection Department (“EPD”) of Hong Kong.

Given  the  medical  services  provided  by  AML  Clinic  and  the  research  works  in  our  R&D  Center  may  produce  used  or  contaminated  sharps  such  as  syringes  and

needles as well as dressings, we are subject to WDO, WDR and the Code of Practice.

Public Health and Municipal Services Ordinance

We intend to market DOI (NLS-2) in Hong Kong. In Hong Kong, dietary supplements are defined as “health food” products. “Health food” containing medicines are
subject to the Pharmacy and Poisons Ordinance (Cap 138) and such “health food” containing Chinese medicines are regulated by the Chinese Medicine Ordinance (Cap 549),
where they must meet the requirements in respect of safety, quality and efficacy before they can be registered.

For other “health food” products which cannot be classified as Chinese medicine or western medicine are regulated under the Public Health and Municipal Services
Ordinance (Cap 132) as general food products. The Public Health and Municipal Services Ordinance requires the manufacturers and sellers of food to ensure that their products
are fit for human consumption and comply with the requirements in respect of food safety, food standards and labelling. In addition, all prepackaged food should bear labels
which correctly list out the ingredients of the food under the Food and Drugs (Composition and Labelling) Regulations (Cap 132W) under the Ordinance.

The DOI (NLS-2) is made with the bioactive ingredient extracted Chinese yam powder and does not contain any western or Chinese medicine; therefore, registration
is not required under the local laws for marketing in Hong Kong. We will, however, ensure the compliance of the Food and Drugs (Composition and Labelling) Regulations
(Cap 132W) with by proper labelling in place.

Rest of the World Regulation

For other countries in the world, the requirements governing the conduct of clinical trials, medical product licensing, pricing and reimbursement vary from country to
country. In all cases if clinical trials are required, they must be conducted in accordance with cGCP requirements and the applicable regulatory requirements and the ethical
principles having their origin in the Declaration of Helsinki.

If  we  fail  to  comply  with  applicable  foreign  regulatory  requirements,  we  may  be  subject  to,  among  other  things,  fines,  suspension  or  withdrawal  of  regulatory

approvals, product recalls, seizure of products, operating restrictions and criminal prosecution.

C. Our Structure

See “ Item 4. Information on the Company – A. History and Development of the Company.”

81

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
D. Property, plants and equipment

We have several operating leases, primarily for offices. Our principal executive offices are located in Hong Kong; we also have offices in London, Jersey City and

New York.

Our facilities in Hong Kong consists of: (i) 638 square feet lab space under a lease that commenced in December 2017 and expires in December 2020, that carries a
monthly rent of $2,127 and which is used for the center run by APD (the “previous R&D Center”); (ii) 851 square feet office space under a lease that commenced in December
2017 and expires in December 2020 that carries a monthly rent of $2,509, which is also used for the center run by APD (the “HKSTP Office Space”); (iii) 3,250 square feet
office  space  under  a  lease  that  commenced  in  February  2018  and  expires  in  January  2021  and  that  carries  a  monthly  rent  of  $16,667  (the  “Guangdong  Investment  Tower
Lease”) (See “Transactions with Related Persons – Leased Facilities”); and (iv) 3,173 square feet space under a lease that commenced in March 2018 and expires in March
2022 (the “AML Lease”, which is home to AML Clinic).

We have a 3,424 square feet space premise in Fo Tan, Hong Kong, which is currently under a lease and rented out to a third party, with a monthly rent of $4,393, from

October 2019 to September 2021.

In March 2020, Aptorum Therapeutics Limited leased a 2,021 square feet lab space that commenced in March 2020 and expires in March 2023, that carries a monthly

rent of $6,348 (the “new R&D Center”). The previous R&D Center will be expected to be terminated in second quarter of 2020.

Our office space in London consists of approximately 172 square feet under a lease that commenced in August 2019, expires in March 2020 and has a rent of $2,715
per month, and renewed in April 2020, expires in November 2020 and has a rent of $3,231 per month. Our office space in Jersey City consists of approximately 81 square feet
under a lease that commenced in April 2019 and expired in February 2020 and has a rent of $1,466 per month. Our office space in New York consists of approximately 95
square feet under a lease that commenced in February 2020, which will automatically renew until 1 month’s notice for termination, and has a rent of $1,844 per month.

Payments  under  operating  leases  are  expensed  on  a  straight-line  basis  over  the  periods  of  the  respective  leases,  and  the  terms  of  the  leases  do  not  contain  rent

escalation, contingent rent, and renewal or purchase options.

We believe our current facilities are sufficient to meet our needs.

Item 4A. UNRESOLVED STAFF COMMENTS

Not applicable.

Item 5. OPERATING AND FINANCIAL REVIEW AND PROSPECTS

The  following  discussion  of  our  financial  condition  and  results  of  operations  is  based  upon  and  should  be  read  in  conjunction  with  our  consolidated  financial
statements and their related notes included in this annual report. This report contains forward-looking statements. See “Item 5. Operating and Financial Review and Prospects—
G.  Safe  Harbor.”  In  evaluating  our  business,  you  should  carefully  consider  the  information  provided  under  the  caption  “Item  3.  Key  Information—D.  Risk  Factors”  in  this
annual report. We caution you that our businesses and financial performance are subject to substantial risks and uncertainties.

For purposes of Item 5, reference to the “We”, “Our”, “Ours” or “Group” means Aptorum Group Limited and all of its subsidiaries.

This annual report includes consolidated financial statements for the years ended December 31, 2019, 2018 and 2017. However, as permitted by Instruction 6 to Item 5
of Form 20-F, a discussion of the changes in our results of operations for the year ended December 31, 2018 and the period March 1, 2017 through December 31, 2017 has been
omitted from this annual report, but may be found in “Item 5. Operating And Financial Review And Prospects” in our annual report on Form 20-F for the year ended December
31, 2018, filed with the SEC on April 15, 2019.

A. Operating Results

Overview

We are a pharmaceutical company dedicated to developing and commercializing a broad range of therapeutic and diagnostic technologies to tackle unmet medical
needs. We have obtained exclusive licenses for our technologies. In addition, we are also developing certain proprietary technologies as product candidates. We are pursuing
therapeutic  and  diagnostic  projects  (including  projects  seeking  to  use  extracts  or  derivatives  from  natural  substances  to  treat  diseases)  in  neurology,  infectious  diseases,
gastroenterology, oncology and other disease areas. We also have projects focused on surgical robotics and dietary supplement. (See “Item 4. Information on the Company – B.
Business Overview – Lead Projects and Other Projects under Development”) Also, we opened a medical clinic, AML Clinic, in June 2018.

82

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Although none of our drug or non-therapeutics candidates has yet been approved for testing in humans, our goal is to develop a broad range of novel therapeutics and
diagnostics  across  a  wide  range  of  disease/therapeutic  areas.  Key  components  of  our  strategy  for  achieving  this  goal  include:  (for  details  of  our  strategy,  See  “Item  4.
Information on the Company – B. Business Overview – Our Strategy”)

● Developing therapeutic and diagnostic innovations across a wide range of disease/therapeutic areas;

● Selectively expanding our portfolio with potential products that may be able to attain orphan drug designation and/or satisfy current unmet medical needs;

● Collaborating with leading academic institutions and CROs;

● Expanding our in-house pharmaceutical development center;

● Leveraging our management’s expertise, experience and commercial networks;

● Strategically developing opportunities in Hong Kong to promote access to the PRC market; and

● Obtaining and leveraging government grants to fund project development.

We have begun to devote a significant percentage of our resources, including a substantial portion of the proceeds to two therapeutic projects (“Lead Projects”). The
drug candidates being advanced as the Lead Projects are ALS-4 and SACT-1, described in further detail above. If the results of the remaining preclinical studies of these drug
candidates are positive, we expect to be able to submit by the second half of 2020, subject to regulatory review, an Investigational New Drug Application (“IND”) for at least
one of these candidates to the U.S. Food and Drug Administration (“FDA”) or an equivalent application to the regulatory authorities in one or more other jurisdictions such as
the  China’s  National  Medical  Products  Administration  (“NMPA”)  and/or  the  European  Medicines  Agency  (“EMA”).  Acceptance  of  these  applications  by  the  relevant
regulatory authority would enable the Company to begin testing that drug candidate in humans in that jurisdiction. Our ability to obtain any approval of such applications is
entirely dependent upon the results of our preclinical studies, none of which have yet been completed.

Based on our evaluation of preliminary data and our consideration of a number of factors including substantial unmet needs, benefits over existing therapies, potential
market size, competition in market, the Company decides how to prioritize its resources among projects. Overall, our rationale for selecting Lead Projects is not based on any
mechanical formula or rigid selection criteria, but instead focused on a combination of the factors and individual attributes of the Lead Projects themselves. See “Item 3. Key
Information—D.  Risk  Factors—  Risks  Related  to  the  Preclinical  and  Clinical  Development  of  Our  Drug  Candidates—  “Preclinical  development  is  a  long,  expensive  and
uncertain process, and we may terminate one or more of our current preclinical development programs.” and “Management has discretion to terminate the development of any
of our projects at any time.”

Our current business consists of “therapeutics” and “non-therapeutics” segments. However, our focus is on the therapeutics segments. Because of the risks, costs and
extended development time required for successful drug development, we have determined to pursue projects within our non-therapeutics segments, such as AML Clinic, to
provide some interim revenue and medical robots that may be brought to market and generate revenue more quickly.

Therapeutics Segment . In our therapeutics segment (“Aptorum Therapeutics Group”), we are currently seeking to develop various drug molecules (including projects
seeking  to  use  extracts  or  derivatives  from  natural  substances  to  treat  diseases)  and  certain  technologies  for  the  treatment  (“therapeutics”)  and  diagnosis  (“diagnostics”)  of
human  disease  conditions  in  neurology,  infectious  diseases,  gastroenterology,  oncology  and  other  disease  areas.  In  addition,  we  are  seeking  to  identify  additional  prospects
which  may  qualify  for  potential  orphan  drug  designation  (e.g.,  rare  types  of  cancer)  or  which  address  other  current  unmet  medical  needs.  Aptorum  Therapeutics  Group  is
operated through Aptorum’s wholly-owned subsidiary, Aptorum Therapeutics Limited, a Cayman Islands exempted company with limited liability, whose principal place of
business is in Hong Kong and its indirect subsidiary companies (who we sometimes refer to herein as project companies), whose principal places of business are also in Hong
Kong.

83

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Non-Therapeutics  Segment  .  The  non-therapeutics  segment  (“Aptorum  Non-Therapeutics  Group”)  encompasses  three  businesses:  (i)  the  development  of  surgical
robotics and medical devices, (ii) AML Clinic and (iii) the sale of dietary supplement. The development of surgical robotics and medical devices business is operated through
Signate Life Sciences Limited, a subsidiary of Aptorum Therapeutics Limited. The outpatient clinic is operated through our subsidiary, Aptorum Medical Limited. Effective as
of March 2018, we leased office space in Central, Hong Kong as the home to our medical clinic (“AML Clinic”). AML Clinic commenced operations under the name of Talem
Medical in June 2018. The estimated general administrative expenses and other operating expenses of AML Clinic is expected to be no more than USD120,000 per month. The
clinic is expected to reach operating profit in 18 months from the clinic reaching its full operating capacity upon (i) the successful recruitment of a minimum of six full time
physicians  (AML  Clinic  currently  has  one  full  time  physician  and  six  part  time  physicians)  and  (ii)  establishing  steady  patients  flow  via  brand  development.  (See  “Item  4.
Information  on  the  Company  –  B.  Business  Overview  –  Lead  Projects,  Dietary  Supplement  and  Other  Projects  under  Development  –  Other  Projects  under  Development  –
Aptorum  Medical  Limited  -  AML  Clinic”)  The  sale  of  dietary  supplement  is  operated  through  Nativus  Life  Sciences  Limited  (“Nativus”),  a  subsidiary  of  Aptorum
Therapeutics Limited. As part of the commercialization, the Group, through Nativus, entered into a regional distribution and marketing agreement with Multipak Limited, a
Hong Kong based group that operates household brands, including the Luk Yu® tea bag and other health related products. Through Multipak, the Group will be able to increase
the  accessibility  of  the  product  to  a  large  consumer  base  regionally.  The  production  of  Aptorum  Group’s  dioscorea  opposita  bioactive  nutraceutical  tablets  has  commenced
production in Canada and will be marketed under the brand name NativusWell TM .

The  Company  has  already  obtained  opportunities  resulting  in  our  existing  licensing  agreements  from  various  contractual  relationships  that  we  have  entered  into,
including service/consulting agreements with some of the world’s leading specialists and clinicians in our areas of interest, with academic institutions and organizations, and
with  contract  research  organizations  (“CROs”).  We  anticipate  that  these  relationships  will  generate  additional  licensing  opportunities  in  the  future.  In  addition,  we  have
established and are continuing to expand our in-house research facilities (collectively, the “R&D Center”) to develop some of our drug and device candidates internally and to
collaborate with third-party researchers.

The Bond Offering

On  April  6,  2018,  we  entered  into  a  subscription  agreement  (the  “Bond  Subscription  Agreement”)  with  Peace  Range  Limited  (“Peace  Range”),  a  company
incorporated  under  the  laws  of  the  British  Virgin  Islands  and  wholly-owned  special  purpose  vehicle  of  Adamas  Ping  An  Opportunities  Fund  L.P.  Adamas  Ping  An
Opportunities Fund L.P. is the third fund from Adamas Asset Management (HK) Limited (“Adamas”) and the first fund from the joint venture between Adamas and Yun Sheng
Capital Company Limited, a subsidiary of Ping An Insurance (Group) Company of China, Limited and is advised by Ping An Capital Company Limited. Pursuant to the Bond
Subscription Agreement, we issued Peace Range a $15,000,000 convertible bond (the “Bond” and the “Bond Offering”), minus a structuring fee equal to 2% of the principal
amount of the Bond, on April 25, 2018. We also agreed to pay certain expenses, up to an aggregate limit of $250,000, incurred by Peace Range in connection with the Bond
Offering. The closing of the transaction contemplated by the Bond Subscription Agreement and the issuance of the Bond are subject to standard closing conditions, which may
be  satisfied  or  waived  by  the  impacted  party.  The  Bond  earns  interest  at  the  rate  of  8%  per  annum,  payable  semi-annually.  The  payment  of  the  Bond  is  guaranteed  by  our
holding  company,  Jurchen  Investment  Corporation  (“Jurchen”),  a  company  wholly-owned  by  our  CEO,  Ian  Huen  (See  “Item  7.  Major  Shareholders  and  Related  Party
Transactions – Share Transfer: Change in direct substantial shareholders of the Company”), pursuant to a deed of guarantee (the “Guarantee”). In addition, the repayment of the
principal of the Bond and interest payables is secured by a fund we set aside in a debt service reserve account, with the funds in the debt service reserve account to be released
in an amount pro rata to the principal amount of the Bond being converted. The Bond shall mature on the twelfth calendar month following the issuance date, or with prior
written consent of the holders of the Bond, the business day falling six calendar months thereafter. 10% of the principal amount of the Bond automatically converted into our
Class A Ordinary Shares following the IPO; the rest of the Bond is convertible at the option of the holder commencing on the closing of the IPO until the earlier of the date
falling 12 calendar months after the maturity of the Bond and the date falling 12 calendar months after the closing of the IPO. We closed the Bond Offering on April 25, 2018
and issued a Bond to Peace Range pursuant to the Bond Subscription Agreement. Pursuant to the aforementioned conversion rights, we issued an aggregate of 119,217 shares
of Class A Ordinary Shares to the Bond holder after the IPO closed. Following the IPO and pursuant to the terms of the related agreements, the shares Jurchen previously
submitted to be held in escrow to guarantee the payment of the Bond were released to Jurchen and the related share charge agreement and escrow agreement were terminated.

84

 
  
 
 
 
 
On April 24, 2019, one of our wholly owned subsidiaries, Aptorum Investment Holding Ltd., repurchased the Bonds from Peace Range. According to the amended
and restated terms and conditions of the Bonds, the Bondholder was granted certain rights to subscribe for additional ordinary shares of the Company, in an amount up to the
principal amount of the Bonds at a price of US$12.17 (subject to adjustment) on or before 7 days prior to the maturity date (“Subscription Right”). The total consideration of
the repurchase of Bonds and the Subscription Rights was US$13.6 million in cash, excluding accrued interest. The Bond matured and was redeemed on October 25, 2019.

One of the underwriters in the IPO also served as a placement agent for the Bond Offering and received (i) a cash success fee of $600,000 and (ii) warrants to purchase
67,790 Class A Ordinary Shares, at an exercise price of $12.17 per share, subject to adjustment (the “Bond PA Warrants”). The Bond PA Warrants are exercisable on a cashless
basis.  China  Renaissance  Securities  (HK)  Limited  (“China  Renaissance”)  also  served  as  a  placement  agent  for  the  Bond  Offering;  for  such  services,  China  Renaissance
received a cash success fee of $150,000. Prior to the commencement the IPO, Boustead assigned all such securities to a non-affiliate; the assignment is non-recourse. As of the
date hereof, there are no outstanding Bond PA Warrants.

The Series A Note Offering

On  May  15,  2018,  we  closed  a  private  financing  with  certain  investors  (the  “Series  A  Note  Investors”)  who  purchased  an  aggregate  of  approximately  $1,600,400
Series A convertible notes, at a purchase price of $10,000 per note (the “Series A Notes”), pursuant to a note purchase agreement. Some of the Series A Note Investors are
either affiliates of the Company or “related persons” as such term is defined in Item 404 of Regulation S-K (See “Item 7. Major Shareholders and Related Party Transactions”).
We refer to this private placement transaction as the “Series A Note Offering.” The Series A Note Investors entered into a lock-up agreement, pursuant to which they agreed not
to sell or otherwise transfer or dispose the Series A Notes or the Class A Ordinary Shares underlying the Series A Notes during the six-month period commencing on the date
our Class A Ordinary Shares commence trading on NASDAQ Global Market. The Series A Notes automatically converted into Class A Ordinary Shares at the closing of the
IPO at a conversion price equal to a 56% discount to the actual price per Class A Ordinary Share (“Conversion Price”). Accordingly, the Series A Notes converted into, and we
issued an aggregate of 230,252 shares of Class A Ordinary Shares after the IPO closed.

One of the underwriters in the IPO also served as a placement agent for the Series A Note Offering and received: (i) a cash success fee of $68,516 and (ii) warrants to
purchase 12,663 Class A Ordinary Shares, at an exercise price of $6.95 per share, subject to adjustment (the “Series A Note PA Warrants”). The Series A Note PA Warrants are
also exercisable on a cashless basis, at the holder’s discretion. As of the date hereof, there are no outstanding Series A Note PA Warrants.

Registered Direct Offering

On  February  28,  2020,  we  closed  a  Registered  Direct  Offering  with  certain  non-affiliated  institutional  investors  (the  “Non-affiliated  Purchasers”)  and  Jurchen
Investment  Corporation,  our  largest  shareholder  and  wholly  owned  by  Mr.  Ian  Huen,  our  Chief  Executive  Officer  (the  “Affiliated  Purchaser”  collectively  with  the  Non-
affiliated Purchasers, the “Purchasers”). The Purchasers purchased an aggregate of 1,351,350 Class A Ordinary Shares and warrants (“Warrants”) to purchase 1,351,350 Class
A Ordinary Shares (the “Offering”), for gross proceeds of approximately $10 million. The Warrants will be exercisable immediately following the date of issuance for a period
of seven years at an initial exercise price of $7.40. The purchase price for each Share and the corresponding Warrant is $7.40.

85

 
 
 
 
 
 
 
 
 
We agreed that we would not issue any Class A Ordinary Shares (or Class A Ordinary Share Equivalents (as defined in the purchase agreement entered on February
25, 2020)) for 45 days following the closing of the Registered Direct Offering subject to certain customary exceptions, including, without limitation, issuances of restricted
securities to consultants or employees of the Company, share option grants and issuances pursuant to existing outstanding securities and issuance in connection with strategic
acquisition.

We agreed from the date of the purchase agreement until the date that is the later of (i) the 12 month anniversary of the closing date or (ii) one or more subsequent
issuance by the Company or any of its subsidiaries of ordinary share equivalent having aggregate gross proceeds of at least $20,000,000, the Purchasers shall have the right to
participate in the subsequent financing up to an amount equal to 50% of the Subsequent Financing (the “Participation Maximum”) on the same terms, conditions and price
provided for in the Subsequent Financing.

We also agreed certain most favored nation treatment of the all the Purchasers pursuant to which each Purchaser will have the opportunity to automatically have the
same  benefit  if  the  terms  and  conditions  with  respect  to  this  Purchase  Agreement  or  any  securities  offered  therein  the  Company  offered  to  the  other  Purchasers  are  more
favorable.

Critical Accounting Policies, Estimates and Assumptions

Principles of presentation and consolidation

The consolidated financial statements are prepared in accordance with U.S. GAAP. Before March 1, 2017, the Company was an investment company under U.S. GAAP for the
purposes of financial reporting. U.S. GAAP for an investment company requires investments to be recorded at estimated fair value and the unrealized gains and/or losses in an
investment’s fair value are recognized on a current basis in the statements of operations. In addition, the Company did not consolidate its subsidiaries, since they were operating
companies and not investment companies. Such entities were fair valued in accordance with ASC Topic 946 (“ASC 946”) and ASC Topic 820 (“ASC 820”).

As of March 1, 2017, after the change of business purpose, legal form and substantive activities, the Company’s status changed to an operating company from an investment
company since it no longer met the criteria to qualify as an investment company under the ASC 946. The Company discontinued applying the guidance in ASC 946 and began
to account for the change in status prospectively by accounting for its investments in accordance with other U.S. GAAP topics.

This  change  in  status  and  the  accounting  policies  affect  the  comparability  of  the  financial  statements.  As  such,  for  the  period  January  1,  2017  through  February  28,  2017,
statements of operations, changes in net assets, and cash flows have been presented on the predecessor basis of accounting as an investment company, and on the successor
basis of accounting as an operating company since March 1, 2017. The consolidated balance sheets as of December 31, 2019 and 2018 have been presented on the successor
basis.

The consolidated financial statements of the Group are presented on the accrual basis of accounting in accordance with accounting principles generally accepted in the United
States of America (“U.S. GAAP”) and include the accounts of the Company, its direct and indirect wholly and majority owned subsidiaries. All material intercompany balances
and transactions have been eliminated in preparation of the consolidated financial statements.

Use of estimates

The  preparation  of  the  consolidated  financial  statements  in  conformity  with  U.S.  GAAP  requires  management  to  make  estimates  and  assumptions  that  affect  the
reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of increases and
decreases  in  net  assets  from  operations  as  well  as  income  and  expenses  during  the  reporting  period.  Significant  accounting  estimates  reflected  in  the  Group’s  consolidated
financial  statements  include  valuing  equity  securities,  fair  value  of  investments  in  securities,  convertible  debts  and  finance  lease,  the  useful  lives  of  intangible  assets  and
equipment, impairment of long-lived assets, and collectability of receivables. Actual results could differ from those estimates.

86

 
 
 
 
 
 
 
 
 
 
 
 
 
Foreign currency translation and transaction

USD  is  the  reporting  currency.  The  functional  currency  of  subsidiaries  in  the  Cayman  Islands,  Seychelles,  Samoa  and  the  United  States  are  USD,  the  functional
currency of subsidiaries in Hong Kong is Hong Kong Dollars (“HKD”), the functional currency of a subsidiary in Macao is Macanese Pataca (“MOP”), the functional currency
of a subsidiary in the United Kingdom is Great British Pound (“GBP”), and the functional currency of subsidiaries in Singapore is Singapore Dollars (“SGD”). An entity’s
functional currency is the currency of the primary economic environment in which it operates, normally that is the currency of the environment in which it primarily generates
and  expends  cash.  The  management  considered  various  indicators,  such  as  cash  flows,  market  expenses,  financing  and  inter-company  transactions  and  arrangements  in
determining the Group’s functional currency.

In  the  consolidated  financial  statements,  the  financial  information  of  the  Company  and  its  subsidiaries,  which  use  HKD,  MOP,  GBP  and  SGD  as  their  functional
currency, has been translated into USD. Assets and liabilities are translated from each subsidiary’s functional currency at the exchange rates on the balance sheet dates, equity
amounts  are  translated  at  historical  exchange  rates,  and  revenues,  expenses,  gains,  and  losses  are  translated  using  the  average  exchange  rates  for  the  year.  Translation
adjustments are reported as cumulative translation adjustments and are shown as a separate component of other comprehensive income or loss in the statements of operations
and comprehensive loss.

Fair value measurement

Fair value is defined as the price that would be received from selling an asset or paid to transfer a liability in an orderly transaction between market participants at the
measurement date. When determining the fair value measurements for assets and liabilities required or permitted to be recorded at fair value, the Group considers the principal
or most advantageous market in which it would transact its business, and it considers assumptions that market participants would use when pricing the asset or liability.

As a basis for considering such assumptions, a three-tier fair value hierarchy prioritizes the inputs utilized in measuring fair value as follows:

● Level 1 applies to assets or liabilities for which there are quoted prices in active markets for identical assets or liabilities.

● Level 2 applies to assets or liabilities for which there are inputs other than quoted prices included within Level 1 that are observable for the asset or liability such
as quoted prices for similar assets or liabilities in active markets; quoted prices for identical assets or liabilities in markets with insufficient volume or infrequent
transactions (less active markets); or model-derived valuations in which significant inputs are observable or can be derived principally from, or corroborated by,
observable market data.

● Level 3 applies to assets or liabilities for which there are unobservable inputs to the valuation methodology that are significant to the measurement of the fair

value of the assets or liabilities.

Impairment of long-lived assets

The Group reviews its long-lived assets for impairment whenever events or changes in circumstances indicate that the carrying amount of an asset may no longer be
recoverable. When these events occur, the Group measures impairment by comparing the carrying value of the long-lived assets to the estimated undiscounted future cash flows
expected to result from the use of the assets and their eventual disposition. If the sum of the expected undiscounted cash flow is less than the carrying amount of the assets, the
Group would recognize an impairment loss, which is the excess of carrying amount over the fair value of the assets, using the expected future discounted cash flows.

87

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Revenue recognition

Revenue is recognized when (or as) the Company satisfies performance obligations by transferring a promised goods or services to a customer. Revenue is measured at the
transaction  price  which  is  based  on  the  amount  of  consideration  that  the  Company  expects  to  receive  in  exchange  for  transferring  the  promised  goods  or  services  to  the
customer. Contracts with customers are comprised of invoices and written contracts. Revenue from healthcare services is measured upon the provision of the relevant services. 

Income taxes

The Group accounts for income taxes under the asset and liability method. Under this method, deferred income taxes are determined based on differences between the

financial carrying amounts of existing assets and liabilities and their tax bases. Income taxes are provided for in accordance with the laws of the relevant taxing authorities.

A valuation allowance is provided for deferred tax assets if it is more likely than not that these items will either expire before the Group is able to realize their benefits,

or that future deductibility is uncertain. Valuation allowances are established, when necessary, to reduce deferred tax assets to the amount expected to be realized.

RESULTS OF OPERATION

Financial statements and information are presented for the years ended December 31, 2019 and 2018.

The following table summarizes our results of operations for the years ended December 31, 2019 and 2018.

Revenue
Healthcare service income

Operating expenses
Cost of healthcare service
Research and development expenses
General and administrative fees
Legal and professional fees
Other operating expenses
Total expenses

Other (loss) income
(Loss) gain on investments in marketable securities, net
Gain on non-marketable investments
Gain (loss) on investments in derivatives, net
Gain on use of digital currencies
Gain on extinguishment of convertible debts
Changes in fair value of warrant liabilities
Interest expense, net
Rental income
Sundry income
Total other loss, net

Net loss

88

Year Ended 
December 31, 
2019

Year Ended 
December 31, 
2018

  $

535,166    $

383,450 

(794,545)    
(6,939,051)    
(7,373,425)    
(3,405,705)    
(220,891)    
(18,733,617)    

(318,011)
(3,101,432)
(4,919,626)
(1,811,770)
(560,709)
(10,711,548)

(81,839)    
1,147,190     
87,599     
46,717     
1,198,490     
(866,300)    
(3,699,672)    
16,868     
232,460     
(1,918,487)    

501,522 
- 
(974,444)
- 
- 
124,726 
(4,458,191)
- 
- 
(4,806,387)

(20,116,938)    

(15,134,485)

 
 
 
 
 
 
 
  
 
 
 
 
   
 
 
 
    
  
 
    
  
 
 
 
      
  
 
 
      
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
      
  
 
 
      
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
      
  
 
 
 
Impact of COVID-19 Outbreak

On January 30, 2020, the World Health Organization declared the coronavirus outbreak a “Public Health Emergency of International Concern” and on March 10, 2020,
declared it to be a pandemic. Actions taken around the world to help mitigate the spread of the coronavirus include restrictions on travel, and quarantines in certain areas, and
forced closures for certain types of public places and businesses. The coronavirus and actions taken to mitigate it have had and are expected to continue to have an adverse
impact  on  the  economies  and  financial  markets  of  many  countries,  including  the  geographical  area  in  which  the  Company  operates.  While  the  closures  and  limitations  on
movement, domestically and internationally, are expected to be temporary, if the outbreak continues on its current trajectory the duration of the supply chain disruption could
reduce the availability, or result in delays, of materials or supplies to and from the Group, which in turn could materially interrupt the Group’s business operations. Given the
speed  and  frequency  of  the  continuously  evolving  developments  with  respect  to  this  pandemic,  the  Group  cannot  reasonably  estimate  the  magnitude  of  the  impact  to  its
consolidated results of operations. We have taken every precaution possible to ensure the safety of our employees.

Additionally, it is reasonably possible that estimates made in the financial statements have been, or will be, materially and adversely impacted in the near term as a

result of these conditions, including losses on investments; impairment losses related to long-lived assets and current obligations.

Revenue

clinic.

Healthcare service income was $535,166 and $383,450 for the years ended December 31, 2019 and 2018, which related to the service income derived from the AML

Research and development expenses

Research  and  development  expenses  comprised  of  costs  incurred  related  to  research  and  development  activities,  including  payroll  expenses  to  our  research  and
development  staff,  sponsored  research  programs  with  various  universities  and  research  institutions  and  costs  in  acquiring  IP  rights  which  did  not  meet  the  criteria  of
capitalization under the U.S. GAAP. The following table sets forth a summary of our research and development expenses for the years ended December 31, 2019 and 2018. The
increase in research and development expenses was mainly due to the increase in consultation service for projects.

Research and Development Expenses:

Payroll expenses
Sponsored research
Amortization and depreciation
Consultation
Other R&D expenses
Milestone payment

Total Research and Development Expenses

General and administrative fees

Year Ended 
December 31, 
2019

Year Ended 
December 31, 
2018

  $

1,784,647    $
1,403,689     
873,239     
2,431,997     
445,479     
-     
6,939,051     

1,363,740 
796,943 
437,453 
298,315 
174,981 
30,000 
3,101,432 

The following table sets forth a summary of our general and administrative expenses for the years ended December 31, 2019 and 2018. The increase in general and

administration fees was mainly due to the issuance of share options to our directors, employees, external consultants and advisors in 2019 for motivation.

General and Administrative Fees:

Administrative fees
Payroll expenses
Rent and rates
Travelling expenses
Amortization and depreciation
Insurance
Advertising and marketing expenses
Other expenses

Total General and Administrative Fees

89

Year Ended 
December 31, 
2019

Year Ended 
December 31, 
2018

  $

-    $
4,329,039     
490,975     
797,446     
426,378     
620,312     
316,227     
393,048     
7,373,425     

448,718 
2,510,331 
681,502 
414,696 
244,839 
199,698 
125,388 
294,454 
4,919,626 

 
   
 
 
 
 
 
 
 
 
 
   
 
 
    
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
   
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Legal and professional fees

For the years ended December 31, 2019 and 2018, the legal and professional fees were $3,405,705 and $1,811,770, respectively. The increase in legal and professional

fees was mainly due to the increased business consultant services engaged in 2019 and the increased in token related expenses.

Other operating expenses

The following table sets forth a summary of our other operating expenses for the years ended December 31, 2019 and 2018. The decrease in other operating expenses

was mainly due to less corporate events held to promote the Company in 2019.

Other Operating Expenses:

Event and meeting expenses
Commission expenses
Other expenses

Total Other Operating Expenses

Other (loss) income

Year Ended 
December 31, 
2019

Year Ended 
December 31, 
2018

  $

93,382    $
2,761     
124,748     
220,891     

385,483 
1,517 
173,709 
560,709 

The following table sets forth a summary of our other (loss) income for the years ended December 31, 2019 and 2018. The interest expense, net, was mainly related

the convertible debts which were fully repaid in 2019. 

Other (loss) income:

(Loss) gain on investments in marketable securities, net
Gain on non-marketable investments
Gain (loss) on investments in derivatives, net
Gain on use of digital currencies
Gain on extinguishment of convertible debts
Changes in fair value of warrant liabilities
Interest expense, net
Rental income
Sundry income
Total other loss, net

Net loss attributable to Aptorum Group Limited

Year Ended 
December 31, 
2019

Year Ended 
December 31, 
2018

  $

(81,839)   $
1,147,190     
87,599     
46,717     
1,198,490     
(866,300)    
(3,699,672)    
16,868     
232,460     
(1,918,487)    

501,522 
- 
(974,444)
- 
- 
124,726 
(4,458,191)
- 
- 
(4,806,387)

For the years ended December 31, 2019 and 2018, net loss attributable to Aptorum Group Limited (excluding net loss attributable to non-controlling interests) was

$18,686,762and $14,831,723, respectively.

90

 
 
 
 
 
 
 
 
   
 
 
 
   
  
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
   
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
LIQUIDITY AND CAPITAL RESOURCES

The Company reported a net loss of $20,116,938, net operating cash outflow of $13,382,633 and working capital of $5,358,206 for the year ended December 31, 2019.
In addition, the Company had an accumulated deficit of $37,555,980 as of December 31, 2019. The Company’s operating results for future periods are subject to numerous
uncertainties and it is uncertain if the Company will be able to reduce or eliminate its net losses for the foreseeable future. If management is not able to generate significant
revenues from its product candidates currently in development, the Company may not be able to achieve profitability.

The Company’s principal sources of liquidity have been cash, marketable securities and line of credit facility from related parties. As of the date of issuance of the
consolidated financial statements, the Company has approximately $6.3 million of restricted and unrestricted cash and undrawn line of credit facility from related parties of
approximately $12.4 million. Based upon the current market price of the Company’s marketable securities, it anticipates it can liquidate such marketable securities, if necessary.
In addition, the Company will need to maintain its operating costs at a level which will not exceed such aforementioned sources of funds in order to continue as a going concern
for a period within one year after the issuance of its consolidated financial statements.

The Company believes that available cash, together with the efforts from aforementioned management plan and actions, should enable the Company to meet current
anticipated cash needs for at least the next 12 months after the date that the financial statements are issued and the Company has prepared the consolidated financial statements
on a going concern basis. However, the Company continues to have ongoing obligations and it expects that it will require additional capital in order to execute its longer-term
development plan. If the Company encounters unforeseen circumstances that place constraints on its capital resources, management will be required to take various measures to
conserve liquidity, which could include, but not necessarily be limited to, deferring some of its research, seeking to dispose of marketable securities and drawing down from
line of credit provided by related parties. Management cannot provide any assurance that the Company will raise additional capital if needed.

CONDENSED SUMMARY OF OUR CASH FLOWS

Net cash used in operating activities
Net cash used in investing activities
Net cash (used in) provided by financing activities
Net (decrease) increase in cash and restricted cash

Operating activities

  $

Year Ended 
December 31, 
2019
(13,382,633)   $
(108,061)    
(7,323,371)    
(20,814,065)    

Year Ended 
December 31, 
2018
(10,035,531)
(6,061,987)
25,478,949 
9,381,431 

Net cash used in operating activities amounted to $13.4 million and $10.0 million for the years ended December 31, 2019 and 2018. The increase in net cash used in

operating activities is mainly due to our increased net loss by $5.0 million, partly offset by the increase in non-cash share-based compensation by $1.6 million.

Investing activities

Net cash used in investing activities amounted to $0.1 million and $6.1 million for the years ended December 31, 2019 and 2018. The decrease in net cash used in
investing activities is mainly due to the decrease in purchases of property, plant and equipment by $4.8 million and increase in proceeds from sales of investment securities by
$1.0 million.

91

 
  
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
  
 
 
Financing activities

Net cash used in financing activities amounted to $7.3 million for the year ended December 31, 2019. Net cash provided by financing activities amounted to $25.5
million  for  the  year  ended  December  31,  2018.  It  changed  from  net  cash  provided  by  financing  activities  to  net  cash  used  in  financing  activities  is  due  to  the  payment  for
settlement of convertible debts of $13.6 million, and decrease in proceeds from issuance of convertible debts and shares by $16.1 million and $11.1 million respectively. It is
partly offset by the increase in loan from related parties by $6.3 million.

CAPITAL EXPENDITURES

Our capital expenditures were $0.9 million and $6.0 million for the years ended December 31, 2019 and 2018, respectively. These capital expenditures were incurred

primarily for investments in facilities, leasehold improvements, equipment and technology. 

RECENT ACCOUNTING PRONOUNCEMENTS

Recently adopted accounting pronouncements

In May 2014, the Financial Accounting Standards Board (FASB) issued Accounting Standards Update No. 2014-09, Revenue from Contracts with Customers (Topic
606)  (“ASU  2014-09”),  which  was  subsequently  modified  in  August  2015  by  ASU  2015-14,  Revenue  from  Contracts  with  Customers:  Deferral  of  the  Effective  Date.  The
Group  adopted  this  standard  effective  January  1,  2019  using  the  modified  retrospective  approach,  in  which  case  the  cumulative  effect  of  applying  the  standard  would  be
recognized at the date of initial application. The adoption does not have a material impact to the consolidated financial statements.

In January 2016, the FASB issued Accounting Standards Update No. 2016-01 (“ASU 2016-01”) “Financial Instruments-Overall (Subtopic 825-10): Recognition and
Measurement  of  Financial  Assets  and  Financial  Liabilities,”  which  amends  various  aspects  of  the  recognition,  measurement,  presentation,  and  disclosure  of  financial
instruments. The Group adopted ASU 2016-01 as of January 1, 2019 using the modified retrospective method for marketable equity securities and the prospective method for
non-marketable equity securities. The following table summarizes the changes to the consolidated balance sheet for the adoption of ASU 2016-01:

Accumulated deficit
Accumulated other comprehensive loss

December 31, 
2018
(17,379,185)   $
(1,484,688)   $

  $
  $

Adjustment 
due to ASU 
2016-01

(1,490,033)   $
1,490,033    $

January 1, 
2019
(18,869,218)
5,345 

The Group has elected to use the measurement alternative for non-marketable equity securities, defined as cost adjusted for changes from observable transactions for
identical or similar investments of the same issuer, less impairment. The adoption of ASU 2016-01 increases the volatility of other income (expense), net, as a result of the
unrealized gain or loss from the remeasurement of equity securities.

Recently issued accounting standards which have not yet been adopted

The Group is an “emerging growth company” as defined in the Jumpstart Our Business Startups Act of 2010 (the “JOBS Act”). Under the JOBS Act, the emerging
growth companies (“EGCs”) can delay adopting new or revised accounting standards issued subsequent to the enactment of the JOBS Act until such time as those standards
apply to private companies.

In  June  2016,  the  FASB  issued  ASU  2016-13,  Financial  Instruments—Credit  Losses  (“ASU  2016-13”).  Subsequently,  the  FASB  issued  ASU  2019-05,  Financial
Instruments- Credit Losses (Topic 326): Targeted Transition Relief. The amendments in ASU 2016-13 update guidance on reporting credit losses for financial assets. These
amendments affect loans, debt securities, accounts receivables, net investments in leases, off balance sheet credit exposures, reinsurance receivables, and any other financial
assets not excluded from the scope that have the contractual right to receive cash. The amendments are effective for fiscal years beginning after December 15, 2020, and interim
periods within those fiscal years. As an EGC the Group can adopt the amendment for fiscal years beginning after December 15, 2021, and interim period within those fiscal
years. The Group is currently evaluating the impact on its consolidated financial statements of adopting this standard.

92

 
 
 
   
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
In February 2016, the FASB issued ASU 2016-02, Leases (“ASU 2016-02”), which requires a lessee to recognize a right-of-use asset and a lease liability for operating
leases, initially measured at the present value of the future lease payments, in the balance sheet. ASU 2016-02 also requires a lessee to recognize a single lease cost, calculated
so that the cost of the lease is allocated over the lease term, generally on a straight-line basis. This new guidance is effective for fiscal years beginning after December 15, 2019.
Early adoption is permitted. The Group has evaluated the potential effects of adopting the provisions of ASU 2016-02 on its consolidated financial statements. The Group has
estimated that the operating lease right-of-use assets of $959,641, and operating lease liabilities of $982,288 will be recognized at January 1, 2020 in the consolidated financial
statements.

In August 2018, the FASB issued ASU 2018-13, Disclosure Framework – Changes to the Disclosure Requirements for Fair Value Measurement, which amends ASC
820,  Fair  Value  Measurement.  This  ASU  modifies  the  disclosure  requirements  for  fair  value  measurements  by  removing,  modifying,  or  adding  certain  disclosures.  The
amendments are effective for fiscal years beginning after December 15, 2019, and interim periods within those fiscal years. The removed and modified disclosures will be
adopted  on  a  retrospective  basis  and  the  new  disclosures  will  be  adopted  on  a  prospective  basis.  The  adoption  will  not  have  a  material  effect  on  the  Group’s  financial
statements.

In December 2019, the FASB issued Accounting Standards Update No. 2019-12, Income Taxes (Topic 740): “Simplifying the Accounting for Income Taxes” (“ASU
2019-12”), which simplifies the accounting for income taxes. This standard will be effective for fiscal years beginning after December 15, 2021, and interim periods within
those  fiscal  years,  on  a  prospective  basis,  and  early  adoption  is  permitted.  The  Group  is  currently  evaluating  the  impact  of  the  new  standard  on  its  consolidated  financial
statements.

The Group does not believe other recently issued but not yet effective accounting standards, if currently adopted, would have a material effect on the consolidated

financial position, statements of operations and cash flows.

RESEARCH AND DEVELOPMENT

As  of  December  31,  2019,  the  Company  has  obtained  12  exclusively  licensed  technologies  in  neurology,  infectious  diseases,  gastroenterology,  oncology,  surgical
robotics and natural health and is in the process of developing two “in-house” projects in the neurology area. For the years ended December 31, 2019 and 2018, the Group
incurred $6,939,051 and $3,101,432, respectively, on research and development expenses.  

OFF-BALANCE SHEET ARRANGEMENTS

As  at  December  31,  2019,  the  Company  did  not  have  any  off-balance  sheet  debt,  nor  do  we  have  any  transactions,  arrangements  or  relationships  with  any  special

purpose entities.

F. Contractual Obligations

The following table sets forth our contractual obligations as of December 31, 2019.

Operating lease commitments

93

Payment Due by Period
One to 
three years
US$
1,070,214     

Total
US$
1,070,214 

Three to 
five years
US$

- 

 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
   
 
 
 
 
 
 
Operating lease commitments

We have several operating leases, primarily for offices. Our principal executive offices are located in Hong Kong; we also have offices in London and Jersey City.
Payments  under  operating  leases  are  expensed  on  a  straight-line  basis  over  the  periods  of  the  respective  leases,  and  the  terms  of  the  leases  do  not  contain  rent  escalation,
contingent rent, and renewal or purchase options. The aggregate future minimum payment under these non-cancelable operating leases are summarizes in the table above.

CONTINGENT PAYMENT OBLIGATIONS

We have entered into agreements with independent third parties for purchasing office and laboratory equipment. As of December 31, 2019, we had non-cancellable

purchase commitments of $61,859.

We have additional contingency payment obligations under each of the license agreements, such as milestone payments, royalties, research and development funding,

if certain condition or milestone is met.

Milestone payments are to be made upon achievements of certain conditions, such as Investigational New Drugs (“IND”) filing or U.S. Food and Drug Administration
(“FDA”) approval, first commercial sale of the licensed products, or other achievements. The aggregate amount of the milestone payments that we are required to pay up to
different achievements of conditions and milestones for all the license agreements signed as of December 31, 2019 are below:

Drug molecules: up to the conditions and milestones of
Preclinical to IND filing
From entering phase 1 to before first commercial sale
First commercial sale
Net sales amount more than certain threshold in a year
Subtotal

Surgical robotics and medical devices: up to the conditions and milestones of
Before FDA approval
FDA approval obtained
Subtotal

Total

  $

Amount

372,564 
24,216,410 
15,656,410 
75,769,231 
116,014,615 

270,000 
200,000 
470,000 

  $

116,484,615 

For the years ended December 31, 2019 and 2018, we incurred $nil and $30,000 milestone payments, respectively. For the years ended December 31, 2019 and 2018,
we did not incur any royalties or research and development funding, respectively. As of December 31, 2019, no other milestone payments had been triggered under any of the
existing license agreements. 

G. Safe Harbor

This  annual  report  contains  forward-looking  statements  that  are  based  on  our  management’s  beliefs  and  assumptions  and  on  information  currently  available  to  us.
These statements involve known and unknown risks, uncertainties and other factors which may cause our actual results, performance or achievements to be materially different
from those expressed or implied by the forward-looking statements.

94

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
  
 
 
 
 
 
 
 
 
 
  
 
 
 
 
You can identify these forward-looking statements by words or phrases such as “may,” “will,” “expect,” “anticipate,” “aim,” “estimate,” “intend,” “plan,” “believe,”
“potential,”  “continue,”  “is/are  likely  to”  or  other  similar  expressions.  We  have  based  these  forward-looking  statements  largely  on  our  current  expectations  and  projections
about future events and financial trends that we believe may affect our financial condition, results of operations, business strategy and financial needs. These forward-looking
statements include, among other things, statements relating to:

● our goals and strategies;

● our future business development, financial conditions and results of operations;

● our expectations regarding demand for and market acceptance of our products once available;

● our expectations regarding our development and commercialization of our therapeutics;

● competition in our industry; and

● relevant government policies and regulations relating to our industry.

You should thoroughly read this annual report and the documents that we refer to in this annual report with the understanding that our actual results in the future may
be materially different from or worse than what we expect. We qualify all of our forward-looking statements by these cautionary statements. Other sections of this annual report
include  additional  factors  which  could  adversely  affect  our  business  and  financial  performance.  Moreover,  we  operate  in  an  evolving  environment.  New  risk  factors  and
uncertainties emerge from time to time and it is not possible for our management to predict all risk factors and uncertainties, nor can we assess the impact of all factors on our
business or the extent to which any factor, or combination of factors, may cause actual results to differ materially from those contained in any forward-looking statements.
Important risks and factors that could cause our actual results to be materially different from our expectations are generally set forth in “Item 3. Key Information—D. Risk
Factors” and elsewhere in this annual report.

The forward-looking statements made in this annual report relate only to events or information as of the date on which these statements are made in this annual report.
We undertake no obligation to update or revise any forward-looking statements, whether as a result of new information, future events or otherwise, after the date of this annual
report. You should not rely upon forward-looking statements as predictions of future events.

Item 6. DIRECTORS, SENIOR MANAGEMENT AND EMPLOYEES

A. Directors and Senior Management

Below is a list of our directors, senior management and any employees upon whose work we are dependent as of the date of this annual report, and a brief account of
the  business  experience  of  each  of  them.  The  business  address  for  the  directors  and  officers  of  Aptorum  Group  Limited  is  17  th   floor,  Guangdong  Investment  Tower,  148
Connaught Road Central, Hong Kong.

On October 10, 2019, Mr. Lui resigned from his position as Chief Business Officer.

Name
Executive Officers
Ian Huen
Darren Lui
Clark Cheng
Sabrina Khan
Thomas Lee
Angel Ng
Non-Management Directors
Charles Bathurst
Mirko Scherer
Justin Wu
Douglas Arner

Age

40
39
40
38
47
39

65
51
50
50

Position

  Founder, Chief Executive Officer and Executive Director
  President and Executive Director
  Chief Medical Officer and Executive Director
  Chief Financial Officer
  Head of Research and Development
  Chief Operating Officer

  Independent Non-Executive Director and Chair of Audit Committee
  Independent Non-Executive Director
  Independent Non-Executive Director and Chair of Compensation Committee
  Independent Non-Executive Director and Chair of Nominating and Corporate Governance Committee

95

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
   
 
 
 
 
 
Executive Officers

MR. IAN HUEN, Founder, Chief Executive Officer and Executive Director

Mr. Ian Huen is the Founder, Chief Executive Officer and Executive Director of Aptorum Group Limited. Mr. Huen is also Co-Founder of a Hong Kong company,
AENEAS CAPITAL LIMITED, a licensed corporation regulated by the Hong Kong Securities & Futures Commission as a Type 9 Asset Manager, since 2005. He has over 17
years of global asset management experience and previously covered the U.S. healthcare sector as an equity research analyst at Janus Henderson Group plc (formerly known as
Janus Capital). Mr. Huen was the financial advisor in the sale of Seng Heng Bank Limited (Macau) to Industrial and Commercial Bank of China in 2007 and was appointed as
the vice president of the Board of General Meeting in Industrial and Commercial Bank of China (Macau) Capital Limited in March 2007 for a term of 12 years until March
2019.

As a trustee board member of the Dr. Stanley Ho Medical Development Foundation, Mr. Huen facilitates advisory, development funding, access to research resources

across Asia and continues to establish relationships with leading academic institutions to propel innovations in healthcare.

Mr. Huen graduated from Princeton University with an A.B. degree in Economics in June 2001, earned a MA in Comparative and Public History from CUHK in June

2016. Mr. Huen is also a Chartered Financial Analyst (“CFA”).

MR. DARREN LUI ,  President and Executive Director

Mr. Darren Lui is the President and Executive Director of Aptorum Group Limited. Mr. Lui is also an Executive Director and Co-Founder of AENEAS CAPITAL

LIMITED, a licensed corporation regulated by the Hong Kong Securities & Futures Commission as a Type 9 Asset Manager.

Mr. Lui was previously the founder, director and responsible officer of Varengold Capital Securities Limited and Varengold Capital Asset Management Limited in

Hong Kong, with subsidiaries operating brokerage, asset management, and investment businesses in Asia established since January 2015.

Prior to this, he was a Director within the Fixed Income Group of Barclays Capital, where he spent over nine years from September 2005 to February 2014 developing
and establishing their London, Singapore and New York structuring teams. From September 2002 to August 2005 he was qualified as a Chartered Accountant with Ernst &
Young LLP (London), specializing in capital markets advisory.

Mr. Lui graduated with First-Class Honors from Imperial College, London with a BSc degree in Biochemistry in June 2002. He is a Chartered Accountant (ICAS), a

CFA, and an Associate of Chartered Institute of Securities & Investments (UK).

DR. CLARK CHENG, Chief Medical Officer and Executive Director, Aptorum Group Limited
Executive Director, Aptorum Medical Limited

Dr. Clark Cheng is the Chief Medical Officer and Executive Director of Aptorum Group Limited; he is also an executive director of AML. Prior to this appointment,
Dr. Cheng served as the Operations Director since 2009 of Raffles Medical Group, and the company’s Deputy General Manager since 2011, representing an expanded role in
the  region.  During  his  employment  with  Raffles  Medical  Group,  he  practiced  as  a  full-time  medical  administrator  to  overlook  Raffles  Medical  Hong  Kong  operations  and
supported its development in the PRC.

96

 
 
 
 
 
 
 
 
 
 
 
 
 
 
Dr. Cheng received his medical training at the University College London, UK, in 2005 and completed his foundation year training at The Royal Free Hospital in
2007. Pursuing his career in surgery, he obtained his membership of the Royal College of Surgeons of Edinburgh in 2009 and commenced his training in Orthopaedics where he
practiced as Specialist Registrar at the National University Hospital, Singapore, with special interest in Traumatology of the lower limbs. In 2011, he also obtained his Master in
Business & Administration with distinction from Tippie College of Business, University of Iowa, US.

Dr. Cheng is an active member of the Singapore Chamber of Commerce, and appears regularly as a guest speaker for The Open University of Hong Kong, The Airport

Authority Hong Kong and other corporate events.

MISS SABRINA KHAN, Chief Financial Officer

Miss  Sabrina  Khan  is  the  Chief  Financial  Officer  of  Aptorum  Group  Limited;  she  is  also  the  company  secretary.  She  leads  the  Company’s  financial  strategy  and
operations, as well as Investor Relations. She has extensive experience working at KPMG (Hong Kong) and Ernst & Young LLP (Hong Kong). She was a regional financial
controller in Asia for St. James’s Place Wealth Management (Hong Kong), which St. James’s Place Wealth Management Group (LON: STJ) is a FTSE100 company. Prior to
that, she served as the senior finance manager of Neo Derm Group, a leading medical aesthetic group in Asia, in charge of its finance-related matters and expansion in the PRC.
From August 2009 to May 2013, she served as the senior finance manager of Global Cord Blood Corporation (formerly known as China Cord Blood Corporation (NYSE:
CO)), which was previously a subsidiary of Golden Meditech Holdings Limited (HK: 801), where she played an important role with the NYSE listing filings, investor relations
and  post  IPO  reporting.  During  her  employment  with  Global  Cord  Blood  Corporation,  she  was  actively  involved  in  the  issuance  of  convertible  bonds  to  Kohlberg  Kravis
Roberts  and  various  merger  and  acquisition  projects,  facilitated  and  liaised  with  investment  banks  on  due  diligence,  deal  structuring,  and  also  involved  in  commercial
negotiation with respect to major contract terms.

Miss Khan qualified as certified public accountant and graduated with a BBA (Hons) in Accounting & Finance at The University of Hong Kong in 2003. She was

qualified as an Advanced China Certified Taxation Consultant in 2015.

DR. THOMAS LEE, Head of Research and Development

Dr. Thomas Lee serves as the Head of R&D of Aptorum Group Limited since April 1, 2019; he is also the Chairman of our Scientific Advisory Board. Dr. Lee served
as Chief Executive Officer and Chief Scientific Officer of Aptorum Therapeutics Limited, a wholly-owned therapeutics subsidiary of Aptorum Group Limited from January
2018  to  March  2019.  Prior  to  that,  Dr.  Lee  served  as  an  Assistant  Professor  in  the  School  of  Pharmacy,  Faculty  of  Medicine,  The  Chinese  University  of  Hong  Kong  from
August 2013 to January 2018. Dr. Lee’s key area of research involves drug delivery with specialties including: formulation development of poorly soluble compounds, oral
delivery, Nanotechnology, and similar fields.

Prior to academia, Dr. Lee accumulated big-pharma experience from the decade he spent at two multinational pharmaceutical companies in the U.S. From November
2008 to July 2013, Dr. Lee worked at Celgene Corporation as a Senior Scientist of the Formulations Research & Development. From June 2003 to November 2008, Dr. Lee
worked at Novartis Pharmaceuticals Corporation, as a Principal Scientist.

Dr. Lee graduated with B.Pharm. (Hons) Degree from The Chinese University of Hong Kong in December 1995, and received his Ph.D. in Pharmaceutical Sciences

(Drug Delivery) from the University of Wisconsin-Madison in the U.S in May 2003. 

DR. ANGEL NG, Chief Operating Officer

Dr. Angel Ng serves as the Chief Operating Officer (“COO”) of Aptorum Group Limited since April 1, 2019. Dr. Ng. served as the COO of Aptorum Therapeutics
Limited, a wholly-owned therapeutics subsidiary of Aptorum Group Limited from September 2017 to March 2019. During this time, Dr. Ng led Aptorum Therapeutics Limited
and  its  subsidiaries’  operations  and  business  strategies.  Dr.  Ng  has  extensive  experience  in  project  management  with  Innovation  and  Technology  government  funds  and
academic institutions.

97

 
 
 
 
 
 
 
 
 
 
 
 
 
Since  September  2016,  Dr.  Ng  works  as  a  Research  Officer  cum  Project  Manager  at  The  University  of  Hong  Kong  (“HKU”)  in  project  management  for  various
research projects including government funded project of novel medical device. During this time, Dr. Ng led the research team towards cadaveric trial for a novel soft robotics
medical  device  and  coordinated  all  research  related  agreements.  During  December  2014  to  September  2015,  Dr.  Ng  served  as  Project  Manager  at  Hong  Kong  Science  &
Technology  Parks  Corporation  (“HKSTP”),  where  she  worked  on  technology  transfer  and  commercialization  for  research  and  development  projects  through  partnerships
between local universities and the worldwide network and expertise of the Oxford University commercial arm. Dr. Ng also worked for The Chinese University of Hong Kong
(“CUHK”) as Project Manager from September 2007 to January 2009. She managed a HK$60M government funded R & D project with a team of specialists in CUHK where
she  kept  close  liaison  with  industry  and  government  authorities.  Dr.  Ng  was  in  the  precision  chemical  machining  industry  from  2003  to  2007,  where  she  managed  the
manufacturing team and business operations in PRC.

Dr. Ng serves as a Director of Tecford Trading & Technology Company Limited since December 2017. Dr. Ng graduated with a B.Sc (Hons) from Department of
Chemistry at HKU in December 2002, received her M.Sc in Composite Materials from Imperial College London in November 2003 and obtained her Ph.D. in Mechanical
Engineering from HKU in December 2015.

Independent Non-Executive Directors

MR. CHARLES BATHURST

Mr.  Bathurst  is  an  Independent  Non-Executive  Director  of  Aptorum  Group  Limited.  He  has  over  41  years’  experience  of  management  and  senior  executive  roles
primarily  in  financial  services.  In  2011,  he  set  up  his  own  independent  consultancy  service,  Summerhill  Advisors  Limited,  advising  on  management  structure,  business
development, financial reporting, internal audit controls and compliance to both emerging and multinational companies. Today he holds Non-Executive and Advisory board
positions on fast-growing companies in healthcare, technology and financial services.

Prior  to  establishing  Summerhill,  he  served  as  a  Director  for  J.O.  Hambro  Investment  Management  from  September  2008  to  August  2011,  where  he  oversaw  the
restructuring  and  commercialization  a  range  of  in-house  investment  funds.  He  was  appointed  to  the  management  board  and  supervised  reporting  teams  including  Business
development, accounting teams, regulatory reporting teams and internal controls.

From April 2004 to March 2008, Mr. Bathurst served in multiple roles at Old Mutual Asset Managers (UK), including being a member of the senior management team
and head of international sales. Duties included business development, launching new investment funds, recruitment, establishing and supervision of regulatory and financial
reporting teams, as well as ensuring compliance with funds’ regulatory requirements and corporate governance standards.

Prior to this, Mr. Bathurst was an advisor to Lion Capital Advisors Limited from April 2003 to March 2004, and from June 2002 to March 2003 business development

reporting to the board of management of LCF Rothschild Asset Management Limited.

From April 1995 to March 2002, Mr. Bathurst joined a newly formed alternative investment management team at Credit Agricole Asset Management, establishing the
London  Branch  as  the  Managing  Director  in  1998.  He  was  responsible  for  the  recruitment  and  development  strategy  for  marketing,  sales,  investment,  financial  reporting,
compliance and regulatory controls and investor relations.

Between the period of September 1989 and December 1994, Mr. Bathurst worked for GNI, the largest futures and options execution and clearing broker on the London
International Financial futures Exchange, where he focused on marketing to European and Middle East financial institutions. In 1991, he joined a new management team to
launch a series of specialist investment funds while serving as the Head of Sales and Product Development.

Mr. Bathurst graduated from the Royal Military Academy Sandhurst in November 1974 and commissioned into the British Army serving in the UK and Germany.

98

 
 
 
 
 
 
 
 
 
 
 
 
 
DR. MIRKO SCHERER

Dr. Mirko Scherer is an Independent Non-Executive Director of Aptorum Group Limited. Dr. Scherer has been serving as the Chief Executive Officer at CoFeS China
(formerly known as “TVM Capital China”) in Hong Kong since March 2015. CoFeS China focuses on cross-border activities in the life science industry between China and the
West. CoFeS China acts as a bridge between China and the West, assisting Chinese investors and pharmaceutical companies accessing western innovations, while collaborating
with innovative life science companies from the West to enter the fast-growing China market.

Dr. Mirko Scherer has served on the Board of the Frankfurt Stock Exchange from 2005 to 2007 and has been a board member of the Stichting Preferente Aandelen
QIAGEN since 2004. From August 2016 through July 2018, Dr. Scherer served as a Non-Executive board member of Quantapore Inc. and from April 2015 through September
2017, he was a director of China BioPharma Capital I, (GP).

Dr. Scherer is an experienced biotechnology executive and has led numerous financing M&A and licensing transactions, in both public and private markets, in Europe
and the U.S. for over 20 years. He consulted MPM Capital for the period between July 2012 and December 2014. Dr. Scherer was also a co-founder and partner of KI Kapital
from November 2008 to February 2014, a company which was specialized in providing consultation in life science industry. 

Prior  to  working  in  the  venture  capital  industry,  Dr.  Scherer  co-founded  GPC  Biotech  (Munich  and  Princeton,  NJ)  and  served  as  the  Chief  Financial  Officer  from
October 1997 to December 2007. GPC Biotech engaged in numerous pharmaceutical alliances with companies such as Sanofi Aventis, Boehringer Ingelheim, Altana (now part
of Takeda), Yakult, and Pharmion (now part of Celgene). Dr. Scherer has established an extensive network in the U.S., European, and China’s biotechnology and venture capital
industry. Prior to his time at GPC Biotech, Dr. Scherer worked as a consultant from May 1993 to June 1994 at the Boston Consulting Group.

Dr. Scherer earned a Doctorate in Finance from the European Business School in Oestrich-Winkel/Germany in 1998, a MBA from Harvard Business School in June

1996, and a degree in Business Administration from the University of Mannheim/Germany in February 1993.

DR. JUSTIN WU

Dr.  Justin  Wu  is  an  Independent  Non-Executive  Director  of  Aptorum  Group  Limited.  He  also  has  been  serving  as  the  Chief  Operating  Officer  of  CUHK  Medical
Centre  since  August  2018.  He  served  as  the  Associate  Dean  (Development)  of  the  Faculty  of  Medicine  at  CUHK  from  July  2014  to  June  2018  and  the  Associate  Dean
(Clinical) of the Faculty of Medicine at CUHK from December 2012 to July 2014, and has been serving a Professor in the Department of Medicine and Therapeutics since
2009, also the Director of the S. H. Ho Center for Digestive Health, a research center specializing in functional gastrointestinal diseases, reflux and motility disorders, and
digestive endoscopy. Active in research publications and assessments, Dr. Wu served as the International Associate Editor of American Journal of Gastroenterology (“AJG”),
and Managing Editor of Journal of Gastroenterology and Hepatology (“JGH”). He is also the Secretary General of the Asian Neurogastroenterology and Motility Association
(“ANMA”), and Secretary General of the Asia Pacific Association of Gastroenterology (“APAGE”).

Dr.  Wu  has  won  a  number  of  awards  including  the  Emerging  Leader  in  Gastroenterology  Award  by  the  JGH  Foundation,  and  the  Vice  Chancellor’s  Exemplary
Teaching Award at CUHK. Aside from his expertise in gastroenterology, Dr. Wu has an extensive interest in the development of Integrative Medicine in Hong Kong. He is the
Founding Director of the Hong Kong Institute of Integrative Medicine, working closely with the School of Chinese Medicine to develop an integrative model at an international
level. The institute aims at maximizing the strength of Western and Chinese medicine to provide a safe and effective integrative treatment to patients.

Dr. Wu served as a consultant and an advisory board member for Takeda Pharmaceutical, AstraZeneca, Menarini, Reckitt Benckiser and Abbott Laboratory. He earned
his Bachelor of Medicine and Bachelor of Surgery Degree (1993), and his Doctor of Medicine Degree (2000) from CUHK. Additionally, he attained Fellowships of the Royal
College of Physicians of Edinburgh and London in 2007 and 2012 respectively, Fellowship of the Hong Kong College of Physicians in 2002, Fellowship of the Hong Kong
Academy of Medicine in 2002, and has been an American Gastroenterological Association Fellow since 2012.

99

 
 
 
 
 
 
  
 
 
 
 
 
PROFESSOR DOUGLAS ARNER

Professor Douglas W. Arner is an Independent Non-Executive Director of Aptorum Group Limited. He is the Kerry Holdings Professor in Law at the University of
Hong Kong and one of the world’s leading experts on financial regulation, particularly the intersection between law, finance and technology. At HKU, he is Faculty Director of
the Faculty of Law’s LLM in Compliance and Regulation, LLM in Corporate and Financial Law and Law, Innovation, Technology and Entrepreneurship (LITE) Programmes.
He is a Senior Visiting Fellow of Melbourne Law School, University of Melbourne, and an Executive Committee Member of the Asia Pacific Structured Finance Association.
He led the development of the world’s largest massive open online course (MOOC): Introduction to FinTech, launched on edX in May 2018, now with over 35,000 learners
spanning every country in the world. From 2006 to 2011, he was the Director of HKU’s Asian Institute of International Financial Law, which he co-founded in 1999, and from
2012 to 2018, he led a major research project on Hong Kong’s future as a leading international financial center. He was an inaugural member of the Hong Kong Financial
Services Development Council, of which he was a member from 2013-2019. Douglas served as Head of the HKU Department of Law from 2011 to 2014 and as Co-Director of
the Duke University-HKU Asia-America Institute in Transnational Law from 2005 to 2016. He has published fifteen books and more than 150 articles, chapters and reports on
international financial law and regulation, including most recently Reconceptualising Global Finance and its Regulation (Cambridge 2016) (with Ross Buckley and Emilios
Avgouleas).  The  RegTech  Book 
recent  papers  are  available  on  SSRN  at
https://papers.ssrn.com/sol3/cf_dev/AbsByAuth.cfm?per_id=524849, where he is among the top 150 authors in the world by total downloads.

Janos  Barberis  and  Ross  Buckley).  His 

(forthcoming  2019,  with 

Douglas has served as a consultant with, among others, the World Bank, Asian Development Bank, APEC, Alliance for Financial Inclusion, and European Bank for
Reconstruction and Development, and has lectured, co-organized conferences and seminars and been involved with financial sector reform projects around the world. He has
been a visiting professor or fellow at Duke, Harvard, the Hong Kong Institute for Monetary Research, IDC Herzliya, McGill, Melbourne, National University of Singapore,
University of New South Wales, Shanghai University of Finance and Economics, and Zurich, among others. Since March 1, 2018, Professor Arner is the Senior Regulatory &
Strategic Advisor of AENEAS CAPITAL LIMITED, a licensed corporation regulated by the Hong Kong Securities & Futures Commission as a Type 9 Asset Manager.

He holds a BA from Drury College (where he studied literature, economics and political science) in 1992, a JD (cum laude) from Southern Methodist University in

1995, an LLM (with distinction) in banking and finance law from the University of London (Queen Mary College) in 1996, and a PhD from the University of London in 2005.

B. Compensation of Directors and Executive Officers

The following table sets forth all cash compensation paid by us, as well as certain other compensation paid or accrued, in fiscal 2019 to each of the following named
executive officers. The total amount was $2.7 million in 2019. A total 69,819 options were awarded to directors and executive officers in 2019. This amount does not include
business travel, relocation, professional and business association dues and expenses reimbursed to such persons, and other benefits commonly reimbursed or paid by companies
in our industry. In addition to the compensation included in the table below, which covers the fiscal year ended December 31, 2019, we issued an aggregate of 296,769 options
to  the  persons  included  in  the  table  below  since  January  1,  2020  through  the  date  of  this  report.  (See  “Item  6.  Directors,  Senior  Management  and  Employees  –  E.  Share
Ownership”)

100

 
 
 
 
 
 
 
 
The base salary of Mr. Huen and Dr. Cheng shall remain unchanged in 2020, and the base salary of Mr. Lui has been adjusted to US$6,667 per month with effect from
January 10, 2020 due to his resignation as Chief Business Officer. The Company entered into a consulting agreement with CGY Investment Limited effective on January 10,
2020, with a monthly service fee of HK$104,000 (approximately US$13,333 per month). CGY is 50% held by Seng Fun Yee (Mr. Lui’s spouse), 25% held by Mandy Lui (Mr.
Lui’s sister) and 25% held by Adrian Lui (Mr. Lui’s brother). Mr. Lui controls and/or has substantial influence on the disposition and voting rights of the shares held by his
spouse,  but  no  such  control  over  the  shares  held  by  his  sister  or  brother.  Hence,  for  the  purposes  of  this  filing  and  disclosure,  50%  of  the  consulting  service  fee  and  share
options will be deemed as Mr. Lui’s compensation.

Fiscal 
Year

Salary 
($) (1)

Bonus 
($)

Non-Equity 
Incentive 
Plan 
Compensation 
($) (10)

Option 
Awards 
($)

Change in 
Pension 
Value and 
Nonqualified 
Deferred 
Compensation 
Earnings 
($)

All Other 
Compensation 
($)

Total 
($)

2019     

288,000     

24,000     

148,275     

129,791     

2,308     

- 

    592,374 

2019     

240,000     

20,000     

148,275     

129,791     

2,308     

- 

    540,374 

2019     

279,295     

23,275     

148,275     

129,791     

2,308     

112(6)    583,056 

2019     

196,000     

65,333     

70,040     

61,310     

2,308     

- 

    394,991 

2019     

168,000     

18,667     

148,275     

129,791     

2,308     

- 

    467,041 

2019     

72,000     

8,000     

11,440     

10,012     

2,308     

- 

    103,760 

2019     

30,000     

-     

-     

-     

-     

- 

    30,000 

Name and
Principal
Position
Ian Huen (2)
(CEO)

Darren Lui (3)
(CBO,
President)

Clark Cheng (4)
(CMO)

Sabrina Khan
(5) 
(CFO)

Thomas Lee (7) 
(Head of R&D)    

Angel Ng (8) 
(COO)

Dr. Keith Chan
(9)

(1) The Appointment Letters provide salaries in HKD; for purposes of this table, we used a conversion ratio of HKD7.80 to USD1.00 to determine the salary in USD.

(2) Mr. Huen is the founder and was appointed as the Chief Executive Officer of Aptorum Group on October 1, 2017. Before that, he was a director of the Company.

(3) Mr. Lui was appointed as the Chief Business Officer and President of Aptorum Group on October 1, 2017 and resigned as Chief Business Officer on October 10, 2019.

(4) Dr. Cheng was appointed as the Chief Medical Officer of Aptorum Group on January 2, 2018.

(5) Miss Khan was appointed as the Chief Financial Officer of Aptorum Group on October 16, 2017.

(6) Pursuant to Dr. Cheng’s appointment letter, Dr. Cheng received a share bonus of 526 ordinary shares of AML, representing 5% of AML’s issued and outstanding ordinary
shares  (the  “Share  Bonus”)  in  2018.  Based  on  the  Company’s  financial  position  and  Dr.  Cheng’s  performance,  on  each  anniversary  of  Dr.  Cheng’s  employment
commencement  date,  the  Share  Bonus  is  eligible  to  increase  by  1%  of  AML’s  then  issued  and  outstanding  ordinary  share  count  per  year  up  to  a  maximum  additional
amount of 5% of AML’s then issued and outstanding ordinary share count by the 5th anniversary from his employment commencement date. As of the date of this annual
report,  Dr.  Cheng  received  a  total  of  753  ordinary  shares  of  AML,  representing  7%  of  AML’s  issued  and  outstanding  ordinary  shares;  during  fiscal  2019,  Dr.  Cheng
received 112 ordinary shares of AML, the cash value of which is USD112.

 (7) Dr. Lee was appointed as the Head of Research & Development of Aptorum Group on April 1, 2019. Before that, he was the Chief Executive Officer and Chief Scientific
Officer of Aptorum Therapeutics Limited, a wholly-owned therapeutics subsidiary of Aptorum Group Limited from January 2018 to March 2019, for which he received
an aggregate of $56,000 for the period from January 1, 2019 to March 31, 2019. This table only includes the compensation paid or payable to Dr. Lee for the period from
April 1, 2019 to December 31, 2019.

 (8) Dr. Ng was appointed as the Chief Operating Officer of Aptorum Group on April 1, 2019. Before that, she was the Chief Operating Officer of Aptorum Therapeutics
Limited, a wholly-owned therapeutics subsidiary of Aptorum Group Limited from September 2017 to March 2019, for which she received an aggregate of $24,000 for the
period from January 1, 2019 to March 31, 2019. This table only includes the compensation paid or payable to Dr. Ng for the period from April 1, 2019 to December 31,
2019.

 (9) As described elsewhere in this report, we were party to a consulting agreement dated August 18, 2017 with GloboAsia, LLC, for which Dr. Chan serves as the Director of
International  Affairs.  All  fees  payable  to  Dr.  Chan  for  services  provided  to  us  as  Chief  Scientific  Officer  were  paid  to  GloboAsia,  LLC,  pursuant  to  the  consulting
agreement and appointment letter with Dr. Chan. Following Dr. Chan’s resignation in March 2019, the consulting agreement was terminated effective as of March 31,
2019.  (See “Item 7. Major Shareholders and Related Party Transactions – Consulting Arrangements”) No other compensation was paid or payable to Dr. Chan for the
period from April 1, 2019 to December 31, 2019.

(10) Represents deferred bonuses provided to directors and executive officers, which will be vested after 1-2 year vesting period.

101

 
 
 
 
   
   
   
   
   
   
 
 
 
   
 
   
      
      
      
      
      
      
  
   
  
   
 
   
      
      
      
      
      
      
  
   
  
   
 
   
      
      
      
      
      
      
  
   
  
   
 
   
      
      
      
      
      
      
  
   
  
 
   
      
      
      
      
      
      
  
   
  
   
 
   
      
      
      
      
      
      
  
   
  
   
 
 
 
 
  
 
 
 
 
 
 
Compensation of Non-executive Directors

The following table sets forth information for the fiscal year ended December 31, 2019 regarding the compensation of our non-executive directors who at December
31, 2019, were not also named executive officers. A total 8,044 options were awarded to non-executive directors in 2019. In addition to the compensation included in the table
below,  which  covers  the  fiscal  year  ended  December  31,  2019,  we  issued  an  aggregate  of  37,460  options  to  the  persons  included  in  the  table  below  since  January  1,  2020
through the date of this report.

Name
Charles Bathurst  (1)
Mirko Scherer  (3)
Justin Wu  (4)
Douglas Arner  (5)

Fees 
Earned or 
Paid in 
Cash 
($)

Stock 
Awards 
($)

Option 
Awards 
($)

Non-Equity 
Incentive 
Plan 
Compensation
($)

Non-qualified 
Deferred 
Compensation
Earnings 
($)

All Other 
Compensation
($)

Total 
($)

48,000(2) 
30,000 
30,000 
30,000 

        -     
-     
-     
-     

14,832     
14,832     
14,832     
14,832     

12,987     
12,987     
12,987     
12,987     

        -     
-     
-     
-     

        -     
-     
-     
-     

75,819 
57,819 
57,819 
57,819 

(1) Mr. Bathurst was appointed as one of our directors as of October 2017 and pursuant to his appointment letter, is entitled to receive $48,000 annually for his combined

services as a director and a committee member.

(2) Mr. Bathurst’s appointment Letter provides his salary in GBP. For purposes of this table, we used a conversion ratio of GBP0.75 to USD1.00 to determine his salary in

USD; however, the ultimate amount paid is based on the actual rate as of the relevant pay day at the end of each month.

(3) Dr. Scherer was appointed as one of our directors as of October 2017 and pursuant to his appointment letter, is entitled to receive $30,000 annually for his services as a

director.

(4) Dr. Wu was appointed as one of our directors as of October 2017 and pursuant to his appointment letter, is entitled to receive $30,000 annually for his combined services as

a director and a committee member.

(5) Professor Arner’s  appointment  as  one  of  our  directors  became  effective  as  of  April  1,  2018.  Pursuant  to  his  appointment  letter,  Professor Arner  is  entitled  to  receive

$30,000 annually for his combined services as a director and a committee member.

2017 Share Option Plan

On October 13, 2017, we adopted the 2017 Share Option Plan (the “Option Plan”). Under the Option Plan, up to an aggregate of 5,500,000 Class A Ordinary Shares
(subject to subsequent adjustments described more fully below) may be issued pursuant to awards under the Option Plan. Subsequent adjustments include that on each January
1, starting with January 1, 2020, an additional number of shares equal to the lesser of (A) 2% of the outstanding number of Class A Ordinary Shares (on a fully diluted basis) on
the  immediate  preceding  December  31,  and  (B)  such  lower  number  of  Class  A  Ordinary  Shares  as  may  be  determined  by  the  board  of  directors,  subject  in  all  cases  to
adjustments as provided in Section 10 of the Option Plan. Awards will be made pursuant to agreements and may be subject to vesting and other restrictions as determined by
the board of directors.

We adopted the Option Plan to provide additional incentives to selected directors, officers, employees and consultants, and enable our Company to obtain and retain
the services of these individuals. The Option Plan will enable us to grant options, restricted shares or other awards to our directors, employees and consultants. Awards will be
made pursuant to agreements and may be subject to vesting and other restrictions as determined by the board of directors.

102

 
 
 
 
 
 
 
   
   
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
As of the date of this report, we have granted options that can be exercised for an aggregate of 773,104 Class A Ordinary Shares. 218,222 options were granted on
March 15, 2019. One-half of each option grant vests on January 1, 2020 and the other half vests on January 1, 2021. The exercise price is $12.91 per share, which was based on
the closing price of the shares traded on the NASDAQ stock exchange on the trading day preceding the grant date. 554,882 options were granted on March 16, 2020. One-half
of each option grant vests on January 1, 2021 and the other half vests on January 1, 2022. The exercise price is $2.99 per share, which was based on the average closing price of
the shares traded on the NASDAQ stock exchange for the five trading days immediately preceding the grant date.

C. Board Practices

Board of Directors

Our  Board  of  Directors  currently  consists  of  seven  members,  all  of  whom  were  elected  pursuant  to  our  current  Memorandum  and  Articles.  Our  nominating  and
governance committee and board of directors will consider a broad range of factors relating to the qualifications and background of nominees, which may include diversity and
is  not  limited  to  race,  gender  or  national  origin.  We  have  no  formal  policy  regarding  board  diversity.  Our  nominating  and  governance  committee’s  and  board  of  directors’
priority  in  selecting  board  members  is  identification  of  persons  who  will  further  the  interests  of  our  shareholders  through  his  or  her  established  record  of  professional
accomplishment, the ability to contribute positively to the collaborative culture among board members, knowledge of our business, understanding of the competitive landscape
and professional and personal experiences and expertise relevant to our growth strategy.

Committees of the Board of Directors

Our Board of Directors has established an audit committee, a compensation committee and a nominating and corporate governance committee, each of which operates
pursuant to a separate charter adopted by our Board of Directors. The composition and functioning of all of our committees will comply with all applicable requirements of the
Sarbanes-Oxley Act, the Dodd-Frank Wall Street Reform and Consumer Protection Act, the NASDAQ Global Market and SEC rules and regulations. Our Board of Directors
may establish other committees from time to time.

Audit Committee

Charles Bathurst, Douglas Arner and Justin Wu currently serve on the audit committee, which is chaired by Charles Bathurst. Our Board of Directors has determined
that each member of the audit committee is “independent” for audit committee purposes as that term is defined in the rules of the SEC and the applicable rules of the NASDAQ
Global Market. The audit committee’s responsibilities include:

● selecting  and  appointing  our  independent  registered  public  accounting  firm,  and  approving  the  audit  and  permitted  non-audit  services  to  be  provided  by  our

independent registered public accounting firm;

● evaluating the performance and independence of our independent registered public accounting firm;

● monitoring  the  integrity  of  our  financial  statements  and  our  compliance  with  legal  and  regulatory  requirements  as  they  relate  to  our  financial  statements  or

accounting matters;

● reviewing the adequacy and effectiveness of our accounting and internal control policies and procedures;

● establishing procedures for the receipt, retention and treatment of accounting-related complaints and concerns;

● reviewing and discussing with the independent registered public accounting firm the results of our year-end audit, and recommending to our Board of Directors,

based upon such review and discussions, whether our financial statements shall be included in our annual report on Form 20-F;

● reviewing all related party transactions for potential conflict of interest situations and approving all such transactions; and

● reviewing the type and presentation of information to be included in our earnings press releases, as well as financial information and earnings guidance provided

by us to analysts and rating agencies.

103

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Audit Committee Financial Expert

We have one financial expert as of the date of this report. Our Board of Directors has determined that Mr. Charles Bathurst, Chair of our audit committee, qualifies as

an “audit committee financial expert” as defined in the SEC rules and satisfies the financial sophistication requirements of The NASDAQ Global Market.

Compensation Committee

Charles Bathurst, Douglas Arner and Justin Wu currently serve on the compensation committee, which is chaired by Justin Wu. Our Board of Directors has determined
that  each  member  of  the  compensation  committee  is  “independent”  as  that  term  is  defined  in  the  applicable  rules  of  the  NASDAQ  Global  Market.  The  compensation
committee’s responsibilities include:

● reviewing the goals and objectives of our executive compensation plans, as well as our executive compensation plans in light of such goals and objectives;

● evaluating the performance of our executive officers in light of the goals and objectives of our executive compensation plans and recommending to our Board of

Directors with respect to the compensation of our executive officers;

● reviewing  the  goals  and  objectives  of  our  general  compensation  plans  and  other  employee  benefit  plans  as  well  as  our  general  compensation  plans  and  other

employee benefit plans in light of such goals and objectives;

● retaining and approving the compensation of any compensation advisors;

● reviewing  all  equity-compensation  plans  to  be  submitted  for  shareholder  approval  under  the  NASDAQ  listing  rules,  and  reviewing  and  approving  all  equity-

compensation plans that are exempt from such shareholder approval requirement;

● evaluating the appropriate level of compensation for board and board committee service by non-employee directors; and

● reviewing and approving description of executive compensation included in our annual report on Form 20-F.

Nominating and Corporate Governance Committee

Charles  Bathurst,  Douglas Arner  and  Justin  Wu  currently  serve  on  the  nominating  and  corporate  governance  committee,  which  is  chaired  by  Professor  Arner.  Our
Board of Directors has determined that each member of the nominating and corporate governance committee is “independent” as that term is defined in the applicable rules of
the NASDAQ Global Market. The nominating and corporate governance committee’s responsibilities include:

● assisting our Board of Directors in identifying prospective director nominees and recommending nominees for election by the shareholders or appointment by our

Board of Directors;

● advising the board of directors periodically with respect to significant developments in the law and practice of corporate governance as well as our compliance
with applicable laws and regulations, and making recommendations to our Board of Directors on all matters of corporate governance and on any corrective action
to be taken;

● overseeing the evaluation of our Board of Directors; and

● recommending members for each board committee of our Board of Directors.

104

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Scientific Advisory Board      

We restructured the Scientific Assessment Committee into a newly formed Scientific Advisory Board. The Scientific Advisory Board shall help the Company sharpen
its  focus  on  innovation  and  technological  advancements  and  address  critical  scientific  challenges  in  our  research  and  development;  it  will  provide  overall  advise  on  the
scientific development of the company. As of the date of this annual report, we have 21 members on this board.

Family Relationships

There is no family relationship among any of our directors or executive officers.

Duties of Directors

Under Cayman Islands law, our directors have a duty to act honestly, in good faith and bona fide with a view to our best interests. Our directors also have a duty to
exercise the care, diligence and skills that a reasonably diligent person would exercise in comparable circumstances. In fulfilling their duty of care to us, our directors must
ensure compliance with our Memorandum and Articles. We have the right to seek damages if a duty owed by our directors is breached.

The functions and powers of our Board of Directors include, among others:

● appointing officers and determining the term of office of the officers;

● authorizing the payment of donations to religious, charitable, public or other bodies, clubs, funds or associations as deemed advisable;

● exercising the borrowing powers of the company and mortgaging the property of the company;

● executing checks, promissory notes and other negotiable instruments on behalf of the company; and

● maintaining or registering a register of mortgages, charges or other encumbrances of the company.

Terms of Directors and Officers

There is no Cayman Islands law requirement that a director must hold office for a certain term and stand for re-election unless the resolutions appointing the director
impose a term on the appointment. The Memorandum and Articles provide that our directors will be elected annually to serve a term of one year, or until his or her earlier
resignation or removal. We do not have any age limit requirements relating to our director’s term of office.

Our Memorandum and Articles also provide that our directors may be removed by the directors or ordinary resolution of the shareholders, and that any vacancy on our
Board of Directors, including a vacancy resulting from an enlargement of our Board of Directors (which shall not exceed any maximum number stated therein), may be filled
by ordinary resolution or by vote of a majority of our directors then in office.

Employment Agreements

We have entered into agreements with our executive officers. Each of our executive officers is employed for a specified time period, which will be renewed upon both
parties’ agreement. We may terminate the employment for cause, at any time, without notice or remuneration, for certain acts of the executive officer, including but not limited
to the commitments of any serious or persistent breach or non-observance of the terms and conditions of the employment, conviction of a criminal offense, willful disobedience
of a lawful and reasonable order, fraud or dishonesty, receipt of bribery, or severe neglect of his or her duties.

Each  executive  officer  has  agreed  to  hold,  both  during  and  after  the  employment  agreement  expires,  in  strict  confidence  and  not  to  use  or  disclose  to  any  person,
corporation or other entity without written consent, any confidential information. Each executive officer has also agreed to assign to our group all his or her all inventions,
improvements, designs, original works of authorship, formulas, processes, compositions of matter, computer software programs, databases, mask works, concepts and trade
secrets.

105

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
D. Employees

As of the date of this annual report, we have 37 employees, including 36 full-time employees and 1 part-time employee. Of these, 12 are engaged in full-time research
and development and laboratory operations, 18 are engaged in general and administrative functions, 6 are full-time employees engaged in the clinic operation and 1 part-time
employee is engaged in legal clerical support. As of the date of this annual report, 37 of our employees are located in Hong Kong. In addition, we have engaged and may
continue to engage 39 independent contracted consultants and advisors to assist us with our operations. None of our employees are represented by a labor union or covered by a
collective bargaining agreement. We have never experienced any employment related work stoppages, and we consider our relations with our employees to be good.

E. Share Ownership

The following table sets forth information with respect to the beneficial ownership, within the meaning of Rule 13d-3 under the Exchange Act, of our Ordinary Shares

as of April 29, 2020.

● each of our directors and executive officers who beneficially own our Ordinary Shares; and

● each person known to us to own beneficially more than 5.0% of our Ordinary Shares.

Beneficial  ownership  includes  voting  or  investment  power  with  respect  to  the  securities.  Except  as  indicated  below,  and  subject  to  applicable  community  property
laws, the persons named in the table have sole voting and investment power with respect to all Ordinary Shares shown as beneficially owned by them. Percentage of beneficial
ownership of each listed person is based on 7,948,712 Class A Ordinary Shares and 22,437,754 Class B Ordinary Shares outstanding as of April 29, 2020.

Information with respect to beneficial ownership has been furnished by each director, officer or beneficial owner of 5% or more of our Ordinary Shares. Beneficial
ownership  is  determined  in  accordance  with  the  rules  of  the  SEC  and  generally  requires  that  such  person  have  voting  or  investment  power  with  respect  to  securities.  In
computing  the  number  of  Ordinary  Shares  beneficially  owned  by  a  person  listed  below  and  the  percentage  ownership  of  such  person,  Ordinary  Shares  underlying  options,
warrants or convertible securities held by each such person that are exercisable or convertible within 60 days of the date of this annual report are deemed outstanding, but are
not deemed outstanding for computing the percentage ownership of any other person. Except as otherwise indicated in the footnotes to this table, or as required by applicable
community property laws, all persons listed have sole voting and investment power for all Ordinary Shares shown as beneficially owned by them. As of the date of the annual
report, we have 4 shareholders of record holding beneficial ownership of 5% or more, none of which are located in the United States. 

106

 
 
 
 
 
 
 
 
 
 
Unless otherwise indicated, the business address of each of the individuals is 17th Floor, Guangdong Investment Tower, 148 Connaught Road Central, Hong Kong.

Name and Address of Beneficial Owner
Ian Huen (3)
Darren Lui (4)
Clark Cheng (5)
Sabrina Khan (6)
Thomas Lee Wai Yip (7)
Angel Ng Siu Yan (8)
Charles Bathurst (9)
Mirko Scherer (10)
Justin Wu (11)
Douglas Arner (12)
All directors and executive officers as a group (10 persons)
5% Beneficial Owner
Jurchen Investment Corporation (3)
Sui Fong Isabel Huen Ng (13)
CGY Investments Limited (14)

*

Less than 1%.

Class A 
Ordinary 
Shares 
Beneficially 
Owned

Class B 
Ordinary 
Shares 
Beneficially 
Owned

Percentage 
of Total 
Class A and 
Class B 
Ordinary 
Shares (1)

Percentage 
of Total 
Voting 
Power (2)

2,865,742     
260,809     
*     
*     
*     
*     
*     
*     
207,566     
*     
3,334,117     

16,061,469     
2,141,333     
-     
-     
-     
-     
-     
-     
-     
-     
18,202,802     

2,855,688     
211,986     
471,809     

16,061,469     
1,907,870     
4,015,367     

62.29%   
7.91%   
* 
* 
* 
* 
* 
* 
0.68%   
* 
70.88%   

62.26%   
6.98%   
14.77%   

70.37%
9.33%
* 
* 
* 
* 
* 
* 
0.09%
* 

79.79%

70.36%
8.30%
17.49%

(1) For each person and group included in this column, percentage ownership is calculated by dividing the number of Class A Ordinary Shares and Class B Ordinary Shares
beneficially owned by such person or group, including shares that such person or group has the right to acquire within 60 days after April 29, 2020, by the sum of Class A
Ordinary Shares and Class B Ordinary Shares, and the number of Class A Ordinary Shares that such person or group has the right to acquire beneficial ownership within 60
days after April 29, 2020.   Following the IPO, each Class B Ordinary Share can be converted at any time on a one-for-one basis into Class A Ordinary Shares at the
discretion of the holder.

(2) For each person and group included in this column, percentage of total voting power represents voting power based on both Class A Ordinary Shares and Class B Ordinary
Shares beneficially owned by such person or group with respect to all of our outstanding Class A Ordinary Shares and Class B Ordinary Shares as one single class. Holders
of  Class A  Ordinary  Shares  are  entitled  to  one  vote  per  share  and  holders  of  Class  B  Ordinary  Shares  are  entitled  to  ten  votes  per  share  on  all  matters  subject  to  a
shareholders’ vote.  

(3) Includes 2,315,148 Class A Ordinary Shares owned by Jurchen, warrants held by Jurchen to purchase 540,540 Class A Ordinary Shares, options granted to Mr. Huen to
purchase 10,054 Class A Ordinary Shares, and 16,061,469 Class B Ordinary Shares owned by Jurchen. Jurchen Investment Corporation, is a company wholly-owned by
Mr. Huen. Mr. Huen maintains sole voting control over the shares held by Jurchen, the principal office address of which is at 17th Floor, Guangdong Investment Tower,
148 Connaught Road Central, Hong Kong.  Does not include 10,053 Class A Ordinary Shares issuable upon exercise of outstanding options issued on March 15, 2019 and
66,890 Class A Ordinary Shares issuable upon exercise of outstanding options issued on March 16, 2020 to Mr. Huen pursuant to the Option Plan, since such options have
not vested and will not be exercisable within 60 days of April 29, 2020 .

(4) Includes (i) 14,850 Class A Ordinary Shares and 133,649 Class B Ordinary Shares held by DSF Investment Holdings Limited, which is 29.5% held by Mr. Lui, and 70.5%
held  by  Eternal  Clarity  Holdings  Limited  which  is  wholly-owned  by  Mr.  Lui’s  mother,  Ms.  Emily  Woo,  and  is  located  at  Flat  A2,  11th  Floor,  Wing  Hang  Insurance
Building, 11 Wing Kut Street, Hong Kong, (ii) 235,905 Class A Ordinary Shares and 2,007,684 Class B Ordinary Shares held by CGY Investments Limited, which is 50%
held by Seng Fun Yee (Mr. Lui’s spouse), 25% held by Mandy Lui (Mr. Lui’s sister) and 25% held by Adrian Lui (Mr. Lui’s brother), and (iii) options granted to Mr. Lui to
purchase 10,054 Class A Ordinary Shares. Mr. Lui only controls and/or has substantial influence on the disposition and voting rights of 29.5% of the Aptorum shares DSF
owns; Mr. Lui controls and/or has substantial influence on the disposition and voting rights of the shares held by his spouse, but no such control over the shares held by his
sister or brother regarding the CGY shares. Does not include 10,053 Class A Ordinary Shares issuable upon exercise of outstanding options issued on March 15, 2019 and
66,890 Class A Ordinary Shares issuable upon exercise of outstanding options issued on March 16, 2020 to CGY Investments Limited, of which 50% is deemed controlled
by Mr. Lui, pursuant to the Option Plan, since such options have not vested and will not be exercisable within 60 days of April 29, 2020 .

107

 
 
 
 
   
   
 
 
 
 
 
 
 
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
   
 
 
 
 
   
 
 
 
 
      
      
  
   
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
(5) Pursuant to his appointment letter, Dr. Cheng received a stock bonus of 7% of Aptorum Medical Limited’s ordinary shares as of the date of this annual report.  Does not
include  10,053  Class  A  Ordinary  Shares  issuable  upon  exercise  of  outstanding  options  issued  on  March  15,  2019  and  66,890  Class  A  Ordinary  Shares  issuable  upon
exercise of outstanding options issued on March 16, 2020 to Dr. Cheng pursuant to the Option Plan, since such options have not vested and will not be exercisable within
60 days of April 29, 2020 .

(6) Does not include 4,749 Class A Ordinary Shares issuable upon exercise of outstanding options issued on March 15, 2019 and 54,627 Class A Ordinary Shares issuable
upon exercise of outstanding options issued on March 16, 2020 to Miss Khan pursuant to the Option Plan, since such options have not vested and will not be exercisable
within 60 days of April 29, 2020 .

(7) Does not include 10,053 Class A Ordinary Shares issuable upon exercise of outstanding options issued on March 15, 2019 to and 66,890 Class A Ordinary Shares issuable
upon exercise of outstanding options issued on March 16, 2020 Dr. Lee pursuant to the Option Plan, since such options have not vested and will not be exercisable within
60 days of April 29, 2020 .

(8) Does not include 775 Class A Ordinary Shares issuable upon exercise of outstanding options issued on March 15, 2019 and 8,027 Class A Ordinary Shares issuable upon
exercise of outstanding options issued on March 16, 2020 to Dr. Ng pursuant to the Option Plan, since such options have not vested and will not be exercisable within 60
days of April 29, 2020 .

(9) Does not include 1,005 Class A Ordinary Shares issuable upon exercise of outstanding options issued on March 15, 2019 and 9,365 Class A Ordinary Shares issuable upon
exercise of outstanding options issued on March 16, 2020 to Mr. Bathurst pursuant to the Option Plan, since such options have not vested and will not be exercisable
within 60 days of April 29, 2020 .

(10) Does not include 1,005 Class A Ordinary Shares issuable upon exercise of outstanding options issued on March 15, 2019 and 9,365 Class A Ordinary Shares issuable upon
exercise of outstanding options issued on March 16, 2020 to Mr. Scherer pursuant to the Option Plan, since such options have not vested and will not be exercisable within
60 days of April 29, 2020 .

(11) Includes (i) 129,589 Class A Ordinary Shares held by Chi Ling Lily Heung, the wife of Dr. Wu, (ii) 76,971 Class A Ordinary Shares held by Dr. Wu, and (iii) options
granted to Dr. Wu to purchase 1,006 Class A Ordinary Shares.  Does not include 1,005 Class A Ordinary Shares issuable upon exercise of outstanding options issued on
March 15, 2019 and 9,365 Class A Ordinary Shares issuable upon exercise of outstanding options issued on March 16, 2020 to Dr. Wu pursuant to the Option Plan, since
such options have not vested and will not be exercisable within 60 days of April 29, 2020 .

(12) Does not include 1,005 Class A Ordinary Shares issuable upon exercise of outstanding options issued on March 15, 2019 and 9,365 Class A Ordinary Shares issuable upon
exercise of outstanding options issued on March 16, 2020 to Dr. Arner pursuant to the Option Plan, since such options have not vested and will not be exercisable within
60 days of April 29, 2020 .

(13) Sui Fong Isabel Huen Ng is the mother of Mr. Ian Huen. Mr. Ian Huen does not have control nor substantial influence on the disposition and voting rights of the shares

held by his mother.

(14) CGY Investments Limited is 50% held by Seng Fun Yee (Mr. Lui’s spouse), 25% held by Mandy Lui (Mr. Lui’s sister) and 25% held by Adrian Lui (Mr. Lui’s brother).
Mr. Lui controls and/or has substantial influence on the disposition and voting rights of the shares held by his spouse, but no such control over the shares held by his sister
or  brother.  Does  not  include  66,890  Class  A  Ordinary  Shares  issuable  upon  exercise  of  outstanding  options  issued  on  March  16,  2020  to  CGY  Investments  Limited
pursuant to the Option Plan, since such options have not vested and will not be exercisable within 60 days of April 29, 2020 .

108

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Item 7. MAJOR SHAREHOLDERS AND RELATED PARTY TRANSACTIONS

A. Major Shareholders

Please refer to “Item 6. Directors, Senior Management and Employees—E. Share Ownership.”

B. Related Party Transactions

Sales and Purchases of Securities

Share Issuances

KHE Holdings Limited, which is owned by Dr. Kenny Yu’s family, purchased $200,000 Series A Notes in our private Note offering, which closed on May 15, 2018;

such notes automatically converted into 28,776 Class A Ordinary Shares upon the closing of the IPO.

A total of 5,504 shares were purchased in the IPO by related persons.

Share Transfer: Change in direct substantial shareholders of the Company

On May 4, 2017, Mr. Huen transferred all of the ordinary shares in the Company he owned (in the amount of 22,307,596) to Jurchen, a company incorporated in the
British Virgin Islands and wholly-owned by Mr. Huen. On October 13, 2017, the ordinary shares held by Jurchen were redesignated as 2,230,760 Class A Ordinary Shares and
20,076,836 Class B Ordinary Shares.

On  March  23,  2018,  Jurchen  transferred  446,152  Class  A  Ordinary  Shares  and  4,015,367  Class  B  Ordinary  Shares  to  CGY  Investments  Limited,  a  company
incorporated  in  Hong  Kong  and  which  we  deem  Mr.  Darren  Lui  controls  and/or  of  which  he  has  substantial  influence  on  the  disposition  rights  and  voting  rights  of  such
shares. Following this transfer, Jurchen owned approximately 33% and 72% of our Class A Ordinary Shares and Class B Ordinary Shares, respectively.

Consulting Arrangements

GloboAsia, LLC

We entered into a consulting agreement with GloboAsia effective as of August 18, 2017 (the “2017 GA Agreement”); GloboAsia is not associated or affiliated with
any FINRA members. However, the 2017 GA Agreement was terminated when Dr. Chan resigned from his position as our Chief Scientific Officer in March 2019. Dr. Chan
serves as the Director of International Affairs of GloboAsia.

Effective as of April 1, 2019, GloboAsia, through Dr. Chan, shall serve as a member on our Scientific Advisory Board. To formalize such service, we entered into that
certain  consulting  agreement  with  GloboAsia  dated  March  13,  2019  (the  “2019  GA  Agreement”).  Pursuant  to  the  2019  GA  Agreement,  GloboAsia  provides  advisory  and
management services to us and as a member of the Scientific Advisory Board, they provide advice to us regarding research and development, the scientific merit of licenses or
products and other related scientific issues. We agreed to pay GloboAsia an hourly rate of USD300 for work actually performed. The initial term of 2019 GA Agreement is
until December 31, 2020 and shall thereafter be automatically renewed for successive one-year terms, unless earlier terminated by either party upon three months’ notice prior
to the end of the then applicable term; either party may also terminate the agreement upon 2 months written notice and the Company may terminate the agreement if Dr. Chan is
no longer with GloboAsia or if GloboAsia commits any act of fraud or dishonesty.

109

 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
Aeneas

a. In March 2017, we entered into a new Management Agreement with Aeneas (the “2017 Agreement”), pursuant to which Aeneas will provide certain management
and administrative functions, as well as investment functions related to the Company, IP acquisitions and other investor relations services (the “Services”). In consideration for
the  Services,  we  agreed  to  pay  Aeneas  HK$500,000  per  month  (approximately  US$64,103  per  month),  payable  on  the  last  day  of  each  month.  The  2017  Agreement  was
terminated in July 2018. Prior to the termination, we paid Aeneas an aggregate of $1.1 million pursuant to the terms of the 2017 Agreement.

b. On April 24, 2019, the Company signed an agreement with Aeneas Capital Limited, and A*ccelerate Technologies Pte. Ltd, the enterprise office of the Agency for
Science, Technology and Research (“A*STAR”), (collectively, the “Parties”) to co-create local deep tech startups. This agreement, which is part of A*ccelerate’s venture co-
creation (“VCC”) initiative, commits all parties to the co-creation of local startups in the healthcare and life science sector (the “Master Collaboration Agreement”). The goal is
to create a total of up to 20 deep tech ventures in Singapore will be created by this partnership over the next 5 years. A*STAR shall contribute a total of up to $30,000,000 to
any suitable startups, at their discretion. The Company and Aeneas Capital Limited will contribute a total of up to $30,000,000 to any suitable startups at their discretion with a
focus on (i) securing pilot customers; (ii) incorporation of the startups as companies and financial commitments of such customers; (iii) capital raising and capital market plans;
(iv) recruiting and building of the startup teams; (v) equipment and infrastructure; and (vi) licensing of IP to the startups under the Technology License Agreements. The Master
Collaboration Agreement shall continue for a period of 5 years, unless otherwise terminated or extended by the Parties.

c. On January 1, 2019, Aptus Management Limited (one of our wholly-owned subsidiaries) (“Aptus Management”) entered into an Administrative consultant Services
Agreement with Aeneas Management Limited (a subsidiary of Aeneas Limited). Pursuant to this agreement, Aeneas shall provide certain business and financial services to
Aptus Management Limited; Aeneas shall be paid a monthly service fee of HK$452,000 per month (approximately US$57,949 per month), payable by the 25th day of each
month during the term of the agreement, which was until December 31, 2019. Either party was able to terminate the agreement by providing 3-months written notice to the
other party. On December 16, 2019, the parties agreed to renew the agreement under the same terms, but with an expiration date of December 31, 2020. On January 29, 2020,
both parties agreed the agreement would terminate no later than April 30, 2020, with the final monthly payment to have been paid in March 2020.

d. On January 1, 2019, Aenco Limited (“Aenco”) (a subsidiary of AGL) and Aptus Management entered into a Secondment Agreement. Pursuant to this agreement,
Aenco shall assign certain of its employees to Aptus Management from time to time to assist Aptus Management with information technology development and maintenance
activities  for  Aptus  Management’s  affiliates;  such  employees  shall  be  integrated  into  Aptus  Management’s  organization  only  to  the  extent  necessary  to  carry  out  such
employees specific duties for Aptus Management. Aptus Management shall pay all salary and benefits up to HK$540,000 per month (approximately US$69,231 per month);
Aenco  shall  be  responsible  for  the  costs  associated  with  any  employee  relocation  required  as  a  result  of  this  agreement.  The  agreement  was  originally  set  to  terminate  on
December 31, 2019, although either party may terminate the agreement upon giving the other party 3-months written notice. On December 16, 2019 the parties agreed to renew
the agreement under the same terms, but with an expiration date of December 31, 2020. On January 29, 2020, both parties agreed to replace the agreement no later than April
30, 2020.

On April 1, 2020, the agreement was replaced and superseded with a New Secondment Agreement. Pursuant to this New Secondment Agreement, Aenco shall assign
certain of its employees to Aptus Management from time to time to assist Aptus Management with information technology application development and maintenance activities
for Aptus Management’s affiliates; such employees shall be integrated into Aptus Management’s organization only to the extent necessary to carry out such employees specific
duties  for  Aptus  Management.  Aptus  Management  shall  pay  all  salary  and  benefits  up  to  HK$700,000  per  month  (approximately  US$89,744  per  month);  Aenco  shall  be
responsible for the costs associated with any employee relocation required as a result of this agreement. The agreement shall terminate on December 31, 2020, although either
party may terminate the agreement upon giving the other party 3-months written notice.

e.  In  July  2019,  Smart  Pharmaceutical  Limited  Partnership,  (“SPLP”),  a  wholly  owned  subsidiary  of  the  Group,  transferred  100,000,000  Smart  Pharma  Tokens
(“SMPT  token”)  to  Aenco  Solutions  Limited,  a  related  party,  in  exchange  of  the  service  to  deal  with  the  token  creation,  offering  and  5-years  consultancy  service.  The
100,000,000 SMPT tokens were equivalents to $300,000.

110

 
 
 
 
 
 
 
 
 
Aeneas is wholly-owned by Aeneas Group Limited (“AGL”), which in turn is wholly-owned by Aeneas Limited (“AL”). AL is wholly-owned by Jurchen, which is
wholly-owned by Mr. Huen, our CEO. Mr. Huen and Mr. Lui both serve as the executive directors of Aeneas and Professor Arner, one of our directors, is a Senior Regulatory
and  Strategic  Advisor  for  Aeneas.  Under  his  agreement  with  AGL  dated  March  12,  2018,  Professor  Arner  shall,  among  other  services,  advise  the  board  of  AGL  with  its
management,  execution  of  business,  and  regulatory  initiatives  of  AGL  and  AL,  assist  AGL  with  access  to  expert  networks  as  appropriate  and  required.  Professor  Arner’s
compensation thereunder is HK$234,000 per year (approximately US$30,000 per year) and Professor Arner is entitled to participate in AGL’s share option plans.

In addition, AGL was one of the selected dealers for our IPO.

CGY Investment Limited

We entered into a consulting agreement with CGY Investment Limited (“CGY”) effective on January 10, 2020. Pursuant to this agreement, CGY shall provide certain
consultancy, advisory, and management services to the Group on potential investment projects related to health care or R&D platform; CGY shall be paid a monthly service fee
of HK$104,000 per month (approximately US$13,333 per month), during the term of the agreement, which is remain in effect unless it is terminated. The agreement may be
terminated by either party providing 1-months written notice to the other party.

CGY is 50% held by Seng Fun Yee (Mr. Lui’s spouse), 25% held by Mandy Lui (Mr. Lui’s sister) and 25% held by Adrian Lui (Mr. Lui’s brother). Mr. Lui, President
and Executive Director of the Group, controls and/or has substantial influence on the disposition and voting rights of the shares held by his spouse, but no such control over the
shares held by his sister or brother. Hence, 50% of the consulting service fee will be deemed as Mr. Lui’s compensation.

Lease

Our  lease  for  our  office  at  Guangdong  Investment  Tower  is  a  Sub-Tenancy  Agreement  between  Jurchen  Investment  Corporation  and  Aptus  Management

Limited, which is one of our wholly-owned subsidiaries.

The Series A Note Offering

On May 15, 2018, we closed a private financing with certain investors (the “Series A Note Investors”) who purchased an aggregate of $1,600,400 Series A convertible
notes, at a purchase price of $10,000 per note (the “Series A Notes”), pursuant to a note purchase agreement. Some of the Series A Note Investors are either affiliates of the
Company or “related persons,” as such term is defined in Item 404 of Regulation S-K (See “Item 7. Major Shareholders and Related Party Transactions”). We refer to this
private  placement  transaction  as  the  “Series  A  Note  Offering.”  The  Series  A  Note  Investors  entered  into  a  lock-up  agreement,  pursuant  to  which  they  agreed  not  to  sell  or
otherwise transfer or dispose the Series A Notes or the Class A Ordinary Shares underlying the Series A Notes during the six-month period commencing on the date our Class
A Ordinary Shares commence trading on NASDAQ Global Market. The Series A Notes automatically converted into 230,252 Class A Ordinary Shares at the closing of the
Offering and at the commencement of trading our Class A Ordinary Shares on NASDAQ Global Market at a conversion price equal to a 56% discount to the actual price per
Class A Ordinary Share (“Conversion Price”). Accordingly, the Series A Notes converted into, and we issued an aggregate of 230,252 shares of Class A Ordinary Shares after
the IPO closed. 

111

 
 
 
 
 
 
 
 
 
 
One of the underwriters in the IPO also served as a placement agent for the Series A Note Offering and received: (i) a cash success fee of $68,516 and (ii) warrants to
purchase 12,663 Class A Ordinary Shares, at an exercise price of $6.95 per share, subject to adjustment (the “Series A Note PA Warrants”). The Series A Note PA Warrants are
also exercisable on a cashless basis, at the holder’s discretion.

The issuance and sale of Series A Notes, and the underlying Class A Ordinary Shares to the Series A Note Investors in the Series A Note Offering were made in
reliance on an exemption from registration contained in either Regulation D or Regulation S of the Securities Act of 1933, as amended (the “Securities Act”). The securities
sold in the Series A Note Offering are not registered by the Registration Statement and have not been registered under the Securities Act, and may be offered or sold only
pursuant  to  an  effective  registration  statement  or  pursuant  to  an  available  exemption  from  the  registration  requirements  of  the  Securities  Act.  However,  the  Series  A  Note
Investors have piggyback registration rights with respect to the Class A Ordinary Shares underlying the Series A Notes that entitle the Series A Note Investors to request their
securities be included in a future Securities Act registration statement, after our IPO, subject to certain exceptions and conditions. However, we decided to include the Class A
Ordinary Shares underlying the Series A Notes in the Registration Statement.

The Bond Offering

As described above in Item 5A. Operating Results, on April 6, 2018, we entered into the Bond Subscription Agreement with Peace Range. We repurchased the Bond

on April 24, 2019 and the Bond matured and was redeemed on October 25, 2019.

Credit Agreements and Promissory Notes

On  August  13,  2019  (the  “Effective  Date”),  Aptorum  Therapeutics  Limited  (“ATL”),  one  of  our  wholly-owned  subsidiaries,  entered  into  two  separate  Promissory
Notes and Line of Credit Agreements (the “Agreements”) with Aeneas Group Limited (“Aeneas Group”) and Jurchen Investment Corporation (“Jurchen”). The Aeneas Group
Agreement  and  Jurchen  Agreement  provide  ATL  with  a  line  of  credit  up  to  twelve  million  dollars  ($12,000,000)  and  three  million  dollars  ($3,000,000),  respectively
(collectively, the “Line of Credit”), representing the maximum aggregate amount of the advances of funds from the Line of Credit that may be outstanding at any time under the
Line of Credit (the “Principal Indebtedness”). ATL may draw down from the Line of Credit at any time through the day immediately preceding the third anniversary of the
Effective Date (the “Maturity Date”). Interest will be payable on the outstanding Principal Indebtedness at the rate of eight percent (8%) per annum, payable semi-annually in
arrears on February 12 and August 12 in each year. ATL may pre-pay in whole or in part, the Principal Indebtedness of the Line of Credit, and all interest accrued at any time
prior to the Maturity Date, without penalty. Under the Agreements, in addition to certain standard covenants, we are also not permitted, without the prior written consent of
Aeneas Group and Jurchen to (i) liquidate, dissolve or wind-up our business and affairs; (ii) effect any merger or consolidation transaction; (iii) sell, lease, transfer, license or
otherwise dispose, in a single transaction or series of related transactions, all or substantially all of our assets; or (iv) consent to any of the foregoing. The Agreements are
subject  to  standard  events  of  default,  which  if  not  cured  within  the  agreed  upon  cure  period,  permits  Aeneas  Group  or  Jurchen,  as  applicable,  to  declare  the  outstanding
Principal Indebtedness immediately due and payable, to exercise any other remedy provided for in the Agreements or any other right available to Aeneas Group or Jurchen as
provided at law or in equity. Jurchen and Aeanas Group also maintain the right to set-off during the term of the Agreements.

Registered Direct Offering

As  described  above  in  Item  5A.  Operating  Results,  Jurchen  Investment  Corporation,  our  largest  shareholder  and  wholly  owned  by  Mr.  Huen,  our  Chief  Executive
Officer, purchased 540,540 Class A Ordinary Shares and Warrants to purchase 540,540 Class A Ordinary Shares in a Registered Direct Offering, which closed on February 28,
2020. The Warrants will be exercisable immediately following the date of issuance for a period of seven years at an initial exercise price of $7.40.

Employment Agreements

See “Item 6. Directors, Senior Management and Employees — C. Board Practices — Employment Agreements”.

C. Interests of Experts and Counsel

Not applicable.

112

 
 
 
   
 
 
 
 
 
 
 
 
 
 
Item 8. FINANCIAL INFORMATION

A. Consolidated Statements and Other Financial Information

We have appended consolidated financial statements filed as part of this annual report.

Legal Proceedings

From time to time, we are subject to legal proceedings, investigations and claims incidental to the conduct of our business. We are not currently a party to any legal

proceeding or investigation which, in the opinion of our management, is likely to have a material adverse effect on our business, financial condition or results of operations.

Dividend Policy

We have never declared or paid cash dividends to our shareholders, and we do not intend to pay cash dividends in the foreseeable future. We intend to reinvest any
earnings in developing and expanding our business. Any future determination relating to our dividend policy will be at the discretion of our Board of Directors and will depend
on a number of factors, including future earnings, our financial condition, operating results, contractual restrictions, capital requirements, business prospects, our strategic goals
and plans to expand our business, applicable law and other factors that our Board of Directors may deem relevant.

Under Cayman Islands law, dividends may be declared and paid only out of funds legally available therefor, namely out of either profit or our share premium account,

and provided further that a dividend may not be paid if this would result in our Company being unable to pay its debts as they fall due in the ordinary course of business.

113

 
 
 
 
 
 
 
 
 
 
B. Significant Changes

Except as disclosed elsewhere in this annual report, we have not experienced any significant changes since the date of our audited consolidated financial statements

included in this annual report. 

Item 9. THE OFFER AND LISTING

A. Offering and Listing Details.

Our Class A Ordinary Shares are currently listed on NASDAQ Global Market under the symbol “APM”.

B. Plan of Distribution

Not applicable.

C. Markets

Our Class A Ordinary Shares are currently listed on NASDAQ Global Market under the symbol “APM”.

D. Selling Shareholders

Not applicable.

E. Dilution

Not applicable.

F. Expenses of the Issue

Not applicable. 

Item 10. ADDITIONAL INFORMATION

A. Share Capital

Not applicable.

B. Amended and Restated Memorandum and Articles of Association

The description of our Amended and Restated Memorandum and Articles of Association is incorporated by reference from the Registration Statement. Our amended

and restated memorandum and articles of association were filed as Exhibit 3.1 to the Registration Statement and are hereby incorporated by reference into this annual report.

C. Material Contracts

We have not entered into any material contracts other than in the ordinary course of business and other than those described in “Item 4. Information on the Company”

or elsewhere in this annual report.

D. Exchange Controls

There  are  no  governmental  laws,  decrees,  regulations  or  other  legislation  in  the  Cayman  Islands  or  Hong  Kong  that  may  affect  the  import  or  export  of  capital,
including the availability of cash and cash equivalents for use by us, or that may affect the remittance of dividends, interest, or other payments by us to non-resident holders of
our ordinary shares, other than withholding tax requirements. There is no limitation imposed by Cayman Islands law, Hong Kong law or our articles of association on the right
of non-residents to hold or vote shares.

114

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
E. Taxation

Cayman Islands Tax Considerations

The Cayman Islands currently levies no taxes on individuals or corporations based upon profits, income, gains or appreciation and there is no taxation in the nature of
inheritance  tax  or  estate  duty.  There  are  no  other  taxes  likely  to  be  material  to  us  levied  by  the  government  of  the  Cayman  Islands  except  for  stamp  duties  which  may  be
applicable  on  instruments  executed  in,  or  brought  within,  the  jurisdiction  of  the  Cayman  Islands.  The  Cayman  Islands  is  not  party  to  any  double  tax  treaties  which  are
applicable to any payments made by or to our Company. There are no exchange control regulations or currency restrictions in the Cayman Islands.

Payments of dividends and capital in respect of our Class A Ordinary Shares will not be subject to taxation in the Cayman Islands and no withholding will be required
on the payment of a dividend or capital to any holder of our Class A Ordinary Shares, nor will gains derived from the disposal of our Class A Ordinary Shares be subject to
Cayman Islands income or corporation tax.

No stamp duty is payable in respect of the issue of our Class A Ordinary Shares or on an instrument of transfer in respect of our Class A Ordinary Shares except on

instruments executed in, or brought within, the jurisdiction of the Cayman Islands.

Material U.S. Federal Income Tax Considerations for U.S. Holders

The following is a description of the material U.S. federal income tax consequences to U.S. Holders (as defined below) of purchasing, owning and disposing of Class
A Ordinary Shares. It is not a comprehensive description of all U.S. federal income tax considerations that may be relevant to a particular person’s decision to acquire Class A
Ordinary Shares. This discussion applies only to a U.S. Holder that holds a Class A Ordinary Share as a capital asset for U.S. federal income tax purposes (generally, property
held for investment). In addition, it does not describe all of the tax consequences that may be relevant in light of a U.S. Holder’s particular circumstances, including state and
local tax consequences, non-U.S. tax consequences, federal estate or gift tax consequences, alternative minimum tax consequences, the potential application of the provisions of
the Code known as the Medicare Contribution Tax, and tax consequences applicable to U.S. Holders subject to special rules, such as: 

● banks and other financial institutions;

● insurance companies;

● dealers or traders in securities who use a mark-to-market method of tax accounting;

● persons  holding  Class  A  Ordinary  Shares  as  part  of  a  hedging  transaction,  “straddle,”  wash  sale,  conversion  transaction  or  integrated  transaction  or  persons

entering into a constructive sale with respect to the Class A Ordinary Shares;

● persons whose “functional currency” for U.S. federal income tax purposes is not the U.S. dollar;

● tax exempt entities, including “individual retirement accounts” and “Roth IRAs”;

● former citizens or long-term residents of the United States;

● entities or arrangements classified as partnerships for U.S. federal income tax purposes;

● regulated investment companies or real estate investment trusts;

● persons who acquired our Class A Ordinary Shares pursuant to the exercise of an employee share option or otherwise as compensation;

● persons that own or are deemed to own ten percent or more of our shares; and

● persons holding Class A Ordinary Shares in connection with a trade or business conducted outside the United States.

If an entity or arrangement that is classified as a partnership for U.S. federal income tax purposes holds Class A Ordinary Shares, the U.S. federal income tax treatment
of  such  partnership  and  each  partner  thereof  will  generally  depend  on  the  status  of  the  partner  and  the  activities  of  the  partnership.  Partnerships  holding  Class  A  Ordinary
Shares  and  partners  in  such  partnerships  are  encouraged  to  consult  their  tax  advisors  as  to  the  particular  U.S.  federal  income  tax  consequences  of  purchasing,  holding  and
disposing of Class A Ordinary Shares.

115

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The discussion is based on the Code, the Treasury Regulations issued thereunder, and administrative and judicial interpretations thereof, all as in effect on the date
hereof  and  all  of  which  are  subject  to  change,  possibly  with  retroactive  effect,  or  to  different  interpretation.  Such  change  could  materially  and  adversely  affect  the  tax
consequences described below.

For purposes of this discussion, a “U.S. Holder” is a holder who, for U.S. federal income tax purposes, is a beneficial owner of Class A Ordinary Shares and that is:

(1) an individual citizen or resident of the United States;

(2) a corporation, or other entity taxable as a corporation, created or organized in or under the laws of the United States, any state therein or the District of Columbia;

(3) an estate, the income of which is subject to U.S. federal income taxation regardless of its source; or

(4) a trust, (i) if a court within the United States is able to exercise primary supervision over its administration and one or more “U.S. persons” (within the meaning of

the Code) have the authority to control all of its substantial decisions, or (ii) if a valid election is in effect for the trust to be treated as a U.S. person.

U.S. Holders are encouraged to consult their tax advisors concerning the U.S. federal, state, local and foreign tax consequences of purchasing, owning and disposing of

Class A Ordinary Shares in their particular circumstances.

Taxation of Distributions

Subject to the discussion below under “Passive Foreign Investment Company Rules,” a U.S. Holder will be required to include in gross income as dividend income the
gross amount of any distributions paid on Class A Ordinary Shares (including any amount of taxes withheld), other than certain  pro rata  distributions of Class A Ordinary
Shares, to the extent paid out of our current or accumulated earnings and profits (as determined under U.S. federal income tax principles). Distributions in excess of our current
and accumulated earnings and profits would be treated as a non-taxable return of capital to the extent of the U.S. Holder’s adjusted tax basis in the Class A Ordinary Shares and
thereafter as a gain from the sale of the Class A Ordinary Shares. However, because we do not calculate our earnings and profits under U.S. federal income tax principles, we
expect that distributions generally will be reported to U.S. Holders as dividends.

In case of a U.S. Holder that is a corporation, dividends paid on the Class A Ordinary Shares will be subject to regular corporate rates and will not be eligible for the

“dividends received” deduction generally allowed to corporate shareholders with respect to dividends received from U.S. corporations.

Dividends received by an individual, trust or estate will be subject to taxation at standard tax rates. A reduced income tax rate applies to dividends paid by a “qualified
foreign  corporations”  (if  certain  holding  period  requirements  and  other  conditions  are  met).  A  non-U.S.  corporation  generally  will  be  considered  to  be  a  qualified  foreign
corporation (i) if it is eligible for the benefits of a comprehensive tax treaty with the United States which includes an exchange of information program or (ii) with respect to
any dividend it pays on stock which is readily tradable on an established securities market in the United States. US. Treasury Department guidance indicates that our Class A
Ordinary  Shares,  which  is  listed  on  the  NASDAQ  Global  Market  is  readily  tradable  on  an  established  securities  market  in  the  United  States.  There  can  be  no  assurance,
however, that our Class A Ordinary Shares will be considered readily tradable on an established securities market in later years.

Non-corporate U.S. Holders will not be eligible for reduced rates of taxation on any dividends received from us if we are a PFIC in the taxable year in which such
dividends are paid or in the preceding taxable year (See “Item 10. Additional Information – E. Taxation – Material U.S. Federal Income Tax Considerations for U.S. Holders –
 Passive Foreign Investment Company Rules” below).

A  U.S.  Holder  may  be  eligible,  subject  to  a  number  of  complex  limitations,  to  claim  a  foreign  tax  credit  in  respect  of  any  foreign  withholding  taxes  imposed  on
dividends  received  on  the  Class  A  Ordinary  Shares.  A  U.S.  Holder  who  does  not  elect  to  claim  a  foreign  tax  credit  for  foreign  income  tax  withheld  may  instead  claim  a
deduction for U.S. federal income tax purposes in respect of such withholding, but only for a year in which such investor elects to do so for all creditable foreign income taxes.
For purposes of calculating the foreign tax credit limitation, dividends paid by us will, depending on the circumstances of the U.S. Holder, be either general or passive income.

While we do not expect to pay dividends in the near future, in the event any dividends are paid and if a dividend is paid in non-U.S. currency, it must be included in a
U.S. Holder’s income as a U.S. dollar amount based on the exchange rate in effect on the date such dividend is actually or constructively received, regardless of whether the
dividend is in fact converted into U.S. dollars. If the dividend is converted to U.S. dollars on the date of receipt, a U.S. Holder generally will not recognize a foreign currency
gain  or  loss.  If  the  non-U.S.  currency  is  converted  into  U.S.  dollars  on  a  later  date,  however,  the  U.S.  Holder  must  include  in  income  any  gain  or  loss  resulting  from  any
exchange  rate  fluctuations.  Such  gain  or  loss  will  generally  be  ordinary  income  or  loss  and  will  be  from  sources  within  the  United  States  for  foreign  tax  credit  limitation
purposes. U.S. Holders should consult their own tax advisors regarding the tax consequences to them if we pay dividends in non-U.S. currency.

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Sale or Other Taxable Disposition of Shares

Subject to the discussion below under “Passive Foreign Investment Company Rules,” gain or loss realized on the sale or other taxable disposition of Class A Ordinary
Shares will be capital gain or loss, and will be long-term capital gain or loss if the U.S. Holder held the Class A Ordinary Shares for more than one year. The amount of the gain
or loss will equal the difference between the U.S. Holder’s tax basis in the Class A Ordinary Shares disposed of and the amount realized on the disposition. Long-term capital
gain of a non-corporate U.S. Holder is generally taxed at preferential rates. This gain or loss will generally be U.S.-source gain or loss for foreign tax credit purposes. The
deductibility of capital losses is subject to limitations. U.S. Holders are urged to consult their tax advisors regarding the tax consequences if a foreign tax is imposed on the
disposition of Class A Ordinary Shares, including the availability of the foreign tax credit under an investor’s own particular circumstances.

A U.S. Holder that receives non-U.S. currency on the disposition of the Class A Ordinary Shares will realize an amount equal to the U.S. dollar value of the foreign
currency received on the date of disposition (or in the case of cash basis and electing accrual basis taxpayers, the settlement date) whether or not converted into U.S. dollars at
that time. Very generally, the U.S. Holder will recognize currency gain or loss if the U.S. dollar value of the currency received on the settlement date differs from the amount
realized with respect to the Class A Ordinary Shares. Any currency gain or loss on the settlement date or on any subsequent disposition of the foreign currency generally will be
U.S.-source ordinary income or loss.

Passive Foreign Investment Company Rules

Special U.S. federal income tax rules apply to a U.S. Holder that holds stock in a foreign corporation classified as a PFIC for U.S. federal income tax purposes. In

general, a non-U.S. corporation will be classified as a PFIC for any taxable year in which, after applying certain look-through rules, either:

● at least 75% of its gross income for such taxable year is passive income (e.g., dividends, interest, capital gains and rents derived other than in the active conduct of

a rental business); or

● at least 50% of its gross assets (determined on the basis of a quarterly average) is attributable to assets that produce passive income or are held for the production

of passive income.

We  will  be  treated  as  owning  our  proportionate  share  of  the  assets  and  earning  our  proportionate  share  of  the  income  of  any  other  corporation  in  which  we  own,

directly or indirectly, 25% or more (by value) of the equity.

A separate determination must be made after the close of each taxable year as to whether we are a PFIC for that year. As a result, our PFIC status may change. In
particular, the total value of our assets generally will be calculated using the market price of our Class A Ordinary Shares, which may fluctuate considerably. Fluctuations in the
market price of our Class A Ordinary Shares may result in our being a PFIC for any taxable year.

Due to the amount of restricted and unrestricted cash that we had on hand during our year ending December 31, 2018, we believe that we were classified as a PFIC for

that tax year. Depending on the future composition and value of our assets, we may be classified as a PFIC for 2019, as well, and for future years.

If we were to be classified as a PFIC, a U.S. Holder would be subject to different taxation rules depending on whether the U.S. Holder (i) takes no action, (ii) makes an
election to treat us as a “Qualified Electing Fund” (a “QEF election”) or (iii) if permitted, makes a “mark-to-market” election with respect to our Class A Ordinary Shares. A
U.S.  Holder  of  our  Class  A  Ordinary  Shares  will  also  be  required  under  applicable  Treasury  Regulations  to  file  an  annual  information  return  (Form  8621)  containing
information regarding our company. Additional explanations of the PFIC rules are set forth below: this material is complex and may affect different U.S. Holders differently.
Accordingly, U.S. Holders should consult their own tax advisors about the consequences of our company being classified as a PFIC and about what steps, if any, they might
take to lessen the tax impact of our PFIC status on them.

A U.S. Holder who does not make a timely QEF or mark-to-market election (a “Non-Electing Holder”), as discussed below, will be subject to special tax rules with
respect to any “excess distribution” that you receive and any gain you realize from a sale or other disposition (including a pledge) of Class A Ordinary Shares. Distributions you
receive in a taxable year that are greater than 125% of the average annual distributions you received during the shorter of the three preceding taxable years or your holding
period for the Class A Ordinary Shares will be treated as an excess distribution. Under these special tax rules: 

● the excess distribution or gain will be allocated ratably over your holding period for the Class A Ordinary Shares;

● the amount allocated to  the  current  taxable  year,  and  any  taxable  year  prior  to  the  first  taxable  year  in  which  we  became  a  PFIC,  will  be  treated  as  ordinary

income; and

● the amount allocated to each other year will be subject to the highest tax rate in effect for that year and the interest charge generally applicable to underpayments

of tax will be imposed on the resulting tax attributable to each such year.

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It should be noted that, until such time as we make a distribution, there are no tax consequences to Non-Electing Holders. However, if we ever did make a distribution
it would in all likelihood be an excess distribution (because we would not have previously made any distributions to holders of Class A Ordinary Shares). At that point, and for
all subsequent distributions, the rules described above would apply to Non-Electing Holders. The tax liability for amounts allocated to years prior to the year of disposition or
“excess distribution” cannot be offset by any net operating losses for such years, and gains (but not losses) realized on the sale of the Class A Ordinary Shares cannot be treated
as capital, even if you hold the Ordinary Shares as capital assets.

Certain elections may be available that would result in alternative treatments. The adverse consequences of owning stock in a PFIC could be mitigated if a U.S. Holder
makes a valid QEF election (a U.S. Holder which we refer to as an “Electing Holder”) which, among other things, would require the Electing Holder to include currently in
income its pro rata share of the PFIC’s net capital gain and ordinary earnings, if any, for our taxable year that ends with or within the taxable year of the Electing Holder,
regardless of whether or not the Electing Holder actually received distributions from us. When an Electing Holder makes a QEF election, its adjusted tax basis in our Class A
Ordinary  Shares  is  increased  to  reflect  taxed  but  undistributed  earnings  and  profits.  Distributions  of  earnings  and  profits  that  had  been  previously  taxed  will  result  in  a
corresponding reduction in the adjusted tax basis in our Class A Ordinary Shares and will not be taxed again once distributed. An Electing Holder would generally recognize
capital gain or loss on the sale, exchange or other disposition of our Class A Ordinary Shares.

A U.S. Holder can make a QEF election with respect to any year that we are a PFIC by filing IRS Form 8621 with its U.S. federal income tax return. This election
must  be  made  by  the  deadline  (including  extensions)  for  filing  the  U.S.  Holder’s  federal  tax  return  for  the  year  in  question.  U.S.  Holders  should  discuss  their  election
alternatives with their own tax advisors. Once an election is made, the Electing Holder is subject to the QEF rules for as long as we are a PFIC.

It should be noted that in order to make a QEF election a U.S. Holder needs information from us concerning our PFIC status and our financial results for the year. We

cannot assure our U.S. Holders that we will provide such information.

As an alternative to making a QEF election, a U.S. Holder may make a “mark-to-market” election with respect to our Class A Ordinary Shares provided our Class A
Ordinary  Shares  are  treated  as  “marketable  stock.”  The  Class  A  Ordinary  Shares  generally  will  be  treated  as  marketable  stock  if  they  are  regularly  traded  on  a  “qualified
exchange or other market” (within the meaning of applicable Treasury Regulations) on at least 15 days during each calendar quarter (other than in de minimis amounts).

If a U.S. Holder makes an effective mark-to-market election, for each taxable year that we are a PFIC, the U.S. Holder will include as ordinary income the excess of
the fair market value of its Class A Ordinary Shares at the end of the year over its adjusted tax basis in the Class A Ordinary Shares. You will be entitled to deduct as an
ordinary loss in each such year the excess of your adjusted tax basis in the Class A Ordinary Shares over their fair market value at the end of the year, but only to the extent of
the net amount previously included in income as a result of the mark-to-market election. A U.S. Holder’s adjusted tax basis in the Class A Ordinary Shares will be increased by
the amount of any income inclusion and decreased by the amount of any deductions under the mark-to-market rules. In addition, upon the sale or other disposition of your Class
A Ordinary Shares in a year that we are PFIC, any gain will be treated as ordinary income and any loss will be treated as ordinary loss, but only to the extent of the net amount
of previously included income as a result of the mark-to-market election.

If a U.S. Holder makes a mark-to-market election, it will be effective for the taxable year for which the election is made and all subsequent taxable years unless the
Class A Ordinary Shares are no longer regularly traded on a qualified exchange or other market, or the IRS consents to the revocation of the election. You are urged to consult
your tax advisor about the availability of the mark-to-market election, and whether making the election would be advisable in your particular circumstances.

Information Reporting and Backup Withholding

Payments  of  dividends  and  sales  proceeds  that  are  made  within  the  United  States  or  through  certain  U.S.-related  financial  intermediaries  generally  are  subject  to
information reporting, and may be subject to backup withholding, unless (i) the U.S. Holder is a corporation or other exempt recipient or (ii) in the case of backup withholding,
the U.S. Holder provides a correct taxpayer identification number and certifies that it is not subject to backup withholding.

Backup withholding is not an additional tax. The amount of any backup withholding from a payment to a U.S. Holder will be allowed as a credit against the holder’s

U.S. federal income tax liability and may entitle it to a refund, provided that the required information is timely furnished to the IRS.

Information with Respect to Foreign Financial Assets

Certain U.S. Holders may be required to report information relating to the Class A Ordinary Shares, subject to certain exceptions (including an exception for Class A
Ordinary Shares held in accounts maintained by certain U.S. financial institutions). U.S. Holders should consult their tax advisors regarding their reporting obligations with
respect to their purchase, ownership and disposition of the Class A Ordinary Shares.

F. Dividends and Paying Agents

Not applicable.

G. Statement by Experts

Not applicable.

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H. Documents on Display

We have previously filed the Registration Statement with the SEC.

We are subject to the periodic reporting and other informational requirements of the Exchange Act. Under the Exchange Act, we are required to file reports and other
information  with  the  SEC.  Specifically,  we  are  required  to  file  annually  a  Form  20-F  within  four  months  after  the  end  of  each  fiscal  year.  Copies  of  reports  and  other
information, when so filed, may be inspected without charge and may be obtained at prescribed rates at the public reference facilities maintained by the SEC at Judiciary Plaza,
100 F Street, N.E., Washington, D.C. 20549. The public may obtain information regarding the Washington, D.C. Public Reference Room by calling the SEC at 1-800-SEC-
0330. The SEC also maintains a web site at http://www.sec.gov that contains reports, proxy and information statements, and other information regarding registrants that make
electronic filings with the SEC using its EDGAR system. As a foreign private issuer, we are exempt from the rules of the Exchange Act prescribing, among other things, the
furnishing and content of proxy statements to shareholders, and our executive officers, directors and principal shareholders are exempt from the reporting and short-swing profit
recovery provisions contained in Section 16 of the Exchange Act.

We also maintain a corporate website at www.aptorumgroup.com. Information contained on, or that can be accessed through, our website does not constitute a part of

this report.

I. Subsidiary Information

For a listing of our subsidiaries, see “Item 4. Information on the Company — A. History and Development of the Company.”

Item 11. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

For purposes of Item 11, reference to the “Group” means Aptorum Group Limited and all of its subsidiaries.

Foreign Exchange Risk

Currency risk is the risk that the value of financial assets or liabilities will fluctuate due to changes in foreign exchange rates.

Currency risk sensitivity analysis

At December 31, 2019, 2018 and 2017, the Group has no significant foreign currency risk because its business is principally conducted in Hong Kong and most of the
transactions are denominated in Hong Kong dollar. Since the Hong Kong dollar is pegged to the United States dollar, the Group’s exposure to foreign currency risk in respect of
the balances denominated in Hong Kong dollars is considered to be minimal.

Credit Risk

Financial assets which potentially subject the Group to concentrations of credit risk consist principally of bank deposits and balances.

The Group takes on exposure to credit risk on cash and restricted cash balances held with HSBC, DBS Bank Ltd, Hong Kong Branch, Industrial and Commercial Bank

of China (Macao) Limited, Bank of China (Hong Kong) Limited, Mitsubishi UFJ Financial Group and Silicon Valley Bank for the purposes of payments of Group expenses. 

All transactions in listed securities are settled or paid for upon delivery using approved and reputable brokers. The risk of default is considered minimal, as delivery of
securities sold is only made when the broker has received payment. Payment is made on a purchase when the securities have been received by the broker. The trade will fail if
either party fails to meet its obligation. The Group limits its exposure to credit risk by transacting all of its securities and contractual commitment activities with broker-dealers,
banks and regulated exchanges with high credit ratings and that the Group considers to be well established.

Liquidity Risk

Liquidity risk is the risk that the Group will encounter difficulty in raising funds to meet commitments associated with financial assets and liabilities. Liquidity risk

may result from an inability to sell a financial asset quickly at an amount close to its fair value.

The Group invests in private equities which are generally unquoted and not readily marketable. The Group manages its liquidity risk by setting investment limits on
unlisted securities that cannot be readily disposed of. Investment of the Group’s assets in unquoted securities may restrict the ability of the Group to dispose of its investment at
a price and time it wishes to do so.

Interest Rate Risk

Interest rate risk arises from the possibility that changes in interest rates will affect future cash flows or the fair values of financial instruments.

Interest rate risk sensitivity analysis

The Group’s cash held with the Cash Custodian and the Custodian are exposed to interest rate risk. However, Management considers the risk to be minimal as they are

short-term with terms less than one month.

Inflation Risk

In recent years, inflation has not had a material impact on our results of operations.

Item 12. DESCRIPTION OF SECURITIES OTHER THAN EQUITY SECURITIES

Items 12.D.3 and 12.D.4 of this Item 12 is not applicable, as the Company does not have any American Depositary Shares; all other applicable information required by

this Item 12 is included in Exhibit 2.3.

119

 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Item 13. DEFAULTS, DIVIDEND ARREARAGES AND DELINQUENCIES

None.

Part II

Item 14. MATERIAL MODIFICATIONS TO THE RIGHTS OF SECURITY HOLDERS AND USE OF PROCEEDS

See “Item 10. Additional Information” for a description of the rights of securities holders, which remain unchanged.

Use of Proceeds

The following “Use of Proceeds” information relates to the Registration Statement (File No. 333-227198), which was initially filed on September 5, 2018 and which
became effective on December 3, 2018, in relation to our initial public offering of 761,419 Class A Ordinary Shares, at an initial offering price of $15.8 per share, and the
issuance to the underwriter in the initial public offering of warrants to purchase up to 38,071 Class A Ordinary Shares. Our initial public offering closed in December 17, 2018,
for which Boustead Securities LLC, China Renaissance Securities (HK) Limited and AMTD Global Markets Limited served as underwriters.

We received gross proceeds of approximately $12.0 million from our initial public offering. As of April 29, 2020, in addition to our expenses relating to our IPO, all

remaining IPO proceeds have been used on our lead projects and other projects, as described herein.

Item 15. CONTROLS AND PROCEDURES

(a) Disclosure Controls and Procedures

Under the supervision and with the participation of our management, including our chief executive officer and our chief financial officer, we carried out an evaluation
of the effectiveness of our disclosure controls and procedures, which is defined in Rules 13a-15(e) of the Exchange Act, as of December 31, 2019. Based on that evaluation, our
chief executive officer and chief financial officer concluded that our disclosure controls and procedures, as of December 31, 2019, were effective.

(b) Management’s Annual Report on Internal Control over Financial Reporting

Our management is responsible for establishing and maintaining adequate internal control over financial reporting as defined in Rules 13a-15(f) and 15d-15(f) under
the Securities Exchange Act of 1934, as amended. Our internal control over financial reporting is a process designed to provide reasonable assurance regarding the reliability of
our financial reporting and the preparation of financial statements for external purposes in accordance with Generally Accepted Accounting Principles (GAAP) in the United
States  of  America  and  includes  those  policies  and  procedures  that  (1)  pertain  to  the  maintenance  of  records  that,  in  reasonable  detail,  accurately  and  fairly  reflect  the
transactions and dispositions of the assets of our company; (2) provide reasonable assurance that transactions are recorded as necessary to permit preparation of consolidated
financial statements in accordance with GAAP, and that receipts and expenditures of our company are being made only in accordance with authorizations of our management
and directors; and (3) provide reasonable assurance regarding prevention or timely detection of the unauthorized acquisition, use or disposition of our company’s assets that
could have a material effect on the consolidated financial statements.

120

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Because  of  its  inherent  limitations,  internal  control  over  financial  reporting  may  not  prevent  or  detect  misstatements.  Also,  projections  of  any  evaluation  of
effectiveness to future periods are subject to the risks that controls may become inadequate because of changes in conditions, or that the degree of compliance with the policies
or procedures may deteriorate.

As  required  by  Section  404  of  the  Sarbanes-Oxley  Act  of  2002  and  related  rules  as  promulgated  by  the  Securities  and  Exchange  Commission,  our  management
including our Chief Executive Officer and Chief Financial Officer assessed the effectiveness of internal control over financial reporting as of December 31, 2019 using the
criteria set forth in the report “Internal Control—Integrated Framework (2013)” published by the Committee of Sponsoring Organizations of the Treadway Commission. Based
on this evaluation, management concluded that our internal control over financial reporting was effective as of December 31, 2019.

In connection   with the audit of our financial statements for the year ended December 31, 2018 and the period March 1, 2017 through December 31, 2017, we and our
independent registered public accounting firm identified one material weakness in our internal control over financial reporting, as defined in the standards established by the
Public Company Accounting Oversight Board of the United States. The material weakness identified was the lack of dedicated resources to take responsibility for the finance
and accounting functions and the preparation of financial statements in compliance with generally accepted accounting principles in the United States, or U.S. GAAP.

In  2019,  we  took  actions  to  remediate  the  abovementioned  material  weakness,  and  we  believe  we  have  remediated  the  material  weakness  by  implementing  the

following measures:

● provide trainings to staff regarding to the preparation of financial statements in compliance with generally accepted accounting principles in the United States;

● change to a new and well-established accounting system to enhance effectiveness and financial and system control;

● establish clear roles and responsibilities for accounting and financial reporting staff to address finance and accounting issues; and

● continue to monitor the improvement on internal control over financial reporting.

As  of  December  31,  2019,  we  determined  that  the  aforementioned  measures  remediated  the  material  weakness.  However,  since  we  are  still  in  the  process  of
replenishing and building up a qualified finance and accounting team with sufficient dedicated resources, our management assessed that the deficiency related to the lack of
dedicated resources to take responsibility for the finance and accounting functions and the preparation of financial statements in compliance with generally accepted accounting
principles in the United States, or U.S. GAAP, still existed as of December 31, 2019. Therefore, based on the definition of “material weakness” and “significant deficiency” in
the standards established by the Public Company Accounting Oversight Board of the United States, our management concluded that the deficiency now only rises to the level
of a significant deficiency.

We cannot assure you that we will not identify additional material weaknesses or significant deficiencies in the future. See “Item 3. Key Information—D. Risk Factors
— Risks Related to Our Industry, Business and Operation — If we fail to establish and maintain proper internal financial reporting controls, our ability to produce accurate
financial statements or comply with applicable regulations could be impaired.”

Notwithstanding there is a significant deficiency identified as described above, we believe that our consolidated financial statements contained in this annual report on

Form 20-F fairly present our financial position, results of operations and cash flows for the years covered thereby in all material respects.

(c) Attestation Report of the Company’s Registered Public Accounting Firm

We did not include an attestation report of the company’s registered public accounting firm due to rules of the SEC where domestic and foreign registrants that are

non-accelerated filers, which we are, and “emerging growth companies” which we also are, are not required to provide the auditor attestation report.

(d) Changes in Internal Control over Financial Reporting

Other than those disclosed above in (b) Management’s Annual Report on Internal Control over Financial Reporting, there were no changes in our internal controls over
financial reporting that occurred during the period covered by this annual report on Form 20-F that have materially affected, or are reasonably likely to materially affect, our
internal control over financial reporting.  

121

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
ITEM 16. [RESERVED]

Item 16A. AUDIT COMMITTEE FINANCIAL EXPERT

We have one financial expert as of the date of this report. Our Board of Directors has determined that Mr. Charles Bathurst, Chair of our audit committee, qualifies as
an  “audit  committee  financial  expert”  as  defined  in  the  SEC  rules  and  satisfies  the  financial  sophistication  requirements  of  The  NASDAQ  Global  Market.    Mr.  Bathurst  is
“independent” as that term is defined in the rules of the SEC and the applicable rules of the NASDAQ Global Market.

Item 16B. CODE OF ETHICS

The Company’s Code of Ethics became effective on the effective date of the Registration Statement. The Code of Ethics is incorporated by reference to exhibit 14.1 of

the Registration Statement. 

Item 16C. PRINCIPAL ACCOUNTANT FEES AND SERVICES

The  following  table  sets  forth  the  aggregate  fees  by  categories  specified  below  in  connection  with  certain  professional  services  rendered  by  our  principal  external

auditors, for the periods indicated.

Audit fees
Audit-related fees
Tax fees
All other fees
Total

For the years ended 
December 31,

2019

2018

(In thousand)
154    $
65     
-     
-     
219    $

263 
- 
- 
- 
263 

  $

  $

“Audit fees” represents the aggregate fees billed or to be billed for each of the fiscal years listed for professional services rendered by our principal auditor for the

audit of our annual financial statements.

“Audit-related fees” are the aggregate fees billed for assurance and related services that are reasonably related to the performance of the audit and are not reported

under audit fees. These fees primarily include review of documents filed with the SEC.

“Tax fees” include fees for professional services rendered by our principal auditor for tax compliance and tax advice on actual or contemplated transactions.

“Other fees” include fees for services rendered by our independent registered public accounting firm with respect to other matters not reported under “Audit fees”,

“Audit-related fees” and “Tax fees”.

The policy of our audit committee is to pre-approve all audit and non-audit services provided by our principal auditor including audit services, audit-related services,

tax services and other services.

Item 16D. EXEMPTIONS FROM THE LISTING STANDARDS FOR AUDIT COMMITTEES

Not applicable.

Item 16E. PURCHASES OF EQUITY SECURITIES BY THE ISSUER AND AFFILIATED PURCHASERS

Not applicable.

Item 16F. CHANGE IN REGISTRANT’S CERTIFYING ACCOUNTANT

Not applicable.

Item 16G. CORPORATE GOVERNANCE

See “Item 6. Directors, Senior Management and Employees” for more information.

Item 16H. MINE SAFETY DISCLOSURE

Not applicable.

122

 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Item 17. FINANCIAL STATEMENTS

We have elected to provide financial statements pursuant to Item 18.

Item 18. FINANCIAL STATEMENTS

Part III

The consolidated financial statements of Aptorum Group Limited, and its subsidiaries are included at the end of this annual report.

Item 19. EXHIBITS

EXHIBIT INDEX

Description

  Second Amended and Restated Articles of Association *
  Registrant’s Specimen Certificate for Ordinary Shares*
  Form of Underwriter’s Warrant+++
  Description of Securities registered under Section 12 of the Exchange Act of 1934, as amended**
  Form of Warrant +
  Form of Underwriting Agreement+++
  Appointment Letter between the Company and Ian Huen (Founder, Chief Executive Officer & Executive Director), dated September 25, 2017 *
  Employment Letter between the Company and Sabrina Khan (Chief Financial Officer), dated September 1, 2017 *
  Addendum to Employment Letter between Company and Sabrina Khan (Chief Financial Officer) dated April 24, 2018 *
  Appointment Letter between the Company and Darren Lui (Chief Business Officer, President & Director), dated September 25, 2017 *
  Employment Letter between the Company and Clark Cheng (Chief Medical Officer & Director), dated August 31, 2017 *
  Addendum to Appointment Letter between the Company and Clark Cheng (Chief Medical Officer & Director), dated September 25, 2017 *
  Second Addendum to Appointment Letter between the Company and Clark Cheng (Chief Medical Officer & Director), dated October 30, 2017 *
  Third Addendum to Appointment Letter between the Company and Clark Cheng (Chief Medical Officer & Director), dated January 2, 2018*
  Appointment letter between the Company and Keith Chan (former Chief scientific officer) (Terminated March 13, 2019)*
  Appointment Letter between the Company and Charles Bathurst (Independent Non-Executive Director), dated September 24, 2017 *
  Appointment Letter between the Company and Mirko Scherer (Independent Non-Executive Director), dated September 24, 2017 *
  Employment Agreement between the Company and Justin Wu (Independent Non-Executive Director), dated September 18, 2017 *

Exhibit No.
1.1
2.1
2.2
2.3
2.4
4.1
4.2
4.3
4.4
4.5
4.6
4.7
4.8
4.9
4.10
4.11
4.12
4.13

123

 
  
 
 
 
 
  
 
  
 
 
4.14
4.15
4.16

4.17
4.18
4.19
4.20
4.21

4.22
4.23
4.24
4.25
4.26
4.27
4.28
4.29
4.30
4.31
4.32

4.33
4.34
4.35
4.36
4.37
4.38
4.39
4.40
4.41
4.42

  Employment Agreement between the Company and Douglas Arner (Independent Non-Executive Director), dated February 13, 2018 *
  Management Agreement between the Company and Guardian Capital Management Limited, dated March 1, 2017 *
  Consulting Agreement between the Company and GloboAsia, LLC (includes provisions for the appointment of Keith Chan as Chief Scientific Officer) dated

August 18, 2017 *  (Terminated March 13, 2019)

  Management Agreement between the Company and APTUS CAPITAL LIMITED, dated October 26, 2010 *
  First Addendum to the Management Agreement between the Company and APTUS CAPITAL LIMITED, dated February 10, 2012 *
  Second Addendum to the Management Agreement between the Company and APTUS CAPITAL LIMITED, December 9, 2016 *
  Subscription Agreement between the Company and Peace Range Limited, dated April 6, 2018 *
  Share Charge Agreement between the Company, Jurchen Investment Corporation and Peace Range Limited, dated April 25, 2018 * (Terminated March 12,

2019)

  Deed of Guarantee of Jurchen Investment Corporation, acknowledged by Peace Range Limited, dated April 25, 2018 *
  Charge Account Agreement between the Company and Peace Range Limited, dated April 25, 2018 *
  Bond Certificate between the Company and Peace Range Limited, dated April 25, 2018 *
  Escrow Agreement between the Company and Peace Range Limited, dated April 25, 2018* (Terminated February 22, 2019)
  2017 Share Option Plan *
  Form of Securities Purchase Agreement for the Series A Convertible Promissory Notes, dated May 15, 2018 *
  Lock-up Agreement for Series A Convertible Promissory Notes, dated May 15, 2018 *
  Service Agreement Between Covar Pharmaceuticals Incorporated and Videns Incorporation Limited*
  Appointment Letter and Addendum to Service Agreement with Covar Pharmaceuticals Incorporated and Dr. Kwok Chow dated December 15, 2017*
  Appointment Letter and Addendum to Service Agreement with Covar Pharmaceuticals Incorporated and Mr. Austin Feedman dated December 26, 2017*  
  Consulting Agreement  between  the  Company  and  GloboAsia,  LLC  (includes  provisions  for  the  appointment  of  Keith  Chan  as  member  of  the  Scientific

Advisory Board) dated March 13, 2019 (5)

  Exclusive Patent License Agreement for ALS-4 dated October 18, 2017 (3)
  First Amendment to Exclusive License Agreement for ALS-4 dated June 7, 2018   *
  Second Amendment to Exclusive License Agreement for ALS-4 dated July 10, 2019** (6)
  Exclusive License Agreement for ALS-4 dated January 11, 2019 (4)
  Employment Agreement with Dr. Lee dated March 13, 2019++
  Employment Agreement with Dr. Ng, dated March 13, 2019++
  Master Collaboration Agreement by and between the Company, A*ccelerate Technologies Pte. Ltd, and Aeneas Capital Limited dated April 24, 2019 (1)
  Bond Repurchase Agreement dated April 24, 2019 (1)
  Form of Line of Credit Agreement (2)
  Form of Promissory Note (2)

124

 
 
 
4.43
4.44
4.45
4.46
4.47
4.48
8.1
12.1
12.2
13.1

15.1
99.1
101.INS
101.SCH
101.CAL
101.DEF
101.LAB
101.PRE

***
**
*
+++
++
+
(1)
(2)
(3)

(4)

(5)
(6)

  Form of Securities Purchase Agreement+
  Consulting agreement with CGY Investment Limited effective on January 10, 2020**
  Distribution and Marketing Agreement between Nativus Life Sciences Limited and Multipak Limited**
  Administrative Consultant Services Agreement with Aeneas Management Limited dated January 1, 2019**
  Secondment Agreement between the Company and Aenco Limited dated January 1, 2019**
  Secondment Agreement (2) between the Company and Aenco Limited dated April 1, 2020**
  List of Subsidiaries **
  Certification of Chief Executive Officer Pursuant to Rule 13a-14(a)/15d-14(a)**
  Certification of Chief Financial Officer Pursuant to Rule 13a-14(a)/15d-14(a)**
  Certification of Chief Executive Officer and Chief Financial Officer Pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-

Oxley Act of 2002***

  Consent of Marcum Bernstein & Pinchuk LLP**
  Code of Business Ethics *
  XBRL Instance Document**
  XBRL Taxonomy Extension Schema Document**
  XBRL Taxonomy Extension Calculation Linkbase Document**
  XBRL Taxonomy Extension Definition Linkbase Document**
  XBRL Taxonomy Extension Label Linkbase Document**
  XBRL Taxonomy Extension Presentation Linkbase Document**

Furnished with this annual report on Form 20-F
Filed with this annual report on Form 20-F
Incorporated by reference to our Registration Statement Filed on Form F-1 on September 5, 2018
Incorporated by reference to our Registration Statement Filed on Form F-1 on November 15, 2018
Incorporated by reference to our Current Report on Form 6-K filed on April 1, 2019
Incorporated by reference to our Current Report on Form 6-K filed on February 26, 2020
Incorporated by reference to our Current Report on Form 6-K filed on April 24, 2019
Incorporated by reference to our Current Report on Form 6-K filed on August 14, 2019
Incorporated by reference to our Registration Statement Filed on Form F-1 on September 5, 2018; portions of the exhibit were previously omitted in reliance on the
confidential treatment provisions available pursuant to revised paragraph 4(a) of Instructions as to Exhibits of Form 20-F.
Incorporated by reference to our annual report on Form 20-F filed on April 15, 2019; portions of the exhibit were previously omitted in reliance on the confidential
treatment provisions available pursuant to revised paragraph 4(a) of Instructions as to Exhibits of Form 20-F.
Incorporated by reference to our annual report on Form 20-F filed on April 15, 2019.
Certain  information  from  this  exhibit  has  been  excluded  from  this  exhibit  because  it  both  (i)  is  not  material  and  (ii)  would  likely  cause  competitive  harm  to  the
Registrant if publicly disclosed.

125

 
 
 
 
The registrant hereby certifies that it meets all of the requirements for filing on Form 20-F and that it has duly caused and authorized the undersigned to sign this

SIGNATURES

annual report on its behalf.

Date: April 29, 2020

Aptorum Group Limited

By:

/s/ Ian Huen
Ian Huen
Chief Executive Officer,
Chairman of the Board of Directors
(Principal Executive Officer)

/s/ Sabrina Khan
Sabrina Khan
Chief Financial Officer
Principal Accounting and Financial Officer

126

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
APTORUM GROUP LIMITED
Financial Statements

Table of Contents

Report of Independent Registered Public Accounting Firm
Consolidated Balance Sheets (Successor Basis) as of December 31, 2019 and 2018
Consolidated Statements of Operations and Comprehensive Loss (Successor Basis) for the years ended December 31, 2019 and 2018 , and the period March

1, 2017 through December 31, 2017

Statement of Operations (Predecessor Basis) for the period January 1, 2017 through February 28, 2017
Consolidated Statements of Equity (Successor Basis) for the years ended December 31, 2019 and 2018 , and the period March 1, 2017 through December 31,

2017

Statement of Changes in Net Assets (Predecessor Basis) for the period January 1, 2017 through February 28, 2017
Consolidated Statements of Cash Flows (Successor Basis) for the years ended December 31, 2019 and 2018 , and the period March 1, 2017 through December

31, 2017

Statement of Cash Flows (Predecessor Basis) for period January 1, 2017 through February 28, 2017
Notes to Consolidated Financial Statements

F-2
F-3

F-4
F-5

F-6
F-7

F-8
F-9
F-10

F- 1

 
   
 
 
  
REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

To the Shareholders and Board of Directors of

Aptorum Group Limited

Opinion on the Financial Statements

We have audited the accompanying consolidated balance sheets (successor basis) of Aptorum Group Limited (the “Company”) as of December 31, 2019 and 2018, the related
consolidated statements (successor basis) of operations and comprehensive loss, equity and cash flows for each of the two years in the period ended December 31, 2019, and
the period March 1, 2017 through December 31, 2017, the statements (predecessor basis) of operations, changes in net assets, and cash flows for the period January 1, 2017
through February 28, 2017, and the related notes, (collectively referred to as the “financial statements”). In our opinion, the financial statements present fairly, in all material
respects, the financial position of the Company as of December 31, 2019 and 2018, and the results of its operations and its cash flows for each of the two years in the period
ended December 31, 2019, the period March 1, 2017 through December 31, 2017, and the period January 1, 2017 through February 28, 2017, in conformity with accounting
principles generally accepted in the United States of America.

Basis for Opinion

These financial statements are the responsibility of the Company's management. Our responsibility is to express an opinion on the Company's financial statements based on our
audits. We are a public accounting firm registered with the Public Company Accounting Oversight Board (United States) ("PCAOB") and are required to be independent with
respect  to  the  Company  in  accordance  with  the  U.S.  federal  securities  laws  and  the  applicable  rules  and  regulations  of  the  Securities  and  Exchange  Commission  and  the
PCAOB.

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

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

/s/ Marcum Bernstein & Pinchuk LLP

Marcum Bernstein & Pinchuk LLP

We have served as the Company’s auditor since 2017
New York, New York
April 29, 2020

F- 2

 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
APTORUM GROUP LIMITED
CONSOLIDATED BALANCE SHEETS (SUCCESSOR BASIS)
December 31, 2019 and 2018
(Stated in U.S. Dollars)

December 31, 
2019

December 31, 
2018

5,189,003    $
104,170     
1,539     
40,543     
34,185     
1,063,111     
203,320     
962     
317,005     
1,079,043     
8,032,881     
7,093,035     
7,112,180     
1,311,683     
50,000     
294,606     
59,833     
23,954,218    $

12,006,624 
14,100,614 
- 
2,827 
30,642 
1,014,338 
115,721 
169,051 
818,968 
464,156 
28,722,941 
4,260,602 
7,094,712 
1,409,540 
50,000 
3,417,178 
119,667 
45,074,640 

41,593    $
2,586,527     
46,555     
-     
-     
2,674,675     
97,319     
6,330,472     
9,102,466    $

33,417 
1,247,147 
43,877 
753,118 
10,107,306 
12,184,865 
143,873 
- 
12,328,738 

-     

- 

  $

  $

  $

  $

ASSETS
Current assets:
Cash
Restricted cash
Digital currencies
Accounts receivable
Inventories
Marketable securities, at fair value
Investments in derivatives
Amounts due from related parties
Due from brokers
Other receivables and prepayments
Total current assets
Property, plant and equipment, net
Non-marketable investments
Intangible assets, net
Amounts due from related parties
Long-term deposits
Other non-current asset
Total Assets

LIABILITIES AND EQUITY

LIABILITIES
Current liabilities:
Amounts due to related parties
Accounts payable and accrued expenses
Finance lease payable, current portion
Warrant liabilities
Convertible debts
Total current liabilities
Finance lease payable, non-current portion
Loan payables to related parties
Total Liabilities

Commitments and contingencies

EQUITY
Class A Ordinary Shares ($1.00 par value; 60,000,000 shares authorized, 6,597,362 shares issued and outstanding at December 31,

2019 and 6,537,269 shares issued and outstanding at December 31, 2018, respectively)

  $

6,597,362    $

6,537,269 

Class B Ordinary Shares ($1.00 par value; 40,000,000 shares authorized, 22,437,754 shares issued and outstanding as at

December 31, 2019 and 2018)

Additional paid-in capital
Accumulated other comprehensive loss
Accumulated deficit
Total equity attributable to the shareholders of Aptorum Group Limited
Non-controlling interests
Total equity
Total Liabilities and Equity

22,437,754     
24,887,624     
(5,552)    
(37,555,980)    
16,361,208     
(1,509,456)    
14,851,752     
23,954,218    $

22,437,754 
23,003,285 
(1,484,688)
(17,379,185)
33,114,435 
(368,533)
32,745,902 
45,074,640 

  $

See accompanying notes to the consolidated financial statements.

F- 3

 
 
 
 
 
   
 
 
 
     
 
 
    
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
      
  
 
 
      
  
 
 
 
      
  
 
 
      
  
 
 
      
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
      
  
 
 
 
 
 
      
  
 
 
      
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
APTORUM GROUP LIMITED
CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE LOSS
(SUCCESSOR BASIS)
For Years Ended December 31, 2019 and 2018, and the period March 1, 2017 through December 31, 2017
(Stated in U.S. Dollars)

Revenue
Healthcare service income

Operating expenses
Cost of healthcare service
Research and development expenses
General and administrative fees
Legal and professional fees
Other operating expenses
Total expenses

Other (loss) income
(Loss) gain on investments in marketable securities, net
Gain on non-marketable investments
Gain (loss) on investments in derivatives, net
Gain on use of digital currencies
Gain on extinguishment of convertible debts
Changes in fair value of warrant liabilities
Interest (expense) income, net
Rental income
Dividend income
Sundry income
Total other (loss) income, net

Net loss
Less: net loss attributable to non-controlling interests

Net loss attributable to Aptorum Group Limited

Net loss per share – basic and diluted
Weighted-average shares outstanding – basic and diluted

Net loss

Other Comprehensive loss
Unrealized loss on investments in available-for-sale securities
Exchange differences on translation of foreign operations
Other Comprehensive loss

Comprehensive loss
Less: comprehensive loss attributable to non-controlling interests

Year Ended 
December 31, 
2019

Year Ended 
December 31, 
2018

March 1,
2017
through
December 31,
2017

  $

535,166 

  $

383,450    $

- 

(794,545)  
(6,939,051)  
(7,373,425)  
(3,405,705)  
(220,891)  
(18,733,617)  

(318,011)    
(3,101,432)    
(4,919,626)    
(1,811,770)    
(560,709)    
(10,711,548)    

(81,839)  

1,147,190 
87,599 
46,717 
1,198,490 
(866,300)  
(3,699,672)  
16,868 
- 
232,460 
(1,918,487)  

501,522     
-     
(974,444)    
-     
-     
124,726     
(4,458,191)    
-     
-     
-     
(4,806,387)    

- 
(2,560,323)
(1,480,093)
(1,395,490)
(257,177)
(5,693,083)

3,912,500 
- 
(827,501)
- 
- 
- 
44,269 
- 
2,308 
- 
3,131,576 

(20,116,938)  
(1,430,176)  

(15,134,485)    
(302,762)    

(2,561,507)
(14,045)

(18,686,762)   $

(14,831,723)   $

(2,547,462)

(0.64)   $

29,008,445 

(0.53)   $
27,909,788     

(0.09)
26,963,435 

  $

  $

  $

(20,116,938)   $

(15,134,485)   $

(2,561,507)

- 

(10,897)  
(10,897)  

(1,122,251)    
5,345     
(1,116,906)    

(367,782)
- 
(367,782)

(20,127,835)  
(1,430,176)  

(16,251,391)    
(302,762)    

(2,929,289)
(14,045)

Comprehensive loss attributable to the shareholders of Aptorum Group Limited

(18,697,659)  

(15,948,629)    

(2,915,244)

See accompanying notes to the consolidated financial statements.

F- 4

 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
   
  
 
 
 
 
 
   
  
 
 
 
  
 
 
      
  
 
 
  
 
 
      
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
      
  
 
 
  
 
 
      
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
      
  
 
 
 
 
 
 
 
 
 
  
 
 
      
  
 
 
 
  
 
 
      
  
 
 
 
 
 
 
 
  
 
 
      
  
 
 
 
  
 
 
      
  
 
 
  
 
 
      
  
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
      
  
 
 
 
 
 
 
 
 
 
  
 
 
      
  
 
 
 
   
 
APTORUM GROUP LIMITED
STATEMENT OF OPERATIONS (PREDECESSOR BASIS)
For the Period January 1, 2017 through February 28, 2017
(Stated in U.S. Dollars)

Investment income
Dividend income from unaffiliated issuers
Interest income
Total investment income

Expenses
General and administrative fees
Management fees
Legal and professional fees
Other operating expenses
Total expenses

Net investment loss

Realized and unrealized losses
Net realized losses on investments in unaffiliated issuers
Net change in unrealized depreciation on investments
Aptorum Therapeutics - related party
Unaffiliated issuers
Net realized and unrealized losses

Net decrease in net assets resulting from operations

See accompanying notes to the consolidated financial statements.

F- 5

January 1, 
2017 
through
February 28, 
2017

  $

- 
3,011 
3,011 

17,516 
108,958 
98,646 
1,907 
227,027 

  $

(224,016)

  $

(15,327)

(98,434)
(288,307)
(402,068)

  $

(626,084)

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
  
 
 
  
 
 
  
 
 
 
 
 
 
 
 
 
  
  
 
APTORUM GROUP LIMITED
CONSOLIDATED STATEMENTS OF EQUITY (SUCCESSOR BASIS)
For Years Ended December 31, 2019 and 2018, and the period March 1, 2017 through December 31, 2017
(Stated in U.S. Dollars)

Ordinary shares

Class A Ordinary
Shares

Class B Ordinary
Shares

Shares

    Amount

    Shares    Amount    Shares

   Amount

Additional
Paid-in
Capital
   Amount

Accumulated
deficit
    Amount

Accumulated
other
comprehensive
loss
Amount

Non- 
controlling

interests    

Total

    Amount

    Amount

Balance,

March 1,
2017

Proceeds from
issuance of
shares

Converted from

ordinary
shares

   25,657,110   $ 25,657,110    

-  $

   2,207,025    

2,207,025    

-   

-   

-   

-  $

-   

-  $ (1,168,448) $

-    6,394,976    

  (27,864,135)   (27,864,135)   5,426,381    5,426,381   22,437,754    22,437,754   

-    

-   $

-    

-    

-   $

-   $ 24,488,662 

-    

-    

-    

8,602,001 

-    

- 

Unrealized loss

on
investments in
available-for-
sale securities   

Gain on disposal

of entity
under
common
control
Net loss

Balance,

December 31,
2017
Issuance of

initial public
offering of
ordinary
shares on
December 17,
2018 at $15.8
per share, net
of
underwriting
discount and
offering
expenses
Proceeds from

non-
controlling
interest

Converted from
convertible
debts

Unrealized loss

on
investments in
available-for-
sale securities   

Exchange

difference on
translation of
foreign
operation

Beneficial

conversion
feature
Net loss

Balance,

December 31,
2018

Adjustment to
opening
balance of
equity
Balance,

January 1,
2019
Issuance of

shares to non-

-    

-    

-   

-   

-   

-   

-    

-    

(367,782)  

-    

(367,782)

-    
-    

-    
-    

-   
-   

-   
-   

-   
-   

-   
-   

67,874    
-    

-    
(2,547,462)  

-    
-    

-    
(14,045)  

67,874 
(2,561,507)

-   $

-     5,426,381  $5,426,381   22,437,754  $22,437,754  $ 5,294,402   $

(2,547,462) $

(367,782) $

(14,045) $ 30,229,248 

-    

-    

-    

-     761,419   

761,419   

-   

-    9,536,631    

-    

-   

-   

-     349,469   

349,469   

-   

-   

-   

51,727    

-    2,683,839    

-    

-    

-    

-    

-     10,298,050 

-    

(51,726)  

1 

-    

-    

3,033,308 

-    

-    

-   

-   

-   

-   

-    

-    

(1,122,251)  

-    

(1,122,251)

-    

-    
-    

-    

-    
-    

-   

-   
-   

-   

-   
-   

-   

-   
-   

-   

-    

-    

5,345    

-    

5,345 

-    5,436,686    
-    
-   

-    
(14,831,723)  

-    
-    

-    

5,436,686 
(302,762)   (15,134,485)

-   $

-     6,537,269  $6,537,269   22,437,754  $22,437,754  $23,003,285   $ (17,379,185) $

(1,484,688) $ (368,533) $ 32,745,902 

-    

-    
-    

-    

-   

-   

-   

-   

-    

(1,490,033)  

1,490,033    

-    

- 

-     6,537,269  $6,537,269   22,437,754  $22,437,754  $23,003,285   $ (18,869,218) $
-    
-    

10,672    

-   

-   

-   

-   

5,345   $ (368,533) $ 32,745,902 
- 
(10,672)  

-    

 
 
   
 
 
   
  
  
   
   
   
 
 
 
   
 
 
 
    
    
   
   
   
   
    
    
    
    
  
  
  
 
  
     
     
    
    
    
    
     
     
     
     
  
  
  
  
  
  
  
  
 
  
     
     
    
    
    
    
     
     
     
     
  
  
  
  
  
controlling
interest
Issuance of
tokens

Reacquisition of
convertible
bonds

Disposal of a
subsidiary
Share-based

compensation   

Exercise of
warrants
Exchange

difference on
translation of
foreign
operation

Net loss

Balance,

December 31,
2019

-    

-    

-    

-    

-    

-    
-    

-    

-    

-    

-    

-   

-   

-   

-   

-   

-   

-   

-   

-    

60,093   

60,093   

-    
-    

-   
-   

-   
-   

-   

-   

-   

-   

-   

-   
-   

-   

-    

-    (1,298,490)  

-   

-    

-    1,612,832    

-    1,559,325    

-    

-    

-    

-    

-    

-    

300,000    

300,000 

-    

-    

-    

-    

-    

(1,298,490)

(75)  

(75)

-     1, 612,832 

-    

1,619,418 

-   
-   

-    
-    

-    
(18,686,762)  

(10,897)  

(10,897)
-    
-     (1,430,176)   (20,116,938)

-   $

-     6,597,362  $6,597,362   22,437,754  $22,437,754  $24,887,624   $ (37,555,980) $

(5,552) $(1,509,456) $ 14,851,752 

See accompanying notes to the consolidated financial statements.

F- 6

  
  
  
  
  
  
 
  
     
     
    
    
    
    
     
     
     
     
  
  
 
 
APTORUM GROUP LIMITED
STATEMENT OF CHANGES IN NET ASSETS (PREDECESSOR BASIS)
For the Period January 1, 2017 through February 28, 2017
(Stated in U.S. Dollars)

Operations
Net investment losses
Net realized losses
Net change in unrealized depreciation
Net decrease in net assets resulting from operations

Distributions to shareholders
Equalization payable
Return of capital
Total distributions

Total decrease in net assets

Net assets
Beginning of period
End of period

See accompanying notes to the consolidated financial statements.

F- 7

January 1, 
2017 
through 
February 28,
2017

 $

(224,016)
(15,327)
(386,741)
(626,084)

9,663 
(9,663)
- 

(626,084)

   25,114,746 
 $ 24,488,662 

 
 
 
 
 
 
 
 
 
 
  
 
  
  
  
 
  
  
  
  
  
  
  
 
  
  
  
 
  
  
  
  
  
 
APTORUM GROUP LIMITED
CONSOLIDATED STATEMENTS OF CASH FLOWS (SUCCESSOR BASIS)
For Years Ended December 31, 2019 and 2018, and the period March 1, 2017 through December 31, 2017
(Stated in U.S. Dollars)

Cash flows from operating activities
Net loss
Adjustments to reconcile net loss to net cash used in operating activities
Amortization and depreciation
Share-based compensation
Loss (gain) on investments in marketable securities, net
Gain on non-marketable investments
(Gain) loss on investments in derivatives, net
Changes in fair value of warrant liabilities
Gain on use of digital currencies
Settlement of service fee by digital currencies and tokens
Gain on extinguishment of convertible debts
Interest income
Interest expense and accretion of convertible debts
Accretion of finance lease obligation
Changes in operating assets and liabilities
Accounts receivable
Inventories
Other receivables and prepayments
Other non-current asset
Long-term deposits
Due from brokers
Amounts due from related parties
Amounts due to related parties
Accounts payable and accrued expenses
Net cash used in operating activities
Cash flows from investing activities
Purchase of digital currencies
Advances to related parties
Purchases of intangible assets
Purchases of property, plant and equipment
Proceeds from sales of investment securities
Disbursement of a loan to a third party
Repayment of a loan from a third party
Net cash (used in) provided by investing activities
Cash flows from financing activities
Loan from related parties
Payment for settlement of convertible debts
Proceeds from issuance of convertible debts
Proceeds from issuance of shares
Payments of initial public offering costs
Payments for debt issuance costs
Payment of finance lease obligations
Net cash (used in) provided by financing activities

Net (decrease) increase in cash and restricted cash
Cash and restricted cash – Beginning of period
Cash and restricted cash – End of period

Supplemental disclosures of cash flow information
Interest paid
Income taxes paid
Proceeds in broker accounts
Non-cash operating, investing and financing activities
Issuance of token in exchange of services
Net settlement of related party balances
Equipment acquired through finance lease
Conversion of convertible debts
Settlement of service fee by digital currencies and tokens
Reconciliation of cash and restricted cash
Cash
Restricted cash
Total cash and restricted cash shown in the consolidated statements of cash flows

Year Ended 
December 31, 
2019

Year Ended 
December 31, 
2018

March 1,
2017
through
December 31, 
2017

  $

(20,116,938)   $

(15,134,485)   $

(2,561,507)

1,299,618 
1,612,832 
81,839 
(1,147,190)  
(87,599)  
866,300 
(46,717)  
437,178 
(1,198,490)  
(79,558)  

3,769,263 
9,967 

(37,716)  
(3,543)  
(427,541)  

- 
55,429 
501,963 
168,089 
(26,060)  
986,241 
(13,382,633)  

(200,000)  

- 

(70,109)  
(837,062)  
999,110 
(1,400,000)  
1,400,000 
(108,061)  

6,330,472 
(13,600,000)  

- 
- 
- 
- 

(53,843)  
(7,323,371)  

682,292     
-     
(501,522)    
-     
974,444     
(124,726)    
-     
-     
-     
(108,512)    
4,559,714     
6,989     

(2,827)    
(30,642)    
(45,911)    
(179,500)    
(111,951)    
751     
(79,204)    
1,004     
58,555     
(10,035,531)    

-     
-     
(417,794)    
(5,646,505)    
2,312     
(3,000,000)    
3,000,000     
(6,061,987)    

-     
-     
16,120,400     
11,054,319     
(538,122)    
(1,099,316)    
(58,332)    
25,478,949     

58,903 
- 
(3,912,500)
- 
827,501 
- 
- 
- 
- 
- 
- 
- 
- 
- 
- 
(303,925)
- 
(20,092)
(54,158)
- 
- 
183,083 
(5,782,695)

- 
(186,898)
(968,730)
(2,090,721)
16,049,067 
- 
- 
12,802,718 

- 
- 
480,000 
8,602,001 
- 
- 
- 
9,082,001 

(20,814,065)  
26,107,238 
5,293,173 

  $

9,381,431     
16,725,807     
26,107,238     

16,102,024 
623,783 
16,725,807 

  $
  $
  $

  $
  $
  $
  $
  $

  $

  $

557,333 
- 
999,110 

  $
  $
  $

300,000 
- 
- 
- 
437,178 

5,189,003 
104,170 
5,293,173 

  $
  $
  $
  $
  $

  $

  $

606,989    $
-    $
640,227    $

-    $
164,973    $
239,093    $
3,033,308    $
-    $

- 
- 
- 

- 
- 
- 
- 
- 

12,006,624    $
14,100,614     
26,107,238    $

16,245,807 
480,000 
16,725,807 

See accompanying notes to the consolidated financial statements.

F- 8

 
 
 
 
 
 
 
   
 
 
 
 
 
 
     
 
 
 
  
 
 
      
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
      
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
      
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
      
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
      
  
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
      
  
 
 
  
 
 
      
  
 
 
  
 
 
      
  
 
 
  
 
 
      
  
 
 
 
 
  
 
APTORUM GROUP LIMITED
STATEMENT OF CASH FLOWS (PREDECESSOR BASIS)
For the Period January 1, 2017 through February 28, 2017
(Stated in U.S. Dollars)

Cash flows from operating activities
Net decrease in net assets resulting from operations
Adjustments to reconcile net decrease in net assets resulting from operations to net cash used in operating activities:
Net change in unrealized depreciation on investments
Net realized loss on sales of investments in unaffiliated issuers
Proceeds from sales of investment securities
Increase in interest receivable
Increase in due from brokers
Decrease in other receivable and prepayments
Increase in accounts payable and accrued expenses
Decrease in management fees payable - related party
Net cash used in operating activities

Net decrease in cash

Cash - Beginning of period
Cash - End of period

Supplemental disclosures of cash flow information
Interest paid
Income taxes paid

See accompanying notes to the consolidated financial statements.

F- 9

January 1,
2017 
through
February 28, 
2017

  $

(626,084)

386,741 
15,327 
28,425 
(5,099)
(28,438)
2,520 
13,778 
(58,830)
(271,660)

(271,660)

301,643 
29,983 

- 
- 

  $

  $
  $

 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
  
 
 
 
 
  
  
 
APTORUM GROUP LIMITED
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(Stated in U.S. Dollars)

1. ORGANIZATION

The consolidated financial statements include the financial statements the Aptorum Group Limited (the “Company”) and its subsidiaries. The Company and its subsidiaries are
hereinafter collectively referred to as the “Group”.

The Company, formerly known as APTUS Holdings Limited and STRIKER ASIA OPPORTUNITIES FUND CORPORATION, is a company incorporated on September 13,
2010 under the laws of the Cayman Islands with limited liability.

On March 1, 2017, the Company changed from an investment fund with management shares and non-voting participating redeemable preference shares to a holding company
with  operating  subsidiaries.  After  that,  the  Company  has  become  a  biopharmaceutical  company.  The  Company  researches  and  develops  life  science  and  biopharmaceutical
products  within  its  wholly-owned  subsidiary,  Aptorum  Therapeutics  Limited,  formerly  known  as  APTUS  Therapeutics  Limited  (“Aptorum  Therapeutics”)  and  its  indirect
subsidiary companies (collectively, “Aptorum Therapeutics Group”).

Below summarizes the list of the major subsidiaries consolidated as of December 31, 2019:

Name
Aptorum Therapeutics Limited

Incorporation 
date
June 30, 2016

  Ownership

Place of 
incorporation

100%

 Cayman Islands

APTUS MANAGEMENT LIMITED  

May 16, 2017

100%

 Hong Kong

Aptorum Medical Limited
Aptus Therapeutics (Hong Kong)
Limited
Aptorum Pharmaceutical Development
Limited
Aptorum Innovations Holding Limited  
Aptorum Innovations Holding Pte. Ltd. 

  August 28, 2017

June 30, 2016

  August 28, 2017

April 15, 2019
June 5, 2019

Aptorum Investment Holding Limited   March 29, 2019
June 30, 2017
Acticule Life Sciences Limited

94%
100%

 Cayman Islands
 Hong Kong

100%

 Cayman Islands

100%
100%

100%
80%

 Cayman Islands
 Singapore

 Cayman Islands
 Cayman Islands

Claves Life Sciences Limited

August 2, 2017

100%

 Cayman Islands

Nativus Life Sciences Limited

July 7, 2017

100%

 Cayman Islands

Videns Incorporation Limited

  March 2, 2017

100%

 Cayman Islands

mTOR (Hong Kong) Limited

  November 4, 2016  

90%

 Hong Kong

Scipio Life Sciences Limited

July 19, 2017

100%

 Cayman Islands

Signate Life Sciences Limited

  August 28, 2017

100%

 Cayman Islands

April 18, 2019
April 24, 2019

100%
100%

 Seychelles
 Samoa

Principle activities

 Research and development of life science and biopharmaceutical
products
 Provision of management services to its holding company and fellow
subsidiaries
 Provision of medical clinic services
 Research and development of life science and biopharmaceutical
products
 Research and development of life science and biopharmaceutical
products
 Investment holding company
 Research and development of life science and biopharmaceutical
products
 Investment holding company
 Research and development of life science and biopharmaceutical
products
 Research and development of life science and biopharmaceutical
products
 Research and development of life science and biopharmaceutical
products
 Research and development of life science and biopharmaceutical
products
 Research and development of life science and biopharmaceutical
products
 Research and development of life science and biopharmaceutical
products
 Research and development of life science and biopharmaceutical
products
 Investment holding company
 Pharmaceutical research and analysis

May 10, 2019

100%

 Singapore

June 7, 2019

100%

 Seychelles

 Research and development of life science and biopharmaceutical
products
 Issuance of asset backed securities

SMTPH Limited
Smart Pharmaceutical Research
Limited
Smart Pharmaceutical Development
Pte. Limited
Smart Pharmaceutical Limited
Partnership

Initial public offering

On December 17, 2018, the Group completed an initial public offering (the “IPO” or “Offering”) with new issuance of 761,419 ordinary shares at $15.80 for total offering size
of approximately $12.0 million before deducting commissions and expenses. The net proceeds from the IPO was approximately $10.3 million, net off underwriting discount of
approximately $1.2 million and offering costs of approximately $0.5 million. After the IPO, the ordinary shares began trading on the NASDAQ Global Market under the ticker
symbol “APM”.

F- 10

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
APTORUM GROUP LIMITED
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(Stated in U.S. Dollars)

Deferred offering costs

Deferred offering costs consist principally of legal, printing and registration costs in connection with the Group’s IPO. Such costs are deferred until the closing of the Offering,
at  which  time  the  deferred  costs  are  offset  against  the  offering  proceeds.  Deferred  offering  costs  as  of  December  31,  2019  and  2018  amounted  to  $nil  on  the  consolidated
balance sheets. At the completion of the IPO, $1,732,229 offering costs was charged to additional paid-in capital.

2. LIQUIDITY

The  Company  reported  a  net  loss  of  $20,116,938,  net  operating  cash  outflow  of  $13,382,633  and  working  capital  of  $5,358,206  for  the  year  ended  December  31,  2019.  In
addition,  the  Company  had  an  accumulated  deficit  of  $37,555,980  as  of  December  31,  2019.  The  Company’s  operating  results  for  future  periods  are  subject  to  numerous
uncertainties and it is uncertain if the Company will be able to reduce or eliminate its net losses for the foreseeable future. If management is not able to generate significant
revenues from its product candidates currently in development, the Company may not be able to achieve profitability.

The Company’s principal sources of liquidity have been cash, marketable securities and line of credit facility from related parties. As of the date of issuance of the consolidated
financial statements, the Company has approximately $6.3 million of restricted and unrestricted cash and undrawn line of credit facility from related parties of approximately
$12.4 million. Based upon the current market price of the Company’s marketable securities, it anticipates it can liquidate such marketable securities, if necessary. In addition,
the Company will need to maintain its operating costs at a level which will not exceed such aforementioned sources of funds in order to continue as a going concern for a
period within one year after the issuance of its consolidated financial statements.

The Company believes that available cash, together with the efforts from aforementioned management plan and actions, should enable the Company to meet current anticipated
cash needs for at least the next 12 months after the date that the financial statements are issued and the Company has prepared the consolidated financial statements on a going
concern basis. However, the Company continues to have ongoing obligations and it expects that it will require additional capital in order to execute its longer-term development
plan. If the Company encounters unforeseen circumstances that place constraints on its capital resources, management will be required to take various measures to conserve
liquidity, which could include, but not necessarily be limited to, deferring some of its research, seeking to dispose of marketable securities and drawing down from line of credit
provided by related parties. Management cannot provide any assurance that the Company will raise additional capital if needed.

3. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

Principles of presentation and consolidation

The consolidated financial statements are prepared in accordance with U.S. GAAP. Before March 1, 2017, the Company was an investment company under U.S. GAAP for the
purposes of financial reporting. U.S. GAAP for an investment company requires investments to be recorded at estimated fair value and the unrealized gains and/or losses in an
investment’s fair value are recognized on a current basis in the statements of operations. In addition, the Company did not consolidate its subsidiaries, since they were operating
companies and not investment companies. Such entities were fair valued in accordance with ASC Topic 946 (“ASC 946”) and ASC Topic 820 (“ASC 820”).

As of March 1, 2017, after the change of business purpose, legal form and substantive activities, the Company’s status changed to an operating company from an investment
company since it no longer met the criteria to qualify as an investment company under the ASC 946. The Company discontinued applying the guidance in ASC 946 and began
to account for the change in status prospectively by accounting for its investments in accordance with other U.S. GAAP topics.

This  change  in  status  and  the  accounting  policies  affect  the  comparability  of  the  financial  statements.  As  such,  for  the  period  January  1,  2017  through  February  28,  2017,
statements of operations, changes in net assets, and cash flows have been presented on the predecessor basis of accounting as an investment company, and on the successor
basis of accounting as an operating company since March 1, 2017. The consolidated balance sheets as of December 31, 2019 and 2018 have been presented on the successor
basis.

The consolidated financial statements of the Group are presented on the accrual basis of accounting in accordance with accounting principles generally accepted in the United
States of America (“U.S. GAAP”) and include the accounts of the Company, its direct and indirect wholly and majority owned subsidiaries. All material intercompany balances
and transactions have been eliminated in preparation of the consolidated financial statements.

Non-controlling interests

Non-controlling interests represent the equity interests that are not attributable to the Group.

Use of estimates

The  preparation  of  the  consolidated  financial  statements  in  conformity  with  U.S.  GAAP  requires  management  to  make  estimates  and  assumptions  that  affect  the  reported
amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the consolidated financial statements as well as income and expenses during the
reporting period. Significant accounting estimates reflected in the Group’s consolidated financial statements include valuation of equity securities, fair value of investments in
securities, convertible debts and finance lease, the useful lives of intangible assets and property, plant and equipment, impairment of long-lived assets, valuation allowance for
deferred tax assets, and collectability of receivables. Actual results could differ from those estimates.

F- 11

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
APTORUM GROUP LIMITED
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(Stated in U.S. Dollars)

Foreign currency translation and transaction

USD is the reporting currency. The functional currency of subsidiaries in the Cayman Islands, Seychelles, Samoa and the United States are USD, the functional currency of
subsidiaries  in  Hong  Kong  is  Hong  Kong  Dollars  (“HKD”),  the  functional  currency  of  a  subsidiary  in  Macao  is  Macanese  Pataca  (“MOP”),  the  functional  currency  of  a
subsidiary  in  the  United  Kingdom  is  Great  British  Pound  (“GBP”),  and  the  functional  currency  of  subsidiaries  in  Singapore  is  Singapore  Dollars  (“SGD”).  An  entity’s
functional currency is the currency of the primary economic environment in which it operates, normally that is the currency of the environment in which it primarily generates
and  expends  cash.  The  management  considered  various  indicators,  such  as  cash  flows,  market  expenses,  financing  and  inter-company  transactions  and  arrangements  in
determining the Group’s functional currency.

In the consolidated financial statements, the financial information of the Company and its subsidiaries, which use HKD, MOP, GBP, and SGD as their functional currency, has
been translated into USD. Assets and liabilities are translated from each subsidiary’s functional currency at the exchange rates on the balance sheet dates, equity amounts are
translated  at  historical  exchange  rates,  and  revenues,  expenses,  gains,  and  losses  are  translated  using  the  average  exchange  rates  for  the  year.  Translation  adjustments  are
reported  as  cumulative  translation  adjustments  and  are  shown  as  a  separate  component  of  other  comprehensive  income  or  loss  in  the  statements  of  operations  and
comprehensive loss.

Cash

Cash consists of cash on hand and bank deposits and cash denominated in foreign currencies, which is unrestricted as to withdraw and use.

Restricted cash

Restricted  cash  represented  a  time  deposit  pledged  for  banking  facilities  or  cash  deposited  into  the  escrow  account  from  investors  for  the  purpose  of  the  subscription  of
convertible debts.

Digital currencies

Digital currencies represented BitCoin, Ethereum, or other virtual currencies that the Group purchased and used to settle certain token related expenses.

Digital currencies are included in current assets in the consolidated balance sheets. Digital currencies purchased are recorded at cost.

Digital currencies held are accounted for as intangible assets with indefinite useful lives. An intangible asset with an indefinite useful life is not amortized but assessed for
impairment annually, or more frequently, when events or changes in circumstances occur indicating that it is more likely than not that the indefinite-lived asset is impaired.
Impairment exists when the carrying amount exceeds its fair value, which is measured using the quoted price of the digital currency at the time its fair value is being measured.
In testing for impairment, the Group has the option to first perform a qualitative assessment to determine whether it is more likely than not that an impairment exists. If it is
determined that it is not more likely than not that an impairment exists, a quantitative impairment test is not necessary. If the Company concludes otherwise, it is required to
perform a quantitative impairment test. To the extent an impairment loss is recognized, the loss establishes the new cost basis of the asset. Subsequent reversal of impairment
losses is not permitted.

Purchases  of  digital  currencies  by  the  Group  are  included  within  investing  activities  in  the  consolidated  statements  of  cash  flows.  The  utilization  of  digital  currencies  in
exchange of services are included within operating activities in the consolidated statements of cash flows and any gains or losses from such use are included in other income
(expense) in the consolidated statements of operations. The Company accounts for its gains or losses in accordance with the first in first out (FIFO) method.

Inventories

Inventories are stated at lower of cost and net realizable value. Cost is determined using the weighted average method.

Where  there  is  evidence  that  the  utility  of  inventories,  in  their  disposal  in  the  ordinary  course  of  business,  will  be  less  than  cost,  whether  due  to  physical  deterioration,
obsolescence, changes in price levels, or other causes, the inventories are written down to net realizable value.

Accounts receivable

Accounts  receivable  are  stated  at  the  original  amount  less  an  allowance  for  doubtful  receivables,  if  any,  based  on  a  review  of  all  outstanding  amounts  at  period  end.  An
allowance is also made when there is objective evidence that the Group will not be able to collect all amounts due according to the original terms of the receivables. The Group
analyzes the aging of the customer accounts, historical and current economic trends and the age of the receivables when evaluating the adequacy of the allowance for doubtful
accounts.

F- 12

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
APTORUM GROUP LIMITED
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(Stated in U.S. Dollars)

Marketable securities

Marketable securities are publicly traded stocks measured at fair value and classified within Level 1 and 2 in the fair value hierarchy because the Group uses quoted prices for
identical assets in active markets or inputs that are based upon quoted prices for similar instruments in active markets.

Loss on investments in marketable securities, net, amounted to $81,839, was recognized in the consolidated statements of operations for the year ended December 31, 2019.
Gain on investments in marketable securities, net, amounted to $501,522 and $3,912,500, respectively, were recognized in the consolidated statements of operations for the year
ended December 31, 2018 and the period March 1, 2017 through December 31, 2017.

For the years ended December 31, 2019 and 2018, the Group disposed marketable securities, with sales proceeds of $999,110 and $637,582 received and recorded in due from
brokers, respectively, and recognized a realized gain of $538,425 and $501,522 in the consolidated statements of operations, respectively.

During the period March 1, 2017 to December 31, 2017, the Group disposed the trading securities and available-for-sale securities, with sales proceeds of $15,738,517 and
$310,550 received, and recognized a gain of $3,917,046 and a loss of $4,546 on the consolidated statements of operations.

Investments in derivatives

Investments in derivatives consisted of warrants, which are measured at fair value, with gains or losses from changes in fair value recorded through earnings. The fair value of
these  warrants  have  been  determined  using  the  Black-Scholes  pricing  mode.  The  Black-Scholes  pricing  model  provides  for  assumptions  regarding  volatility,  call  and  put
features and risk-free interest rates within the total period to maturity.

No disposal was recorded during the year ended December 31, 2019 and the period March 1, 2017 through December 31, 2017. For the year ended December 31, 2018, the
Group  disposed  of  warrants  with  proceeds  of  $4,957  received.  Unrealized  gain  on  the  investments  in  derivatives  amounted  to  $87,599  was  recognized  in  the  consolidated
statements  of  operations  for  the  year  ended  December  31,  2019.  Unrealized  loss  on  the  investments  in  derivatives  amounted  to  $974,444  and  $827,501,  respectively,  were
recognized in the consolidated statements of operations for the year ended December 31, 2018 and the period March 1, 2017 to December 31, 2017.

Non-marketable investments

Non-marketable investments are comprising of investments in non-redeemable preferred shares of privately-held companies that are not required to be consolidated under the
variable interest or voting models. Non-marketable investments are classified as non-current assets on the consolidated balance sheets as those investments do not have stated
contractual maturity dates.

The non-marketable equity securities not accounted for under the equity method are measured at cost, less any impairment, plus or minus changes resulting from observable
price  changes  in  orderly  transactions  for  identical  or  similar  investments  of  the  same  issuer.  Adjustments  are  determined  primarily  based  on  a  market  approach  as  of  the
transaction date.

Fair value measurement

Fair  value  is  defined  as  the  price  that  would  be  received  from  selling  an  asset  or  paid  to  transfer  a  liability  in  an  orderly  transaction  between  market  participants  at  the
measurement date. When determining the fair value measurements for assets and liabilities required or permitted to be recorded at fair value, the Group considers the principal
or most advantageous market in which it would transact its business, and it considers assumptions that market participants would use when pricing the asset or liability.

F- 13

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
APTORUM GROUP LIMITED
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(Stated in U.S. Dollars)

As a basis for considering such assumptions, a three-tier fair value hierarchy prioritizes the inputs utilized in measuring fair value as follows:

● Level 1 applies to assets or liabilities for which there are quoted prices in active markets for identical assets or liabilities.

● Level 2 applies to assets or liabilities for which there are inputs other than quoted prices included within Level 1 that are observable for the asset or liability such
as quoted prices for similar assets or liabilities in active markets; quoted prices for identical assets or liabilities in markets with insufficient volume or infrequent
transactions (less active markets); or model-derived valuations in which significant inputs are observable or can be derived principally from, or corroborated by,
observable market data.

● Level 3 applies to assets or liabilities for which there are unobservable inputs to the valuation methodology that are significant to the measurement of the fair

value of the assets or liabilities.

The hierarchy requires the Group to maximize the use of observable inputs and minimize the use of unobservable inputs when measuring fair value. A financial instrument’s
categorization within the fair value hierarchy is based upon the lowest level of input that is significant to the fair value measurement. The Group has estimated the fair value
amounts  of  its  financial  instruments  using  the  available  market  information  and  valuation  methodologies  considered  to  be  appropriate  and  has  determined  that  the  carrying
value of the Group’s cash, restricted cash, accounts receivable, due from brokers, other receivables and prepayments, amounts due from/to related parties and accounts payable
and accrued expenses as of December 31, 2019 and 2018 approximate fair value due to the short-term nature of these assets and liabilities.

Property, plant and equipment

Property, plant and equipment is stated at cost less accumulated depreciation and impairment losses. Cost represents the purchase price of the asset and other costs incurred to
bring the asset into its existing use. Maintenance, repairs and betterments, including replacement of minor items, are charged to expense; major additions to physical properties
are capitalized.

Assets under construction are stated at cost less impairment losses. Cost comprises of cost of laboratory equipment delivered but not ready to be used, together with interest
expense capitalized during the period of construction or installation and testing. Capitalization of these costs ceases and the asset concerned is transferred to the appropriate
fixed assets category when substantially all the activities necessary to prepare the asset for its intended use are completed.

Depreciation of property, plant and equipment is provided using the straight-line method over their estimated useful lives:

Building
Computer equipment
Furniture, fixture, and office and medical equipment
Leasehold improvements
Laboratory equipment
Motor vehicle

29 years
3 years
5 years
Shorter of the remaining lease terms or 5 years
5 years
5 years

Upon sale or disposal, the applicable amounts of asset cost and accumulated depreciation are removed from the accounts and the net amount less proceeds from disposal is
charged or credited to income.

Other non-current asset

Other non-current asset represents laboratory supplies that can be used for more than one year. It is stated at cost less accumulated depreciation and impairment losses. Cost
represents the purchase price of the supplies.

Amortization of other non-current asset is provided using the straight-line method over their estimated useful lives. The amortization expenses for the years ended December
31, 2019 and 2018, and the period March 1, 2017 through December 31, 2017 are $59,834, $59,833 and $nil, respectively.

F- 14

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
APTORUM GROUP LIMITED
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(Stated in U.S. Dollars)

Intangible assets

Indefinite-lived intangible assets are tested for impairment at least annually and are reviewed for impairment whenever events or changes in circumstances indicate that the
carrying amount of an asset may not be recoverable. Indefinite-lived intangible assets are impaired if their estimated fair values are less than their carrying values.

Finite-lived intangible assets are carried at cost less accumulated amortization and impairment if any. The finite intangible assets are amortized over their estimated useful life,
which is the period over which the assets are expected to contribute directly or indirectly to the future cash flows of the Group. These intangible assets are tested for impairment
at the time of a triggering event, if one were to occur. Finite-lived intangible assets may be impaired when the estimated undiscounted future cash flows generated from the
assets are less than their carrying amounts.

The Group may rely on a qualitative assessment when performing its intangible asset impairment test. Otherwise, the impairment evaluation is performed at the lowest level of
identifiable cash flows independent of other assets.

The Group’s intangible assets mainly consist of computer software, exclusive rights in prepaid patented and unpatented licenses. The prepaid patented licenses are for clinical
purpose or further development into other products. Prepaid unpatented license is for further development, once the associated research and development efforts are completed,
the prepaid unpatented license will be reclassified as a finite-lived asset and is amortized over its useful life. The estimated useful life of the exclusive rights in using patents is
generally the remaining patent life from the acquisition date to expiration date under the law, which is 17 to 20 years, the Group will reassess the remaining patent life on
annual basis, and the Group will assess the intangible assets for impairment whenever events or changes in circumstances indicate that the carrying amount of an asset may no
longer be recoverable.

Impairment of long-lived assets

The  Group  reviews  its  long-lived  assets  for  impairment  whenever  events  or  changes  in  circumstances  indicate  that  the  carrying  amount  of  an  asset  may  no  longer  be
recoverable. When these events occur, the Group measures impairment by comparing the carrying value of the long-lived assets to the estimated undiscounted future cash flows
expected to result from the use of the assets and their eventual disposition. If the sum of the expected undiscounted cash flow is less than the carrying amount of the assets, the
Group would recognize an impairment loss, which is the excess of carrying amount over the fair value of the assets, using the expected future discounted cash flows.

Convertible debts

The  Group  determines  the  appropriate  accounting  treatment  of  its  convertible  debts  in  accordance  with  the  terms  in  relation  to  the  conversion  feature,  call  and  put  option,
beneficial  conversion  feature  (“BCF”)  and  settlement  feature.  After  considering  the  impact  of  such  features,  the  Group  concluded  that,  the  convertible  debts  contained  a
contingent beneficial conversion feature, which shall not be recognized in earnings until the contingency is resolved, and therefore accounted for such instrument as a liability
in its entirety.

Convertible debts were subsequently measured at amortized cost, using the effective interest rate method. Amortized cost is calculated by taking into account any discount or
premium on acquisition and fees or costs that are an integral part of the effective interest rate. The effective interest rate amortization is included in interest expense in the
consolidated statements of operations.

F- 15

 
 
 
 
 
 
 
 
 
 
 
 
APTORUM GROUP LIMITED
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(Stated in U.S. Dollars)

Management  concluded  that  the  contingency  was  effectively  resolved  upon  the  completion  of  the  IPO  on  December  17,  2018  so  that  part  of  the  convertible  debts  were
converted automatically accordingly. The BCF derecognized upon automatic conversion was recorded as interest expense with a corresponding increase to additional paid-in
capital. The remaining BCF was recorded as debt discount, which was amortized through the maturity of the convertible debts, with a corresponding increase to additional paid-
in capital.

On  April  24,  2019,  the  Group  repurchased  its  convertible  debts  at  approximately  $13.6  million  with  carrying  amount  of  approximately  $13.5  million  and  a  gain  on
extinguishment on convertible debts of approximately $1.2 million was recognized. The repurchasing of convertible debts is considered an extinguishment and the difference
between  the  repurchasing  price  of  debt,  the  net  carrying  amount  of  the  extinguished  debt  and  the  intrinsic  value  of  BCF  is  recognized  in  the  consolidated  statements  of
operations. The intrinsic value of BCF of approximately $1.3 million at the extinguishment date was recorded as a reduction of additional paid-in capital.

Finance lease

Leases that transfer substantially all the rewards and risks of ownership of assets to the Group, other than legal title, are accounted for as finance leases. At the inception of a
finance lease, the cost of the leased asset is capitalized at the present value of the minimum lease payments and recorded together with the obligation, excluding the interest
element, to reflect the purchase and financing. Assets held under capitalized finance leases are included in property, plant and equipment, and depreciated over the shorter of the
lease terms and the estimated useful lives of the assets. The interest expenses of such leases are charged to the consolidated statements of operations to provide a constant
periodic rate of charge over the lease terms.

Warrant liabilities

For warrants that are not indexed to the Group’s shares, the Group records the fair value of the issued warrants as liabilities at each balance sheet date and records changes in
the  estimated  fair  value  as  a  non-cash  gain  or  loss  in  the  consolidated  statements  of  operations  and  comprehensive  loss.  The  warrant  liabilities  are  recognized  in  the
consolidated balance sheets at the fair value (level 3). The fair value of these warrants have been determined using the Black-Scholes pricing mode. The Black-Scholes pricing
model provides for assumptions regarding volatility, call and put features and risk-free interest rates within the total period to maturity.

Revenue recognition

Revenue is recognized when (or as) the Company satisfies performance obligations by transferring a promised goods or services to a customer. Revenue is measured at the
transaction  price  which  is  based  on  the  amount  of  consideration  that  the  Company  expects  to  receive  in  exchange  for  transferring  the  promised  goods  or  services  to  the
customer. Contracts with customers are comprised of invoices and written contracts. Revenue from healthcare services is measured upon the provision of the relevant services.

Cost of healthcare service

Cost  of  healthcare  service  rendered  represents  cost  in  relation  to  the  medical  services  provided  including  the  compensation  of  the  physicians  and  cost  of  pharmaceutical
supplies and medicine.

Research and development expenses

Research  and  development  costs  are  expensed  as  incurred.  Research  and  development  expenses  are  comprised  of  costs  incurred  in  performing  research  and  development
activities,  including  amortization  of  the  patent  license,  depreciation  of  laboratory  equipment,  external  costs  of  outside  vendors  engaged  to  conduct  preclinical  development
activities and trials.

F- 16

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
APTORUM GROUP LIMITED
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(Stated in U.S. Dollars)

Income taxes

The Group accounts for income taxes under the asset and liability method. Under this method, deferred income taxes are determined based on differences between the financial
carrying amounts of existing assets and liabilities and their tax bases. Income taxes are provided for in accordance with the laws of the relevant taxing authorities.

A valuation allowance is provided for deferred tax assets if it is more likely than not that these items will either expire before the Group is able to realize their benefits, or that
future deductibility is uncertain. Valuation allowances are established, when necessary, to reduce deferred tax assets to the amount expected to be realized.

Uncertain tax positions

The  Group  accounts  for  uncertainty  in  income  taxes  using  a  two-step  approach  to  recognizing  and  measuring  uncertain  tax  positions.  The  first  step  is  to  evaluate  the  tax
position  for  recognition  by  determining  if  the  weight  of  available  evidence  indicates  that  it  is  more  likely  than  not  that  the  position  will  be  sustained  on  audit,  including
resolution of related appeals or litigation processes, if any. The second step is to measure the tax benefit as the largest amount that is more than 50% likely of being realized
upon settlement. Interest and penalties related to uncertain tax positions are recognized and recorded as necessary in the provision for income taxes. The Group recognizes
interest  on  non-payment  of  income  taxes  and  penalties  associated  with  tax  positions  when  a  tax  position  does  not  meet  more  likely  than  not  thresholds  be  sustained  under
examination. The tax returns of the Group’s Hong Kong subsidiaries are subject to examination by the relevant tax authorities. According to the Hong Kong Inland Revenue
Department, the statute of limitation is six years if any company chargeable with tax has not been assessed or has been assessed at less than the proper amount, the statute of
limitation is extended to ten years if the underpayment of taxes is due to fraud or willful evasion. According to United Kingdom, Singapore, the United States and Samoa tax
rule, trading losses are available to be carried forward indefinitely. According to the Seychelles tax rule, net operating losses are available to be carried forward for 5 years. The
Group did not have any material interest or penalties associated with tax positions for the years ended December 31, 2019 and 2018, and the period March 1, 2017 through
December 31, 2017, and did not have any significant unrecognized uncertain tax positions as of December 31, 2019 and 2018. The Group does not believe that its assessment
regarding unrecognized tax benefits will materially change over the next twelve months.

Comprehensive income or loss

U.S.  GAAP  generally  requires  that  recognized  revenue,  expenses,  gains  and  losses  be  included  in  net  income  or  loss.  Although  certain  changes  in  assets  and  liabilities  are
reported as separate components of the equity section of the consolidated balance sheets, such items, along with net income or loss, are components of comprehensive income
or loss. The components of other comprehensive income or loss consist of exchange differences on translation of foreign operations.

Loss per share

Basic loss per share is computed by dividing net loss attributable to ordinary shareholders by the weighted average number of ordinary shares outstanding during the period.
Diluted loss per share reflects the potential dilution that could occur if securities or other contracts to issue ordinary shares were exercised or converted into ordinary shares.
Potential dilutive securities are excluded from the calculation of diluted loss per share in loss periods as their effect would be anti-dilutive.

Risks and Uncertainties

The Company is subject to a number of risks associated with companies at a similar stage, including dependence on key individuals, competition from similar services and
larger  companies,  volatility  of  the  industry,  ability  to  obtain  regulatory  clearance,  ability  to  obtain  adequate  financing  to  support  growth,  the  ability  to  attract  and  retain
additional qualified personnel to manage the anticipated growth of the Company and general economic conditions.

F- 17

 
 
 
 
 
 
 
 
 
 
 
 
 
 
APTORUM GROUP LIMITED
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(Stated in U.S. Dollars)

Recently adopted accounting pronouncements

In  May  2014,  the  Financial  Accounting  Standards  Board  (FASB)  issued  Accounting  Standards  Update  No.  2014-09,  Revenue  from  Contracts  with  Customers  (Topic  606)
(“ASU 2014-09”), which was subsequently modified in August 2015 by ASU 2015-14, Revenue from Contracts with Customers: Deferral of the Effective Date. The Group
adopted this standard effective January 1, 2019 using the modified retrospective approach, in which case the cumulative effect of applying the standard would be recognized at
the date of initial application. The adoption does not have a material impact to the consolidated financial statements.

In  January  2016,  the  FASB  issued  Accounting  Standards  Update  No.  2016-01  (“ASU  2016-01”)  "Financial  Instruments-Overall  (Subtopic  825-10):  Recognition  and
Measurement  of  Financial  Assets  and  Financial  Liabilities,"  which  amends  various  aspects  of  the  recognition,  measurement,  presentation,  and  disclosure  of  financial
instruments. The Group adopted ASU 2016-01 as of January 1, 2019 using the modified retrospective method for marketable equity securities and the prospective method for
non-marketable equity securities. The following table summarizes the changes to the consolidated balance sheet for the adoption of ASU 2016-01:

Accumulated deficit
Accumulated other comprehensive loss

December 31, 
2018
(17,379,185)   $
(1,484,688)   $

  $
  $

Adjustment 
due to ASU 
2016-01

(1,490,033)   $
1,490,033    $

January 1, 
2019
(18,869,218)
5,345 

The  Group  has  elected  to  use  the  measurement  alternative  for  the  non-marketable  equity  securities,  defined  as  cost  adjusted  for  changes  from  observable  transactions  for
identical or similar investments of the same issuer, less impairment. The adoption of ASU 2016-01 increases the volatility of other income (expense), net, as a result of the
unrealized gain or loss from the remeasurement of the Group’s equity securities.

Recently issued accounting standards which have not yet been adopted

The Group is an “emerging growth company” as defined in the Jumpstart Our Business Startups Act of 2010 (the “JOBS Act”). Under the JOBS Act, the emerging growth
companies (“EGCs”) can delay adopting new or revised accounting standards issued subsequent to the enactment of the JOBS Act until such time as those standards apply to
private companies.

In June 2016, the FASB issued ASU 2016-13, Financial Instruments—Credit Losses ("ASU 2016-13"). Subsequently, the FASB issued ASU 2019-05, Financial Instruments-
Credit Losses (Topic 326): Targeted Transition Relief. The amendments in ASU 2016-13 update guidance on reporting credit losses for financial assets. These amendments
affect  loans,  debt  securities,  accounts  receivables,  net  investments  in  leases,  off  balance  sheet  credit  exposures,  reinsurance  receivables,  and  any  other  financial  assets  not
excluded from the scope that have the contractual right to receive cash. The amendments are effective for fiscal years beginning after December 15, 2020, and interim periods
within those fiscal years. As an EGC the Group can adopt the amendment for fiscal years beginning after December 15, 2021, and interim period within those fiscal years. The
Group is currently evaluating the impact on its consolidated financial statements of adopting this standard.

In February 2016, the FASB issued ASU 2016-02, Leases (“ASU 2016-02”), which requires a lessee to recognize a right-of-use asset and a lease liability for operating leases,
initially measured at the present value of the future lease payments, in the balance sheet. ASU 2016-02 also requires a lessee to recognize a single lease cost, calculated so that
the cost of the lease is allocated over the lease term, generally on a straight-line basis. This new guidance is effective for fiscal years beginning after December 15, 2019. Early
adoption  is  permitted.  The  Group  has  evaluated  the  potential  effects  of  adopting  the  provisions  of  ASU  2016-02  on  its  consolidated  financial  statements.  The  Group  has
estimated that the operating lease right-of-use assets of $959,641, and operating lease liabilities of $982,288 will be recognized at January 1, 2020 in the consolidated financial
statements.

In August 2018, the FASB issued ASU 2018-13, Disclosure Framework – Changes to the Disclosure Requirements for Fair Value Measurement, which amends ASC 820, Fair
Value Measurement. This ASU modifies the disclosure requirements for fair value measurements by removing, modifying, or adding certain disclosures. The amendments are
effective  for  fiscal  years  beginning  after  December  15,  2019,  and  interim  periods  within  those  fiscal  years.  The  removed  and  modified  disclosures  will  be  adopted  on  a
retrospective basis and the new disclosures will be adopted on a prospective basis. The adoption will not have a material effect on the Group’s financial statements.

In December 2019, the FASB issued Accounting Standards Update No. 2019-12, Income Taxes (Topic 740): “Simplifying the Accounting for Income Taxes” (“ASU 2019-12”),
which simplifies the accounting for income taxes. This standard will be effective for fiscal years beginning after December 15, 2021, and interim periods within fiscal years
beginning  after  December  15,  2022,  on  a  prospective  basis,  and  early  adoption  is  permitted.  The  Group  is  currently  evaluating  the  impact  of  the  new  standard  on  its
consolidated financial statements.

The Group does not believe other recently issued but not yet effective accounting standards, if currently adopted, would have a material effect on the consolidated financial
position, statements of operations and cash flows.

F- 18

 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
APTORUM GROUP LIMITED
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(Stated in U.S. Dollars)

4. REVENUE

The Company adopted ASC 606 using the modified retrospective method as applied to customer contracts that were not completed as of January 1, 2019. As a result, financial
information for reporting periods beginning after January 1, 2019 are presented under ASC 606, while comparative financial information has not been adjusted and continues to
be reported in accordance with the Company’s historical accounting policy for revenue recognition prior to the adoption of ASC 606.

For the year ended December 31, 2019, all revenue came from provision of healthcare services in Hong Kong.

5. FAIR VALUE MEASUREMENT

The following table provides the assets and liabilities carried at fair value measured on a recurring basis as of December 31, 2019 and 2018:

December 31, 2019
Current Assets

Marketable securities

        Common stocks

Investments in derivatives

        Warrants
Total assets at fair value

December 31, 2018
Current Assets

Marketable securities – Available-for-sale securities

        Common stocks

Investments in derivatives

        Warrants
Total assets at fair value

Level 1

Level 2

Level 3

Total

  $

806,778 

  $

256,333    $

-    $

1,063,111 

  $

- 
806,778 

  $

-     
256,333    $

203,320     
203,320    $

203,320 
1,266,431 

Level 1

Level 2

Level 3

Total

  $

813,728 

  $

200,610    $

-    $

1,014,338 

  $

- 
813,728 

  $

-     
200,610    $

115,721     
115,721    $

115,721 
1,130,059 

The following is a reconciliation of Level 3 assets during the year ended December 31, 2019:

Balance at January 1, 2019
Change in unrealized appreciation
Balance at December 31, 2019

Net change in unrealized appreciation relating to investments still held at December 31, 2019

F- 19

  Warrants
  $

  $

115,721 
87,599 
203,320 
87,599 

 
   
 
 
 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
 
   
 
   
 
 
 
  
 
    
    
  
 
 
  
 
 
      
      
  
 
 
 
 
 
 
 
 
 
   
   
 
 
  
 
    
    
  
 
  
 
    
    
  
 
 
  
 
 
      
      
  
 
 
 
 
 
  
 
 
 
 
 
 
 
APTORUM GROUP LIMITED
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(Stated in U.S. Dollars)

The following is a reconciliation of Level 3 assets for the year ended December 31, 2018:

Balance at January 1, 2018
Change in unrealized depreciation
Balance at December 31, 2018

Net change in unrealized depreciation relating to investments still held at December 31, 2018

The following is a reconciliation of Level 3 assets for the period February 28, 2017 through December 31, 2017:

  Warrants
  $

1,070,940 
(955,219)
115,721 
(955,219)

  $

Balance at February 28, 2017
Transfer out of Level 3 due to change in status – consolidated

subsidiary (a)

Transfer out of fair value leveling since recorded as cost method (b)
Balance at March 1, 2017
Reclassification between different investment type (c)
Transfer out of fair value leveling since recorded as cost method (c)
Change in unrealized depreciation
Balance at December 31, 2017

  $

  $

Net change in unrealized depreciation relating to investments still held

Aptorum 
Therapeutics– 
related party    

  $

757,647    $

Common 
Stocks
7,920,000    $

Preferred 
Stocks
4,314,998    $

    Warrants    

1,907,470    $

Convertible 
Notes
3,082,020    $ 17,982,135 

Total

(757,647)    
-     
-    $
-     
-     
-     
-    $

-     
(7,920,000)    
-    $
-     
-     
-     
-    $

-     
(4,314,998)    
-    $
3,079,715     
(3,079,715)    
-     
-    $

-     
-     
1,907,470    $
-     
-     
(836,530)    
1,070,940    $

(757,647)
-     
-      (12,234,998)
4,989,490 
- 
(3,079,715)
(838,835)
1,070,940 

3,082,020    $
(3,079,715)    
-     
(2,305)    
-    $

at December 31, 2017

-     

-     

-     

(836,530)    

-     

(836,530)

a. Upon the effective date of the change in status, March 1, 2017, the subsidiaries were no longer recognized at fair value and were instead consolidated when preparing the

financial statements.

b. The equity investments of common stock and preferred stock were non-marketable investments under cost method upon change in status. Subsequently, Athenex Inc. was
listed on the NASDAQ stock exchange on June 14, 2017 and common stock with an amount of $7,920,000 has been transferred to common stock in Level 1 with amount
of $7,920,000, which was subsequently sold in December 2017 with a gain from the marketable securities of $3,722,234 recognized.

c. On March 9, 2017, the convertible promissory notes (including its accrued interest, totally $520,822) of Centrexion Therapeutics Corporation was converted into preferred
stock  (Series  C)  of  the  same  company.  On  May  25,  2017,  the  convertible  promissory  notes  (including  its  accrued  interest,  totaling  $2,558,893)  of  Alzheon  Inc.,  was
converted into preferred stock (Series B) of the same company. The preferred stocks are considered non-marketable investments and were therefore reclassified out of the
fair value hierarchy to be reported under cost method.

The following table presents the quantitative information about the Group’s Level 3 fair value measurements of investment as of December 31, 2019 and 2018, which utilized
significant unobservable internally-developed inputs:

December 31, 
2019

Valuation technique

Unobservable input

Range
(weighted average)

Sensitivity of fair
value to input

Warrants

  Black-Scholes Model

  Estimated time to exit Historical

  12-18 months 73% - 301%

Volatility

  10% increase (decrease) in volatility would
result in increase (decrease) in fair value by
$17,871

December 31, 
2018

Valuation technique

Unobservable input

Range
(weighted average)

Sensitivity of fair
value to input

Warrants

  Black-Scholes Model

  Estimated time to exit Historical

  12-30 months 73% - 188%

Volatility

  10% increase (decrease) in volatility would
result in increase (decrease) in fair value by
$19,691

Warrants

As of December 31, 2019 and 2018, the volume of the Group’s derivative activities based on their notional amount and number of contracts, categorized by primary underlying
risk, are as follows:

Primary underlying risk

Equity Price
Warrants

Long Exposure

December 31, 2019

December 31, 2018

Notional 
Amounts

Number of
Contracts

Notional
Amounts

Number of
Contracts

  $

265,576 

2,234,373    $

218,270     

2,257,682 

F- 20

 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
   
   
 
 
 
 
 
 
 
     
     
 
 
 
  
 
 
      
      
  
 
 
 
APTORUM GROUP LIMITED
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(Stated in U.S. Dollars)

The  following  table  identifies  the  fair  value  amounts  of  derivative  instruments  included  in  the  consolidated  balance  sheets  as  derivative  contracts,  categorized  by  primary
underlying risk, as of December 31, 2019 and 2018.

Primary underlying risk

Equity Price
Warrants

December 31, 
2019

December 31, 
2018

Derivative 
assets

Derivative 
liabilities

Derivative 
assets

Derivative 
liabilities

  $

203,320 

  $

         -    $

115,721    $

            - 

The  following  table  identifies  the  net  gain  and  loss  amounts  included  in  the  consolidated  statement  of  operations  as  net  unrealized  gain  (loss)  from  derivative  contracts,
categorized by primary underlying risk, for the years ended December 31, 2019 and 2018, and the period March 1, 2017 through December 31, 2017:

Primary underlying risk

Equity Price
Warrants

Year ended 
December 31, 2019

Year ended 
December 31, 2018

March 1, 2017 through
December 31, 2017

Realized 
loss

Unrealized 
gain

Realized 
loss

Unrealized 
loss

Realized 
loss

Unrealized 
loss

  $

       - 

  $

87,599 

  $

(19,225)   $

(955,219)   $

(7,094)   $

(820,407)

Non-marketable equity securities remeasured for the year ended December 31, 2019 are classified within Level 3 in the fair value hierarchy because the Group estimated the
value based on valuation methods using the observable transaction price at the transaction date and other unobservable inputs including volatility, rights, and obligations of the
securities hold.

The  following  is  a  summary  of  unrealized  gains  and  losses  recorded  in  other  income  (expense),  net,  and  included  as  adjustments  to  the  carrying  value  of  non-marketable
investments held as of December 31, 2019:

Upward adjustments
Total unrealized gain for non-marketable investments

Year ended 
December 31, 
2019
1,017,468 
1,017,468 

  $
  $

The  following  table  summarizes  the  total  carrying  value  of  our  non-marketable  investments  held  as  of  December  31,  2019  including  cumulative  unrealized  upward  and
downward adjustments made to the initial cost basis of the investments:

Initial cost basis
Upward adjustments
Total carrying value at the end of the period

F- 21

December 31, 
2019
6,094,712 
1,017,468 
7,112,180 

  $

  $

 
 
 
 
 
 
   
 
 
 
 
   
   
 
 
 
 
 
 
 
     
     
 
 
 
  
 
 
      
      
  
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
 
 
 
 
 
 
   
     
     
 
 
 
  
 
 
  
 
 
  
   
      
      
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
APTORUM GROUP LIMITED
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(Stated in U.S. Dollars)

6. OTHER RECEIVABLES AND PREPAYMENTS

Other receivables and prepayments as of December 31, 2019 and 2018 consisted of:

Prepaid insurance
Prepaid service fee
Rental deposits
Prepaid rental expenses
Prepaid research and development expenses
Other receivables
Others

December 31, 
2019

December 31, 
2018

  $

  $

154,011    $
296,565     
8,584     
37,169     
453,634     
109,714     
19,366     
1,079,043    $

147,864 
75,224 
8,576 
46,948 
41,614 
109,435 
34,495 
464,156 

As of December 31, 2019, the balance included $108,000 prepayment to Aenco Solutions Limited, a related party which is controlled by Ian Huen, the Chief Executive Officer
and Executive Director of the Group, for tokens consultancy services (see note 13).

7. DIGITAL CURRENCIES

The following table presents additional information about digital currencies:

Beginning balance

Purchase of digital currencies
Utilization of digital currencies to settle service fee
Gain on use of digital currencies

Ending balance

8. PROPERTY, PLANT AND EQUIPMENT, NET

Property, plant and equipment as of December 31, 2019 and 2018 consisted of: 

Building
Computer equipment
Furniture, fixture, and office and medical equipment
Leasehold improvements
Laboratory equipment
Motor vehicle
Assets in construction

Less: accumulated depreciation
Property, plant and equipment, net

December 31, 
2019

December 31, 
2018

-    $
200,000     
(245,178)    
46,717     
1,539    $

             - 
- 
- 
- 
- 

December 31, 
2019

December 31, 
2018

1,488,396    $
76,365     
271,009     
665,546     
4,029,640     
239,093     
1,899,169     
8,669,218     
1,576,183     
7,093,035    $

1,488,396 
64,911 
262,819 
664,713 
2,045,034 
239,093 
- 
4,764,966 
504,364 
4,260,602 

  $

  $

  $

  $

Depreciation  expenses  for  property,  plant  and  equipment  amounted  to  $1,071,799,  $497,908  and  $6,470  for  the  years  ended  December  31,  2019  and  2018,  and  the  period
March 1, 2017 through December 31, 2017, respectively.

F- 22

 
 
 
 
 
 
 
   
 
 
 
    
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
   
  
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
    
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
9. INTANGIBLE ASSETS, NET

Gross carrying amount
Prepaid unpatented license
Prepaid patented licenses
Computer software

Less: accumulated amortization
Prepaid patented licenses
Computer software

Intangible assets, net
Prepaid unpatented license
Prepaid patented licenses
Computer software
Intangible assets, net

APTORUM GROUP LIMITED
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(Stated in U.S. Dollars)

December 31, 
2019

December 31,
2018

  $

200,000    $
1,322,820     
97,462     
1,620,282     

200,000 
1,322,820 
61,384 
1,584,204 

257,619     
50,980     
308,599     

155,026 
19,638 
174,664 

200,000     
1,065,201     
46,482     
1,311,683    $

200,000 
1,167,794 
41,746 
1,409,540 

  $

As of December 31, 2019 and 2018, the Group has capitalized seven of the exclusive licenses which includes seven patented and one unpatented technologies in the areas of
neurology,  infectious  diseases,  gastroenterology,  oncology,  surgical  robotics  and  natural  health.  Pursuant  to  the  license  agreements,  the  Group  paid  upfront  payments  and
became the exclusive licensee to prosecute certain patents developed or licensed under the applicable agreements.

The  Group  recognized  the  prepaid  unpatented  license  to  reflect  the  fair  value  of  the  subsidiaries  as  of  the  date  of  the  change  in  status  from  an  investment  company  to  an
operating entity. The Group capitalizes the prepaid patented license for the exclusive rights with completed filing of patents in certain jurisdictions (e.g., the United States of
America and Europe) and alternative future uses.

Prepaid  unpatented  license  is  indefinite-lived  intangible  assets  which  are  tested  for  impairment  annually.  Prepaid  patented  licenses  and  computer  software  are  finite-lived
intangible assets which are amortized over their estimated useful life. Amortization expenses for finite-lived intangible assets amounted to $167,985, $124,551 and $52,433 for
the  years  ended  December  31,  2019  and  2018,  and  the  period  March  1,  2017  through  December  31,  2017,  respectively.  The  Group  wrote  off  the  cost  and  the  related
amortization of $34,400, $2,320 and $nil after the expiration of the computer software for the years ended December 31, 2019 and 2018, and the period March 1, 2017 through
December 31, 2017, respectively.

The Group expects amortization expense related to its finite-lived intangible assets for the next five years and thereafter to be as follows as of December 31, 2019:

For the years ending December 31,

2020
2021
2022
2023
2024
Thereafter
Total

F- 23

Amount

146,826 
104,842 
102,593 
102,593 
97,099 
557,730 
1,111,683 

  $

  $

 
 
 
 
 
 
   
 
 
 
 
   
 
 
 
    
  
 
 
 
 
 
 
 
 
 
 
      
  
 
 
      
  
 
 
 
 
 
 
 
 
 
 
      
  
 
 
      
  
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
APTORUM GROUP LIMITED
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(Stated in U.S. Dollars)

10. LONG-TERM DEPOSITS

Long-term deposits as of December 31, 2019 and 2018 consisted of: 

Rental deposits
Prepayments for equipment

11. ACCOUNTS PAYABLE AND ACCRUED EXPENSES

Accounts payable and accrued expenses as of December 31, 2019 and 2018 consisted of:

Research and development expenses payable
Cost of healthcare services payable
Professional fees payable
Insurance expense payable
Interest payable
Payables for leasehold improvement and equipment
Deferred bonus and salaries payable
Deferred rent
Others

12. INCOME TAXES

The Company and its subsidiaries file tax returns separately.

Income taxes

December 31, 
2019

December 31,
2018

  $

  $

132,043    $
162,563     
294,606    $

132,043 
3,285,135 
3,417,178 

December 31, 
2019

December 31,
2018

  $

  $

554,791    $
45,234     
171,037     
70,811     
8,802     
26,779     
1,570,324     
55,484     
83,265     
2,586,527    $

398,899 
40,139 
178,117 
- 
223,802 
73,864 
183,065 
58,810 
90,451 
1,247,147 

Cayman Islands: under the current laws of the Cayman Islands, the Company and its subsidiaries in the Cayman Islands are not subject to taxes on their income and capital
gains.

Hong Kong: in accordance with the relevant tax laws and regulations of Hong Kong, a company registered in Hong Kong is subject to income taxes within Hong Kong at the
applicable tax rate on taxable income. In March 2018, the Hong Kong Government introduced a two-tiered profit tax rate regime by enacting the Inland Revenue (Amendment)
(No.3) Ordinance 2018 (the “Ordinance”). Under the two-tiered profits tax rate regime, the first $2 million of assessable profits of qualifying corporations is taxed at 8.25% and
the remaining assessable profits at 16.5%. The Ordinance is effective from the year of assessment 2018-2019. According to the policy, if no election has been made, the whole
of the taxpaying entity’s assessable profits will be chargeable to Profits Tax at the rate of 16.5% or 15%, as applicable. Because the preferential tax treatment is not elected by
the Group, all the subsidiaries registered in Hong Kong are subject to income tax at a rate of 16.5%. The subsidiaries registered in Hong Kong did not have assessable profits
that were derived Hong Kong during the years ended December 31, 2019 and 2018, and the period March 1, 2017 through December 31, 2017. Therefore, no Hong Kong profit
tax has been provided for in the periods presented.

F- 24

 
 
 
 
 
 
 
   
 
 
 
    
  
 
 
 
 
 
  
 
 
   
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
APTORUM GROUP LIMITED
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(Stated in U.S. Dollars)

United Kingdom: in accordance with the relevant tax laws and regulations of United Kingdom, a company registered in the United Kingdom is subject to income taxes within
United Kingdom at the applicable tax rate on taxable income. All the United Kingdom subsidiaries that are not entitled to any tax holiday were subject to income tax at a rate of
19%. The subsidiary in United Kingdom did not have assessable profits that were derived from United Kingdom during the years ended December 31, 2019 and 2018, and the
period March 1, 2017 through December 31, 2017. Therefore, no United Kingdom profit tax has been provided for in the periods presented.

Singapore: in accordance with the relevant tax laws and regulations of Singapore, a company registered in the Singapore is subject to income taxes within Singapore at the
applicable tax rate on taxable income. All the Singapore subsidiaries that are not entitled to any tax holiday were subject to income tax at a rate of 17%. The subsidiary in
Singapore  did  not  have  assessable  profits  that  were  derived  from  Singapore  during  the  years  ended  December  31,  2019  and  2018,  and  the  period  March  1,  2017  through
December 31, 2017. Therefore, no Singapore profit tax has been provided for in the periods presented.

Seychelles: in accordance with the relevant tax laws and regulations of Seychelles, a company registered in the Seychelles is subject to income taxes within Seychelles at the
applicable tax rate on taxable income. All the Seychelles subsidiaries that are not entitled to any tax holiday were subject to income tax at a rate of 25%. The subsidiary in
Seychelles  did  not  have  assessable  profits  that  were  derived  from  Seychelles  during  the  years  ended  December  31,  2019  and  2018,  and  the  period  March  1,  2017  through
December 31, 2017. Therefore, no Seychelles profit tax has been provided for in the periods presented.

Samoa: in accordance with the relevant tax laws and regulations of Samoa, a company registered in the Samoa is subject to income taxes within Samoa at the applicable tax rate
on  taxable  income.  All  the  Samoa  subsidiaries  that  are  not  entitled  to  any  tax  holiday  were  subject  to  income  tax  at  a  rate  of  27%.  The  subsidiary  in  Samoa  did  not  have
assessable profits that were derived from Samoa during the years ended December 31, 2019 and 2018, and the period March 1, 2017 through December 31, 2017. Therefore, no
Samoa profit tax has been provided for in the periods presented.

United States (Nevada): in accordance with the relevant tax laws and regulations of the United States, a company registered in the United States is subject to income taxes
within the United States at the applicable tax rate on taxable income. All the United States subsidiaries in Nevada that are not entitled to any tax holiday were subject to income
tax at a rate of 21%. The subsidiary in the United States did not have assessable profits that were derived from the United States during the years ended December 31, 2019 and
2018, and the period March 1, 2017 through December 31, 2017. Therefore, no United States profit tax has been provided for in the periods presented.

The components of the provision for income taxes expenses are:

Current
Deferred
Total income taxes expense

Year ended
December 31,
2019

Year ended
December 31,
2018

March 1, 2017
through
December 31,
2017

  $

  $

       - 
- 
- 

  $

  $

       -    $
-     
-     

- 
- 
- 

The reconciliation of income taxes expenses computed at the Hong Kong statutory tax rate applicable to income tax expense is as follows:

Net loss before tax
Provision for income taxes at Hong Kong statutory income tax rate (16.5%)
Impact of different tax rates in other jurisdictions
Non-taxable income
Non-deductible expenses
Prior year tax effect
Change in valuation allowance
Effective income tax expense

F- 25

Year ended 
December 31, 
2019

Year ended 
December 31, 
2018

March 1, 
2017 
through 
December 31, 
2017

  $

  $

(20,116,938)   $
(3,319,294)  
(91,623)  
(389,714)  
702,433 
- 
3,098,198 
- 

  $

(15,134,485)   $
(2,497,190)    
(3,066)    
(95,018)    
540,893     
-     
2,054,381     
-    $

(2,561,507)
(422,649)
- 
- 
- 
(576,970)
999,619 
- 

 
 
 
 
 
 
 
 
 
 
 
 
 
   
     
 
 
 
 
  
 
 
      
  
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
APTORUM GROUP LIMITED
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(Stated in U.S. Dollars)

Deferred tax asset, net

Deferred  tax  assets  and  deferred  tax  liabilities  reflect  the  tax  effects  of  temporary  differences  between  the  carrying  amounts  of  assets  and  liabilities  for  financial  reporting
purpose and the tax bases used for income tax purpose. The following represents the tax effect of each major type of temporary difference.

Deferred tax asset:

Tax loss carry forward

Deferred tax liability:

Depreciation and amortization

Net deferred tax assets before valuation allowance
Valuation allowance
Deferred tax asset, net

December 31, 
2019

December 31, 
2018

  $

6,699,345    $

3,499,428 

(547,147)    
6,152,198     
(6,152,198)    
-    $

(445,428)
3,054,000 
(3,054,000)
- 

  $

As  of  December  31,  2019  and  2018,  the  Group  had  net  operating  loss  carry-forwards  of  $40,329,428  and  $21,191,279,  respectively,  including  its  Hong  Kong,  Singapore,
Seychelles,  Samoa,  the  United  States  and  the  United  Kingdom  operations,  which  are  available  to  reduce  future  taxable  income.  Net  operating  loss  carry  forward  from
Seychelles amounting to $439,345 as of December 31, 2019 are available to be carried forward for 5 years, while all of the other losses can be carried forward indefinitely.

Valuation allowance was provided against deferred tax assets in entities where it was determined, it was more likely than not that the benefits of the deferred tax assets will not
be realized. The Group had deferred tax assets which consisted of tax loss carry forward, which can be carried forward to offset future taxable income. The Group maintains a
full valuation allowance on its net deferred tax assets. The management determines it is more likely than not that all of its deferred tax assets will not be utilized. The valuation
allowance increased by $3,098,198, $2,054,381 and $999,619, respectively, for the years ended December 31, 2019 and 2018, and the period March 1, 2017 through December
31, 2017.

F- 26

 
 
 
 
 
 
 
   
 
 
 
   
 
 
 
 
      
  
 
 
 
 
 
 
 
 
 
APTORUM GROUP LIMITED
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(Stated in U.S. Dollars)

13. RELATED PARTY BALANCES AND TRANSACTIONS

The following is a list of a director and related parties to which the Group has transactions with:

(a)
(b)
(c)
(d)
(e)
(f)
(g)
(h)
(i)
(j)

Ian Huen, the Chief Executive Officer and Executive Director of the Group;
AENEAS CAPITAL LIMITED, an entity controlled by Ian Huen;
Aeneas Limited, an entity controlled by Ian Huen;
Aeneas Group Limited, an entity controlled by Ian Huen;
Aeneas Management Limited, an entity controlled by Ian Huen;
Aenco Solutions Limited, an entity controlled by Ian Huen;
Aenco Limited, an entity controlled by Ian Huen;
Jurchen Investment Corporation, the holding company and an entity controlled by Ian Huen;
Clark Cheng, the Executive Director of the Group;
Sabrina Khan, the Chief Financial Officer of the Group.

Amounts due from related parties

Amounts due from related parties consisted of the following as of December 31, 2019 and 2018:

Current
Aeneas Management Limited
AENEAS CAPITAL LIMITED
Total

Non-current
Jurchen Investment Corporation (Note e)

Amounts due to related parties

Amounts due to related parties consisted of the following as of December 31, 2019 and 2018:

Current
Aenco Solutions Limited
Aeneas Group Limited
Jurchen Investment Corporation
Ian Huen
Clark Cheng
Sabrina Khan
Total

Non-current
Aeneas Group Limited (Note a)
Jurchen Investment Corporation (Note a)

F- 27

December 31, 
2019

December 31, 
2018

962    $
-     
962    $

- 
169,051 
169,051 

50,000     

50,000 

December 31, 
2019

December 31, 
2018

5,782    $
14,247     
20,055     
127     
1,114     
268     
41,593    $

3,330,472    $
3,000,000     
6,330,472     

- 
- 
- 
2,545 
8,893 
21,979 
33,417 

- 
- 
- 

  $

  $

  $

  $

  $

 
   
  
   
 
 
 
 
 
 
 
   
 
 
 
   
 
 
 
 
 
 
 
      
  
 
 
      
  
 
 
  
 
 
 
 
   
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
      
  
 
 
      
  
 
 
 
 
 
 
APTORUM GROUP LIMITED
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(Stated in U.S. Dollars)

Related party transactions

Related party transactions consisted of the following for the years ended December 31, 2019 and 2018, and the period March 1, 2017 through December 31, 2017:

Borrowings from related parties (Note a)
- Aeneas Group Limited
- Jurchen Investment Corporation

Interest expenses (Note a)
- Aeneas Group Limited
- Jurchen Investment Corporation

Payments on behalf of the Group (Note b)
- AENEAS CAPITAL LIMITED
- Aeneas Management Limited
- Aenco Solutions Limited

Prepayments to related parties (Note b)
- Aenco Solutions Limited

Expense reimbursement (Note b)
- AENEAS CAPITAL LIMITED
- Aeneas Management Limited

Payments on behalf of related parties (Note c)
- AENEAS CAPITAL LIMITED
- Aeneas Limited
- Aeneas Group Limited

Repayments from related parties (Note c)
- AENEAS CAPITAL LIMITED
- Aeneas Limited
- Aeneas Group Limited

Healthcare services income
- Aeneas Management Limited

Consultant, management and administrative fees (Note d)
- AENEAS CAPITAL LIMITED
- Aeneas Management Limited
- Aenco Limited

Rental expense(Note e)
- Jurchen Investment Corporation

Payment for rental deposit (Note e)
- Jurchen Investment Corporation

Tokens maintenance fee (Note b)
- Aenco Solutions Limited

Issuance of tokens for tokens creation, offering and consultancy services (Note f)
- Aenco Solutions Limited

Tokens creation, offering and consultancy services expense (Note f)
- Aenco Solutions Limited

Prepayment of tokens consultancy services (Note f)
- Aenco Solutions Limited

A borrowing from a related party (Note g)
- Ian Huen

F- 28

Year ended 
December 31, 
2019

Year ended 
December 31, 
2018

March 1, 
2017 
through 
December 31, 
2017

3,330,472 
3,000,000 

  $
  $

14,247 
20,055 

  $
  $

-    $
-    $

-    $
-    $

- 
- 

- 
- 

5,057 
5,372 
186,671 

  $
  $
  $

-    $
156,961    $
-    $

64,038 
- 
- 

200,000 

  $

-    $

- 

5,057 
5,372 

  $
  $

7,331    $
156,961    $

66,881 
- 

- 
- 
- 

  $
  $
  $

22,934    $
-    $
-    $

109,025 
132,074 
1,853 

169,051 
- 
- 

  $
  $
  $

132,128    $
190,427    $
7,451    $

1,923 

  $

-    $

- 
- 
- 

- 

- 
698,152 
830,769 

  $
  $
  $

448,718    $
-    $
-    $

640,932 
- 
- 

227,729 

  $

207,841    $

- 

  $

50,000    $

67,876 

  $

300,000 

  $

192,000 

  $

108,000 

  $

-    $

-    $

-    $

-    $

- 

- 

- 

- 

- 

- 

- 

  $

-    $

6,410 

  $
  $

  $
  $

  $
  $
  $

  $

  $
  $

  $
  $
  $

  $
  $
  $

  $

  $
  $
  $

  $

  $

  $

  $

  $

  $

  $

 
 
 
 
 
 
 
 
 
   
 
 
 
  
 
 
      
  
 
 
 
  
 
 
      
  
 
 
  
 
 
      
  
 
 
 
  
 
 
      
  
 
 
  
 
 
      
  
 
 
 
  
 
 
      
  
 
 
  
 
 
      
  
 
 
 
  
 
 
      
  
 
 
  
 
 
      
  
 
 
 
  
 
 
      
  
 
 
  
 
 
      
  
 
 
 
  
 
 
      
  
 
 
  
 
 
      
  
 
 
 
  
 
 
      
  
 
 
  
 
 
      
  
 
 
 
  
 
 
      
  
 
 
  
 
 
      
  
 
 
 
  
 
 
      
  
 
 
  
 
 
      
  
 
 
 
  
 
 
      
  
 
 
  
 
 
      
  
 
 
 
  
 
 
      
  
 
 
  
 
 
      
  
 
 
 
  
 
 
      
  
 
 
  
 
 
      
  
 
 
 
  
 
 
      
  
 
 
  
 
 
      
  
 
 
 
  
 
 
      
  
 
 
  
 
 
      
  
 
 
 
  
 
 
      
  
 
 
  
 
 
      
  
 
APTORUM GROUP LIMITED
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(Stated in U.S. Dollars)

Note a: On August 13, 2019, the Group entered into financing arrangements with Aeneas Group Limited, a related party, and Jurchen Investment Corporation, the ultimate
parent of the Group, allowing the Group to access up to a total $15.0 million in line of credit debt financing. The line of credit will mature on August 12, 2022 and the interest
on the outstanding principal indebtedness will be at the rate of 8% per annum.

Note b: AENEAS CAPITAL LIMITED and Aeneas Management Limited has paid the operation fee on behalf of the Group and received the expense reimbursement. The
balances were non-interest bearing.

The Group has prepaid Aenco Solutions Limited, of which the whole amounts were non-interest bearing. The prepayment was used for paying on behalf of the Group of token
listing fees, purchasing digital currencies and settlement of maintenance service provided by Aenco Solutions Limited.

Note c: The Group has paid the expenses on behalf of AENEAS CAPITAL LIMITED, Aeneas Limited and Aeneas Group Limited, of which all amounts were non-interest
bearing. There was no further payment on behalf transactions since April 2018.

Note d: AENEAS CAPITAL LIMITED provides certain management and administrative services to the Group. For the year ended December 31, 2018, AENEAS CAPITAL
LIMITED was entitled to receive a fixed amount of administrative fees of HKD500,000 (approximately $64,103) per calendar month. On July 31, 2018, the agreement was
mutually agreed to be terminated.

Aenco Limited provided certain information technology services to the Group. For the year ended December 31, 2019, Aenco Limited was entitled to receive a fixed amount of
services fees of HKD540,000 (approximately $69,231) per calendar month with the expiry date on December 31, 2019. The agreement was originally renewed under the same
terms with the expiry date on December 31, 2020. On January 29, 2020, both parties agreed to replace the agreement no later than April 30, 2020. Pursuant to the replaced
agreement, Aenco Limited is entitled to receive a fixed amount of services fee of HKD700,000 (approximately $89,744) per calendar month. The agreement will be expired on
December 31, 2020.

Aeneas Management Limited provided certain documentation and administrative services to the Group. For the year ended December 31, 2019, Aeneas Management Limited
was entitled to receive a fixed amount of services fees of HKD452,000 (approximately $57,949) per calendar month with the expiry date on December 31, 2019. The agreement
was originally renewed under the same terms with the expiry date on December 31, 2020. On January 29, 2020, both parties agreed to terminate the agreement no later than
April 30, 2020.

Note e: Jurchen Investment Corporation entered into a sub-tenancy agreement with a subsidiary of the Group for the rental arrangement of an office in Hong Kong. For the
period  February  1,  2018  through  January  31,  2021,  Jurchen  Investment  Corporation  was  entitled  to  receive  a  fixed  amount  of  rental  fee  of  HK$130,000  (approximately
USD16,667) per calendar month. As of December 31, 2019, the amounts due from Jurchen Investment Corporation represented a $50,000 rental deposit.

Note f: In July 2019, Smart Pharmaceutical Limited Partnership, a wholly owned subsidiary of the Group, transferred 100,000,000 SMPT token to Aenco Solutions Limited, a
related party, in exchange of the services related to token creation and offering and consulting services for five years for an amount of $300,000.

Note g: The non-interest-bearing loan was borrowed from management for operation purpose and the loan was due on demand.

On  November  11,  2017,  the  Group  sold  100%  of  the  ownership  of  Aeneas  Limited  and  its  subsidiary,  Aeneas  Group  Limited,  to  Jurchen  Investment  Corporation  for  cash
proceeds of $1. The Group recognized a gain on disposal of entity under common control of $67,874, net of net liabilities of Aeneas Limited and its subsidiary of $67,874 in
consolidated statement of equity.

On  April  3,  2018,  Aptorum  Medical  Limited  issued  526  shares  to  Clark  Cheng,  decreasing  the  equity  interest  of  the  Company  from  100%  to  95%.  On  March  29,  2019,
Aptorum Medical Limited issued 112 shares to Clark Cheng in according to the appointment agreement, decreasing the equity interest of the Company from 95% to 94%. On
January 2, 2020, Aptorum Medical Limited further issued 115 shares to Clark Cheng in according to the appointment agreement, decreasing the equity interest of the Company
from 94% to 93%.

In  April  2018,  the  Group,  AENEAS  CAPITAL  LIMITED,  Aeneas  Management  Limited  and  Aeneas  Group  Limited  entered  into  a  net  settlement  agreement  to  offset  the
amounts  due  from  related  parties  against  the  amounts  due  to  related  parties.  Thereby,  the  Group  is  released  from  obligation  for  a  total  amount  of  $164,973,  netting  off
receivables of total amount of $197,878 and collected remaining balance of $32,905.

F- 29

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
APTORUM GROUP LIMITED
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(Stated in U.S. Dollars)

14. CONVERTIBLE DEBTS

Convertible bonds

On April 6, 2018, the Group entered into a subscription agreement (the “Bond Subscription Agreement”) with Peace Range Limited (“Peace Range”). Pursuant to the Bond
Subscription Agreement, the Group issued Peace Range a $15,000,000 convertible bond (the “Bond” and the “Bond Offering”) on April 25, 2018.

In accordance with Accounting Standards Codification (“ASC”) 470-20-30-8, the Group should record a charge equal to the lower amount of either i) the Intrinsic Value of the
BCF or ii) the proceeds realized upon the issuance of the Bond. The Group completed its IPO on December 17, 2018. Pursuant to the terms of the Bond, 10% of the outstanding
principal amount of the Bond was automatically converted into 119,217 Class A Ordinary Shares. Upon the automatic conversion, the contingency was effectively resolved,
and the value of the 10% of the BCF of $383,629 was recorded as additional interest expense with a corresponding increase to additional paid-in capital. The remaining BCF of
$3,452,657 was recorded as debt discount, which was amortized through the maturity of the convertible debts, with a corresponding increase to additional paid-in capital.

The following lists the components of the ending balance of convertible debts as of December 31, 2019 and 2018, respectively:

Gross convertible debts
Less: Discount on issuance cost

Discount on BCF
Convertible debts, net

December 31, 
2019

December 31,
2018

  $

  $

         -    $
-     
-     
-    $

13,500,000 
314,744 
3,077,950 
10,107,306 

For the years ended December 31, 2019 and 2018, and the period March 1, 2017 through December 31, 2017, the amortization of BCF and interest accretion of convertible
debts were $3,392,694, $1,042,870 and $nil respectively. The contractual interest for the years ended December 31, 2019 and 2018, and the period March 1, 2017 through
December 31, 2017 were $342,333, $815,000 and $nil respectively

On April 24, 2019, the Group repurchased its convertible debts at $13.6 million with carrying amount of $13.5 million and a gain on extinguishment on convertible debts of
$1.2 million was recognized. The repurchasing of convertible debts is considered an extinguishment and the difference between the repurchasing price of debt, and the net
carrying amount of the extinguished debt and the intrinsic value of BCF is recognized on the consolidated statements of operations. The intrinsic value of BCF of $1.3 million
at the extinguishment date was recorded as a reduction of additional paid-in capital.

Convertible promissory notes

As of December 31, 2018, the Group has issued $1,600,400 of convertible promissory notes accumulatively (the “Notes”). An unamortized debt issuance costs and discounts of
$22,935 was remaining before the IPO. For the year ended December 31, 2018, the interest accretion and the contractual interest coupon of the Notes was $26,380 and $8,802,
respectively.

The Group completed its IPO on December 17, 2018. Pursuant to the terms of the Notes, all of the outstanding principal amount of the Notes was automatically converted into
230,252 Class A Ordinary Shares. The intrinsic value of the BCF was determined to be $1,600,400. The Group concluded that the contingency was effectively resolved upon
the automatic conversion, and recorded a one-time charge to interest expense of $1,600,400 with a corresponding increase to additional paid-in capital.

F- 30

 
 
  
 
 
 
 
 
 
 
   
 
 
 
 
   
 
 
 
 
 
 
 
 
 
  
 
 
APTORUM GROUP LIMITED
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(Stated in U.S. Dollars)

15. FINANCE LEASE

On  May  14,  2018,  the  Group  leased  a  vehicle  for  its  operation  with  a  lease  term  of  54  months,  and  the  lease  was  classified  as  a  finance  lease.  The  following  lists  the
components of the net present value of finance leases obligation:

Gross finance lease obligation
Less: Discount on finance lease obligation

Less: Current portion of finance lease obligation
Net present value of finance lease obligation, net of current portion

The present value of the net minimum payments on finance lease as of December 31, 2019 is as follows:

December 31, 
2019

December 31, 
2018

  $

  $

157,047    $
13,173     
143,874     
46,555     
97,319    $

210,891 
23,141 
187,750 
43,877 
143,873 

Minimum lease payments
Less: Amortization of discount
Finance lease obligation

16. ORDINARY SHARES

2020

2021

2022

Total

  $

  $

53,845 
7,290 
46,555 

  $

  $

53,845    $
4,449     
49,396    $

49,357    $
1,434     
47,923    $

157,047 
13,173 
143,874 

On December 17, 2018, the Group consummated its IPO of 761,419 Class A Ordinary Shares. The shares were sold at a price of $15.80 per share, generating gross proceeds to
the Group of approximately $12,030,420. At the completion of the IPO, $1,732,370 offering costs was charged to additional paid-in capital. Following the consummation of the
IPO and automatic conversion of the convertible debts instruments, there were an aggregate of 6,537,269 Class A Ordinary Shares issued and outstanding as of December 31,
2018.

On June 19, 2019, the Group issued 60,093 Class A Ordinary Shares to warrant holders on a cashless basis. Following the exercise of warrants (see Note 19), there were an
aggregate of 6,597,362 Class A Ordinary Shares issued and outstanding as of December 31, 2019.

Holders of Class A Ordinary Shares and Class B Ordinary Shares have the same rights except for the following: (i) each Class A Ordinary Share is entitled to one vote while
each Class B Ordinary Share is entitled to ten votes; and (ii) each Class B Ordinary Share is convertible into one Class A Ordinary Share at any time while Class A Ordinary
Shares are not convertible under any circumstances.

F- 31

 
 
 
 
 
 
 
   
 
 
 
 
     
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
  
 
 
 
 
APTORUM GROUP LIMITED
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(Stated in U.S. Dollars)

17. SHARE BASED COMPENSATION

Share option plan

A  total  of  5,500,000  Class  A  Ordinary  Shares  (subject  to  subsequent  adjustments  described  more  fully  below)  may  be  issued  pursuant  to  awards  under  the  2017  Omnibus
Incentive Plan (the “2017 Share Option Plan”). Subsequent adjustments include that on each January 1, starting with January 1, 2020, an additional number of shares equal to
the lesser of (i) 2% of the outstanding number of Class A Ordinary Shares (on a fully diluted basis) on the immediate preceding December 31, and (ii) such lower number of
Class A Ordinary Shares as may be determined by the board of directors, subject in all cases to adjustments as provided in Section 10 of the 2017 Share Option Plan. Awards
will be made pursuant to agreements and may be subject to vesting and other restrictions as determined by the board of directors.

On  March  15,  2019,  the  Company  granted  218,222  share  options  to  directors,  employees,  external  consultants  and  advisors  of  the  Group  in  accordance  to  the  2017  Share
Option Plan with an exercise price of $12.91.

A summary of the option activity as of December 31, 2019 and changes during the period is presented below:

Outstanding, January 1, 2019

Granted
Outstanding, December 31, 2019

Exercisable, December 31, 2019

Number of
share options  

Weighted
average exercise
price 
$

Remaining
contractual
term in years  

- 

218,222 
218,222 
- 

-     

12.91     
12.91     
-     

- 

12.31 
11.51 
- 

Intrinsic value is calculated as the amount by which the current market value of a share of common stock exceeds the exercise price multiplied by the number of option. The
aggregate intrinsic value of options outstanding as of December 31, 2019 was approximately $642,000.

The fair value of each stock option award is estimated on the date of grant using the Black-Scholes option pricing model under the following assumptions.

Expected volatility
Risk-free interest rate
Expected term from grant date (in years)
Dividend rate
Dilution factor
Fair value

Date of grant
95.02%-95.15%
2.46%-2.49%
6.29-7.29
-
0.9962
$10.10-10.52

In  connection  with  the  grant  of  share  options  to  employees  and  non-employees,  the  Group  recorded  share-based  compensation  charges  of  $1,180,477  and  $432,355,
respectively.

F- 32

 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
     
 
 
 
 
 
 
 
 
  
 
 
      
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
APTORUM GROUP LIMITED
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(Stated in U.S. Dollars)

18. NON-CONTROLLING INTEREST

As of December 31, 2018, non-controlling interest related to the 1% equity interest in APTUS BIOTECHNOLOGY (MACAO) LIMITED, 10% equity interest in mTOR (Hong
Kong) Limited, 5% equity interest in Aptorum Medical Limited (“AML”), 20% equity interest in Acticule, and 20% equity interest in the Lanither Life Sciences Limited in the
consolidated balance sheets was deficit of $368,533 in total.

On March 29, 2019, AML, a majority-owned subsidiary of the Group, issued 112 shares to a director of the Group, which resulted an increase of his equity interest of AML
from 5% to 6%. A deficit of $10,672 was reclassified from additional paid-in capital to non-controlling interests within the Group’s consolidated financial statements

On April 24, 2019, the Smart Pharma Tokens (“SMPT tokens”) was announced to be launched. The SMPT tokens are secured by way of a floating charge against the Project
intellectual property (“IP”) to guarantee the distribution of accrued sales-based royalties, sublicensing income or additional cash flow generated by drug candidates developed
by the Smart-ACT TM platform. SMPT token holders will only be eligible to receive a token distribution if any sales-based royalties, sublicensing income or additional cash
flow is generated by drug candidates developed by the Smart-ACT  TM platform, as and when SPLP declares the distribution. Because the token distribution is secured by a
security  interest  in  such  intellectual  property  rights,  if  and  when  SPLP  defaults  in  its  distribution  obligations  to  the  SMPT  token  holders,  or  in  the  event  of  liquidation,
dissolution or winding up of SPLP, the floating charge may crystallize into a fixed charge over the charged assets (i.e., the Project IP owned by SPLP).

Total  1  billion  SMPT  tokens  are  offered  by  Smart  Pharmaceutical  Limited  Partnership  (“SPLP”),  a  wholly  owned  subsidiary  of  the  Group.  In  July  2019,  SPLP  transferred
100,000,000 SMPT tokens to Aenco Solutions Limited, a related party of the Group, in exchange for the services related to the tokens creation, offering and 5-year consultancy
service.  Amount  of  $300,000  were  classified  as  a  component  of  non-controlling  interests  within  the  Group’s  consolidated  financial  statements.  The  remaining  900,000,000
SMPT tokens are remained and kept by SPLP.

As of December 31, 2019, non-controlling interest related to 10% equity interest in mTOR (Hong Kong) Limited, 6% equity interest in Aptorum Medical Limited, 20% equity
interest in Acticule, 20% equity interest in the Lanither Life Sciences Limited and the token issued by SPLP in the consolidated balance sheets was deficit of $1,509,456 in
total.

For  the  years  ended  December  31,  2019  and  2018,  and  the  period  March  1,  2017  through  December  31,  2017,  non-controlling  interest  in  the  consolidated  statements  of
operations were loss of $1,430,176, $302,762 and $14,045, respectively. 

19. WARRANTS

On November 30, 2018 and December 17, 2018, the Company entered into several agreements with underwriter. In return for the underwriter’s services, the Company issued
an aggregate of 80,453 and 38,071 warrants to purchase the same number of the Company’s ordinary shares, for the convertible debts and the IPO, respectively. The shares
were fully vested upon the IPO completion date and the fair value of the warrants was $659,697 and $218,147, respectively, which was calculated using the Black-Scholes
pricing model, with the following weighted-average assumptions.

The Group analyzed the warrants issued in the IPO and the convertible debts in accordance with ASC Topic 815 “Derivatives and Hedging”. In accordance with ASC Topic
815, the Group determined that the warrants should not be considered index to its own stock, as the strike price of the warrants is dominated in a currency (USD) other than the
primary economy environment currency of the Group (HKD). As a result, the warrants do not meet the scope exception of ASC Topic 815, therefore, should be accounted for
as derivative liabilities and measure at fair value with changes in fair value be recorded in earnings in each reporting period.

All  warrants  were  exercised  on  June  19,  2019  on  a  cashless  basis.  $866,300  loss  in  changes  in  fair  value  of  warrant  liabilities  was  recorded  in  consolidated  statements  of
operations.

December 31, 
2019

December 31, 
2018

Expected volatility
Risk-free interest rate
Expected term from grant date (in years)
Dividend rate
Fair value

Expected Volatility

  $

The expected volatility used for the year ended December 31, 2018 is based upon the Company’s peer group trading history.

F- 33

58.18%

-%   
- 
- 
- 
- 

    2.820%-2.822% 
2.43 
- 
4.60-9.48 

  $

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
   
   
   
   
 
 
 
APTORUM GROUP LIMITED
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(Stated in U.S. Dollars)

Risk-Free Interest Rate

The risk-free interest rate assumption is based on U.S. Treasury instruments with a term consistent with the contractual term of the warrants issued.

Expected Term

The expected term of the warrants issued represents the remaining contractual term of the warrants.

Dividend Yield

The Company has never declared or paid any cash dividends and does not plan to pay cash dividends in the foreseeable future, and therefore, used an expected dividend yield
of zero in the valuation model.

The movement of the warrants for the years ended December 31, 2019 and 2018 are as following:

Outstanding, January 1, 2019

Exercised
Outstanding, December 31, 2019

Outstanding, January 1, 2018

Granted
Outstanding, December 31, 2018

20. NET LOSS PER SHARE

The following table sets forth the computation of basic and diluted loss per share:

Numerator:
Net loss attributable to Aptorum Group Limited

Denominator:
Basic and diluted weighted average common shares outstanding

Weighted
Average

Warrants

Exercise Price    

118,524 

  $

13.79     

Weighted
Average
Remaining
Contractual
Term in Years  
2.43 

118,524 
- 

  $
  $

13.79     
-     

- 

  $

-     

118,524 
118,524 

  $
  $

13.79     
13.79     

1.96 
- 

- 

2.50 
2.43 

Year ended
December 31, 
2019

Year ended
December 31, 
2018

March 1, 2017
through
December 31,
2017

  $

(18,686,762)   $

(14,831,723)   $

(2,547,462)

29,008,445 

27,909,788     

26,963,435 

Basic and diluted loss per share

  $

(0.64)   $

(0.53)   $

(0.09)

Basic loss per share is computed by dividing net loss attributable to ordinary shareholders by the weighted average number of ordinary shares outstanding during the period.
Diluted loss per share reflects the potential dilution that could occur if securities or other contracts to issue ordinary shares were exercised or converted into ordinary shares.
Potential dilutive securities are excluded from the calculation of diluted loss per share in loss periods as their effect would be anti-dilutive.

F- 34

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
      
  
 
 
 
 
 
 
 
  
 
 
      
  
 
 
 
 
 
  
 
 
      
  
 
 
 
 
  
 
 
 
 
 
 
 
   
 
 
  
 
    
  
 
 
  
 
 
      
  
 
 
 
 
 
 
 
  
 
 
      
  
 
  
APTORUM GROUP LIMITED
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(Stated in U.S. Dollars)

21. COMMITMENTS AND CONTINGENCIES

Lease Commitments

The total future minimum lease payments under the non-cancellable operating leases with respect to the offices and the laboratory as of December 31, 2019 are as follows:

For the years ending December 31,

2020
2021
2022
2023
2024 and thereafter
Total

Amount

  $

  $

597,198 
397,842 
75,174 
- 
- 
1,070,214 

Rental  expenses  for  the  years  ended  December  31,  2019  and  2018,  and  the  period  March  1,  2017  through  December  31,  2017  were  $664,155,  $591,546  and  $49,518,
respectively.

Contingent Payment Obligations

The  Group  has  entered  into  agreements  with  independent  third  parties  for  purchasing  office  and  laboratory  equipment.  As  of  December  31,  2019,  the  Group  had  non-
cancellable purchase commitments of $61,859.

The Group has additional contingency payment obligations under each of the license agreements, such as milestone payments, royalties, research and development funding, if
certain condition or milestone is met.

Milestone payments are to be made upon achievements of certain conditions, such as Investigational New Drugs (“IND”) filing or U.S. Food and Drug Administration (“FDA”)
approval,  first  commercial  sale  of  the  licensed  products,  or  other  achievements. The  aggregate  amount  of  the  milestone  payments  that  the  Group  are  required  to  pay  up  to
different achievements of conditions and milestones for all the license agreements signed as of December 31, 2019 are below:

Drug molecules: up to the conditions and milestones of
Preclinical to IND filing
From entering phase 1 to before first commercial sale
First commercial sale
Net sales amount more than certain threshold in a year
Subtotal

Surgical robotics and medical devices: up to the conditions and milestones of
Before FDA approval
FDA approval obtained
Subtotal

Total

  $

Amount

372,564 
24,216,410 
15,656,410 
75,769,231 
116,014,615 

270,000 
200,000 
470,000 

  $

116,484,615 

For the years ended December 31, 2019 and 2018, and the period March 1, 2017 through December 31, 2017, the Group incurred $nil, $30,000 and $nil milestone payments,
respectively. For the years ended December 31, 2019 and 2018, and the period March 1, 2017 through December 31, 2017, the Group did not incur any royalties or research
and development funding, respectively. As of December 31, 2019, no other milestone payments had been triggered under any of the existing license agreements.

F- 35

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
  
 
 
 
 
 
 
 
 
 
  
 
 
APTORUM GROUP LIMITED
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(Stated in U.S. Dollars)

22. SEGMENT REPORTING

The Group’s chief operating decision maker, the Chief Executive Officer, reviews the consolidated results when making decisions about allocating resources and accessing
performance of the Group as a whole and hence, the Group has only one reportable segment. The Group does not distinguish between markets or segments for the purpose of
internal reporting. The Group’s long-lived assets are substantially all located in Hong Kong and substantially all of the Group’s expense is derived from within Hong Kong.
Therefore, no geographical segments are presented.

23. SUBSEQUENT EVENTS

The Group has evaluated subsequent events through the date of issuance of the consolidated financial statements, and except for the following events with material financial
impact on the Group’s consolidated financial statements, no other subsequent event is identified that would have required adjustment or disclosure in the consolidated financial
statements.

On January 14, 2020, Aptorum Group entered into a regional distribution agreement with Multipak Limited for the commercialization of its dietary supplement for women
undergoing menopause and experiencing related symptoms. The dioscorea opposita bioactive nutraceutical tablets has commenced production in Canada and will be marketed
under the brand name NativusWell TM .

On  February  25,  2020,  the  Company  entered  into  certain  securities  purchase  agreement  (the  “Purchase  Agreement”)  with  certain  non-affiliated  institutional  investors  and
Jurchen Investment Corporation, the ultimate parent of the Group, pursuant to which the Company agreed to sell total 1,351,350 Class A Ordinary Shares (the “Shares”) and
warrants (“Warrants”) to purchase 1,351,350 of the Shares, for gross proceeds of approximately $10 million. The Warrants will be exercisable immediately following the date
of issuance for a period of seven years at an initial exercise price of $7.40. The purchase price for each Share and the corresponding Warrant is $7.40. The Shares and Warrants
were issued on February 28, 2020. Additionally, the Company issued 43,243 warrants to the placement agent on terms substantially the same as the Warrants except that the
exercise price of the warrants issued to the Placement Agent was $8.88.

On March 16, 2020, the Company granted 554,882 share options to employees, external consultants and advisors of the Group in accordance to the 2017 Share Option Plan
with an exercise price of$2.99 per share.

On January 30, 2020, the World Health Organization declared the coronavirus outbreak a “Public Health Emergency of International Concern” and on March 10, 2020, declared
it to be a pandemic. Actions taken around the world to help mitigate the spread of the coronavirus include restrictions on travel, and quarantines in certain areas, and forced
closures for certain types of public places and businesses. The coronavirus and actions taken to mitigate it have had and are expected to continue to have an adverse impact on
the  economies  and  financial  markets  of  many  countries,  including  the  geographical  area  in  which  the  Company  operates.  While  the  closures  and  limitations  on  movement,
domestically and internationally, are expected to be temporary, if the outbreak continues on its current trajectory the duration of the supply chain disruption could reduce the
availability, or result in delays, of materials or supplies to and from the Group, which in turn could materially interrupt the Group’s business operations. Given the speed and
frequency  of  the  continuously  evolving  developments  with  respect  to  this  pandemic,  the  Group  cannot  reasonably  estimate  the  magnitude  of  the  impact  to  its  consolidated
results of operations. Additionally, it is reasonably possible that estimates made in the financial statements have been, or will be, materially and adversely impacted in the near
term as a result of these conditions, including losses on investments; impairment losses related to long-lived assets and current obligations.

F-36

 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
Description of Securities registered under
Section 12 of the Exchange Act of 1934, as amended

Exhibit 2.3

As of December 31, 2019, Aptorum had the following series of securities registered pursuant to Section 12 of the Securities Exchange Act of 1934, as amended:

Title of Each Class
Class A Ordinary shares, par value $1.00

Trading Symbol
APM

Name of Each Exchange on Which Registered
NASDAQ Global Market

Capitalized terms used but not defined herein have the meanings given to them in Aptorum’s annual report on Form 20-F for the year ended December 31, 2019.

CLASS A ORDINARY SHARES

The following is a description of our Class A Ordinary Shares and the material terms of our articles and memorandum of association, as amended. The following description
may not contain all of the information that is important to you and we therefore refer you to our articles and memorandum of association, as amended, copies of which are filed
as exhibits to our annual report on Form 20-F for the year ended December 31, 2019.

We are a Cayman Islands exempted company with limited liability and our affairs are governed by our Memorandum and Articles, the Companies Law, the common

law of the Cayman Islands, our corporate governance documents and rules and regulations of the stock exchange on which are shares are traded.

As  of  the  date  hereof,  the  authorized  share  capital  of  the  Company  is  $100,000,000,  consisting  of  60,000,000  Class  A  Ordinary  Shares,  par  value  $1.00  each  and
40,000,000 Class B Ordinary Shares, par value $1.00 each. As of the date hereof, 7,948,712 Class A Ordinary Shares and 22,437,754 Class B Ordinary Shares are issued and
outstanding. All of our issued and outstanding Class A Ordinary Shares and Class B Ordinary Shares are fully paid.

Shares  

The following are summaries of material provisions of our Memorandum and Articles, corporate governance policies and the Companies Law insofar as they relate to
the material terms of our Class A Ordinary Shares and Class B Ordinary Shares (our class B Ordinary Shares are not registered pursuant to Section 12(b), 12(g) or Section
15(d) of the Act, but we are voluntarily including information with respect to same in this exhibit).

Objects of Our Company

Under our Memorandum and Articles, the objects of our Company are unrestricted and we have the full power and authority to carry out any object not prohibited by

the law of the Cayman Islands.

Share Capital

Our authorized share capital is divided into Class A Ordinary Shares and Class B Ordinary Shares. Holders of our Class A Ordinary Shares and Class B Ordinary

Shares will have the same rights except for voting rights and conversion rights.

The holders of Class A Ordinary Shares are entitled to one vote for each such share held and shall be entitled to notice of any shareholders’ meeting, and, subject to the
terms of Memorandum and Articles, to vote thereat. The Class A Ordinary Shares are not redeemable at the option of the holder and are not convertible into shares of any other
class.

The holders of Class B Ordinary Shares shall have the right to ten votes for each such share held, and shall be entitled to notice of any shareholders’ meeting and,
subject to the terms of the Memorandum and Articles, to vote thereat. The Class B Ordinary Shares are not redeemable at the option of the holder but are convertible into Class
A Ordinary Shares at any time after issue at the option of the holder on a one to one basis.

1

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Dividends

The holders of our Class A Ordinary Shares and Class B Ordinary Shares are entitled to such dividends as may be declared by our Board of Directors subject to the

Companies Law and to our Memorandum and Articles.

Voting Rights

In respect of all matters subject to a shareholders’ vote, each Class B Ordinary Share is entitled to ten votes, and each Class A Ordinary Share is entitled to one vote,
voting together as one class. Voting at any shareholders’ meeting is by show of hands unless a poll is demanded by the chairman or persons holding certain amounts of shares
as set forth in the Memorandum and Articles. Actions that may be taken at a general meeting also may be taken by a unanimous resolution of the shareholders in writing.

No  business  shall  be  transacted  at  any  general  meeting  unless  a  quorum  of  members  is  present  at  the  time  when  the  meeting  proceeds  to  business;  two  members
present in person or by proxy, one of whom shall be the holder of the majority of the shares in the Company, shall be a quorum provided always that if the Company has one
member of record the quorum shall be that one member present in person or by proxy. An ordinary resolution to be passed at a general meeting requires the affirmative vote of
a simple majority of the votes cast, while a special resolution requires the affirmative vote of at least two-thirds of votes cast at a general meeting. A special resolution will be
required for important matters.

A special resolution of members is required to change the name of the Company, approve a merger, wind up the Company, amend the Memorandum and Articles and

reduce the share capital.

Conversion

Class A Ordinary Shares are not convertible. Each Class B Ordinary Share shall be convertible, at the option of the holder thereof, into such number of fully paid and
non-assessable  Class  A  Ordinary  Shares  on  the  basis  that  one  Class  B  Ordinary  Share  shall  be  converted  into  one  Class  A  Ordinary  Share  (being  a  1:1  ratio  and  hereafter
referred to as the “ Conversion Rate ”), subject to adjustment.

Transfer of Shares  

Subject to the restrictions set out below, any of our shareholders may transfer all or any of his, its or her Class A Ordinary Shares or Class B Ordinary Shares by an
instrument of transfer in the usual or common form or any other form approved by our Board of Directors or in a form prescribed by the stock exchange on which our shares
are then listed.

Our Board of Directors may, in its sole discretion, decline to register any transfer of any Class A Ordinary Shares or Class B Ordinary Shares whether or not it is fully
paid up to the total consideration paid for such shares. Our directors may also decline to register any transfer of any Class A Ordinary Shares or Class B Ordinary Shares if (a)
the instrument of transfer is not accompanied by the certificate covering the shares to which it relates or any other evidence as our Board of Directors may reasonably require to
prove the title of the transferor to, or his/her right to transfer the shares; or (b) the instrument of transfer is in respect of more than one class of shares.

If our directors refuse to register a transfer, they shall, within two months after the date on which the instrument of transfer was lodged, send to the transferee notice of

such refusal.

The registration of transfers may be suspended and the register closed at such times and for such periods as our Board of Directors may from time to time determine,

provided, however, that the registration of transfers shall not be suspended nor the register closed for more than 30 days in any year.

2

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Winding-Up/Liquidation

On a return of capital on winding up or otherwise (other than on conversion, redemption or purchase of shares), a liquidator may be appointed to determine how to
distribute the assets among the holders of the Class A Ordinary Shares and Class B Ordinary Shares. If our assets available for distribution are insufficient to repay all of the
paid-up  capital,  the  assets  will  be  distributed  so  that  the  losses  are  borne  by  our  shareholders  proportionately;  a  similar  basis  will  be  employed  if  the  assets  are  more  than
sufficient to repay the whole of the capital at the commencement of the winding up.

Calls on Shares and Forfeiture of Shares  

Our Board of Directors may from time to time make calls upon shareholders for any amounts unpaid on their Class A Ordinary Shares or Class B Ordinary Shares in a
notice served to such shareholders at least 14 days prior to the specified time and place of payment. The shares that have been called upon and remain unpaid on the specified
time are subject to forfeiture.

Redemption of Shares

We may issue shares on terms that are subject to redemption, at our option or at the option of the holders, on such terms and in such manner as may be determined by

our Board of Directors.

Variations of Rights of Shares

All or any of the special rights attached to any class of shares may, be varied with the resolution of at least two thirds of the issued shares of that class or a resolution
passed at a general meeting of the holders of the shares of that class present in person or by proxy or with the consent in writing of the holders of at least two-thirds of the
issued shares of that class.

Inspection of Books and Records

Directors shall from time to time determine whether and to what extent and at what times and places and under what conditions or regulations the accounts and books
of the Company or any of them shall be open to the inspection of members not being Directors and no member (not being a Director) shall have any right of inspecting any
account or book or document of the Company except as conferred by Companies Law or authorized by the Directors or by the Company in a general meeting. However, the
Directors shall from time to time cause to be prepared and to be laid before the Company in a general meeting, profit and loss accounts, balance sheets, group accounts (if any)
and such other reports and accounts as may be required by Companies Law.

Issuance of Additional Shares

Our Memorandum and Articles authorize our Board of Directors to issue additional Class A Ordinary Shares or Class B Ordinary Shares from time to time as our

Board of Directors shall determine, to the extent there are available authorized but unissued shares.

Our Memorandum and Articles also authorizes our Board of Directors to establish from time to time one or more series of preferred shares and to determine, subject to
compliance with the variation of rights of shares provision in the Memorandum and Articles, with respect to any series of preferred shares, the terms and rights of that series,
including:

● the designation of the series;

● the number of shares of the series;

● the dividend rights, dividend rates, conversion rights, voting rights; and

● the rights and terms of redemption and liquidation preferences.

3

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Our Board of Directors may, issue preferred shares without action by our shareholders to the extent there are authorized but unissued shares available. Issuance of
additional shares may dilute the voting power of holders of Class A Ordinary Shares and Class B Ordinary Shares. However, our Memorandum of Association provides for
authorized share capital comprising Class A Ordinary Shares and Class B Ordinary Shares and to the extent the rights attached to any class may be varied, the Company must
comply with the provisions in the Memorandum and Articles relating to variations to rights of shares.

Anti-Takeover Provisions

Some  provisions  of  our  Memorandum  and  Articles  may  discourage,  delay  or  prevent  a  change  of  control  of  our  Company  or  management  that  shareholders  may

consider favorable, including provisions that:

● authorize our Board of Directors to issue preferred shares in one or more series and to designate the price, rights, preferences, privileges and restrictions of such
preferred shares without any further vote or action by our shareholders (subject to variation of rights of shares provisions in our Memorandum and Articles); and

● limit  the  ability  of  shareholders  to  requisition  and  convene  general  meetings  of  shareholders.  Our  Memorandum  and  Articles  allow  our  shareholders  holding
shares representing in aggregate not less than ten percent of our paid up share capital (as to the total consideration paid for such shares) in issue to requisition an
extraordinary general meeting of our shareholders, in which case our directors are obliged to call such meeting and to put the resolutions so requisitioned to a vote
at such meeting.

However, under Cayman Islands law, our directors may only exercise the rights and powers granted to them under our Memorandum and Articles for a proper purpose

and for what they believe in good faith to be in the best interests of our Company.

General Meetings of Shareholders and Shareholder Proposals

Our shareholders’ general meetings may be held in such place within or outside the Cayman Islands as our Board of Directors considers appropriate.

As a Cayman Islands exempted company, we are not obliged by the Companies Law to call shareholders’ annual general meetings. However, our Memorandum and
Articles provide that we shall hold a general meeting in each year as our annual general meeting other than the year in which the Memorandum and Articles were adopted at
such time and place as determined by the directors. The directors may, whenever they think fit, convene an extraordinary general meeting.

Shareholders’ annual general meetings and any other general meetings of our shareholders may be convened by a majority of our Board of Directors. Our Board of
Directors shall give not less than seven days’ written notice of a shareholders’ meeting to those persons whose names appear as members in our register of members on the date
the notice is given (or on any other date determined by our directors to be the record date for such meeting) and who are entitled to vote at the meeting.

Cayman  Islands  law  provides  shareholders  with  only  limited  rights  to  requisition  a  general  meeting,  and  does  not  provide  shareholders  with  any  right  to  put  any
proposal  before  a  general  meeting.  However,  these  rights  may  be  provided  in  a  company’s  articles  of  association.  Our  Memorandum  and  Articles  allow  our  shareholders
holding  shares  representing  in  aggregate  not  less  than  ten  percent  of  our  paid  up  share  capital  (as  to  the  total  consideration  paid  for  such  shares)  in  issue  to  requisition  an
extraordinary general meeting of our shareholders, in which case our directors are obliged to call such meeting and to put the resolutions so requisitioned to a vote at such
meeting; otherwise, our Memorandum and Articles do not provide our shareholders with any right to put any proposals before annual general meetings or extraordinary general
meetings not called by such shareholders.

4

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Exempted Company

We are an exempted company with limited liability under the Companies Law. The Companies Law distinguishes between ordinary resident companies and exempted

companies. A Cayman Islands exempted company:

● is a company that conducts its business mainly outside of the Cayman Islands;

● is exempted from certain requirements of the Companies Law, including the filing an annual return of its shareholders with the Registrar of Companies  or  the

Immigration Board;

● does not have to make its register of members open for inspection;

● does not have to hold an annual general meeting;

● may issue negotiable or bearer shares or shares with no par value (subject to the provisions of the Companies Law);

● may obtain an undertaking against the imposition of any future taxation (such undertakings are usually given for 20 years in the first instance); and

● may register by way of continuation in another jurisdiction and be deregistered in the Cayman Islands.

“Limited liability” means that the liability of each shareholder is limited to the amount unpaid by the shareholder on the shares of the company (except in exceptional
circumstances, such as involving fraud, the establishment of an agency relationship or an illegal or improper purpose or other circumstances in which a court may be prepared
to pierce or lift the corporate veil).

Register of Members

Under Cayman Islands law, we must keep a register of members and there should be entered therein:

● the names and addresses of the members, a statement of the shares held by each member, and of the amount paid or agreed to be considered as paid, on the shares

of each member;

● the date on which the name of any person was entered on the register as a member; and

● the date on which any person ceased to be a member.

Under Cayman Islands law, the register of members of our Company is prima facie evidence of the matters set out therein (i.e. the register of members will raise a
presumption of fact on the matters referred to above unless rebutted) and a member registered in the register of members is deemed as a matter of Cayman Islands law to have
legal title to the shares as set against its name in the register of members. Once our register of members has been updated, the shareholders recorded in the register of members
are deemed to have legal title to the shares set against their name.

If the name of any person is incorrectly entered in, or omitted from, our register of members, or if there is any default or unnecessary delay in entering on the register
the fact of any person having ceased to be a member of our Company, the person or member aggrieved (or any member of our Company or our Company itself) may apply to
the Cayman Islands Grand Court for an order that the register be rectified, and the Court may either refuse such application or it may, if satisfied of the justice of the case, make
an order for the rectification of the register.

Indemnification of Directors and Executive Officers and Limitation of Liability

Cayman Islands law does not limit the extent to which a company’s memorandum and articles of association may provide for indemnification of officers and directors,
except to the extent any such provision may be held by the Cayman Islands courts to be contrary to public policy, such as to provide indemnification against civil fraud or the
consequences of committing a crime. Our Memorandum and Articles require us to indemnify our officers and directors for actions, proceedings, claims, losses, damages, costs,
liabilities and expenses (“Indemnified Losses”) incurred in their capacities as such unless such Indemnified Losses arise from dishonesty of such directors or officers. This
standard of conduct is generally the same as permitted under the Delaware General Corporation Law for a Delaware corporation.

Insofar  as  indemnification  for  liabilities  arising  under  the  Securities  Act  may  be  permitted  to  our  directors,  officers  or  persons  controlling  us  under  the  foregoing
provisions,  we  have  been  informed  that  in  the  opinion  of  the  SEC,  such  indemnification  is  against  public  policy  as  expressed  in  the  Securities  Act  and  is  therefore
unenforceable.

5

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Differences in Corporate Law

The Companies Law is modeled after that of English law but does not follow many recent English law statutory enactments. In addition, the Companies Law differs
from laws applicable to United States corporations and their shareholders. Set forth below is a summary of some of the significant differences between the provisions of the
Companies Law applicable to us and the laws applicable to companies incorporated in the State of Delaware.

Mergers  and  Similar  Arrangements.    The  Companies  Law  permits  mergers  and  consolidations  between  Cayman  Islands  companies  and  between  Cayman  Islands
companies and non-Cayman Islands companies. For these purposes, a “merger” means the merging of two or more constituent companies and the vesting of their undertaking,
property  and  liabilities  in  one  of  such  companies  as  the  surviving  company,  and  a  “consolidation”  means  the  combination  of  two  or  more  constituent  companies  into  a
consolidated company and the vesting of the undertaking, property and liabilities of such companies to the consolidated company.

In order to effect a merger or consolidation, the directors of each constituent company must approve a written plan of merger or consolidation, which must then be
authorized by a special resolution of the shareholders of each constituent company, and such other authorization, if any, as may be specified in such constituent company’s
articles of association.

The  plan  of  merger  or  consolidation  must  be  filed  with  the  Registrar  of  Companies  of  the  Cayman  Islands  together  with  a  declaration  as  to:  the  solvency  of  the
consolidated or surviving company, the merger or consolidation being bona fide and not intended to defraud creditors, no petition or other proceeding, order or resolution to
wind up the Company, no receiver, administrator or similar having been appointed over assets or property and no scheme or other arrangement having been entered into with
creditors; a list of the assets and liabilities of each constituent company and an undertaking that a copy of the certificate of merger or consolidation will be given to the members
and creditors of each constituent company; and that notification of the merger and consolidation will be published in the Cayman Islands Gazette. The non-surviving constituent
company  must  have  resigned  from  any  fiduciary  office  held  or  will  do  so  and  each  constituent  company  having  complied  with  any  applicable  regulatory  laws.  Dissenting
shareholders have the right to be paid the fair value of their shares if they follow the required procedures under the Companies Law subject to certain exceptions. The fair value
of the shares will be determined by the Cayman Islands court if it cannot be agreed among the parties. Court approval is not required for a merger or consolidation effected in
compliance with these statutory procedures.

In addition, there are statutory provisions that facilitate the reconstruction and amalgamation of companies, provided that the arrangement is approved by a majority in
number of each class of shareholders and creditors with whom the arrangement is to be made, and who must in addition represent three-fourths in value of each such class of
shareholders or creditors, as the case may be, that are present and voting either in person or by proxy at a meeting, or meetings, convened for that purpose. The convening of the
meetings and subsequently the arrangement must be sanctioned by the Grand Court of the Cayman Islands.

While a dissenting shareholder has the right to express to the court the view that the transaction ought not to be approved, the court can be expected to approve the

arrangement if it determines that:

● the statutory provisions as to the required majority vote have been met;

● the shareholders have been fairly represented at the meeting in question;

● the arrangement is such that an intelligent and honest man of that class acting in respect of his interest would reasonably approve; and

● the arrangement is not one that would more properly be sanctioned under some other provision of the Companies Law or that would amount to a “fraud on the

minority.”

6

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
When  a  take-over  offer  is  made  and  accepted  by  holders  of  not  less  than  90%  of  the  shares  within  four  months,  the  offer,  or  may,  within  a  two-month  period
commencing on the expiration of such four months period, require the holders of the remaining shares to transfer such shares on the terms of the offer. An objection can be
made to the Grand Court of the Cayman Islands but this is unlikely to succeed unless there is evidence of fraud, bad faith or collusion.

If  the  arrangement  and  reconstruction  is  thus  approved,  the  dissenting  shareholder  would  have  no  rights  comparable  to  appraisal  rights,  which  would  otherwise

ordinarily be available to dissenting shareholders of United States corporations, providing rights to receive payment in cash for the judicially determined value of the shares.

Shareholders’ Suits.  In principle, we will normally be the proper plaintiff to sue for a wrong done to us as a company and as a general rule a derivative action may
not be brought by a minority shareholder. However, based on English authorities, which would in all likelihood be of persuasive authority in the Cayman Islands, there are
exceptions to the foregoing principle, including when:

● a company acts or proposes to act illegally or ultra vires and is therefore incapable of ratification by the shareholders;

● the act complained of, although not ultra vires, could only be duly effected if authorized by more than a simple majority vote that has not been obtained; and

● those who control the company are perpetrating a “fraud on the minority.”

Indemnification of Directors and Executive Officers and Limitation of Liability.  The Companies Law does not limit the extent to which a company’s memorandum
and articles of association may provide for indemnification of officers and directors, except to the extent any such provision may be held by the Cayman Islands courts to be
contrary to public policy, such as to provide indemnification against civil fraud or the consequences of committing a crime. As stated above, our Memorandum and Articles
permit  indemnification  of  officers  and  directors  for  actions,  proceedings,  claims,  losses,  damages,  costs,  liabilities  and  expenses  (“Indemnified  Losses”)  incurred  in  their
capacities  as  such  unless  such  losses  or  damages  arise  from  dishonesty  of  such  directors  or  officers. This  standard  of  conduct  is  generally  the  same  as  permitted  under  the
Delaware General Corporation Law for a Delaware corporation. Insofar as indemnification for liabilities arising under the Securities Act may be permitted to our directors,
officers  or  persons  controlling  us  under  the  foregoing  provisions,  we  have  been  informed  that  in  the  opinion  of  the  SEC,  such  indemnification  is  against  public  policy  as
expressed in the Securities Act and is therefore unenforceable.

Directors’ Fiduciary Duties.  Under Delaware corporate law, a director of a Delaware corporation has a fiduciary duty to the corporation and its shareholders. This
duty has two components: the duty of care and the duty of loyalty. The duty of care requires that a director act in good faith, with the care that an ordinarily prudent person
would  exercise  under  similar  circumstances.  Under  this  duty,  a  director  must  inform  himself  of,  and  disclose  to  shareholders,  all  material  information  reasonably  available
regarding a significant transaction. The duty of loyalty requires that a director acts in a manner he reasonably believes to be in the best interests of the corporation. He must not
use  his  corporate  position  for  personal  gain  or  advantage.  This  duty  prohibits  self-dealing  by  a  director  and  mandates  that  the  best  interest  of  the  corporation  and  its
shareholders take precedence over any interest possessed by a director, officer or controlling shareholder and not shared by the shareholders generally. In general, actions of a
director are presumed to have been made on an informed basis, in good faith and in the honest belief that the action taken was in the best interests of the corporation. However,
this presumption may be rebutted by evidence of a breach of one of the fiduciary duties. Should such evidence be presented concerning a transaction by a director, the director
must prove the procedural fairness of the transaction, and that the transaction was of fair value to the corporation. As a matter of Cayman Islands law, a director of a Cayman
Islands company is in the position of a fiduciary with respect to the company and therefore it is considered that he or she owes the following duties to the company: a duty to
act bona fide in the best interests of the company, a duty not to make a profit based on his or her position as director (unless the company permits him or her to do so) and a
duty not to put himself or herself in a position where the interests of the company conflict with his or her personal interest or his or her duty to a third-party. Our Memorandum
and Articles do not disqualify a director from acting or from contacting with the Company as a vendor, purchaser or otherwise provided that it does not adversely affect his or
her  performance  of  duties  or  responsibilities  and  the  nature  of  the  interest  is  disclosed  at  the  meeting  at  which  the  contract  or  arrangement  is  considered  (if  not  previously
disclosed), and having disclosed such interest the director is not counted in the quorum and must refrain from voting on the contract or arrangement. A director of a Cayman
Islands company also owes to the company a duty to exercise the powers for the purpose for which they were given and the duty to act with skill and care. It was previously
considered  that  a  director  need  not  exhibit  in  the  performance  of  his  or  her  duties  a  greater  degree  of  skill  than  may  reasonably  be  expected  from  a  person  of  his  or  her
knowledge and experience. However, courts are moving towards an objective standard with regard to the required skill and care and these authorities are likely to be followed
in the Cayman Islands.

7

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Shareholder Action  by  Written  Consent.    Under  the  Delaware  General  Corporation  Law,  a  corporation  may  eliminate  the  right  of  shareholders  to  act  by  written
consent by amendment to its certificate of incorporation. Cayman Islands law and our Memorandum and Articles provide that shareholders may approve corporate matters by
way of a unanimous written resolution signed by or on behalf of each shareholder who would have been entitled to vote on such matter at a general meeting without a meeting
being held.

Shareholder Proposals.  Under the Delaware General Corporation Law, a shareholder has the right to put any proposal before the annual meeting of shareholders,
provided it complies with the notice provisions in the governing documents. A special meeting may be called by the board of directors or any other person authorized to do so
in  the  governing  documents,  but  shareholders  may  be  precluded  from  calling  special  meetings.  The  Companies  Law  provides  shareholders  with  only  limited  rights  to
requisition a general meeting and does not provide shareholders with any right to put any proposal before a general meeting. However, these rights may be provided in articles
of association. Our Memorandum and Articles allow our shareholders holding not less than 1/10 of all voting power of our (paid up) share capital in issue to requisition a
shareholder’s meeting. Other than this right to requisition a shareholders’ meeting, our Memorandum and Articles do not provide our shareholders other rights to put proposal
before a meeting. As an exempted Cayman Islands company, we are not obliged by law to call shareholders’ annual general meetings although our Memorandum and Articles
provide for same.

Cumulative Voting.  Under the Delaware General Corporation Law, cumulative voting for elections of directors is not permitted unless the corporation’s certificate of
incorporation  specifically  provides  for  it.  Cumulative  voting  potentially  facilitates  the  representation  of  minority  shareholders  on  a  board  of  directors  since  it  permits  the
minority shareholder to cast all the votes to which the shareholder is entitled on a single director, which increases the shareholder’s voting power with respect to electing such
director. There are no prohibitions in relation to cumulative voting under the Companies Law but our Memorandum and Articles do not provide for cumulative voting.

Removal of Directors.   Under  the  Delaware  General  Corporation  Law,  a  director  of  a  corporation  with  a  may  be  removed  with  the  approval  of  a  majority  of  the
outstanding shares entitled to vote, unless the certificate of incorporation provides otherwise. Under our Memorandum and Articles, directors may be removed with or without
cause, by the directors or by an ordinary resolution of our shareholders.

Transactions with Interested Shareholders.  The  Delaware  General  Corporation  Law  contains  a  business  combination  statute  applicable  to  Delaware  corporations
whereby, unless the corporation has specifically elected not to be governed by such statute by amendment to its certificate of incorporation, it is prohibited from engaging in
certain business combinations with an “interested shareholder” for three years following the date that such person becomes an interested shareholder. An interested shareholder
generally is a person or a group who or which owns or owned 15% or more of the target’s outstanding voting share within the past three years. This has the effect of limiting the
ability of a potential acquirer to make a two-tiered bid for the target in which all shareholders would not be treated equally. The statute does not apply if, among other things,
prior to the date on which such shareholder becomes an interested shareholder, the board of directors approves either the business combination or the transaction which resulted
in the person becoming an interested shareholder. This encourages any potential acquirer of a Delaware corporation to negotiate the terms of any acquisition transaction with
the  target’s  board  of  directors.  The  Cayman  Islands  has  no  comparable  statute.  As  a  result,  we  cannot  avail  ourselves  of  the  types  of  protections  afforded  by  the  Delaware
business combination statute. However, although Cayman Islands law does not regulate transactions between a company and its significant shareholders, it does provide that
such transactions must be entered into bona fide in the best interests of the company and for a proper corporate purpose and not with the effect of constituting a fraud on the
minority shareholders. Our Memorandum and Articles, as well as our Code of Business Conduct and Ethics that applies to our officers, directors and employees outlines how to
handle these types of transactions and other potential conflicts of interest.

8

 
 
 
 
 
 
 
Dissolution;  Winding  up.    Under  the  Delaware  General  Corporation  Law,  unless  the  board  of  directors  approves  the  proposal  to  dissolve,  dissolution  must  be
approved by shareholders holding 100% of the total voting power of the corporation. Only if the dissolution is initiated by the board of directors may it be approved by a simple
majority of the corporation’s outstanding shares. Delaware law allows a Delaware corporation to include in its certificate of incorporation a supermajority voting requirement in
connection with dissolutions initiated by the board. Under the Companies Law, a company may be wound up by either an order of the courts of the Cayman Islands or by a
special  resolution  of  its  members  or,  if  the  company  is  unable  to  pay  its  debts  as  they  fall  due,  by  an  ordinary  resolution  of  its  members.  The  court  has  authority  to  order
winding up in a number of specified circumstances including where it is, in the opinion of the court, just and equitable to do so. Under the Companies Law a company may be
dissolved,  liquidated  or  wound  up  by  a  special  resolution  of  our  shareholders;  however,  under  our  Memorandum  and  Articles,  only  our  Directors  have  power  to  present  a
winding up petition in the name of the Company and/or to apply for the appointment of provisional liquidators in respect of the Company.

Variation of Rights of Shares.  Under the Delaware General Corporation Law, a corporation may vary the rights of a class of shares with the approval of a majority of
the  outstanding  shares  of  such  class,  unless  the  certificate  of  incorporation  provides  otherwise.  Under  the  Companies  Law  and  our  Memorandum  and  Articles,  if  our  share
capital is divided into more than one class of shares, we may vary the rights attached to any class with the written consent of the holders of two-thirds of the issued shares of
that class or with the sanction of a special resolution passed at a separate general meeting of the holders of the shares of that class.

Amendment of Governing Documents.  Under the Delaware General Corporation Law, a corporation’s governing documents may be amended with the approval of a
majority of the outstanding shares entitled to vote, unless the certificate of incorporation provides otherwise. As permitted by the Companies Law, each of our Memorandum of
Association and Articles of Association may only be amended with a special resolution of our shareholders.

Rights  of  Non-resident  or  Foreign  Shareholders.    There  are  no  limitations  imposed  by  our  Memorandum  and  Articles  on  the  rights  of  non-resident  or  foreign
shareholders to hold or exercise voting rights on our shares. In addition, there are no provisions in our Memorandum and Articles governing the ownership threshold above
which shareholder ownership must be disclosed.

Rule 144

Shares Held for Six Months

In general, under Rule 144 as currently in effect, and subject to the terms of any lock-up agreement, commencing 90 days after the closing of the IPO, a person (or
persons whose shares are aggregated), including an affiliate, who has beneficially owned our Class A Ordinary Shares for six months or more, including the holding period of
any  prior  owner  other  than  one  of  our  affiliates  (i.e.,  commencing  when  the  shares  were  acquired  from  our  Company  or  from  an  affiliate  of  our  Company  as  restricted
securities), is entitled to sell our shares, subject to the availability of current public information about us. In the case of an affiliate shareholder, the right to sell is also subject to
the fulfillment of certain additional conditions, including manner of sale provisions and notice requirements, and to a volume limitation that limits the number of shares to be
sold thereby, within any three-month period, to the greater of:

● 1% of the number of Class A Ordinary Shares then outstanding; or

● the average weekly trading  volume  of  our  Class  A  Ordinary  Shares  on  the  NASDAQ  Global  Market  during  the  four  calendar  weeks  preceding  the  filing  of a

notice on Form 144 with respect to the sale.

The six-month holding period of Rule 144 does not apply to sales of unrestricted securities. Accordingly, persons who hold unrestricted securities may sell them under
the requirements of Rule 144 described above without regard to the six-month holding period, even if they were considered our affiliates at the time of the sale or at any time
during the 90 days preceding such date.

9

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Shares Held by Non-Affiliates for One Year

Under Rule 144 as currently in effect, a person (or persons whose shares are aggregated) who is not considered to have been one of our affiliates at any time during the
90 days preceding a sale and who has beneficially owned the shares proposed to be sold for at least one year, including the holding period of any prior owner other than one of
our affiliates, is entitled to sell his, her or its shares under Rule 144 without complying with the provisions relating to the availability of current public information or with any
other conditions under Rule 144. Therefore, unless subject to a lock-up agreement or otherwise restricted, such shares may be sold immediately upon the closing of the IPO.

Registration Rights

Pursuant to the terms of the Bond, we agreed to register the Class A Ordinary Shares underlying the Bond in the Registration Statement. We also agreed to register the

Class A Ordinary Shares underlying the Bond PA Warrants in the Registration Statement.

Piggyback Registration Rights

Pursuant to the terms of the Series A Note Offering, the Series A Note Investors received piggyback registration rights with respect to the Class A Ordinary Shares
underlying the Series A Notes (the “Conversion Shares”) that entitle the Series A Note Investors to request their securities be included in a future Securities Act registration
statement that is filed after the IPO. If so requested, the Company will include in such future registration statement, all Conversion Shares on a pro rata basis based upon the
total number of Conversion Shares with respect to which the Company has received written requests for inclusion within fifteen (15) business days after the applicable holder’s
receipt of the Company’s notice that it is filing such a registration statement. The piggyback registration rights described herein, also apply to the Class A Ordinary Shares
underlying the warrants issued to the placement agent in the Series A Note Offering. However, we decided to include the Class A Ordinary Shares underlying the Series A
Notes and the Series A Note PA Warrants in the Registration Statement.

10

 
 
 
 
 
 
 
 
 
 
THE SYMBOL “[***]” DENOTES PLACES WHERE CERTAIN IDENTIFIED
INFORMATION HAS BEEN EXCLUDED FROM THE EXHIBIT BECAUSE IT IS BOTH (i)
NOT MATERIAL, AND (ii) WOULD LIKELY CAUSE COMPETITIVE HARM TO THE
COMPANY IF PUBLICLY DISCLOSED

SECOND AMENDMENT TO
EXCLUSIVE PATENT LICENSE AGREEMENT

Exhibit 4.35

THIS SECOND AMENDMENT TO EXCLUSIVE PATENT LICENSE AGREEMENT (the “ Second Amendment ”) is made effective as of ___________, 2019 by

and between:

Versitech Limited , a company incorporated and existing under the laws of Hong Kong with its office at Room 405A, Cyberport 4, 100 Cyberport Road, Hong Kong (the “
LICENSOR ” ); and

Acticule Life Sciences Limited, with incorporation number CB-324541, a company incorporated and existing under the laws of the Cayman Islands, with its registered office
at Floor 4, Willow House, Cricket Square, Grand Cayman KY1-9010, Cayman Islands with its management office at Floor 17, Guangdong Investment Tower, 148 Connaught
Road, Central, Hong Kong (the “ LICENSEE” ).

W I T N E S S E T H

WHEREAS, the LICENSOR and the LICENSEE entered into that certain Exclusive Patent License Agreement dated as of October 18, 2017 (HKU Ref. No. IP662)
(as set forth in Appendix A ), as amended by the First Amendment of the Exclusive Patent License Agreement dated as of June 7, 2018 (HKU Ref. No. VER343-18 & IP662)
(as set forth in Appendix B ) (together, the “ Agreement ”);

WHEREAS, the LICENSEE and the LICENSOR desire to further amend the Agreement as follows.

NOW, THEREFORE, the parties hereto, in consideration of the mutual promises herein contained and for other good and valuable consideration, the receipt and

sufficiency of which is hereby acknowledged, hereby agree to amend the Agreement as follows:

1.  Definitions  .  Unless  otherwise  specified  herein,  each  term  used  herein  that  is  defined  in  the  Agreement  shall  have  the  meaning  assigned  to  such  term  in  the

Agreement.

2. Amendments. The following amendments have been newly entered into by the parties (the “ New Amendments ”):

The following is added to Clause (B) of the RECITALS:

LICENSOR  is  the  wholly-owned  subsidiary  of  the  University  of  Hong  Kong  (“  HKU  ”)  and  the  technology  transfer  company  of  HKU.  To  facilitate  the
commercialization of LICENSED PATENT, HKU has assigned all its rights, title and interest in and to LICENSED PATENT to LICENSOR;

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Section 1.16 of the Agreement is hereby replaced by the following:

1.16

“ INITIAL LICENSED PATENT ” shall mean:

(i)

(ii)

The  United  States  and  foreign  patents,  patent  applications,  and  provisional  applications  listed  in  Schedule  1  ,  and  all  applications  and  patents
claiming priority thereto or common priority therewith and any resulting patents therefrom; and

any  divisions,  reissues,  reexaminations,  renewals,  continuations,  continuations-in-part  and  extensions  of  the  patent  applications  or  patent  listed  in
Schedule 1 including their relevant international equivalents thereof and any patents that result therefrom.

For clarity, INITIAL LICENSED PATENT shall exclude any LICENSEE OWNED IMPROVEMENT and JOINT IMPROVEMENT (as defined below).

The following Sections are added to Section 1 of the Agreement:

1.29

“ JOINT IMPROVEMENT ” shall mean an invention and/or knowhow that is (a) an IMPROVEMENT jointly made by employees of HKU and employees of
the LICENSEE, (b) an IMPROVEMENT made solely by employees of the Sponsor using HKU administered funds or facilities; or (c) any other intellectual
property otherwise agreed by the LICENSOR and LICENSEE in an agreement or in writing to be a JOINT IMPROVEMENT for purposes of this Agreement.

1.30

“ ELECTED LICENSED PATENT ” shall mean:

(i)

(ii)

any  United  States  and  foreign  patents,  patent  applications,  and  provisional  applications  on  JOINT  IMPROVEMENT  subject  to  an  ELECTED
LICENSE (as defined in Clause 6.4 below), and all applications and patents claiming priority thereto or common priority therewith and any resulting
patents therefrom; and

any divisions, reissues, reexaminations, renewals, continuations, continuations-in-part and extensions of the patent applications or patent under (i)
including their relevant international equivalents thereof and any patents that result therefrom.

For clarity, the ELECTED LICENSE shall be signed by the LICENSEE and LICENSOR in the format set out in Appendix C hereof.

1.31

“ LICENSED PATENT ” shall mean the INITIAL LICENSED PATENT and the ELECTED LICENSED PATENT (as defined above).

2

 
 
 
 
 
 
 
 
 
 
 
 
 
 
The following is added to Section 4.1.2 of the Agreement:

For each Elected License covering one invention in the TERRITORY (not for each TERRITORY of an ELECTED LICENSED PATENT), LICENSEE shall pay to
LICENSOR an upfront fee of [***] within thirty (30) days from the election. Such UPFRONT FEE is non-refundable.

Section 4.1.3 of the Agreement is hereby replaced by the following:

4.1.3

Royalties .  LICENSEE  shall  pay  to  LICENSOR  a  royalty  (“ROYALTY”)  equal  to  [***] of  NET  SALES  of  LICENSED  PRODUCT  covered  only  by  the
INITIAL LICENSED PATENTS in the TERRITORY by LICENSEE or its AFFILIATES. For LICENSED PRODUCT that is also covered by any number of
ELECTED LICENSED PATENTS under one or more ELECTED LICENSE , the ROYALTY shall be adjusted as follows:

Number of ELECTED LICENSE
0
1
2
3
4 or more

Adjusted ROYALTY under this Agreement
[***]
[***]
[***]
[***]
[***]

For  the  avoidance  of  doubt  and  subject  to  the  Sublicense  Royalty  as  set  forth  in  this  Clause  4.1.3,  income  generated  from  NET  SALES  of  LICENSED
PRODUCT does not include income generated from SUBLICENSE INCOME.

ROYALTY  shall  be  payable  for  each  REPORTING  PERIOD  and  shall  be  due  to  LICENSOR  within  sixty  (60)  days  of  the  end  of  each  REPORTING  PERIOD.
ROYALTY shall only be payable once with respect to the same unit of LICENSED PRODUCT.

Such ROYALTY shall be paid, on a LICENSED PRODUCT by LICENSED PRODUCT and country by country basis.

Section 6 of the Agreement is hereby replaced by the following:

6.

6.1

LICENSEE OWNED IMPROVEMENT AND JOINT IMPROVEMENT

If LICENSEE solely makes an IMPROVEMENT that is not a JOINT IMPROVEMENT (“ LICENSEE OWNED IMPROVEMENT ”), LICENSEE shall
immediately  inform  LICENSOR  thereof.  All  rights,  title,  and  interest  in  and  to  LICENSEE  OWNED  IMPROVEMENT  shall  be  vested  in,  belong  to  and
remain as the exclusive property of the LICENSEE. LICENSOR shall be entitled to use LICENSEE OWNED IMPROVEMENT for academic and research
purposes only.

3

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
6.2

6.3

6.4

Provided that such LICENSEE OWNED IMPROVEMENT made by LICENSEE do not incorporate or contain, in part or in whole, the LICENSED PATENT,
LICENSEE  shall  own  such  LICENSEE  OWNED  IMPROVEMENT  and  shall  be  free  to  register  any  intellectual  property  rights  for  such  LICENSEE
OWNED IMPROVEMENT and to license these LICENSEE OWNED IMPROVEMENT to third parties.

With  respect  to  JOINT  IMPROVEMENT,  each  Party  shall  promptly  disclose  to  the  other  Party  all  JOINT  IMPROVEMENT,  including  any  invention
disclosures or other similar documents, submitted to it by its or its Affiliates’ employees, agents or independent contractors describing inventions that are
JOINT IMPROVEMENT, and all information relating to such inventions to the extent necessary for the preparation, filing and prosecution of any Patent with
respect to such invention. Upon the disclosure of a JOINT IMPROVEMENT hereunder, the Parties shall promptly discuss such JOINT IMPROVEMENT and
(a)  confirm  its  status  as  a  JOINT  IMPROVEMENT  in  light  of  the  ownership  principles  set  forth  under  this  Clause  6,  and  (b)  determine  whether  to  file  a
patent application claiming such JOINT IMPROVEMENT.

JOINT IMPROVEMENT shall be jointly owned on an equal share (50/50) basis between LICENSOR on the one hand and LICENSEE on the other hand (or
by their respective Affiliate and/or assignee). LICENSEE shall have the first right to file a patent application on a JOINT IMPROVEMENT in the names of
both Parties. All expenses incurred in obtaining and maintaining any patent on such JOINT IMPROVEMENT (“ the Expenses ”)  shall  be  equally  shared
except that if one Party (“ the Discontinuing Party ”) declines to share in such expenses, the other Party (“ the Continuing Party ”)  may  take  over  the
prosecution  and  maintenance  thereof,  at  its  own  expense,  provided  that  title  to  the  patent  remains  in  the  names  of  both  Parties.  In  the  event  that  the
Discontinuing Party receives any commercialization income from any third party while the Continuing Party cannot recover all or part of the Expenses from
any commercialization income, the Discontinuing Party shall reimburse the Continuing Party all the unreimbursed Expenses incurred by the Continuing Party
within three months from the date of receipt of the said commercialization income.

Within three (3) months after the date on which the JOINT IMPROVEMENT is disclosed to the LICENSEE by the LICENSOR or the date of filing of a
patent application on the JOINT IMPROVEMENT by the LICENSEE pursuant to first paragraph of Clause 6.4 above (whichever is earlier) (“ Option Period
”), or subject to a payment of [***] by the LICENSEE to the LICENSOR per disclosure of JOINT IMPROVEMENT within the Option Period, LICENSOR
shall extend the Option Period for a further twenty four (24) months, whichever is applicable, the LICENSEE shall have the right, but not the obligation, to
give an exercise notice to LICENSOR to elect an exclusive license to LICENSOR’s interest in the said JOINT IMPROVEMENT (each, an “ ELECTED
LICENSE  ”).  Each  ELECTED  LICENSE  shall  not  include  more  than  one  JOINT  IMPROVEMENT.  Once  an  exclusive  license  on  a  JOINT
IMPROVEMENT  is  elected,  the  JOINT  IMPROVEMENT  shall  become  ELECTED  LICENSED  PATENT.  On  the  other  hand,  if  LICENSEE  does  not
exercise  election  to  license  within  the  Option  Period,  each  Party  shall  have  the  independent,  unrestricted  right  to  license  to  third  parties  any  such  JOINT
IMPROVEMENT without accounting to the other Party.

4

 
 
 
 
 
 
3. Date of Effectiveness . This Second Amendment will become effective as of the date first written above when the LICENSOR shall have received counterparts of
this  Second  Amendment  duly  executed  and  delivered  by  the  parties  hereto.  Notwithstanding  the  above,  the  New  Amendments  to  the Agreement  set  forth  in  this  Second
Amendment is expressly made retroactive to the Effective Date of the Agreement.

4. Effect of Amendment . Except as expressly amended by this Second Amendment, all of the terms and provisions of the Agreement are and shall remain in full force
and effect and are hereby ratified and confirmed by the parties hereto. Without limiting the generality of the forgoing, the amendments contained herein will not be construed as
an amendment to or waiver of any other provision of the Agreement or as a waiver of or consent to any further or future action on the part of any party hereto that would
require the waiver or consent of any other party hereto. Each reference in the Agreement to “this Agreement”, “the Agreement”, “hereunder”, “hereof”, “herein” or words of
like import will mean and be a reference to the Agreement as amended by this Second Amendment.

5. Governing Law . This Amendment is governed by and construed in accordance with, the laws of Hong Kong.

6. Counterparts . This Second Amendment may be executed in two counterparts or by separate instruments and all of such counterparts and instruments shall constitute

one agreement, binding on all of the parties hereto.

IN WITNESS WHEREOF , the parties hereto have caused this Second Amendment to be duly executed on the date first above written.

5

 
 
 
 
 
 
   
ACTICULE LIFE SCIENCES LIMITED

By:

Name: Mr. Ian Huen
Title: Director

VERSITECH LIMITED

By:

Name:
Title:  

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Appendix A
Exclusive Patent License Agreement (IP00662)

 
 
 
 
 
Appendix B
First Amendment to Exclusive Patent License Agreement (IP00662;VER343-18)

 
 
 
 
 
Appendix C
Elected License Template

ELECTED LICENSE

Date:

The LICENSEE hereby gives exercise notice to the LICENSOR to elect an exclusive license to LICENSOR’s interest in the Joint Improvement with particulars below:

Title: [insert] (Articule Ref No. [insert], Versitech Ref No. [insert])

1. US Patent Application No. [insert] filed on [insert]
2. PCT Patent Application No. [insert] filed on [insert]

Pursuant to Clause 6.4 of the Exclusive Patent License Agreement dated October 18, 2017 (HKU Ref. IP662), as amended by the First Amendment of the Exclusive Patent
License Agreement dated as of June 7, 2018 and Second Amendment of the Exclusive Patent License Agreement dated as [], the Joint Improvement listed above shall become
ELECTED LICENSED PATENT and all the terms and conditions of the said Exclusive Patent License Agreement shall apply.

Signed by LICENSEE
ACTICULE LIFE SCIENCES LIMITED

By:

Name: Mr. Ian Huen
Title: Director

Acknowledged by LICENSOR
VERSITECH LIMITED

By:

Name:
Title:  

 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Exhibit 4.44

6 January, 2020

CGY Investments Limited
Unit A, 3/F, Cheong Sun Tower
116-118 Wing Lok Street
Sheung Wan
Hong Kong

We are pleased and welcome the acceptance of CGY Investments Limited (the “Consultant”) , with its business address at Unit A, 3/F, Cheong Sun Tower, 116-118 Wing
Lok Street, Sheung Wan, Hong Kong to enter into this Consultancy Agreement (the “Agreement”) with Aptorum Group Limited (the “Group”) , a company incorporated
with limited liabilities under the laws of Cayman Islands, with its business address at 17/F Guangdong Investment Tower, 148 Connaught Road Central, Hong Kong.

The following seeks to illustrate the context of the Agreement and the services to be rendered by the Consultant for the Group, and the terms and conditions as set out herewith.

Consultancy Agreement

1.

The Group

Aptorum  Group  Limited  and  its  affiliates  focus  on  the  licensing  of,  and  acquisition  of  early  stage  preclinical  assets  with  the  intention  to  engage  in  drug  research,
development, and commercialization purposes. Assets are acquired via open and public platforms such as the technology transfer offices of accredited universities and
academic institutions.

2.

Scope of Services

(a) The Consultant agrees to enter into this Agreement to provide certain consultancy, advisory, and management services to the Group on potential investment projects

related to health care or R&D platforms. (the “Projects”)

(b) The Consultant agrees to render consulting services to the Group for the continuance of this Agreement, devoting its best endeavours to promote the business interests

of the Group by advising the Group with respect to professional advisory for the Projects.

(c) The Consultant shall utilize due diligence and the highest professional standards of practice in performing its services under this Agreement, and shall comply with all

applicable laws and regulations.

3. Date of Commencement

The Consultant shall commence its services to the Group on 10 January, 2020 (the “Effective Date”).

17/F Guangdong Investment Tower, 148 Connaught Road Central, Hong Kong (cid:0)(cid:0)(cid:0)(cid:0)(cid:0)(cid:0)148(cid:0)(cid:0)(cid:0)(cid:0)(cid:0)(cid:0)(cid:0)17(cid:0)
T: (852) 2117 6611 ● F: (852) 2850 7286 ● www.aptorumgroup.com

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
4. Service Fees and Expenses

(a) Service Fees shall be provided to the Consultant with the expectation that its representative(s) devotes a suitable amount of time to adequately fulfill duties outlined in
the Scope of Services for the Group; such duties may include, but not limited to, the overall steering in regulatory matters, the attendance of meetings, reviewing
documentation associated to the Group’s Projects or related activities where necessary.

(b) Such Service Fees shall be HKD104,000 per month, and shall be duly paid monthly to the Consultant subsequent to aforementioned Effective Date, and subject to the

ongoing effect of the Agreement as pursuant to Section 7 . Term and Termination.

5. Expense Reimbursements

The  Consultant  is  entitled  to  apply  for  reimbursement  to  expense  outlays  from  time  to  time,  deriving  from  expenses  such  as  traveling  and  transportation  costs,
accommodation cost, and other expenses where reasonably incurred in relation to its representative(s) rendering said services for the Group and its affiliates in accordance
to duties and tasks described in Section 2 . Scope of Services.

6. Privacy of Information

(a) The  Consultant  and  its  representative(s)  shall  not  except  as  authorized  by  the  Group  or  its  affiliates,  or  required  by  your  responsibilities  reveal  to  any  person  or
company  any  of  the  trade  secrets  or  any  information  concerning  the  organization,  business,  finances,  transactions  or  affairs  of  the  Group  which  may  come  to  the
knowledge during the contract with the Group and shall keep with complete secrecy confidential information entrusted to the Consultant or its representative(s) and
shall not use or attempt to use any such information in any manner which may injure or cause loss either directly or indirectly to the Group or may be likely to do so.
This restriction shall continue to apply if and when after the termination of this appointment without limit in time.

(b) The Consultant and its representative(s) shall not either during the period of this appointment or afterwards use or permit to be used any books, documents, moneys,
assets, records or other property belonging to or relating to any dealings, affair or business of the Group other than for the benefit of the Group. The Consultant shall
immediately deliver and return to the Group all such books, documents, monies, securities, records or other property which the Consultant then have or should have in
its possession upon termination of this appointment hereunder.

(c) The Group, however, agrees to provide the Consultant in good faith with any information concerning areas of interest and relevance of the Group as required by the

Consultant in order to fulfill the Scope of Services for the Group.

17/F Guangdong Investment Tower, 148 Connaught Road Central, Hong Kong (cid:0)(cid:0)(cid:0)(cid:0)(cid:0)(cid:0)148(cid:0)(cid:0)(cid:0)(cid:0)(cid:0)(cid:0)(cid:0)17(cid:0)
T: (852) 2117 6611 ● F: (852) 2850 7286 ● www.aptorumgroup.com

2

 
 
 
 
 
 
 
 
 
 
 
 
 
7.

Term and Termination

The term of this Agreement (the “Term”) shall remain in effect, unless it is terminated prior to expiration subsequent to the following circumstances:

(a) By the Consultant, after giving the Group not less than one (1) month’s notice in writing; or

(b) By the Group, after giving the Consultant one (1) month’s notice in writing; or

(c) By  the  Group  without  notice  or  compensation  in  the  event  of  any  dishonesty,  fraud,  gross  negligence,  willful  default  or  refusal  to  carry  out  any  lawful  order  or
instructions, or the repeated breach of any rules or regulations of the Group, or those as governed by the laws of your residency or incorporation by the Consultant or
its representative(s).

Renewal of this Agreement shall be subject to the mutual agreement between the Group and the Consultant as defined in writing.

Please signify your acceptance of the above terms and conditions by signing and returning to us the enclosed duplicate copy of this Agreement.

Yours faithfully,

For and on behalf of
APTORUM GROUP LIMITED

Name: HUEN Chung Yuen Ian
Position:Executive Director
Date:

Agreed on behalf of
CGY INVESTMENTS LIMITED

Name: LUI, Man Lok Mandy
Position:Director
Date:

17/F Guangdong Investment Tower, 148 Connaught Road Central, Hong Kong (cid:0)(cid:0)(cid:0)(cid:0)(cid:0)(cid:0)148(cid:0)(cid:0)(cid:0)(cid:0)(cid:0)(cid:0)(cid:0)17(cid:0)
T: (852) 2117 6611 ● F: (852) 2850 7286 ● www.aptorumgroup.com

3

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Exhibit 4.45

DATED                     2020

(1) NATIVUS LIFE SCIENCES LIMITED

AND

(2) MULTIPAK LIMITED

DISTRIBUTION AND MARKETING AGREEMENT

- i -

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
THIS DISTRIBUTION AND MARKETING AGREEMENT (this “ Agreement ”) is made on January 14, 2020 (“ Effective Date ”)

BETWEEN

(1)

(2)

1.

1.1

NATIVUS  LIFE  SCIENCES  LIMITED  ,  a  company  incorporated  in  the  Cayman  Islands  (Company  No.  324644)  whose  office  address  is  at  17/F,  Guangdong
Investment Tower, 148 Connaught Road Central, Hong Kong (“ Seller ”); and

MULTIPAK LIMITED , a company registered in Hong Kong (Company No. BR. 05414987) whose office address is at [  ], Hong Kong (“ Distributor ”).

DEFINITIONS AND INTERPRETATION

In this Agreement, unless the contrary intention appears, the following words and phrases shall have the following meanings:

“Affiliate”

with respect to a Party, any other Party that Controls, is Controlled by, or is under common Control with such Party.

“Approved Channels”

any customer as agreed by both Parties from time to time for Products;

“Catastrophic Failure”

for  a  particular  model,  fifteen  percent  (15%)  or  more  of  all  Ordered  Products  of  such  model  delivered  to  Distributor  in  a
continuous period of six (6) months fail to be in compliance with the warranty set out in clause 11.1;

“Commencement Date”

the date of this Agreement;

“Control”

(i) beneficial ownership of 50 percent or more of the voting securities or other ownership interest (whether directly or pursuant to
any  option,  warrant  or  other  similar  arrangement)  or  other  comparable  equity  interests  of  such  person;  or  (ii)  the  possession,
directly or indirectly, of the power to direct the management and policies of such person, whether through the ownership of voting
securities,  by  contract,  declaration  of  trust  or  otherwise.  The  terms  “Controlled  by”  or  “under  common  Control  with”  shall  be
construed accordingly.

“Group”

a group of companies including the Seller, its subsidiaries, holding companies and/or Affiliate of the Seller from time to time;

“Intellectual Property”

any copyright, designs (registered or unregistered), trademark, patent or other industrial or intellectual property right subsisting in
the Territory in respect of the Products, and any applications for any of the foregoing;

“Local Regulations”

all laws and regulations affecting the manufacture, sale, packaging and labelling of Products which are in force within the Territory
at the date of this Agreement;

1

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
“Ordered Products”

those products which make up individual Orders;

“Order”

“Party”

“Products”

“Retailer”

an order for the Products placed in accordance with clause 5;

either Seller or Distributor, as the case may be, and “Parties” means Seller and Distributor;

the products listed in Schedule 1 (as amended by Seller from time to time);

any third party who acquires Products for the purpose of selling directly to consumers;

“Sell-Off Period”

a period of three months beginning on the date of termination (for whatever reason) of this Agreement;

“Term”

the  period  beginning  with  the  Commencement  Date  and  ending  on  the  last  to  expire  of  either  the  Initial  Term  or  any  Renewal
Term(s);

“Territory”

Hong Kong and China and such other territories as agreed by both Parties from time to time;

“Trademarks”

any  trademarks  owned  by  or  used  by  Seller  or  the  Group  on  or  in  relation  to  the  Products  at  any  time  during  this  Agreement
including those given in Schedule 2 ; and

“Year”

a period of twelve months beginning on the Commencement Date or any anniversary of that date.

1.2

In this Agreement unless otherwise specified:-

1.2.1

1.2.2

reference to a person includes any person, individual, company, firm, corporation, government, state or agency of a state or any undertaking (whether or not
having separate legal personality and irrespective of the jurisdiction in or under the law of which it was incorporated or exists);

reference to a statute or statutory instrument or any of its provisions is to be construed as a reference to that statute or statutory instrument or such provision
as the same may have been or may from time to time be amended or re-enacted;

1.2.3

reference to words denoting the singular shall include the plural and vice versa and words denoting any gender shall include all genders; and

1.2.4

reference to clauses or schedules is to the clauses in and schedules to this Agreement. The schedules form part of the operative provisions of this Agreement
and references to this Agreement shall include references to the schedules.

1.3

1.4

The headings in this Agreement are for convenience only and shall not affect the construction hereof.

Any phrase introduced by the terms “including”, “include”, “in particular” or any similar expression shall be construed as illustrative and shall not limit the scope of
the words preceding those terms.

2

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
2.

APPOINTMENT OF DISTRIBUTOR

3.

3.1

3.2

4.

4.1

4.2

4.3

4.4

Seller  appoints  Distributor  as  its  non-exclusive  distributor  for  the  distribution  and  resale  of  the  Products  through  the  Approved  Channels  in  the  Territory  and
Distributor agrees to act in that capacity subject to the terms and conditions of this Agreement.

DURATION

This Agreement shall come into force on the Commencement Date and continue for an initial term of one year (the “ Initial Term ”). Unless terminated by either
Party  upon  at  least  thirty  (30)  days  written  notice  prior  to  the  end  of  the  Initial  Term  or  a  Renewal  Term,  and  subject  to  clause  3.2  and  14,  this  Agreement  shall
automatically renew for additional terms of one year (each a “ Renewal Term ”).

This Agreement shall have a maximum duration of five years (that is, the Initial Term and four Renewal Terms).

NON-EXCLUSIVITY

Seller shall appoint any third party in the Territory as a distributor or agent for the Products through the Approved Channels in the Territory.

For clarity, nothing in this Agreement prevents the Seller or the Group from:

4.2.1

selling directly to Retailers or end-users within the Territory; or

4.2.2

appointing any other person as a distributor to supply customers within the Approved Channels.

Distributor shall not (and shall ensure that its Affiliates shall not) obtain the Products for resale from any person other than the Seller or Group;

Distributor may appoint sub-distributors (each a “ Sub-Distributor ”) where necessary to enable Distributor to maintain adequate sales coverage with written consent
of the Seller (or its Affiliates). If Distributor does so:

4.4.1

Distributor shall enter into a written agreement with the Sub-Distributor containing identical obligations to those provided for in this Agreement; and

4.4.2

Distributor shall provide to the Seller or the Group a copy of any such sub-distributorship agreement.

Distributor  shall  be  liable  to  the  Seller  or  the  Group  for  compliance  by  the  Sub-Distributors  with  the  terms  of  this  Agreement  and  any  act  of  omission  of  a  Sub-
Distributor which, had it been an act or omission of the Distributor, would have been a breach of this Agreement will be considered to be a breach by the Distributor of
this Agreement.

4.5

Nothing in this Agreement shall entitle Distributor to:

4.5.1

any priority of supply in relation to the Products as against Seller’s other distributors or customers; or

4.5.2

any right or remedy against the Seller or the Group if any of the Products are passively sold in the Territory from outside the Territory by any person other
than the Seller or the Group.

3

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
4.6

5.

5.1

5.2

5.3

5.4

5.5

5.6

5.7

6.

6.1

7.

7.1

7.2

8.

8.1

Nothing in this Agreement prevents any other distributor of the Products outside of the Territory from fulfilling passive orders for Products received from persons
within the Territory.

SUPPLY OF THE PRODUCTS

Orders for the Products shall be placed with sufficient advance notice to the Group by the Distributor prior to Distributor’s requested delivery date and shall be made
in writing via e-mail by Distributor to Seller to such email address as Seller may specify from time to time, or in such other manner as Seller shall specify from time to
time.

No Order shall be binding until accepted by the Seller or the Group. The Seller or the Group shall have absolute discretion to accept or refuse Orders. Each Order for
the Products shall constitute a separate contract.

Distributor and Seller will agree on all transportation, taxes, and insurance charges in relation to any accepted Order.

Seller shall from time to time provide Distributor with its then-current price list.

Seller shall not be under any obligation to continue to manufacture all or any of the Products.

Seller  shall  notify  Distributor  of  the  estimated  date  of  delivery  of  Ordered  Products  to  the  premises,  but  does  not  purport  to  guarantee  any  such  estimate,  nor  is
Distributor entitled to rely on such estimate.

Distributor shall have a reasonable period (the “ Inspection Period ”) from the landing of the Products in the Territory to inspect the Ordered Products and confirm
that such Products comply with the Order. After the Inspection Period, such Ordered Products shall be deemed to have been accepted. Distributor shall notify Seller in
writing within the Inspection Period if any Ordered Products are not accepted by Distributor due to noncompliance with the Order.

PAYMENT

Payment arrangements for Ordered Products shall be agreed by both Parties prior to shipment.

MARKETING AND PROMOTION

Both Parties will agree on all marketing and promotion in relation to the Products in the Territory, including all marketing in the Approved Channels and to Retailers
and for retail promotion in relation to the Products in the Territory, subject to the final consent of the Seller or the Group.

Distributor  shall  use  its  best  endeavours  to  increase  and  extend  the  sales  of  the  Products  throughout  the  Territory  and  shall  work  diligently  to  obtain  Orders  and
maintain adequate staff and a sufficient sales network in order to facilitate such increase and extension of the sales of the Products.

DISTRIBUTOR OBLIGATIONS

Distributor shall:

8.1.1

be responsible for all customer service and support of sales in the Territory, and shall maintain a support department utilizing support software and applicable
knowledge bases as the Seller and the Group may recommend from time to time;

4

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
8.1.2

keep and maintain for the duration of this Agreement and for two (2) years after its termination full, proper and up to date books of the accounts and records
showing clearly all enquiries, transactions, sales, deliveries, invoices, payments and proceedings relating to the distributorship (including details of returns of
Products) and, upon request, allow any person authorised on behalf of the Seller or the Group access to such books and records, provide copies of such books
and records, and provide Seller reports, returns and other information relating to the distributorship; and

8.1.3

provide Seller with the reports, to be agreed by both Parties, containing information about both its and all its Sub-Distributors’ activities.

8.2

Distributor warrants to Seller that it has informed Seller of all Local Regulations. Distributor shall give Seller as much advance notice as reasonably possible of any
prospective changes in the Local Regulations.

8.3

Distributor shall procure that:

8.3.1

it and its employees and agents will comply in all material respects with all Local Regulations;

8.3.2

8.3.3

8.3.4

it will take all necessary actions to safeguard against it and its employees and agents from offering, giving, promising to give, or authorizing giving, directly
or indirectly, any money or anything else of value to any person including any government official, political party, political official, or candidate for political
office in order to influence any business decision relating to the Products or otherwise in connection with its activities under this Agreement;

it and its employees will comply in all material respects with any social and environmental responsibility standards that Seller may adopt from time to time;
and

it  adopts  (in  furtherance  of  8.3.2  above)  the  following  in  accordance  with  the  best  practices  in  its  industry:  (i)  a  policy  prohibiting  illegal  payments;  (ii)
periodic risk assessment guidelines and tools; (iii) written procedures for reporting suspected illegal payments; (iv) due diligence guidelines for dealing with
agents; (v) regular training programs for its employees and agents; and (vi) a monitoring program with respect to all of the foregoing.

INDEMNITIES

Subject  to  Distributor  fulfilling  all  the  conditions  in  clause  9.2,  Seller  shall  indemnify  Distributor  against  any  claim  (including  damages,  reasonable  costs,  claims,
demands and expenses) brought by a third party against Distributor in respect of:

9.1.1

damage to property, death or personal injury arising from any fault or defect in the materials or workmanship of the Products existing at the time of delivery
to Distributor;

9.1.2

any allegation that the sale or use of the Products in the Territory infringes any Intellectual Property of any third party;

except to the extent the liability arises as a result of the action or omission of Distributor.

9.

9.1

5

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
9.2

Subject to Seller fulfilling all the conditions in clause 9.1, Distributor shall indemnify Seller and the Group against any claim (including damages, reasonable
costs, claims, demands and expenses) brought by a third party against Seller or the Group in respect of:

9.2.1

any loss arising out of a sale by Distributor of the Products in the Territory; or

9.2.2

any loss arising out of a breach by Distributor of any provision of this Agreement;

except to the extent the liability arises out a matter referred to in clauses 9.1.1 and 9.1.2.

9.3

The Party wishing to claim under the indemnities in clause 9.1 or 9.2 (the “ Indemnified Party ”) shall, as soon as it becomes aware of a matter which may result in
that claim:

9.3.1

give the other Party (the “ Indemnifying Party ”) written notice of the details of the matter;

9.3.2

9.3.3

give the Indemnifying Party access to and allow copies to be taken of any materials, records or documents as the Indemnifying Party may require to take
action under clause 9.3.3;

allow the Indemnifying Party the exclusive conduct of any proceedings and take any action that the Indemnifying Party requires to defend or resist the matter,
including using professional advisers nominated by Seller or the Group; and

9.3.4

not admit liability or settle the matter without the Indemnifying Party’s written consent.

10.

PRODUCT RECALLS

10.1

10.2

Distributor  shall,  at  the  cost  of  the  Seller  or  the  Group,  give  any  assistance  that  Seller  and/or  the  Group  shall  reasonably  require  to  recall,  as  a  matter  of  urgency,
Products from the retail or wholesale market.

Distributor undertakes to maintain appropriate, up-to-date and accurate records to enable the immediate recall of any Products or batches of Products from the retail or
wholesale markets. These records shall include records of deliveries to customers (including batch numbers, delivery date, name and address of customer, telephone
number, fax number and e-mail address).

11.

WARRANTIES, DEFECTS AND LIABILITY

11.1

Seller warrants that each Ordered Product complies with the specification given to the relevant manufacturer for that Product. Seller’s sole liability, and Distributor’s
sole remedy, in relation to a breach of this clause 11.1, is to comply with the procedure set out in clause 11.2. For the avoidance of doubt, other than as set out in this
clause 11, Distributor shall have no right to return any Ordered Products to Seller.

11.2

Seller shall have no liability in relation to any failure of an Ordered Product to comply with the warranty set out in clause 11.1 (or otherwise for any defect in the
Ordered Product), unless that Ordered Product forms part of a Catastrophic Failure, in which case the procedure set out in clause 11.3 shall apply.

6

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
11.3

If there has been a Catastrophic Failure, the following procedure shall apply:

11.3.1 Distributor shall notify Seller as soon as it is aware that there has been a Catastrophic Failure and provide full detail of the Ordered Products forming part of

that Catastrophic Failure (“ Returnable Products ”);

11.3.2

if Seller confirms its approval to Distributor that there has been a Catastrophic Failure, Distributor shall (at its own cost) return all Returnable Products to
such address as Seller may notify Distributor for that purpose;

11.3.3

pending being notified by Seller as to whether and where Distributor should return the Returnable Products, Distributor shall (at its own cost) store those
Products;

11.3.4

following the return of the Returnable Products to the address notified, Seller shall verify whether or not there has been a Catastrophic Failure and if there
has, then Seller shall give Distributor a credit of the original price of the Returnable Products against future Orders placed by Distributor; and

11.3.5 without prejudice to clause 11.3.1, Seller shall have no liability for any Returnable Products unless the Distributor notifies Seller of such Catastrophic Failure

within twelve (12) months from the Order date of such Returnable Product.

11.4

Seller warrants that it has title to the Products.

11.5

11.6

Except  as  provided  in  clauses  11.1  to  11.4  above,  Seller  gives  no  warranty  in  relation  to  the  supply  of  Products  under  this  Agreement  and  all  express  or  implied
warranties are excluded, including any warranty as to quality and fitness for purpose.

The liability of Seller to Distributor under this Agreement, including without limit for breach of contract (including the warranties), misrepresentation (except that
fraudulently made) and tort (including negligence) is limited or excluded as follows:

11.6.1

Seller shall in no circumstances be liable to Distributor in respect of:-

(a)

(b)

any loss of profit, loss of revenue, loss of use, loss of contract, loss of goodwill; or

any indirect or consequential loss;

11.6.2

subject to paragraph 11.6.3 below, the aggregate liability of Seller to Distributor in any Year shall be limited to an amount equal to the total amount paid or
payable by Distributor in relation to all Products which are subject to Orders accepted by Seller in that Year; and

11.6.3 without prejudice to the provisions of clauses 11.1 and 11.2, the aggregate liability of Seller to Distributor incurred arising out of or in connection with any
particular  Order  for  Products  is  limited  to  either  the  total  price  paid  or  payable  for  the  Products  subject  to  that  Order  or  the  cost  of  replacing  the  same
(whichever is the lesser amount).

11.7

Nothing in this Agreement shall exclude or limit the liability of Seller for death or personal injury resulting from its negligence or for fraud.

12.

INTELLECTUAL PROPERTY

12.1

Seller authorises Distributor to use the Trademarks in the Territory on or in relation to the Products for the purposes only of exercising its rights and performing its
obligations under this Agreement.

7

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
12.2

Distributor shall ensure that each reference to and use of any of the Trademarks by Distributor complies with this clause 12 and that the Trademarks are only used in
reference to the Products set forth on Schedule 2 (as Seller may amend from time to time) and accompanied by an acknowledgement, in a form approved by Seller,
that the same is a trademark (or registered trademark) of Seller.

12.3

Distributor shall not:

12.3.1 make any modifications to the Products or their packaging;

12.3.2

alter, remove or tamper with any Trademarks, numbers, or other means of identification used on or in relation to the Products;

12.3.3

use any of the Trademarks in any way which might prejudice their distinctiveness or validity or the goodwill of Seller and the Group in those Trademarks;

12.3.4

use in relation to the Products any trademarks other than the Trademarks without obtaining the prior written consent of Seller or the Group; or

12.3.5

use in the Territory any trademarks or trade names so resembling the Trademarks as to be likely to cause confusion or deception.

12.4

12.5

12.6

Except as provided in clause 12.1, Distributor shall have no rights in respect of any Trademarks or of the goodwill associated with those Trademarks, and Distributor
acknowledges that, except as expressly provided in this Agreement, it shall not acquire any rights in respect of any Trademarks and that all such rights and goodwill
are, and shall remain, vested in Seller or the Group.

Distributor shall, at the expenses of Seller or the Group, take all steps reasonably required to assist Seller and the Group in maintaining the validity and enforceability
of the Trademarks and other Intellectual Property of the Seller and the Group during the term of this Agreement.

Distributor  shall  at  the  request  of  Seller  or  the  Group  execute  and  record  at  any  appropriate  registry  such  licences  in  respect  of  the  use  of  the  Trademarks  in  the
Territory as Seller and the Group may reasonably require, provided that the provisions of any licences shall not be more onerous or restrictive than the provisions of
this Agreement.

12.7 Without prejudice to the right of Distributor or any third party to challenge the validity of any Intellectual Property of Seller or the Group, Distributor shall not, nor
shall it authorise any third party to, perform any act which would or might invalidate or be inconsistent with any Intellectual Property of Seller or the Group and shall
not omit or authorise any third party to omit, to perform any act which, by its omission, would have such an effect.

12.8

Seller and the Group shall be responsible for, and have the sole and exclusive right to participate in, all proceedings relating to the Trademarks and shall in its sole
discretion  decide  what  action,  if  any,  to  take  in  respect  of  any  infringement  or  alleged  infringement  of  or  by  the  Trademarks,  including  any  action  under  the
Trademarks Act 1994 section 30 or any similar or equivalent legislation, or passing-off or any other claim or counterclaim brought or threatened in respect of the use
or registration of the Trademarks. At the request and expenses of Seller or the Group, Distributor must co-operate with Seller and the Group in any action, claim or
proceedings  brought  or  threatened  in  respect  of  the  Trademarks.  Seller  and  the  Group  shall  reimburse  Distributor  for  all  costs  reasonably  and  properly  incurred  in
connection with its requested cooperation, including reasonable legal expenses.

8

 
 
 
 
 
 
 
 
 
 
 
 
 
 
12.9

Distributor shall promptly and fully notify Seller or the Group if any infringement or claim concerning Seller comes to Distributor’s notice, including (a) any actual,
threatened or suspected infringement in the Territory of any Intellectual Property of Seller or the Group or (b) any claim by a third party that the importation of the
Products into the Territory, or their sale in the Territory, infringes the rights of any other person. At the request and expenses of Seller or the Group, the Distributor
shall perform such acts as may be reasonably required to assist Seller and the Group in taking or resisting any proceedings in relation to any such infringement or
claim.

13.

INSURANCE

13.1

Seller and Distributor shall each be responsible for its own insurance arrangements.

14.

TERMINATION

14.1

Seller may terminate this Agreement upon at least thirty (30) days prior written notice to Distributor for any reason.

14.2

Either Party (the “ Terminating Party ”) may terminate this Agreement upon written notice to the other Party if:

14.2.1

the other Party commits a material breach of any of the terms or conditions of this Agreement, provided that, where the breach is capable of remedy, such
breach has not been remedied within thirty (30) days of written notice from the Terminating Party to the other Party; or

14.2.2

the other Party is unable to pay its debts; becomes insolvent; is subject to an order or a resolution for its liquidation, administration, winding-up or dissolution
(otherwise  than  for  the  purposes  of  a  solvent  amalgamation  or  reconstruction);  has  an  administrative  or  other  receiver,  manager,  trustee,  liquidator,
administrator  or  similar  officer  appointed  over  all  or  any  substantial  part  of  its  assets;  enters  into  or  proposes  any  composition  or  arrangement  with  its
creditors generally; is subject to any analogous event or proceeding in any applicable jurisdiction; or ceases or threatens to cease to carry on business.

14.3

Seller may terminate this Agreement upon written notice to Distributor at any time if:

14.3.1 Distributor is late by more than thirty (30) days or such other period as agreed by the Seller in payment of any amount due under this Agreement;

14.3.2 Distributor at any time challenges the validity of any Intellectual Property of Seller or the Group;

14.3.3 Distributor takes any actions or otherwise that could reasonably be expected to have, individually or in the aggregate, an adverse effect on the reputation or

interests of Seller or the Group; or

14.3.4

there is any change in the Control of Distributor which has not been approved in writing in advance by Seller.

14.4

During the Sell-Off Period (a) Distributor shall be entitled to sell off its stock of Products; (b) Distributor shall continue to provide the reports required under clause
8.1.3; and (c) Distributor shall not be entitled to return any Products under clause 11.2 or otherwise (and for clarity Seller shall have no liability for any breach of the
warranty in clause 11.1 in relation to any such Product). At the end of the Sell-Off Period, Distributor shall (at Seller’s option) destroy such Products then remaining in
its stock or return the Products to Seller (or its designate) at Seller’s expense.

9

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
14.5

Other than for damages for breach of contract prior to termination, Distributor acknowledges that it is not entitled to any compensation or indemnity upon termination
including for any loss of possible profits, anticipated sales, expenses incurred, reimbursements, leases, real estate improvements or any other commitments related to
the affairs of Distributor, including the possible restructuring made necessary by the termination, non-renewal or expiration of the Agreement.

14.6

Termination shall not affect:-

14.6.1

the rights and obligations of the Parties that have accrued prior to termination; and

14.6.2

the coming into or the continuance in force of any obligations which expressly or by implication are intended to come into or continue in force on or after
such termination.

15.

CONFIDENTIALITY

15.1

15.2

15.3

Except as provided in clauses 15.2, 15.3 and 15.4, Distributor shall keep confidential: the terms of this Agreement, all information (written or oral) concerning the
business, customers or financial information of Seller or the Group that it has received as a consequence of the discussions leading up to this Agreement or which it
subsequently receives as a consequence of the performance of this Agreement, including without limitation, all know-how, product information, business, marketing
and product plans and price lists (“ Confidential Information ”).

Notwithstanding  clause  15.1,  Distributor  may  disclose  Confidential  Information  to  its  legal,  financial  and  other  business  advisors  (in  each  case  in  so  far  as  such
advisors need to know such Confidential Information) or as may be required by law or by any regulatory authority.

Clause  15.1  shall  not  apply  to  Confidential  Information  which  Distributor  can  demonstrate  was:  (i)  already  in  its  possession  prior  to  its  receipt  from  Seller  or  the
Group;  (ii)  was  subsequently  disclosed  to  it  lawfully  by  a  third  party  who  did  not  obtain  such  Confidential  Information  (directly  or  indirectly)  from  Seller  or  the
Group; or (iii) was in the public domain at the time of receipt by Distributor or has subsequently entered the public domain other than as a result of a breach of clause
15.1 by Distributor.

15.4

The obligations of Distributor under this clause 15 shall survive termination of this Agreement (however caused).

16.

FORCE MAJEURE

16.1

16.2

If  either  Party  is  prevented  or  delayed  in  its  performance  of  this  Agreement  by  an  event  of  Force  Majeure,  the  Party  so  affected  shall  be  excused  from  such
performance to the extent of such prevention or restriction.

If an event of Force Majeure occurs such that Seller is unable to perform all its then existing obligations (whether binding or not) to supply the Products (whether to
Distributor  under  this  Agreement  or  any  other  agreement  or  to  any  other  person),  Seller  may  allocate  those  Products  which  it  can  supply  as  it  sees  fit  in  its  sole
discretion and in doing so it may take into account the importance to it of a particular customer (including in terms of value, volume, duration of the relationship, and
its assessment of the prospects for future dealings).

10

 
 
 
 
 
 
 
 
 
 
 
 
 
 
16.3

In this clause 16, an event of “ Force Majeure ” is any act or condition beyond the reasonable control of a Party including without limitation, strikes, riots, lock-outs,
trade  disputes,  acts  of  restraints  of  Governments  or  the  imposition  of  restrictions  on  the  manufacture,  exportation,  importation,  or  distribution  of  the  Products,  or
shortage of components or other resources needed for the manufacture of Products.

17.

NOTICES

17.1

All  notices  to  be  given  under  this  Agreement  (including  approvals,  consents  and  other  communications)  shall  be  in  writing  and  shall  be  sent  by  post,  email  or
facsimile. However, if either Party sends a notice under this Agreement by facsimile, it shall also send the original notice by post. All notices sent by post shall be sent
to the address of the other Party set out at the commencement of this Agreement (or to such other address as either Party may notify to the other under the provisions
of this clause 17).

17.2

If to Seller:

Address:
Attention:
Email:

17/F, Guangdong Investment Tower, 148 Connaught Road Central, Hong Kong
Mr. Ian Huen
ian.huen@aptorumgroup.com

17.3

If to Distributor:

Address:
Attention:
Email:

18.

GENERAL

18.1

18.2

Nothing in this Agreement constitutes a partnership, joint venture or principal and agent relationship between Seller and Distributor. Neither Party shall have any right
to obligate or bind the other Party in any manner whatsoever, and nothing in this Agreement shall give, or is intended to give, any rights of any kind to any third
person, including any employees of Distributor. The Contracts (Rights of Third Parties) Ordinance (Cap.623) does not apply to this Agreement.

If any provision of this Agreement is held to be invalid, illegal or unenforceable in any respect, then such provision will be given no effect by the Parties and shall not
form  part  of  this  Agreement.  To  the  fullest  extent  permitted  by  applicable  laws  and  if  the  rights  or  obligations  of  any  Party  will  not  be  materially  and  adversely
affected, all other provisions of this Agreement shall remain in full force and effect and the Parties will use their best efforts to negotiate a provision in replacement of
the provision held invalid, illegal or unenforceable that is consistent with applicable laws and achieves, as nearly as possible, the original intention of the Parties.

18.3

No delay or failure on the part of either Party to exercise or to enforce any right given to it by this Agreement or at law shall constitute a waiver of either Party’s
respective rights under this Agreement or operate so as to prevent the exercise or enforcement of any such right at any time.

11

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
18.4

18.5

18.6

18.7

This Agreement supersedes any prior agreements and arrangements between Seller and Distributor and constitutes the entire agreement between Seller and Distributor.
No addition to or modification of this Agreement shall be effective unless it is in writing and signed by a duly authorized representative of both Seller and Distributor.

Seller may assign this Agreement and any of its rights or obligations under this Agreement. Distributor shall not assign, transfer, charge or make over this Agreement,
its rights hereunder or any part of this Agreement without the prior written consent of Seller.

This  Agreement  shall  be  construed  as  governed  in  accordance  with  Hong  Kong  law  and  the  Parties  submit  to  the  exclusive  jurisdiction  of  the  Hong  Kong  courts
provided that Seller (but not Distributor) may also bring proceedings in any other court which has competent jurisdiction.

This Agreement may be executed in one or more counterparts, each of which will be deemed an original, and all of which together will be deemed to be one and the
same instrument.

[Signature pages to follow]

12

 
 
 
 
 
 
 
IN WITNESS WHEREOF , the Parties have executed this Agreement to be duly executed in duplicate by their authorized officers effective as of the Effective Date.

FOR AND ON BEHALF OF
NATIVUS LIFE SCIENCES LIMITED

By:

Name: Ian Huen
Title: Director

FOR AND ON BEHALF OF
MULTIPAK LIMITED

By:

Name: Alfred Wong
Title: Managing Director

13

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
DOI ®

Yam powder tablets to be formulated according to proprietary technologies of the Seller and the Group.

SCHEDULE 1
PRODUCTS

 
 
 
 
 
 
Mark

DOI

  Registered Proprietor

  Aptorum Group Limited

Number

Classes

  Region

304850857   

5, 30, 32

  Hong Kong

SCHEDULE 2
TRADEMARK

 
 
 
 
   
 
 
 
 
 
     
 
 
 
 
 
 
 
 
 
Exhibit 4.46

This Agreement is made on the 1 st day of January 2019 (the “Effective Date” ), between the following parties (collectively, the “Parties”):

Administrative Consultant Services Agreement

Party A: APTUS MANAGEMENT LIMITED (or the “Company” )
Registered office: 17/F., Guangdong Investment Tower, 148 Connaught Road Central, Hong Kong

Party B: AENEAS MANAGEMENT LIMITED (or the “Services Provider” )
Registered office: 17/F., Guangdong Investment Tower, 148 Connaught Road Central, Hong Kong

Background:

The Company and the Services Provider wish to enter into a documentation and administrative services arrangement on the following terms and conditions.

NOW, THEREFORE, the Parties agree as follows:

1. Service Scope

The Services Provider is enlisted to, through its affiliated companies, to provide certain business and financial services, including but not limited to, advising upon, conducting
due diligence, researching, analyzing, and maintaining ongoing information flow in relation to the Company’s market competition, sector developments, industry trends, new
technology developments, customer and market needs, with the purpose of streamlining the Company and its affiliated group companies, to better engage in its core business
segments competitively and efficiently, as well as to potentially discover new business activities to engage in (the “Services”).

The Services Provider in the course of delivering such Services, may engage in activities including but not limited to, the generation and maintenance of financial models,
competitor  analysis,  market  studies,  and  research  reports,  producing  internal  projections  and  best-effort  estimates  where  relevant,  engaging  in  the  consultation  of  industry
professionals and expert networks when deemed suitable, verification of business and revenue models, and a broad range of administration support in relation to the delivery of
the Services.

The  Services  Provider  is  expected  to  deliver  the  said  Services  and  maintain  ongoing  dialogue  with  representatives  of  the  Company  and  its  affiliated  group  companies,
throughout the Duration of this Agreement, as well as the Duration of any renewal period to the Agreement to be mutually agreed in writing between the Services Provider and
the Company at a subsequent date.

2. Service Fees & Payment

Service fees
The Company hereby agrees to pay the Services Provider a monthly service fee of HK$452,000 not later than 25 th day of each month.

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Payment Methods:

Administrative Consultant Services Agreement

1.

2.

By cheque: A) send us a cheque payable to “Aeneas Management Limited”

B) or you can deposit the cheque directly to DBS Bank account number [ ]and scan the receipt to us (email: [ ])

By bank transfer:
Name of account:
Bank:
SWIFT:
Bank Code:
Branch Code:
HKD S/A

Aeneas Management Limited
DBS Bank (Hong Kong) Limited
[ ]
[ ]
[ ]
[ ]

3. Duration / Termination

This Agreement shall commence on the Commencement Date and, subject to the remaining terms of this Agreement shall terminate upon December 31, 2019.

Services may be terminated by either party by giving the other party a written notice three months in advance.

4. Relationship of the Parties

Party  B  undertakes  and  agrees  with  Party  A  as  follows:  It  shall  not,  without  Party  A’s  prior  written  consent,  disclose  any  information  relating  to  this  Agreement  including
without limitation the provisions hereof, to any third party and shall prevent any unauthorized publication or disclosure of the same, except as expressly provided for in this
Agreement;

5. Severability

The provisions of this Agreement are independent of and severable from each other. If any provision, or part thereof, is found to be invalid or unenforceable for any reason that
provision, or part, shall be deemed modified to the extent necessary to make it valid and operative and in a manner most closely representing the intention of the Parties as
expressed herein, or if it cannot be so modified, then eliminated, and the remainder of the Agreement shall continue in full force and effect as if the Agreement had been signed
with the invalid part so modified or eliminated.

6. Governing Law

This Agreement shall be governed by the law of the Hong Kong Special Administrative Region. All disputes arising out of or in connection with this Agreement shall be finally
settled  under  the  Rules  of  Arbitration  of  the  International  Chamber  of  Commerce  by  one  or  more  arbitrators  appointed  in  accordance  with  the  said  Rules.  The  place  of
arbitration shall be in Hong Kong.

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The undersigned hereby agrees to adhere to the aforementioned terms of this Agreement commencing on the Effective Date.

Administrative Consultant Services Agreement

Party A:
For and on behalf of APTUS MANAGEMENT LIMITED

EXECUTED BY
Authorised Person

Party B:
For and on behalf of AENEAS MANAGEMENT LIMITED

EXECUTED BY
Authorized Person

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
SECONDMENT AGREEMENT

Exhibit 4.47

This Secondment Agreement (this “ Agreement ”) is made and entered effective as of the 1st day of January, 2019 (the “ Effective Date ”) by and between Aenco Limited, a
company incorporated under the laws of Samoa whose registered office is at Ground Floor NPF Building, Beach Road, Apia, Samoa (hereinafter referred to as the “Aenco”),
and  Aptus  Management  Limited  a  company  incorporated  under  the  laws  of  the  Hong  Kong  with  limited  liability  whose  registered  office  is  at  17/F  Guangdong  Investment
Tower, 148 Connaught Road Central, Hong Kong (hereinafter referred to as the “Aptus”).

WHEREAS:
Aenco has agreed to make available to Aptus the services of the Secondees (as defined below). The Services (as defined below) will be provided by Aenco on the terms and
conditions set forth in this Agreement.

NOW, THEREFORE , in consideration of the promises and of the mutual covenants hereinafter set forth, the parties do hereby agree as follows:

1. DEFINITIONS

In this Agreement the following words and expressions have the meanings respectively set opposite them:

“ Agreement ” shall mean this Agreement entitled “Secondment Agreement”, may be amended in writing from time to time by the parties hereto.

“ Secondee(s) ” shall mean any Secondees to be seconded to Aptus pursuant to the provisions of this Agreement.

“ Hong Kong Dollars ” shall mean dollars of the Hong Kong.

2. SCOPE OF AGREEMENT

(a) Subject to the terms and upon the conditions of this Agreement, Aenco hereby undertakes to assign to Aptus, certain of its Secondees for secondment to Aptus from time to
time during the term hereof, to assist Aptus in the conduct of Information Technology’s development and maintenance activities for Aptus’ affiliates.

(b) Aenco shall be an independent contractor engaged by Aptus to make the Secondees available for the purposes of this Agreement.

3. DUTIES OF SECONDEES

During the period of the respective secondment, each Secondee shall be integrated into the organization of Aptus only to the extent necessary to carry out his or her assigned
functions, and each Secondee shall perform the particular duties and assume the responsibilities attendant upon his or her assigned position as may be properly required by the
management of Aenco.

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
4. SCOPE OF SECONDEMENT SERVICES

Secondees  are  enlisted  to  design,  develop,  and  maintain  in  collaboration  with  the  employees  and  expert  advisers  affiliated  to  Aptus,  a  range  of  technical  and  specialized
software  applications,  including  but  not  limited,  blockchain  applications,  de-centralized  applications,  hybrid  infrastructure  solutions  encompassing  cloud  computing  and
database  management,  to  be  applied  across  different  use  cases  and  are  expected  to  streamline  various  business  segments  throughout  the  affiliate  group  of  Aptus  (the
“Deliverables”).

The  Deliverables  include,  but  not  limited  to,  the  creation  of  original  intellectual  property,  development  of  distributed  ledger  technology  platforms,  software  applications,
decentralized computing power networks, and other technological enhancements where relevant, to enhance medical research collaboration, therapeutic drug discovery, medical
services delivery, data management, data sharing, data security, and any related initiatives as related to the business operations of Aptus and its affiliated group.

Upon design and development of the Deliverables, Secondees are entrusted to deploy, maintain, and provide ongoing servicing of the systems, software, infrastructure, and
technology tools to Aptus and its affiliated group companies. Secondees may further be required to provide user training and guidance where relevant as post delivery services
in so far for the duration and validity of this Agreement, and any subsequent renewal terms of the Agreement, to be mutually agreed in writing by the parties at a subsequent
date.

5. CHARGES AND FEES / PAYMENT

During the period of secondment services, Aptus shall pay all salary and benefits amounted to HK$540,000 per month not later than the 25 th day of each month.

Aenco shall be responsible for and shall pay the cost of Secondees’ relocation to and from the location where the Secondees will reside or work in Hong Kong in connection
with the assigned duties and responsibilities of Secondees.

6. INDEMNITY

Each party agrees to fully indemnify and keep fully indemnified the other party on demand against all actions, claims, costs, liabilities and losses that are made, suffered or
incurred as a consequence of or which relate to or arise directly or indirectly from the other party’s failure to perform its obligations hereunder.

7. ASSIGNMENT

Aenco shall not assign or transfer the whole or any part of this Agreement without the prior written approval of Aptus.

2

 
 
 
 
 
 
 
 
 
 
 
 
 
8. DURATION /TERMINATION

This Agreement shall commence on the Commencement Date and, subject to the remaining terms of this Agreement shall terminate upon December 31, 2019.

Services may be terminated by either party by giving the other party a written notice three months in advance.

9. APPLICABLE LAW

The secondment arrangement provided for under this Agreement is conditional on the Secondees possessing at all times authorization under the applicable laws of the Hong
Kong Special Administrative Region to perform work for compensation in Hong Kong.

10. CONFIDENTIALITY

Aenco agrees that while providing his services to Aptus, the Secondees is likely to obtain and have access to both Aptus’ and Aenco’s confidential information and:

(a) such information is confidential to the parties;
(b)  all  documents,  plans,  computer  programs,  specifications,  files  and  any  other  written  or  machine-readable  work  produced  by  the  Secondees  for  Aptus  or  for  Aenco  will
belong to that party; and
(c) Aenco and Aptus shall comply with all applicable data protection laws.

11. COUNTERPARTS

This Agreement may be executed in separate counterparts, which may be delivered by electronic mail in PDF or another electronic format, and each of which will be deemed
an original and all of which together will constitute one and the same agreement.

To signify their assent to the terms of this Agreement, the parties have executed this Agreement on the dates set forth under their signatures, which appear below.

For and on behalf of
Aptus Management Limited

By:

Dated:

Authorised Signatory(ies)

For and on behalf of
Aenco Limited

By:

Dated:

Authorised Signatory(ies)

3

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
SECONDMENT AGREEMENT (2)

Exhibit 4.48

This Secondment Agreement (2) (this “ Agreement ”) is made and entered effective as of the 1st day of April, 2020 (the “ Effective Date ”) by and between Aenco Limited, a
company incorporated under the laws of Samoa whose registered office is at Ground Floor NPF Building, Beach Road, Apia, Samoa (hereinafter referred to as the “Aenco”),
and  Aptus  Management  Limited  a  company  incorporated  under  the  laws  of  the  Hong  Kong  with  limited  liability  whose  registered  office  is  at  17/F  Guangdong  Investment
Tower, 148 Connaught Road Central, Hong Kong (hereinafter referred to as the “Aptus”).

WHEREAS:

Aenco has agreed to make available to Aptus the services of the Secondees (as defined below). The Services (as defined below) will be provided by Aenco on the terms and
conditions set forth in this Agreement, and shall supersede the Secondment Agreement executed on 1 st January 2019 by the same two parties.

NOW, THEREFORE , in consideration of the promises and of the mutual covenants hereinafter set forth, the parties do hereby agree as follows:

1. DEFINITIONS

In this Agreement the following words and expressions have the meanings respectively set opposite them:

“ Agreement ” shall mean this Agreement entitled “Secondment Agreement (2)”, may be amended in writing from time to time by the parties hereto.

“ Secondee(s) ” shall mean any Secondees to be seconded to Aptus pursuant to the provisions of this Agreement.

“ Hong Kong Dollars ” shall mean dollars of the Hong Kong.

2. SCOPE OF AGREEMENT

(a) Subject to the terms and upon the conditions of this Agreement, Aenco hereby undertakes to assign to Aptus, certain of its Secondees for secondment to Aptus from time to
time during the term hereof, to assist Aptus in the conduct of Information Technology application development and maintenance activities for Aptus’ affiliates.

(b) Aenco shall be an independent contractor engaged by Aptus to make the Secondees available for the purposes of this Agreement.

3. DUTIES OF SECONDEES

During the period of the respective secondment, each Secondee shall be integrated into the organization of Aptus only to the extent necessary to carry out his or her assigned
functions, and each Secondee shall perform the particular duties and assume the responsibilities attendant upon his or her assigned position as may be properly required by the
management of Aenco.

 
 
 
 
 
 
 
 
 
 
 
 
 
4. SCOPE OF SECONDEMENT SERVICES

Secondees  are  enlisted  to  design,  develop,  and  maintain  in  collaboration  with  the  employees  and  expert  advisers  affiliated  to  Aptus,  a  range  of  technical  and  specialized
software  applications,  including  but  not  limited,  blockchain  applications,  de-centralized  applications,  hybrid  infrastructure  solutions  encompassing  cloud  computing  and
database  management,  to  be  applied  across  different  use  cases  and  are  expected  to  streamline  various  business  segments  throughout  the  affiliate  group  of  Aptus  (the
“Deliverables”).

The  Deliverables  include,  but  not  limited  to,  the  creation  of  original  intellectual  property,  development  of  distributed  ledger  technology  platforms,  software  applications,
decentralized computing power networks, and other technological enhancements where relevant, to enhance medical research collaboration, therapeutic drug discovery, medical
services delivery, data management, data sharing, data security, and any related initiatives as related to the business operations of Aptus and its affiliated group.

Upon design and development of the Deliverables, Secondees are entrusted to deploy, maintain, and provide ongoing servicing of the systems, software, infrastructure, and
technology tools to Aptus and its affiliated group companies. Secondees may further be required to provide user training and guidance where relevant as post delivery services
in so far for the duration and validity of this Agreement, and any subsequent renewal terms of the Agreement, to be mutually agreed in writing by the parties at a subsequent
date.

5. CHARGES AND FEES / PAYMENT

During the period of secondment services, Aptus shall pay all salary and benefits amounted to HK$700,000 per month not later than the 25 th day of each month.

Aenco shall be responsible for and shall pay the cost of Secondees’ relocation to and from the location where the Secondees will reside or work in Hong Kong in connection
with the assigned duties and responsibilities of Secondees.

6. INDEMNITY

Each party agrees to fully indemnify and keep fully indemnified the other party on demand against all actions, claims, costs, liabilities and losses that are made, suffered or
incurred as a consequence of or which relate to or arise directly or indirectly from the other party’s failure to perform its obligations hereunder.

7. ASSIGNMENT

Aenco shall not assign or transfer the whole or any part of this Agreement without the prior written approval of Aptus.

8. DURATION /TERMINATION

This Agreement shall commence on the Commencement Date and, subject to the remaining terms of this Agreement shall terminate upon December 31, 2020.

Services may be terminated by either party by giving the other party a written notice three months in advance.

2

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
9. APPLICABLE LAW

The secondment arrangement provided for under this Agreement is conditional on the Secondees possessing at all times authorization under the applicable laws of the Hong
Kong Special Administrative Region to perform work for compensation in Hong Kong.

10. CONFIDENTIALITY

Aenco agrees that while providing his services to Aptus, the Secondees is likely to obtain and have access to both Aptus’ and Aenco’s confidential information and:

(a) such information is confidential to the parties;
(b)  all  documents,  plans,  computer  programs,  specifications,  files  and  any  other  written  or  machine-readable  work  produced  by  the  Secondees  for  Aptus  or  for  Aenco  will
belong to that party; and
(c) Aenco and Aptus shall comply with all applicable data protection laws.

11. COUNTERPARTS

This Agreement may be executed in separate counterparts, which may be delivered by electronic mail in PDF or another electronic format, and each of which will be deemed
an original and all of which together will constitute one and the same agreement.

To signify their assent to the terms of this Agreement, the parties have executed this Agreement on the dates set forth under their signatures, which appear below.

For and on behalf of
Aptus Management Limited

By:

Dated:

Authorised Signatory(ies)

For and on behalf of
Aenco Limited

By:

Dated:

Authorised Signatory(ies)

3

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
Exhibit 8.1

 
 
Certification by the Principal Executive Officer pursuant to Securities Exchange Act Rules 13a-14(a) and 15d-14(a) as adopted pursuant to Section 302 of the
Sarbanes-Oxley Act of 2002

Exhibit 12.1

I, Ian Huen, certify that:

1.

I have reviewed this annual report on Form 20-F of Aptorum Group Limited (the “ Company ”);

2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light

of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3. Based on my knowledge, the  financial  statements,  and  other  financial  information  included  in  this  report,  fairly  present  in  all  material  respects  the  financial  condition,

results of operations and cash flows of the Company as of, and for, the periods presented in this report;

4. The Company’s other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-

15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the Company and have:

a. Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material
information  relating  to  the  Company,  including  its  consolidated  subsidiaries,  is  made  known  to  us  by  others  within  those  entities,  particularly  during  the  period  in
which this report is being prepared;

b. Designed  such  internal  control  over  financial  reporting,  or  caused  such  internal  control  over  financial  reporting  to  be  designed  under  our  supervision,  to  provide
reasonable  assurance  regarding  the  reliability  of  financial  reporting  and  the  preparation  of  financial  statements  for  external  purposes  in  accordance  with  generally
accepted accounting principles;

c. Evaluated the effectiveness of the Company’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure

controls and procedures, as of the end of the period covered by this report based on such evaluation; and

d. Disclosed in this report any change in the Company’s internal control over financial reporting that occurred during the period covered by the annual report that has

materially affected, or is reasonably likely to materially affect, the Company’s internal control over financial reporting; and

5. The Company’s other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the Company’s auditors

and the audit committee of the Company’s board of directors (or persons performing the equivalent functions):

a. All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely

affect the Company’s ability to record, process, summarize and report financial information; and

b. Any  fraud,  whether  or  not  material,  that  involves  management  or  other  employees  who  have  a  significant  role  in  the  Company’s  internal  control  over  financial

reporting.

Date:

April 29, 2020

Name:
Title:

/s/ Ian Huen
 Ian Huen
Chief Executive  Officer 
( Principal Executive Officer )

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Certification by the Principal Financial Officer pursuant to Securities Exchange Act Rules 13a-14(a) and 15d-14(a) as adopted pursuant to Section 302 of the
Sarbanes-Oxley Act of 2002

Exhibit 12.2

I, Sabrina Khan, certify that:

1.

I have reviewed this annual report on Form 20-F of Aptorum Group Limited (the “ Company ”);

2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light

of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3. Based on my knowledge, the  financial  statements,  and  other  financial  information  included  in  this  report,  fairly  present  in  all  material  respects  the  financial  condition,

results of operations and cash flows of the Company as of, and for, the periods presented in this report;

4. The Company’s other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-

15(e) and 15d-15(e)) and internal control over financial reporting (as defined in Exchange Act Rules 13a-15(f) and 15d-15(f)) for the Company and have:

a. Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material
information  relating  to  the  Company,  including  its  consolidated  subsidiaries,  is  made  known  to  us  by  others  within  those  entities,  particularly  during  the  period  in
which this report is being prepared;

b. Designed  such  internal  control  over  financial  reporting,  or  caused  such  internal  control  over  financial  reporting  to  be  designed  under  our  supervision,  to  provide
reasonable  assurance  regarding  the  reliability  of  financial  reporting  and  the  preparation  of  financial  statements  for  external  purposes  in  accordance  with  generally
accepted accounting principles;

c. Evaluated the effectiveness of the Company’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure

controls and procedures, as of the end of the period covered by this report based on such evaluation; and

d. Disclosed in this report any change in the Company’s internal control over financial reporting that occurred during the period covered by the annual report that has

materially affected, or is reasonably likely to materially affect, the Company’s internal control over financial reporting; and

5. The Company’s other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the Company’s auditors

and the audit committee of the Company’s board of directors (or persons performing the equivalent functions):

a. All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely

affect the Company’s ability to record, process, summarize and report financial information; and

b. Any  fraud,  whether  or  not  material,  that  involves  management  or  other  employees  who  have  a  significant  role  in  the  Company’s  internal  control  over  financial

reporting.

Date:

April 29, 2020

Name:
Title:

/s/Sabrina Khan
Sabrina Khan
Chief Financial Officer 
( Principal Financial Officer )

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Certifications Pursuant to 18 U.S.C. Section 1350

Exhibit 13.1

Pursuant  to  U.S.C.  Section  1350  of  the  Sarbanes-Oxley  Act  of  2002  (subsections  (a)  and  (b)  of  Section  1350,  Chapter  63  of  Title  18,  United  States  Code),  each  of  the
undersigned officers of Aptorum Group Limited (the “ Company ”), does hereby certify, to such officer’s knowledge, that:

The Annual Report on Form 20-F for the year ended December 31, 2019 of the Company fully complies, in all material respects, with the requirements of Section 13(a) or
15(d)  of  the  Securities  Exchange  Act  of  1934  and  information  contained  in  the  Form  20-F  fairly  presents,  in  all  material  respects,  the  financial  condition  and  results  of
operations of the Company.

Dated: April 29, 2020

Dated: April 29, 2020

/s/ Ian Huen
Ian Huen
Chief Executive Officer
(Principal Executive Officer)

/s/ Sabrina Khan
Sabrina Khan
Chief Financial Officer
(Principal Financial Officer)

 
 
 
 
 
 
 
 
 
 
 
 
 
 
Exhibit 15.1

INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM’S CONSENT

We consent to the incorporation by reference in the Registration Statement of Aptorum Group Limited on Form F-3 (FILE NO. 333-235819) of our report dated April 29,
2020, with respect to our audits of the consolidated balance sheets (successor basis) of the Company as of December 31, 2019 and 2018, the related consolidated statements
(successor  basis)  of  operations  and  comprehensive  loss,  equity  and  cash  flows  for  the  years  ended  December  31,  2019  and  2018,  and  the  period  March  1,  2017  through
December  31,  2017,  the  statements  (predecessor  basis)  of  operations,  changes  in  net  assets,  and  cash  flows  for  the  period  January  1,  2017  through  February  28,  2017
appearing in the Annual Report on Form 20-F of Aptorum Group Limited for the year ended December 31, 2019.

/s/ Marcum Bernstein & Pinchuk LLP

Marcum Bernstein & Pinchuk LLP
New York, New York
April 29, 2020

NEW YORK OFFICE • 7 Penn Plaza • Suite 830 • New York, New York • 10001
Phone 646.442.4845 • Fax 646.349.5200 • www.marcumbp.com