Quarterlytics / Healthcare / Biotechnology / CollPlant Biotechnologies Ltd.

CollPlant Biotechnologies Ltd.

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FY2023 Annual Report · CollPlant Biotechnologies Ltd.
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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, DC 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, 2023

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 No.:  001-38370

CollPlant Biotechnologies Ltd.
(Exact name of registrant as specified in its charter)

Translation of registrant’s name into English: Not applicable

State of Israel
(Jurisdiction of incorporation or organization)

4 Oppenheimer, Weizmann Science Park
Rehovot 7670104, Israel
Tel: +972 73 232 5600
(Address of principal executive offices)

Yehiel Tal
Chief Executive Officer
+972 73 232 5600
Yehiel@CollPlant.com
4 Oppenheimer, Weizmann Science Park
Rehovot 7670104, Israel
(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 to be registered
Ordinary shares, par value NIS 1.50 per share

Trading Symbol(s)
CLGN

Name of each exchange on which each
class is to be registered
Nasdaq Global Market

Securities registered or to be registered pursuant to Section 12(g) of the Act: None

Securities for which there is a reporting obligation pursuant to Section 15(d) of the Act: None

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Number of outstanding shares of each of the issuer’s classes of capital or common stock as of December 31, 2023: 11,452,672 ordinary shares.

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 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 Exchange Act 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 pursuant to Rule 405 of Regulation S-T

during the preceding 12 months.

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.

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) Exchange Act. ☐

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. ☐

If securities are registered pursuant to Section 12(b) of the Act, indicate by check mark whether the financial statements of the registrant included in the filing reflect

the correction of an error to previously issued financial statements. ☐

Indicate by check mark whether any of those error corrections are restatements that required a recovery analysis of incentive based compensation received by any of

the registrant’s executive officers during the relevant recovery period pursuant to §240.10D-1(b). ☐

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.

Yes ☐  No ☒

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
INTRODUCTION
CAUTIONARY NOTE REGARDING FORWARD-LOOKING STATEMENTS
EXPLANATORY NOTE

TABLE OF CONTENTS

PART I

ITEM 1.
ITEM 2.
ITEM 3.
A.
B.
C.
D.
ITEM 4.
A.
B.
C.
D.
ITEM 4A.
ITEM 5.
A.
B.
C.
D.
E.
ITEM 6.
A.
B.
C.
D.
E.
ITEM 7.
A.
B.
C.
ITEM 8.
A.
B.

IDENTITY OF DIRECTORS, SENIOR MANAGEMENT AND ADVISERS
OFFER STATISTICS AND EXPECTED TIMETABLE
KEY INFORMATION
Reserved
Capitalization and Indebtedness
Reasons for the Offer and Use of Proceeds
Risk Factors
INFORMATION ON THE COMPANY
History and Development of the Company
Business Overview
Organizational Structure
Property, Plants and Equipment
UNRESOLVED STAFF COMMENTS
OPERATING AND FINANCIAL REVIEW AND PROSPECTS
Operating Results
Liquidity and Capital Resources
Research and Development, Patents and Licenses
Trend Information
Critical Accounting Estimates
DIRECTORS, SENIOR MANAGEMENT AND EMPLOYEES
Directors and Senior Management
Compensation
Board Practices
Employees
Share Ownership
MAJOR SHAREHOLDERS AND RELATED PARTY TRANSACTIONS
Major Shareholders
Related Party Transactions
Interests of Experts and Counsel
FINANCIAL INFORMATION
Consolidated Statements and Other Financial Information
Significant Changes

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THE OFFER AND LISTING
Offer and Listing Details
Plan of Distribution
Markets
Selling Shareholders
Dilution
Expenses of the Issue
ADDITIONAL INFORMATION
Share Capital
Articles of Association
Material Contracts
Exchange Controls
Taxation
Dividends and Paying Agents
Statement by Experts
Documents on Display
Subsidiary Information
QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
DESCRIPTION OF SECURITIES OTHER THAN EQUITY SECURITIES
Debt Securities
Warrants and rights
Other Securities
American Depositary Shares

DEFAULTS, DIVIDEND ARREARAGES AND DELINQUENCIES
MATERIAL MODIFICATIONS TO THE RIGHTS OF SECURITY HOLDERS AND USE OF PROCEEDS
CONTROLS AND PROCEDURES
[RESERVED]
AUDIT COMMITTEE FINANCIAL EXPERT
CODE OF ETHICS
PRINCIPAL ACCOUNTANT FEES AND SERVICES
EXEMPTIONS FROM THE LISTING STANDARDS FOR AUDIT COMMITTEES
PURCHASES OF EQUITY SECURITIES BY THE ISSUER AND AFFILIATED PURCHASERS
CHANGE IN REGISTRANT’S CERTIFYING ACCOUNTANT
CORPORATE GOVERNANCE
MINE SAFETY DISCLOSURE
DISCLOSURE REGARDING FOREIGN JURISDICTIONS THAT PREVENT INSPECTIONS
INSIDER TRADING POLICIES
CYBERSECURITY

ITEM 9.
A.
B.
C.
D.
E.
F.
ITEM 10.
A.
B.
C.
D.
E.
F.
G.
H.
I.
ITEM 11.
ITEM 12.
A.
B.
C.
D.

PART II

ITEM 13.
ITEM 14.
ITEM 15.
ITEM 16.
ITEM 16A.
ITEM 16B.
ITEM 16C.
ITEM 16D.
ITEM 16E.
ITEM 16F.
ITEM 16G.
ITEM 16H.
ITEM 16I.
ITEM 16J.
ITEM 16K.

PART III

ITEM 17.
ITEM 18.
ITEM 19.
SIGNATURES

FINANCIAL STATEMENTS
FINANCIAL STATEMENTS
EXHIBITS

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INTRODUCTION

We  are  a  regenerative  and  aesthetic  medicine  company  focused  on  3D  bioprinting  of  tissues  and  organs,  and  medical  aesthetics.  Our  products  are  based  on  our
recombinant human collagen (rhCollagen) produced with our proprietary plant based genetic engineering technology. These products address indications for the diverse fields
of tissue repair, aesthetics and organ manufacturing, and are ushering in a new era in regenerative and aesthetic medicine.  

In  February  2021,  we  entered  into  a  development  and  global  commercialization  agreement  with  Allergan,  an  AbbVie  company,  or  the  AbbVie  Development
Agreement, pursuant to which we and AbbVie are collaborating in the development and commercialization of dermal and soft tissue filler products for the medical aesthetics
market, using our rhCollagen technology and AbbVie’s technology. In June 2023, we announced the achievement of a milestone with respect to the clinical phase dermal and
soft tissue filler product, which triggered a $10 million payment from AbbVie to us. The dermal and soft tissue filler product candidate is currently undergoing testing in clinical
trials, which trials are designed, planned, and executed by AbbVie, in accordance with the AbbVie Development Agreement.

In  the  field  of  medical  aesthetics,  we  are  developing  3D-bioprinted  breast  implants  for  regeneration  of  breast  tissue. The  implants  in  development  are  printed  and
loaded with our rhCollagen-based bioink in combination with other proprietary biomaterials. These implants are expected to regenerate breast tissue without eliciting immune
response,  and  thus  may  provide  a  revolutionary  alternative  for  aesthetic  and  reconstructive  procedures.  In  December  2023  we  initiated  a  pre-clinical  trial  to  evaluate
commercial-size, 3D-bioprinted, regenerative breast implants. This study will be used to obtain data to support subsequent human studies and future product commercialization.

In January 2023, we commercially launched Collink.3D 50L in powder form, which is our first bioink available in powder form, joining Collink.3D 90 and Collink.3D
50  launched  in  2022  and  2021,  respectively.  Collink.3D  is  our  rhCollagen-based  bioink  platform,  which  is  ideal  for  3D-bioprinting  of  tissues  and  organs  for  regenerative
medicine applications. These rhCollagen-based bioink products are designed to allow the scalable and reproduceable biofabrication of scaffolds, tissues and organ transplants.

  Our  rhCollagen  production  process  utilizes  plant-based  genetic  engineering  technology. This  approach  eliminates  the  need  for  traditional  animal-derived  collagen

sources, reducing the environmental strain associated with traditional methods and promoting more ethical and sustainable practices.

In  the  second  quarter  of  2023,  CollPlant  hired  a  dedicated  expert  to  lead  our  Environment,  Social  and  Governance  (ESG)  effort.  In  line  with  this  initiative,  in
September 2023, we announced that we joined the United Nations Global Compact, the world's largest initiative for sustainable and responsible corporate governance. As a new
participant of this voluntary leadership platform, CollPlant strengthens its commitment to operate sustainably as it is also producing sustainable alternatives to the regenerative
and aesthetics medicine products and technologies that currently exist.

On May 25, 2021, our ordinary shares were approved for trading on the Nasdaq Global Market and began trading at the open of market on June 4, 2021. At such time,
our American Depositary Shares, or ADSs, each representing one ordinary shares, were mandatorily cancelled and exchanged for ordinary shares at a one-for-one ratio. Prior to
that, our ADSs were quoted on the OTCQX from March 2015 to May 25, 2017, on the OTCQB from May 26, 2017 to January 30, 2018 and on the Nasdaq Capital Market from
January 31, 2018 to June 3, 2021 under the symbol “CLGN”. In 2018, we delisted our ordinary shares from trading on the Tel Aviv Stock Exchange, or TASE, and the last date
of trading of our ordinary shares on the TASE was on October 29, 2018.

Unless the context requires otherwise, the terms “CollPlant,” “we,” “us,” “our,” “the Company,” and similar designations refer to CollPlant Biotechnologies Ltd. and
its  subsidiaries,  CollPlant  Ltd.  and  CollPlant  Inc.  References  to  “ordinary  shares”,  “warrants”  and  “share  capital”  refer  to  our  ordinary  shares,  warrants  and  share  capital,
respectively, of CollPlant Biotechnologies Ltd.

References to “U.S. dollars” and “$” are to currency of the United States of America, and references to “NIS” are to New Israeli Shekels. References to “ordinary
shares” or “our ordinary shares” are to the ordinary shares of CollPlant Biotechnologies Ltd., par value NIS 1.50 per share. We report financial information under generally
accepted accounting principles in the United States of America or U.S. GAAP.

The functional and presentation currency of the Company in this annual report on Form 20-F, or the Annual Report, is the U.S. dollar.

iii

 
 
 
 
 
 
 
 
 
 
 
 
 
CAUTIONARY NOTE REGARDING FORWARD-LOOKING STATEMENTS

Certain information included or incorporated by reference in this Annual Report on Form 20-F may be deemed to be “forward-looking statements” within the meaning
of the Private Securities Litigation Reform Act of 1995 and other securities laws. Forward-looking statements are often characterized by the use of forward-looking terminology
such as “may,” “will,” “expect,” “anticipate,” “estimate,” “continue,” “believe,” “should,” “intend,” “project” or other similar words, but are not the only way these statements
are identified.

These forward-looking statements may include, but are not limited to, statements relating to our objectives, plans and strategies, statements that contain projections of
results of operations or of financial condition, expected capital needs and expenses, statements relating to the research, development, completion and use of our products, and
all statements (other than statements of historical facts) that address activities, events or developments that we intend, expect, project, believe or anticipate will or may occur in
the future.

Forward-looking statements are not guarantees of future performance and are subject to risks and uncertainties. We have based these forward-looking statements on
assumptions and assessments made by our management in light of their experience and their perception of historical trends, current conditions, expected future developments
and other factors they believe to be appropriate.

Important factors that could cause actual results, developments and business decisions to differ materially from those anticipated in these forward-looking statements

include, among other things:

● our history of significant losses, and our need to raise additional capital and our inability to obtain additional capital on acceptable terms, or at all;

● our  expectations  regarding  the  timing  and  cost  of  commencing  pre-clinical  and  clinical  trials  with  respect  to  rhCollagen  based  products  in  3D  bioprinting  and

medical aesthetics;

● ours or our strategic partners’ ability to obtain favorable pre-clinical and clinical trial results;

● regulatory action with respect to rhCollagen based products in 3D bioprinting and medical aesthetics, including but not limited to acceptance of an application for

marketing authorization, review and approval of such application, and, if approved, the scope of the approved indication and labeling;

● commercial success and market acceptance of rhCollagen based products in 3D bioprinting and medical aesthetics;

● our ability to establish sales and marketing capabilities or enter into agreements with third parties and our reliance on third party distributors and resellers;

● our ability to establish and maintain strategic partnerships and other corporate collaborations;

iv

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
● our reliance on third parties to conduct some or all aspects of our product manufacturing;

● the  scope  of  protection  we  are  able  to  establish  and  maintain  for  intellectual  property  rights  and  our  ability  to  operate  our  business  without  infringing  the

intellectual property rights of others;

● current or future unfavorable economic and market conditions and adverse developments with respect to financial institutions and associated liquidity risk;

● the impact of competition and new technologies;

● the overall global economic environment;

● statements as to the impact of the political and security situation in Israel on our business, including due to the current war between Israel and Hamas;

● projected capital expenditures and liquidity;

● changes in our strategy;

● litigation and regulatory proceedings; and

● those factors referred to in “Item 3.D. Risk Factors,” “Item 4. Information on the Company,” and “Item 5. Operating and Financial Review and Prospects”, as well

as in this Annual Report on Form 20-F generally.

Readers are urged to carefully review and consider the various disclosures made throughout this Annual Report on Form 20-F which are designed to advise interested

parties of the risks and factors that may affect our business, financial condition, results of operations and prospects.

You should not put undue reliance on any forward-looking statements. Any forward-looking statements in this annual report on Form 20-F are made as of the date
hereof and are expressly qualified in their entirety by the cautionary statements included in this Annual Report. We undertake no obligation to publicly update or revise any
forward-looking statements, whether as a result of new information, future events or otherwise, except as required by law.

In addition, the section of this Annual Report on Form 20-F entitled “Item 4. Information on the Company” contains information obtained from independent industry

sources and other sources that we have not independently verified.

v

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
EXPLANATORY NOTE

Market data and certain industry data and forecasts used throughout this Annual Report on Form 20-F were obtained from internal company surveys, market research,
consultant surveys commissioned by the Company, publicly available information, reports of governmental agencies and industry publications and surveys. Industry surveys,
publications, consultant surveys commissioned by the Company and forecasts generally state that the information contained therein has been obtained from sources believed to
be reliable. However, this information may prove to be inaccurate because of the method by which some of the data for the estimates is obtained or because this information
cannot always be verified with complete certainty due to the limits on the availability and reliability of raw data, the voluntary nature of the data gathering process and other
limitations and uncertainties. As a result, the market and industry data and forecasts included or incorporated by reference in this annual report, and estimates and beliefs based
on that data, may not be reliable. We have relied on certain data from third-party sources, including internal surveys, industry forecasts and market research, which we believe
to be reliable based on our management’s knowledge of the industry. However, we have not ascertained the underlying economic assumptions relied upon therein. Forecasts are
particularly likely to be inaccurate, especially over long periods of time. In addition, we do not necessarily know what assumptions regarding general economic growth were
used in preparing the forecasts we cite. Statements as to our market position are based to the best of our knowledge on the most currently available data. While we are not aware
of  any  misstatements  regarding  the  industry  data  presented  in  this Annual  Report,  our  estimates  involve  risks  and  uncertainties  and  are  subject  to  change  based  on  various
factors, including those discussed under the heading “Risk Factors” in this Annual Report.

Statements  made  in  this Annual  Report  on  Form  20-F  concerning  the  contents  of  any  agreement,  contract  or  other  document  are  summaries  of  such  agreements,
contracts or documents and are not a complete description of all of their terms. If we filed any of these agreements, contracts or documents as exhibits to this Report or to any
previous filing with the Securities and Exchange Commission, or SEC, you may read the document itself for a complete understanding of its terms.

vi

 
 
 
 
 
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. Reserved.

B. Capitalization and Indebtedness

Not applicable.

C. Reasons for the Offer and Use of Proceeds

Not applicable.

D. Risk Factors

You should carefully consider the risks described below, together with all of the other information in this Annual Report on Form 20-F. The risks and uncertainties
described  below  are  those  significant  risk  factors,  currently  known  and  specific  to  us,  that  we  believe  are  relevant  to  an  investment  in  our  securities. Additional  risks  and
uncertainties not currently known to us or that we now deem immaterial may also harm us. If any of these risks materialize, our business, results of operations or financial
condition could suffer, and the price of our ordinary shares could decline substantially.

Summary Risk Factors

Investing in our ordinary shares involves a high degree of risk, as fully described below. The principal factors and uncertainties that make investing in our ordinary

shares risky, include, among others:

Risks Related to Our Financial Position and Capital Requirements

● We have generally incurred significant losses since our inception and anticipate that we will continue to incur losses for the foreseeable future.

● We will need to raise additional funding, which may not be available on acceptable terms, or at all. Failure to obtain additional capital when needed may force us

to delay, limit, or terminate our product development efforts or other operations.

1

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Risks Related to Commercialization of Our Products

● The  commercial  success  of  any  current  or  future  product,  if  approved,  will  depend  upon  the  degree  of  market  acceptance  by  physicians,  patients,  third-party

payors, pharma companies and others in the medical community.

● We have only limited clinical data to support sales of our products, which may make physicians, patients, third-party payors, and others in the medical community

reluctant to accept or purchase our products.

● We have low scale experience in producing our rhCollagen, and if we are unable to manufacture our rhCollagen in high commercial quantities successfully and

consistently to meet demand, our growth will be limited.

● If  we  are  unable  to  establish  sales  and  marketing  capabilities  or  enter  into  agreements  with  third  parties  to  market  and  sell  any  of  our  products  that  obtain

regulatory approval, we may be unable to generate material revenue.

● We  face  competition  and  rapid  technological  change  and  the  possibility  that  our  competitors  may  develop  therapies  or  products  that  are  more  advanced  or

effective than ours, which could impair our ability to successfully commercialize our products.

Risks Related to the Clinical Development and Regulatory Approval of Our Products

● We  currently  depend  heavily  on  the  future  success  of  our  medical  aesthetics  and  3D  bioprinting  product  candidates  and  bioink.  Any  failure  to  successfully
develop, obtain regulatory approval for, and commercialize these products or their end products, independently or in cooperation with a third-party collaborator, or
the experience of significant delays in doing so, would compromise our ability to generate revenue and become profitable.

● Our products are based on novel technology, which makes it difficult to predict the time and cost of product development and potential regulatory approval.

● We or our strategic partners may find it difficult to enroll patients in future clinical trials, and patients could discontinue their participation in our future clinical

trials, which could delay or prevent clinical trials of our products and product candidates.

● Clinical trials may not be successful or may be delayed.

● Even if we or our strategic partners obtain regulatory approval for a product, our products will remain subject to regulatory scrutiny.

● In  addition  to  the  level  of  commercial  success  of  our  products,  our  future  prospects  are  also  dependent  on  our  ability  to  successfully  develop  a  pipeline  of

additional products, and we may not be successful in our efforts in using our platform technologies to identify or discover additional products.

Risks Related to Our Reliance on Third Parties

● We  may  not  be  successful  in  establishing  and  maintaining  strategic  partnerships,  which  could  adversely  affect  our  ability  to  develop  and  commercialize  our

rhCollagen based products in 3D bioprinting and medical aesthetics, including 3D-bioprinted breast implants and bioinks.

● We expect to depend upon third-party collaborators, distributors and resellers for a significant portion of our sales.

● We expect to rely on third parties to conduct some aspects of our product manufacturing, protocol development, research, and preclinical and clinical testing, and

these third parties may not perform satisfactorily.

2

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Risks Related to Our Business Operations

● Our future success depends on our ability to retain senior management, consultants, and advisors and to attract, retain, and motivate qualified personnel.

● Our collaborations with outside scientists and consultants may be subject to restriction and change.

● Our business and operations would suffer in the event of computer system failures or security breaches.

● Our development and production of rhCollagen relies upon the continued availability of tobacco plants, and any interruption in availability or supply of tobacco

plants may delay production and adversely affect commercial utilization of our rhCollagen-based products.

● If our existing rhCollagen production sites or any new facilities are damaged or destroyed, or production at these facilities is otherwise interrupted, our business

and prospects would be negatively affected.

● If we fail to comply with environmental, health, and safety laws and regulations, we could become subject to fines or penalties or incur costs that could have a

material adverse impact on the success of our business.

● We may use our financial and human resources to pursue a particular research program or product and fail to capitalize on programs or products that may be more

profitable or for which there is a greater likelihood of success.  

● Our  business,  operating  results  and  growth  rates  may  be  adversely  affected  by  current  or  future  unfavorable  economic  and  market  conditions  and  adverse

developments with respect to financial institutions and associated liquidity risk.

● Environmental, social and corporate governance (ESG) issues, including those related to climate change and sustainability, may have an adverse effect on our

business, financial condition and results of operations and damage our reputation.

Risks Related to Our Intellectual Property

● We have an extensive worldwide patent portfolio. The cost of maintaining our worldwide patent protection is high and requires continuous review and compliance
with procedural and documentary requirements. We may not be able to effectively maintain our intellectual property position throughout the major markets of the
world.

● If we are unable to obtain or protect intellectual property rights related to our products and product candidates, we may not be able to obtain exclusivity for our

products or prevent others from developing similar competitive products.

Risks Related to the Ownership of our Ordinary Shares

● The market price of our ordinary shares may be highly volatile.

● We may not be able to maintain our listing on the Nasdaq Global Market.

● Our  principal  shareholders,  management  and  directors  beneficially  own  a  significant  percentage  of  our  ordinary  shares  and  will  be  able  to  exert  significant

influence over matters subject to shareholder approval.

● If we fail to maintain an effective system of internal control over financial reporting, we may not be able to accurately report our financial results or prevent fraud.
As  a  result,  our  shareholders  could  lose  confidence  in  our  financial  and  other  public  reporting,  which  would  harm  our  business  and  the  trading  price  of  our
ordinary shares.

● Sales of a substantial number of our ordinary shares in the public market could cause our share price to fall.

3

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Risks Related to Our Operations in Israel

● We  are  a  “foreign  private  issuer”  and  intend  to  follow  certain  home  country  corporate  governance  practices,  and  our  shareholders  may  not  have  the  same
protections afforded to shareholders of companies that are subject to all corporate governance requirements under the listing rules of the Nasdaq Stock Market
LLC, or the Nasdaq Listing Rules.

● Potential  political,  economic,  and  military  instability  in  the  State  of  Israel,  where  the  majority  of  our  senior  management  and  our  research  and  development

facilities are located, may adversely impact our results of operations.

Risks Related to Our Financial Position and Capital Requirements

We have generally incurred significant losses since our inception and anticipate that we will continue to incur losses for the foreseeable future.

We are a regenerative and aesthetic medicine company focused on 3D bioprinting of tissues and organs, and medical aesthetics. Except for the year and December 31,
2021, we have incurred losses in each year since our inception in 2004. We incurred a total comprehensive loss of $7.0 million for the year ended December 31, 2023 and a
total comprehensive loss of $16.9 million for the year ended December 31, 2022. As of December 31, 2023, we had an accumulated deficit of $96.7 million.

We have devoted most of our financial resources to research and development, including our clinical and preclinical development activities. In recent years, we have
financed our operations primarily with revenues from sales of our products, licensing of our technology, development milestone achievement payments from strategic partners
as  well  as  from  net  proceeds  from  private  and  public  offerings.  Prior  to  this,  we  financed  our  operations  primarily  from  public  offerings  of  our  securities  on  the  TASE,
participation of business partners in product development collaborations, and government grants from the Israeli Innovation Authority, or the IIA. The amount of our future net
losses  will  depend,  in  part,  on  the  success  of  our  collaborations  and  on  the  rate  of  our  future  expenditures.  If  and  when  we  or  our  strategic  partners  will  obtain  regulatory
approval to market products, our future revenues will depend upon the size of any markets in which the products have received approval, and the ability to achieve sufficient
market acceptance, reimbursement from third-party payors and adequate market share for the products in those markets.

We expect to continue to incur significant expenses and operating losses in the foreseeable future. We anticipate that our expenses will increase substantially if and as

we:

● continue our research and preclinical and clinical development of our products and product candidates;

● initiate additional preclinical, clinical, or other studies for our products and product candidates;

● seek marketing approvals for any of our products and product candidates that successfully complete clinical trials;

● further develop and expand the manufacturing process for our products and product candidates;

● establish a sales, marketing, and distribution infrastructure to commercialize our products and product candidates for which we may obtain marketing approval;

● seek to identify and validate additional products and product candidates;

● maintain, protect, and expand our intellectual property portfolio;

● attract and retain skilled personnel;

● create additional infrastructure to support our operations as a public company; and

● experience any delays or encounter issues with any of the above.

4

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The net losses we incur may fluctuate significantly from quarter to quarter and year to year, such that a period-to-period comparison of our results of operations may
not be a good indication of our future performance. In any particular quarter or quarters, our operating results could be below the expectations of securities analysts or investors,
which could cause our share price to decline.

We will need to raise additional funding, which may not be available on acceptable terms, or at all. Failure to obtain additional capital when needed may force us to delay,
limit, or terminate our product development efforts or other operations.

We  are  conducting  preclinical  development  of  our  products  and  product  candidates,  and  we  intend  to  continue  advancing  their  development.  Developing  medical
products is expensive, and we expect our research and development expenses to continue to be a material part of our expenses and may increase substantially in connection
with our ongoing activities, particularly as we or our strategic partners advance our products or product candidates in clinical trials.

As of December 31, 2023, our cash and cash equivalents together with short-term cash deposits accumulated to $26.7 million. Except for the year December 31, 2021,
in which we incurred a total comprehensive income of $237,000, we had recurring losses from operations and negative operating cash flows since our inception. In February
2021, we closed a registered direct offering resulting in gross proceeds of $35 million and received an upfront payment of $14 million from AbbVie, as part of the AbbVie
Development Agreement. Subsequently, in June 2023, we announced the achievement of a milestone with respect to the clinical phase dermal filler product under the AbbVie
Development Agreement, which triggered a $10 million payment from AbbVie to us. We will nevertheless need to raise additional capital in the future to support our operations
and product development activities and there can be no assurance that we will receive any further payments under the AbbVie Development Agreement.

Our operating plan may change as a result of many factors currently unknown to us, and we may need to seek additional funds sooner than planned, through public or
private equity or debt financings, third-party funding, marketing and distribution arrangements, and other collaborations, strategic alliances, and licensing arrangements, or a
combination of these approaches. Even if we believe we have sufficient funds for our current or future operating plans, we may seek additional capital if market conditions are
favorable or if we have specific strategic considerations. Conversely, we may need to seek additional funds at times when the market conditions for doing so are less favorable,
noting, for example, the effect of inflation on the economy in the United States and global markets. For more information, see “—Risks Related to Our Business Operations—
Our business, operating results and growth rates may be adversely affected by current or future unfavorable economic and market conditions and adverse developments with
respect  to  financial  institutions  and  associated  liquidity  risk.”  Any  debt  financing  obtained  by  us  could  involve  restrictive  covenants  relating  to  financial  and  operational
matters, which may make it more difficult for us to obtain additional capital and to pursue business opportunities and could require us to use a portion of our cash flows to make
debt service payments, which could place us at a competitive disadvantage relative to our less leveraged peers. If we raise additional funds through further issuances of equity,
convertible debt securities, or other securities convertible into equity, our existing stockholders could suffer significant dilution in their percentage ownership of our company,
and any new equity securities we issue could have rights, preferences, and privileges senior to those of holders of our common stock, including registration rights. If we are
unable to obtain adequate financing or financing on terms satisfactory to us when we require it, our ability to support our business and to respond to business challenges could
be significantly limited, and our business, operating results, financial condition, and prospects could be harmed.

5

 
 
 
 
 
 
 
Any additional fundraising efforts may divert our management from their day-to-day activities, which may compromise our ability to develop and commercialize our
products and product candidates. In addition, we cannot guarantee that future financing will be available in sufficient amounts or on terms acceptable to us, if at all. Moreover,
the terms of any financing may adversely affect the holdings or the rights of our shareholders, and the issuance of additional securities, whether equity or debt, by us, or the
possibility  of  such  issuance,  may  cause  the  market  price  of  our  ordinary  shares  to  decline.  The  sale  of  additional  equity  or  convertible  securities  would  dilute  all  of  our
shareholders. The incurrence of indebtedness would result in increased fixed payment obligations, and we may be required to agree to certain restrictive covenants, such as
limitations on our ability to incur additional debt, limitations on our ability to acquire, sell, or license intellectual property rights, and other operating restrictions that could
adversely impact our ability to conduct our business. We could also be required to seek funds through arrangements with collaborative partners or otherwise at an earlier stage
than otherwise would be desirable, and we may be required to relinquish rights to some of our technologies or products or otherwise agree to terms unfavorable to us.

If additional capital is not available to us when needed or on acceptable terms, we may be required to significantly curtail, delay, or discontinue one or more of our
research or development programs or the commercialization of any products or product candidates, and we may be unable to expand our operations or otherwise capitalize on
our business opportunities, as desired.

The IIA grants we have received in the past for research and development expenditures may restrict our ability to manufacture products and transfer IIA funded know-how
outside of Israel and require us to satisfy specified conditions.

Our research and development efforts have been financed, in part, through the grants that we have received in the past from the IIA. We, therefore, must comply with
the requirements of, and are subject to certain restrictions under, the Israeli Encouragement of Research, Development and Technological Innovation in the Industry Law of
1984, or the Innovation Law and the IIA’s rules and guidelines with respect to the use of intellectual property and other know-how resulting, directly or indirectly, in whole or
in part, in accordance with or as a result of, research and development activities made according to a research and development program funded by the IIA, or the Approved
Program, as well as any rights associated with such know-how (including later developments, which derive from, are based on, or constitute improvements or modifications of
such know-how), or the IIA Funded Know-How. These restrictions involve obligations relating to royalty payments, reporting and local manufacturing, and limitations on the
transfer of IIA Funded Know-How and the licensing of IIA Funded Know-How for research and development, or R&D, purposes.

Such  restrictions  may  impair  our  ability  to  perform  or  outsource  manufacturing  rights  outside  of  Israel,  granting  licenses  for  R&D  purposes  or  otherwise  transfer
outside of Israel our IIA Funded Know-How. These restrictions may also require us to obtain the approval of the IIA for certain actions and transactions and pay additional
royalties  and  other  amounts  to  the  IIA.  We  cannot  be  certain  that  any  approval  of  the  IIA  will  be  obtained  on  terms  that  are  acceptable  to  us,  or  at  all.  Furthermore,  the
consideration available to our shareholders in a transaction involving the transfer outside of Israel of IIA Funded Know-How (such as a merger or similar transaction) or a
transaction involving the licensing of IIA Funded Know-How for R&D purposes outside of Israel, may be reduced by any amounts that we are required to pay to the IIA.

If we fail to comply with the requirements of the Innovation Law, we may be subject to financial sanctions, to mandatory repayment of grants received by us (together
with  interest  and  penalties),  as  well  as  expose  us  to  criminal  proceedings.  For  additional  information  regarding  the  Innovation  Law  and  the  IIA,  see  “Item  4.B.  Business
Overview—Other Approvals—The Innovation Law and the IIA”.

Until 2019 we have applied and received grants from the IIA as part of the research and development programs for our rhCollagen technology and our products. These
IIA grants are subject to repayment through future royalty payments on any products resulting from these research and development programs, including VergenixSTR and
VergenixFG. Under the IIA’s rules and guidelines royalties of 3% on the income deriving from products and from related know-how and services developed in whole or in part,
directly or indirectly, under the Approved Programs are payable to the IIA, up to the total amount of grants received, linked to the U.S. dollar plus interest at an annual rate
based on based on LIBOR. The total gross amount of grants actually received by us from the IIA as of December 31, 2023 totaled approximately $10.1 million. As of December
31, 2023, we paid royalties to the IIA in the total amount of $3.1 million.

6

 
 
 
 
 
 
 
 
 
We may not be able to correctly estimate or control our future operating expenses, which could lead to cash shortfalls.

Our operating expenses may fluctuate significantly in the future for various reasons, many of which are outside of our control. These reasons may include:

● the time, resources, and expenses required to conduct pre-clinical and clinical trials of, seek regulatory approvals for, manufacture, market, and sell our current

products and any additional products we may develop;

● the time, resources, and expenses required to research and develop additional indications of our current products;

● the costs of preparing, filing, prosecuting, defending, and enforcing patent claims and other patent-related costs, including litigation costs or the results of such

litigation;

● any product liability or other lawsuits related to our products and the costs associated with defending them or the results of such lawsuits;

● the costs to attract and retain personnel with the skills required for effective operations; and

● the costs associated with being a public company in the United States.

It is difficult to forecast our future performance, which may cause our financial results to fluctuate unpredictably.

Because we do not yet have an established commercial operating history, and because the market for our products and product candidates may rapidly evolve, it is hard
for us to predict our future performance. A number of factors, many of which are outside of our control, may contribute to fluctuations in our financial results assuming that we
receive marketing authorizations and begin selling our products. These factors may include variations in:

● market demand for, and acceptance of, our products;

● our ability to obtain or maintain regulatory approvals;

● our sales and marketing operations, or the effectiveness of these operations;

● performance of our third-party contractors;

● the availability of procedures or products that compete with our products;

● media coverage of our technologies, the procedures or products of our competitors or our industry; and

● natural disasters and political and economic instability, including wars, terrorism, political unrest, results of certain elections and votes, emergence of a pandemic,
or other widespread health emergencies (or concerns over the possibility of such an emergency), boycotts, adoption or expansion of government trade restrictions,
and other business restrictions).

Risks Related to Commercialization of Our Products

The  commercial  success  of  any  current  or  future  product,  if  approved,  will  depend  upon  the  degree  of  market  acceptance  by  physicians,  patients,  third-party  payors,
pharma and medical device companies and others in the medical community.

Even if we obtain the requisite regulatory approvals, the commercial success of our products will depend in part on physicians, patients, third party payors, pharma and
medical device companies and others in the medical community accepting our products as medically useful, cost-effective, and safe. Any product that we bring to the market
may  not  gain  market  acceptance  by  physicians,  patients,  third-party  payors,  and  others  in  the  medical  community.  If  these  products  do  not  achieve  an  adequate  level  of
acceptance, we may not generate significant product revenue and may not become profitable. The degree of market acceptance of these products, if approved for commercial
sale, will depend on a number of factors, including:

● the cost, safety, efficacy, and convenience of our products in relation to alternative treatments and products;

● the ability of third parties to enter into relationships with us without violating their existing agreements;

7

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
● the effectiveness of our sales and marketing efforts;

● the prevalence and severity of any side effects, including any limitations or warnings contained in a product’s approved labeling;

● the prevalence and severity of any side effects resulting from the procedure by which our products are administered;

● the willingness of the target patient population to try new therapies and of physicians to prescribe these therapies;

● the strength of marketing and distribution support for, and timing of market introduction of, competing products;

● publicity concerning our products or competing products and treatments; and

● sufficient third-party insurance coverage or reimbursement.

Even  if  a  potential  product  displays  a  favorable  safety  and  efficacy  profile  in  clinical  trials,  market  acceptance  of  the  product  will  not  be  known  until  after  it  is
launched.  Our  efforts  or  those  of  our  strategic  partners  to  educate  the  medical  community  and  third-party  payors  on  the  benefits  of  the  products  may  require  significant
resources and may never be successful. Such efforts to educate the marketplace may require more resources than are required by conventional technologies.

We have only limited clinical data to support sales of our products, which may make physicians, patients, third-party payors, and others in the medical community reluctant
to accept or purchase our products.

Physicians, patients, third party payors, and others in the medical community will only accept or purchase our products if they believe them to be safe and effective,
with  advantages  over  competing  products  or  procedures.  To  date,  we  have  collected  only  limited  clinical  data  with  which  to  assess  the  clinical  and  economic  value  of
VergenixFG and VergenixSTR. The collection of clinical and economic data and the process of generating peer review publications in support of our product and procedure is
an ongoing focus for us. If future publications of clinical studies indicate that procedures using our products, or other products that contains our rhCollagen, are less safe or less
effective than competing products or procedures, patients may choose not to undergo our procedure, and physicians or others in the medical community may choose not to use
our  products.  Furthermore,  unsatisfactory  patient  outcomes  or  patient  injury  could  cause  negative  publicity  for  our  products,  particularly  in  the  early  phases  of  product
introduction.

We  have  low  scale  experience  in  producing  our  rhCollagen,  and  if  we  are  unable  to  manufacture  our  rhCollagen  in  high  commercial  quantities  successfully  and
consistently to meet demand, our growth will be limited.

We  have  experience  manufacturing  limited  quantities  of  rhCollagen,  the  recombinant  human  type  I  collagen  used  for  development  with  collaborators  and  in  our
products  and  product  candidates.  Our  manufacturing  capabilities  will  need  to  be  further  improved  to  meet  the  standard  requirements  for  future  clinical  studies  and  for
commercialization of our products and product candidates. To manufacture our rhCollagen in quantities that we believe will be sufficient to produce our end products and meet
anticipated  market  demand,  we  will  need  to  increase  manufacturing  capacity,  which  will  involve  significant  challenges.  In  addition,  the  development  of  commercial-scale,
regulation-compliant  manufacturing  capabilities  will  require  us  to  invest  substantial  additional  funds  and  hire  and  retain  the  technical  personnel  who  have  the  necessary
manufacturing experience. We may not successfully complete any required increase to existing manufacturing processes in a timely manner, or at all.

8

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
If there is a disruption to our internal manufacturing operations, we will have no other means of production for the components and products from such operations
until we restore the affected facilities or develop alternative manufacturing facilities, which would delay our or our strategic partners’ clinical trials or cause us to be unable to
meet commercial demand for our products. In such case, we may need to arrange for third-party manufacturing of our components and products, which would be expensive and
time consuming, assuming we can identify an appropriate third party manufacturer. Additionally, any damage to or destruction of our facilities or equipment may significantly
impair our ability to manufacture our components and products on a timely basis.

If  we  are  unable  to  produce  our  products  in  sufficient  quantities  to  meet  anticipated  customer  demand,  our  revenues,  business,  and  financial  prospects  would  be
harmed. The lack of experience we have in producing commercial quantities of our components and products may also result in quality issues and product recalls. Any product
recall could be expensive and generate negative publicity, which could impair our ability to market our products and further affect our results of operations. Manufacturing
delays related to quality control could negatively impact our ability to bring our technologies to market, harm our reputation, and decrease our revenues.

If  we  are  unable  to  establish  sales  and  marketing  capabilities  or  enter  into  agreements  with  third  parties  to  market  and  sell  any  of  our  products,  we  may  be  unable  to
generate material revenue.

We have limited experience in selling and marketing our products or any other products. To successfully commercialize our products, we will need to develop these
capabilities,  either  on  our  own  or  with  others.  We  are  seeking  to  enter  commercial  alliances  with  third-party  collaborators  and  distributors  to  utilize  their  development,
marketing and distribution capabilities, but we may be unable to do so on favorable terms, if at all. If any future collaboration or distribution partners do not commit sufficient
resources  to  commercialize  our  future  products,  and  if  we  are  unable  to  develop  the  necessary  marketing  capabilities  on  our  own,  we  will  be  unable  to  generate  sufficient
product revenue to sustain our business. We will be competing with many companies that currently have extensive and well-funded marketing and sales operations. Without an
internal team or the support of a third party to perform marketing and sales functions, we may be unable to compete successfully against these more established companies or
successfully commercialize any of our products.

We face competition and rapid technological change and the possibility that our competitors may develop therapies or products that are more advanced or effective than
ours, which could impair our ability to successfully commercialize our products.

We operate in the regenerative and aesthetic medicine fields, which are rapidly changing. We have competitors both in the United States and internationally, including

major multinational pharmaceutical companies, biotechnology companies, medical technology companies, and universities and other research institutions.

Many of our potential competitors have substantially greater financial, technical and other resources, such as larger research and development staff and experienced
marketing and manufacturing organizations. Competition may increase further as a result of advances in the commercial applicability of technologies and greater availability of
capital for investment in these industries. Our potential competitors may succeed in developing, acquiring, or licensing on an exclusive basis, products that are more effective or
less  costly  than  any  products  that  we  may  develop,  or  achieve  earlier  patent  protection,  regulatory  approval,  product  commercialization,  and  market  penetration  than  us.
Additionally, technologies developed by others may render our potential products uneconomical or obsolete, and we may not be successful in marketing our products against
competitors.

We are not aware of any competitors that produce collagen from plants or that produce recombinant type I human collagen.

9

 
 
 
 
 
 
 
 
 
 
A variety of risks associated with international operations could harm our business.

Our intention is to market our products on a regional or worldwide basis, either alone or in collaboration with third parties. In addition, we may conduct development

activities in various jurisdictions throughout the world. We expect that we will be subject to additional risks related to engaging in international operations, including:

● different regulatory requirements for product approval in foreign countries;

● reduced protection for intellectual property rights;

● unexpected changes in tariffs, trade barriers, and regulatory requirements;

● economic weakness, including inflation, or political instability in particular foreign economies and markets;

● compliance with tax, employment, immigration, and labor laws for employees living or traveling abroad;

● foreign currency fluctuations, which could result in increased operating expenses and reduced revenue, and other obligations incident to doing business in another

country;

● workforce uncertainty in countries where labor unrest is more common than in the United States and Israel;

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

● business  interruptions  resulting  from  geopolitical  actions,  including  war  and  terrorism,  or  natural  disasters  including  earthquakes,  typhoons,  floods,  fires,

emergence of a pandemic, or other widespread health emergencies (or concerns over the possibility of such an emergency).

The insurance coverage and reimbursement status of newly approved products is uncertain. Failure to obtain or maintain adequate coverage and reimbursement for any
of our products could limit our ability to market those products and compromise our ability to generate revenue.

The availability of reimbursement by governmental and private payors is essential for most patients to be able to afford expensive treatments. Sales of our products
will depend substantially, both in Europe and in the United States, on the extent to which the costs of our products will be paid by health maintenance organizations, managed
care, pharmacy benefit managers, and similar healthcare management organizations, or reimbursed by government health administration authorities, private health coverage
insurers, and other third-party payors. If reimbursement is not available, or is available only to limited levels, we may not be able to successfully commercialize our products.
Even if we obtain coverage for our products, third-party payors may not establish adequate reimbursement amounts, which may reduce the demand for, or the price of, our
products. If reimbursement is not available or is available only to limited levels, we may not be able to commercialize certain of our products.

Furthermore, publication of discounts by third-party payors or authorities may lead to further pressure on the prices or reimbursement levels within the country of
publication and other countries. If reimbursement of our products is unavailable or limited in scope or amount, or if pricing is set at unacceptable levels, we or our partner may
elect not to commercialize our products in such countries, and our business and financial condition could be adversely affected.

Promotion of off-label uses of our products by physicians could adversely affect our business.

Any  regulatory  approval  of  our  products  is  limited  to  those  specific  indications  for  which  our  products  have  been  deemed  safe  and  effective  by  the  regulatory
authorities. In addition, any new indication for an approved product also requires regulatory approval. If we produce an approved product, we will rely on physicians to use and
administer it as we have directed and for the indications described on the labeling. It is not, however, uncommon for physicians to use in unapproved, or “off-label,” uses or in a
manner  that  is  inconsistent  with  the  manufacturer’s  directions.  To  the  extent  such  off-label  uses  and  departures  from  our  administration  directions  become  pervasive  and
produce results such as reduced efficacy or other adverse effects, the reputation of our products in the marketplace may suffer. In addition, off-label uses may cause a decline in
our revenue or potential revenue, to the extent that there is a difference between the prices of our product for different indications.

10

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Furthermore, while physicians may choose to use our products for off-label uses, our ability to promote the products is limited to those indications that are specifically
approved by the regulators. Although regulatory authorities generally do not regulate the behavior of physicians, they do restrict communications by companies with respect to
off-label use. If our promotional activities fail to comply with these regulations or guidelines, we may be subject to warnings from, or enforcement action by, these authorities.
In  addition,  failure  to  follow  regulation  authorities’  rules  and  guidelines  relating  to  promotion  and  advertising  can  result  in  the  regulation  authorities’  refusal  to  approve  a
product, the suspension or withdrawal of an approved product from the market, product recalls, fines, disgorgement of money, operating restrictions, injunctions, or criminal
prosecution.

Risks Related to the Clinical Development and Regulatory Approval of Our Products

We currently depend heavily on the future success of our medical aesthetics and 3D-bioprinting product candidates and our bioinks. Any failure to successfully develop,
obtain regulatory approval for, and commercialize these products or their end products, independently or in cooperation with a third-party collaborator, or the experience
of significant delays in doing so, would compromise our ability to generate revenue and become profitable.

We  have  invested  a  significant  portion  of  our  efforts  and  financial  resources  in  the  development  of  rhCollagen,  medical  aesthetics  and  3D-bioprinting  product
candidates, bioinks and our Vergenix line of products. We currently depend heavily on the future success of our medical aesthetics and 3D-bioprinting product candidates and
our bioinks. Our ability to generate revenues from our products and product candidates depends heavily on the successful development, approval, and commercialization of our
products, which, in turn, depend on several factors, including the following:

● our ability to continue and support our rhCollagen platform technology and programs;

● our ability to establish and maintain strategic partnerships, including the AbbVie Development Agreement;

● our or our strategic partners successfully initiating and completing preclinical, clinical and other studies required for our products and product candidates;

● demonstrating and maintaining the safety and efficacy of our products at a sufficient level of statistical or clinical significance and otherwise obtaining marketing

approvals from regulatory authorities;

● establishing successful sales and marketing arrangements for our products;

● the availability of coverage and reimbursement by healthcare payors for our products in the jurisdictions where they may be approved;

Our products are based on novel technology, which makes it difficult to predict the time and cost of product development and potential regulatory approval.

We have concentrated our product research and development efforts on our novel rhCollagen technology. The FDA has approved very few plant-expressed products.
We may experience development challenges in the future related to our technology, which could cause significant delays or unanticipated costs, and we may not be able to solve
such  development  challenges. We  may  also  experience  delays  in  developing  a  sustainable,  reproducible,  and  scalable  manufacturing  process  or  transferring  that  process  to
commercial partners, if we decide to do so.

11

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
In  addition,  the  clinical  trial  requirements  of  European  regulatory  authorities,  the  FDA,  and  other  regulatory  authorities  and  the  criteria  these  regulators  use  to
determine  the  safety  and  efficacy  of  a  product  vary  substantially  according  to  the  type,  complexity,  novelty,  and  intended  use  and  market  of  the  potential  products.  The
regulatory approval process for novel products such as ours can be more expensive and take longer than for other, better known or extensively studied products. Our products
may also be designated by the FDA or other regulatory authorities as combination products, which include: (1) a product comprised of two or more regulated components, e.g.,
drug/device, biologic/device, drug/biologic, or drug/device/biologic, that are physically, chemically, or otherwise combined or mixed and produced as a single entity; (2) two or
more separate products packaged together in a single package or as a unit and comprised of drug and device products, device and biological products, or biological and drug
products; (3) a drug, device, or biological product packaged separately that according to its investigational plan or proposed labeling is intended for use only with an approved
individually specified drug, device, or biological product where both are required to achieve the intended use, indication, or effect and where upon approval of the proposed
product the labeling of the approved product would need to be changed, e.g., to reflect a change in intended use, dosage form, strength, route of administration, or significant
change  in  dose;  or  (4)  any  investigational  drug,  device,  or  biological  product  packaged  separately  that  according  to  its  proposed  labeling  is  for  use  only  with  another
individually  specified  investigational  drug,  device,  or  biological  product  where  both  are  required  to  achieve  the  intended  use,  indication,  or  effect.  Combination  Products
containing a biologic/device then may be regulated as a biologic product, resulting in a longer regulatory approval process than the regulatory approval process for a medical
device alone. Approvals by any regulatory authorities may not be indicative of what the FDA or other regulatory agencies may require for approval, and vice versa.

Regulatory  requirements  governing  medical  devices  and  other  products  for  medical  use  have  changed  frequently  and  may  continue  to  change  in  the  future. Also,
before a clinical trial can begin, an institutional review board, or IRB, at each institution at which a clinical trial will be performed must review the proposed clinical trial to
assess the safety of the trial. In addition, adverse developments in clinical trials of comparable products conducted by others may cause European regulatory authorities, the
FDA, or other regulatory authorities to change the requirements for approval of any of our products.

These  regulatory  agencies  and  additional  or  new  requirements  may  lengthen  the  regulatory  review  process,  require  us  to  perform  additional  studies,  increase  our
development costs, lead to changes in regulatory positions and interpretations, delay or prevent approval and commercialization of our products, or lead to significant approval
and  post-approval  limitations  or  restrictions.  As  we  advance  our  products,  we  will  be  required  to  consult  with  these  regulatory  authorities,  and  comply  with  applicable
requirements. If we fail to do so, we may be required to delay or discontinue development of our products. Delay or failure to obtain, or unexpected costs in obtaining, the
regulatory approval necessary to bring a potential product to market could impair our ability to generate product revenue and to become profitable.

We or our strategic partners may find it difficult to enroll patients in clinical trials, and patients could discontinue their participation in clinical trials, which could delay or
prevent clinical trials of our products and product candidates.

Identifying and qualifying patients to participate in clinical trials of our products and product candidates is critical to our success. The timing of clinical trials depends
on the ability to recruit patients to participate in our or our strategic partners’ clinical trials. We or our strategic partners may experience delays in patient enrollment in the
future. If patients are unwilling to participate in clinical trials because of negative publicity from adverse events in the biotechnology, pharmaceutical or medical technology
industries,  or  for  other  reasons,  including  competitive  clinical  trials  for  similar  patient  populations,  the  timeline  for  recruiting  patients,  conducting  trials,  and  obtaining
regulatory  approval  of  potential  products  may  be  delayed. These  delays  could  result  in  increased  costs,  delays  in  advancing  our  product  development,  delays  in  testing  the
effectiveness of our technology, or termination of the clinical trials altogether.

We or our strategic partners may not be able to identify, recruit, and enroll a sufficient number of patients, or those with required or desired characteristics to achieve

diversity in a trial, to complete clinical trials in a timely manner, or at all. Patient enrollment is affected by factors including:

● design of the trial protocol;

● size of the patient population;

● eligibility criteria for the trial in question;

12

 
 
 
 
 
 
 
 
 
 
 
 
 
 
● severity of the disease/wounds under investigation;

● perceived risks and anticipated benefits of the product under study;

● proximity and availability of clinical trial sites for prospective patients;

● availability of competing therapies, products, and clinical trials;

● efforts to facilitate timely enrollment in clinical trials;

● patient referral practices of physicians; and

● ability to monitor patients adequately during and after treatment.

While we are currently not conducting any clinical trials, the dermal and soft tissue filler product candidate for the medical aesthetics market is currently undergoing
testing in clinical trials, which trials are designed, planned, and executed by AbbVie, in accordance with the AbbVie Development Agreement. We and/or our strategic partners
may  not  be  able  to  initiate  or  continue  future  clinical  trials  if  a  sufficient  number  of  eligible  patients  to  participate  in  the  clinical  trials  required  by  European  regulatory
authorities, the FDA, or other regulatory authorities cannot be enrolled.

In addition, patients enrolled in ours, or our strategic partners’ clinical trials may discontinue their participation at any time during the trial as a result of a number of
factors, including withdrawing their consent or experiencing adverse clinical events, which may or may not be related to our products under evaluation. The discontinuation of
patients in any one of the trials may cause delay or abandonment of such clinical trial, or cause the results from that trial not to be positive or sufficient to support a filing for
regulatory approval of the applicable product.

Clinical trials may not be successful or may be delayed.

Before obtaining marketing approval from regulatory authorities for the sale of our products or product candidates or any future product, we or our strategic partners
must conduct clinical trials to demonstrate the safety in humans for European CE marking certification, and the safety and efficacy in humans for other regulatory authorities
such  as  the  United  States. While  we  are  currently  not  conducting  any  clinical  trials,  the  dermal  and  soft  tissue  filler  product  candidate  for  the  medical  aesthetics  market  is
currently undergoing testing in clinical trials, which trials are designed, planned, and executed by AbbVie, in accordance with the AbbVie Development Agreement. In addition,
we expect to rely on a number of contract research organizations, or CROs, and other third parties, to assist in undertaking, managing, monitoring, and executing future clinical
trials. Clinical trials are expensive, time consuming, and uncertain as to outcome. We cannot guarantee that any clinical trials will be conducted as planned or completed on
schedule,  if  at  all.  We  or  our  strategic  partners  may  not  receive  FDA  regulatory  approval  for  the  conduct  of  any  particular  clinical  trial  in  the  United  States  or  regulatory
approval for conduct of such clinical trial in other countries. A failure of one or more clinical trials can occur at any stage of testing. Events that may prevent successful or
timely completion of clinical development include:

● delays in reaching a consensus with regulatory agencies on trial design;

● delays in reaching agreement on acceptable terms with prospective CROs and clinical trial sites;

● delays in obtaining required IRB approval at each clinical trial site;

● delays in recruiting suitable patients to participate in our clinical trials;

● imposition of a clinical hold by regulatory agencies, including after an inspection of our clinical trial operations or trial sites;

13

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
● failure by our strategic partners, CROs, other third parties or us to perform in accordance with clinical trial requirements or the FDA’s good clinical practices, or

GCP, or applicable regulatory requirements in other countries;

● delays in the testing, validation, manufacturing, and delivery of our products to the clinical sites;

● delays in having patients complete participation in a trial or return for post-treatment follow-up;

● clinical trial sites or patients dropping out of a trial;

● occurrence of serious adverse events associated with the products that are viewed to outweigh their potential benefits; or

● changes in regulatory requirements and guidance that require amending or submitting new clinical trial protocols.

Any inability to successfully complete preclinical and clinical development could result in additional costs to us or impair our ability to generate revenue from product
sales,  milestone  payments  or  royalties.  In  addition,  if  we  or  our  strategic  partners  make  manufacturing  or  design  changes  to  our  products  or  product  candidates,  additional
studies may be required to bridge our modified products to earlier versions. Clinical trial delays could also shorten any periods during which we may have the exclusive right to
commercialize  our  products  or  product  candidates  or  allow  our  competitors  to  bring  products  to  market  before  we  do,  which  could  impair  our  ability  to  successfully
commercialize our products.

If the results of clinical trials are inconclusive or if there are safety concerns or adverse events associated with our products or product candidates, we or our strategic

partners may:

● fail to obtain, or be delayed in obtaining, marketing approval for our products or product candidates;

● obtain approval for indications or patient populations that are not as broad as intended or desired;

● obtain approval with labeling that includes significant use or distribution restrictions or safety warnings;

● be required to perform additional clinical trials to support approval or be subject to additional post-marketing testing requirements;

● have regulatory authorities withdraw their approval of the product or impose restrictions on its distribution;

● be subject to the addition of labeling statements, such as warnings or contraindications;

● be sued; or

● experience damage to our reputation.

Any of these events could prevent us from achieving or maintaining market acceptance of our products or product candidates and impair our ability to commercialize

our products.

Success in early clinical trials may not be indicative of results obtained in later trials.

There is a high failure rate for medical devices, drugs, and biologics proceeding through clinical trials. A number of companies in the pharmaceutical, biotechnology,
and  medical  technology  industries  have  suffered  significant  setbacks  in  later  stage  clinical  trials  even  after  achieving  promising  results  in  earlier  stage  clinical  trials.  Data
obtained from preclinical and clinical activities are subject to varying interpretations, which may delay, limit, or prevent regulatory approval. In addition, regulatory delays or
rejections may be encountered as a result of many factors, including the novelty of the product and changes in regulatory policy during the period of product development.

14

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Even  if  we  or  our  strategic  partners  complete  the  necessary  preclinical  studies  and  clinical  trials,  we  cannot  predict  when  or  if  we  will  obtain  regulatory  approval  to
commercialize a product, or the approval may be for a more narrow indication than we expect.

We or our strategic partners cannot commercialize a product until the appropriate regulatory authorities have reviewed and approved the product. Even if our products
or product candidates demonstrate safety and efficacy in clinical trials, the regulatory agencies may not complete their review processes in a timely manner, or we may not be
able  to  obtain  regulatory  approval. Additional  delays  may  result  if  an  FDA Advisory  Committee  or  other  regulatory  authority  recommends  non-approval  or  restrictions  on
approval.  In  addition,  we  may  experience  delays  or  rejections  based  upon  additional  government  regulation  from  future  legislation  or  administrative  action,  or  changes  in
regulatory agency policy during the period of product development, clinical trials, and the review process. Regulatory agencies also may approve a treatment for fewer or more
limited indications than requested or may grant approval subject to the performance of post-marketing studies. In addition, regulatory agencies may not approve the labeling
claims that are necessary or desirable for the successful commercialization of our treatment.

Side effects may occur following treatment with our products or product candidates which could make it more difficult for our products to receive regulatory approval.

Treatment with our products or product candidates may cause side effects or other adverse events. In addition, since our products may be administered in combination
with other therapies, patients or clinical trial participants may experience side effects or other adverse events that are unrelated to our product, but may still impact the success
of our clinical trials. Additionally, our products or product candidates could potentially cause other adverse events that have not yet been predicted. The experience of side
effects and adverse events in our clinical trials could make it more difficult to achieve regulatory approval of our products or, if approved, could negatively impact the market
acceptance of such products.

Even if we or a strategic partner obtains regulatory approval for a product, our products will remain subject to regulatory scrutiny.

Even if we or a strategic partner obtain regulatory approval in a jurisdiction, the regulatory authority may still impose significant restrictions on the indicated uses or
marketing of our products, or impose ongoing requirements for potentially costly post-approval studies or post-market surveillance. Advertising and promotional materials must
comply  with  FDA,  Federal  Trade  Commission,  or  FTC,  and  European  and  other  countries’  regulatory  requirements  and  are  subject  to  review  by  the  FDA,  FTC  or  other
governmental authorities, in addition to other potentially applicable federal and state laws.

The laws that may affect our operations in the United States include:

● the  federal  Anti-Kickback  Statute,  which  prohibits,  among  other  things,  persons  from  knowingly  and  willfully  soliciting,  receiving,  offering,  or  paying
remuneration,  directly  or  indirectly,  to  induce,  or  in  return  for,  the  purchase  or  recommendation  of  an  item  or  service  reimbursable  under  a  federal  healthcare
program, such as the Medicare and Medicaid programs;

● federal  civil  and  criminal  false  claims  laws  and  civil  monetary  penalty  laws,  which  prohibit,  among  other  things,  individuals,  or  entities  from  knowingly

presenting, or causing to be presented, claims for payment from Medicare, Medicaid, or other third-party payors that are false or fraudulent;

● the federal Health Insurance Portability and Accountability Act of 1996, or HIPAA, which created new federal criminal statutes that prohibit executing a scheme

to defraud any healthcare benefit program and making false statements relating to healthcare matters;

15

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
● HIPAA,  as  amended  by  the  Health  Information  Technology  and  Clinical  Health  Act,  or  HITECH,  and  its  implementing  regulations,  which  imposes  certain

requirements relating to the privacy, security, and transmission of individually identifiable health information;

● the federal physician sunshine requirements under the Patient Protection and Affordable Care Act, which requires manufacturers of drugs, devices, biologics, and
medical supplies to report annually to the Centers for Medicare and Medicaid Services, or CMS, information related to payments and other transfers of value to
physicians, other healthcare providers, and teaching hospitals, and ownership and investment interests held by physicians and other healthcare providers and their
immediate family members; and

● foreign and state law equivalents of each of the above federal laws, such as the U.S. Foreign Corrupt Practices Act, or the FCPA, and anti-kickback and false
claims  laws  that  may  apply  to  items  or  services  reimbursed  by  any  third-party  payor,  including  commercial  insurers;  state  laws  that  require  pharmaceutical
companies  to  comply  with  the  pharmaceutical  industry’s  voluntary  compliance  guidelines  and  the  applicable  compliance  guidance  promulgated  by  the  federal
government, or otherwise restrict payments that may be made to healthcare providers and other potential referral sources; state laws that require manufacturers to
report  information  related  to  payments  and  other  transfers  of  value  to  physicians  and  other  healthcare  providers  or  marketing  expenditures;  and  state  laws
governing the privacy and security of health information in certain circumstances, many of which differ from each other in significant ways, thus complicating
compliance efforts.

The  scope  of  these  laws  and  our  lack  of  experience  in  establishing  the  compliance  programs  necessary  to  comply  with  this  complex  and  evolving  regulatory

environment increase the risks that we may violate the applicable laws and regulations.

In addition, product manufacturers and their facilities are subject to continual review and periodic inspections by the European regulatory authorities, the FDA, and
other  regulatory  authorities  for  compliance  with  cGMP  or  any  applicable  European  or  other  governmental  regulations.  If  we  or  a  regulatory  agency  discover  previously
unknown problems with a product such as adverse events of unanticipated severity or frequency or problems with the facility where the product is manufactured, a regulatory
agency may impose restrictions relative to that product or the manufacturing facility, including requiring recall or withdrawal of the product from the market or suspension of
manufacturing.

If we fail to comply with applicable regulatory requirements following approval of any of our products, one or more regulatory authorities could:

● issue a warning letter asserting that we are in violation of the law;

● seek an injunction or impose civil or criminal penalties or monetary fines;

● suspend or withdraw regulatory approval;

● suspend any ongoing clinical trials;

● seize our product; or

● refuse to allow us to enter into supply contracts, including government contracts.

Any government investigation of alleged violations of law could require us to expend significant time and resources in response and could generate negative publicity

and potentially lead to private litigation. The occurrence of any event or penalty described above may inhibit our ability to commercialize our products and generate revenues.

16

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
We have only limited experience in regulatory affairs and intend to rely on consultants and other third parties for regulatory matters, which may affect our ability or the
time we require to obtain necessary regulatory approvals.

We have limited experience in preparing and filing the applications necessary to gain regulatory approvals for our products and product candidates to the extent that
we decide to make such applications ourselves. Moreover, the products that are likely to result from our development programs are based on new technologies that have not
been extensively used in humans. The regulatory requirements governing these types of products may be less well defined or more rigorous than for conventional products. As
a result, we may experience a longer regulatory review process in connection with obtaining regulatory approvals, if any, of products that we develop. We intend to rely on
independent consultants for regulatory services and compliance and product development and filings in Europe, the United States and elsewhere. Any failure by our consultants
to  properly  advise  us  regarding,  or  properly  perform  tasks  related  to,  regulatory  submission  and  other  requirements  could  compromise  our  ability  to  develop  and  obtain
regulatory approval of our products.

We and our strategic partners are subject to stringent regulation and any adverse regulatory action may materially adversely affect our financial condition and business
operations.

Our  and  our  strategic  partners’  products,  development  activities,  and  manufacturing  processes  are  subject  to  extensive  and  rigorous  regulation  by  numerous
government agencies, including European regulatory authorities, the FDA, and other regulatory authorities. To varying degrees, each of these agencies monitors and enforces
our compliance with laws and regulations governing the development, testing, manufacturing, labeling, marketing, and distribution of our products. The process of obtaining
marketing approval or clearance in Europe, the United States, and other countries for new products or enhancements or modifications to existing products could:

● take a significant amount of time;

● require the expenditure of substantial resources;

● involve rigorous and expensive preclinical and clinical testing, as well as increased post-market surveillance;

● involve modifications, repairs, or replacements of our products; and

● result in limitations on the indicated uses of our products.

We cannot be certain that we, or our strategic partners, will receive required approval or clearance from European regulatory authorities, the FDA, or other regulatory
authorities for new products or modifications to existing products on a timely basis. The failure to receive approval or clearance for significant new products or modifications to
existing products on a timely basis could have a material adverse effect on our financial condition and results of operations.

Both before and after a product is commercially released, we and our strategic partners have ongoing responsibilities under FDA regulations. For example, we are
required to comply with the FDA’s Quality System Regulation, or QSR, which are the good manufacturing requirements that the FDA applies to medical devices, and which
mandate that manufacturers adhere to certain requirements pertaining to, among other things, development of our products, validation of manufacturing processes, controls for
purchasing product components, and documentation practices. As another example, FDA regulations require us to provide information to the FDA whenever there is evidence
that reasonably suggests that a product may have caused or contributed to a death or serious injury, or that a malfunction occurred which would be likely to cause or contribute
to a death or serious injury upon recurrence. Compliance with applicable regulatory requirements is subject to continual review and is monitored rigorously through, among
other things, periodic inspections by the FDA, which may result in observations on Form 483 that require corrective action, and in some cases warning letters, and potentially
stopping the manufacturing until issues are remedied. If the FDA were to conclude that we are not in compliance with applicable laws or regulations, or that any of our products
are ineffective or pose an unreasonable health risk, the Company may withdraw or recall the product or the FDA could ban such products, detain or seize such products, order a
recall, repair, replacement, or refund of such products, or require us to notify health professionals and others that the devices present unreasonable risks of substantial harm to
the public health.

17

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The FDA has been increasing its scrutiny of the medical device, drugs, and biologics industries, and regulatory agencies are expected to continue to scrutinize the
industry  closely  with  inspections,  with  possible  enforcement  actions  by  the  FDA  or  other  agencies.  Additionally,  the  FDA  may  restrict  manufacturing  and  impose  other
operating  restrictions,  enjoin  and  restrain  certain  violations  of  applicable  law  pertaining  to  medical  products,  and  assess  civil  or  criminal  penalties  against  our  officers,
employees, or us. The FDA may also recommend prosecution to the Department of Justice. Any adverse regulatory action, depending on its magnitude, may restrict us from
effectively manufacturing, marketing, and selling our products. In addition, negative publicity and product liability claims resulting from any adverse regulatory action could
have a material adverse effect on our financial condition and results of operations.

Finally, the FDA issued regulations regarding “Current Good Manufacturing Practice Requirements for Combination Products” on January 22, 2013. These regulations
may apply to some of our products if they are designated by the FDA as combination products, which are products composed of two or more regulated components, such as a
drug and a medical device. There have been and will be additional costs associated with compliance with the FDA Good Manufacturing Practice Requirements regulations for
Combination Products.

Governmental  regulations  have  become  increasingly  stringent  and  more  common,  and  we  may  become  subject  to  even  more  rigorous  regulation  by  governmental
authorities in various countries in the future. Penalties for a company’s non-compliance with governmental regulation could be severe, including revocation or suspension of a
company’s business license and criminal sanctions.

The impact of healthcare reform and other changes in the healthcare industry and in healthcare spending is currently unknown, and may adversely affect our business
model.

The commercial potential for our approved products, if any, could be affected by changes in healthcare spending and policy in Europe, in the United States, and in
other countries. We operate in a highly regulated industry and new laws, regulations, or judicial decisions, or new interpretations of existing laws, regulations, or decisions,
related  to  healthcare  availability,  the  method  of  delivery,  or  payment  for  healthcare  products  and  services  could  negatively  impact  our  business,  operations,  and  financial
condition.

In  addition  to  the  level  of  commercial  success  of  our  products,  our  future  prospects  are  also  dependent  on  our  ability  to  successfully  develop  a  pipeline  of  additional
products, and we may not be successful in our efforts in using our platform technologies to identify or discover additional products.

The  success  of  our  business  depends  primarily  upon  our  ability  to  identify,  develop,  and  commercialize  products  based  on  our  platform  technology.  Our  research
programs may fail to identify other potential products for clinical development for a number of reasons. Our research methodology may be unsuccessful in identifying potential
products or our potential products may be shown to have harmful side effects or may have other characteristics that may make the products unmarketable or unlikely to receive
marketing approval.

If any of these events occur, we may be forced to abandon our development efforts for a program or programs. Research programs to identify new products require

substantial technical, financial, and human resources. We may focus our efforts and resources on potential programs or products that ultimately prove to be unsuccessful.

Risks Related to Our Reliance on Third Parties

We may not be successful in establishing and maintaining strategic partnerships, which could adversely affect our ability to develop and commercialize rhCollagen based
products in 3D bioprinting and medical aesthetics and future products for medical and aesthetics markets.

To  successfully  develop  and  commercialize  our  products  and  product  candidates,  we  will  need  substantial  financial  resources  as  well  as  expertise  and  physical
resources  and  systems.  We  may  elect  to  develop  some  or  all  of  these  physical  resources  and  systems  and  expertise  ourselves,  or  we  may  seek  to  collaborate  with  another
company that can provide some or all of such physical resources and systems as well as financial resources and expertise. For example, in February 2021, we entered into the
AbbVie Development Agreement pursuant to which we and AbbVie agreed to collaborate in the development and commercialization of dermal and soft tissue filler products for
the medical aesthetics market, using our rhCollagen technology and AbbVie’s technology.

18

 
 
 
 
 
 
 
 
 
 
 
 
 
We face significant competition in seeking appropriate partners for our products and product candidates, and the negotiation process is time-consuming and complex.
In  order  for  us  to  successfully  partner  our  products  and  product  candidates,  potential  partners  must  view  our  products  and  product  candidates  as  economically  valuable  in
markets they determine to be attractive in light of the terms that we are seeking and other available products for licensing by other companies. Even if we are successful in our
efforts  to  establish  strategic  partnerships,  the  terms  that  we  agree  upon  may  not  be  favorable  to  us,  and  we  may  not  be  able  to  maintain  such  strategic  partnerships  if,  for
example, development or approval of a product is delayed or sales of an approved product are disappointing. Any delay in entering into strategic partnership agreements related
to our products could delay the development and commercialization of our products and reduce their competitiveness even if they reach the market. If we fail to establish and
maintain strategic partnerships related to our products, we will bear all of the risk and costs related to the development and commercialization of our products, and we will need
to seek additional financing, hire additional employees and otherwise develop expertise which we do not have and for which we have not budgeted.

The risks in a strategic partnership include the following:

● the strategic partner may not apply the expected financial resources, efforts, or required expertise in developing the physical resources and systems necessary to

successfully develop and commercialize a product or product candidate;

● the strategic partner may not invest in the development of a sales and marketing force and the related infrastructure at levels that ensure that sales of the products

reach their full potential;

● we may be required to undertake the expenditure of substantial operational, financial, and management resources;

● we may be required to issue equity securities that would dilute our existing shareholders’ percentage ownership;

● we may be required to assume substantial actual or contingent liabilities;

● we, or our strategic partner, may not receive requisite regulatory approvals;

● strategic partners could decide to withdraw a development program, or move forward with a competing product developed either independently or in collaboration

with others, including our competitors;

● disputes may arise between us and a strategic partner that delay the development or commercialization or adversely affect the sales or profitability of the product;

or

● the strategic partner may independently develop, or develop with third parties, products that could compete with our products.

In addition, a strategic partner for one or more of our products or product candidates may have the right to terminate the collaboration at its discretion. For example,
AbbVie may terminate the AbbVie Development Agreement upon 60 days’ written notice to us for any or no reason. Any early termination in a manner adverse to us could have
a material adverse effect on our liquidity, financial condition and results of operations. Any termination may require us to seek a new strategic partner, which we may not be
able to do on a timely basis, if at all, or require us to delay or scale back our development and commercialization efforts. The occurrence of any of these events could adversely
affect  the  development  and  commercialization  of  our  products  or  product  candidates  and  materially  harm  our  business  and  stock  price  by  delaying  the  development  of  our
products, and the sale of any products that may be approved by the FDA or other regulatory agencies, by slowing the growth of such sales, by reducing the profitability of the
product and/or by adversely affecting the reputation of the product.

19

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Further, in case of a breach of an agreement with us by a strategic partner, or upon termination by either party to the agreement for any reason, we may not be able to
adequately protect our rights under these agreements, including intellectual property rights, or maintain exclusive rights to shared intellectual property rights. Furthermore, a
strategic partner will likely negotiate for certain rights to control decisions regarding the development and commercialization of our products, if approved, and may not conduct
those activities in the same manner as we would do so.

We expect to depend upon third-party collaborators, distributors, and resellers for a significant portion of our sales.

We expect to rely primarily upon sales through independent collaborators, distributors and resellers. While we are highly dependent upon acceptance of our products
and solutions by such third parties and their active marketing and sales efforts relating to our products, most of our distributors and resellers will not be obligated to deal with us
exclusively and are not contractually subject to minimum purchase requirements. In addition, some of our distributors and resellers may sell competing products or solutions.
As a result, our distributors and resellers may give higher priority to products or services of our competitors, thereby reducing their efforts in selling our products and services.

There can be no assurance that such distributors and resellers will act as effective sales agents for us, that they will remain our partners, or that, if we terminate or lose
any of them, we will be successful in replacing them. Any disruption in our distribution channels could adversely affect our business, operating results, and financial condition.

We expect to rely on third parties to conduct some aspects of our product manufacturing, protocol development, research, and preclinical and clinical testing, and these
third parties may not perform satisfactorily.

We do not expect to independently conduct all aspects of our product manufacturing, protocol development, research, and preclinical and clinical testing. We currently

rely, and expect to continue to rely, on third parties, including strategic partners, with respect to parts of these items.

Any of these third parties may terminate their engagements with us at any time or upon advance notice. If we need to enter into alternative arrangements, it could delay
our product development activities. Our reliance on these third parties for research and development activities will reduce our control over these activities but will not relieve us
of our responsibility to ensure compliance with all required regulations and study protocols.

If these third parties do not successfully carry out their contractual duties, meet expected deadlines, or conduct our studies in accordance with regulatory requirements
or our stated study plans and protocols, we may not be able to complete, or may be delayed in completing, the preclinical studies and clinical trials required to support future
FDA, European, or other approvals of our products.

Reliance on third-party manufacturers entails risks to which we would not be subject if we manufactured the products ourselves, including:

● the inability to negotiate manufacturing agreements with third parties under commercially reasonable terms;

● reduced control as a result of using third-party manufacturers for all aspects of manufacturing activities;

● termination or non-renewal of manufacturing agreements with third parties in a manner or at a time that is costly or damaging to us; and

● disruptions to the operations of our third-party manufacturers or suppliers caused by conditions unrelated to our business or operations, including the bankruptcy

of the manufacturer or supplier.

Any  of  these  events  could  lead  to  clinical  trial  delays  or  failure  to  obtain  regulatory  approval,  or  impact  our  ability  to  successfully  commercialize  future  products.
Some of these events could be the basis of action from European regulatory authorities, the FDA, or other regulatory authorities, including injunction, recall, seizure, or total or
partial suspension of production.

20

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
If  we  or  our  third  parties  on  which  we  rely  cannot  manufacture  our  products  at  sufficient  yields,  we  may  experience  delays  in  development,  regulatory  approval,  and
commercialization.

Commercialization of our products require access to, or development of facilities to manufacture our products at sufficient yields and at a commercial scale. We have
limited experience in large scale manufacturing volumes that are expected to be necessary to support large-scale sales. Our efforts to establish these capabilities may not meet
our requirements as to scale-up, yield, cost, potency, or quality in compliance with cGMP. Future clinical trials should be conducted with product produced under applicable
cGMP  regulations.  Failure  to  comply  with  these  regulations  would  delay  the  regulatory  approval  process.  Even  an  experienced  third-party  manufacturer  may  encounter
difficulties in production, including:

● costs and challenges associated with scale-up and attaining sufficient manufacturing yields;

● supply chain issues, including the timely availability and shelf-life requirements of raw materials and supplies;

● quality control and assurance;

● shortages of qualified personnel and capital required to manufacture large quantities of product;

● compliance with regulatory requirements that vary in each country where a product might be sold;

● capacity limitations and scheduling availability in contracted facilities; and

● natural disasters or war and terrorism that affect facilities and possibly limit production.

Any delay or interruption in the supply of our products could have a material adverse effect on our business and operations.

The regulatory authorities also may, at any time following approval of a product for sale, audit our manufacturing facilities or those of our third-party contractors. If
any such inspection or audit identifies a failure to comply with applicable regulations or our product specifications or if a violation of applicable regulations, including a failure
to comply with the product specifications, occurs independent of such an inspection or audit, we or the relevant regulatory authority may require remedial measures that may be
costly  or  time  consuming  for  us  or  a  third  party  to  implement  and  that  may  include  the  temporary  or  permanent  suspension  of  a  clinical  trial  or  commercial  sales  or  the
temporary or permanent closure of a facility.

If we or any of our third-party manufacturers fail to maintain regulatory compliance, the FDA or the European authorities can impose regulatory sanctions including,

among other things, refusal to approve a pending application for a new product or revocation of a pre-existing approval.

Additionally, if supply from one approved manufacturer or if supply from our own facility is interrupted, there could be a significant disruption in commercial supply.
Switching manufacturers or facilities may involve substantial costs and is likely to result in a delay in our desired clinical and commercial timelines. While we currently have a
plan to upgrade our production site in Israel into a large-scale integrated facility, we may not be able to secure the necessary funds for its execution, and our plan may not come
into effect, or if it does, it may not be successful.

These factors could cause the delay of clinical trials, regulatory submissions, required approvals, or commercialization of our products; cause us to incur higher costs;
and prevent us from commercializing our products successfully. Furthermore, if our suppliers fail to meet contractual requirements, and we are unable to secure one or more
replacement suppliers capable of production at a substantially equivalent cost, our clinical trials may be delayed or we could lose potential revenue.

21

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
We are relying on third parties to conduct, supervise, and monitor our existing pre-clinical studies, and our future clinical trials, and if these third parties perform in an
unsatisfactory manner, it may harm our business.

We rely on our CROs and other consultants and third parties to conduct, supervise, and monitor our pre-clinical studies. In addition, as part of our future clinical trials,
we expect to rely heavily on hospitals, clinic centers, and other institutions and third parties, including the principal investigators and their staff, to carry out our future clinical
trials in accordance with our clinical protocols and designs. As part of our future clinical trials, we also expect to rely on a number of CROs to assist in undertaking, managing,
monitoring, and executing future clinical trials as well as clinical data management organizations, medical institutions, and clinical investigators to conduct our development
efforts  in  the  future.  We  compete  with  many  other  companies  for  the  resources  of  these  third  parties,  and  large  pharmaceutical  and  medical  device  companies  often  have
significantly  more  extensive  agreements  and  relationships  with  such  third-party  providers,  and  such  third-party  providers  may  prioritize  the  requirements  of  such  large
pharmaceutical and medical device companies over ours. The third parties on whom we rely on may terminate their engagements with us at any time, which may cause delay in
the development and commercialization of our products or product candidates. If any such third party terminates its engagement with us or fails to perform as agreed, we may
be required to enter into alternative arrangements, which would result in significant cost and delay to our product development program. Moreover, our agreements with such
third parties generally do not provide assurances regarding employee turnover and availability, which may cause interruptions in the research on our products by such third
parties.

Moreover, while our reliance on these third parties for certain development, trial and management activities will reduce our control over these activities, it will not
relieve us of our responsibilities. For example, European regulatory authorities, the FDA, and other regulatory authorities require compliance with regulations and standards,
including GCP requirements, for designing, conducting, monitoring, recording, analyzing, and reporting the results of clinical trials to ensure that the data and results from trials
are credible and accurate and that the rights, integrity, and confidentiality of trial participants are protected. Although we expect to rely on third parties to conduct our clinical
trials, we are responsible for ensuring that each of these clinical trials is conducted in accordance with its general investigational plan and protocol under legal and regulatory
requirements. Regulatory authorities enforce these GCP requirements through periodic inspections of trial sponsors, principal investigators, and trial sites. If we or any of our
CROs or these other third parties fail to comply with applicable GCP requirements, the clinical data generated in our clinical trials may be deemed unreliable, and European
regulatory  authorities,  the  FDA,  or  other  regulatory  authorities  may  require  us  to  perform  additional  clinical  trials  before  approving  our  marketing  applications. We  cannot
assure you that upon inspection by a regulatory authority, such regulatory authority will determine that any of our clinical trials comply with GCP requirements.

If  CROs  and  other  third  parties  do  not  successfully  carry  out  their  duties  under  their  agreements  with  us,  if  the  quality  or  accuracy  of  the  data  they  obtain  is
compromised  due  to  their  failure  to  adhere  to  trial  protocols  or  to  regulatory  requirements,  or  if  they  otherwise  fail  to  comply  with  regulations  and  trial  protocols  or  meet
expected standards or deadlines, the trials of our products or product candidates may not meet regulatory requirements. If trials do not meet regulatory requirements or if these
third parties need to be replaced, the development of our products or product candidates may be delayed, suspended, or terminated, or the results may not be acceptable. If any
of these events occur, we may not be able to obtain regulatory approval of our products on a timely basis, at a reasonable cost, or at all. 

Our reliance on third parties may require us to share our trade secrets, which increases the possibility that a competitor will discover them or that our trade secrets will be
misappropriated or disclosed.

Because we rely on third parties to manufacture our products, and because we collaborate with various organizations and academic institutions on the advancement of
our technology, we must, at times, share trade secrets with them. We seek to protect our proprietary technology, rights and information in part by entering into confidentiality
agreements and, if applicable, material transfer agreements, collaborative research agreements, consulting agreements, or other similar agreements with our strategic partners,
service providers, advisors, employees, and consultants prior to beginning research or disclosing proprietary information. These agreements typically limit the rights of the third
parties to use or disclose our confidential information, such as proprietary information and trade secrets. Despite these contractual provisions, the need to share trade secrets and
other  confidential  information  increases  the  risk  that  such  trade  secrets  and  information  become  known  by  potential  competitors,  are  inadvertently  incorporated  into  the
technology  of  others,  or  are  disclosed  or  used  in  violation  of  these  agreements.  Given  that  our  proprietary  position  is  based,  in  part,  on  our  know-how  and  trade  secrets,
discovery by a third party of our trade secrets or other unauthorized use or disclosure would impair our intellectual property rights and protections in our products.

22

 
 
 
 
 
 
 
 
In addition, these agreements typically restrict the ability of our collaborators, advisors, employees, and consultants to publish data potentially relating to our trade
secrets. Our academic collaborators typically have rights to publish data, provided that we are notified in advance and may delay publication for a specified time in order to
secure our intellectual property rights arising from the collaboration. In other cases, publication rights are controlled exclusively by us, although in some cases we may share
these  rights  with  other  parties.  Despite  our  efforts  to  protect  our  trade  secrets,  our  competitors  may  discover  our  trade  secrets,  either  through  breach  of  these  agreements,
independent  development,  or  publication  of  information  including  our  trade  secrets  in  cases  where  we  do  not  have  proprietary  or  otherwise  protected  rights  at  the  time  of
publication.

It could be difficult to replace some of our suppliers and equipment vendors.

Outside vendors provide key components, raw materials, and equipment used in the manufacture of our products. An uncorrected defect or supplier’s variation in a
component or raw material, either unknown to us or incompatible with our manufacturing process, could harm our ability to manufacture products or conduct research and
developments activities. We may not be able to find a sufficient alternative supplier in a reasonable time period, or on commercially reasonable terms, if at all, and our ability to
conduct research and development activities or produce and supply our products could be impaired.

If we were suddenly unable to purchase from one or more of these companies, we would need a significant period of time to qualify a replacement, and the production
of any affected products could be disrupted. While it is our policy to maintain sufficient inventory of components so that our development programs and production will not be
significantly disrupted even if a particular component or material is not available for a period of time, we remain at risk that we will not be able to qualify new components or
materials quickly enough to prevent a disruption if one or more of our suppliers ceases production of important components or materials, or if we are unable to quickly procure
replacement equipment.

Risks Related to Our Business Operations

Our future success depends on our ability to retain senior management, consultants, and advisors and to attract, retain, and motivate qualified personnel.

We are dependent on principal members of our executive team listed under “Management” in this Annual Report, the loss of whose services may adversely impact the
achievement of our objectives. While we have entered into employment agreements with each member of our senior management, any of them could leave our employment at
any time, subject to advance notice periods. Recruiting and retaining other qualified employees, consultants, and advisors for our business, including scientific and technical
personnel, will also be critical to our success. There is currently a shortage of skilled executives in our industry, which is likely to continue. As a result, competition for skilled
personnel  is  intense  and  the  turnover  rate  can  be  high.  We  may  not  be  able  to  attract  and  retain  personnel  on  acceptable  terms  given  the  competition  among  numerous
pharmaceutical and medical device companies for individuals with similar skill sets. In addition, failure to succeed in clinical trials may make it more challenging to recruit and
retain  qualified  personnel.  The  inability  to  recruit  or  loss  of  the  services  of  any  executive,  key  employee,  consultant,  or  advisor  may  impede  the  progress  of  our  research,
development, and commercialization objectives.

Our collaborations with outside scientists and consultants may be subject to restriction and change.

We work with medical experts, chemists, biologists, and other scientists at academic and other institutions, and consultants who assist us in our research, development,
and regulatory efforts, including the members of our scientific advisory board. In addition, these scientists and consultants have provided, and we expect that they will continue
to provide, valuable advice regarding our programs and regulatory approval processes. These scientists and consultants are not our employees and may have other commitments
that would limit their future availability to us. If a conflict of interest arises between their work for us and their work for another entity, we may lose their services. In addition,
we are limited in our ability to prevent them from establishing competing businesses or developing competing products. For example, if a key scientist acting as a principal
investigator in any of our clinical trials identifies a potential product that is more scientifically interesting to his or her professional interests, his or her availability to remain
involved in our clinical trials could be restricted or eliminated.

23

 
 
 
 
 
 
 
 
 
 
 
Our business and operations would suffer in the event of computer system failures or security breaches.

Despite the implementation of security measures, our internal computer systems, and those of our strategic partners, CROs and other third parties on which we rely, are
vulnerable to damage from computer viruses, unauthorized access, cyber-attacks, natural disasters, fire, terrorism, war, and telecommunication and electrical failures. If such an
event were to occur and interrupt our operations, it could result in a material disruption of our development programs. For example, the loss of clinical trial data from ongoing
or  planned  clinical  trials  could  result  in  delays  in  our  or  our  strategic  partners’  regulatory  approval  efforts  and  significantly  increase  our  costs  to  recover  or  reproduce  the
data. To the extent that any disruption or security breach results in a loss of or damage to our data or applications, loss of trade secrets or inappropriate disclosure of confidential
or  proprietary  information,  including  protected  health  information  or  personal  data  of  employees  or  former  employees,  access  to  our  clinical  data,  or  disruption  of  the
manufacturing process, we could incur liability and the further development of our product candidates could be delayed. We may also be vulnerable to cyber-attacks by hackers
or other malfeasance. This type of breach of our cybersecurity may compromise our confidential information and/or our financial information and adversely affect our business
or result in legal proceedings. Further, these cybersecurity breaches may inflict reputational harm upon us that may result in decreased market value and erode public trust.

We will need to expand our organization and we may experience difficulties in managing this growth, which could disrupt our operations.

As of March 20, 2024, we had 75 employees. As we mature and undertake the activities required to advance our products and product candidates and to operate as a
public company in the United States, we expect to expand our full-time employee base and to hire more consultants and contractors. Our management may need to divert a
disproportionate amount of its attention away from our day-to-day activities and devote a substantial amount of time to managing these growth activities. We may not be able to
effectively  manage  the  expansion  of  our  operations,  which  may  result  in  weaknesses  in  our  infrastructure,  operational  setbacks,  loss  of  business  opportunities,  loss  of
employees, and reduced productivity among remaining employees. Our expected growth could require significant capital expenditures and may divert financial resources from
other projects, such as the development of additional products. If our management is unable to effectively manage our growth, our expenses may increase more than expected,
our ability to generate or grow revenue could be compromised, and we may not be able to implement our business strategy. Our future financial performance and our ability to
commercialize products and compete effectively will depend, in part, on our ability to effectively manage any future growth.

Our  employees,  principal  investigators,  consultants,  and  commercial  partners  may  engage  in  misconduct  or  other  improper  activities,  including  non-compliance  with
regulatory standards and requirements and insider trading.

We  are  exposed  to  the  risk  of  fraud  or  other  misconduct  by  our  employees,  principal  investigators,  consultants,  commercial  and  strategic  partners  and  other  third
parties. Misconduct by these parties could include intentional failures to comply with regulations, provide accurate information to European regulatory authorities, the FDA and
other regulatory authorities, comply with healthcare fraud and abuse laws and regulations, report financial information or data accurately, or disclose unauthorized activities to
us. In particular, sales, marketing, and business arrangements in the healthcare industry are subject to extensive laws and regulations intended to prevent fraud, misconduct,
kickbacks, self-dealing, and other abusive practices. These laws and regulations may restrict or prohibit a wide range of pricing, discounting, marketing and promotion, sales
commission, customer incentive programs, and other business arrangements. Such misconduct could also involve the improper use of information obtained in the course of
clinical trials, which could result in regulatory sanctions and cause serious harm to our reputation. We have adopted a code of business conduct and ethics applicable to all of
our employees, but it is not always possible to identify and deter employee misconduct, 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.

24

 
 
 
 
 
 
 
 
We face potential product liability, and, if successful claims are brought against us, we may incur substantial liability and costs. If the use of our products harm patients, or
is perceived to harm patients even when such harm is unrelated to our products, our regulatory approvals could be revoked or otherwise negatively impacted and we could
be subject to costly and damaging product liability claims.

The use of our products in clinical trials and the sale of any products exposes us to the risk of product liability claims. Product liability claims might be brought against
us by consumers, healthcare providers, pharmaceutical and medical device companies, or others that sell or otherwise come into contact with our products. There is a risk that
our products may induce adverse events. If we cannot successfully defend against product liability claims, we could incur substantial liability and costs. In addition, regardless
of merit or eventual outcome, product liability claims may result in:

● impairment of our business reputation;

● withdrawal of clinical trial participants;

● costs due to related litigation;

● distraction of management’s attention from our primary business;

● substantial monetary awards to patients or other claimants;

● the inability to commercialize our products;

● decreased demand for our products, if approved for commercial sale; and

● impairment of our ability to obtain product liability insurance coverage.

We currently carry product liability insurance of $5.0 million for sales of VergenixFG and VergenixSTR. If we obtain marketing approval for additional products, we
intend to obtain insurance coverage to include the sale of those commercial products, but we may not be able to obtain product liability insurance on commercially reasonable
terms or in adequate amounts. On occasion, large judgments have been awarded in class action lawsuits based on medical treatments that had unanticipated adverse effects. A
product liability claim or series of claims brought against us could cause our ordinary share price to decline and, if judgments exceed our insurance coverage, could materially
and adversely affect our financial position.

Our development and production of rhCollagen relies upon the continued availability of tobacco plants, and any interruption in availability or supply of tobacco plants
may delay production and adversely affect commercial utilization of our rhCollagen-based products.

Our products are all based on our rhCollagen extracted from tobacco plants. Any disruption to the supply of tobacco plants or any change in its availability for use

would delay our production of collagen and adversely affect commercial utilization of our products.

The occurrence of severe adverse weather conditions, soil salination or crop diseases may have a potentially devastating impact upon our tobacco production. The
effect  of  severe  adverse  weather  conditions  or  the  occurrence  and  effect  of  crop  disease  may  reduce  yields  in  our  plants  or  require  higher  levels  of  investment  to  maintain
yields,  even  when  only  a  portion  of  the  crop  is  damaged.  We  cannot  assure  you  that  severe  future  adverse  weather  conditions,  crop  diseases  or  any  other  interruption  in
availability or supply of tobacco plants will not adversely impact our operating results and financial condition.

If  our  existing  rhCollagen  production  sites  or  any  new  facilities  are  damaged  or  destroyed,  or  production  at  these  facilities  is  otherwise  interrupted,  our  business  and
prospects would be negatively affected.

We  currently  have  two  small-scale  production  sites  in  Israel  where  we  manufacture  rhCollagen.  If  our  existing  production  facilities  or  any  new  facility,  or  the
equipment in it, are damaged or destroyed, we likely would not be able to quickly or inexpensively replace our production capacity. Any new facility needed to replace our
existing production facility would need to comply with the necessary regulatory requirements and be tailored to our production requirements and processes. We would need
regulatory approval before using any products manufactured at a new facility in clinical trials or selling any products that are ultimately approved. Such an event could delay
our or our strategic partners’ clinical trials or, if any of our products are approved by the regulator, reduce or eliminate our product sales.

25

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
If we fail to comply with environmental, health, and safety laws and regulations, we could become subject to fines or penalties or incur costs that could have a material
adverse impact on the success of our business.

We 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  wastes.  These  laws,  regulations,  and  permits  could  potentially  require  the  expenditure  by  us  of  significant  amounts  for
compliance  or  remediation.  If  we  fail  to  comply  with  such  laws,  regulations,  or  permits,  we  may  be  subject  to  fines  and  other  civil,  administrative,  or  criminal  sanctions,
including  the  revocation  of  permits  and  licenses  necessary  to  continue  our  business  activities.  See  “Item  4.B.  Environmental,  Health,  and  Safety  Matters”  for  additional
information.

Our  operations  involve  the  use  of  hazardous  materials,  including  chemicals  and  biological  materials.  Our  operations  also  produce  hazardous  waste  products.  We
generally contract with third parties for the disposal of these materials and wastes. We cannot eliminate the risk of contamination or injury from these materials. In the event of
contamination or injury resulting from our use of hazardous materials, we could be held liable for any resulting damages, and any liability could exceed our resources. We also
could incur significant costs associated with civil or criminal fines and penalties.

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
hazardous materials or other work-related injuries, this insurance may not provide adequate coverage against potential liabilities. In addition, we may incur substantial costs in
order  to  comply  with  current  or  future  environmental,  health,  and  safety  laws  and  regulations.  These  current  or  future  laws  and  regulations  may  impair  our  research,
development or production efforts. Failure to comply with these laws and regulations also may result in substantial fines, penalties, or other sanctions.

We  may  use  our  financial  and  human  resources  to  pursue  a  particular  research  program  or  product  and  fail  to  capitalize  on  programs  or  products  that  may  be  more
profitable or for which there is a greater likelihood of success.

Because  we  have  limited  resources,  we  may  forego  or  delay  pursuit  of  opportunities  with  certain  programs  or  products  or  for  indications  that  later  prove  to  have
greater  commercial  potential.  Our  resource  allocation  decisions  may  cause  us  to  fail  to  capitalize  on  viable  commercial  products  or  profitable  market  opportunities.  Our
spending  on  current  and  future  research  and  development  programs  for  products  may  not  yield  any  commercially  viable  products.  If  we  do  not  accurately  evaluate  the
commercial  potential  or  target  market  for  a  particular  product,  we  may  relinquish  valuable  rights  to  that  product  through  strategic  collaboration,  licensing,  or  other  royalty
arrangements in cases in which it would have been more advantageous for us to retain sole development and commercialization rights to such product, or we may allocate
internal resources to a product in a therapeutic area in which it would have been more advantageous to enter into a collaboration arrangement.

We are subject to foreign currency exchange risk, and fluctuations between the U.S. dollar and the NIS, the Euro, and other non-U.S. currencies may adversely affect our
earnings and results of operations.

We currently operate in two different currencies. While the U.S. dollar is our functional and reporting currency, we incur a portion of our expenses in NIS. As a result,

our financial results may be adversely affected by fluctuations in currency exchange rates.

We are exposed to the risks that the NIS may appreciate relative to the U.S. dollar, in such event, the dollar-denominated results of operations would be adversely
affected. We cannot predict any future trends in the rate of inflation in Israel or the rate of devaluation (if any) of the NIS against the dollar. For example, the average exchange
rate of the dollar against the NIS decreased in 2021, but increased in 2022 and 2023. Market volatility and currency fluctuations may limit our ability to cost-effectively hedge
against our foreign currency exposure. Hedging strategies may not eliminate our exposure to foreign exchange rate fluctuations and may involve costs and risks of their own,
such  as  devotion  of  management  time,  external  costs  to  implement  the  strategies,  and  potential  accounting  implications.  Foreign  currency  fluctuations,  independent  of  the
performance of our underlying business, could lead to materially adverse results or could lead to positive results that are not repeated in future periods.

26

 
 
 
 
 
 
 
 
 
 
 
We or the third parties upon whom we depend may be adversely affected by natural disasters and/or health epidemics, and our business continuity and disaster recovery
plans may not adequately protect us from a serious disaster.

Natural disasters could severely disrupt our operations and have a material adverse effect on our business, results of operations, financial condition and prospects. If a
natural disaster, power outage, health epidemic or other event occurred that prevented us from using all or a significant portion of our office, manufacturing and/or lab spaces,
that damaged critical infrastructure, such as the manufacturing facilities of our third-party contract manufacturers, CROs, clinical sites, tobacco plants growers, third parties
ongoing  activities  and  schedules  or  that  otherwise  disrupted  operations,  it  may  be  difficult  or,  in  certain  cases,  impossible  for  us  to  continue  our  plans  and  business  for  a
substantial period of time. The disaster recovery and business continuity plans we have in place may prove inadequate in the event of a serious disaster or similar event. We
may  incur  substantial  expenses  as  a  result  of  the  limited  nature  of  our  disaster  recovery  and  business  continuity  plans,  which  could  have  a  material  adverse  effect  on  our
business.

Our business may be adversely affected if there is a resurgence of the COVID-19 pandemic.

Public  health  epidemics  or  outbreaks  could  adversely  impact  our  business.  In  late  2019,  a  novel  strain  of  COVID-19,  also  known  as  coronavirus,  was  reported  in
Wuhan, China. Initially the outbreak was largely concentrated in China, but it rapidly spread to countries across the globe, including in Israel and the United States. Many
countries around the world, including in Israel and the United States, implemented significant governmental measures to control the spread of the virus, including temporary
closure of businesses, severe restrictions on travel and the movement of people, and other material limitations on the conduct of business. In response, for several months in
2020, we implemented remote working and workplace protocols for our employees in accordance Israeli Ministry of Health requirements to ensure employee safety and all
employees have been instructed on and encouraged to practice best social distancing behaviors.

If there is a resurgence of COVID-19 its spread may materially affect us economically. While the potential economic impact brought by, and the duration of, any future
resurgence of the COVID-19 pandemic may be difficult to assess or predict, it has already caused, and could result in further, significant disruption of global financial markets,
reducing our ability to access capital, which could in the future negatively affect our liquidity and financial position. In addition, the trading prices for other companies have
been highly volatile as a result of the COVID-19 pandemic. As a result, we may face difficulties raising capital through sales of our ordinary shares or other securities and such
sales may be on unfavorable terms. To the extent that future waves of COVID-19 disrupt normal business operations, we may face operational challenges with our services, and
we likely will have to adopt remote working and workplace protocols for employees in accordance with government requirements and other measures to minimize such impact.

The  extent  to  which  COVID-19  impacts  our  operations  will  depend  on  future  developments,  which  are  highly  uncertain  and  cannot  be  predicted  with  confidence,
including  the  duration  and  severity  of  the  outbreak,  and  the  actions  that  may  be  required  to  contain  COVID-19  or  treat  its  impact.  In  particular,  the  extent  to  which  any
resurgence  of  the  COVID-19  pandemic  may  impact  our  business  and  financial  performance  will  depend  on  future  developments,  which  are  highly  uncertain  and  cannot  be
predicted with confidence including our research and clinical trials and our ability to raise capital, could affect the operations of key governmental agencies and could result in
the inability of our suppliers to deliver components or raw materials on a timely basis or at all, each of which in turn could have an adverse impact on our business, financial
condition and results of operation.

Our business, operating results and growth rates may be adversely affected by current or future unfavorable economic and market conditions and adverse developments
with respect to financial institutions and associated liquidity risk.

Our business depends on the economic health of the global economies. If the conditions in the global economies remain uncertain or continue to be volatile, or if they
deteriorate, including as a result of the impact of military conflict, such as the war between Russia and Ukraine and Hamas and Israel, terrorism or other geopolitical events, our
business, operating results and financial condition may be materially adversely affected. Economic weakness, inflation and increases in interest rates, limited availability of
credit,  liquidity  shortages  and  constrained  capital  spending  have  at  times  in  the  past  resulted,  and  may  in  the  future  result,  in  challenging  and  delayed  sales  cycles,  slower
adoption of new technologies and increased price competition, and could negatively affect our ability to forecast future periods, which could result in an inability to satisfy
demand for our products and a loss of market share.

27

 
 
 
 
 
 
 
 
 
 
In addition, increases in inflation raise our costs for commodities, labor, materials and services and other costs required to grow and operate our business, and failure to
secure  these  on  reasonable  terms  may  adversely  impact  our  financial  condition.  Additionally,  increases  in  inflation,  along  with  the  uncertainties  surrounding  geopolitical
developments and global supply chain disruptions, have caused, and may in the future cause, global economic uncertainty and uncertainty about the interest rate environment,
which may make it more difficult, costly or dilutive for us to secure additional financing. A failure to adequately respond to these risks could have a material adverse impact on
our financial condition, results of operations or cash flows.

There  can  be  no  assurance  that  future  credit  and  financial  market  instability  and  a  deterioration  in  confidence  in  economic  conditions  will  not  occur.  Our  general
business strategy may be adversely affected by any such economic downturn, liquidity shortages, volatile business environment or continued unpredictable and unstable market
conditions. If the current equity and credit markets deteriorate, or if adverse developments are experienced by financial institutions, it may cause short-term liquidity risk and
also  make  any  necessary  debt  or  equity  financing  more  difficult,  more  costly,  more  onerous  with  respect  to  financial  and  operating  covenants  and  more  dilutive.  Failure  to
secure any necessary financing in a timely manner and on favorable terms could have a material adverse effect on our growth strategy, financial performance and stock price
and could require us to alter our operating plans. In addition, there is a risk that one or more of our service providers, financial institutions, manufacturers, suppliers and other
partners may be adversely affected by the foregoing risks, which could directly affect our ability to attain our operating goals on schedule and on budget.

Environmental, social and corporate governance (ESG) issues, including those related to climate change and sustainability, may have an adverse effect on our business,
financial condition and results of operations and damage our reputation.

There is growing attention from certain investors, customers, consumers, employees and other stakeholders concerning ESG matters. Additionally, public interest and
legislative pressure related to public companies’ ESG practices continue to grow. If our ESG practices fail to meet regulatory requirements or investor, customer, consumer,
employee  or  other  shareholders’  evolving  expectations  and  standards  for  responsible  corporate  citizenship  in  areas  including  environmental  stewardship,  support  for  local
communities,  board  of  Directors  and  employee  diversity,  human  capital  management,  employee  health  and  safety  practices,  product  quality,  supply  chain  management,
corporate  governance  and  transparency,  our  reputation,  brand  and  employee  retention  may  be  negatively  impacted,  and  our  customers  and  suppliers  may  be  unwilling  to
continue to do business with us.

Customers, consumers, investors and other shareholders are increasingly focusing on environmental issues, including climate change, energy and water use, plastic
waste and other sustainability concerns. Concern over climate change may result in new or increased legal and regulatory requirements to reduce or mitigate impacts to the
environment.  Changing  customer  and  consumer  preferences  or  increased  regulatory  requirements  may  result  in  increased  demands  or  requirements  regarding  plastics  and
packaging  materials,  including  single-use  and  non-recyclable  plastic  products  and  packaging,  other  components  of  our  products  and  their  environmental  impact  on
sustainability,  or  increased  customer  and  consumer  concerns  or  perceptions  (whether  accurate  or  inaccurate)  regarding  the  effects  of  substances  present  in  certain  of  our
products. Complying with these demands or requirements could cause us to incur additional manufacturing, operating or product development costs.

If we do not adapt to or comply with new regulations, including the SEC’s published proposed rules that would require companies to provide significantly expanded
climate-related disclosures in their periodic reporting, which may require us to incur significant additional costs to comply and impose increased oversight obligations on our
management and board of directors, or fail to meet evolving investor, industry or stakeholder expectations and concerns regarding ESG issues, investors may reconsider their
capital  investment  in  our  Company,  we  may  become  subject  to  penalties,  and  customers  and  consumers  may  choose  to  stop  purchasing  our  products,  if  approved  for
commercialization, which could have a material adverse effect on our reputation, business or financial condition.

28

 
 
 
 
 
 
 
 
Risks Related to Our Intellectual Property

We have an extensive worldwide patent portfolio. The cost of maintaining our worldwide patent protection is high and requires continuous review and compliance with
procedural and documentary requirements. We may not be able to effectively maintain our intellectual property position throughout the major markets of the world.

The  U.S.  Patent  and Trademark  Office,  or  U.S.  PTO,  and  foreign  patent  authorities  require  maintenance  fees  and  payments  as  well  as  continued  compliance  with
several  procedural  and  documentary  requirements.  Non-compliance  may  result  in  abandonment  or  lapse  of  the  subject  patent  or  patent  application,  resulting  in  partial  or
complete loss of patent rights in the relevant jurisdiction. Non-compliance may result in reduced royalty payments for lack of patent coverage in a particular jurisdiction from
our collaboration partners or may result in competition, either of which could have a material adverse effect on our business.

We have made, and will continue to make, certain strategic decisions in balancing costs and the potential protection afforded by the patent laws of certain countries. As
a result, we may not be able to prevent third parties from practicing our inventions in all countries throughout the world, or from selling or importing products made using our
inventions in and into the United States or other countries. Third parties may use our technologies in territories in which we have not obtained patent protection to develop their
own  products  and,  further,  may  infringe  our  patents  in  territories  which  provide  inadequate  enforcement  mechanisms,  even  if  we  have  patent  protection.  Such  third-party
products may compete with our products, and our patents or other intellectual property rights may not be effective or sufficient to prevent them from competing.

If we are unable to obtain or protect intellectual property rights related to our products and product candidates, we may not be able to obtain exclusivity for our products or
prevent others from developing similar competitive products.

We rely upon a combination of granted patents, pending patent applications, trade secret protection, and confidentiality agreements to protect the intellectual property
related  to  our  products  and  product  candidates.  The  strength  of  patents  in  the  field  of  regenerative  medicine  involves  complex  legal  and  scientific  questions  and  can  be
uncertain. The patent applications that we own may fail to result in issued patents with claims that cover our products in the United States or in other countries. There is no
assurance  that  all  of  the  potentially  relevant  prior  art  relating  to  our  patents  and  patent  applications  has  been  found,  which  can  invalidate  a  patent  or  prevent  a  patent  from
issuing  from  a  pending  patent  application.  Even  if  patents  do  successfully  issue  and  even  if  such  patents  cover  our  products,  third  parties  may  challenge  their  validity,
enforceability, or scope, which may result in the patent claims being narrowed or invalidated. Furthermore, even if they are unchallenged, our patents and patent applications
may not adequately protect our intellectual property, provide exclusivity for our products, or prevent others from designing around our claims. Any of these outcomes could
impair our ability to prevent competition from third parties.

Our ability to attract third parties to collaborate with us to develop products and our ability to commercialize future products may be adversely affected if the patent
applications we hold with respect to our techniques or products fail to issue, if the breadth or strength of our patent protection is threatened, or if our patent portfolio fails to
provide meaningful exclusivity for our products. Third parties may challenge their validity or enforceability of our patents or patents that issue in the future from our patent
applications,  which  may  result  in  such  patents  being  narrowed,  invalidated,  or  held  unenforceable.  Even  if  our  patents  and  patent  applications  are  not  challenged  by  third
parties, they may not prevent others from designing around our claims and may not otherwise adequately protect our products. If the breadth or strength of protection provided
by the patents and patent applications we hold with respect to our products is threatened, our ability to commercialize our products may be adversely affected.

Discoveries are generally published in the scientific literature well after their actual development, and patent applications in the United States and other countries are
typically not published until 18 months after filing and in some cases are never published. Therefore, we cannot be certain that we were the first to make the inventions claimed
in our owned granted patents or patent applications, or that we were the first to file for patent protection covering such inventions. Subject to meeting other requirements for
patentability,  for  United  States  patent  applications  filed  prior  to  March  16,  2013,  the  first  to  invent  the  claimed  invention  is  entitled  to  receive  patent  protection  for  that
invention while, outside the United States, the first to file a patent application encompassing the invention is entitled to patent protection for the invention. In addition, patents
have a limited lifespan. In the United States, the expiration of a patent is generally 20 years from the earliest non-provisional filing date. Various extensions may be available,
but  the  life  of  a  patent,  and  the  protection  it  affords,  is  limited.  Once  the  patent  life  has  expired  for  a  product,  we  may  be  open  to  competition  from  third  party  products,
including products that are copies of our products. This risk is material in light of the length of the development process of our products and lifespan of our current patent
portfolio.

29

 
 
 
 
 
 
 
 
 
 
In  addition  to  the  protection  afforded  by  patents,  we  rely  on  trade  secret  protection  and  confidentiality  agreements  to  protect  our  proprietary  know-how  and  other
proprietary information that is not patentable or that we elect not to patent. For example, many of our discovery, development, and manufacturing processes involve proprietary
know-how, information, or technology that is not covered by patents. We seek to protect our trade secrets and proprietary technology and processes, in part, by entering into
confidentiality agreements with our employees, consultants, scientific advisors, and contractors. 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. Security measures may be breached, and
we may not have adequate remedies for any breach. In addition, our trade secrets may otherwise become known or be independently discovered by competitors. Although we
contractually require all of our employees and consultants to assign their inventions to us, and all of our employees, consultants, advisors, and any third parties who have access
to our proprietary know-how, information, or technology to enter into confidentiality agreements, we cannot provide any assurances that all such agreements have been duly
executed, that our trade secrets and other confidential proprietary information will not be disclosed, or that competitors will not otherwise gain access to our trade secrets or
independently  develop  substantially  equivalent  information  and  techniques.  Misappropriation  or  unauthorized  disclosure  of  our  trade  secrets  could  impair  our  competitive
position and may have a material adverse effect on our business. Additionally, if the steps taken to maintain our trade secrets are deemed inadequate, we may have insufficient
recourse against third parties for misappropriating the trade secret. In addition, others may independently discover our trade secrets and proprietary information. For example,
the FDA, as part of its Transparency Initiative, is currently considering whether to make additional information publicly available on a routine basis, including information that
we may consider to be trade secrets or other proprietary information, and it is not clear at the present time how the FDA’s disclosure policies may change in the future, if at all.

Further, the laws of some countries do not protect proprietary rights to the same extent or in the same manner as the laws of the United States. As a result, we may
encounter  significant  problems  in  protecting  and  defending  our  intellectual  property  both  in  the  United  States  and  in  other  countries.  If  we  are  unable  to  prevent  material
disclosure of the non-patented intellectual property related to our technologies to third parties, and there is no guarantee that we will have any such enforceable trade secret
protection, we may not be able to establish or maintain a competitive advantage in our market.

Third-party claims of intellectual property infringement may prevent or delay our development and commercialization efforts.

Our commercial success depends in part on our avoiding infringement of the patents and proprietary rights of third parties. There is a substantial amount of litigation,
both  within  and  outside  the  United  States,  involving  patents  and  other  intellectual  property  rights  in  the  biotechnology  and  pharmaceutical  industries,  including  patent
infringement  lawsuits,  interferences,  oppositions,  and  inter  partes  review  proceedings  before  the  U.S.  PTO,  and  corresponding  foreign  patent  offices.  Numerous  U.S.  and
foreign  issued  patents  and  pending  patent  applications,  which  are  owned  by  third  parties,  exist  in  the  fields  in  which  we  are  pursuing  development  technologies. As  the
biotechnology and pharmaceutical industries expand and more patents are issued, the risk increases that our products may be subject to claims of infringement of the patent
rights of third parties.

Third parties may assert that we are employing their proprietary technology without authorization. There may be third-party patents or patent applications with claims
to materials, formulations, methods of manufacture, or methods for treatment related to the use or manufacture of our products. Because patent applications can take many
years to issue, there may be currently pending patent applications which may later result in issued patents that our products may be accused of infringing. In addition, third
parties  may  obtain  patents  in  the  future  and  claim  that  use  of  our  technologies  infringes  upon  these  patents.  If  any  third-party  patents  were  held  by  a  court  of  competent
jurisdiction  to  cover  the  manufacturing  process  of  any  of  our  products  or  any  final  product  itself,  the  holders  of  any  such  patents  may  be  able  to  block  our  ability  to
commercialize such product unless we obtained a license under the applicable patents, or until such patents expire. Similarly, if any third-party patents were held by a court of
competent jurisdiction to cover aspects of our formulations, processes for manufacture, or methods of use, the holders of any such patents may be able to block our ability to
develop and commercialize the applicable product unless we obtained a license or until such patent expires. In either case, such a license may not be available on commercially
reasonable terms or at all.

30

 
 
 
 
 
 
 
The patent landscape in competitive product areas is highly complex and there may be patents of third parties of which we are unaware that may result in claims of
infringement. Accordingly,  there  can  be  no  assurance  that  our  products  do  not  infringe  the  proprietary  rights  of  third  parties.  Parties  making  claims  against  us  may  obtain
injunctive  or  other  equitable  relief,  which  could  effectively  block  our  ability  to  further  develop  and  commercialize  one  or  more  of  our  products.  Defense  of  such  claims,
regardless of their merit, would involve substantial litigation expenses and would be a substantial diversion of financial and employee resources from our business. In the event
of a successful claim of infringement against us, we may have to pay substantial damages, including treble damages and attorneys’ fees for willful infringement, pay royalties,
redesign our infringing products, or obtain one or more licenses from third parties, which may be impossible or require substantial time and monetary expenditure.

We intend, if necessary, to vigorously enforce our intellectual property to protect the proprietary position of our products. Active efforts to enforce our patents may
include  litigation,  post-grant  patent  challenges,  administrative  proceedings,  or  all  of  the  foregoing,  depending  on  the  potential  benefits  that  might  be  available  from  those
actions  and  the  costs  associated  with  undertaking  those  efforts  against  third  parties. We  review  and  monitor  publicly  available  information  regarding  products  that  may  be
competitive with our products and intend to assert our intellectual property rights where appropriate.

We may enter into license agreements with third parties, and if we fail to comply with our obligations in such agreements under which we license intellectual property
rights  from  third  parties  or  otherwise  experience  disruptions  to  our  business  relationships  with  our  licensors,  we  could  lose  license  rights  that  are  important  to  our
business.

We may need to obtain licenses from third parties to advance our research or allow commercialization of our products and product candidates. We may fail to obtain
any of these licenses at a reasonable cost or on reasonable terms, if at all. In that event, we may be required to expend significant time and resources to develop or license
replacement technology. If we are unable to do so, we may be unable to develop or commercialize the affected products.

We may be involved in lawsuits or administrative proceedings to obtain, protect or enforce our patents, which could be expensive, time consuming, and unsuccessful.

Competitors may infringe our patents. To counter infringement or unauthorized use, we may be required to file an infringement suit, which can be expensive and time
consuming. In addition, in an infringement proceeding, the defendant may file a countersuit, challenging the validity or enforceability of our patent. In that case, a court may
decide that a patent of ours is not valid, is unenforceable, or is not infringed, or it may refuse to stop the other party from using the technology at issue on the grounds that our
patents do not cover the technology in question. An adverse result in any litigation or defense proceedings could put one or more of our patents at risk of being invalidated or
interpreted narrowly and could put our patent applications at risk of not issuing.

We may not be able to prevent misappropriation of our intellectual property rights, particularly in countries where the laws may not protect those rights.

Furthermore, because of the substantial amount of discovery required in connection with intellectual property litigation, there is a risk that some of our confidential
information could be compromised by disclosure during this type of litigation. There could also be public announcements of the results of hearings, motions, or other interim
proceedings or developments. If securities analysts or investors perceive these results to be negative, it could have a material adverse effect on the trading price of our ordinary
shares.

Recent patent reform legislation could increase the uncertainties and costs surrounding the prosecution of our patent applications and the enforcement or defense of our
issued patents.

On September 16, 2011, the Leahy-Smith America Invents Act, or the Leahy-Smith Act, was signed into law. The Leahy-Smith Act includes a number of significant
changes to U.S. patent law, including provisions that affect the way patent applications are prosecuted and also affect patent litigation. The U.S. PTO has developed regulations
and procedures to govern administration of the Leahy-Smith Act, and many of the substantive changes to patent law associated with the Leahy-Smith Act, and in particular, the
first to file provisions which were enacted March 16, 2013. However, it is not clear what, if any, impact the Leahy-Smith Act will have on the operation of our business. The
Leahy-Smith Act and its implementation could increase the uncertainties and costs surrounding the prosecution of our patent applications and the enforcement or defense of our
issued  patents.  We  may  become  involved  in  post-grant  proceedings  challenging  our  patents  or  the  patents  of  others,  and  the  outcome  of  any  such  proceedings  is  highly
uncertain. An unfavorable outcome in any such proceedings could reduce the scope of, or invalidate, our patent rights, allow third parties to commercialize our technology and
compete directly with us, or result in our inability to manufacture, develop, or commercialize our products without infringing the patent rights of others.

31

 
 
 
 
 
 
 
 
 
 
 
 
We may be subject to claims that our employees, consultants, or independent contractors have wrongfully used or disclosed confidential information of third parties or, that
our employees have wrongfully used or disclosed alleged trade secrets of their former employers.

Certain of our employees and personnel were previously employed at universities, medical institutions, or other biotechnology or pharmaceutical companies. Although
we try to ensure that our employees, consultants, and independent contractors 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  our  employees,  consultants,  or  independent  contractors  have  inadvertently  or  otherwise  used  or  disclosed  intellectual  property,  including  trade
secrets or other proprietary information, of any of our employee’s former employer or other third parties. Litigation may be necessary to defend against these claims. If we fail
in defending any such claims, in addition to paying monetary damages, we may lose valuable intellectual property rights or personnel. 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. Furthermore, universities or medical institutions who
employ  some  of  our  key  employees  and  personnel  in  parallel  to  their  engagement  by  us  may  claim  that  intellectual  property  developed  by  such  person  is  owned  by  the
respective academic or medical institution under the respective institution, intellectual property policy or applicable law.

We may become subject to claims for remuneration or royalties for assigned service invention rights by our employees, which could result in litigation and adversely affect
our business.

A significant portion of our intellectual property has been developed by our employees in the course of their employment for us. Section 134 of the Israeli Patents Law,
5727-1967,  or  the  Patents  Law,  grants  employees  the  right  to  receive  consideration  for  service  inventions  unless  otherwise  provided  in  an  agreement  between  the  parties.
According  to  a  decision  by  the  special  Committee  for  Compensations  and  Royalties  formed  under  the  Patents  Law,  or  the  Committee,  an  employee’s  right  to  receive
consideration for service inventions is a personal right and is entirely separate from the proprietary rights in such invention. A decision in May 2014 by the Committee clarifies
that the right to receive consideration under Section 134 can be waived and that such waiver does not necessarily have to be explicit. However, the Committee has the authority
to  examine,  on  a  case  by  case  basis,  the  general  contractual  framework  between  the  parties,  using  interpretation  rules  of  the  general  Israeli  contract  laws. Although  such
decision seems to alleviate the requirement to obtain an explicit waiver for royalties for service inventions under Section 134 of the Patents Law, to the extent that there is no
explicit waiver in an employment agreement, the existence of such waiver will be subject to the interpretation of the Committee. Further, the Committee has not yet determined
one specific formula for calculating this remuneration (but rather uses the criteria specified in the Patents Law) nor the criteria or circumstances under which an employee’s
waiver of his right to remuneration will be disregarded. We generally enter into assignment-of-invention agreements with our employees pursuant to which such individuals
assign to us all rights to any inventions created in the scope of their employment or engagement with us. Although our employees have agreed to assign to us service invention
rights,  we  may  face  claims  demanding  remuneration  in  consideration  for  assigned  inventions.  As  a  consequence  of  such  claims,  we  could  be  required  to  pay  additional
remuneration or royalties to our current or former employees, or be forced to litigate such claims, which could negatively affect our business.

32

 
 
 
 
 
 
We may be subject to claims challenging the inventorship or ownership of our patents and other intellectual property.

We  may  be  subject  to  claims  that  former  employees,  collaborators,  or  other  third  parties  have  an  ownership  interest  in  our  patents  or  other  intellectual  property.
Ownership disputes may arise in the future, for example, from conflicting obligations of consultants or others who are involved in developing our products. Litigation may be
necessary to defend against these and other claims challenging inventorship or ownership. If we fail in defending any such claims, in addition to paying monetary damages, we
may lose valuable intellectual property rights, such as exclusive ownership of, or right to use, valuable intellectual property. 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.

Obtaining and maintaining our patent protection requires compliance with various procedural, document submissions, fee payments, 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, renewal fees, annuity fees, and various other governmental fees on patents and applications are and will be due to be paid to the U.S. PTO
and various governmental patent agencies outside of the United States in several stages over the lifetime of the patents and applications. The U.S. PTO 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.
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.

Issued patents covering our products or product candidates could be found invalid or unenforceable if challenged in court or in administrative proceedings.

If we initiate legal proceedings against a third party to enforce a patent covering one of our products or product candidates, the defendant may contend that the patent
covering our product is invalid, unenforceable, or fails to cover the product or the infringing product. In patent litigation in the United States, defendants commonly allege that
asserted  patent  claims  are  invalid  and  unenforceable.  Grounds  for  a  validity  challenge  could  be  an  alleged  failure  to  meet  one  or  more  of  several  statutory  requirements,
including lack of novelty, obviousness, lack of written description, indefiniteness, and non-enablement. Grounds for an unenforceability assertion could be an allegation that
someone connected with prosecution of the patent withheld relevant information from the U.S. PTO, or made a misleading statement, during prosecution. Third parties may
also raise similar claims before administrative bodies in the United States or abroad, even outside the context of litigation. Such mechanisms include re-examination, post grant
review, and equivalent proceedings in foreign jurisdictions, such as opposition proceedings. Such proceedings could result in revocation, amendments to our patent claims, or
statements  being  made  on  the  record  such  that  our  claims  may  no  longer  be  construed  to  cover  our  products.  The  outcome  following  legal  assertions  of  invalidity  and
unenforceability is unpredictable. With respect to the validity question, for example, we cannot be certain that there is no invalidating prior art, of which we and the patent
examiner were unaware during prosecution. If a defendant were to prevail on a legal assertion of invalidity, unenforceability, or non-infringement, we would lose at least part,
and perhaps all, of the patent protection on our products. For example, as further described below, in July 2017, Fibrogen, Inc., or Fibrogen, prevailed in an administrative
challenge to one of our patents in Europe, resulting in the revocation of the patent and the abandonment of another patent. Even if resolved in our favor, litigation, or other legal
proceedings relating to intellectual property claims may cause us to incur significant expenses, and could distract our technical and management personnel from their normal
responsibilities. Moreover, third parties may continue to initiate new proceedings in the United States and foreign jurisdictions to challenge our patents from time to time.

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  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.

33

 
 
 
 
 
 
 
 
 
Changes in U.S. patent law could diminish the value of patents in general, thereby impairing our ability to protect our products or product candidates.

As is the case with other companies in our industry, our success is heavily dependent on intellectual property, particularly patents. Obtaining and enforcing patents in
the biotechnology industry involve both technological and legal complexity, and therefore is costly, time consuming, and inherently uncertain. In addition, in recent years, the
United States enacted and implemented 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 some 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  that  had  already  been  granted.  The  patent  laws  and  regulations  may  change  in
unpredictable ways through actions of the U.S. Congress, the federal courts, and the U.S. PTO, in the future, and any changes may adversely affect our ability to obtain new
patents or to enforce our existing patents and patents that we might obtain in the future.

We may not be able to protect our intellectual property rights throughout the world.

Filing, prosecuting, and defending patents on products in all countries throughout the world would be prohibitively expensive, and our intellectual property rights in
some countries outside the United States can be less extensive than those in the United States. In addition, the laws of some foreign countries do not protect intellectual property
rights to the same extent as federal and state laws in the United States. Consequently, we may not be able to prevent third parties from practicing our inventions in all countries
outside the United States, or from selling or importing products made using our inventions in and into the United States or other jurisdictions. Potential competitors may use our
technologies in jurisdictions where we have not obtained patent protection to develop their own products and may export otherwise infringing products to territories where we
have  patent  protection,  but  enforcement  is  not  as  strong  as  in  the  United  States.  These  products  may  compete  with  our  products,  if  approved,  and  our  patents  or  other
intellectual property rights may not be effective or sufficient to prevent them from competing.

Many companies have encountered significant problems in protecting and defending intellectual property rights in foreign jurisdictions. The legal systems of certain
countries, particularly certain developing countries, do not favor the enforcement of patents, trade secrets, and other intellectual property protection, particularly those relating
to biotechnology products, which could make it difficult for us to stop the infringement of our patents or marketing of competing products in violation of our proprietary rights
generally. Proceedings to enforce our patent rights in foreign jurisdictions could result in substantial costs and divert our efforts and attention from other aspects of our business,
could  put  our  patents  at  risk  of  being  invalidated  or  interpreted  narrowly  and  our  patent  applications  at  risk  of  not  issuing,  and  could  provoke  third  parties  to  assert  claims
against us. We may not prevail in any lawsuits that we initiate and the damages or other remedies awarded, if any, may not be commercially meaningful. Accordingly, our
efforts  to  enforce  our  intellectual  property  rights  around  the  world  may  be  inadequate  to  obtain  a  significant  commercial  advantage  from  the  intellectual  property  that  we
develop or license.

Intellectual property rights do not address all potential threats to any competitive advantage we may have.

The degree of future protection afforded by our intellectual property rights is uncertain because intellectual property rights have limitations, and intellectual property

rights may not adequately protect our business or permit us to maintain our competitive advantage. The following examples are illustrative:

● Others may be able to make products that are the same as or similar to our current or future products but that are not covered by the claims of the patents that we

own or have exclusively licensed.

● We or any of our licensors or strategic partners might not have been the first to make the inventions covered by the issued patent or pending patent application that

we own or have exclusively licensed.

● We or any of our licensors or strategic partners might not have been the first to file patent applications covering certain of our inventions.

● Others may independently develop similar or alternative technologies or duplicate any of our technologies without infringing our intellectual property rights.

● The prosecution of our pending patent applications may not result in granted patents.

● Granted patents that we own or have exclusively licensed may not provide us with any competitive advantages, or may be held invalid or unenforceable, as a

result of legal challenges by our competitors.

● Patent protection on our products may expire before we are able to develop and commercialize the product, or before we are able to recover our investment in the

product.

● Our competitors might conduct research and development activities in the United States and other countries that provide a safe harbor from patent infringement
claims for such activities, as well as in countries in which we do not have patent rights, and may then use the information learned from such activities to develop
competitive products for sale in markets where we intend to market our products.

34

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The market price of our ordinary shares may be highly volatile.

Risks Related to the Ownership of our Ordinary Shares

The trading price of our ordinary shares has been, and is likely to continue to be, volatile. The following factors, some of which are beyond our control, in addition to

other risk factors described in this Annual Report may have a significant impact on the market price of our ordinary shares:

● adverse results or delays in preclinical studies or clinical trials;

● reports of adverse events in other similar products or clinical trials of such products;

● inability to obtain additional funding;

● any delay in filing a regulatory submission for any of our products or product candidates and future products and any adverse development or perceived adverse

development with respect to the FDA’s review or European authorities’ review of that regulatory submission;

● failure to develop successfully and commercialize our products or product candidates and future products;

● failure to enter into or maintain strategic collaborations;

● failure by us or strategic collaboration partners to prosecute, maintain, or enforce our intellectual property rights;

● changes in laws or regulations applicable to future products;

● inability to scale up our manufacturing capabilities, inability to obtain adequate supply for our products, or the inability to do so at acceptable prices;

● adverse regulatory decisions, including by the IIA under the Innovation Law;

● introduction of new products, services, or technologies by our competitors;

● failure to meet or exceed financial projections we may provide to the public;

● failure to meet or exceed the financial expectations of the investment community;

● the perception of the biotechnology industry by the public, legislatures, regulators, and the investment community;

● announcements of significant acquisitions, strategic partnerships, joint ventures, or capital commitments by us or our competitors;

35

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
● disputes or other developments relating to proprietary rights, including patents, litigation matters, and our ability to obtain patent protection for our technologies;

● additions or departures of key scientific or management personnel;

● significant lawsuits, including patent or shareholder litigation;

● changes in the market valuations of similar companies;

● sales of our ordinary shares by us or our shareholders in the future; and

● trading volumes of our ordinary shares.

In addition, companies trading in the stock market in general, and life science companies in particular, have experienced extreme price and volume fluctuations that
have often been unrelated or disproportionate to the operating performance of these companies. Broad market and industry factors may negatively affect the market price of our
ordinary shares, regardless of our actual operating performance. In the past, following periods of volatility in the market price of a company’s securities, securities class action
litigation has often been instituted against that company. If we were involved in any similar litigation, we could incur substantial costs and our management’s attention and
resources could be diverted, which could affect our business, financial condition and results of operations.

We may not be able to maintain our listing on the Nasdaq Global Market.

Our ordinary shares currently trade on the Nasdaq Global Market under the symbol “CLGN”. If we fail to adhere to Nasdaq’s strict listing criteria, including with
respect to share price, market capitalization and stockholders’ equity, our stock may be delisted. Our results of operations and our fluctuating stock price directly affects our
ability to satisfy these listing standards. If we fail to do so, we may be subject to delisting. A delisting could adversely affect our ability to obtain financing for our operations or
result in a loss of confidence by investors, customers, suppliers or employees. A delisting from the Nasdaq Global Market could result in our ordinary shares being listed on the
Nasdaq Capital Market or on an over-the-counter market, each of which are generally considered to be a less efficient market than the Nasdaq Global Market. Although we
currently satisfy the listing criteria for Nasdaq, if our stock price declines dramatically, we could be at risk of failing to meet the Nasdaq continued listing criteria.

We incur significant additional costs as a result of being a public company subject to SEC reporting requirements in the United States, and our management is required to
devote substantial additional time to new compliance initiatives as well as to compliance with ongoing United States reporting requirements.

As a U.S. public reporting company, we are incurring significant additional accounting, legal, and other expenses in the future. Our management and other personnel
need to devote substantial time to the compliance requirements of being a U.S. public company; in addition, the implementation of such compliance processes and systems may
require us to hire outside consultants and incur other significant costs. Any future changes in the laws and regulations affecting public companies in the United States and the
rules and regulations adopted by the SEC and the Nasdaq Global Market, for so long as they apply to us, will result in increased costs to us as we respond to such changes.
These laws, rules, and regulations could make it more difficult or more costly for us to obtain certain types of insurance, including director and officer liability insurance, and
we may be forced to accept reduced policy limits and coverage or incur substantially higher costs to obtain the same or similar coverage. The impact of these requirements
could also make it more difficult for us to attract and retain qualified persons to serve on our board of directors, on our board committees, if any, or as senior management.

Our principal shareholders, management and directors beneficially own a significant percentage of our ordinary shares and will be able to exert significant influence over
matters subject to shareholder approval.

As of March 20, 2024, our senior management, directors, and five percent or more shareholders and their affiliates beneficially owned approximately 36.84% of our
ordinary shares. These shareholders will be able to significantly influence all matters requiring shareholder approval, except for decisions that require a special majority at a
shareholders’  meeting.  For  example,  these  shareholders,  if  they  were  to  act  together,  may  be  able  to  significantly  influence  elections  of  directors  (other  than  our  external
directors, within the meaning of Israeli law, as described under “Management—External Directors”), amendments of our organizational documents, or approval of any merger,
sale of assets, or other major corporate transaction. This may prevent or discourage unsolicited acquisition proposals or offers for our ordinary shares that you may believe are
in your best interest as one of our shareholders.

36

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
If we fail to maintain an effective system of internal control over financial reporting, we may not be able to accurately report our financial results or prevent fraud. As a
result, our shareholders could lose confidence in our financial and other public reporting, which would harm our business and the trading price of our ordinary shares.

Effective internal controls over financial reporting are necessary for us to provide reliable financial reports. Together with adequate disclosure controls and procedures,
effective internal controls are designed to prevent fraud. Any failure to implement required new or improved controls or difficulties encountered in their implementation could
cause us to fail to meet our reporting obligations. In addition, any testing by us conducted in connection with Section 404 of the Sarbanes-Oxley Act of 2002, or the Sarbanes-
Oxley Act, may reveal deficiencies in our internal controls over financial reporting that are deemed to be material weaknesses, may require prospective or retroactive changes
to  our  financial  statements,  or  may  identify  other  areas  for  further  attention  or  improvement.  Inferior  internal  controls  could  also  cause  investors  to  lose  confidence  in  our
reported financial information, which could have a negative effect on the trading price of our ordinary shares.

Section 404 of the Sarbanes-Oxley Act requires our management to report on, and our independent registered public accounting firm to attest to, the effectiveness of
our  internal  control  structure  and  procedures  for  financial  reporting.  We  have  an  ongoing  program  to  perform  the  system  and  process  evaluation  and  testing  necessary  to
continue  to  comply  with  these  requirements.    During  the  course  of  our  review  and  testing,  we  may  identify  deficiencies  and  be  unable  to  remediate  them  before  we  must
provide the required reports. Furthermore, if we have a material weakness in our internal controls over financial reporting, we may not detect errors on a timely basis and our
financial  statements  may  be  materially  misstated. We  or  our  independent  registered  public  accounting  firm  may  not  be  able  to  conclude  on  an  ongoing  basis  that  we  have
effective internal control over financial reporting, which could harm our operating results, cause investors to lose confidence in our reported financial information and cause the
trading price of our share to fall.

To build our finance infrastructure, we may need to improve our accounting systems, disclosure policies, procedures and controls. If we are unsuccessful in building an
appropriate accounting infrastructure, we may not be able to prepare and disclose, in a timely manner, our financial statements and other required disclosures, or comply with
existing or new reporting requirements. Any failure to report our financial results on an accurate and timely basis could result in sanctions, lawsuits, delisting of our shares from
the Nasdaq Capital Market or other adverse consequences that would materially harm our business. If we cannot provide reliable financial reports or prevent fraud, our business
and results of operations could be harmed and investors could lose confidence in our reported financial information.

We are a “foreign private issuer,” and we cannot be certain if the reduced reporting requirements applicable to foreign private issuers will make our ordinary shares less
attractive to investors.

As a foreign private issuer, we are not subject to the same requirements that are imposed upon U.S. domestic issuers by the SEC. Under the Securities Exchange Act of
1934, as amended, or the Exchange Act, we will be subject to reporting obligations that, in certain respects, are less detailed and less frequent than those of U.S. domestic
reporting companies. For example, we will not be required to issue proxy statements that comply with the requirements applicable to U.S. domestic reporting companies. We
will also have four months after the end of each fiscal year to file our Annual Reports with the SEC and will not be required to file current reports as frequently or promptly as
U.S. domestic reporting companies. Furthermore, our officers, directors, and principal shareholders will be exempt from the requirements to report transactions in our equity
securities  and  from  the  short-swing  profit  liability  provisions  contained  in  Section  16  of  the  Exchange Act.  These  exemptions  and  leniencies,  along  with  other  corporate
governance  exemptions  resulting  from  our  ability  to  rely  on  home  country  rules,  will  reduce  the  frequency  and  scope  of  information  and  protections  to  which  you  may
otherwise  have  been  eligible  in  relation  to  U.S.  domestic  reporting  companies.  See  “Item  16G.  Corporate  Governance  Practices”  for  more  information,  including  regarding
reliefs relating to general meetings for companies whose securities are traded outside of Israel.

37

 
 
 
 
 
 
 
 
We cannot predict if investors will find our ordinary shares less attractive because we may rely on these reduced requirements. If some investors find our ordinary

shares less attractive as a result, there may be a less active trading market for our ordinary shares and our share price may be more volatile.

Sales of a substantial number of our ordinary shares in the public market could cause our share price to fall.

If our existing shareholders sell, indicate an intention to sell, or the market perceives that they intend to sell, substantial amounts of our securities on the Nasdaq Global
Market after the date of this Annual Report on Form 20-F, the market price of our securities could decline significantly. As of March 20, 2024, we had 11,454,512 ordinary
shares outstanding. In addition, as of March 20, 2024, an aggregate of 1,214,505 ordinary shares, that are issuable pursuant to exercise of outstanding options, will become
eligible  for  sale  in  the  public  market  to  the  extent  permitted  by  the  provisions  of  various  vesting  schedules,  Rule  144  and  Rule  701  under  the  Securities Act  of  1933,  as
amended, or the Securities Act. If these additional ordinary shares are sold, or if it is perceived that they will be sold, in the public market, the market price of our ordinary
shares could decline.

Future sales and issuances of our securities or rights to purchase securities, including pursuant to our equity incentive plans, could result in additional dilution of the
percentage ownership of our shareholders and could cause the prices of our securities to fall.

Additional  capital  will  be  needed  in  the  future  to  continue  our  planned  operations.  To  the  extent  we  raise  additional  capital  by  issuing  equity  securities,  our
shareholders may experience substantial dilution. We may sell ordinary shares, convertible securities, or other equity securities in one or more transactions at prices and in a
manner  we  determine  from  time  to  time.  If  we  sell  ordinary  shares,  convertible  securities,  or  other  equity  securities  in  one  or  more  transactions,  existing  investors  may  be
materially diluted by subsequent sales, and new investors could gain rights superior to our existing shareholders.

Pursuant to our Share Ownership and Option Plan (2010), or the 2010 Plan and our 2024 Share Award Plan, or the 2024 Plan, our management is authorized to grant
share options and other equity-based awards to our employees, officers, directors, and consultants. As of March 20, 2024, our officers, directors, employees and consultants
hold options to purchase 1,743,516 ordinary shares under the 2010 Plan. If our board of directors elects to issue additional options or other equity-based awards under the 2010
Plan or the 2024 Plan, our shareholders may experience additional dilution, which could cause our share price to fall.

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We do not intend to pay dividends on our securities in the foreseeable future, so any returns will be limited to the value of our shares.

We have never declared or paid any cash dividends on our share capital. We currently anticipate that we will retain future earnings for the development, operation and
expansion of our business and do not anticipate declaring or paying any cash dividends for the foreseeable future. Any return to shareholders will therefore be limited to the
appreciation of their shares. In addition, Israeli law limits our ability to declare and pay dividends, and may subject our dividends to Israeli withholding taxes; see “Item 10.B.
Memorandum  and  Articles  of  Association—Dividend  and  Liquidation  Rights”  and  “Item  16G.  Corporate  Governance  Practices”  for  additional  information.  As  a  result,
investors in our ordinary shares will not be able to benefit from owning these securities unless their market price becomes greater than the price paid by such investors and they
are able to sell such securities. We cannot assure you that you will ever be able to resell our securities at a price in excess of the price paid.

Your percentage ownership in us may be diluted by future issuances of share capital, which could reduce your influence over matters on which shareholders vote.

Our board of directors will have the authority, in most cases without action or vote of our shareholders, to issue all or any part of our authorized but unissued shares,
including ordinary shares issuable upon the exercise of outstanding options and warrants. Issuances of additional shares would reduce your influence over matters on which our
shareholders vote.

If equity research analysts do not publish research reports about our business or if they issue unfavorable commentary or downgrade our ordinary shares, the price of our
ordinary shares could decline.

The trading market for our ordinary shares will rely in part on the research and reports that equity research analysts publish about us and our business. The price of our
ordinary  shares  could  decline  if  we  do  not  obtain  research  analyst  coverage  or  if  one  or  more  securities  analysts  downgrade  our  ordinary  shares,  issue  other  unfavorable
commentary, or cease publishing reports about us or our business.

Risks Related to Our Operations in Israel

We  are  a  “foreign  private  issuer”  and  intend  to  follow  certain  home  country  corporate  governance  practices,  and  our  shareholders  may  not  have  the  same  protections
afforded to shareholders of companies that are subject to all corporate governance requirements under the listing rules of the Nasdaq Stock Market LLC, or the Nasdaq
Listing Rules.

As  a  foreign  private  issuer,  we  are  permitted  to  follow  certain  home  country  corporate  governance  practices  instead  of  those  otherwise  required  under  the  Nasdaq
Stock Market for domestic U.S. issuers. For instance, we follow home country practice in Israel with regard to the quorum requirement for shareholder meetings. As permitted
under the Israeli Companies Law of 1999, or the Companies Law, our articles of association provide that the quorum for any meeting of shareholders shall be the presence of at
least two shareholders present in person, by proxy, or by a voting instrument, who hold at least 20% of the voting power of our shares. In addition, we will follow home country
practices in Israel (and consequently avoid the requirements that would otherwise apply to a U.S. company listed on the Nasdaq Global Market) with regard to the requirement
to obtain shareholder approval for certain dilutive events (such as for the establishment or amendment of certain equity-based compensation plans, issuances that will result in a
change of control of the company, certain transactions, and certain acquisitions of the stock or assets of another company). We may in the future (or may be required to) elect to
follow home country practices in Israel with regard to other matters. Following our home country governance practices as opposed to the requirements that would otherwise
apply to a U.S. company listed on the Nasdaq Global Market may provide less protection to you than what is accorded to investors under the Nasdaq Listing Rules applicable to
domestic U.S. issuers. See “Item 16G. Corporate Governance Practices” for more information.

39

 
 
 
 
 
 
 
 
 
 
 
In addition, as a foreign private issuer, we are exempt from the rules and regulations under the Exchange Act related to the furnishing and content of proxy statements.
Under regulations promulgated under the Companies Law, we will be required to disclose in the notice for our annual meetings of shareholders if we had not already done so in
our annual report, the annual compensation of our five most highly compensated officers on an individual basis, rather than aggregate. However, this disclosure will not be as
extensive as the disclosure required by a U.S. domestic issuer. We will also have four months after the end of each fiscal year to file our annual reports with the SEC and will
not  be  required  to  file  current  reports  as  frequently  or  promptly  as  U.S.  domestic  reporting  companies.  Furthermore,  as  a  foreign  private  issuer,  our  officers,  directors  and
principal shareholders will be exempt from the requirements to report short-swing profit recovery contained in Section 16 of the Exchange Act. Also, as a foreign private issuer,
we are not subject to the requirements of Regulation FD (Fair Disclosure) promulgated under the Exchange Act. These exemptions and leniencies will reduce the frequency and
scope of information and protections available to you in comparison to those applicable to U.S. domestic reporting companies.

In  order  to  maintain  our  current  status  as  a  foreign  private  issuer,  more  than  50%  of  our  outstanding  voting  securities  must  not  be  directly  or  indirectly  owned  by
residents of the U.S., and we must not have any of the following: (i) a majority of our executive officers or directors being U.S. citizens or residents, (ii) more than 50% of our
assets being located in the U.S., or (iii) our business being principally administered in the U.S. Although we have elected to comply with certain U.S. regulatory provisions, our
loss of foreign private issuer status would make such provisions mandatory. The regulatory and compliance costs to us under U.S. securities laws as a U.S. domestic reporting
company may be significantly higher. If we are not a foreign private issuer, we will be required to file periodic reports and registration statements on U.S. domestic reporting
company forms with the SEC, which are more detailed and extensive than the forms available to a foreign private issuer. We may also be required to modify certain of our
policies to comply with accepted governance practices associated with U.S. domestic reporting companies. Such conversion and modifications will involve additional costs. In
addition, we may lose our ability to rely upon exemptions from certain corporate governance requirements on U.S. stock exchanges that are available to foreign private issuers.

Potential political, economic, and military instability in the State of Israel, where the majority of our senior management and our research and development facilities are
located, may adversely impact our results of operations.

We are incorporated under Israeli law and our offices and operations are located in the State of Israel. In addition, our employees, officers, and all but three of our
directors are residents of Israel. Accordingly, political, economic, and military conditions in Israel directly affect our business. Since the State of Israel was established in 1948,
a number of armed conflicts have occurred between Israel and its neighboring countries.

In October 2023, Hamas terrorists infiltrated Israel’s southern border from the Gaza Strip and conducted a series of attacks on civilian and military targets. Hamas also
launched extensive rocket attacks on Israeli population and industrial centers located along Israel’s border with the Gaza Strip and in other areas within the State of Israel.
These attacks resulted in extensive deaths, injuries and kidnapping of civilians and soldiers. Following the attack, Israel’s security cabinet declared war against Hamas and a
military campaign against these terrorist organizations commenced in parallel to their continued rocket and terror attacks. In addition, since the commencement of these events,
there  have  been  continued  hostilities  along  Israel’s  northern  border  with  Lebanon  (with  the  Hezbollah  terror  organization).  It  is  possible  that  hostilities  with  Hezbollah  in
Lebanon will escalate, and that other terrorist organizations, including Palestinian military organizations in the West Bank as well as other hostile countries, such as Iran, will
join the hostilities. Such clashes may escalate in the future into a greater regional conflict.

In connection with the Israeli security cabinet’s declaration of war against Hamas and possible hostilities with other organizations, several hundred thousand Israeli
military reservists were drafted to perform immediate military service, including about 10% of our workforce in Israel. Although many of such military reservists have since
been released, including all our employees but one, they may be called up for additional reserve duty, depending on developments in the war in Gaza and along Israel’s other
borders.  Military  service  call  ups  that  result  in  absences  of  personnel  for  an  extended  period  of  time  may  materially  and  adversely  affect  our  business,  prospects,  financial
condition and results of operations. As of March 20, 2024, we currently have 76 employees located in Israel.

While to date, we have not experienced any major disruptions in our operations due to the war, we have taken particular measures in our facility in Yessod Hama’ala,
which  is  located  approximately  9km  from  Israel’s  northern  border  with  Lebanon,  including  conducting  fire  drills,  first  aid  trainings  and  evacuation  trainings,  as  well  as
upgrading the shelter at the facility. Due to the close proximity of our facility in Yessod Hama’ala to the border with Lebanon, any escalation of the war could result in severe
damages to the Yessod facility and/or the partial or complete closure of thereof for an indefinite period of time and could have a material impact on our business and results of
operations.

40

 
 
 
 
 
 
 
 
 
The intensity and duration of Israel’s current war against Hamas is difficult to predict at this stage, as are such war’s economic implications on the Company’s business
and operations and on Israel’s economy in general. If the war extends for a long period of time or expands to other fronts, such as Lebanon, Syria and the West Bank, our
operations may be adversely affected.

Our commercial insurance does not cover losses that may occur as a result of events associated with war and terrorism. Although the Israeli government currently
covers the reinstatement value of direct damages that are caused by terrorist attacks or acts of war, we cannot assure you that this government coverage will be maintained or
that it will sufficiently cover our potential damages. Any losses or damages incurred by us could have a material adverse effect on our business. Any armed conflicts or political
instability in the region would likely negatively affect business conditions and could harm our results of operations.

The continued political instability and hostilities between Israel and its neighbors and any future armed conflict, terrorist activity or political instability in the region
could adversely affect our operations in Israel and adversely affect the market price of our shares of common stock. In addition, several organizations and countries may restrict
doing business with Israel and Israeli companies have been and are today subjected to economic boycotts. The interruption or curtailment of trade between Israel and its present
trading partners could adversely affect our business, financial condition and results of operations.

Finally, political conditions within Israel may affect our operations. Israel has held five general elections between 2019 and 2022, and prior to October 2023, the Israeli
government pursued extensive changes to Israel’s judicial system, which sparked extensive political debate and unrest. To date, these initiatives have been substantially put on
hold. Actual or perceived political instability in Israel or any negative changes in the political environment, may individually or in the aggregate adversely affect the Israeli
economy and, in turn, our business, financial condition, results of operations and growth prospects.

The tax benefits that are available to us if and when we generate taxable income require us to meet various conditions and may be prevented or reduced in the future,
which could increase our costs and taxes.

If and when we generate taxable income, we may be eligible for certain tax benefits provided to “Preferred Enterprises” under the Israeli Law for the Encouragement
of Capital Investments, 5719-1959, as amended, or the Investment Law. The benefits that may be available to us under the Investment Law are subject to the fulfillment of
conditions  stipulated  in  the  Investment  Law.  Further,  in  the  future  these  tax  benefits  may  be  reduced  or  discontinued.  If  these  tax  benefits  are  reduced,  cancelled,  or
discontinued,  our  Israeli  taxable  income  would  be  subject  to  regular  Israeli  corporate  tax  rates.  The  standard  corporate  tax  rate  for  Israeli  companies  is  currently  23%.
Additionally, if we increase our activities outside of Israel through acquisitions, for example, our expanded activities might not be eligible for inclusion in future Israeli tax
benefit programs. See “Item 10.E. Taxation—Israeli Tax Considerations and Government Programs—Law for the Encouragement of Capital Investments, 5719-1959.”

It may be difficult to enforce a U.S. judgment against us, our officers and directors, and the Israeli experts named in this Annual Report on Form 20-F in Israel or the
United States, or to assert U.S. securities laws claims in Israel or serve process on our officers and directors and these experts.

We  were  incorporated  in  Israel,  and  our  corporate  headquarters,  research  facilities  and  substantially  all  of  our  operations  are  located  in  Israel.  All  of  our  senior
management and a majority of our directors are located outside the United States. All of our assets are located outside the United States. Therefore, it may be difficult for an
investor, or any other person or entity, to enforce a U.S. court judgment based upon the civil liability provisions of the U.S. federal securities laws against us or any of these
persons in a U.S. or Israeli court, or to effect service of process upon these persons in the United States. Additionally, it may be difficult for an investor, or any other person or
entity, to assert U.S. securities law claims in original actions instituted in Israel. Israeli courts may refuse to hear a claim based on an alleged violation of U.S. securities laws
against us or our officers and directors on the grounds that Israel is not the most appropriate forum in which to bring such a claim. Even if an Israeli court agrees to hear a
claim, it may determine that Israeli law and not U.S. law is applicable to the claim. If U.S. law is found to be applicable, the content of applicable U.S. law must be proved as a
fact by expert witnesses, which can be a time-consuming and costly process. Certain matters of procedure would be governed by Israeli law. There is little binding case law in
Israel addressing the matters described above.

41

 
 
 
 
 
 
 
 
 
 
Your rights and responsibilities as our shareholder will be governed by Israeli law, which may differ in some respects from the rights and responsibilities of shareholders of
U.S. corporations.

Because we are incorporated under Israeli law, the rights and responsibilities of our shareholders are governed by our articles of association and Israeli law. These
rights and responsibilities differ in some material respects from the rights and responsibilities of shareholders of U.S. corporations. In particular, a shareholder of an Israeli
company has a duty to act in good faith and in a customary manner in exercising its rights and performing its obligations towards the company and other shareholders and to
refrain from abusing its power in the company, including, among other things, in voting at the general meeting of shareholders on certain matters, such as an amendment to the
company’s  articles  of  association,  an  increase  of  the  company’s  authorized  share  capital,  a  merger  of  the  company,  and  approval  of  related  party  transactions  that  require
shareholder approval. A shareholder also has a general duty to refrain from discriminating against other shareholders. In addition, a controlling shareholder or a shareholder
who knows that it possesses the power to determine the outcome of a shareholder vote or to appoint or prevent the appointment of an officer of the company has a duty of
fairness towards the company. However, Israeli law does not define the substance of this duty of fairness. There is limited case law available to assist us in understanding the
nature of this duty or the implications of these provisions. These provisions may be interpreted to impose additional obligations and liabilities on our shareholders that are not
typically imposed on shareholders of U.S. corporations. See “Item 6.C. Board Practices—Approval of Related Party Transactions under Israeli Law—Shareholders’ Duties.”

Provisions of Israeli law and our amended and restated articles of association could make it more difficult for a third party to acquire us or increase the cost of acquiring
us, even if doing so would benefit our shareholders.

Israeli  law  regulates  mergers,  requires  tender  offers  for  acquisitions  of  shares  above  specified  thresholds,  requires  special  approvals  for  transactions  involving
directors, officers, or significant shareholders and regulates other matters that may be relevant to such types of transactions. For example, a tender offer for all of a company’s
issued  and  outstanding  shares,  or  a  Full  Tender  Offer,  can  only  be  completed  if  the  acquirer  receives  approval  of  the  holders  of  at  least  95%  of  the  issued  share  capital.
Completion  of  the  Full Tender  Offer  also  requires  approval  of  a  majority  of  the  offerees  that  do  not  have  a  personal  interest  in  the  tender  offer,  unless  at  least  98%  of  the
company’s  outstanding  shares  are  tendered.  Furthermore,  the  shareholders,  including  those  who  indicated  their  acceptance  of  the  Full  Tender  Offer  (unless  the  acquirer
stipulated in its tender offer that a shareholder that accepts the offer may not seek appraisal rights), may, at any time within six months following the completion of the tender
offer, petition an Israeli court to alter the consideration for the acquisition. In case the Full Tender Offer has not been accepted by the required threshold, the offeror is limited to
acquire shares that will confer on the offeror a holding of not more than 90% of the issued share capital of the company. In addition, special tender offer requirements may also
apply upon a purchaser becoming a holder of 25% or more of the voting rights in a company (if there is no other shareholder of the company holding 25% or more of the voting
rights in the company) or upon a purchaser becoming a holder of more than 45% of the voting rights in the company (if there is no other shareholder of the company who holds
more than 45% of the voting rights in the company), See “Item 10.B. Memorandum and Articles of Association—Acquisitions under Israeli Law” for additional information.

Further, Israeli tax considerations may make potential transactions undesirable to us or to some of our shareholders whose country of residence does not have a tax
treaty with Israel granting tax relief to such shareholders from Israeli tax. For example, Israeli tax law does not recognize tax-free share exchanges to the same extent as U.S.
tax law. With respect to mergers, Israeli tax law allows for tax deferral in certain circumstances but makes the deferral contingent on the fulfilment of a number of conditions,
including, in some cases, a holding period of two years from the date of the transaction during which sales and dispositions of shares of the participating companies are subject
to certain restrictions. Moreover, with respect to certain share swap transactions, the tax deferral is limited in time, and when such time expires, the tax becomes payable even if
no disposition of the shares has occurred.

42

 
 
 
 
 
 
 
We have received grants from the IIA for certain research and development expenditures. The terms of these grants may require us to satisfy specified conditions in
order to manufacture products and transfer technologies outside of Israel. For more information, see “—Risks Related to Our Financial Condition and Capital Requirements—
The IIA grants we have received in the past for research and development expenditures may restrict our ability to manufacture products and transfer know-how outside of Israel
and require us to satisfy specified conditions.”

We may be classified as a passive foreign investment company for U.S. federal income tax purposes, and our U.S. shareholders may suffer adverse tax consequences as a
result.

Generally, if, for any taxable year, either, at least 75% of our gross income is passive income (including our pro-rata share of the gross income of our 25% or more-
owned corporate subsidiaries), or at least 50% of the average value of our assets (including our pro-rata share of the assets of our 25% or more-owned corporate subsidiaries) is
attributable to assets that produce passive income or are held for the production of passive income, we would be characterized as a passive foreign investment company, or
PFIC, for U.S. federal income tax purposes. Passive income generally includes dividends, interest, and gains from disposition of passive assets and rents and royalties.

If we are characterized as a PFIC for any taxable year (or portion thereof) that is included in the holding period of a U.S. holder (as defined below) of our securities,
such U.S. holder generally will be subject to certain adverse U.S. federal income tax consequences, including increased tax liability on gains from dispositions of our securities
and certain distributions and a requirement to file annual reports with the Internal Revenue Service, or IRS. Certain adverse consequences of PFIC status may be alleviated if a
U.S. holder makes a “mark to market” election or an election to treat us as a qualified electing fund, or QEF. These elections would result in an alternative treatment (such as
mark-to-market treatment) of our ordinary shares. It is not expected that a U.S. holder will be able to make a QEF election because we do not intend to provide U.S. holders
with  the  information  necessary  to  make  a  QEF  election.  See  “Item  10.E. Taxation—Certain  Material  U.S.  Federal  Income Tax  Consequences—Passive  Foreign  Investment
Company Consequences.”

Since PFIC status depends on the composition of our income and the composition and value of our assets (which may be determined in large part by reference to the
market value of our ordinary shares, which may be volatile) from time to time, there can be no assurance that we will not be considered a PFIC for any taxable year. However,
based on our non-passive revenue-producing operations for the year ended December 31, 2023, we do not believe we were a PFIC for our 2023 taxable year. Because the PFIC
determination is highly fact intensive, there can be no assurance that we were not a PFIC in 2023 and will not be a PFIC in 2024 or any other year.

U.S.  investors  are  urged  to  consult  their  own  tax  advisors  regarding  the  possible  application  of  the  PFIC  rules.  For  more  information,  see  “Item  10.E. Taxation—

Certain Material U.S. Federal Income Tax Consequences—Passive Foreign Investment Company Consequences.”

If a United States person is treated as owning at least 10% of our shares, such holder may be subject to adverse U.S. federal income tax consequences.

If a United States person is treated as owning (directly, indirectly or constructively) at least 10% of the value or voting power of our shares, such person may be treated
as a “United States shareholder” with respect to each “controlled foreign corporation” in our group (if any). A United States shareholder of a controlled foreign corporation may
be required to annually report and include in its U.S. taxable income its pro rata share of “Subpart F income,” “global intangible low-taxed income” and investments in U.S.
property by controlled foreign corporations, whether or not we make any distributions, and may be subject to tax reporting obligations. An individual that is a United States
shareholder with respect to a controlled foreign corporation generally would not be allowed certain tax deductions or foreign tax credits that would be allowed to a United
States shareholder that is a U.S. corporation. A failure to comply with these reporting obligations may subject you to significant monetary penalties and may prevent the statute
of limitations with respect to your U.S. federal income tax return for the year for which reporting was due from starting. We cannot provide any assurances that we will assist
any shareholder in determining whether such shareholder is treated as a United States shareholder with respect to any “controlled foreign corporation” in our group (if any) or
furnish to any United States shareholders information that may be necessary to comply with the aforementioned reporting and tax paying obligations. A United States investor
should consult its tax advisors regarding the potential application of these rules to its investment in the shares.

43

 
 
 
 
 
 
 
 
 
 
Our facilities in Israel are subject to local Business Licensing and Planning and Zoning regulations and we may be subject to fines if not complied with.

Under the Israeli Licensing of Businesses Law, operating a business without a license or temporary permit is a criminal offense. Both our sites in Rehovot, Israel, and

our production site at Yessod Hama’ala, Israel, have valid business licenses in effect.

In addition, the Israeli Planning and Zoning Law, sets provisions and obligations, inter alia, regarding the licensing process for a new building, including building
permits, non-conforming use and easements, the supervision over its construction, and the required occupancy permits. According to the Planning and Zoning Law, work or use
of land without a permit, where such permit is required, a deviation from the permit granted, or use of agricultural land in violation of the law constitute criminal offenses. We
have recently learned upon internal inspection that permits for certain of the structures on our production site at Yessod Hama’ala are missing. We are in correspondence with
the relevant authorities, including the regional council, and are in the process of obtaining the necessary permits. Nevertheless, the absence of such permits could lead to the
halt or closure of the site, may expose us to legal proceedings and may constitute a criminal offence, and as such, could adversely impact our operations and results, including
our production capabilities. To date, the site remains open and fully operational, and we have not experienced any adverse effects resulting from our need to obtain the said
permits.

ITEM 4. INFORMATION ON THE COMPANY

A. History and Development of the Company

We  are  a  regenerative  and  aesthetic  medicine  company  focused  on  3D  bioprinting  of  tissues  and  organs,  and  medical  aesthetics.  Our  products  are  based  on  our
recombinant human collagen (rhCollagen) that is produced with our proprietary plant based genetic engineering technology. These products address indications for the diverse
fields of tissue repair, aesthetics and organ manufacturing, and are ushering in a new era in regenerative and aesthetic medicine.  

In  February  2021,  we  entered  into  the  AbbVie  Development  Agreement,  pursuant  to  which  we  and  AbbVie  agreed  to  collaborate  in  the  development  and
commercialization  of  dermal  and  soft  tissue  filler  products  for  the  medical  aesthetics  market,  using  our  rhCollagen  technology  and AbbVie’s  technology.  In  June  2023,  we
announced the achievement of a milestone with respect to the clinical-phase dermal filler product under the AbbVie Development Agreement, which triggered a $10 million
payment from AbbVie to us.

Our legal and commercial name is CollPlant Biotechnologies Ltd. Our name has changed several times but has been CollPlant Biotechnologies Ltd. since June 21,
2019. We hold all of the issued and outstanding shares of CollPlant Ltd. CollPlant Ltd. was incorporated in Israel on August 12, 2004 as a private company limited by shares
and began its operations as a technology incubator company under the IIA’s technology incubators program. CollPlant Ltd. owns all of our intellectual property. CollPlant Ltd.
holds all of the issued and outstanding shares of CollPlant Inc. CollPlant Inc. was incorporated in Delaware on November 30, 2021, as a corporation. CollPlant Biotechnologies
Ltd. was incorporated in Israel on November 9, 1981 as a private company limited by shares. The Company became a public company in 1993, when all of its ordinary shares
were listed on the TASE. CollPlant Ltd. was incorporated under the laws of the State of Israel in 2004 and merged with us (by way of transfer of shares) in 2010.

On May 25, 2021, our ordinary shares were approved for trading on the Nasdaq Global Market under our ticker symbol “CLGN” and began trading at the open of
market on June 4, 2021. At such time, our ADSs, were mandatorily cancelled and exchanged for ordinary shares at a one-for-one ratio. Prior to that, our ADSs were quoted on
the OTCQX from March 2015 to May 25, 2017, on the OTCQB from May 26, 2017 to January 30, 2018 and on the Nasdaq Capital Market from January 31, 2018 to June 3,
2021 under the symbol “CLGN”. In 2018, we delisted our ordinary shares from trading on the TASE, and the last date of trading of our ordinary shares on the TASE was on
October 29, 2018.

44

 
 
 
 
 
 
 
 
 
 
 
Our principal office is located at 4 Oppenheimer, Weizmann Science Park, Rehovot 7670104, Israel, and our telephone number is +972-73-232-5600. Our primary
internet address is http://www.CollPlant.com. None of the information on our website is incorporated by reference herein. Puglisi & Associates serves as our agent for service
of process in the United States for certain limited matters, and its address is 850 Library Avenue, Suite 204, Newark, Delaware 19711.

We  use  our  website  (http://www.CollPlant.com)  as  a  channel  of  distribution  of  Company  information.  The  information  we  post  on  our  website  may  be  deemed
material. Accordingly, investors should monitor our website, in addition to following our press releases, SEC filings and public conference calls and webcasts. The contents of
our website are not, however, a part of this Annual Report.

As a foreign private issuer, we are exempt from certain rules and regulations under the Exchange Act that are applicable to other public companies that are not foreign
private issuers. For example, although we intend to report our financial results on a quarterly basis, we will not be required to issue quarterly reports, proxy statements that
comply with the requirements applicable to U.S. domestic reporting companies, or individual executive compensation information that is as detailed as that required of U.S.
domestic reporting companies. We will also have four months after the end of each fiscal year to file our annual report with the SEC and will not be required to file current
reports as frequently or promptly as U.S. domestic reporting companies. Our senior management, directors, and principal shareholders will be exempt from the requirements to
report transactions in our equity securities and from the short-swing profit liability provisions contained in Section 16 of the Exchange Act. As a foreign private issuer, we will
also not be subject to the requirements of Regulation FD (Fair Disclosure) promulgated under the Exchange Act.

Our capital expenditures for December 31, 2023, 2022 and 2021 amounted to $954,000, $1.3 million and $1.4 million, respectively. Our purchases of fixed assets

primarily include laboratory equipment and establishment of our production site in Rehovot. We financed these expenditures primarily from cash on hand.

B. Business Overview

Overview

We  are  a  regenerative  and  aesthetic  medicine  company  focused  on  3D  bioprinting  of  tissues  and  organs,  and  medical  aesthetics.  Our  products  are  based  on  our
recombinant human collagen (rhCollagen) that is produced with our proprietary plant-based genetic engineering technology. These products address indications for the diverse
fields of tissue repair, aesthetics and organ manufacturing, and are ushering in a new era in regenerative and aesthetic medicine.  

In February 2021, we entered into the AbbVie Development Agreement with Allergan, an AbbVie company, pursuant to which we and AbbVie are collaborating in the
development and commercialization of dermal and soft tissue filler products for the medical aesthetics market, using our rhCollagen technology and AbbVie’s technology. In
June 2023, we announced the achievement of a milestone with respect to the dermal and soft tissue filler product, which triggered a $10 million payment from AbbVie to us.
The dermal filler product is currently in clinical trials that are conducted by AbbVie.

In the field of medical aesthetics, we are developing 3D-bioprinted breast implants for regeneration of breast tissue, addressing the $2.9 billion global breast implant
market. The implants in development are printed and loaded with our rhCollagen-based bioink in combination with other proprietary biomaterials. These implants are expected
to  regenerate  breast  tissue  without  eliciting  immune  response,  and  thus  may  provide  a  revolutionary  alternative  for  aesthetic  and  reconstructive  procedures,  including
postmastectomy  for  cancer  patients.  In  December  2023  we  initiated  a  pre-clinical  trial  to  evaluate  commercial-size,  3D-bioprinted,  regenerative  breast  implants. This  study
follows the completion of our first large-animal study, the results of which were announced in January 2023. This study will be used to obtain data to support subsequent human
studies and future product commercialization.

We entered into a joint development and commercialization agreement with Stratasys, in April 2023, pursuant to which we agreed to collaborate on the development of
a  solution  to  bio-fabrication  human  tissues  and  organs,  using  Stratasys’  P3  technology-based  bioprinter  and  our  rhCollagen-based  bioinks,  with  the  first  target  being  a
development of an industrial-scale solution for CollPlant’s regenerative breast implants project.

45

 
 
 
 
 
 
 
 
 
 
 
 
In  January  2023,  we  commercially  launched  Collink.3D™50L  in  powder  form,  which  is  our  first  bioink  available  in  powder  form,  joining  Collink.3D™90  and
Collink.3D™50  launched  in  2022  and  2021,  respectively.  Collink.3D  is  our  rhCollagen-based  bioink  platform,  which  is  ideal  for  3D  bioprinting  of  tissues  and  organs  for
regenerative medicine applications. These rhCollagen-based bioink products are designed to allow the scalable and reproduceable biofabrication of scaffolds, tissues and organ
transplants.

Our  rhCollagen  production  process  utilizes  plant-based  genetic  engineering  technology.  This  approach  eliminates  the  need  for  traditional  animal-derived  collagen

sources, reducing the environmental strain associated with traditional methods and promoting more ethical and sustainable practices.

In  the  second  quarter  of  2023,  we  hired  a  dedicated  expert  to  lead  our  Environment,  Social  and  Governance  (ESG)  effort.  Our  goal  was  to  identify  CollPlant’s

strengths in the areas of ESG that are already in line with our mission and communicate these practices to business partners and the public.

In  line  with  this  initiative,  in  September  2023,  we  announced  that  we  joined  the  United  Nations  Global  Compact,  the  world’s  largest  initiative  for  sustainable  and
responsible  corporate  governance.  As  a  new  participant  of  this  voluntary  leadership  platform,  we  strengthen  our  commitment  to  operate  sustainably  as  we  also  produce
sustainable alternatives to the regenerative and aesthetics medicine products and technologies that currently exist.

Consistent with our mission of helping people live longer, healthier lives through regenerative medicine, we are committed to supporting a more sustainable ecosystem

that benefits all stakeholders, including patients, our employees, and our shareholders.

We believe our technology is the only commercially viable technology available for the production of genetically engineered, or recombinant, human collagen. We
believe that our rhCollagen is identical to the type I collagen produced by the human body, has significant advantages compared to currently marketed tissue-derived collagens,
including improved bio-functionality, high homogeneity, and safety profile (does not elicit immune response). We believe the attributes of our rhCollagen make it suitable for
numerous tissue and organ regeneration applications throughout the human body. We believe that the annual market size for our bioink, and our medical aesthetics product
candidates including dermal filler, exceeded $10 billion in 2021, and is estimated to reach $18 billion in 2026.

Our rhCollagen has superior biological function when compared to any tissue-derived collagens, whether from animal or human tissues, according to data published in
peer-reviewed scientific publications. Our rhCollagen can be fabricated in different forms and shapes including bioinks, gels, pastes, sponges, sheets, membranes, fibers, and
thin coats, all of which have been tested and proven superior to tissue-derived products. We have demonstrated that, due to its homogeneity, rhCollagen can produce bioinks
with optimal rheological properties fibers with high molecular alignment, which enables the formation of tissue repair products with distinctive physical properties.

In December 2020, we entered into a product manufacturing and supply agreement with STEMCELL, under which we are selling our proprietary recombinant human
Type I collagen (rhCollagen) to STEMCELL, which incorporates it into cell culture media kits. To date, hundreds of companies, as well as research and academic institutes,
have used these kits for research and development projects. STEMCELL is distributing the kits globally for use in the regenerative medicine research market.

We are currently focusing on the following innovative rhCollagen-based product pipe-lines:

● Regenerative dermal and soft tissue fillers. Our rhCollagen offers a portfolio of opportunities in the field of regenerative aesthetics, owing to its ideal structure
and non-immunogenic properties that provide, what we believe is the optimal scaffold to attract cells and promote tissue regeneration. We are collaborating with
AbbVie  in  the  development  and  commercialization  of  the  clinical-phase  dermal  and  soft  tissue  filler  product  for  the  medical  aesthetics  market,  using  our
rhCollagen technology and AbbVie’s technology, pursuant to the AbbVie Development Agreement entered into in February 2021. In June 2023, we announced the
achievement of a milestone with respect to the dermal and soft tissue filler product candidate, in accordance with our collaboration agreement with AbbVie. Per
the  agreement,  the  achievement  of  this  milestone  triggered  a  $10  million  payment  from  AbbVie  to  us  that  was  received  in  July  2023.  In  addition,  we  are
developing a photocurable regenerative dermal filler combining our tissue regenerating rhCollagen and other technologies which is designed to address the need
for  more  innovative  aesthetic  products  to  treat  wrinkles.  The  photocurable  regenerative  dermal  filler  is  one  of  AbbVie’s  Option  Products  under  the  AbbVie
Development Agreement.

46

 
 
 
 
 
 
 
 
 
 
 
 
 
 
● 3D-bioprinted regenerative breast implants. We are developing a 3D-bioprinted regenerative breast implants, which are designed to gradually degrade and be
replaced by newly grown natural breast tissue. In December 2023, we initiated a large-animal study to evaluate commercial size 3D bioprinted regenerative breast
implant. In January 2023, we announced positive results from our first large-animal study. This study demonstrated progressive stages of tissue regeneration after
three months, as highlighted by the formation of maturing connective tissue and neovascular networks within the implants, with no adverse events reported.

We  were  in  the  initial  stages  of  developing  injectable  breast  implants,  and  a  3D-bioprinted  Regenerative  soft  Tissue  Matrix,  or  RTM  for  use  in  breast
reconstruction  procedures  in  combination  with  an  implant.  However,  we  decided  to  temporarily  defer  the  development  of  both  these  products  in  order  to
concentrate our efforts on advancing the development of our 3D-bioprinted regenerative breast implants. We will consider resuming the development of both the
injectable breast implants and RTM based on our 3D-bioprinted breast implant program progress. The injectable breast implant is one of AbbVie’s Option Product
under the AbbVie Development Agreement.

● CollPlant  rhCollagen-based  Commercial  Bioink  for  Regenerative  Medicine Applications.  Our  bioink  product  line  provides  an  ideal  building  block  for  three
dimensional bioprinting of tissues and organs. The bioink intend to enable the printing of three-dimensional scaffolds combined with human cells and/or growth
factors as a basis for tissue or organ formation. In addition to collagen, CollPlant’s bioink formulations can include other proteins and/or polymers as well. Our
bioink  is  being  developed  to  be  compatible  with  numerous  3D  bioprinting  technologies  and  with  printed  organ  characteristics.  In  January  2023,  we  launched
Collink.3D™ 50L in powder form, which is our first bioink available in powder form and provides enhanced operational flexibility to support a wide range of 3D
bioprinting  applications,  including  drug  discovery,  drug  screening,  tissue  testing  as  well  as  the  development  of  transplantable  tissues  and  organs.  Earlier,  in
November  2022  we  launched  Collink.3D™  90,  an  rhCollagen-based  bioink  solution  for  use  in  a  variety  of  3D  bioprinting  applications,  offering  increased
mechanical  properties  to  address  additional  printing  requirements  of  soft  and  hard  tissues.  Collink.3D™  90  is  complementary  to  our  first  commercial  bioink,
Collink.3D  50,  which  was  launched  in  November  2021,  for  use  in  3D  bioprinting.  Collink.3D  50,  our  first  commercially  available  rhCollagen-based  bioink
product is designed to allow the scalable and reproduceable biofabrication of scaffolds, tissues and organ transplants. Made entirely from human-derived collagen,
Collink.3D bioinks enables the production of scaffolds that accurately mimic the physical properties of human tissues and organs, with improved bio-functionality,
safety and reproducibility.

We  also  market  VergenixSTR,  a  soft  tissue  matrix,  intended  for  the  treatment  of  tendinopathy,  and  VergenixFG,  a  wound  healing  flowable  gel,  intended  for  the

treatment of chronic and acute wounds.

We were in the initial stages of developing ‘gut-on-a-chip’ tissue model intended to enable a predictive and personalized treatment for inflammatory bowel diseases
(IBD). In November 2022, we entered into a license and research agreement with Tel Aviv University and Sheba Medical Center hospital, to co-development a ‘gut-on-a-chip’,
tissue model for drug discovery and high throughput screening of drugs. In November 2023, we elected to terminate the aforementioned agreement and continued to develop
this program on our own. In March 2024, following a further assessment, we have decided to focus our resources in advancing our 3D-bioprinted regenerative breast implants
and  dermal  and  soft  tissue  fillers  programs,  consequently  putting  the  ‘gut-on-a-chip’  program  on  hold.  We  intend  to  revisit  the  ‘gut-on-a-chip’  program  and  consider  its
initiation once resources become available.

47

 
 
 
 
 
 
 
 
 
 
 
Collagen and Collagen-Based Products

Collagen is the main component of connective tissue and is the most abundant protein in mammals. In humans, it comprises approximately 30% of the protein found in
the body. Due to its unique characteristics and diverse profile in human body functions, collagen is frequently selected from a variety of biocompatible materials for use in
tissue repair to support structural integrity, induce cellular infiltration and promote healing. We estimate that the size of the market for human collagen-based tissue repair with
our bioinks and aesthetic medicine product line exceeded $10 billion in 2021 and is estimated to reach approximately $18 billion in 2026.

Type I collagen is the most abundant form of collagen in the human body. It is the dominant constituent of connective tissue and serves as the primary scaffold in
tissue or organ repair processes, making it a logical choice for regenerative medicine products. It is found in tendons, skin, artery walls, corneas, the endomysium surrounding
muscle fibers, fibrocartilage, and the organic part of bones and teeth. Type II collagen is primarily found in articular cartilage. Type III collagen, which is produced quickly by
young fibroblasts before the tougher type I collagen is synthesized, is found in granulation tissue such as artery walls, skin, intestines, and the uterus. While there may be some
niche applications in the future where type III or possibly type II collagen is appropriate, type I collagen is best suited for applications associated with regenerative medicine
because of its essential role in the healing process of bones, skin, and tendons. Type III rhCollagen is currently available for the research market, and is not used in any products
currently approved for medical use.

Disadvantages of Current Collagen-Based Products

Currently, type I collagen for medical use is primarily tissue-derived from bovine (cow) and porcine (pig) sources, as well as from human cadavers. It is extracted from

the tissues using mechanical processes and chemical treatments. Tissue-derived collagens suffer from a number of disadvantages:

● The harsh chemical conditions required to recycle collagen from mature tissue results in a collagen product with random defects in its protein structure, leading to
a  compromised  triple  helix.  Consequently,  tissue-derived  collagens  have  significant  damage  to  binding  sites  for  progenitor  cells,  which  are  required  for  cell
proliferation and differentiation into tissue.

● Tissue-derived collagens are non-homogenous and contains high proportions of cross-linked collagen species with high molecular weight. The rate of degradation
of collagen is based on the proportion of cross-linked collagen species within the product. Excessive proportions of cross-linked collagen can impair the collagen’s
ability to self-assemble homogenous scaffolds with a high surface area and fully functional integrin-binding capacity, and can also impede its rate of degradation.
The inability to effectively control the level of cross-linked collagen species in tissue-derived collagens results in variability of performance for a given product,
and affects the rate of infiltration of cells into the scaffold, which can delay healing.

● The extraction of collagen from mature mammalian tissues leaves, in many cases, contaminant proteins, growth factors, and cytokines. As a result, scaffolds made
of  tissue-derived  collagens  may  provoke  inflammation,  as  well  as  undesirable  immune  and  foreign  body  responses  that  may  cause  adverse  effects  and
unpredictable biological outcomes.

● Extraction from animals or humans is also associated with risk of disease transmission. Since 2007, the FDA has highlighted the risks of transmissible diseases to
humans  in  medical  devices  that  contain  materials  derived  from  animal  sources.  In  January  2014,  the  FDA  released  draft  guidance  suggesting  precautionary
procedures to be used in the production of medical devices containing materials derived from animal sources.

● Although  collagen  molecules  are  similar  among  various  animal  species,  slight  differences  in  the  protein  sequence  between  species  may  result  in  different
biological  behavior  when  applied  to  humans,  and  in  some  cases,  invoke  specific  immune  responses;  for  example,  bovine  collagen  is  associated  with
hypersensitivity and allergic reactions in approximately 3% of people.

48

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Advantages of our rhCollagen and rhCollagen-based Products

All  of  our  products  are  based  on  our  proprietary  recombinant  type  I  human  collagen,  rhCollagen,  though  laboratory-derived,  is  identical  to  the  type  I  collagen
produced by the human body. The graphic below illustrates the structural differences between rhCollagen produced with our proprietary plant-based technology and currently
marketed tissue-derived collagens.

The key advantages of products using our rhCollagen, as compared to those using collagen derived from animals or human cadaveric tissue, include:

● Better biofunctionality in tissue regeneration. Our rhCollagen has superior biological function when compared to animal or human tissue-derived collagen and
has  a  number  of  useful  physical  characteristics,  including  thermal  stability,  or  resistance  to  decomposition  at  high  temperatures,  and  a  pristine  triple  helix,
according  to  data  published  in  peer-reviewed  scientific  publications. The  triple  helix  structure  of  collagen  is  formed  when  two  α-1  protein  chains  and  one  α-2
protein chain wind together along a common axis. In the formation of rhCollagen, this structure is achieved without modifications that can lead to defects in the
triple helix structure in human tissue-derived collagen, hereby leading to a pristine triple helix identical to the form found in nature. A pristine triple helix enables
superior binding, which accelerates primary human cell proliferation. Collagen scaffolds of our rhCollagen support endothelial, fibroblast, and keratinocyte cell
attachment  and  proliferation.  In  all  cell  types  tested,  cell  proliferation  was  significantly  better  in  scaffolds  made  of  rhCollagen  than  in  commercially  available
scaffolds  made  of  bovine  collagen.  The  accelerated  cell  proliferation  achieved  with  our  rhCollagen  results  in  faster  wound  healing,  less  scarring,  and  higher
quality tissue regeneration.

● High homogeneity. Because our rhCollagen is synthesized by five human genes in tobacco plants producing pure molecules that are repeatable and identical to
type  I  human  collagen,  it  is  more  homogenous  than  collagen  derived  from  animal  or  human  tissue  sources. The  high  level  of  homogeneity  of  our  rhCollagen
allows the formulation of extremely high concentrations of monomeric, or single-molecule, collagen, up to 150-200mg/ml, which is at least 10 to 100 times higher
than  the  concentration  achieved  with  tissue-derived  collagen.  The  high  concentration  of  homogeneous  monomeric  collagen  is  of  particular  importance  where
strong  collagen  fibers  are  needed  for  3D  scaffolds.  The  homogeneity  of  our  rhCollagen  enables  us  to  engineer  consistent  and  reproducible  products  with  a
controlled  degradation  rate  which  can  be  optimized  to  the  targeted  indication. Achieving  the  same  level  of  engineered  performance  would  be  difficult,  if  not
impossible, with tissue-derived collagen that varies from batch to batch.

● Improved safety and greater purity. Our pure rhCollagen does not induce an immunogenic response, whereas impurities carried over from the source of tissue-
derived collagen can lead to immune system rejection. In vitro studies performed under an academic collaboration have demonstrated that rhCollagen incubated
with activated THP1-macrophages produces significantly lower levels of inflammatory cytokines when compared with bovine collagen that is similarly incubated.
This  demonstrates  that  animal-derived  collagen  can  provoke  a  foreign  body  response  not  seen  with  rhCollagen,  which  delays  healing  and  increases  scarring.
Further, with our rhCollagen, there are no potential side effects in the growth of tissue because there are no residues of growth factors. In addition, with tissue-
derived collagen, there is a possibility that the animal or human from which the collagen was produced was infected with a virus, prion, or other pathogen. With
our rhCollagen there is no known risk of transmitting diseases and pathogens.

49

 
 
 
 
 
 
 
 
 
 
 
 
 
● Novel applications. Due to our ability to control the protein at the molecular level, it is possible to use our rhCollagen to produce products with unique physical
features, as well as high repeatability, which is not possible with tissue-derived collagen. As compared to tissue-derived collagen, rhCollagen membranes have
shown better thermal stability, improved tensile strength due to alignment of the collagen fibers, and higher levels of transparency. In addition, rhCollagen can be
used to produce high concentration solutions of collagen at low viscosities. The unique properties of our rhCollagen make it an ideal building block for many
products  that  we  believe  cannot  currently  be  produced  using  tissue-derived  collagen,  such  as  BioInks  for  3D  printing,  artificial  tendons,  and  transparent
ophthalmic products.

We  believe  the  clinical  attributes  of  our  rhCollagen  will  translate  into  benefits  for  patients,  payors,  and  physicians,  and  will  be  adopted  rapidly  by  the  market. We
believe the improved biofunctionality of our products could lead to faster recovery, better clinical outcomes, and reduced hospitalization time. Our in vivo studies have shown
faster tissue remodeling, faster wound closure, and reduced scarring compared to competing products made from tissue-derived collagen.

The advantages of our rhCollagen outlined above have been demonstrated through in vitro testing and in preclinical animal studies, and are based on the performance
of  rhCollagen  alone. The  performance  demonstrated  in  these  studies  is  not  necessarily  indicative  of  the  performance  of  our  products  which  contain  rhCollagen. We  cannot
assure you that the same advantages of rhCollagen will be seen in clinical testing of our products and product candidates containing rhCollagen.

We  can  produce  our  rhCollagen  cost-effectively  and  have  access  to  an  abundant  supply  of  raw  materials.  Tobacco  is  a  relatively  easy  plant  to  grow,  and  can  be
cultivated  in  a  wide  range  of  climates  and  soils. The  tobacco  plant  is  an  extremely  hardy  plant,  may  be  grown  in  very  large  volumes  and  its  growth  time  to  reach  desired
maturity is relatively short (about eight weeks). Under our current production technology, we are able to achieve a cost of goods that allows us to offer products at prices that
are competitive with tissue-derived collagen.

Collagen-based products are already used extensively in the marketplace; therefore, we expect our product candidates, except for dermal fillers, will likely be eligible
for reimbursement by third-party payors, including government agencies and insurance companies. We believe that the demand for tissue-derived collagen will decrease as the
market recognizes the significant advantages of our rhCollagen.

Our Market Opportunity

Our  rhCollagen  represents  a  platform  for  the  development  of  products  addressing  significant  opportunities  in  multiple  markets.  We  are  initially  focused  on  the
regenerative medical and aesthetics market, aiming to become a global leader in these markets. We are developing, together with our development partner, AbbVie, a dermal
and  soft  tissue  fillers.  Per  the AbbVie  Development Agreement,  we  have  the  potential  to  receive  additional  milestones  and  option  products  payments,  as  well  as  receive
meaningful royalties on product sales. AbbVie continues to advance the filler program which is now in clinical studies.

We are developing a 3D-bioprinted breast implants, which are developed to regenerate breast tissue and thus may provide a revolutionary alternative for aesthetic and

reconstructive procedures. In December 2023 we initiated a pre-clinical trial to evaluate commercial-size, 3D-bioprinted, regenerative breast implants.

We  see  a  significant  opportunity  to  use  our  rhCollagen  platform  to  develop  products  to  address  additional  indications  in  these  markets  as  well  as  in  new  markets,
including  cardiovascular,  orthobiologics,  and  ophthalmic  markets. We  believe  that  the  potential  addressable  market  opportunity  for  products  using  our  rhCollagen  and  3D-
bioprinting  technology  is  even  greater  than  the  market  size  served  by  currently  available  collagen-based  products,  mainly  due  to  continued  unmet  medical  needs  and  the
utilization of 3D-bioprinting technology for tissue and organ manufacturing.

50

 
 
 
 
 
 
 
 
 
 
 
 
Regenerative Medicine and Aesthetic Markets

Dermal fillers are gaining popularity all across the globe due to increasing trend of using anti-aging treatments, growing aging population, demand to look younger and
the use of social media. According to the American Society of Plastic Surgeons, comparing the 2022 procedural statistics to 2019, cosmetic surgery procedures have grown by
19%. Minimally invasive procedures gained traction throughout 2022, offering quicker recovery and almost instant results. In addition, the use of dermal fillers saw a 70%
jump for men since 2019. More and more companies are in the search for safer and longer lasting fillers.

Broadly, facial fillers can be divided into four categories: autologous fat, collagens, hyaluronic acid, and synthetic fillers (e.g., Calcium hydroxylapatite, Polylactic
acid). According to Global Market Insights Inc., in 2022, hyaluronic acid comprised the largest category of the dermal filler market, with approximately 55% market revenue
share, and is expected to register around $8.6 billion by 2032. In addition, according to the American Society of Plastic Surgeons, hyaluronic acid injectable fillers were ranked
second in popularity among the top Cosmetic Minimally Invasive Procedures for 2022.

According to Global Market Insights Inc., global dermal filler market size accounted over $5.5 billion in 2022 and is estimated to grow at 10.5% to reach $14.8 billion

by 2032.

Our regenerative breast implants addressing a $2.9 billion global breast implant market. Additionally, breast reconstruction and augmentation procedures represent the
second most common plastic surgery procedure performed worldwide today. The most common breast augmentation or reconstruction procedures today are based on synthetic
silicone breast implantations, an artificial substitution for natural regenerated tissue with risks of complications.

Currently, to our knowledge, there are no commercial products that allow regeneration of soft tissues such as the breast. In the U.S. alone, hundreds of thousands of
people per year experience adverse events that range from autoimmune symptoms to the very serious breast implant-associated anaplastic large cell lymphoma (BIA-ALCL).
CollPlant’s breast implants that are comprised of the Company’s proprietary plant-derived rhCollagen and other biomaterials, are expected to regenerate breast tissue without
eliciting immune response, and thus may provide a revolutionary alternative for aesthetic and reconstructive procedures, including postmastectomy for cancer patients.

The global breast implant market size reached US$ 2.9 Billion in 2023. Looking forward, IMARC Group expects the market to reach $4.1 billion by 2032, exhibiting a

compound annual growth rate (CAGR) of 3.7% during 2024-2032.

BioInk for 3D printing of tissues & organs

Regenerative medicine and tissue engineering have seen unprecedented growth in the past decade, driving the field of artificial tissue models towards a revolution in
future medicine. Progress has been achieved through the development of innovative biomanufacturing strategies to pattern and assemble cells and extracellular matrix, or ECM,
in three dimensions to create functional tissue constructs. Bioprinting has emerged as a promising 3D biomanufacturing technology, enabling precise control over spatial and
temporal distribution of cells and ECM. Bioprinting technology can be used to engineer artificial tissues and organs by producing scaffolds with controlled spatial heterogeneity
of  physical  properties,  cellular  composition,  and  ECM  organization.  This  innovative  approach  is  increasingly  utilized  in  biomedicine,  and  has  potential  to  create  artificial
functional constructs for drug screening and toxicology research, as well as tissue and organ transplantation.

Grand View Research Inc. estimates that the global 3D bioprinting market size was valued at $2.0 billion in 2022 and that the global market is expected to grow at a
compound annual growth rate (CAGR) of 12.5% from 2023 to 2030. The growth of the global market is largely driven by increasing large demand of tissues and organs for
transplantation and the innovations and advancements in technology for 3D bioprinting. A large number of people across the globe are waiting for an organ or tissue transplant,
due  to  the  large  gap  in  demand  for  organ  transplants  and  donors. This  has  created  traction  in  the  3D  bioprinting  industry  for  developing  live  tissues  and  organs.  Different
companies along with academic institutes and laboratories are investing capital for 3D bioprinting research and development. Some of the other factors driving the growth of
the global market include increasing research and development activities and increasing compliance for 3D bioprinting in drug discovery processes. Growing stem cell research
and increasing adoption of 3D bioprinting in cosmetic industry are expected to create ample growth opportunities for the global market.

51

 
 
 
 
 
 
 
 
 
 
 
 
Orthopedic and wound care

Orthobiologics Market

An aging population, active demographics, innovative technology, and emerging geographic areas are expected to continue to drive growth in the global orthopedic
market. Top market segments within orthopedics include reconstructive devices, such as joint replacements; spinal implants and instruments, used to treat joint pain; fracture
repair, including the use of plates and screws; and arthroscopy and soft tissue repair, primarily for sports and movement related injuries.

Chronic  complex  musculoskeletal  injuries  that  are  slow  to  heal  pose  challenges  to  physicians  and  patients  alike.  Orthobiologics  use  cell-based  therapies  and
biomaterials  to  help  injuries  heal  more  rapidly  with  a  superior  outcome. These  products  are  made  from  substances  that  are  naturally  found  in  the  body,  which  dynamically
interact with the musculoskeletal system to facilitate the healing of bone, cartilage, meniscus, tendons, and ligaments affected by disease or injury. Orthobiologics products are
spread across all segments of the larger orthopedic market, generating much of the growth within orthopedics. According to Fortune Business Insights, the global orthobiologics
market size was valued at $8.36 billion in 2022 and is projected to grow $8.77 billion in 2023 to $12.78 billion by 2030, exhibiting a CAGR of 5.5% during 2023-2030.

Advanced Wound Care Market

The global market for wound care encompasses traditional dressings and bandages, as well as advanced wound care products such as bioengineered skin and skin
substitutes and wound care growth factors. Over the past 30 years, there has been a shift from traditional wound dressings towards advanced therapies that aim to optimize the
wound healing environment. Advanced wound care is composed of biocompatible products that are intended to actively promote wound healing by interacting either directly or
indirectly with wound tissues. Attempts to reduce the duration of hospital stays in order to limit healthcare costs and the goal of enhancing therapeutic outcomes are driving the
demand for advanced wound care and closure products. One of the primary market drivers for advanced wound care products is the increasing incidence of chronic wounds,
which are on the rise due to an aging population and a sharp rise in the incidence of diabetes and obesity worldwide. Both advanced age and chronic medical conditions are
associated with a slower healing process, and all phases of wound healing are affected. The inflammatory response is decreased or delayed, as is the proliferative response.

The global advanced wound care market in terms of revenue was estimated to be worth $11.2 billion in 2022 and is poised to reach $17.7 billion by 2027, growing at a
CAGR of 9.4% from 2022 to 2027, according to MarketsAndMarkets. The three major market segments are device-based wound care, comprised of negative-pressure wound
therapy and hydrosurgery systems; moist wound care, comprised of dressings that create and maintain a moist environment; and biologics, comprised of bioactive technologies
that provide new approaches to debridement and dermal repair and regeneration.

Our Strategy

All of our activities are driven by our goal to become the global market leader in regenerative and aesthetic medicine. As a disruptive technology company, we are
facing the need to identify target customer populations, open new markets and establish unique business models for revenue generation. Our value creation is based on our sales
of rhCollagen based products to our partners and selected customers, milestone payments and royalties on future sales of our partners. Our business model includes:

1.

2.

In-house development of biofabricated scaffolds and tissues. Our current product pipeline addresses a multi-billion-dollar market.

In-licensing  of  our  rhCollagen  technology,  and/or  sales  of  rhCollagen  and  rhCollagen-based  bioinks  formulations,  that  constitute  the  ideal  building  blocks  for
regenerative medicine applications.

3. Co-development of more complex tissues and organs with tire-1 partners as well as collaborations with recognized universities and research organizations.

52

 
 
 
 
 
 
 
 
 
 
 
 
 
 
We  intend  to  continue  to  develop  additional  products,  both  independently  and  with  strategic  collaborators,  initially  in  3D-bioprinting  of  tissues  and  organs,  and
medical aesthetics markets and subsequently in other high value markets, based on our rhCollagen. We believe the market-leading characteristics of our rhCollagen will create
attractive  collaboration  opportunities  for  our  products,  and  we  intend  to  selectively  establish  collaborations  and  strategic  partnerships  with  respect  to  our  current  and  future
products in order to accelerate their development and commercialization. We established a collaboration with Allergan aesthetics, an AbbVie company, as part of the AbbVie
Development  Agreement,  and  we  intend  to  engage  with  similar  well-established  companies  whose  distribution  networks  are  deeply  entrenched.  We  remain  engaged  in
partnering  dialogs  with  several  industry  leaders  and  academic  institutions  interested  in  our  rhCollagen  technology  and  expertise  in  3D-bioprinting,  to  develop  therapeutics,
medical and aesthetics applications. Our product pipeline and our research and development program are expected to yield new products in the coming years.

Our rhCollagen is a platform technology which can be utilized in a broad range of therapeutic, aesthetic, and other medical applications, and in particular in emerging
industries such as 3D-bioprinting which we believe cannot be adequately addressed with currently available collagen technologies. We believe our platform technology, and the
knowledge and expertise we have gained in its development, will enable the development, both independently and with collaborators, of differentiated products in multiple
industries with a short time to market.

Our Products and Product Candidates

Dermal Filler and Soft Tissue Fillers

In February 2021, we entered into the AbbVie Development Agreement with Allergan aesthetics, an AbbVie company, pursuant to which we and AbbVie agreed to
collaborate in the development and commercialization of dermal and soft tissue filler products for the medical aesthetics market, using our rhCollagen technology and AbbVie’s
technology. In June 2023, we announced the achievement of a milestone with respect to the clinical phase dermal and soft tissue filler product, which triggered a $10 million
payment from AbbVie to us. AbbVie continues to advance the filler program which is now in clinical studies.

Pursuant  to  the AbbVie  Development Agreement,  we  granted  to AbbVie  and  its  affiliates,  worldwide  exclusive  rights  to  use  our  rhCollagen  in  combination  with
AbbVie proprietary technologies, for the production and commercialization of dermal and soft tissue filler products, or the Exclusive Products. Further, pursuant to the AbbVie
Development Agreement, we granted to AbbVie and its affiliates, a right of first negotiation to enter into a definitive agreement to obtain exclusive, worldwide rights to the use
of  our  rhCollagen  for  the  commercialization  and  sale  of  an  injectable  breast  implant  product  and  a  right  of  first  negotiation  to  enter  into  a  definitive  agreement  to  obtain
exclusive, worldwide rights to the use of our rhCollagen for the commercialization and sale of a photocurable dermal filler product, each an “Option Product” and together, the
“Option Products”. Other than under the AbbVie Development Agreement, we agreed not to research, develop or commercialize our rhCollagen for use with any Exclusive
Products during the term of the AbbVie Development Agreement or grant any third party any rights to our rhCollagen technology that would conflict with rights granted to
AbbVie.

Pursuant to the AbbVie Development Agreement, we successfully developed an aseptic process for sterile rhCollagen that meets certain specifications as set forth in
the Development Agreement. The sterile rhCollagen is under stability test that is scheduled to end in 2025. In addition, the Development Agreement provides that later on, we
and AbbVie will enter into a supply agreement whereby we will manufacture and supply AbbVie with rhCollagen, at a pre-agreed price, to be used solely for the development
and manufacture of the Exclusive Products and Option Products.

53

 
 
 
 
 
 
 
 
 
The AbbVie Development Agreement provides that with respect to the Exclusive Products we shall be entitled to receive up to $50 million comprised of an upfront
cash payment of $14 million, which was paid in February 2021, and up to $36 million in proceeds upon the achievement of certain development, clinical trial, regulatory and
commercial sale milestones, of which $10 million was paid in July 2023 following the achievement of a milestone with respect to the clinical-phase dermal and soft tissue filler
product  candidate.  In  addition,  CollPlant  shall  be  entitled  to  a  fixed-fee  royalty  payment  (subject  to  certain  adjustments)  for  each  product  commercially  sold  during  the
applicable royalty term as well as a fee for the supply of rhCollagen to AbbVie. In addition, with respect to the Option Products, we shall be entitled to receive up to $53 million
in proceeds, including a one-time non-refundable payment, as well as milestone payments that are payable upon the achievements in certain clinical trials, regulatory approvals
and commercial sale milestones, plus a fixed-fee royalty payment (subject to certain adjustments) for each product commercially sold during the applicable royalty term and a
fee for the supply of rhCollagen to AbbVie.

Unless earlier terminated, the AbbVie Development Agreement will continue in effect on a product-by-product and country-by-country basis until the later of (i) the
expiration, invalidation or abandonment of the last CollPlant patent covering a product in a particular country, and (ii) 10 years from the first commercial sale of such product in
such  country.  Following  expiration  (unless  earlier  terminated),  the  rights  granted  to AbbVie  in  the AbbVie  Development Agreement  will  continue  on  a  non-exclusive,  fully
paid-up,  royalty-free,  perpetual  and  irrevocable  basis. The  Development Agreement  may  be  terminated  early  by  either  party  for  material  breach  or  bankruptcy.  In  addition,
AbbVie may terminate the AbbVie Development Agreement at any time immediately upon written notice to CollPlant if AbbVie reasonably believes that it is not advisable for
AbbVie to continue to develop or commercialize the Exclusive Products under the AbbVie Development Agreement as a result of a perceived serious safety issue regarding the
use  of  any  Exclusive  Product  or  upon  60  days’  written  notice,  for  any  or  no  reason,  with  respect  to  its  rights  under  the Agreement  on  an  Exclusive  Product-by-Exclusive
Product or country-by-country basis.

In addition, we are currently developing a photocurable regenerative dermal filler, which is one of AbbVie’s Option Products, and is designed to address the need for
more innovative aesthetic products to treat wrinkles. In this regard, in early 2023 we completed a 12-month preclinical study with our photocurable regenerative dermal filler,
demonstrating superior tissue regeneration, lifting capacity and volume retention when compared to a commercial standard.

Skin  rejuvenation  procedures  are  increasing  in  popularity,  especially  nonsurgical  treatments  such  as  dermal  filler  injections.  Hyaluronic  acid  is  a  water-retaining

molecule widely used for dermal filling, but lacks the ability to promote cell proliferation and tissue regeneration. This results in a limited-lasting effect.

A  photocurable  version  of  our  tissue  regenerating  rhCollagen,  serves  as  the  basis  for  a  new  dermal  filler  product  line  now  in  development.  We  are  developing  a
photocurable regenerative filler comprised of rhCollagen and other substances which is intended to provide several revolutionary effects: lifting, sculpturing ability, retention to
the host tissue, and tissue regeneration.

rhCollagen-based Photocurable regenerative dermal filler key attributes:

54

 
 
 
 
 
 
 
 
 
 
The photocurable regenerative dermal filler is intended for injection in a semiliquid phase and hardened in-situ post injection by light illumination through the skin.
Utilization of photocuring technology is expected to ease the injection process, particularly in subcutaneous and supraperiosteal applications. As the product degrades, a newly
formed tissue is expected to regenerate and take its place.

3D-Bioprinted Breast implants

Current breast reconstruction in the market is based on synthetic breast implantation and free flap surgery/autologous fat tissue transfer, all of which replace tissue
rather than regenerate it. Breast augmentation and reconstruction through silicone implants, which are among the most popular surgical procedures, are associated with high
risk for adverse events.

Our  implants  in  development  are  bioprinted  and  loaded  with  compositions  that  are  based  on  rhCollagen,  and  other  biomaterials.  These  implants  are  intended  to

promote tissue regeneration and degrade in synchronization with the development of a natural breast tissue.

The following diagram demonstrate the phases of breast implant product candidate production and implementation.

In  January  2023,  we  successfully  completed  a  large-animal  study  for  our  3D  bioprinted  regenerative  breast  implants  with  full  achievement  of  study  objectives,
demonstrating tissue regeneration which included the formation of maturing connective tissue and neovascular networks. The histological analysis of the implants demonstrated
progressive stages of tissue regeneration after three months, as indicated by the formation of maturing connective tissues and neovascular networks. The development of native
tissue was synchronized with the degradation process of the implant, which was consistent with the desired outcome observed during the trial. There was also no indication of
adverse reaction noted within the implants and the surrounding tissue.

In December 2023, we initiated a pre-clinical trial to evaluate commercial-size, 3D-bioprinted, regenerative breast implants. The primary goal of this study is to obtain
data which would than support the optimization of the implant design and imply this design to a pivotal large-animal study that is intended to be the subject of discussion with
the FDA.

In addition, we were in the initial stages of developing injectable breast implants, and an RTM for use in breast reconstruction procedures in combination with an
implant.  However,  we  decided  to  temporarily  defer  the  development  of  both  these  products  in  order  to  concentrate  our  efforts  on  advancing  the  development  of  our  3D-
bioprinted regenerative breast implants. We will consider resuming the development of both the injectable breast implants and RTM based on our 3D-bioprinted breast implant
program  progress.  In  June  2021,  we  signed  a  co-development  agreement  with  3D  Systems  for  the  development  of  the  RTM,  which  was  terminated  in  March  2023.  The
injectable breast implant is one of AbbVie’s Option Product under the AbbVie Development Agreement.

55

 
 
 
 
 
 
 
 
 
 
 
 
 
Bioink for 3D printing of tissues & organs

3D-bioprinting is being applied to the field of regenerative medicine to address the need for complex scaffolds, tissues, and organs that are suitable for transplantation.

We have developed rhCollagen-based bioinks that are optimized and provides an ideal building block for the three-dimensional bioprinting of tissues and organs.

For that purpose, rhCollagen was modified chemically to adapt the biological molecules for printing such that bioinks keep a controlled fluidity during printing and
cure to form hydrogels when irradiated by certain light sources ranging from UV to visible light. The unique viscosity and shear thinning properties of the modified rhCollagen
enable the formulation of bioinks that are suitable for different printing technologies including extrusion, ink-jet, Laser Induced Forward Transfer and Stereolithography. The
control  of  chemical  modification  in  combination  with  illumination  energy  allows  tight  control  of  the  physical  properties  of  the  resulting  scaffolds  to  match  natural  tissue
properties, from stiff cartilage to soft adipose. bioinks formulated from rhCollagen were evaluated with all major currently available printing technologies and exhibited the
required physical properties and excellent support for cells including a series of primary and differentiated human cells.

CollPlant’s bioink based on rhCollagen – building block for tissue and organ manufacturing.

We believe our bioink offers ideal characteristics for 3D bioprinting, including:

● Biocompatibility—supports cell viability and promotes proliferation (e.g. endothelial cells, fibroblasts, keratinocytes, MSCs)

● Potential safety—has not shown to promote allergic and other tissue reactions

● Optimized viscosity and gelation kinetics—printability and compatibility with multiple printing technologies

● Curing with a range of light sources based on specific requirements

● Controlled degradation profile

● Controlled rheological properties (e.g. viscosity)

● Shear thinning properties – compatible with inkjet technology

56

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
● Convenient handling at broad range of temperatures and pH (e.g., maintains liquid properties at RT and above –no gelation)

● Compatible with different photoinitiators to cover the spectrum of 280-500nm

● Customized physical properties of the printed constructs that are compatible with natural tissues

We  have  initiated  several  research  collaborations  with  biotechnology  and  medical  device  companies,  as  well  as  academic  and  research  institutions.  These
collaborations include development of technology for 3D-bioprinting of life-saving organs and different tissues, using our bioink formulations. Our collaborations are generally
structured such that our partners provide research funding and purchasing of our bioink to cover the scope of work, in part or in full. This funding is typically reflected as
collaboration revenues in our financial statements. Upon entering into a collaboration, we disclose the financial details only to the extent that they are material to our business
and  not  subject  to  confidentiality  agreements  with  our  partners.  Research  collaborations  with  academic  or  research  institutions  typically  involve  both  us  and  the  academic
partner contributing resources directly to projects, but also may involve sponsored research agreements where we fund specific research programs.  

In 2021 we announced the commercial launch of our rhCollagen-based bioink platform, by launching our first commercial bioink, Collink.3D™ 50 for use in 3D-
bioprinting. Collink.3D™ 50, our first commercially available rhCollagen-based bioink product that was designed to allow the scalable and reproduceable biofabrication of
scaffolds, tissues and organ transplants.

In  November  2022,  we  launched  Collink.3D™  90,  an  rhCollagen-based  bioink  solution  for  use  in  a  variety  of  3D  bioprinting  applications,  offering  increased

mechanical properties to address additional printing requirements of soft and hard tissues.

In January 2023, we launched Collink.3D™ 50L in powder form, which is our first bioink available in powder form and provides enhanced operational flexibility to

support a wide range of 3D-bioprinting applications, including drug discovery, drug screening, tissue testing as well as the development of transplantable tissues and organs.

Made entirely from human-derived collagen, Collink.3D bioinks enables the production of scaffolds that accurately mimic the physical properties of human tissues and

organs, with improved bio-functionality, safety and reproducibility.

Orthopedic and wound healing

VergenixSTR—Tendinopathy Treatment

VergenixSTR is a soft tissue repair matrix that combines cross-linked rhCollagen with PRP, a concentrated blood plasma that contains high levels of platelets, a critical
component  of  the  healing  process.  Platelets  contain  growth  factors  that  are  responsible  for  stimulating  tissue  generation  and  repair,  including  soft  tissue  repair,  bone
regeneration, development of new blood vessels, and stimulation of the wound healing process. VergenixSTR serves as a scaffold to support cell proliferation and the release of
growth factors. The product is injected into the affected area and forms a viscous gel matrix which serves as a temporary reservoir for PRP in the vicinity of a tendon injury site,
holding  the  platelet  concentrate  in  place  at  the  injured  area.  The  matrix  formed  has  the  capabilities  to  activate  the  platelets  in  PRP,  thereby  releasing  growth  factors  in  a
controlled manner and controlled biodegradation time, enabling optimal healing.

In the European Union, VergenixSTR is intended for the treatment of tendinopathy by promoting healing and repair of tendon injuries in a variety of tendons including

the elbow tendon (for treatment of “tennis elbow”), rotator cuffs, patellar tendons, Achilles tendon, and hand tendon.

57

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
We estimate the size of the target market for VergenixSTR for treating tendinopathy is three million procedures per year, or approximately $2.0 billion. While our
initial focus for VergenixSTR is in tendinopathy, VergenixSTR may be applicable to other soft tissue indications such as tendon rupture, meniscus tear, and cartilage repair, as
well as in the aesthetic market.

Globally, the aging population is playing a major role in increasing the incidence of sports injuries as the reduced flexibility and mobility associated with aging can

make the body more prone to injury.

We completed a 40 patient open label, single arm, and multi-center clinical trial of VergenixSTR at hospitals in Israel which demonstrated the safety and evaluated the
performance of VergenixSTR in patients suffering from tennis elbow or lateral epicondylitis. Tennis elbow is an inflammation of the tendons that join the forearm muscles on
the outside of the elbow. The trial, which commenced in January 2015, initially enrolled 20 patients and was expanded to enroll an additional 20 patients. Patients enrolled in
the  trial  received  a  one-time  injection  of  VergenixSTR  and  monitored  for  the  level  of  pain,  tendon  healing,  and  recovery  of  hand  movement  at  three  and  six  months  after
treatment.

In August  2016,  we  announced  final  results. At  the  three-month  and  six-month  follow  ups,  patients  treated  with  VergenixSTR  reported  an  average  51%  and  59%
reduction in pain and improvement in motion, respectively, as measured by score improvement over the baseline on the Patient-Rated Tennis Elbow Evaluation, or PRTEE,
questionnaire. The PRTEE questionnaire is designed to measure reduction in pain and recovery of motion for patients with tennis elbow. Furthermore, at three-month and six-
month  follow  ups,  74%  and  86%,  respectively,  of  patients  treated  with VergenixSTR  showed  at  least  a  25%  reduction  in  pain  and  improvement  in  motion  as  measured  by
PRTEE. In contrast, a study of standard-of-care tennis elbow therapies published in 2010 in the American Journal of Sports Medicine, or AJSM, reported that, at three and six
months, 48% and 36%, respectively, of steroid patients showed at least a 25% reduction in pain and improvement in motion as measured by PRTEE. Also at the three-month
and six-month follow ups, 62% and 64%, respectively, of patients treated with VergenixSTR showed at least a 50% reduction in pain and improvement in motion as measured
by PRTEE, whereas the 2010 AJSM study showed 33% and 17% reductions at three and six months, respectively, for this same measurement.

In October 2016, we received CE marking certification for VergenixSTR. In November 2016, we entered into an exclusive distribution agreement with Arthrex GmbH,

for VergenixSTR covering Europe, the Middle East, India, and certain African countries. Sales in Europe commenced in the fourth quarter of 2016.

In March 2018, Arthrex announced results of ACP Tendo, a product for treatment of tendinopathy combining our Vergenix®STR and Arthrex’s platelet rich plasma
extraction kit, in a European case series. The safety and performance of ACP Tendo was evaluated for the treatment of tendinopathy in 24 patients in 9 different European
locations. The  indications  included  injuries  in  rotator  cuff, Achilles  tendon,  peroneal  tendon,  tibialis  tendon  and  common  extensor  tendon.  In  all  treatment  groups,  patient-
recorded-pain decreased after 2 weeks and continued along this trend up to the last follow-up at 6 months. Specifically for rotator cuff and common extensor tendon groups, the
functionality was increased over the study period, almost achieving pre-symptom levels after 6 months.

VergenixFG—Wound Filler

VergenixFG is an advanced wound care product based on our rhCollagen. In the European Union, VergenixFG is intended for the treatment of deep surgical incisions
and deep wounds, including diabetic ulcers, venous and pressure ulcers, burns, bedsores, and other chronic wounds that are difficult to heal. VergenixFG is designed to be easy
to use and to be administrated through a cannula by a doctor or nurse. The VergenixFG formulation provides a scaffold of pure human collagen, an important characteristic in
promoting  the  closure  of  wounds,  that  fills  the  wound  bed  and  is  engineered  to  create  maximal  contact  with  the  surrounding  tissue,  which  is  believed  to  enhance  healing.
VergenixFG provides complete coverage of the wound site, facilitates wound closure through an engineered synchronization between scaffold degradation and growth of new
tissue, and offers a non-allergenic and pathogen-free scaffold for safe and efficacious wound care therapy. Other flowable gel products are available on the market, but they are
based on tissue-derived collagen.

Our initial market for VergenixFG in Europe is chronic wounds, which includes diabetic foot ulcers, venous ulcers, and pressure ulcers.

The population prevalence of chronic wounds is 2.21/1000 people, which equates to 1 million out of the 447 million inhabitants of the EU 27 in 2021.

58

 
 
 
 
 
 
 
 
 
 
 
 
We  have  completed  an  open  label,  single  arm,  and  multi-center  registration  trial  of  VergenixFG  of  20  patients  in  Israel  to  demonstrate  safety  and  to  evaluate  the
performance of VergenixFG in patients with hard-to-heal chronic wounds of the lower limbs. Patients enrolled in the trial, received a single treatment of VergenixFG followed
by a four-week follow up. Product performance was examined according to several measures, the main one being the percentage of wound closure achieved. The results were
published in February 2019 in Wounds, a peer-reviewed journal focusing on wound care and wound research. The paper, titled, “A Novel Recombinant Human Collagen-based
Flowable Matrix for Chronic Lower Limb Wound Management: First Results of a Clinical Trial,” presents data from a previously reported independent study conducted by
physicians at several wound care medical clinics and hospitals in Israel. Four weeks following treatment, nine wounds closed completely, fifteen wounds exhibited a greater
than 70% closure, and the median wound area reduction was 94%. Only one patient failed to respond to treatment. All patients in the study reported a 50% reduction in pain.
Further, no significant device-related adverse events were reported throughout the study.

In February 2016, we received CE marketing certification for VergenixFG. Since then we have entered into distribution agreements for the distribution of VergenixFG

in several countries in Europe and Asia. We currently do not intend to pursue an FDA regulatory pathway to market for VergenixFG.

In an investigator initiated study, 24 adults with diabetes admitted to the inpatient clinic of the University Hospital in Pisa, Italy between March and July 2017 were
randomized to receive VergenixFG plus standard treatment (12 patients) or standard treatment (12 patients). They were evaluated weekly for 6 months or until complete healing
had occurred. The group that received VergenixFG had a significantly higher healing rate (83.3% versus 58.3%) and shorter healing time (64±4 days versus 90±11 days) than
the group receiving standard treatment. It was concluded that the addition of VergenixFG to standard treatment increased healing rate and shortened healing time in patients
with post-surgical diabetic foot wounds. The study was published by Lacopi E et al in The Diabetic Foot Journal, Vol 23 No 2 2020.

Technology

Our rhCollagen is based upon research conducted by our founder and Chief Scientist, Prof. Oded Shoseyov. We believe our technology is the only viable technology

available for the production of recombinant type I human collagen, the most abundant collagen in the human body.

The production of our rhCollagen begins with the creation of genetically engineered cultures that are transferred to selected greenhouses across Israel and continues

with the harvesting of tobacco leaves and the processing of such leaves to an extract which then undergoes purification until the completion of the rhCollagen.

Five human genes encoding heterotrimeric type I collagen are introduced into tobacco plants. The three protein chains that make up type I collagen—two α1 protein
chains and one α2 protein chain—are encoded by two genes. The other three genes encode the human prolyl-4-hydroxylase (P4Hα and P4Hβ) as well as lysyl hydroxylase 3
(LH3) enzymes. These enzymes are responsible for key post-translational modifications of collagen, and plants co-expressing all five of these vacuole-targeted genes generate
intact procollagen. The plants are grown in a greenhouse under strict growing protocols and mature leaves are transported to a protein extraction facility. Upon extraction, pro-
collagen is enzymatically converted to atelocollagen using a plant-derived protease. The protein is purified to homogeneity through a cost-effective industrial process taking
advantage of collagen’s unique properties that make it soluble at a very low pH.

rhCollagen forms thermally stable triple helix structures which readily fibrillate at natural pH and low sodium chloride concentrations, making it ideal for use in the
manufacture of products for tissue repair in the human body. Binding of integrins (transmembrane receptors) presented by the cells to a specific 3D structure on type I collagen
fibrils requires a perfect triple helix. This binding is essential for binding and proliferation of cells on tissue repair scaffolds. In a study published in the Journal of Biomedical
Materials Research Part B: Applied Biomaterials, rhCollagen was compared with acid-solubilized collagen from bovine dermis and pepsin-solubilized collagen from human
fibroblast  cell  culture.  Tested  samples  of  the  tissue-derived  collagens  had  random  fibrillar  organization,  whereas  rhCollagen  membranes  showed  far  greater  regional  fibril
alignment and transparency. RhCollagen membranes also showed better thermal stability compared with the tissue-derived collagens. The authors concluded that cross-linked
rhCollagen membranes had a superior combination of desirable properties, namely higher transparency, higher thermal and tensile strengths, and adequate hydration.

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We have selected tobacco as the medium for production of rhCollagen due to certain attributes of the tobacco plant that provide us with a number of advantages:

● The genetic structure of tobacco is well understood and therefore can be effectively manipulated.

● We  can  monitor  the  effect  of  weather  conditions  on  the  accumulation  of  proteins  in  the  plants,  which  allows  us  to  make  optimal  use  of  the  growing  area. We

control the growing process in order to maximize yields.

● Because  tobacco  is  not  part  of  the  food  chain,  there  are  no  concerns  about  cross-contamination  of  the  food  supply  that  could  result  from  genetically  modified

plants, which eases the regulatory burden.

● Tobacco plants may be grown in very large volumes and its growth time until reaching the desired maturity is relatively short (about eight weeks).

Our Development Activities

Development History

Our rhCollagen was first developed as a collaboration among several commercial partners and the Hebrew University of Jerusalem, a major academic institution in
Israel,  under  the  direction  of  Professor  Oded  Shoseyov.  Prof.  Shoseyov  is  a  faculty  member  at  the  Robert  Smith  Institute  of  Plant  Science  and  Genetics  at  the  Hebrew
University of Jerusalem. The intellectual property was transferred to our wholly owned subsidiary, CollPlant Ltd.

As part of our regulatory strategy, we first developed and achieved a CE marking for a collagen-based non-invasive dressing, VergenixWD. We pursued a CE mark for
this  product  as  a  predicate  product  for  achieving  in  2016  CE  marking  for  our VergenixSTR  and VergenixFG  product  in  the  European  Union. To  date,  we  have  sold  a  few
thousands kits of VergenixSTR and VergenixFG to distributors, and those kits have treated patients in several European countries.

In 2017, we created a division focused on development of collagen-based biological ink following the expansion of our research activities in the field of 3D biologic

printing of organs and tissues.

In 2018, we filed a provisional patent application for photocurable dermal fillers comprising rhCollagen and hyaluronic acid, for the aesthetics market. This application
represents an integral part of our strategy to expand the uses for rhCollagen into new, high value markets. The subject provisional application has matured into granted patents
in the U.S. (U.S. Patent No. 11,801,329), Australia, Israel and Japan, and has received allowance in Brazil. Applications are still pending in Europe, China, South Korea, U.S.,
Japan, Australia, Canada, Israel and Brazil.

In October 2018, we entered into a License, Development and Commercialization Agreement with LB, or the United License Agreement, pursuant to which we and
LB collaborated in 3D bio-printing development of lungs for transplant in humans. On February 24, 2021, we received a notice of termination from LB of the United License
Agreement, and the termination went effective on March 26, 2021. Under the United License Agreement we received an upfront cash payment of $5 million in November 2018
and a further $3 million in September 2020 following the exercise of an option under the United License Agreement.

In August 2019, we announced that we are developing 3D-bioprinted implants for regeneration of breast tissue and that we successfully produced first prototypes. The
implants are comprised of our rhCollagen and additional materials and are intended to promote breast tissue regeneration. Eventually, the scaffold is designed to degrade and be
replaced by newly grown natural breast tissue, that is free of any foreign material. 

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In January 2020, we announced that we became part of a new public-private Manufacturing USA initiative, or ARMI. Headquartered in Manchester, New Hampshire,
ARMI brings together a consortium of over 150 partner organizations from industry, government, academia and the non-profit sector to develop next-generation manufacturing
processes and technologies for cells, tissues and organs. We intend to contribute our expertise to advance the entire science and industry of bioengineering and manufacturing.

In  December  2020,  we  entered  into  a  product  manufacturing  and  supply  agreement  with  STEMCELL.  As  part  of  the  agreement,  we  are  selling  our  proprietary
recombinant  human  Type  I  collagen  (rhCollagen)  to  STEMCELL,  which  incorporates  our  product  into  cell  culture  media  kits.  The  agreement  follows  the  companies’
established  business  relationship,  which  started  in  2014  when  STEMCELL  began  purchasing  and  incorporating  our  rhCollagen  into  some  of  its  cell  culture  expansion  and
differentiation media kits. To date, hundreds of companies, as well as research and academic institutes, have used these kits for research and development projects. STEMCELL
distributes the kits globally for use in the regenerative medicine research market.

In  February  2021,  we  entered  into  the  AbbVie  Development  Agreement,  pursuant  to  which  we  and  AbbVie  agreed  to  collaborate  in  the  development  and
commercialization  of  dermal  and  soft  tissue  filler  products  for  the  medical  aesthetics  market,  using  our  rhCollagen  technology  and AbbVie’s  technology.  In  June  2023,  we
announced the achievement of a milestone with respect to the clinical-phase dermal filler product under the AbbVie Development Agreement, which triggered a $10 million
payment from AbbVie to us.

In November 2021, we launched Collink.3D 50 for use in 3D bioprinting. Collink.3D 50, our first commercially available rhCollagen-based bioink product is designed

to allow the scalable and reproduceable biofabrication of scaffolds, tissues and organ transplants.

In November 2022 we launched Collink.3D 90, an rhCollagen-based bioink solution for use in a variety of 3D bioprinting applications, offering increased mechanical

properties to address additional printing requirements of soft and hard tissues. Collink.3D 90 is complementary to our first commercial bioink, Collink.3D 50.

Also in November 2022, we entered into a license and research agreement with Tel Aviv University and Sheba Medical Center hospital, to co-develop a ‘Gut-on-a-
Chip’  tissue  model  for  drug  discovery  and  high  throughput  screening  of  drugs.  The  model  was  intended  to  be  used  in  personal  medicine  applications  for  the  treatment  of
ulcerative colitis, an inflammatory bowel disease affecting millions of individuals worldwide. In November 2023, we elected to terminate our collaboration agreement with Tel
Aviv University and Sheba Medical Center and continued to develop this program on our own. The program was later put on hold as we decided to focus our resources in
advancing our 3D-bioprinted regenerative breast implants and dermal and soft tissue fillers programs. We intend to revisit the ‘gut-on-a-chip’ program and consider its initiation
once resources become available.

In January 2023, we announced the successful results of our first large-animal study in 3D-bioprinted regenerative breast implants, which demonstrated progressive
stages of tissue regeneration after three months, as highlighted by the formation of maturing connective tissue and neovascular networks within the implants, with no adverse
events reported.

Also in January 2023, we launched Collink.3D 50L in powder form, which is our first bioink available in powder form and provides enhanced operational flexibility to

support a wide range of 3D bioprinting applications, including drug discovery, drug screening, tissue testing as well as the development of transplantable tissues and organs.

In April 2023, we announced a joint development and commercialization agreement with Stratasys to collaborate on the development of a solution to bio-fabrication

human tissues and organs, using Stratasys’ P3 technology-based bioprinter and our rhCollagen-based bioinks.

In November 2023, we announced that the U.S. Patent and Trademark Office has granted a patent that covers CollPlant’s photocurable dermal filler product candidate,
being developed for the aesthetics market. U.S. Patent No. 11,801,329 is directed, among other things, to a method of filling tissue space under the epidermis by introducing a
polymerizable filler solution into the tissue space and applying external light to induce in-situ polymerization. This newly issued patent is related to CollPlant’s photocuring
technology and serves as the basis of its photocurable dermal filler product pipeline currently under development. The polymerizable solution injected into the tissue space is
comprised of a chemically modified recombinant human collagen (rhCollagen) and other constituents such as hyaluronic acid.

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In January 2024, we announced that we initiated a pre-clinical trial to evaluate commercial-size, 3D-bioprinted, regenerative breast implants. A primary goal of this
study is to obtain data which would then support the optimization of the implant design and apply this design to a pivotal large-animal study that is intended to be the subject of
discussions with the FDA.

Future Development

To facilitate efficient development, our management holds regular research and development meetings where they prioritize development projects and determine future
products.  The  prioritization  process  is  based  on  several  factors,  including  our  business  plan,  commercial  potential  of  the  products,  time  to  market,  cost  of  development,
feasibility of the project, regulatory pathway and our established strategic objectives.

We periodically examine the continued development of other collagen-based products that we have conceived. Each one of our current products or product candidates

offers a platform to product derivatives that can address other indications and contribute to our pipeline and revenues.

 Manufacturing, Supply, and Production

The majority of our product research and development work is carried out at our offices and research laboratories center in Weizmann Science Park in Rehovot, Israel.

The agricultural research and development and extraction activities for our rhCollagen are carried out at our site in Yessod Hama’ala, Israel.

We work with subcontractors with greenhouses for growing the tobacco plant containing human collagen. This tobacco growth occurs year-round and is optimized to
the climate conditions in order to achieve the maximum amount of the protein in the leaves. Each grower has the infrastructure that can be scaled-up to accommodate future
demand without additional capital expenditures.

We produce the rhCollagen from the tobacco plants at our facilities in Yessod Hama’ala and Rehovot, Israel. We believe that we currently have the ability to produce
sufficient  quantities  of  quality  recombinant  type  I  human  collagen  to  support  our  product  development  activities  and  sales  until  2027.  Our  activities  are  focused  on  yield
improvement, scale-up, and cost reduction.

In  late  2021,  we  initiated  a  plan  to  upgrade  our  production  site  in  Israel  into  a  large-scale  integrated  facility,  in  order  to  accommodate  expected  future  increase  in

demand. We will continue with the plan once there is a surge in demand and the necessary funds are secured for its execution.

While our upstream and downstream processes are quite robust and efficient, we continuously invest in further yield improvement and scalability, in order to reduce
costs. In order to increase yield, we plan to increase biomass per growing area by using new genetic derivatives, improvement and optimization of growing techniques, and
introduction of online controls. Our next-generation tobacco plants have been created through improved genetics and cross-breeding. In addition, increased growing areas will
reduce overall cost per harvest.

We have an approved in-house purification capability. The purification facility includes clean rooms, logistics support areas, and dedicated production equipment to
support  the  Company’s  production  demand  for  the  next  few  years.  Under  our  current  production  techniques,  we  achieve  a  cost  of  goods  that  allow  us  to  offer  competitive
pricing in the premium collagen-based products markets.

Sales, Marketing, and Distribution

We  sell  our  bioinks  and  rhCollagen  directly  to  our  business  partners,  collaborators  and  selective  customers.  We  anticipate  that  any  products  we  develop  in
collaboration with a strategic partner or collaborator, such as dermal fillers which are based on our rhCollagen for the medical aesthetics, will be marketed by the partner’s sales
force, such as AbbVie.

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We have been marketing and distributing VergenixSTR and VergenixFG in the European market with business partners since 2016. Currently we have one distributor
in  Europe  for  the  VergenixFG.  We  also  have  one  distributor  for  VergenixSTR  and  VergenixFG  in  Brazil.  We  continue  exploring  opportunities  to  distribute  our  Vergenix
products in additional countries.

In  2020,  we  announced  that  we  signed  an  agreement  for  distribution  of  VergenixFG  with  a  Swiss-headquartered  pharmaceutical  group  in  six  Commonwealth  of
Independent States (CIS) countries: Belarus, Kazakhstan, Georgia, Azerbaijan, Armenia and Uzbekistan. In July 2021, the agreement was extended to additional territories:
Hong Kong, Denmark, Switzerland, Estonia, Latvia and Lithuania. This agreement was terminated in December 2023 by mutual consent.

We have undertaken post marketing surveillance, or PMS, studies for both VergenixSTR and VergenixFG with our European key opinion leaders and physicians to
generate additional clinical data that demonstrates the efficacy, safety and clinical benefit of these products. These PMS studies are intended to facilitate market adoption of our
products  in  Europe,  to  confirm  product  safety  and  performance  as  well  as  to  provide  additional  clinical  evidence  in  support  to  regulatory  filing  and  submission  to  other
regulatory agencies in the future.

Our proprietary Vergenix products are marketed, and intended to be marketed, to physicians, hospitals, and clinics. We plan to expand the awareness of rhCollagen and
our rhCollagen-based products to the end users through the publication of clinical trial data as well as marketing studies we may conduct, along with participation in academic
and  industry  conferences.  We  will  also  market  our  rhCollagen  to  companies  who  are  developing  products  using  collagen  and  that  do  not  compete  with  our  primary  end
products. We anticipate entering into collaborations or partnerships with these companies where we would supply them with rhCollagen for use in their products in return for
royalties.

Competition

We  are  not  aware  of  any  competitors  that  produce  human  collagen  from  plants  or  that  produce  recombinant  type  I  human  collagen.  However,  our  industry  is
characterized  by  rapidly  evolving  technology  and  intense  competition,  and  our  rhCollagen-based  products  will  compete  with  several  alternatives,  such  as  collagen  that  is
produced from animals, human cadavers and synthetic products. Adequate protection of intellectual property, successful product development, adequate funding, and retention
of skilled, experienced, and professional personnel are among the many factors critical to success in the pharmaceutical industry.

Generally, our competitors currently include large fully integrated companies, as well as academic research institutes and companies in various developmental stages

that develop alternative sources and forms of collagen and tissue-derived products, who are using collagen that is extracted from animals and human cadavers.

The main competitors to our dermal/soft tissue fillers that are in development with AbbVie include Galderma, Merz Aesthetics, Sinclair and AbbVie.

The main competitors to our 3D bioprinted regenerative breast implants that are in development include the commercially available breast implants by Allergan, Inc.,

an AbbVie company, and Mentor Worldwide LLC, Johnson & Johnson company.

The primary competitors to our bioink are potential bio-material inks for 3D biological printing, based on tissue-derived collagens. Manufacturers of these products

include, among others, BICO (formerly Cellink), Allevi (now part of 3D systems) and Humabiologics.

The  main  competitors  to  our  photocurable  dermal  fillers  that  are  in  development  include  the  main  commercially  available  hyaluronic  acid  dermal  filler  brands  by

Galderma, Sinclair and Merz.

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Our  VergenixSTR  product  competes  with  companies  that  sell  steroid  injections  and  PRP  kits,  including,  among  others,  Zimmer  Biomet.,  Harvest  Technologies

Corporation, and Arteriocyte Medical Systems Inc.

The  main  competitors  to  our  VergenixFG  product  are  products  based  on  tissue-derived  collagens.  Manufacturers  of  these  products  include,  among  others,  Integra

Lifesciences Corporation, Organogenesis, Wright Medical Technology Inc., Smith & Nephew, Molnlycke, Convatec, Coloplast, and Urgo.

Intellectual Property

Our  success  depends,  in  part,  on  our  ability  to  protect  our  proprietary  technology  and  intellectual  property.  We  rely  on  a  combination  of  patent,  trade  secret,  and
trademark laws in the United States and other jurisdictions to protect our intellectual property rights. In addition, we rely on proprietary processes and know-how, intellectual
property  licenses,  and  other  contractual  rights,  including  confidentiality  and  invention  assignment  agreements,  to  protect  our  intellectual  property  rights  and  develop  and
maintain our competitive position.

Patents

As of March 20, 2024, we have a global patent portfolio that is comprised of fifteen patent families. More than four dozen of the patent applications have been issued
as patents or will issue soon, having been allowed by the relevant patent offices, of which six are European Patents validated in several member states. We have an exclusive
ownership  of  fifteen  issued  patents  in  our  patent  portfolio  that  cover  methods  of  producing  collagen  in  plants  and  three  issued  patents  that  cover  methods  of  processing
recombinant collagen. These issued patents are expected to expire in 2025-2028. We have a pending patent family covering specific collagen producing plants based on their
genetic arrangement. If granted, it could provide patent protection for the collagen producing plants until 2039. Our patent portfolio also includes patent families that cover
different uses of collagen including 3D Bioprinting, dermal fillers and soft tissue fillers which, if granted, could provide patent protection for particular formulations and uses of
the rhCollagen until 2038-2041.

In  addition,  our  patent  portfolio  includes  patents,  some  of  which  are  jointly  owned  with  Yissum  Research  Development  Company  of  the  Hebrew  University  of

Jerusalem Ltd., or Yissum.

We are not aware of any impediments to the patent applications being granted in the United States or other jurisdictions. However, some of our patent applications may

never issue as patents, and our issued patents and any that may issue in the future may be challenged, invalidated or circumvented.

Trademarks

We have registered the marks VERGENIX and COLLINK.3D in several countries and have several more applications directed to COLLINK.3D pending.

Trade Secrets and Confidential Information

In addition to patented technology, we rely on our trade secrets and continuing technological innovations to develop and maintain our competitive position. In an effort
to protect our trade secrets, we rely on, among other safeguards, confidentiality and invention assignment agreements to protect our proprietary technology, know-how and
other  intellectual  property  that  may  not  be  patentable  or  that  we  believe  is  best  protected  by  means  that  do  not  require  public  disclosure.  For  example,  we  require  our
employees, consultants and advisors to execute confidentiality agreements in connection with their employment or consulting relationships with us and to disclose and assign to
us inventions conceived in connection with their services to us. These agreements also provide that all confidential information developed or made known to the individual
during the course of their relationship with us must be kept confidential, except in specified circumstances.

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Materials Transfer Agreements

We  periodically  enter  into  materials  transfer  agreements  with  commercial  organizations,  medical  institutions  and  research  and  development  institutions  to  transfer
materials and products developed by us. These agreements include provisions that are customary for such agreements concerning the permitted use of the transferred material
and any results obtained using the material, confidentiality, the rights in the transferred materials and in the results of the research and/or development in which the materials
are used, and the instructions concerning care and usage of the materials. These agreements may be used as a basis for further cooperation between us and the counterparties.

We may be unable to obtain, maintain, and protect the intellectual property rights necessary to conduct our business and may be subject to claims that we infringe or
otherwise violate the intellectual property rights of others, which could materially harm our business. For a more comprehensive summary of the risks related to our intellectual
property, see “Item 3.D. Risk Factors.”

Agreement with Yissum Research Development Company of the Hebrew University of Jerusalem Ltd. with respect to our rhCollagen

Under an agreement dated July 13, 2004 among Meytav—Technological Innovation Center Ltd., Yehuda Zafrir Fagin, Yissum, and Prof. Oded Shoseyov (our Chief
Scientist), we carried out a research and development project to develop a process for the production of quality human collagen in plants and further developed the resulting
products created by us, Professor Shoseyov and Zafrir, for commercial applications. Yissum and Professor Shoseyov have assigned all intellectual property rights developed by
Professor Shoseyov and owned by them to us, including the intellectual property rights in connection with the development of the method for production of quality human
collagen in plants.

Government Regulation

We are a developer of products which are subject to extensive regulation in the United States, the European Union and other jurisdictions. These regulations govern,
among other things, the introduction of new products, the observance of certain standards with respect to the design, manufacture, testing, promotion and sales of the products,
the maintenance of certain records, the ability to track devices, the reporting of potential product defects, the import and export of devices, and other matters.

In order to obtain marketing authorization in the United States, we and/or our partners would be subject to extensive regulation by the FDA and other federal, state,
and local regulatory agencies. The Federal Food, Drug, and Cosmetic Act, or FD&C Act, the Public Health Service Act, or the PHS Act, and their implementing regulations set
forth,  among  others,  requirements  for  the  research,  testing,  development,  manufacture,  quality  control,  safety,  effectiveness,  approval,  labelling,  storage,  record  keeping,
reporting, distribution, import, export, advertising, and promotion of our products. A failure to comply with relevant requirements may lead to administrative, civil, or criminal
sanctions. These sanctions could include the imposition by the FDA of a clinical hold or other suspension on clinical trials, refusal to approve pending marketing applications or
supplements,  withdrawal  of  approval,  warning  letters,  product  recalls,  product  seizures,  total  or  partial  suspension  of  production  or  distribution,  injunctions,  fines,  civil
penalties, or criminal prosecution.

Although the discussion below focuses on regulation in the United States, we and/or our partners anticipate seeking approval for the marketing of products in other
countries which have their own regulatory requirements. Generally, our activities or those of our partners in other countries will be subject to regulations that are similar in
nature  and  scope  as  that  imposed  in  the  United  States  such  as  medical  device  approval,  quality  system  requirements,  product  data  and  certifications,  although  there  can  be
important differences and the number and scope of these regulatory requirements are generally increasing.

We and/or our partners must obtain approval by comparable regulatory authorities of foreign countries outside of the European Union and the United States before we
can commence clinical trials or marketing of our products in those countries. The approval process varies from country to country and the process may be longer or shorter than
that required for FDA approval. In addition, the requirements governing the conduct of clinical trials, product licensing, pricing, and reimbursement vary greatly from country
to country. In all cases, clinical trials must be conducted in accordance with the FDA’s regulations, commonly referred to as good clinical practices, or GCPs, and the applicable
regulatory requirements and ethical principles that have their origin in the Declaration of Helsinki.

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Government regulation may delay or prevent testing or marketing of our products and impose costly procedures upon our activities. The testing and approval process,
and the subsequent compliance with appropriate statutes and regulations, require substantial time, effort, and financial resources, and we cannot be certain that the FDA or any
other regulatory agency will grant approvals for our products or any future product candidates on a timely basis or at all. The policies of the FDA or any other regulatory agency
may  change  and  additional  governmental  regulations  may  be  enacted  that  could  prevent  or  delay  regulatory  approval  of  our  products  or  any  future  product  candidates  or
approval of new indications or label changes. We cannot predict the likelihood, nature or extent of adverse governmental regulation that might arise from future legislative,
judicial, or administrative action, either in the United States or abroad.

Approval by Health Authorities

The  following  is  a  summary  review  of  the  laws  and  regulations  governing  our  operations  or  those  of  our  partners.  Our  end  products  are  medical  and  aesthetics

products, and their marketing, once development is complete, is contingent upon approval of the health authorities in every country in which the products will be marketed:

Israel

Our operations are subject to permits from the Ministry of Health, or the MoH, on two levels:

● First, the registration of medical devices, importing and marketing the medical devices and accessories, and issuing the documentation necessary for the export of
medical devices from Israel is governed by the Medical Devices Law, 5712 – 2012, or the Medical Devices Law. The Medical Devices Law sets forth obligations
of registration of medical devices in Israel. Under the Medical Devices Law, medical devices may be manufactured and marketed in Israel only if they are first
registered with the Medical Devices Department of the MOH, also referred to as the “AMAR”, which manages a registry for medical devices.  

● Second,  pertaining  to  research  and  development.  Clinical  trials  in  humans  are  subject  to  the  approval  of  the  Helsinki  Committee  (an  ethics  committee)  of  the
institution conducting the trial, which is governed by the Public Health Regulations (Trials in Human Beings), 1980, including all amendments until 1999, or the
Trials  in  Human  Subjects  Regulations  and  are  conducted  in  accordance  with  the  Guidelines  for  Clinical Trials  in  Human  Subjects  issued  by  the  MOH,  or  the
Guidelines, and the guidelines of the Declaration of Helsinki, or any other approval required by the MOH. According to the Trials in Human Subjects Regulations
and the Guidelines, the Helsinki Committee must plan and approve every experimental process that involves human beings. The institutional Helsinki Committee
acts in the medical institution where the trial is performed and is the body that approves and supervises the entire trial process. In practice, the physician, who is
the principal investigator, submits a trial protocol to the committee on behalf of the requesting party. The committee forwards its decisions regarding the requests
for clinical trials that were approved by the committee to the manager of the medical institute and the manager has the authority to approve the requests, and in
some  cases  the  additional  approval  of  the  MOH  will  be  required. According  to  the  procedure  for  medical  trials  in  human  beings  set  forth  by  the  MOH,  the
Helsinki Committee will not approve performance of a clinical trial, unless it is absolutely convinced that the following conditions, among others, are fulfilled:
(i) the anticipated benefits for the participant in the clinical trial and to the requesting party to justify the risk and the inconvenience involved in the clinical trial to
its participant; (ii) the available medical and scientific information justifies the performance of the requested clinical trial; (iii) the clinical trial is planned in a
scientific  manner  that  enables  a  solution  to  the  tested  question  and  is  described  in  a  clear,  detailed,  and  precise  manner  in  the  protocol  of  the  clinical  trial,
conforming with the Declaration of Helsinki; (iv) the risk to the participant in the clinical trial is as minimal as possible; (v) optimal monitoring and follow-up of
the participant in the clinical trial; (vi) the initiator, the principal investigator and the medical institute are capable and undertake to allocate the resources required
for  adequate  execution  of  the  clinical  trial,  including  qualified  personnel  and  required  equipment;  and  (vii)  the  nature  of  the  commercial  agreement  with  the
principal investigator and the medical institute does not impair the adequate performance of the clinical trial.

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All phases of clinical trials conducted in Israel must be conducted in accordance with the Trials in Human Subjects Regulations, including amendments and addenda
thereto, the Guidelines, and the International Conference for Harmonized Tripartite Guideline for Good Clinical Practice. The Trials in Human Subjects Regulations and the
Guidelines stipulate that a medical study on humans will only be approved after the Helsinki Committee at the hospital intending to perform the study has approved the medical
study and notified the relevant hospital director in writing. In addition, certain clinical studies require the approval of the MOH. The relevant hospital director, and the MOH, if
applicable, also must be satisfied that the study is not contrary to the Declaration of Helsinki or to other regulations.

In June 2017, we received AMAR approval for VergenixFG and started treating patients in Israel. In March 2018, we received AMAR approval for VergenixSTR.

United States

The regulatory process of obtaining product approvals and clearances can be onerous and costly. Foreign companies manufacturing medical devices intended for sale
in the United States are required to meet the FDA’s regulatory requirements. The FDA does not recognize the regulatory certification provided by governmental authorities of
other countries.

Regulation of Combination Products

The  FDA  has  specified  a  definition  for  the  term  “combination  product,”  which  includes:  (1)  a  product  comprised  of  two  or  more  regulated  components,  e.g.,
drug/device, biologic/device, drug/biologic, or drug/device/biologic, which are physically, chemically, or otherwise combined or mixed and produced as a single entity; (2) two
or more separate products packaged together in a single package or as a unit and comprised of drug and device products, device and biological products, or biological and drug
products; (3) a drug, device, or biological product packaged separately that according to its investigational plan or proposed labeling is intended for use only with an approved
individually specified drug, device, or biological product where both are required to achieve the intended use, indication, or effect and where, upon approval of the proposed
product, the labeling of the approved product would need to be changed, e.g., to reflect a change in intended use, dosage form, strength, route of administration, or significant
change  in  dose;  or  (4)  any  investigational  drug,  device,  or  biological  product  packaged  separately  that  according  to  its  proposed  labeling  is  for  use  only  with  another
individually specified investigational drug, device, or biological product where both are required to achieve the intended use, indication, or effect.

The FDA is divided into various “Centers” by product type such as the Center for Drug Evaluation and Research, or CDER, the Center for Biologics, Evaluation and

Research, or CBER, or the Center for Devices and Radiological Health, or CDRH. Different Centers review drug, biologic, or device applications.

The  FDA  is  charged  with  assigning  a  Center  with  primary  jurisdiction,  or  a  lead  Center,  for  review  of  a  combination  product. That  determination  is  based  on  the
“primary mode of action,” or PMOA, of the combination product. Thus, if the PMOA of a device-biologic combination product is attributable to the biologic product, CBER,
which is responsible for premarket review of the biologic product, would have primary jurisdiction for the combination product.

The FDA has also established an Office of Combination Products to address issues surrounding combination products and provide more certainty to the regulatory
review  process.  That  office  serves  as  a  focal  point  for  combination  product  issues  for  agency  reviewers  and  industry.  It  is  also  responsible  for  developing  guidance  and
regulations to clarify the regulation of combination products and for assignment of the FDA center that has primary jurisdiction for review of combination products where the
jurisdiction is unclear or in dispute.

After formally establishing the PMOA through an applicant’s Request for Designation, the Center that regulates that portion of the product that generates the PMOA
becomes the lead evaluator. When evaluating an application, a lead Center may consult other centers but still retain complete reviewing authority, or it may collaborate with
another Center, wherein the lead Center assigns concurrent review of a specific section of the application to another Center, delegating its review authority for that section.

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Typically, the FDA requires a single marketing application submitted to the Center selected to be the lead evaluator, although the agency has the discretion to require
separate applications to more than one Center. One reason to submit multiple evaluations is if the applicant wishes to receive some benefit that accrues only from approval
under a particular type of application, like new drug product or orphan drug exclusivity. If multiple applications are submitted, each may be evaluated by a different lead Center.
When  submitting  multiple  applications,  the  applicant  may  be  subject  to  the  payment  of  two  user  fees,  but  a  waiver  of  such  fees  may  be  obtained  under  certain  limited
circumstances.

The FDA may subject a combination product to two or more sets of legal authorities, e.g., drug/device, biologic/device, or drug/biologic drug, but it has the authority
to deem one set of legal authorities sufficient. FDA’s standard of review for a combination products application and the applicable legal authority or authorities will depend on a
case-by-case  basis  evaluation  of  the  scientific  and  technical  issues  and  risk  profile  relevant  to  a  combination  product  and  its  constituent  parts.  Because  of  the  breadth  and
complexity of this analysis in each case, no single regulatory paradigm is appropriate for all combination products.

After receiving FDA approval or clearance, an approved or cleared product must comply with post-marketing safety reporting requirements applicable to the product
based on the application type under which it received marketing authorization. In the case of current good manufacturing practices, or cGMP, the applicant may take one of two
approaches: (1) complying with cGMP for each constituent part, or (2) a streamlined approach specific to combination products, subject to certain limitations.

In  January  2019,  the  FDA  responded  to  the  Company’s  Pre-RFD  regarding  product  classification  and  jurisdictional  assessment.  The  FDA’s  OCP  determined  that
VergenixSTR should be classified as a Combination Product, specifically a drug/biologic/device product, and should be assigned to the FDA’s CBER. A Pre-RFD is FDA’s
preliminary, nonbinding assessment of (1) the regulatory identity or classification of a product as a drug, device, biological product, or combination product, and (2) which
FDA  Center  (i.e.,  CBER,  CDER,  or  CDRH)  will  have  primary  jurisdiction  for  the  premarket  review  and  regulation  of  the  product.  Therefore,  this  classification  and
jurisdictional assessment is subject to change. We currently do not intend to pursue a FDA regulatory pathway to market for VergenixSTR and VergenixFG. We nevertheless
include a discussion of FDA’s requirements for approval of, and ongoing, regulation for drugs, biologics, and medical devices below which are relevant to the end products that
we are either developing internally or in collaboration with our partners.

Marketing Authorization for Drugs and Biologics in the U.S.

A new biologic must be approved by the FDA through the biologics license application, or BLA, process before it may be legally marketed in the U.S. A new drug

must be approved by the FDA through the new drug application, or NDA, process before it may be legally marketed in the U.S.

The animal and other non-clinical data and the results of human clinical trials performed under an Investigational New Drug, or IND, application and under similar

foreign applications will become part of the BLA or NDA.

In  the  U.S.,  the  FDA  regulates  biologics  under  the  Public  Health  Service Act,  or  PHS Act,  and  implementing  regulations,  and  under  the  Federal  Food,  Drug,  and
Cosmetic  Act,  or  FDCA,  and  implementing  regulations,  respectively.  The  U.S.  regulates  drugs  under  the  FDCA.  The  process  of  obtaining  regulatory  approvals  and  the
subsequent compliance with applicable federal, state, local, and foreign statutes and regulations require 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.  These  sanctions  could  include  the  FDA’s  refusal  to  approve  pending  applications,  withdrawal  of  an  approval,  a  clinical  hold,  warning
letters,  requesting  product  recalls,  product  seizures,  total  or  partial  suspension  of  production  or  distribution,  injunctions,  fines,  refusals  of  government  contracts,  restitution,
disgorgement, or civil or criminal penalties. Any agency or judicial enforcement action could have a material adverse effect on us. The process required by the FDA before a
drug or biologic may be marketed in the U.S. generally involves the following:

● completion of preclinical laboratory tests, animal studies and formulation studies according to Good Laboratory Practices, or GLP, or other applicable regulations;

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

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● approval by an IRB representing each clinical trial site before each clinical trial may be initiated;

● performance  of  adequate  and  well-controlled  human  clinical  trials  according  to  Good  Clinical  Practices,  or  GCP,  to  establish  the  safety  and  efficacy  of  the

proposed biologic for its intended use;

● preparation and submission of a BLA or NDA to the FDA;

● satisfactory  completion  of  an  FDA  inspection  of  the  manufacturing  facility  or  facilities  at  which  the  drug  is  produced  to  assess  compliance  with  current  good
manufacturing practice, or cGMP, to assure that the facilities, methods and controls are adequate to preserve the drug’s identity, strength, quality and purity; and
satisfactory completion of any FDA audits of the clinical study sites to assure compliance with GCP, and the integrity of clinical data in support of the BLA or
NDA; and

● FDA review (which may include Advisory Panel review and approval) and approval of the BLA or NDA.

Once  a  biologic  or  drug  product  candidate  is  identified  for  development,  it  enters  the  preclinical  testing  stage.  Preclinical  tests  include  laboratory  evaluations  of
product chemistry, toxicity and formulation, as well as animal studies. An IND sponsor must submit the results of the preclinical tests, together with manufacturing information
and analytical data, to the FDA as part of the IND. The sponsor will also include a protocol detailing, among other things, the objectives of the first phase of the clinical trials,
the parameters to be used in monitoring safety, and the effectiveness criteria to be evaluated if the first phase lends itself to an efficacy evaluation. Some preclinical testing may
continue even after the IND is submitted. The IND automatically becomes effective 30 days after receipt by the FDA, unless the FDA, within the 30-day time period, places the
clinical trial on a clinical hold. 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 studies due to safety concerns or non-compliance.

All clinical trials must be conducted under the supervision of one or more qualified investigators in accordance with GCP regulations. They must be conducted under
protocols detailing the objectives of the trial, dosing procedures, subject selection and exclusion criteria, and the safety and effectiveness criteria to be evaluated. Each protocol
must be submitted to the FDA as part of the IND, and progress reports detailing the results of the clinical trials must be submitted at least annually. In addition, timely safety
reports  must  be  submitted  to  the  FDA  and  the  investigators  for  serious  and  unexpected  adverse  events. An  IRB  responsible  for  the  research  conducted  at  each  institution
participating in the clinical trial must review and approve each protocol before a clinical trial commences at that institution and must also approve the information regarding the
trial  and  the  consent  form  that  must  be  provided  to  each  trial  subject  or  his  or  her  legal  representative,  monitor  the  study  until  completed  and  otherwise  comply  with  IRB
regulations.

● Phase I: The product candidate is initially introduced into healthy human subjects and tested for safety, dosage tolerance, absorption, metabolism, distribution and
excretion. In the case of some products for severe or life-threatening diseases, such as cancer, especially when the product may be too inherently toxic to ethically
administer to healthy volunteers, the initial human testing may be conducted in patients.

● Phase II: This phase involves studies in a limited patient population to identify possible adverse effects and safety risks, to preliminarily evaluate the efficacy of

the product for specific targeted diseases and to determine dosage tolerance and optimal dosage.

● Phase  III:  Clinical  trials  are  undertaken  to  further  evaluate  dosage,  clinical  efficacy  and  safety  in  an  expanded  patient  population  at  geographically  dispersed
clinical study sites. These studies are intended to establish the overall risk-benefit ratio of the product candidate and provide, if appropriate, an adequate basis for
product labeling.

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Concurrent with clinical trials, companies usually complete additional animal studies and must also develop additional information about the chemistry and physical
characteristics of a biologic or drug and finalize a process for manufacturing the product in commercial and clinical quantities in accordance with cGMP requirements. The
manufacturing process must be capable of consistently producing quality batches of the product candidate, 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 candidate does not undergo unacceptable deterioration over its shelf life. Before approving a BLA or NDA, the FDA typically will inspect the
facility or facilities where the product is manufactured. The FDA will not approve an application unless it determines that the manufacturing processes and facilities are in full
compliance  with  cGMP  requirements  and  adequate  to  assure  consistent  production  of  the  product  within  required  specifications. The  PHS Act  in  particular  emphasizes  the
importance of manufacturing control for products like biologics whose attributes cannot be precisely defined.

Manufacturers and others involved in the manufacture and distribution of products must also register their establishments with the FDA and certain state agencies.
Both  domestic  and  foreign  manufacturing  establishments  must  register  and  provide  additional  information  to  the  FDA  upon  their  initial  participation  in  the  manufacturing
process. Any product manufactured by or imported from a facility that has not registered, whether foreign or domestic, is deemed misbranded under the FDCA.

Establishments may be subject to periodic unannounced inspections by government authorities to ensure compliance with cGMP and other laws. Manufacturers may
have to provide, on request, electronic or physical records regarding their establishments. Delaying, denying, limiting, or refusing inspection by the FDA may lead to a product
being deemed to be adulterated. Human clinical trials for biologics and drugs are typically conducted in three sequential phases that may overlap or be combined. If there are
two independent modes of action, neither of which is subordinate to the other, the FDA makes a determination as to which center to assign the product based on consistency
with other combination products raising similar types of safety and effectiveness questions or to the center with the most expertise in evaluating the most significant safety and
effectiveness questions raised by the combination product.

Marketing Authorization for Medical Devices in the U.S.

In the United States, medical devices are regulated by the FDA as required under the FDCA. Unless an exemption applies or the product is a Class I device, a new
medical device will require either a 510(k) clearance or approval of a Premarket Approval, or PMA, before it can be marketed in the United States. The information that must
be submitted to the FDA in order to obtain clearance or approval to market a new medical device varies depending on how the medical device is classified by the FDA. Medical
devices  are  classified  into  one  of  three  classes  on  the  basis  of  the  controls  deemed  by  the  FDA  to  be  necessary  to  reasonably  ensure  their  safety  and  effectiveness.  Class  I
devices, which are those that have the lowest level or risk associated with them, are subject to general controls, including labeling, premarket notification, and adherence to the
QSR. Class II devices are subject to general controls and special controls, including performance standards. Class III devices, which have the highest level of risk associated
with them, are subject to most of the previously identified requirements as well as to premarket approval. Most Class I devices and some Class II devices are exempt from the
510(k) requirement, although manufacturers of these devices are still subject to registration, listing, labeling and Quality System Requirements, or QSR.

A 510(k) premarket notification must demonstrate that the device in question is substantially equivalent to another legally marketed device, or predicate device, that
likely did not require premarket approval. In evaluating the 510(k), the FDA will determine whether the device has the same intended use as the predicate device, and: (i)(a) has
the  same  technological  characteristics  as  the  predicate  device,  or  (b)  has  different  technological  characteristics;  and  (ii)(a)  the  data  supporting  the  substantial  equivalence
contains information, including appropriate clinical or scientific data, if deemed necessary by the FDA, that demonstrates that the device is as safe and as effective as a legally
marketed device, and (b) does not raise different questions of safety and effectiveness than the predicate device. Most 510(k)s do not require clinical data for clearance, but the
FDA may request such data. If the FDA does not agree that the new device is substantially equivalent to the predicate device, the new device will be classified in Class III, and
the manufacturer must submit a PMA.

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The PMA process is more complex, costly, and time consuming than the 510(k) clearance procedure. A PMA must be supported by extensive data including, but not
limited to, technical, preclinical, clinical, manufacturing, control, and labeling information to demonstrate to the FDA’s satisfaction the safety and effectiveness of the device for
its  intended  use. After  a  PMA  is  submitted,  the  FDA  has  45  days  to  determine  whether  it  is  sufficiently  complete  to  permit  a  substantive  review,  but  this  timeline  may  be
delayed. If the PMA is complete, the FDA will file the PMA. The FDA is subject to performance goal review times for PMAs and may issue a decision letter as a first action on
a  PMA  within  180  days  of  filing,  but  if  it  has  questions,  it  will  likely  issue  a  first  major  deficiency  letter  within  150  days  of  filing.  It  may  also  refer  the  PMA  to  an  FDA
advisory panel for additional review and will conduct a preapproval inspection of the manufacturing facility to ensure compliance with the QSR, either of which could extend
the 180-day response target. A PMA can take several years to complete, and there is no assurance that any submitted PMA will ever be approved. Even when approved, the
FDA may limit the indication for which the medical device may be marketed. Changes to the device, including changes to its manufacturing process, may require the approval
of a supplemental PMA.

If a medical device is determined to present a “significant risk,” the manufacturer may not begin a clinical trial until it submits an investigational device exemption, or
IDE, to the FDA and obtains approval of the IDE from the FDA. The IDE must be supported by appropriate data, such as animal and laboratory testing results, and include a
proposed clinical protocol. The clinical trials must be conducted in accordance with applicable regulations, including but not limited to the FDA’s IDE regulations and current
good clinical practices. A clinical trial may be suspended by the FDA or the sponsor at any time for various reasons, including a belief that the risks to the study participants
outweigh the benefits of participation in the trial. Even if a clinical trial is completed, the results may not demonstrate the safety and efficacy of a device or may be equivocal or
otherwise not be sufficient to obtain approval. Medical devices, however, typically rely on one or a few pivotal studies rather than Phase I, II and III clinical trials

Clinical trials are subject to extensive monitoring, recordkeeping and reporting requirements. Clinical trials must be conducted under the oversight of an IRB for the
relevant clinical trial sites and must comply with FDA regulations, including, but not limited to, those relating to good clinical practices. To conduct a clinical trial, we also are
required to obtain the patient’s informed consent in a form and substance that complies with both FDA requirements and state and federal privacy and human subject protection
regulations.

The FDA, the IRB, or we could suspend a clinical trial at any time for various reasons, including a belief that the risks to study subjects outweigh the anticipated
benefits or 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 drug has been associated with unexpected serious harm to
patients. Clinical testing may not be completed successfully within any specified period, if at all. Even if a trial is completed, the results of clinical testing may not adequately
demonstrate the safety and efficacy of the device or may otherwise not be sufficient to obtain FDA clearance or approval to market the product in the United States. Similarly,
in  Europe,  the  clinical  study  must  be  approved  by  a  local  ethics  committee  and  in  some  cases,  including  studies  with  high-risk  devices,  by  the  ministry  of  health  in  the
applicable country.

In August 2010, we submitted a 510(k) notification to the FDA for VergenixWD, a collagen-based non-invasive dressing. In October 2010, we received notice that the
Center for Devices and Radiological Health, or CDRH, which is the FDA center with jurisdiction over medical devices, determined that the product required a submission of a
PMA for regulatory approval and not a 510(k). We filed an appeal of this decision that was denied, and in April 2012, the FDA confirmed its previous determination that our
product would require PMA approval prior to its marketing in the United States. We believe that most, if not all, of our products will be subject to the PMA process or will be
considered combination products subject to at least some medical device regulations.

We  expect,  based  on  our  prior  limited  interaction  with  the  FDA  in  connection  with  our  predecessor  wound  healing  product,  that  our  current  products  and  pipeline
products, including dermal fillers and breast implants, will be regulated as medical devices through a PMA process; however, no assurance can be given that the FDA will not
impose additional, more stringent, regulatory requirements with respect to one or more of our current or future product candidates. Conducting clinical trials for our pipeline
product candidates that are required to undergo the PMA process may take one to three years, depending on the composition of the product candidate under development and its
designation.

We are not presently conducting any discussions with the FDA with respect to any of our products.

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Post-Approval Regulation of Biologics, Drugs and Medical Devices

After  a  product  is  placed  on  the  market,  numerous  regulatory  requirements  continue  to  apply.  In  addition  to  the  requirements  below,  adverse  event  reporting
regulations  require  that  we  report  to  the  FDA  any  incident  in  which  our  product  may  have  caused  or  contributed  to  a  death  or  serious  injury  or  in  which  our  product
malfunctioned and, if the malfunction were to recur, would likely cause or contribute to death or serious injury. Additional regulatory requirements include:

● product listing and establishment registration, which helps facilitate FDA inspections and other regulatory action;

● cGMP or QSR, which requires manufacturers, including third-party manufacturers, to follow stringent design, validation, testing, control, documentation and other

quality assurance procedures during all aspects of the design and manufacturing process;

● labeling regulations and FDA prohibitions against the promotion of products for uncleared, unapproved or off-label use or indication;

● clearance of product modifications that could significantly affect safety or effectiveness or that would constitute a major change in intended use of one of our

approved medical products;

● notice or approval of product or manufacturing process modifications or deviations that affect the safety or effectiveness of one of our approved medical products;

● post-approval restrictions or conditions, including post-approval study commitments;

● post-market  surveillance  regulations,  which  apply,  when  necessary,  to  protect  the  public  health  or  to  provide  additional  safety  and  effectiveness  data  for  the

medical product;

● the FDA’s recall authority, whereby it can ask or, under certain conditions, order device manufacturers to recall from the market a product that is in violation of

governing laws and regulations;

● regulations pertaining to voluntary recalls; and

● notices of corrections or removals.

Also,  quality  control  and  manufacturing  procedures  must  continue  to  conform  to  current  Good  Manufacturing  Practices,  or  cGMP  after  approval,  which  includes,
among other things, maintenance of a stability program. The FDA periodically inspects manufacturing facilities to assess compliance with cGMP, which imposes extensive
procedural, substantive, and record keeping requirements. In addition, changes to the manufacturing process are strictly regulated and, depending on the significance of the
change, may require prior FDA approval before being implemented. FDA regulations also require investigation and correction of product out of specification results and impose
reporting and documentation requirements upon us and any third-party manufacturers that we may decide to use. Accordingly, manufacturers must continue to expend time,
money  and  effort  in  the  area  of  production  and  quality  control  to  maintain  compliance  with  cGMP  and  other  aspects  of  regulatory  compliance.  The  holder  of  an  NDA  is
responsible for legal and regulatory compliance for advertising and promotion of the drug product. We are required to provide to the FDA copies of all drug promotion at the
time of first use and to ensure that all information disseminated conforms to the product’s approved labeling and other FDA regulations and policies.

A biologic product may also be subject to official lot release, meaning that the manufacturer is required to perform certain tests on each lot of the product before it is
released for distribution. If the product is subject to official lot release, the manufacturer must submit samples of each lot, together with a release protocol showing a summary
of  the  history  of  manufacture  of  the  lot  and  the  results  of  all  of  the  manufacturer’s  tests  performed  on  the  lot,  to  the  FDA.  The  FDA  may,  in  addition,  perform  certain
confirmatory tests on lots of some products before releasing the lots for distribution. Finally, the FDA will conduct laboratory research related to the safety, purity, potency and
effectiveness of pharmaceutical products.

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Advertising and promotion of medical devices, in addition to being regulated by the FDA, are also regulated by the U.S. Federal Trade Commission, or FTC, and by
state regulatory and enforcement authorities. Promotional activities for FDA-regulated products of other companies have been the subject of enforcement action brought under
healthcare reimbursement laws and consumer protection statutes. Furthermore, under the federal U.S. Lanham Act and similar state laws, competitors and others can initiate
litigation  relating  to  advertising  claims.  In  addition,  we  are  required  to  meet  regulatory  requirements  in  countries  outside  the  United  States,  which  can  change  rapidly  with
relatively  short  notice.  If  the  FDA  determines  that  our  promotional  materials  or  training  constitutes  promotion  of  an  unapproved  or  uncleared  use,  it  could  request  that  we
modify our training or promotional materials or subject us to regulatory or enforcement actions. It is also possible that other federal, state or foreign enforcement authorities
might take action if they consider our promotional or training materials to constitute promotion of an unapproved use, which could result in significant fines or penalties under
other statutory authorities, such as laws prohibiting false claims for reimbursement.

Failure by us or by our third-party manufacturers and suppliers to comply with applicable regulatory requirements can result in enforcement action by the FDA or

other regulatory authorities, which may result in sanctions including, but not limited to:

● untitled letters, warning letters, fines, injunctions, consent decrees and civil penalties;

● customer notifications or repair, replacement, refunds, recall, detention or seizure of our products;

● operating restrictions or partial suspension or total shutdown of production;

● refusing or delaying requests for 510(k) clearance or PMA approvals of new products or modified products;

● withdrawing 510(k) clearances or PMA approvals that have already been granted;

● refusing to grant export approval for our products; or

● criminal prosecution.

Proteins Intended for Therapeutic Use

In  the  United  States,  proteins  intended  for  therapeutic  use,  whether  derived  from  plants,  animals,  microorganisms,  or  recombinant  versions  of  these  products,  are
regulated  as  biological  products  that  have  been  transferred  from  the  FDA  Center  for  Biologics  Evaluation  and  Research,  or  CBER,  to  the  Center  for  Drug  Evaluation  and
Research,  or  CDER.  CDER  has  regulatory  responsibility,  including  premarket  review  and  continuing  oversight  over  the  transferred  products.  Cellular  products,  including
products composed of human, bacterial, or animal cells, or from physical parts of those cells, remain under the jurisdiction of CDER.

Our  products  are  based  on  our  recombinant  type  I  human  collagen,  or  rhCollagen,  a  form  of  human  collagen  produced  with  our  proprietary  plant  based  genetic

engineering technology. Therefore, we believe our underlying platform technology would be regulated as a biologic by CDER in the U.S.

Regenerative Medicine Advanced Therapy Designation

Under  section  3033  of  the  21st  Cures Act,  or  Cures Act,  a  drug  is  eligible  for  regenerative  medicine  advanced  therapy  (RMAT)  designation  if  (1)  the  drug  is  a
regenerative medicine therapy, which is defined as a cell therapy, therapeutic tissue engineering product, human cell and tissue product, or any Combination Product using such
therapies or products, except for those regulated solely under section 361 of the PHS Act and 21 C.F.R. Part 1271, (2) the drug is intended to treat, modify, reverse, or cure a
serious or life-threatening disease or condition, and (3) preliminary clinical evidence indicates that the drug has the potential to address unmet medical needs for such disease or
condition. If we pursue U.S. marketing approval for any of our products, we may be able to avail ourselves of this pathway or another expedited pathway.

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Human Cells, Tissues, and Cellular and Tissue-Based Products Regulation

Under Section 361 of the PHS Act, the FDA issued specific regulations governing the use of human cells, tissues, and cellular and tissue-based products, or HCT/Ps, in
humans. Pursuant to Part 1271 of Title 21 of the Code of Federal Regulations, or Part 1271, the FDA established a unified registration and listing system for establishments that
manufacture and process HCT/Ps. The regulations also include provisions pertaining to donor eligibility determinations; current good tissue practices covering all stages of
production, including harvesting, processing, manufacture, storage, labeling, packaging, and distribution; and other procedures to prevent the introduction, transmission, and
spread of communicable diseases.

The  HCT/P  regulations  strictly  constrain  the  types  of  products  that  may  be  regulated  solely  under  these  regulations.  Factors  considered  include  the  degree  of
manipulation, whether the product is intended for a homologous function, whether the product has been combined with noncellular or non-tissue components, and the product’s
effect or dependence on the body’s metabolic function. In those instances where cells, tissues, and cellular and tissue-based products have been only minimally manipulated, are
intended strictly for homologous use, have not been combined with noncellular or nontissue substances, and do not depend on or have any effect on the body’s metabolism, the
manufacturer is only required to register with the FDA, submit a list of manufactured products, and adopt and implement procedures for the control of communicable diseases.
If one or more of the above factors has been exceeded, the product would be regulated as a drug, biological product, or medical device rather than an HCT/P.

We do not believe that Part 1271 requirements currently apply to us because we are not currently investigating, marketing or selling cellular therapy products in the
U.S. If we were to change our business operations in the future, the FDA requirements that apply to us may also change, and we would potentially need to expend significant
resources to comply with these requirements.

European Union

Legal Requirements for Medical Devices in the EU

EU  law  on  medical  devices  is  governed  by  Regulation  EU  2017/745,  or  the  EU  MDR,  which  repealed  and  replaced  Council  Directive  93/42/EEC,  or  MDD,  and
Regulation 2017/746 on in vitro diagnostic medical devices. The EU MDR became fully applicable on May 26, 2021. On March 20, 2023, the EU MDR has been amended by
Regulation (EU) 2023/607. Regulation (EU) 2023/607 extends the validity of certificates issued under the Medical Devices Directives (MDD) that were valid on the day of the
MDR’s date of application (26 May 2021) and have not been withdrawn by a Notified Body. Under certain conditions, devices certified under MDD or AIMDD may be placed
on the market until 31 December 2027 for Class III and Iib implantable devices or 31 December 2028 for lower risk devices (Is, Im, Iia, Iib devices non implantable)

Under the Medical Device Regulation or EU MDR, medical devices must meet the EU MDR, requirements and have a CE mark prior to marketing in the European
Union, or EU. CE marking is the uniform labeling system of products designed to facilitate the supervision and control of the EU concerning manufacturers’ compliance with
the  various  regulations  and  directives  of  the  EU  and  to  clarify  the  obligations  imposed  in  the  various  legislative  provisions  in  the  EU.  Use  of  a  uniform  product  labeling
indicates compliance with all of the directives and regulations required for the application of such labeling, and it is effective as a manufacturer’s declaration that the product
meets the required criteria and technical specifications of the relevant authorities such as health, safety, and environmental protection. CE marking ensures free trade between
the EU and European Economic Area (or EEA) countries (Iceland, Liechtenstein, and Norway) and other countries that have mutual recognition agreements with regard to
medical devices with the EU, in particular Turkey, and permits the enforcement and customs authorities in European countries not to allow the marketing of similar products
that  do  not  bear  the  CE  mark.  With  regard  to  Switzerland,  the  respective  mutual  recognition  agreement  was  not  renewed  in  time  to  implement  the  MDR  and  as  a  result,
Switzerland  currently  has  the  status  of  a  third  country  with  regard  to  EU  medical  devices  law. As  a  result,  EU  law  compliant  medical  devices  are  not  freely  traded  with
Switzerland but instead, additional requirements have to be met for CE-marked medical devices to be shipped to Switzerland, and vice versa.

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CE-marking  requires  the  performance  of  a  conformity  assessment  procedure  to  establish  that  a  product  meets  the  essential  requirements  under  the  EU  MDR. The
nature of the conformity assessment procedure and the data required under it – including the question of whether or not a clinical investigation of a device is required – depends
on, inter alia, the risk class of the respective device and the extent to which safety data is already available. Devices of the lowest risk class, class I, are mostly subject to mere
self-certification by the manufacturer, while devices of higher risk classes, i.e., classes Iia, Iib and III, require a comprehensive quality system program, and other aspects to be
reviewed by a Notified Body, or NB. An NB is a private entity vested with certain competencies and designated by the national governments of the EU member states to make
independent judgments about whether a product complies with the EU requirements for medical devices and to grant the CE certificate if the manufacturer, and the product,
comply with specified terms. After receiving the CE-certificate, we must pass a review carried out by the competent NB annually, under which it audits our facilities to verify
our compliance with the ISO 13485 quality system standard. The CE-certificate is a requirement for the declaration of conformity we issue for our medical devices and for our
legitimate affixing of the CE-mark to our products.

Certified compliance with the ISO 13485 standard, for medical device quality management systems, is beneficial for regulatory purposes in the EU with regard to
devices  of  risk  class  Iia  or  higher.  ISO  standards  are  not  mandatory,  but  are  recognized  international  quality  standards  that  are  designed  to  ensure  that  we  develop  and
manufacture  quality  medical  devices.  Other  countries  are  also  instituting  regulations  regarding  medical  devices.  Compliance  with  these  regulations  requires  extensive
documentation and clinical reports for all of our products, revisions to labeling, and other requirements such as facility inspections to comply with the registration requirements.

In 2016, we received the CE certification for VergenixFG and VergenixSTR from our notified body DEKRA. These CE certifications were renewed in 2018 under the
requirements of the MDD for 5 years i.e. until July 2023. Following the adoption of Regulation (EU) 2023/607 in March, 2023, CollPlant fulfilled the applicable conditions to
quality for the CE certifications extension and as a result, DEKRA (CollPlant EU NB) extended the VergenixFG CE certification to December 31, 2028 and the VergenixSTR
CE certification to December 31, 2027.

Before the current CE-certificates expire, we are required to obtain new CE-certificates under the MDR Certification under the MDR is harder to achieve, as many
products are subject to increased requirements due to higher risk-classification and the fact that the MDR generally provides higher requirements. Also, our general obligations
inter alia with regard to registration, labelling, traceability, post-market surveillance have increased now that the MDR is fully applicable.

In February 2019, we received ISO 13485 certification by DEKRA for the manufacturing and purification of our rhCollagen in our production site at Rehovot. In July

2023, the scope of the ISO 13485 has been extended to also cover medical aesthetics products. The current ISO 13485 certification is valid until July 1, 2026.

Legal Requirements for Drugs in the EU

We do not believe that our products are currently subject to EU or Member States’ regulation on drugs. However, given that our products are highly innovative, a risk
remains that regulatory authorities, notified bodies, competitors and/or courts might be of a different opinion. Consequently, there is a risk that discussions might be started with
regard to the regulatory status of our products.

If one or more of our current or future products would have the status of a drug under the law of the EU or one or more of its Member States, regulatory requirements
for such product(s) would be significantly higher. In particular, a drug can only be placed on the market if it has been authorized by the competent regulatory authority either
under the EU centralized procedure, the decentralized or mutual recognition procedure or under a Member State’s national procedure. Marketing authorizations for drugs under
all of the different authorization procedures are expensive and time consuming and require the performance of extensive pre-clinical and clinical research. If one or more of our
products would be considered drugs by a regulatory authority, notified body or court of the EU or a Member State, it is possible that we would be forced to take the respective
product(s) off the market until they have received marketing approval under pharmaceutical law. In addition, this might also lead to administrative fines, criminal prosecution
and/or claims raised by customers and/or competitors.

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Other U.S. Federal Healthcare Laws and Regulations

Healthcare providers, physicians, and third-party payors play a primary role in the recommendation and medical devices that are granted marketing approval. In the
United States, we are subject to laws and regulations pertaining to healthcare fraud and abuse, including anti-kickback laws and physician self-referral laws that regulate the
means  by  which  companies  in  the  healthcare  industry  may  market  their  products  to  hospitals  and  healthcare  providers  and  may  compete  by  discounting  the  prices  of  their
products. The delivery of our products is subject to regulation regarding reimbursement, and federal healthcare laws apply when a customer submits a claim for a product that is
reimbursed  under  a  federally  funded  healthcare  program.  These  rules  require  that  we  exercise  care  in  structuring  our  sales  and  marketing  practices  and  customer  discount
arrangements.

Arrangements  with  healthcare  providers,  third-party  payors,  and  other  customers  are  subject  to  broadly  applicable  fraud  and  abuse  and  other  healthcare  laws  and

regulations, including the following:

● the  federal  healthcare  Anti-Kickback  Law  prohibits,  among  other  things,  persons  from  knowingly  and  willfully  soliciting,  offering,  receiving,  or  providing
remuneration, directly or indirectly, in cash or in kind, to induce or reward either the referral of an individual for, or the purchase, order, or recommendation of,
any good or service for which payment may be made, in whole or in part, under a federal healthcare program such as Medicare and Medicaid;

● the U.S. False Claims Act imposes civil penalties, and provides for civil whistleblower or qui tam actions, against individuals or entities for knowingly presenting,
or causing to be presented, to the federal government, claims for payment that are false or fraudulent or making a false statement to avoid, decrease, or conceal an
obligation to pay money to the federal government;

● the federal Health Insurance Portability and Accountability Act of 1996, or HIPAA, imposes criminal and civil liability for executing a scheme to defraud any

healthcare benefit program or making false statements relating to healthcare matters;

● HIPAA,  as  amended  by  the  Health  Information Technology  for  Economic  and  Clinical  Health Act  and  its  implementing  regulations,  also  imposes  obligations,

including mandatory contractual terms, with respect to safeguarding the privacy, security, and transmission of individually identifiable health information;

● the federal false statements statute prohibits knowingly and willfully falsifying, concealing, or covering up a material fact or making any materially false statement

in connection with the delivery of or payment for healthcare benefits, items, or services;

● the  federal  transparency  requirements  under  the  Affordable  Care  Act  require  manufacturers  of  drugs,  devices,  and  medical  supplies  to  report  to  the  U.S.
Department of Health and Human Services information related to payments, ownership and investment interest and other transfers of value to physicians, dentists,
physician assistants and other health care professionals and teaching hospitals; and

● analogous  state  and  foreign  laws  and  regulations,  such  as  state  anti-kickback  and  false  claims  laws,  may  apply  to  sales  or  marketing  arrangements  and  claims

involving healthcare items or services reimbursed by non-governmental third-party payors, including private insurers.

Healthcare  providers  that  purchase  medical  devices  generally  rely  on  third-party  payors,  including,  in  the  United  States,  the  Medicare  and  Medicaid  programs  and
private payors, such as indemnity insurers, employer group health insurance programs, and managed care plans, to reimburse all or part of the cost of the products. As a result,
demand  for  our  products  is  and  will  continue  to  be  dependent  in  part  on  the  coverage  and  reimbursement  policies  of  these  payors. The  manner  in  which  reimbursement  is
sought and obtained varies based upon the type of payor involved and the setting in which the product is furnished and utilized. Reimbursement from Medicare, Medicaid, and
other third-party payors may be subject to periodic adjustments as a result of legislative, regulatory, and policy changes as well as budgetary pressures. Possible reductions in,
or eliminations of, coverage or reimbursement by third-party payors, or denial of, or provision of uneconomical reimbursement for new products, may affect our customers’
revenue and ability to purchase our products. Any changes in the healthcare regulatory, payment, or enforcement landscape relative to our customers’ healthcare services has the
potential to significantly affect our operations and revenue.

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Other Approvals

Our international operations, as well as being an Israeli company, subject us to laws regarding sanctioned countries, entities, and persons; customs, import-export, and
laws  regarding  transactions  in  foreign  countries;  and  the  U.S.  Foreign  Corrupt  Practices  Act  and  local  anti-bribery  and  other  laws  regarding  interactions  with  healthcare
providers. Among other things, these laws restrict, and in some cases can prevent, companies from directly or indirectly selling goods, technology, or services to people or
entities in certain countries. In addition, these laws require that we exercise care in structuring our sales and marketing practices in foreign countries.

In addition to the above regulations, we are and may be subject to regulation under country-specific federal and state laws, including, but not limited to, requirements
regarding record keeping and the maintenance of personal information, including personal health information. As a public company whose securities are registered pursuant to
the  Securities Act,  we  are  subject  to  U.S.  securities  laws  and  regulations,  including  the  Sarbanes-Oxley Act.  We  also  are  subject  to  other  present,  and  could  be  subject  to
possible future, local, state, federal, and non-U.S. regulations in countries in which we will distribute our products.

The Innovation Law and the IIA

Below is a description of the main obligations and restrictions imposed on a recipient of an IIA grant, or, Recipient Company, under the Innovation Law and the IIA’s

rules and guidelines, with respect to the use of its IIA Funded Know-How:

● Royalty  Payment  Obligation.  In  general,  the  Recipient  Company  is  obligated  to  pay  the  IIA  royalties  from  any  income  deriving  from  products  (and  related
know-how and services), whether received by the Recipient Company or any affiliated entity, developed (in all or in part), directly or indirectly, as a result of an
Approved Program, or deriving therefrom, at rates which are determined under the IIA’s rules and guidelines (currently a yearly rate of between 3% to 5% on sales
of products or services developed under the Approved Programs, depending on the type of the Recipient Company - i.e., whether it is a “Small Company,” or a
“Large Company” as such terms are defined in the IIA’s rules and guidelines), up to the aggregate amount of the total grants received by the IIA, plus Annual
Interest For a File (as such term is defined in the IIA’s rules and guidelines). As of December 31, 2023, we paid royalties to the IIA in the total amount of $3.1
million.

● Reporting Obligations. The Recipient Company is subject to certain reporting obligations (such as, periodic reports regarding the progress of the research and
development activities under the Approved Programs and the related research expenses, and regarding the scope of sales of the Recipient Company’s products). In
addition, any direct change in control of a Recipient Company must be notified to the IIA. In the event that a non-Israeli entity or a non-Israeli citizen or resident
person becomes an “Interested Party” (as such term is defined in the Israeli Securities Law, 5728-1968, or, the Israeli Securities Law) in the Recipient Company,
notification to the IIA is required, accompanied by a written undertaking (in the form available on the IIA’s website) by such party to be bound by the Innovation
Law, the regulations promulgated thereunder, the IIA’s rules and guidelines and the terms of the Approved Program.

● Local Manufacturing Obligation. Products developed using the IIA grants must, as a general matter, be manufactured in Israel. The transfer of manufacturing
capacity outside of Israel in a manner that exceeds the manufacturing capacity that was declared in the Recipient Company’s original IIA grant application, is
subject to prior written approval from the IIA (except for the transfer of less than 10% of the manufacturing capacity in the aggregate, which event requires only a
notice to the IIA, which shall be provided in writing prior to the transfer of such manufacturing rights abroad, while the IIA has a right to deny such transfer within
30 days following the receipt of such notice). In general, the transfer of manufacturing capacity outside of Israel may be subject to an increase in the royalties’ cap
(depending, inter alia, on the manufacturing volume that is performed outside of Israel) and such transfer will be subject to payment of royalties in accelerated
rate. 

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● IIA Funded Know-How transfer limitation. Under the IIA’s rules and guidelines, a Recipient Company is prohibited from transferring the IIA Funded Know-
How outside of Israel except with the approval of the IIA Research Committee and in certain circumstances, subject to certain payments to the IIA calculated
according to formulas provided under the IIA’s rules and guidelines (which are capped to amounts specified under such rules and guidelines, generally up to 6
time the grants received plus Annual Interest, as such term is defined in the IIA’s rules and guidelines), or the Redemption Fee. For calculating the Redemption
Fee which shall be paid to the IIA in the event of a transfer of IIA Funded Know-How outside of Israel, inter alia, the following factors will be taken into account:
the scope of the IIA support received, the royalties that have already paid to the IIA, the amount of time that has lapsed since the Recipient Company has finalized
the IIA Approved Program, the sale price and the form of transaction. A transfer for the purpose of the Innovation Law means an actual sale of the IIA Funded
Know-How, or any other transaction which in essence constitutes a transfer of such know-how (such as, providing an exclusive license to a foreign entity for
R&D  purposes,  which  precludes  the  Recipient  Company  from  further  using  such  IIA  Funded  Know-How). A  mere  license  solely  to  market  products  resulting
from the IIA Funded Know-How would not be deemed a transfer for the purpose of the Innovation Law.

Subject to the IIA’s prior approval, a Recipient Company may transfer IIA Funded Know-How to another Israeli company, provided that the acquiring company
assumes all of the Recipient Company’s responsibilities towards the IIA. Such transfer will not be subject to the payment of the Redemption Fee, however, the
income from such transaction will generally be subject to the obligation to pay royalties to the IIA (other than in specific circumstances that will be examined by
the IIA, mainly when the transfer is between related entities).  

● IIA Funded Know-How license limitation. The grant to a foreign entity of a right to use the IIA Funded Know-How for R&D purposes (which does not entirely
prevent the Recipient Company from using the IIA Funded Know-How) is subject to receipt of the IIA’s prior approval. This approval is subject to payment to the
IIA in accordance with the formulas stipulated in the IIA rules (such payment shall be no less than the amount of the IIA grants received (plus annual interest), and
no more than the cap stated in the IIA rules and will generally be due only upon the receipt of the license fee from the licensee).

The obligation to comply with the Innovation Law and the IIA’s rules and guidelines (including with respect to the restriction of the transfer of IIA Funded Know-How
and manufacturing rights outside of Israel) remains in effect even after full repayment of all amounts payable to the IIA. Once a Redemption Fee is paid on a transfer of IIA
Funded Know-How outside Israel, all obligations towards the IIA (including the royalty obligation) cease.

Israeli Ministry of Agriculture

The process of growth of transgenic plants and the treatment thereof is subject to the regulations published by the Israeli Ministry of Agriculture and the approval of
the Ministry of Agriculture to engage in the cultivation of recombinant plants. Although the Ministry of Agriculture requirements do not necessarily apply to our operations, we
hold a valid permit from the Plant Protection and Inspection Services Administration, for growing tobacco plants in greenhouses in our site at Yessod Hama’ala, Israel, as well
as in all of our subcontractors’ facilities.

Business Licensing

Under the Israeli Licensing of Businesses Law, to which our production sites and laboratories are subject, operating a business without a license or temporary permit is

a criminal offense. Both of our sites in Rehovot, and our production site at Yessod Hama’ala, have valid business licenses.

Planning and Zoning

The Israeli Planning and Zoning Law, sets provisions and obligations, inter alia, regarding the licensing process for a new building, including building permits, non-
conforming use and easements, the supervision over its construction, and the required occupancy permits. According to the Planning and Zoning Law, work or use of land
without a permit where such permit is required, a deviation from the permit granted, or use of agricultural land in violation of the law, constitutes a criminal offense.

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We  have  recently  learned  upon  internal  inspection  that  permits  for  certain  of  the  structures  on  our  production  site  at  Yessod  Hama’ala  are  missing.  We  are  in
correspondence with the relevant authorities, including the regional council, and are in the process of obtaining the necessary permits. To date, the site remains open and fully
operational, and we have not experienced any adverse effects resulting from our need to obtain the said permits.

Employees

As of March 20, 2024, we had 75 employees, including 23 in research and development, 39 in manufacturing and 13 in general and administrative positions. 14 of our

employees have either MDs or PhDs. All of our employees are located in Israel. We believe our employee relations are good.

In addition, we engage consultants and service providers through contractual agreements for specific company projects.

Israeli labor laws govern the length of the workday, minimum wages for employees, procedures for hiring and dismissing employees, determination of the scope of
severance  pay,  annual  leave,  sick  days,  advance  notice  of  termination  of  employment,  equal  opportunity  and  anti-discrimination  laws,  and  other  conditions  of  employment.
Subject  to  specified  exceptions,  Israeli  law  generally  requires  severance  pay  upon  the  retirement,  death,  or  dismissal  of  an  employee.  We  fund  our  ongoing  severance
obligations by making monthly payments to insurance policies that comply with the applicable Israeli legal requirements. All of our current employees have agreed that upon
termination  of  their  employment,  they  will  be  entitled  to  receive  only  the  amounts  accrued  in  the  insurance  policies  with  respect  to  severance  pay.  Furthermore,  Israeli
employers and employees are required to make payments to the National Insurance Institute, which is similar to the U.S. Social Security Administration.

None of our employees currently work under any collective bargaining agreements.

Environmental, Health, and Safety Matters

Our  research,  development,  and  manufacturing  processes  involve  the  controlled  use  of  certain  hazardous  materials.  Therefore,  we  are  subject  to  extensive
environmental, health, and safety laws and regulations in a number of jurisdictions in Israel, governing, among other things: the use, storage, registration, handling, emission,
and disposal of chemicals, waste materials, and sewage; chemicals, air, water, and ground contamination; air emissions; and the cleanup of contaminated sites, including any
contamination that results from spills due to our failure to properly dispose of chemicals, waste materials, and sewage. Our operations at our Rehovot manufacturing facility use
chemicals and produce waste materials and sewage. Our activities require permits from various governmental authorities including local municipal authorities, the Ministry of
Environmental Protection, and the Ministry of Health. The Ministry of Environmental Protection, the Ministry of Health, local authorities, and the municipal water and sewage
company conduct periodic inspections in order to review and ensure our compliance with various regulations.

These  laws,  regulations,  and  permits  could  potentially  require  the  expenditure  by  us  of  significant  amounts  for  compliance  or  remediation.  We  believe  that  our
environmental, health, and safety procedures for handling and disposing of these materials comply with the standards prescribed by the controlling laws and regulations. If we
fail to comply with such laws, regulations, or permits, we may be subject to fines and other civil, administrative, or criminal sanctions, including the revocation of permits and
licenses necessary to continue our business activities. In addition, we may be required to pay damages or civil judgments with respect to third-party claims, including those
relating to personal injury (including exposure to hazardous substances we use, store, handle, transport, manufacture, or dispose of), property damage, or contribution claims.
These  risks  are  managed  to  minimize  or  eliminate  associated  business  impacts.  Some  environmental,  health,  and  safety  laws  allow  for  strict  joint  and  several  liability  for
remediation costs, regardless of comparative fault. We may be identified as a responsible party under such laws. Such developments could have a material adverse effect on our
business, financial condition, and results of operations as these kinds of liabilities could exceed our resources. We could be subject to a regulatory shutdown of a facility that
could  prevent  the  distribution  and  sale  of  products  manufactured  in  such  facility  for  a  significant  period  of  time,  and  we  could  suffer  a  casualty  loss  that  could  require  a
shutdown of the facility in order to repair it, any of which could have a material, adverse effect on our business. Although we continuously strive to maintain full compliance
with respect to all applicable global environmental, health, and safety laws and regulations, we could incur substantial costs to fully comply with future laws and regulations,
and our operations, business, or assets may be negatively affected.

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In addition, compliance with laws and regulations relating to environmental, health, and safety matters is an ongoing process and is often subject to change. In the
event of any changes or new laws or regulations, we could be subject to new compliance measures or to penalties for activities which were previously permitted. For instance,
Israeli regulations were promulgated in 2012 relating to the discharge of industrial sewage into the sewer system. These regulations establish new and potentially significant
fines for discharging forbidden or irregular sewage into the sewage system. We have compliance procedures in place for employee health and safety programs, driven by a
centrally led organizational structure that ensures proper implementation, which is essential to our overall business objectives.

We invest resources in creating a green production environment and in the treatment and disposal of waste using environmentally friendly processes. We have received
all the necessary permits from the Ministry of Environmental Protection regarding our operations in Yessod Hama’ala and we have obtained a business license for our new
facilities in Rehovot. We consult with environmental consultants for direction on environmental issues.

In  September  2023,  we  announced  that  we  joined  the  United  National  Global  Compact,  the  world’s  largest  initiative  for  sustainable  and  responsible  corporate
governance. As a member of this voluntary leadership platform, we strengthen our commitment to operate sustainably as it is also producing sustainable alternatives to the
regenerative and aesthetics medicine products and technologies that currently exist.

Legal Proceedings

From time to time, we may become involved in legal proceedings or be subject to claims arising in the ordinary course of our business. We are currently not a party to

any material legal or administrative proceedings and, are not aware of any pending or threatened material legal or administrative proceedings against us.

C. Organizational Structure

We  currently  have  two  subsidiaries:  our  wholly  owned  subsidiary  CollPlant  Ltd.,  which  is  incorporated  in  the  State  of  Israel,  and  CollPlant  Inc.,  a  wholly  owned

subsidiary of CollPlant Ltd., which is incorporated in Delaware.

D. Property, Plant and Equipment

Our corporate headquarters and research lab center are located in the Weizmann Science Park in Rehovot, Israel. We entered into a lease agreement in November 2018,
for an aggregate of 13,450 square feet of office and laboratory space. In September 2021, we executed an addendum to the lease for an additional 2,800 square feet. The term of
the lease is for 65 months, commencing on November 15, 2018 and ending on April 15, 2024 , following which, the lease will be automatically extended for an additional five
years. The monthly rent is approximately $37,600. We have invested approximately $1.4 million in establishment of the infrastructure, offices, labs and equipment in our space,
net of participation by the landlord.

The research facilities serve us for development of our product pipeline, including bioinks for 3D bioprinting of tissues and organs, dermal fillers and breast implants
for  medical  aesthetics  and  Gut-on-a-Chip  models  for  personalized  medicine  and  drug  discovery.  The  majority  of  our  research  and  development  work  is  carried  out  at  our
research  laboratories  in  Weizmann  Science  Park  in  Rehovot,  Israel.  The  plant  research  process  of  our  rhCollagen  is  carried  out  at  our  site  in Yessod  Hama’ala,  Israel.  We
produce our rhCollagen and bioink in our two production sites, in Yessod Hama’ala and in Rehovot.

We lease areas in Yessod Hama’ala, Israel, of approximately 64,583 square feet pursuant to a lease agreement expiring on April 30, 2027.

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In addition, in July 2016, we leased additional space in Rehovot, Israel, of approximately 6,329 square feet for production activities pursuant to a lease agreement

expiring on December 31, 2026, with an option to extend the lease for an additional four years.

In late 2021, we initiated a plan to upgrade our production site in Israel into a large-scale integrated facility, in order to accommodate expected future demand increase.

We will continue with the plan once there is a surge in demand and the necessary funds are secured for its execution.

 We believe that our existing facilities are adequate for our near-term needs. When our leases expire, we may look for extension periods or alternate space for our

operations. We believe that suitable additional or alternative space and area would be available if required in the future on commercially reasonable terms.

ITEM 4A. UNRESOLVED STAFF COMMENTS

Not applicable.

ITEM 5. OPERATING AND FINANCIAL REVIEW AND PROSPECTS

You  should  read  the  following  discussion  and  analysis  of  our  financial  condition  and  results  of  operations  together  with  the  section  titled  “Item  3.A.—Selected
Financial Data” and our consolidated financial statements and related notes included elsewhere in this Annual Report on Form 20-F. This discussion and other parts of this
Annual Report on Form 20-F contain forward-looking statements that involve risk and uncertainties, such as statements of our plans, objectives, expectations, and intentions.
Our actual results could differ materially from those discussed in these forward looking statements. Factors that could cause or contribute to such differences include, but are
not limited to, those discussed in the section titled “Item 3.D.—Risk Factors” and elsewhere in this Annual Report in Form 20-F.

Overview

We  are  a  regenerative  and  aesthetic  medicine  company  focused  on  3D  bioprinting  of  tissues  and  organs,  and  medical  aesthetics.  Our  products  are  based  on  our
recombinant human collagen (rhCollagen) that is produced with our proprietary plant based genetic engineering technology. These products address indications for the diverse
fields of tissue repair, aesthetics and organ manufacturing, and are ushering in a new era in regenerative and aesthetic medicine.  Our collaborations include, among others,
AbbVie, STEMCELL, the Advanced Regenerative Manufacturing Institute, Stratasys and the RegenMed Development Organization.

We are in collaboration with AbbVie under the AbbVie Development Agreement, pursuant to which we and AbbVie are in the development and commercialization of

dermal and soft tissue filler products for the medical aesthetics market, using our rhCollagen technology and AbbVie’s technology.

Our rhCollagen bioink product line is ideal for 3D bioprinting of tissues and organs. We are developing 3D bioprinted breast implants for regeneration of breast tissue,
aim to provide a revolutionary alternative to the current practices. The implants in development are printed and loaded with compositions that are based on rhCollagen and
other components. These implants are intended to promote tissue regeneration and degrade in synchronization with the development of a natural breast tissue.

In  recent  years,  we  have  financed  our  operations  primarily  with  revenues  from  sales  of  our  products,  license  of  our  technology  and  development  milestone
achievement payments from business partner, as well as from net proceeds from private and public offerings on Nasdaq Global Market. Prior to this, we financed our operations
primarily from public offerings of our securities on the TASE, participation of business partners in product development collaborations, and government grants from the IIA.

Since  our  inception,  we  have  incurred  significant  losses.  Our  net  loss  was  $7.0  million  and  $16.9  million  for  the  years  ended  December  31,  2023  and  2022,

respectively. As of December 31, 2023, we had an accumulated deficit of $96.7 million.

81

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
We expect to continue to incur expenses and operating losses for the foreseeable future. The net losses we incur may fluctuate significantly from quarter to quarter. We

anticipate that our expenses will increase substantially if and as we:

● continue our research and preclinical and clinical development of our pipeline products;

● seek marketing approvals for our products and future products in the United States and other new territories;

● maintain, expand, and protect our intellectual property portfolio;

● hire additional operational, clinical, quality control, and scientific personnel;

● establish plant infrastructure to accommodate product capacity increase;

● add  operational,  financial,  and  management  information  systems  and  personnel,  including  personnel  to  support  our  product  development,  any  future

commercialization efforts, and our transition to a public reporting company in the United States; and

● identify additional product candidates.

Financial Operations Overview

Revenue

Our  ability  to  generate  significant  revenues  will  depend  on  the  successful  commercialization  of  our  rhCollagen-based  bioinks  and  products,  our  strategic  partners
successful commercialization of the dermal filler product that is in a clinical phase, and on our ability to establish and maintain business collaborations with leading companies
for 3D bioprinting of organs and tissues, and for medical aesthetics. In the year ended December 31, 2023, we generated revenues of approximately $11.0 million, mainly from
the achievement of a milestone with respect to the AbbVie Development Agreement, which triggered a $10.0 million payment, and from sales of our bioink and rhCollagen.

Our revenues are recorded in the amount of consideration to which we expect to be entitled in exchange for performance obligations upon transfer of control to the

customer.

Cost of Revenues

Cost of revenues in our proprietary products and services includes expenses for the manufacturing of products such as raw materials, payroll, utilities, laboratory costs,
share-based compensation and depreciation. Cost of revenue also includes royalties to the IIA and provisions for the costs associated with manufacturing scraps and inventory
write offs.

Our balance sheet liabilities include current obligations regarding royalties that we are obligated to pay to the IIA based on sales of our products for the second half of
the year, which were paid in February 2024. Our cost of revenues include royalties expenses regarding royalties on our sales to the IIA. For more information, see “Item 3.D.
Risk Factors—Risks Related to Our Financial Condition and Capital Requirements—The IIA grants we have received in the past for research and development expenditures
may restrict our ability to manufacture products and transfer know-how outside of Israel and require us to satisfy specified conditions”, and Note 6 in our consolidated financial
statements for the year ended December 31, 2023.

82

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Operating Expenses

Research and Development Expenses

Research and development expenses consist of costs incurred for the development of our rhCollagen-based products. Those expenses include:

● employee-related expenses, including salaries and share-based compensation expenses for employees in research and development functions;

● expenses incurred in operating our laboratories;

● expenses incurred under agreements with CROs and investigative sites that conduct our clinical trials;

● expenses relating to outsourced and contracted services, such as external laboratories, consulting, and advisory services;

● supply, development, and manufacturing costs relating to clinical trial materials;

● maintenance  of  facilities,  depreciation,  and  other  expenses,  which  include  direct  and  allocated  expenses  for  rent  and  insurance,  net  of  expenses  capitalized  to

inventory; and

● costs associated with preclinical and clinical activities.

Research and development activities are the primary focus of our business. Products in later stages of clinical development generally have higher development costs
than those in earlier stages of clinical development, primarily due to the increased size and duration of later-stage clinical trials. We expect that our research and development
expenses will continue to be significant in absolute dollars in future periods as we continue to invest in research and development activities related to the development of our
products.

Our total research and development expenses for the years ended December 31, 2023, December 31, 2022, and December 31, 2021 were $10.5 million, $10.3 million
and  $7.6  million,  respectively. We  did  not  apply  for  grants  from  the  IIA  since  2019  and  we  have  charged  all  research  and  development  expenses  to  operations  as  they  are
incurred.

There are numerous factors associated with the successful commercialization of any of our products, including future trial design and various regulatory requirements,
many of which cannot be determined with accuracy at this time. Additionally, future commercial and regulatory factors beyond our control will affect our clinical development
programs and plans.

General, Administrative, and Marketing Expenses

Our general and administrative expenses consist principally of:

● employee-related expenses, including salaries, benefits, and related expenses, including share-based compensation expenses;

● legal and professional fees for auditors, investor relations, and other consulting expenses not related to research and development activities;

● cost of offices, communication, and office expenses;

● information technology expenses;

● business development and marketing activities;

● Stock exchange fees and related services; and

● Board members related expenses, including fees and directors’ liability insurance premiums.

83

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
We  expect  that  our  general,  administrative,  and  marketing  expenses  will  increase  in  the  future  as  our  business  expands  and  we  incur  additional  general  and
administrative costs associated with being a public company in the United States, including compliance under the Sarbanes-Oxley Act and rules promulgated by the SEC. These
public company-related increases will likely include costs of additional personnel, additional legal fees, audit fees, directors’ liability insurance premiums, and costs related to
investor relations.

Financial Income/Financial Expenses

Financial income includes interest income regarding short-term deposits and restricted deposits. Financial expenses consist of bank and other fees and exchange rate

differences from the strengthening of the U.S. dollars compared to NIS.

Taxes on Income

We do not generate taxable income in Israel, as we have historically incurred operating losses resulting in carry forward tax losses. As of December 31, 2023, we have
incurred  operating  losses  of  approximately  $7.4  million  for  CollPlant  Biotechnologies  Ltd.  and  $60.0  million  for  CollPlant  Ltd. We  anticipate  that  we  will  be  able  to  carry
forward these tax losses indefinitely to future tax years assuming that we utilize them at the first opportunity. Accordingly, we do not expect to pay taxes in Israel until we have
taxable income after the full utilization of our carry forward tax losses.

The standard corporate tax rate in Israel is 23%. Under the Investment Law, and other Israeli laws, we may be entitled to certain additional tax benefits, including

reduced tax rates, accelerated depreciation, and amortization rates for tax purposes on certain assets and amortization of other intangible property rights for tax purposes.

A. Operating Results

The table below provides our results of operations for the years ended December 31, 2023, 2022, and 2021.

Statement of operations data:
Revenues
Cost of revenues
Gross profit (loss)
Research and development expenses
General, administrative, and marketing expenses
Total operating income (loss)
Financial income, net
Net income (loss)

Revenues

2023

Year ended December 31,
2022
(USD in thousands)

2021

  $

  $

10,959    $
1,991     
8,968     
10,484     
5,996     
(7,512)    
493     
(7,019)   $

299    $
400     
(101)    
10,255     
6,741     
(17,097)    
172     
(16,925)   $

15,641 
2,005 
13,636 
7,631 
5,940 
65 
172 
237 

We generated revenues from the achievement of a milestone under the AbbVie Development Agreement, and from the sale of our bioink, rhCollagen, and VergenixFG
in the amount of $11.0 million in the year ended December 31, 2023 compared to $299,000 in the year ended December 31, 2022. The increase in revenues is mainly related to
the achievement of a milestone with respect to the AbbVie Development Agreement, which triggered a $10 million payment and a $660,000 increase in sales of rhCollagen
products.

We generated revenues from the sale of our BioInk, rhCollagen, and VergenixFG of $299,000 in the year ended December 31, 2022 compared to $15.6 million for the
year ended December 31, 2021. The decrease in revenues mainly derived from the $14 million consideration for the license granted to AbbVie under the AbbVie Development
Agreement and to a decrease in sales of bioink and Vergenix products.

84

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
    
    
  
   
   
   
   
   
   
 
 
 
 
Cost of revenues

We incurred cost of revenue in the amount of $2.0 million in the year ended December 31, 2023, compared to $400,000 in the year ended December 31, 2022. The
increase in cost of revenues in the amount of approximately $1.6 million is mainly comprised of: (i) approximately $320,000 in royalty expenses to the IIA, mainly relating to
the  milestone  achievement  under  the  AbbVie  Development  Agreement,  (ii)  approximately  $711,000  relating  to  bioinks,  VergenixFG,  and  rhCollagen  sales  and  (iii)
approximately $570,000 related to inventory write offs.

We incurred cost of revenue in the amount of $400,000 in the year ended December 31, 2022, compared to $2.0 million in the year ended December 31, 2021. The
decrease  in  cost  of  revenues  in  the  amount  of  approximately  $1.6  million  is  mainly  comprised  of:  (i)  approximately  $460,000  in  royalty  expenses  to  the  IIA  and  (ii)
approximately $1.0 million relating to bioink, VergenixFG, and rhCollagen sales.

Research and Development Expenses

We  incurred  research  and  development  expenses  amounting  to  $10.5  million  in  the  year  ended  December  31,  2023,  compared  to  $10.3  million  in  the  year  ended
December 31, 2022. The increase in expenses amounting to approximately $200,000 mainly derived from employee salary expenses, including recruitment of new employees
for development of new products in 3D bioprinting and medical aesthetics and share based compensation expenses.

We  incurred  research  and  development  expenses  amounting  to  $10.3  million  in  the  year  ended  December  31,  2022,  compared  to  $7.6  million  in  the  year  ended
December  31,  2021.  The  increase  in  expenses  amounting  to  approximately  $2.7  was  comprised  primarily  of  $1.5  million  increase  in  research  and  development  activities
including  process  development  and  a  $1.0  million  increase  in  employee  salary  expenses,  including  recruitment  of  new  employees  for  development  of  new  products  in  3D
bioprinting and medical aesthetics.

General, Administrative, and Marketing Expenses

We  incurred  general,  administrative,  and  marketing  expenses  of  $6.0  million  in  the  year  ended  December  31,  2023,  compared  to  $6.7  million  in  the  year  ended
December 31, 2022. The decrease in expenses amounting to approximately $700,000 is mainly comprised of: (i) a decrease of $224,000 in employees’ salaries expense, (ii) a
decrease of $364,000 in share based compensation expenses mainly related to options grant in 2022 and (iii) a decrease of $73,000 in directors’ and officers insurance policy
expenses.

We  incurred  general,  administrative,  and  marketing  expenses  of  $6.7  million  in  the  year  ended  December  31,  2022,  compared  to  $5.9  million  in  the  year  ended

December 31, 2021. The increase in expenses amounting to approximately $800,000 is mainly comprised of employees and director’s salaries and insurance policy expenses.

Financial Income, Net

Financial income, net in the year ended December 31, 2023 totaled $493,000 compared to $172,000 in the year ended December 31, 2022.

Financial income, net for each of the years ended December 31, 2022 and 2021 totaled $172,000.

Financial income, net is mainly attributed to interest received from the Company’s short term cash deposits.

Recent Accounting Pronouncements

Certain recently issued accounting pronouncements are discussed in Note 2, Significant Accounting Policies, to the consolidated financial statements included in “Item

18. Financial Statements” of this Annual Report.

85

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
B. Liquidity and Capital Resources

Our primary uses of cash are to fund working capital requirements, research and development expenses and capital expenditures. Historically, we have funded our
operations primarily through cash flow from operations (including sales of our proprietary products and distribution products), payments received in connection with strategic
partnerships (including milestone payments from collaboration agreements), issuances of ordinary shares and warrants (including public offerings on the TASE, Nasdaq Global
Market and private placements) and government grants from the IIA. The balance of cash and cash equivalents as of December 31, 2023 and 2022 totaled $26.7 million and
$29.7 million, respectively. In February 2021 we completed a registered direct offering that resulted in gross proceeds of $35 million and in the same month, we received a $14
million consideration for the license granted to AbbVie under the AbbVie Development Agreement. In June 2023, we announced the achievement of a milestone with respect to
the dermal filler product under the AbbVie Development Agreement, which triggered a $10 million payment from AbbVie to us.

We  plan  to  fund  our  future  operations  through  continued  sales  of  our  proprietary  products,  commercialization  and  or  out-licensing  of  our  rhCollagen  and  BioInk

technology, and raising additional capital through the issuance of equity or debt.

Our cash requirements from known contractual obligations within the next twelve months include:

● Lease liabilities in the amount of $824,000. For more information see Note 5 to our consolidated financial statements for the year ended December 31, 2023; and

● Trade and other payables in the amount of $2.6 million, which include amounts related to suppliers, salaries and other liabilities with payment term of less than

one year.

Our long-term cash requirements under our various contractual obligations include:

● Lease liabilities in the amount of $3.0 million. For more information, see Note 5 to our consolidated financial statements for the year ended December 31, 2023.

Cash Flows

The following table summarizes our consolidated statement of cash flows for the years ended December 31, 2023, 2022, and 2021.

Net cash provided by (used in):
Operating activities
Investing activities
Financing activities

Net Cash Provided by (Used in) Operating Activities

2023

Year ended December 31,
2022
(USD in thousands)

2021

(2,763)    
(1,156)    
1,108     

(13,698)    
28,922     
1,874     

2,501 
(31,556)
38,760 

Net cash provided by or used in operating activities resulted primarily from our net income or losses, adjusted for non-cash changes in components of working capital.
Adjustments to net loss for non-cash items include mainly depreciation and amortization, share-based compensation and exchange differences on cash and cash equivalents.
This cash flow mainly reflects the cash needed for funding the products and pipeline products development and our management costs during the applicable periods.

Net cash used in operating activities in the year ended December 31, 2023 totaled $2.8 million and consisted primarily of (i) net loss of $7.0 million, adjusted for non-
cash items including depreciation of $1.1 million, share-based compensation of $1.9 million and exchange differences on cash and cash equivalents of $379,000, and (ii) a net
change in operating assets and liabilities of $848,000, which was mainly attributable to a decrease in inventories of $749,000.

86

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
    
    
  
   
   
   
 
 
 
 
Net cash used in operating activities in the year ended December 31, 2022 totaled $13.7 million and consisted primarily of (i) net loss of $16.9 million, adjusted for
non-cash  items  including  depreciation  of  $1.1  million,  share-based  compensation  of  $2.2  million,  gains  from  short-term  cash  deposits  of  $87,000,  and  (ii)  a  net  change  in
operating assets and liabilities of $544,000.

Net cash provided by operating activities in the year ended December 31, 2021 totaled $2.5 million and consisted primarily of (i) a net income of $237,000, adjusted
for non-cash items including depreciation of $773,000, share-based compensation of $1.6 million, gains from short term bank deposits of $151,000 and change in financial
instruments of $28,000, and (ii) a net decrease in operating assets and liabilities of $216,000, which are mainly attributable to a decrease in trade receivables of $560,000, and a
decrease in accrued liabilities of $464,000 mainly due to royalty payment to the IIA.

Net Cash Provided by (Used in) Investing Activities

Net cash used in investing activities was $1.2 million during the year ended December 31, 2023 and net cash provided by investing activities was $28.9 million during

the year ended December 31, 2022. The decrease is mainly attributed to repayment and investment in short-term cash deposits during the year ended December 31, 2022.

Net  cash  provided  by  investing  activities  was  $28.9  million  during  the  year  ended  December  31,  2022  and  net  cash  used  in  investing  activities  was  $31.6  million

during the year ended December 31, 2021. The change is mainly attributed to repayment and investment in short term cash deposits.

Net Cash Provided by Financing Activities

Net cash provided by financing activities was $1.1 million for the year ended December 31, 2023 compared to $1.9 million in the year ended December 31, 2022.

Cash provided by financing activities is attributed to proceeds from the exercise of warrants and options into shares.

Net cash provided by financing activities was $1.9 million for the year ended December 31, 2022 compared to $38.8 million in the year ended December 31, 2021.
The decrease is mainly attributed to our registered direct offering in February 2021, which resulted in net proceeds of $32.7 million and decrease of $4.1 million in proceeds
from the exercise of options and warrants.

Cash and Funding Sources

The table below summarizes our sources of funding for the years ended December 31, 2023, 2022 and 2021:

Year ended December 31, 2023
Year ended December 31, 2022
Year ended December 31, 2021

Funding Requirements

Issuance of
Ordinary
Shares and
Warrants

Strategic

Collaborations    
(USD in thousands)

Total

1,108     
1,874     
38,760     

10,000     
-     
14,000     

11,108 
1,874 
52,760 

We believe that our existing cash and cash equivalents, as of the date of this Annual Report on Form 20-F, which includes approximately $26.7 million, will enable us
to fund our operating expenses and capital expenditures for at least the next 12 months. We have based this estimate on assumptions that may prove to be wrong, and we could
use our capital resources sooner than we currently expect.

87

 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
   
   
   
 
 
 
Our present and future funding requirements will depend on many factors, including, among other things:

● the number of potential new products we identify and decide to develop;

● the progress, timing, and completion of preclinical testing and clinical trials in the U.S. for tissues and organs which are based on our BioInk, medical aesthetics,

and any future pipeline product;

● selling and marketing activities undertaken in connection with the commercialization of our products;

● the costs of upscaling our manufacturing capabilities;

● costs involved in the development of distribution channels, and for an effective sales and marketing organization, for the commercialization of our products in

Europe;

● the time and costs involved in obtaining regulatory approvals and any delays we may encounter as a result of evolving regulatory requirements or adverse results

with respect to any of these products; and

● the costs involved in filing patent applications and maintaining and enforcing patents or defending against claims or infringements raised by third parties.

For more information as to the risks associated with our future funding needs, see “Item 3.D. Risk Factors—We will need to raise additional funding, which may not
be available on acceptable terms, or at all. Failure to obtain additional capital when needed may force us to delay, limit, or terminate our product development efforts or other
operations.”

C. Research and Development, Patents and Licenses

See above, under Item 5 – “Research and Development Expenses.”

D. Trend Information

We  are  in  a  development  stage  with  regard  to  different  medical  and  aesthetics  products,  and  are  in  early  stages  of  commercialization  of  our  bioink  products  for
customers that develop technologies for 3D-bioprinting of tissues and organs and the medical aesthetics market. It is not possible for us to predict with any degree of accuracy
the  outcome  of  our  research,  development,  or  commercialization  efforts.  As  such,  it  is  not  possible  for  us  to  predict  with  any  degree  of  accuracy  any  known  trends,
uncertainties,  demands,  commitments  or  events  that  are  reasonably  likely  to  have  a  material  effect  on  our  net  sales  or  revenues,  income  from  continuing  operations,
profitability, liquidity or capital resources, or that would cause reported financial information to not necessarily be indicative of future operating results or financial condition.
However, to the extent possible, certain trends, uncertainties, demands, commitments and events are in this “Operating and Financial Review and Prospects.”

E. Critical Accounting Estimates

Our  critical  accounting  estimates  include  the  areas  where  we  have  made  what  we  consider  to  be  particularly  difficult,  subjective  or  complex  judgments  in  making
estimates, and where these estimates can significantly affect our financial results under different assumptions and conditions. We prepare our financial statements in conformity
with  U.S  GAAP. As  a  result,  we  are  required  to  make  estimates,  judgments  and  assumptions  that  we  believe  are  reasonable  based  upon  the  information  available.  These
estimates, judgments and assumptions affect the reported amounts of assets and liabilities at the date of the financial statements and reported amounts of revenue and expenses
during the periods presented. Actual results could be different from these estimates. Critical estimates and assumptions made by management include:

88

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Estimates of share-based compensation fair value

Share-based  compensation  reflects  the  compensation  expense  of  our  share  option  programs  granted  to  employees  which  compensation  expense  is  measured  at  the
grant  date  fair  value  of  the  options.  The  grant  date  fair  value  of  share-based  compensation  is  recognized  as  an  expense  over  the  requisite  service  period.  We  recognize
compensation expense for awards conditioned only on continued service that have a graded vesting schedule using the accelerated method based on the multiple-option award
approach, and classify these amounts in our statement of operations based on the department to which the related employee reports.

Options Valuation

We selected the Black-Scholes option pricing model as the most appropriate method for determining the estimated fair value of the share-based compensation.

For the purpose of the evaluation of the fair value and the manner of the recognition of share-based compensation, our management is required to estimate, among
others, various subjective and complex parameters that are included in the calculation of the fair value of the option as well as our results and the number of options that will
vest. These parameters include the expected volatility of our share price over the expected term of the options, the risk-free interest rate assumption, and expected dividends.

ITEM 6. DIRECTORS, SENIOR MANAGEMENT AND EMPLOYEES

A. Directors and Senior Management

The following table sets forth certain information relating to our directors and senior management as of March 20, 2024. Unless otherwise stated, the address for our

directors and senior management is at the Company’s registered address c/o 4 Oppenheimer, Weizmann Science Park, P.O. Box 4132, Rehovot 7670104, Israel.

Name
Senior Management
Yehiel Tal
Eran Rotem, CPA
Oren Fahimipoor
Dr. Philippe Bensimon
Elana Gazal
Hadas Dreiher Horowitz
Non-Employee Director
Dr. Roger Pomerantz (1)(4)(5)
Dr. Abraham Havron (1)(3)(4)(5)
Dr. Elan Penn (1)(2)(3)(4)(5)
Joseph Zarzewsky (1)(2)(3)(4)
Hugh Evans (1)(4)
Alisa Lask (1)(2)(4)

Age

71
56
42
58
49
47

67
76
72
63
57
53

Position

  Chief Executive Officer and Director
  Deputy CEO and Chief Financial Officer
  Vice President, Operations
  Vice President, Regulatory Affairs and Quality Assurance
  Vice President, Research and Development
  Vice President, Human Resources

  Chairman of the Board and Director
  Director
  Director
  Director
  Director
  Director

(1) Independent Director under the Nasdaq Listing Rules

(2) Member of the Compensation Committee

(3) Member of the Audit Committee

(4) Independent Director under Israeli Law

(5) Member of the Nominating and Corporate Governance Committee

89

 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
Senior Management

Yehiel Tal has served as our chief executive officer since January 2010 and as a member of our board of directors since May 2022. Mr. Tal possesses over 30 years of
management  experience  in  the  Israeli  and American  high-tech  and  biotechnology  industries.  Prior  to  joining  us,  Mr.  Tal  was  the  chief  executive  officer  and  co-founder  of
Regentis Biomaterials Ltd. Prior to that Mr. Tal served as vice-president of business development at ProChon BioTech Ltd. He has also served as vice president of marketing
and business development at OrthoScan Technologies Ltd. and director of business development and business unit manager at Kulicke and Soffa Industries, Inc. In 2021, Mr.
Tal was elected to the Board of Directors of the International Society for Biofabrication. Mr. Tal holds a Bachelor’s and a Master’s degree in mechanical engineering from the
Technion, Israel Institute of Technology.

Eran Rotem has served as our chief financial officer since January 2012 and, since November 2017, also as our deputy CEO. Mr. Rotem possesses 29 years of broad
financial and operational experience, primarily with biotechnology and industrial companies. Prior to joining us, Mr. Rotem served as the chief financial officer of Tefron Ltd.,
an industrial global company traded on both the Tel Aviv Stock Exchange (TASE:TFRN) and on the OTCBB (OTC:TFRFF) in the United States. Before Tefron, Mr. Rotem
served as chief financial officer of Healthcare Technologies, Ltd. (NASDAQ:HCTL) and Gamida Ltd., a group of companies that specialize in the development, manufacturing,
and  marketing  of  clinical  diagnostic  test  kits,  as  well  as  medical  equipment  and  services  to  the  biotechnology  and  high-tech  industries.  Prior  to  joining  Healthcare
Technologies, Ltd., Mr. Rotem served as a senior manager at Ernst & Young. Mr. Rotem holds a Bachelor’s degree in Accounting and Business Administration from the Tel
Aviv College of Management and is a Certified Public Accountant in Israel.

Oren Fahimipoor has been appointed as our vice president of operations effective as of April 2, 2023. Mr. Fahimipoor has more than 15 years of vast experience in
leading complex operations in the biopharmaceutical industry. Prior to joining us, Mr. Fahimipoor was the business unit manager in Omrix Biopharmaceuticals, a Johnson and
Johnson company, leading the Tel Hashomer plant operations end-to-end from 2019 to 2023 and the Ness Ziona Omrix site from 2018 to 2019. Mr. Fahimipoor also spent over
a  decade  at  Teva  Pharmaceuticals  from  2007  to  2018  where  he  held  several  leading  positions  in  Teva’s  sterile  production  plant  including  leading  sterile  production  and
packaging  of  vials  and  syringes  from  2012  to  2018  and  as  a  researcher  in  biogenerics  research  and  development  from  2007  to  2012,  developing  four  biosimilar  products,
including  scale  up  processes  and  handling  technical  aspects  of  the  drug  development.  Mr.  Fahimipoor  holds  a  BSc  in  Biotechnology  Engineering  from  the  Ben  Gurion
University and an MBA in Business Management from the Open University of Israel.

Dr.  Philippe  Bensimon  has  served  as  our  vice  president  of  regulatory  affairs,  quality  assurance  and  clinical  affairs  since  February  2011.  Dr.  Bensimon  has  over
30  years  of  experience  in  regulatory  affairs,  quality  assurance  and  clinical  affairs  in  international  medical  device  companies.  Prior  to  joining  us  Dr.  Bensimon  served  for
14 years at InterVascular Datascope (now Maquet-Getinge Group), a manufacturer of long-term cardiovascular implants, as director of regulatory affairs, quality assurance, and
clinical affairs. Dr. Bensimon also served for five years at 3M Medical as manager of regulatory affairs. Dr. Bensimon holds a PharmD degree from the University of Pharmacy,
Marseille, France.

Elana  Gazal  has  joined  us  as  our  Vice  President  of  Research  and  Development  as  of  November  2022.  Dr.  Gazal  brings  multidisciplinary  experience  in  CMC,
analytical chemistry and formulation development from Israeli and international companies engaging both pharmaceutical products and medical device. Prior to joining us, Dr.
Gazal was the Head of Pharmaceutical Research in Neuroderm (now Mitsubishi Tanabe) leading their formulation development team and new LCM projects, taking part in the
submission of ND0612 for PD patients. Prior to that, Dr. Gazal has worked at Waters IS as Application leader, in Foamix (now Wyne) developing their Minocycline foam and
in Beckman Coulter (US) leading the prenatal markers area. Dr. Gazal holds a PhD in Organic Chemistry from HUJI.

Hadas Dreiher Horowitz has joined us as our vice president of human resources as of March 2021. Mrs. Dreiher Horowitz has over 16 years of experience in human
resources. Prior to joining us, Mrs. Dreiher Horowitz served as Senior HR manager at Elbit Systems Ltd. from March 2019 to March 2021, and prior to that as HR manager at
Teva Pharmaceutical Industries Ltd. from August 2013 to June 2018. Prior to that, Mrs. Dreiher Horowitz held various HR positions at Mul-T-Lock Technologies Ltd. and Job-
Tov.  Mrs.  Dreiher  Horowitz  holds  a  Bachelor’s  degree  in  Behavioural  Sciences  from  Ben-Gurion  University,  Israel  and  a  Master’s  degree  in  Labor  Studies  from  Tel Aviv
University, Israel.

90

 
 
 
 
 
 
 
 
 
Non-Employee Directors

Dr. Roger Pomerantz has served as our Chairman of the board of directors since February 2020. Dr. Pomerantz is currently a board member of Indaptus Therapeutics
and VerImmune.  Dr.  Pomerantz  served  as  Chairman  of  the  board  of  directors  of  Seres Therapeutics  in  2019,  where  he  served  as  Chairman  and  CEO  from  June  2014  until
January  2019.  From  2011  to  2013,  he  was  Worldwide  Head  of  Licensing  & Acquisitions,  Senior  Vice  President  at  Merck  &  Co.,  Inc.  where  he  oversaw  all  licensing  and
acquisitions  at  Merck  Research  Laboratories.  Previously,  he  served  as  Senior  Vice  President  and  Global  Franchise  Head  of  Infectious  Diseases  at  Merck.  Prior  to  joining
Merck,  Dr.  Pomerantz  was  Global  Head  of  Infectious  Diseases  for  Johnson  &  Johnson  Pharmaceuticals.  He  joined  Johnson  &  Johnson  in  2005  as  President  of  Tibotec
Pharmaceuticals, Inc. Dr. Pomerantz received his B.A. in Biochemistry at the Johns Hopkins University and his M.D. at the Johns Hopkins School of Medicine. He received
post-graduate training at the Massachusetts General Hospital, Harvard Medical School and M.I.T. Dr. Pomerantz is Board Certified in both Internal Medicine and Infectious
Diseases. He was Professor of Medicine, Biochemistry and Molecular Pharmacology, Chief of Infectious Diseases, and the Founding Director and Chair of the Institute for
Human Virology and Biodefense at the Thomas Jefferson University and Medical School. He has developed twelve small and large molecular drugs approved world-wide in
important diseases, including HIV, HCV, CMV, C. Diff, and tuberculosis.

Dr. Abraham (Avri) Havron has served on our board of directors since May 2016. Dr. Havron is a 41-year veteran of the biotech industry. Since 2005 and until 2014
when its acquisition by OPKO Health Inc. (NASDAQ: OPK) was completed. Dr. Havron was the Chief Executive Officer and a director of PROLOR Biotech Inc. (NYSE:
PBTH).  Between  1999  and  2003,  Dr.  Havron  served  as  V.P.  and  Chief  Technology  Officer  of  Clal  Biotechnology  Industries  Ltd.  and  prior  to  that  for  12  years  as  V.P.
Manufacturing and Process-Development of BioTechnology General Ltd. (now, a subsidiary of Ferring Pharmaceuticals). Dr. Havron was a member of the founding team of
Interpharm Laboratories Ltd. (a subsidiary of Merck-Serono) - the first Israeli biotech company, where he served as Director of R&D from 1980 to 1987. During his managerial
career Dr. Havron was directly involved in the multi-disciplinary development of many biopharmaceuticals, eight of which were approved and are marketed worldwide: Rebif
(recombinant beta interferon), Biotropin (recombinant human growth hormone), Bio-Hep-B (3rd generation recombinant hepatitis B vaccine), Biolon and Euflexxa (ophthalmic
and  orthopedic  devices  containing  bacteria  derived  hyaluronic  acid),  bio-similar  recombinant  Insulin  and,  Nexxobrid  (debridement  agent  for  severe  burns),  Somatrogan-
recombinant long acting human growth hormone analog. Dr. Havron has been actively involved in establishing several biotech start-up companies among them Mediwound,
Curetech, Prolor-Biotech, Polyheal, PamBio and Enlivex. He is also a member of the board of Enlivex Therapeutics Ltd. (NASDAQ: ENLV; TASE: ENLV), was the Chairman
of Mediwound during 2001-2003 and later a member of its board from 2014 to 2017 (NASDAQ: MDWD) and from 2010 to 2018 was a member of the board of directors of
Kamada Ltd. (NASDAQ: KMDA; TASE: KAMDA). Dr. Havron earned his PhD in chemistry from the Weizmann Institute of Science, and completed his post- doctorate at
Harvard Medical School. Dr. Havron is also a board member of CollPlant Ltd., our wholly owned subsidiary.

Dr. Elan Penn has served on our board of directors since January 2018. Dr. Penn serves as chief executive officer and chairman of Penn Publishing Ltd., a private
company based in Tel Aviv, Israel. Dr. Penn serves as external director of Dunietz Brothers Ltd. (TASE: DUNI:IT). Dr. Penn serves as chairman of A.I. Conversation Systems
Ltd.  (TASE: AICS).  From  2000  to  2001,  Dr.  Penn  served  as  vice  president  of  finance  and  administration  of A.I.  Research  and  Development  Ltd.  Dr.  Penn  served  as  chief
executive  officer  of  Sivan  Computer  Training  Company  Ltd.  during  the  years  1998  through  2000.  From  1992  to  2000,  Dr.  Penn  served  as  vice  president  of  finance  and
administration of Mashov Computers Ltd. From 1987 to 1991 and again from 1992 to 1997, Dr. Penn served as vice president of finance and administration of Magic Software
Enterprises  Ltd.  (NASDAQ:  MGIC)  and,  from  2005  to  2014,  served  as  an  external  director  of  Magic  Software.  Dr.  Penn  previously  served  as  a  director  of Telkoor  Power
Supplies Ltd. (TASE: TLCR) and Nexgen Biofuels Ltd. (formerly Healthcare Technologies Ltd) (OTC: NXGN). Dr. Penn holds a B.A. degree in Economics from the Hebrew
University of Jerusalem and a Ph.D. in Management Science from the University of London. Dr. Penn is also a board member of CollPlant Ltd., our wholly owned subsidiary.

Joseph Zarzewsky has served on our board of directors since August 2019. Mr. Zarzewsky has served as the Vice President of Business Development at the Mitrelli
Group, or Mitrelli, since June 2010. Mr. Zarzewsky has served as the Chairman of “SMAD”, a joint venture between Mitrelli and the Harbin Government, China, since June
2011. Mr. Zarzewsky has also served as the Chairman of the Investment Committee of the Harbin Israel Fund since 2012, and as a member of the board of directors of Wize
Pharma, Inc. (OTCQB: WIZP) since November 2017. He has also previously served as the Vice President of marketing at Clal Insurance Enterprises Holdings Ltd. (TASE:
CLIS) and as the Vice President of Marketing for the Israel Postal Authority. In addition, Mr. Zarzewsky has served as a director of Excellence Underwriter House Ltd. since
2007. In 2008, he was appointed as the Honorary Economic Advisor of the Harbin Government, China. In addition, in June 2012, he was honored as an Honorary Citizen of
Harbin, China. Mr. Zarzewsky holds an MA in Commercial Law from the University of Tel Aviv in collaboration with the University of California, Berkeley.

91

 
 
 
 
 
 
 
Hugh Evans has served on our board of directors since March 2021. Mr. Evans serves as a board member at ZVerse, 3DM, Currant 3D, Evolve, Additive Solutions,
Amnovis and Advano. Previously Mr. Evans served as a board member of AquaVenture Holdings (NYSE: WAAS), which was acquired by Culligan International as well as
FactoryFour which was acquired by Xometry. In 2019, Mr. Evans founded 3D Ventures Group, where he serves as a managing member. From 2013 to 2019, Mr. Evans served
as Senior Vice President of Corporate Development & Digitization at 3D Systems (NYSE: DDD). Previously, from 1992 to 2013, he served as a portfolio manager at T. Rowe
Price Associates (NASDAQ: TROW). Mr. Evans holds a BA in Psychology from the University of Virginia and an MBA from the Stanford Graduate School of Business.

Alisa Lask has served on our board of directors since August 2021. Ms. Lask is the CEO of Rion Aesthetics Inc., a regenerative medicine company based in Rochester,
MN  leveraging  platelet  derived  exosome  technology  for  use  in  both  cosmetic  applications  and  investigational  studies  for  aesthetics  uses  such  as  hair  loss.  Ms.  Lask  is  the
former Vice President and General Manager of US Aesthetics at Galderma. Previously, she was a Senior Director of Global Strategic Marketing of Facial Aesthetics at Allergan
and held strategic marketing positions at both Zimmer Biomet and Eli Lilly. Mrs. Lask received an M.B.A from the University of Michigan and has a B.A. in marketing from
Miami University, Oxford, Ohio.

Advisory Boards

We have established a scientific advisory board and a clinical advisory board. The members of our advisory boards are appointed by our chief executive officer. Once
nominated, the members of our advisory boards sign a standard letter of engagement. Most of the members of our advisory boards are not appointed for a specific term and
their position may be terminated by either us or the member of the advisory board according to standard notice periods. The members of our advisory boards are all paid either
daily  or  hourly  fees  for  their  services  and  are  entitled  to  reimbursement  of  their  expenses.  Furthermore,  several  of  the  members  of  our  advisory  boards  have  been  granted
options due to their strategic role and years of service. The members of our advisory boards are as follows:

Advisory Board

Prof. Avraham Hershko
Prof. Shay Soker
Prof. Vicki Rosen
Prof. Abhay Pandit
Prof. Ofer Levy, MD, MCh (Orth)
Joseph M. Lane, MD

B. Compensation

Compensation of Senior Management and Directors

The following table presents in the aggregate all compensation we paid to all of our senior management and directors as a group for the year ended December 31,

2023. The table does not include any amounts we paid to reimburse any of such persons for costs incurred in providing us with services during this period.

All senior management and directors as a group, consisting of 12 persons

Salaries, fees,
commissions,
and
bonuses(1)
(thousand USD)   

2,602     

Value of
Options
Granted(2)
(thousand USD) 
1,672 

(1) Salary includes cost of salary to the Company and ancillary benefits such as payments to the National Insurance Institute, advanced education funds, managers’ insurance
and  pension  funds;  vacation  pay;  recuperations  pay  as  mandated  by  Israeli  law. This  amount  includes  approximately  $112,000  set  aside  or  accrued  to  provide  pension,
severance, retirement, vacation or similar benefits or expenses.

(2) Consists of amounts recognized as share-based compensation expense for the year ended December 31, 2023. Assumptions and key variables used in the calculation of

such amounts are discussed in Note 8 of our financial statements.

92

 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
In accordance with the Companies Law, the following table presents information regarding compensation of our five most highly paid office holders, namely our Chief
Executive Officer, Deputy CEO and Chief Financial Officer, Vice President Regulatory Affairs and Quality Assurance, Vice President Research and Development, and Vice
President Operations, during the year ended December 31, 2023.

Name and Position(1)
Yehiel Tal,
CEO

Eran Rotem,

Deputy CEO & CFO

Philippe Bensimon,
VP RA& QA

Elana Gazal,

VP Research and Development

Oren Fahimipoor,

VP Operations(5)

Salary Cost (2)
(thousand
USD)

Bonus
(thousand
USD)(3)

Value of
Options
Granted(4)
(thousand
USD)

Total
(thousand
US dollar)

541     

424     

243     

257     

180     

210     

104     

35     

22     

32     

325     

220     

84     

100     

111     

1,076 

748 

362 

379 

323 

(1) All such officers are employed on a full-time (100%) basis.

(2) Salary includes cost of salary to the Company and ancillary benefits such as payments to the National Insurance Institute, advanced education funds, managers’ insurance

and pension funds; vacation pay; recuperations pay as mandated by Israeli law.

(3) Amounts reported in this column refer to the cash incentives provided by the Company with respect to 2023, including the annual cash bonus for 2023, which have been
provided for in the Company’s financial statements for the year ended December 31, 2023, but will be paid in April 2024. Such amounts exclude bonuses paid during 2023
which were provided in the Company’s financial statements for previous years.

(4) Represents  the  share-based  compensation  expenses  recorded  in  the  Company’s  consolidated  financial  statements  for  the  year  ended  December  31,  2023,  based  on  the
equity fair value on the grant date, calculated in accordance with accounting guidance for share-based compensation. For a discussion on the assumptions used in reaching
this valuation, see Note 8 to our consolidated financial statements for the year ended December 31, 2023 for more information.

(5) Amounts presented reflects a period of nine months.

Compensation of Directors

Our  directors  (other  than  the  Chairman)  are  entitled  to  an  annual  fee  of  $25,000  and  a  per  meeting  participation  fee  of  $800,  and  any  applicable  VAT  as  well  as
reimbursement of expenses, including meeting participation expenses, reimbursement of business travel including a daily stipend when traveling and accommodation expenses.

Our Chairman is entitled to a monthly consulting fee of $14,584 plus applicable VAT as well as reimbursement, against receipts, for out-of-pocket business expenses,

reasonably and necessarily incurred by him relating to the provision of his services, provided that our prior approval for such expense has been obtained.

The members of our board of directors are also entitled to a letter of indemnification and exemption, in the Company’s standard form, and to coverage under our D&O

insurance policies, as renewed from time to time.

93

 
 
 
 
   
   
   
 
   
   
   
   
   
 
 
 
 
 
 
 
 
 
 
 
On  October  10,  2023,  our  general  meeting  of  shareholders  approved,  following  approval  of  our  compensation  committee  and  board  of  directors,  and  as  part  of  a
broader repricing decision applying to our employees and officers, the repricing of the exercise price of option to purchase ordinary shares, previously granted to our directors
and our CEO (who also serves as a director on our board of directors), whose exercise price was $9.12-$15.2, such that their new exercise price will be $6.39, which represents
the average of the closing price of our ordinary shares during the 30 days preceding the board of directors’ decision on the repricing.

On April 3, 2024, the board of directors (following the approval of the compensation committee with respect to the Company’s directors and officers) approved to
extend the expiry date of 337,464 options exercisable into 337,464 ordinary shares that were previously granted to some of our employees and directors, from an expiry date
ranging between December 2024 and July 2025, by an additional three years, such that the expiry dates will range between December 2027 and July 2028. Out of the said
options, 126,800 options exercisable into 126,800 ordinary shares are held by some of the Company’s directors and by its CEO (who also serves as a director on the board of
directors), and as such, the extension of the expiry dates of these options is subject to the receipt of shareholders’ approval by the required majorities under applicable law.

Employment and Services Agreements with Senior Management

We  have  entered  into  written  employment  agreements  with  each  of  our  executive  officers.  These  agreements  provide  for  notice  periods  of  varying  duration  for
termination  of  the  agreement  by  us  or  by  the  relevant  executive  officer,  during  which  time  the  executive  officer  will  continue  to  receive  base  salary  and  benefits.  These
agreements  also  contain  customary  provisions  regarding  noncompetition,  confidentiality  of  information  and  assignment  of  inventions.  However,  the  enforceability  of  the
noncompetition provisions may be limited under applicable law. In addition, from time to time we grant our senior managers options to purchase ordinary shares under our
equity compensation plans. For information on our equity compensation plans, please see Item 6.E – Share Ownership.

On  July  18,  2023,  our  general  meeting  of  shareholders  approved  the  adoption  and  grant  of  a  new  letter  of  indemnification  for  the  Company’s  current  and  future
directors and officers. For information on exemption and indemnification letters granted to our directors and officers, please see “C. Board Practices – Exemption, Insurance
and Indemnification of Directors and Officers”.

C. Board Practices

Board of Directors

Under the Companies Law, the overseeing of the management of our business is vested in our board of directors. Our board of directors may exercise all powers and
may take all actions that are not specifically granted to our shareholders or to management. Our officers are responsible for our day-to-day management and have individual
responsibilities  established  by  our  board  of  directors  and  specified  in  their  specific  employment  agreements.  Our  chief  executive  officer  is  appointed  by,  and  serves  at  the
discretion of, our board of directors, subject to the employment agreement that we have entered into with him. All other officers are appointed by our chief executive officer
with the prior review of our board of directors and compensation committee, and are subject to the terms of any applicable employment agreements that we may enter into with
them.

Under our articles of association, our board of directors must consist of at least three and not more than twelve directors, including at least two external directors, but
allows us, subject to and in accordance with the provisions of any law, to determine that the provisions relating to external directors (including the obligation to appoint external
directors) shall not apply to us.

94

 
 
 
 
 
 
 
 
 
 
 
On  December  20,  2021,  our  board  of  directors  determined  that  in  light  of  our  current  shareholding  structure,  which  no  longer  supports  the  claim  that  we  have  a
controlling shareholder, it was decided to reinstate the relief provided under an exemption, or the Exemption, that provides relief for Israeli companies whose shares are listed
on certain stock exchanges outside of Israel (including the Nasdaq Capital Market) with no controlling shareholder from being required to appoint external directors so long as
such companies satisfy the requirements of the foreign laws in the listing jurisdiction outside of Israel which apply to companies incorporated in such jurisdiction, in respect of
the appointment of independent directors and the composition of the audit committee and compensation committee, adopted by our board of directors in November 2018. As
such, Dr. Gili Hart and Dr. Elan Penn, our then external directors, were no longer classified as external directors, as of which date they continued to serve on our board of
directors as independent directors until the earlier of: (i) the end of their tenure; or (ii) the lapse of the second annual general meeting following the said determination. Dr. Hart
was not proposed for re-election in 2023 and as such her tenure as a member of our board ended on July 5, 2023. Dr. Penn was re-elected as a director by our general meeting
of shareholders on July 18, 2023, until our next annual general meeting.

Currently our board of directors consists of six non-employee directors, all of who are elected annually at the general meeting of our shareholders by a vote of the

holders of a majority of the voting power present and voting, in person or by proxy, at that meeting.

We  have  two  types  of  directors:  independent  directors  and  “regular”  directors.  For  purposes  of  complying  with  the  Nasdaq  Listing  Rules  to  list  the  Company’s

ordinary shares on the Nasdaq Global Market, our board of directors is comprised of six independent directors and one regular director.

Our board of directors has determined that all of our non-employee directors are independent under such rules.

Under the Companies Law any shareholder holding at least 1% of our outstanding voting power may submit to our board of directors a request to add an item to the
agenda  of  a  general  meeting  that  is  due  to  convene,  provided  that  such  item  is  suitable  to  be  discussed  at  the  general  meeting. Accordingly,  a  shareholder  may  propose  to
nominate one or more persons for election as directors at a general meeting by delivering a written notice of such shareholder’s intent to make such nomination or nominations,
setting forth all of the details and information as required to be provided by our amended and restated articles of association and regulations promulgated under the Companies
law.

In  addition,  our  articles  of  association  allow  our  board  of  directors  to  appoint  additional  director  or  directors  who  shall  remain  in  office  until  the  next  annual
shareholders’ meeting, provided that the board of directors must consist of no more than 12 directors. In addition, our articles of association allow our board of directors to
appoint alternate directors to fill vacancies on our board of directors, for a term of office equal to the remaining period of the term of office of the director(s) whose office(s)
have been vacated.

Under the Companies Law, our board of directors must determine the minimum number of directors who are required to have accounting and financial expertise. In
determining the number of directors required to have such expertise, our board of directors must consider, among other things, the type and size of the company and the scope
and complexity of its operations. Our board of directors has determined that the minimum number of directors who are required to have accounting and financial expertise is
one.

DIVERSITY OF THE BOARD OF DIRECTORS

Board Diversity Matrix (As of April 1, 2024)

Country of Principal Executive Offices
Foreign Private Issuer
Disclosure Prohibited under Home Country Law
Total Number of Directors

Part I: Gender Identity

Directors
Part II: Demographic Background
Underrepresented Individual in Home Country Jurisdiction
LGBTQ+
Did Not Disclose Demographic Background

Israel
Yes
No
7

Did Not
Disclose
Gender
0

Female
1

Male
6

Non-
Binary
0

0
0
0

95

 
 
 
 
 
 
 
 
 
 
 
   
 
   
 
   
 
   
 
 
 
 
 
 
 
 
 
 
External Directors

Under the Companies Law, companies incorporated under the laws of the State of Israel that are “public companies”, including companies with shares listed on the
Nasdaq,  are  required  to  appoint  at  least  two  external  directors.  The  external  directors  must  meet  strict  independence  criteria  to  ensure  that  they  are  unaffiliated  with  the
company and any controlling shareholder. At least one of the external directors is required to have financial and accounting expertise, and the other external director must have
either financial and accounting expertise or professional qualifications, as defined in the regulations promulgated under the Companies Law. The Companies Law also provides
that the external directors must serve on both the audit committee and the compensation committee, that the audit committee and the compensation committee must both be
chaired by an external director, and that at least one external director must serve on every board committee authorized to exercise powers of the board of directors. Additional
rules govern the term and compensation of external directors. Pursuant to regulations promulgated under the Companies Law, companies with shares traded on certain U.S.
stock exchanges, including the Nasdaq, may, subject to certain conditions, adopt an exemption, or, the Exemption, from the Companies Law requirements to appoint external
directors and related Companies Law rules concerning the composition of the audit committee and compensation committee of the Board of Directors. In accordance with these
regulations, we have elected to adopt the Exemption, which exempts us from the Companies Law requirement to appoint external directors and related Companies Law rules
concerning the composition of the audit committee and compensation committee of the Board of Directors.

As discussed above, until December 20, 2021, Dr. Gili Hart and Dr. Elan Penn, our then external directors, served as “external directors” on our board of directors, and
upon the determination of our board of directors that the Company no longer has a controlling shareholder, continued to serve as independent directors on our board of directors
until the earlier of: (i) the end of their tenure; or (ii) the lapse of the second annual general meeting following the said determination. Dr. Hart was not proposed for re-election
in 2023 and as such her tenure as a member of our board ended on July 5, 2023. Dr. Penn was re-elected as a director by our general meeting of shareholders on July 18, 2023,
until our next annual general meeting.

For further information on our decision to adopt the Exemption, please see C. Board Practices – Board of Directors.

Role of Board of Directors in Risk Oversight Process

Risk assessment and oversight are an integral part of our governance and management processes. Our board of directors encourages management to promote a culture
that incorporates risk management into our corporate strategy and day-to-day business operations. Management discusses strategic and operational risks at regular management
meetings and conducts specific strategic planning and review sessions during the year that include a focused discussion and analysis of the risks facing us. Throughout the year,
senior management reviews these risks with the board of directors at regular board meetings as part of management presentations that focus on particular business functions,
operations or strategies, and presents the steps taken by management to mitigate or eliminate such risks.

Leadership Structure of the Board of Directors

In accordance with the Companies Law and our articles of association, our board of directors is required to appoint one of its members to serve as chairman of the

board of directors. Our board of directors has appointed Dr. Roger Pomerantz to serve as chairman of the board of directors.

Committees of the Board of Directors

Currently,  our  board  of  directors  has  three  permanent  committees:  an  audit  committee,  a  compensation  committee,  and  a  nominating  and  corporate  governance

committee.

96

 
 
 
 
 
 
 
 
 
 
 
 
Audit Committee

Under  the  Companies  Law,  the  board  of  directors  of  a  public  company  must  appoint  an  audit  committee  that  will  comply  with  certain  composition  requirements,
subject to the possibility of a company to opt out of certain Companies Law requirements under certain circumstances, as we have. Under the Nasdaq Listing Rules, we are
required to maintain an audit committee consisting of at least three independent directors, all of whom are financially literate and at least one of whom has accounting or related
financial management expertise.

Accordingly,  our  audit  committee  consists  of  Dr. Avraham  Havron,  Dr.  Elan  Penn  and  Joseph  Zarzewsky,  each  of  whom  meets  the  requirements  for  independence
under the rules of the Nasdaq and the applicable rules and regulations of the SEC. Each member of our audit committee also meets the financial literacy requirements in the
rules of the Nasdaq and the applicable rules and regulations of the SEC. In addition, our board of directors has determined that Dr. Elan Penn is an audit committee financial
expert within the meaning of Item 407(d) of Regulation S-K under the Securities Act.

Our board of directors has adopted a new audit committee charter in November 2023, setting forth the responsibilities of the audit committee consistent with the rules

of the SEC and the Nasdaq Listing Rules as well as the requirements for such committee under the Companies Law, including the following:

● providing oversight of our accounting and financial reporting process and the audits of our financial statements;

● assisting  our  board  of  directors  in  its  oversight  of  (i)  the  quality  and  integrity  of  our  financial  statements  and  other  published  financial  information,  (ii)  our
compliance with applicable financial and accounting related standards, rules and regulations, (iii) the selection, retention and termination, subject to shareholder
approval, of our independent auditor, (iv) the pre-approval of all audit, audit-related and all permitted non-audit services, if any, by our independent auditor, and
the compensation therefor and (v) our internal controls over financial reporting;

● determining whether there are delinquencies in our business management practices, including in consultation with our internal auditor or independent auditor, and

making recommendations to our board of directors to improve such practices;

● determining  whether  to  approve  certain  related  party  transactions  or  transactions  in  which  a  board  member  or  other  office  holder  has  a  personal  interest  and

whether such transaction is material to us;

● preparing any report that the rules of the SEC require (if we are then subject to the U.S. proxy rules) to be included, or that we otherwise elect to include, in our

annual proxy statement;

● providing the board of directors with the results of its monitoring and recommendations derived from the foregoing; and

● fulfilling any other duties of the audit committee as shall be required under the Companies Law.

Our audit committee provides assistance to our board of directors in fulfilling its legal and fiduciary obligations in matters involving our accounting, auditing, financial
reporting, internal control, and legal compliance functions by pre-approving the services performed by our independent accountants and reviewing their reports regarding our
accounting practices and systems of internal control over financial reporting. Our audit committee also oversees the audit efforts of our independent accountants and takes those
actions that it deems necessary to satisfy itself that the accountants are independent of management.

Under the Companies Law, our audit committee is mainly responsible for:

● determining whether there are deficiencies in our business management practices, including in consultation with our internal auditor or the independent auditor,

and making recommendations to the board of directors to improve such practices;

97

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
● determining whether certain acts of an office holder not in accordance with his or her fiduciary duty owed to the Company are extraordinary or material and to
approve such acts and certain related party transactions (including transactions in which an office holder has a personal interest) and whether such transaction is
extraordinary or material under the Companies Law (see “—Approval of Related Party Transactions Under Israeli Law” below);

● determining  procedures  for  a  competitive  process,  or  other  procedures,  before  approving  related  party  transactions  with  controlling  shareholders,  even  if  such
transactions  are  deemed  by  the  audit  committee  not  to  be  extraordinary  transactions.  This  process  is  to  be  supervised  by  the  audit  committee,  or  any  person
authorized for such supervision, or via any other method approved by the audit committee;

● determining whether or not to approve acts or transactions that require the audit committee’s approval pursuant to the Companies Law.

● determining the approval process for transactions that are not negligible, as well as determine which types of transactions would require the approval of the audit
committee.  Non-negligible  transactions  are  defined  as  related  party  transactions  with  a  controlling  shareholder,  or  in  which  the  controlling  shareholder  has  a
personal  interest,  that  the  audit  committee  classified  as  non-extraordinary  transactions  and  which  have  also  been  classified  by  the  audit  committee  as  non-
negligible transactions;

● where  the  board  of  directors  approves  the  work  plan  of  the  internal  auditor,  to  examine  such  work  plan  before  its  submission  to  the  board  and  propose

amendments thereto;

● examining  our  internal  controls  and  internal  auditor’s  performance,  including  whether  the  internal  auditor  has  sufficient  resources  and  tools  to  dispose  of  its

responsibilities;

● examining the scope of our auditor’s work and compensation and submitting a recommendation with respect thereto to our board of directors or shareholders,

depending on which of them is considering the appointment of our auditor; and

● establishing procedures for the handling of employees’ complaints as to deficiencies in the management of our business and the protection to be provided to such

employees.

Our audit committee may not approve any actions requiring its approval (see “—Approval of Related Party Transactions Under Israeli Law” below), unless at the time

of approval a majority of the committee’s members are present.

Compensation Committee

  Under  the  Companies  Law,  the  board  of  directors  of  a  public  company  must  appoint  a  compensation  committee.  The  Companies  Law  provides  composition
requirements applicable to a compensation committee, unless a company elects to opt-out of certain Companies Law requirements, under certain circumstances, as we have.
Our  compensation  committee  consists  of  Dr.  Elan  Penn, Alisa  Lask  and  Joseph  Zarzewsky,  each  of  whom  meets  the  requirements  for  independence  under  the  rules  of  the
Nasdaq Global Market and the applicable rules and regulations of the SEC.

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The duties of the compensation committee include the recommendation to the company’s board of directors of a policy regarding the terms of engagement of office
holders, to which we refer as a compensation policy, and to examine the necessity of updating the compensation policy. This policy must be adopted by the company’s board of
directors, after considering the recommendations of the compensation committee, and must be approved by the company’s shareholders by a special majority, which we refer to
as a Special Majority for Compensation. This Special Majority for Compensation requires shareholder approval by a majority vote of the shares present and voting at a meeting
of  shareholders  called  for  such  purpose,  provided  that  either:  (i)  such  majority  includes  at  least  a  majority  of  the  shares  held  by  all  shareholders  who  are  not  controlling
shareholders and do not have a personal interest in such compensation arrangement; or (ii) the total number of shares of non-controlling shareholders and shareholders who do
not  have  a  personal  interest  in  the  compensation  arrangement  and  who  vote  against  the  arrangement  does  not  exceed  2%  of  the  company’s  aggregate  voting  rights.  Under
special circumstances, the board of directors may approve the compensation policy despite the objection of the shareholders on the condition that the compensation committee
(or the audit committee acting in lieu of a compensation committee pursuant to the Companies Law) and then the board of directors decide, on the basis of detailed arguments
and after discussing the compensation policy once again, that approval of the compensation policy, despite the objection of the meeting of shareholders, is for the benefit of the
company. Our current compensation policy was approved by our shareholders on May 2, 2022 by the required Special Majority for Compensation, and will be in effect for a
period of three years from its date of original approval. The compensation policy does not, by nature, grant any rights to our directors or officers. The compensation policy
includes both long-term and short-term compensation elements and is to be reviewed from time to time by our compensation committee and our board of directors, according to
the requirements of the Companies Law. On July 18, 2023, our shareholders approved, by the required Special Majority for Compensation, an amendment to our compensation
policy with respect to the adoption of a new clawback policy intended to comply with the clawback-related listing standards of the Nasdaq Stock Market and the Companies
Law, which took effect upon the effective date of the Nasdaq listing rule (i.e., December 1, 2023).

Our  compensation  policy  serves  as  the  basis  for  decisions  concerning  the  financial  terms  of  employment  or  engagement  of  office  holders,  including  exemption,
insurance, indemnification or any monetary payment or obligation of payment with respect to employment or engagement. According to the Companies Law, the compensation
policy must be approved (or reapproved) not longer than every three years and relate to certain factors, including advancement of the company’s objectives, the company’s
business plan and its long-term strategy, and creation of appropriate incentives for office holders. It must also consider, among other things, the company’s risk management,
size, and nature of its operations. With respect to the compensation terms that include variable compensation, the compensation policy must also consider the officer holders’
contribution to meeting the Company’s objectives and the creation of profit, all with a long-term view and according to the office holder’s position. The compensation policy
must furthermore consider the following additional factors:

● the knowledge, skills, expertise, and accomplishments of the relevant office holder;

● the office holder’s roles and responsibilities and prior compensation agreements with him or her;

● the ratio between the terms offered and the cost of employment of the other employees of the company, including those employed through manpower companies,

and in particular the ratio between the average salary and the median salary of such employees;

● the impact of disparities in salary upon work relationships in the company;

● the possibility of reducing variable compensation at the discretion of the board of directors;

● the possibility of capping the exercise value of non-cash variable equity-based compensation; and

● as  to  severance  compensation,  the  period  of  service  of  the  office  holder,  the  terms  of  his  or  her  compensation  during  such  service  period,  the  company’s
performance during that period of service, the person’s contributions towards the company’s achievement of its objectives and the maximization of its profits, and
the circumstances under which the person is leaving the company.

The compensation policy must also include the following principles:

● the linkage between variable compensation and long-term performance and measurable criteria.

● the ratio between variable and fixed compensation, and the ceiling for the value of variable compensation at the time of the payment (or with respect to variable

equity compensation that is not paid for in cash, a ceiling for their value on the grant date);

● the  conditions  under  which  an  office  holder  would  be  required  to  repay  compensation  paid  to  him  or  her  if  it  was  later  shown  that  the  data  upon  which  such

compensation was based was inaccurate and was required to be restated in the company’s financial statements;

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● the minimum holding or vesting period for variable, equity-based compensation with a view to long-term incentives; and

● maximum limits for severance compensation.

Our board of directors has adopted a new compensation committee charter in November 2023, setting forth the responsibilities of the committee, which include:

● reviewing and setting or making recommendations to our board of directors regarding the compensation of our CEO and the other directors and officers;

● reviewing the compensation disclosure included in Item 6 of our annual reports;

● recommending  to  our  board  of  directors,  for  its  approval,  a  compensation  policy,  in  accordance  with  the  requirements  of  the  Companies  Law  and  any  other
compensation  policies,  incentive-based  compensation  plans  and  equity-based  plans  as  well  as  any  claw-back  recovery  provisions,  or  collectively,  the
Compensation Plans and Policies;

● overseeing  the  development  and  implementation  of  the  Compensation  Plans  and  Policies  that  are  appropriate  for  the  Company  in  light  of  all  relevant
circumstances  and  recommending  to  our  board  of  directors  any  amendments  or  modifications  to  the  Compensation  Plans  and  Policies  that  the  compensation
committee deems appropriate, including the extension of Compensation Plans and Policies as required by the Companies Law;

● determining whether to approve transactions concerning the terms of engagement and employment of the our CEO, other officers and directors that require the

approval of the compensation committee under the Companies Law or the Compensation Plans and Policies;

● taking any further actions as the compensation committee is required or allowed to under the Companies Law or the Compensation Plans and Policies; and,

● reviewing and approving, or, if required by law or the Compensation Plans and Policies, approve and recommend for approval by our board of directors, grants

and awards under our equity incentive plans.

Nominating and Corporate Governance Committee

Our  nominating  and  corporate  governance  committee  consists  of  Dr.  Roger  Pomerantz,  Dr.  Abraham  Havron,  and  Dr.  Elan  Penn.  Each  of  the  members  of  our

nominating and corporate governance committee is independent under the listing requirements of the Nasdaq Global Market.

Our board of directors has adopted a new nominating and governance committee charter in November 2023, setting forth the responsibilities of the nominating and

governance committee, which include:

● examining the qualifications, skills and experiences of potential director candidates;

● recommending to our board of directors, for its approval, the criteria for nominating board members and guidelines for the structure of the board of directors, to be

used by the committee in recommending directors and by the board of directors in nominating directors;

● reviewing  the  board  committee  structure  and  periodically  recommending  to  the  board  of  directors,  for  its  approval,  directors  to  serve  as  members  of  each

committee;

● reviewing and assessing the adequacy of our approach to corporate governance and any such corporate governance guidelines adopted by our board of directors

and recommending any proposed changes to the board of directors for approval;

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● making recommendations to our board of directors regarding governance matters, including our articles of association and the charters of our other committees.
Our board of directors may refer to the committee other matters and questions relating to corporate governance and nomination as our board of directors may from
time to time see fit; and,

● reporting regularly to our board of directors regarding the committee’s activities.

Internal Auditor

Under the Companies Law, the board of directors of a public company must appoint an internal auditor based on the recommendation of the audit committee. The role
of the internal auditor is to examine, among other things, our compliance with applicable law and orderly business procedures. The audit committee is required to oversee the
activities and to assess the performance of the internal auditor as well as to review the internal auditor’s work plan.

An internal auditor may not be:

● a person (or a relative of a person) who holds 5% or more of the company’s outstanding shares or voting rights;

● a person (or a relative of a person) who has the power to appoint a director or the general manager of the company;

● an office holder or director (or a relative of an officer or director) of the company; or

● a member of the company’s independent accounting firm, or anyone on its behalf.

Ms. Dana Gottesman Erlich, has been serving as our Internal Auditor since November 2013. Ms. Gottesman Erlich is a CPA, CIA, MA, Partner in the Risk Advisory
Services  (RAS)  Group  at  the  accounting  firm  of  BDO  Ziv  Haft.  Ms.  Gottesman  Erlich  has  more  than  10  years  of  experience  in  the  provision  of  internal  audit  and  risk
management consulting services to public and private companies, government agencies, municipalities, non-profit organizations, and more. Ms. Gottesman Erlich specializes in
the  analysis  and  specification  of  work  procedures  and  their  assimilation  in  the  organization,  the  internal  audit  of  work  procedures  in  different  organizations,  including  the
performance of risk surveys and fraud and embezzlement surveys. Ms. Gottesman Erlich holds a BA in Accounting and Business Administration and an MA in Internal Audit
and Public Administration. Ms. Gottesman Erlich’s nomination satisfies the requirements of the Companies Law.

Approval of Related Party Transactions under Israeli Law

Fiduciary Duties of Directors and Officers

The  Companies  Law  imposes  a  duty  of  care  and  a  fiduciary  duty  on  all  office  holders  of  a  company.  Each  person  listed  in  the  table  under  “Management—Senior

Management and Directors” is an office holder under the Companies Law.

The duty of care requires an office holder to act with the degree of proficiency with which a reasonable office holder in the same position would have acted under the

same circumstances. The fiduciary duty requires that an office holder act in good faith and in the best interests of the company.

The duty of care includes a duty to use reasonable means to obtain:

● information on the advisability of a given action brought for his or her approval or performed by virtue of his or her position; and

● all other important information pertaining to these actions.

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The fiduciary duty includes a duty to:

● refrain from any act involving a conflict of interest between the performance of his or her duties to the company and his or her other duties or personal affairs;

● refrain from any activity that is competitive with the company;

● refrain from exploiting any business opportunity of the company to receive a personal gain for himself or herself or others; and

● disclose to the company any information or documents relating to the company’s affairs which the office holder received as a result of his or her position as an

office holder.

Disclosure of Personal Interests of an Office Holder and Approval of Certain Transactions

The Companies Law requires that an office holder promptly disclose to the company any personal interest that he or she may be aware of and all related material
information or documents concerning any existing or proposed transaction by the company. An interested office holder’s disclosure must be made promptly and, in any event,
no later than the first meeting of the board of directors at which the transaction is considered. An office holder is not obliged to disclose a personal interest if it derives solely
from the personal interest of his or her relative in a transaction that is not considered as an extraordinary transaction.

A “personal interest” is defined under the Companies Law to include a personal interest of any person in an act or transaction of a company, including the personal
interest of such person’s relative or of a corporate body in which such person or a relative of such person is a 5% or greater shareholder, director, or general manager or in
which he or she has the right to appoint at least one director or the general manager, but excluding a personal interest solely stemming from one’s ownership of shares in the
company.

A personal interest furthermore includes the personal interest of a person for whom the office holder holds a voting proxy or the personal interest of the office holder

with respect to his or her vote on behalf of a person for whom he or she holds a proxy even if such shareholder has no personal interest in the matter.

Under the Companies Law, an extraordinary transaction is defined as any of the following:

● a transaction other than in our ordinary course of business;

● a transaction that is not on market terms; or

● a transaction that may have a material impact on the company’s profitability, assets, or liabilities.

Under the Companies Law, the audit committee is the organ responsible for classifying a transaction with an officer holder, or in which an officer holder has a personal
interest, as an extraordinary transaction, and may make such classification regarding certain types of actions or transactions based on pre-determined criteria once a year. If it is
determined  that  an  office  holder  has  a  personal  interest  in  a  transaction  which  is  not  an  extraordinary  transaction,  approval  by  the  board  of  directors  is  required  for  such
transaction,  unless  the  company’s  articles  of  association  provide  for  a  different  method  of  approval. An  extraordinary  transaction  in  which  an  office  holder  has  a  personal
interest requires approval first by the company’s audit committee and subsequently by the board of directors. In general, the compensation of, or an undertaking to indemnify or
insure,  an  office  holder  who  is  not  a  director  requires  approval  first  by  the  company’s  compensation  committee,  then  by  the  company’s  board  of  directors,  and,  if  such
compensation arrangement or an undertaking to indemnify or insure is inconsistent with the company’s stated compensation policy or if the office holder is the chief executive
officer  (apart  from  a  number  of  specific  exceptions),  then  such  arrangement  is  subject  to  shareholders’  approval  by  the  Special  Majority  for  Compensation. Arrangements
regarding the compensation, exculpation, indemnification, or insurance of a director require the approval of the compensation committee, board of directors, and shareholders
by ordinary majority, in that order, and under certain circumstances, a special majority approval. 

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Generally, a person who has a personal interest in a matter which is being considered at a meeting of the board of directors or the audit committee may not be present
at such a meeting or vote on that matter unless the chairman of the relevant committee or board of directors (as applicable) determines that he or she should be present in order
to present the transaction that is subject to approval. If a majority of the members of the audit committee or the board of directors (as applicable) have a personal interest in the
approval of a transaction, then all directors may participate in discussions of the audit committee or the board of directors (as applicable) on such transaction and the voting on
approval thereof, but shareholder approval is also required for such transaction (except in cases where specific reliefs are applied, or in cases where the said transaction is a
non-extraordinary transaction with an officer holder or in which an officer holder has a personal interest).

Disclosure of Personal Interests of Controlling Shareholders and Approval of Certain Transactions

Under Israeli Law, the term “controlling shareholder” means a shareholder with the ability to direct the activities of our company, other than by virtue of being an
officer or director. A shareholder is presumed to be a controlling shareholder if the shareholder holds 50% or more of the voting rights in a company or has the right to appoint
at least half of the directors of the company or its general manager. For the purpose of approving transactions with related parties, the definition of controlling shareholder also
includes any shareholder that holds 25% or more of the voting rights in a public company if no other shareholder holds more than 50% of the voting rights in the company. For
purposes of determining the holding percentage stated above, two or more shareholders who have a personal interest in a transaction that is brought for the company’s approval
are deemed as joint holders.

Pursuant to Israeli law, the disclosure requirements regarding personal interests that apply to directors and officers also apply to a controlling shareholder of a public
company. In the context of a transaction involving a shareholder of the company, as mentioned above, a controlling shareholder also includes a shareholder who holds 25% or
more of the voting rights in the company if no other shareholder holds more than 50% of the voting rights in the company. Generally, the approval of the audit committee or
compensation committee, the board of directors, and a special majority, in that order, is required for: (i) extraordinary transactions with a controlling shareholder or in which a
controlling  shareholder  has  a  personal  interest,  including  any  private  placements  in  which  a  controlling  shareholder  has  a  personal  interest;  (ii)  the  engagement  with  a
controlling shareholder or his or her relative, directly or indirectly, for the provision of services to the company; (iii) the terms of engagement and compensation of a controlling
shareholder or his or her relative who is an office holder; or (iv) the employment of a controlling shareholder or his or her relative by the company. For this purpose, a “special
majority” approval requires shareholder approval by a majority vote of the shares present and voting at a meeting of shareholders called for such purpose, provided that either:
(a) such majority includes at least a majority of the shares held by all shareholders who do not have a personal interest in the approval of such item; or (b) the total number of
shares of non-controlling shareholders and shareholders who do not have a personal interest in the approval of such item and who vote against the arrangement does not exceed
2% of the company’s aggregate voting rights.

To the extent that any such transaction with a controlling shareholder is for a period extending beyond three years, approval is required once every three years, unless,

with respect to certain transactions, the audit committee determines that the duration of the transaction is reasonable given the circumstances related thereto.

Arrangements regarding the compensation, exculpation, indemnification, or insurance of a controlling shareholder in his or her capacity as an office holder require the

approval of the compensation committee and board of directors, and, in general, approval by a special majority of shareholders.

Pursuant to regulations promulgated under the Companies Law, certain transactions with a controlling shareholder or his or her relative, or with directors, that would
otherwise  require  approval  of  a  company’s  shareholders  may  be  exempt  from  shareholder  approval  upon  certain  determinations  of  the  audit  committee  or  compensation
committee and board of directors.

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Shareholders’ Duties

Under the Companies Law, a shareholder has a duty to act in good faith and in a customary manner toward the company and other shareholders and to refrain from
abusing his or her power in the company, including, among other things, in voting at general meetings of shareholders and class meetings of shareholders with respect to the
following matters:

● an amendment of the articles of association or memorandum of association of the company;

● an increase in the company’s authorized share capital;

● a merger; or

● the approval of related party transactions and acts of office holders that require shareholder approval.

A shareholder also has a general duty to refrain from discriminating against other shareholders. In addition, certain shareholders have a duty of fairness toward the
company. These shareholders include any controlling shareholder, any shareholder who knows that he or she has the power to determine the outcome of a shareholder vote and
any  shareholder  who  has  the  power  to  appoint  or  to  prevent  the  appointment  of  an  office  holder  of  the  company  or  other  power. The  Companies  Law  does  not  define  the
substance of the duty of fairness, except to state that the remedies generally available upon a breach of contract will also apply in the event of a breach of the duty to act with
fairness.

Exemption, Insurance and Indemnification of Directors and Officers

Under the Companies Law, a company may not exempt an office holder from liability for a breach of the duty of loyalty. An Israeli company may exculpate an office
holder  in  advance  from  liability  to  the  company,  in  whole  or  in  part,  for  damages  caused  to  the  company  as  a  result  of  a  breach  of  duty  of  care  but  only  if  a  provision
authorizing such exemption is included in its articles of association. Our articles of association include such a provision. A company may not exempt a director from liability
arising out of a prohibited dividend or distribution to shareholders.

Under the Companies Law, an Israeli company may indemnify an office holder with respect to the following liabilities and expenses incurred for acts performed as an

office holder, either in advance of an event or following an event, provided a provision authorizing such indemnification is contained in its articles of association:

● financial  liability  imposed  on  him  or  her  in  favor  of  another  person  pursuant  to  a  judgment,  including  a  settlement  or  arbitrator’s  award  approved  by  a  court.
However, if an undertaking to indemnify an office holder with respect to such liability is provided in advance, then such an undertaking must be limited to events
which, in the opinion of the board of directors, can be foreseen based on the company’s activities when the undertaking to indemnify is given, and to an amount or
according to criteria determined by the board of directors as reasonable under the circumstances, and such undertaking must detail the abovementioned foreseen
events and amount or criteria;

● reasonable litigation expenses, including attorneys’ fees, incurred by the office holder: (i) as a result of an investigation or proceeding instituted against him or her
by an authority authorized to conduct such investigation or proceeding, provided that (a) no indictment was filed against such office holder as a result of such
investigation or proceeding and (b) no financial liability was imposed upon him or her as a substitute for the criminal proceeding as a result of such investigation
or  proceeding  or,  if  such  financial  liability  was  imposed,  it  was  imposed  with  respect  to  an  offense  that  does  not  require  proof  of  criminal  intent;  and  (ii)  in
connection with a monetary sanction;

● Expenses incurred in connection with an Administrative Proceeding that has been conducted in his case, including reasonable litigation costs, covering also legal

fees.

“Administrative Proceeding” - a proceeding to impose a financial sanction according to Article D of Chapter Four of Part 9 of the Companies Law as amended
from time to time; as well as proceeding according to Chapter G1 of the Economic Competition Law, 5748-1988, as amended from time to time; as well as any
additional administrative proceeding whereby, by law (and subject to that law) an indemnity may be granted in respect of payments related thereto or expenses
incurred in connection therewith; and,

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● reasonable litigation expenses, including attorneys’ fees, incurred by the office holder or imposed by a court in proceedings instituted against him or her by the
company, on its behalf, or by a third party or in connection with criminal proceedings in which the office holder was acquitted or as a result of a conviction for an
offense that does not require proof of criminal intent.

Under the Companies Law, a company may insure an office holder against the following liabilities incurred for acts performed as an office holder if, and to the extent,

provided in the company’s articles of association:

● a breach of duty of care to the company or to a third party, including a breach arising out of the negligent conduct of the office holder;

● a breach of fiduciary duty to the company, to the extent that the office holder acted in good faith and had a reasonable basis to believe that the act would not

prejudice the company;

● a monetary liability imposed on the office holder in favor of a third party; and

● expenses incurred by an office holder in connection with an administrative procedure, including reasonable litigation expenses and reasonable attorneys’ fees.

Under the Companies Law, a company may not indemnify or insure an office holder against any of the following:

● a breach of fiduciary duty, except for indemnification and insurance for a breach of the fiduciary duty to the company and to the extent that the office holder acted

in good faith and had a reasonable basis to believe that the act would not prejudice the company;

● a breach of duty of care committed intentionally or recklessly, excluding a breach arising out of the negligent conduct of the office holder;

● an act or omission committed with intent to derive illegal personal benefit; or

● a fine or forfeit levied against the office holder.

Under the Companies Law, exemption, indemnification, and insurance of office holders in a public company must be approved by the compensation committee and

the board of directors and, with respect to certain office holders or under certain circumstances, by the shareholders.

Our articles of association and compensation policy allow us to exempt, indemnify, and insure our office holders according to applicable law.

We have obtained directors’ and officers’ liability insurance for the benefit of our office holders and intend to continue to maintain such coverage and pay all premiums
thereunder to the fullest extent permitted by the Companies Law. In addition, we have entered into agreements with each of our current office holders undertaking to indemnify
them to the fullest extent permitted by the Companies Law and our articles of association, to the extent that these liabilities are not covered by insurance. On July 18, 2023, our
shareholders approved, following the approvals of our compensation committee and board of directors, the adoption and grant of a new letter of indemnification to our existing
and future directors and officers. For information regarding our letters of exemption and indemnification, see Item 7B - Insurance, Exemption, and Indemnification Agreements.

In the opinion of the Securities and Exchange Commission, indemnification of directors and office holders for liabilities arising under the Securities Act, however, is

against public policy and therefore unenforceable.

D. Employees.

See “Item 4.B. Business Overview—Employees.”

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E. Share Ownership.

See “Item 7.A. Major Shareholders” below.

Share Incentive Plan and Share Award Plan

In  May  2010,  we  adopted  the  2010  Plan,  which  was  extended  on  March  26,  2020  by  our  board  of  directors,  in  accordance  with  the  compensation  committee’s
recommendation, for an additional period of ten (10) years. The 2010 Plan allows us to grant options to purchase our ordinary shares to our employees, officers, directors and
consultants. As of March 20, 2024, our employees, officers, directors and consultants hold an aggregate of options to purchase 1,743,516 ordinary shares, under the 2010 Plan.
Since 2008, options to purchase an aggregate of 272,819 ordinary shares had been exercised and transferred to the beneficial holders (or to a trustee who holds them to their
benefit).

In April  2024,  we  adopted  the  2024  Plan,  an  equity  share-based  incentive  plan.  The  2024  Plan  allows  us  to  grant  several  equity-based  awards,  including  options,
shares, restricted shares, restricted share units, stock appreciation rights, performance units, performance shares and other stock or cash awards. The purpose of the 2024 Plan is
to  advance  the  interests  of  the  Company  and  its  shareholders  by  attracting  and  retaining  the  best  available  personnel  for  positions  of  substantial  responsibility,  providing
additional incentive to employees, officers, directors, and consultants and promoting a close identity of interests between those individuals and the Company. The 2024 Plan
shall be in effect for a term of ten (10) years from the date of adoption, i.e., until April 2034.

The 2010 Plan and the 2024 Plan shall collectively be referred to as the Plans, while the awards that may be granted pursuant to each of the Plans, as detailed above,

shall collectively be referred to herein as the Awards.

The  Plans  are  designed  to  reflect  the  provisions  of  the  Israeli  Income  Tax  Ordinance,  or  the  Ordinance,  mainly  Sections  102  and  3(i),  which  affords  certain  tax
advantages to Israeli employees, officers, and directors that are granted options in accordance with its terms. Section 102 of the Ordinance allows employees, directors, and
officers, who are not controlling shareholders and who are Israeli residents, to receive favorable tax treatment for compensation in the form of shares, options, restricted shares,
restricted share units, and other equity incentive awards. Section 102 of the Ordinance includes two alternatives for tax treatment involving the issuance of equity incentive
awards  to  a  trustee  for  the  benefit  of  the  grantees  and  also  includes  an  additional  alternative  for  issuance  directly  to  the  grantee.  Sections  102(b)(2)  and  102(b)(3)  of  the
Ordinance, which provide the most favorable tax treatment for grantees, permit the issuance to a trustee under the “capital gains track.” In order to comply with the terms of the
capital gains track, all equity incentive awards granted under a specific plan and subject to the provisions of Section 102 of the Ordinance, as well as the shares issued upon
exercise of any such equity incentive awards and other shares received following any realization of rights with respect to such equity incentive awards, such as share dividends
and share splits, must be registered in the name of a trustee selected by the board of directors and held in trust for the benefit of the relevant grantee. The trustee may not release
such equity incentive awards to the relevant grantee before the second anniversary of the registration of the options in the name of the trustee. However, under this track, our
ability to deduct an expense with respect to the issuance of the equity incentive awards might be limited. Section 3(i) of the Ordinance does not provide for similar tax benefits.

The Plans may be administered by our board of directors either directly or upon the recommendation of a committee appointed by our board of directors.

The board of directors determines or approves (and with respect to office holders, following the approval of our compensation committee), the eligible individuals who
receive Awards under the Plans, the number of ordinary shares covered by those Awards, the terms under which such Awards may be exercised, and other terms and conditions
of the Awards, all in accordance with the provisions of each of the Plans. Award holders may not transfer their Award except in the event of death or transfer to an Administrator
in accordance with law in the event of the absence of legal competency. Our compensation committee or board of directors may, at any time, amend or terminate each of the
Plans; however, any amendment or termination may not adversely affect any Awards granted under such Plan prior to such action.

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The Award exercise price, if any, is determined by the board of directors, and with respect to grants to a director or officer, by the compensation committee prior to the

board of directors, and is specified in each Award agreement.

Awards granted under the 2010 Plan and 2024 Plan vest over four years from the vesting commencement date such that 25% vest on the first anniversary of the vesting
commencement  date  and  an  additional  6.25%  vest  at  the  end  of  each  subsequent  three-month  period  thereafter  for  36  months,  unless  otherwise  determined  by  the  Plan’s
administrator.

Under each of the Plans, Awards (other than certain incentive share options), that are not exercised within 10 years from the grant date expire, unless a shorter period is
determined by our board of directors or upon an event of termination, as detailed below. Pursuant to an amendment to our 2010 Plan, the term of an option granted under the
2010 Plan may be further extended by an additional five years at the discretion of our board of directors and subject to applicable laws. Except as otherwise determined by the
board  of  directors  or  as  set  forth  in  a  grantee’s Award  agreement,  in  the  event  of  termination  of  employment  or  services  for  reasons  of  disability,  death,  or  retirement,  the
grantee, or in the case of death, his or her legal successor, may exercise options that have vested prior to termination within a period of 12 months from the date of disability,
death, or retirement. If we terminate a grantee’s employment or service for cause, all of the grantee’s options will expire on the date of termination. If a grantee’s employment
or  service  is  terminated  for  any  other  reason,  the  grantee  may  exercise  his  or  her  vested  options  within  90  days  of  the  date  of  termination,  but  in  any  case  not  past  their
scheduled expiration date.

The Plans provide for certain adjustments upon changes in capitalization, such as share splits, reverse share splits, share dividends (bonus shares), recapitalization,

reclassification, rights issuances and dividends, as stipulated in each of the Plans.

With  respect  to  grants  that  were  made  under  our  2010  Plan  prior  to  October  2017,  in  the  event  of  (i)  a  sale  of  all  or  substantially  all  of  our  assets  or  (ii)  our
consolidation or merger in which we are not the ongoing or surviving corporation, then, and unless otherwise determined in the agreement or by the board, we shall be entitled
to determine that all of the outstanding unexercised options held by or for the benefit of any grantee shall be assumed or substituted for an appropriate number of options of the
successor company, provided that the aggregate amount of the exercise price for such options shall be equal to the aggregate amount of the exercise price of our unexercised
options held by each grantee at such time. Additionally, in the event of termination of employment by the Company within twelve (12) months after a Significant Event (as
defined below), the option shall remain exercisable (but only to the extent exercisable at termination and not beyond the scheduled expiration date) for a period of three (3)
months following the earlier of such termination or notice of termination (unless the Agreement provides otherwise). “Significant Event” shall mean each of the following: a
consolidation or merger of the Company with or into another corporation in which the Company is the ongoing or surviving corporation or in which, if the Company is not the
ongoing  or  surviving  corporation,  the  ongoing  or  surviving  corporation  (or,  if  such  transaction  is  effected  through  a  subsidiary,  the  parent  of  such  ongoing  or  surviving
corporation) assumes the option or substitutes it with an appropriate option in the surviving corporation (or in the parent as aforesaid).

With respect to the grants that were made under our 2010 Plan since October 2017, the above acceleration provision was amended in a manner that the options’ vesting
is fully accelerated upon the occurrence of a M&A Transaction or Reorganization: (1) “M&A Transaction” shall mean a “merger” as such term or term of similar nature is
defined in the Israeli Companies Law of 1999, as well as (i) a sale of 50% or more of the assets of the Company and its subsidiaries taken as a whole, or the sale or disposition
(whether by merger or otherwise) of one or more subsidiaries of the Company if more than 50% of the assets of the Company and its subsidiaries taken as a whole are held by
such  subsidiary  or  subsidiaries;  (ii)  a  sale  of  all  or  more  than  50%  of  the  shares  of  the  share  capital  of  the  Company  whether  by  a  single  transaction  or  a  series  of  related
transactions which occur either over a period of 12 months or within the scope of the same acquisition agreement; (iii) an issuance of shares of the Company, whether by a
single transaction or a series of related transactions which occur either over a period of 12 months or within the scope of the same acquisition agreement, that results in the
offeree  holding  more  than  50%  of  the  share  capital  of  the  Company;  or  (iv)  a  merger,  consolidation  or  like  transaction  of  the  Company  with  or  into  another  corporation
including a reverse triangular merger, but excluding a merger which falls within the definition of Reorganization; and/or (2) “Reorganization” shall mean any re-domestication
of  the  Company,  share  flip,  creation  of  a  holding  Company  for  the  Company  which  will  hold  all,  or  50%  or  more,  of  the  shares  of  the  Company  or  any  other  transaction
involving  the  Company  in  which  our  ordinary  shares  of  the  Company  outstanding  immediately  prior  to  such  transaction  continue  to  represent,  or  are  converted  into  or
exchanged for shares that represent, immediately following such transaction, at least a majority, by voting power, of the share capital of the surviving, acquiring or resulting
corporation and in which there is no material change to the interests held by the shareholders of the Company prior to such transaction and thereafter. The board may also
determine that in the occurrence of a Fund-Raising Transaction (as defined below), that all of the outstanding and unexercised options held by or for the benefit of any grantee
shall become fully vested. Such determination shall be specifically determined in the grantee’s letter of grant. “Fund-Raising Transaction” shall mean the raise by the Company
of at least $10 million by way of public offerings and/or private placements of equity securities by one transaction or more, except in the event of issuance of equity securities
in connection with the grant in exchange for services or as part of a commercial transaction.

107

 
 
 
 
 
 
 
 
Under our 2024 Plan, in the event of an M&A Transaction, which bears the same definition as in our 2010 Plan, the vesting of the unvested portion of any Award shall
be automatically accelerated and such portion shall become fully vested and exercisable, unless determined otherwise by the administrator of the Plan on the date of grant of the
Award. Any Award not exercised by the grantee shall be treated in the administrator’s sole and absolute discretion, including in one of the following manners: (i) assumption or
substitution of the outstanding Awards with equivalent awards or the rights to receive consideration by the acquiring or successor corporation or an affiliate thereof; and/or (ii)
the outstanding Awards shall become exercisable in full prior to the date of consummation of the M&A Transaction, or on another date and/or dates or at an event and/or events
as the administrator shall determine at its sole and absolute discretion; and/or (iii) that all or a portion or certain categories of the outstanding Awards shall be cancelled upon
the actual consummation of the M&A Transaction and instead the holders thereof will receive consideration (by cash including cash-out of the Awards for the net value and/or
securities), or no consideration.

Under the 2024 Plan, in the event of a Spin-Off, as defined below, the administrator of the Plan may determine that the holders of Awards shall be entitled to receive
equity in the new company formed as a result of the Spin-Off, in accordance with equity granted to our ordinary shareholders within the Spin-Off, taking into account the terms
of  the Awards,  including  the  vesting  schedule  and  exercise  price. The  determination  regarding  grantee’s  entitlement  within  the  scope  of  a  Spin-Off  shall  be  in  the  sole  and
absolute discretion of the administrator. “Spin-Off” shall mean any transaction in which assets of the Company or shares of the Company are transferred or sold to a company
or corporate entity in which the shareholders of the Company hold the same respective ownership stakes they are then holding in the Company.

F. Disclosure of a registrant’s action to recover erroneously awarded compensation.

Not applicable. 

ITEM 7. MAJOR SHAREHOLDERS AND RELATED PARTY TRANSACTIONS

A. Major Shareholders

The following table sets forth information with respect to the beneficial ownership of our ordinary shares as of March 20, 2024 by:

● each of our directors and senior management;

● all of our directors and senior management as a group; and

● each person (or group of affiliated persons) known by us to be the beneficial owner of 5% or more of the outstanding ordinary shares.

Beneficial ownership is determined in accordance with the rules of the SEC. These rules generally attribute beneficial ownership of securities to persons who possess
sole or shared voting or investment power with respect to those securities, and include shares subject to options and warrants that are exercisable within 60 days after March 20,
2024. Such shares are also deemed outstanding for purposes of computing the percentage ownership of the person holding the option, but not the percentage ownership of any
other person.

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Unless otherwise indicated below, to our knowledge, all persons named in the table have sole voting and investment power with respect to their shares, except to the
extent that authority is shared by spouses under community property laws. None of our shareholders has informed us that he, she, or it is affiliated with a registered broker-
dealer or is in the business of underwriting securities. None of our shareholders has different voting rights from other shareholders.

Senior Management and Directors
Dr. Roger Pomerantz (1)
Abraham Havron (2)
Dr. Elan Penn (3)
Joseph Zarzewsky (4)
Hugh Evans (5)
Alisa Lask (6)
Yehiel Tal (7)
Eran Rotem (8)
Philippe Bensimon (9)
Hadas Dreiher Horowitz (10)
Elana Gazal (11)
Oren Fahimipoor (12)
All senior management and directors as a group (12 persons)

More than 5% Shareholders
Ami Sagy (13)
Loewenbaum Group (14)

*

Less than 1%

** Based on 11,454,512 ordinary shares outstanding

Ordinary
Shares
Beneficially
Owned

Percentage
Beneficially
Owned**

187,713     
28,000     
34,000     
34,000     
405,242     
23,500     
324,123     
163,412     
78,562     
30,937     
15,625     
12,500     
1,337,614     

1,943,184     
1,280,822     

1.6%
* 
* 
* 
3.5%
* 
2.8%
1.4%
* 
* 
* 
* 
10.8%

17.0%
11.2%

(1) Consists of (i) options to purchase 162,713 ordinary shares NIS 1.50 par value at an exercise price of $6.39 per share and expiring on February 6, 2026 and (ii) options to
purchase 25,000 ordinary shares at an exercise price of $6.39 per share and expiring on May 2, 2032. Does not include options to purchase 25,000 ordinary shares, that
vest in more than 60 days of March 20, 2024.

(2) Consists  of  (i)  options  to  purchase  4,000  ordinary  shares  NIS  1.50  par  value  at  an  exercise  price  of  $4.02  per  share  and  expiring  on  January  14,  2025,  (ii)  options  to
purchase 5,000 ordinary shares at an exercise price of $5.07 per share and expiring on January 30, 2026 (iii) options to purchase 7,000 ordinary shares at an exercise price
of $6.39 per share and expiring on August 27, 2030. and (iv) options to purchase 12,000 ordinary shares at an exercise price of $6.39 per share and expiring on May 2,
2032. Does not include options to purchase 13,000 ordinary shares, that vest in more than 60 days of March 20, 2024.

(3) Consists of (i) options to purchase 10,000 ordinary shares NIS 1.50 par value at an exercise price of $4.02 per share and expiring on January 14, 2025, (ii) options to
purchase 5,000 ordinary shares at an exercise price of $5.07 per share and expiring on January 30, 2026 (iii) options to purchase 7,000 ordinary shares at an exercise price
of $6.39 per share and expiring on August 27, 2030, and (iv) options to purchase 12,000 ordinary shares at an exercise price of $6.39 per share and expiring on May 2,
2032. Does not include options to purchase 13,000 ordinary shares, that vest in more than 60 days of March 20, 2024.

(4) Consists of (i) options to purchase 15,000 ordinary shares NIS 1.50 par value at an exercise price of $4.02 per share and expiring on December 31, 2026 and (ii) options to
purchase 7,000 ordinary shares NIS 1.50 par value at an exercise price of $6.39 per share and expiring on August 27, 2030, and (iii) options to purchase 12,000 ordinary
shares at an exercise price of $6.39 per share and expiring on May 2, 2032. Does not include options to purchase 13,000 ordinary shares, that vest in more than 60 days of
March 20, 2024.

(5) Consists of (i) 377,429 ordinary shares and (ii) options to purchase 15,812 ordinary shares NIS 1.50 par value at an exercise price of $6.39 per share and expiring on May
26, 2031, and (iii) options to purchase 12,000 ordinary shares at an exercise price of $6.39 per share and expiring on May 2, 2032. Does not include options to purchase
19,188 ordinary shares, that vest in more than 60 days of March 20, 2024.

(6) Consists of options to purchase 23,500 ordinary shares at an exercise price of $6.39 per share and expiring on May 2, 2032. Does not include options to purchase 23,500

ordinary shares, that vest in more than 60 days of March 20, 2024.

(7) Consists of (i) 31,137 ordinary shares, (ii) options to purchase 37,800 ordinary shares exercisable at an exercise price of $4.02 per share and expiring on July 31, 2025,
(iii)  options  to  purchase  75,000  ordinary  shares  exercisable  at  an  exercise  price  of  $4.02  per  share  and  expiring  on  January  14,  2025,  (iv)  options  to  purchase  54,000
ordinary shares at an exercise price of $5.07 per share and expiring on January 30, 2026, (v) options to purchase 76,186 ordinary shares at an exercise price of $6.39 per
share and expiring on May 26, 2030, and (vi) options to purchase 50,000 ordinary shares at an exercise price of $6.39 per share and expiring on May 2, 2032. Does not
include options to purchase 55,080 ordinary shares, that vest in more than 60 days of March 20, 2024.

109

 
 
 
 
 
   
 
   
     
 
   
   
   
   
   
   
   
   
   
   
   
   
   
 
   
      
  
   
      
  
   
   
 
 
 
 
 
 
 
 
 
 
(8) Consists of (i) options to purchase 9,000 ordinary shares exercisable at an exercise price of $4.02 per share and expiring on May 18, 2025, (ii) options to purchase 45,000
ordinary shares exercisable at an exercise price of $4.02 per share and expiring on December 26, 2024, (iii) options to purchase 15,000 ordinary shares at an exercise price
of $5.07 per share and expiring on January 30, 2026, (iv) options to purchase 49,412 ordinary shares at an exercise price of $6.39 per share and expiring on May 26, 2030,
and (v) options to purchase 45,000 ordinary shares at an exercise price of $6.39 per share and expiring on January 27, 2032. Does not include options to purchase 38,295
ordinary shares, that vest in more than 60 days of March 20, 2024.

(9) Consists of (i)  2,000 ordinary shares, (ii) options to purchase 9,000 ordinary shares exercisable at an exercise price of $4.02 per share and expiring on May 18, 2025, (iii)
options  to  purchase  15,000  ordinary  shares  exercisable  at  an  exercise  price  of  $4.02  per  share  and  expiring  on  December  26,  2024,  (iv)  options  to  purchase  16,000
ordinary shares at an exercise price of $5.07 per share and expiring on January 30, 2026, (v) options to purchase 19,687 ordinary shares at an exercise price of $6.39 per
share and expiring on May 26, 2030, and (vi) options to purchase 16,875 ordinary shares at an exercise price of $6.39 per share and expiring on January 27, 2032. Does
not include options to purchase 14,438 ordinary shares, that vest in more than 60 days of March 20, 2024.

(10) Consists of (i) options to purchase 22,500 ordinary shares exercisable at an exercise price of $6.39 per share and expiring on March 25, 2031 and (ii) options to purchase
8,437 ordinary shares at an exercise price of $6.39 per share and expiring on January 27, 2032. Does not include options to purchase 14,063 ordinary shares, that vest in
more than 60 days of March 20, 2024.

(11) Consists of options to purchase 15,625 ordinary shares exercisable at an exercise price of $5.33 per share and expiring on November 30, 2032. Does not include options to

purchase 34,375 ordinary shares, that vest in more than 60 days of March 20, 2024.

(12)  Consists of options to purchase 12,500 ordinary shares exercisable at an exercise price of $7.5 per share and expiring on March 28, 2033. Does not include options to

purchase 37,500 ordinary shares, that vest in more than 60 days of March 20, 2024.

(13)  Consists of 1,943,184 ordinary shares.

(14) Based  on  information  contained  in  a  Schedule  13G/A  filed  with  the  SEC  on  January  25,  2024  by  George Walter  Loewenbaum,  Lillian  S.  Loewenbaum,  Elizabeth  S.
Loewenbaum, , Lillian S. Loewenbaum Grantor Retained Annuity Trust I, Lillian S. Loewenbaum Grantor Retained Annuity Trust V, Lillian S. Loewenbaum Grantor
Retained Annuity  Trust  VI,  The  Loewenbaum  1992  Trust,  and  The  Waterproof  Partnership,  Ltd.  Consists  of  (i)  1,054,486  ordinary  shares  underlying  shares  held  by
George Walter Loewenbaum, (ii) 69,051 ordinary shares held by Lillian S. Loewenbaum, (iii) 20,688 ordinary shares held by the Elizabeth S. Loewenbaum, (iv) 22,805
ordinary shares held in the Lillian S. Loewenbaum Grantor Retained Annuity Trust I, (v) 10,360 ordinary shares held in the Lillian S. Loewenbaum Grantor Retained
Annuity Trust V, (vi) 16,195 ordinary shares held in the Lillian S. Loewenbaum Grantor Retained Annuity Trust VI, (vii) 56,030 ordinary shares held by The Loewenbaum
1992 Trust, and (viii) 31,207 ordinary shares held by The Waterproof Partnership, Ltd.

On April 3, 2024, the board of directors (following the approval of the compensation committee with respect to the Company’s directors and officers) approved to
extend the expiry date of 337,464 options exercisable into 337,464 ordinary shares that were previously granted to some of our employees and directors, from an expiry date
ranging between December 2024 and July 2025, by an additional three years, such that the expiry dates will range between December 2027 and July 2028. Out of the said
options, 126,800 options exercisable into 126,800 ordinary shares are held by some of the Company’s directors and by its CEO (who also serves as a director on the board of
directors), and as such, the extension of the expiry dates of these options is subject to the receipt of shareholders’ approval by the required majorities under applicable law.

To  our  knowledge,  other  than  as  disclosed  in  the  table  above,  our  other  filings  with  the  SEC  and  this Annual  Report,  there  has  been  no  significant  change  in  the

percentage ownership held by any major shareholder since January 1, 2021.

B. Related Party Transactions

The following is a description of the material terms of those transactions with related parties to which we are party and which were in effect since January 1, 2020. The

descriptions provided below are summaries of the terms of such agreements and do not purport to be complete and are qualified in their entirety by the complete agreements.

We believe that we have executed all of our transactions with related parties on terms no less favorable to us than those we could have obtained from unaffiliated third

parties. See “Item 6.C. Board Practices—Approval of Related Party Transactions under Israeli Law.”

Agreements with Yissum

We have entered into certain agreements with Yissum, in which Prof. Oded Shoseyov, our former Executive Chief Scientist, has or might have a personal interest,
including an agreement dated July 13, 2004 with respect to the intellectual property rights relating to our rhCollagen. See “Item 4.B. Business Overview—Intellectual Property
—Agreement with Yissum Research Development Company of the Hebrew University of Jerusalem Ltd. with Respect to Our rhCollagen,” and see “Item 6.C. Board Practices
—Approval of Related Party Transactions Under Israeli Law.”

Agreement with Our Subsidiary

The Company has contracted CollPlant Ltd., the Company’s wholly owned subsidiary, for its management and administrative services, for which CollPlant Ltd. pays

the Company NIS 400,000 on a monthly basis.

110

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Agreements with Directors and Senior Management

Insurance, Exemption, and Indemnification Agreements

We have entered into indemnification agreements with each of our current directors and executive officers exempting them from a breach of their duty of care to us to
the fullest extent permitted by law, subject to limited exceptions, and undertaking to indemnify them to the fullest extent permitted by Israeli law, subject to limited exceptions,
and including with respect to liabilities resulting from an offering of securities by us to the extent such liabilities are not covered by insurance. See “Item 6.C. Board Practices—
Approval of Related Party Transactions Under Israeli Law—Exemption, Insurance and Indemnification of Directors and Officers.”

On July 18, 2023, our shareholders approved, following the approvals of our compensation committee and board of directors, the adoption and grant of a new letter of

indemnification for our current and future directors and officers, as may be from time to time, including to our CEO.

The following is a brief summary of the principal changes reflected in the new letter of indemnification.

-

-

-

-

-

-

-

-

Addendum of Events for which Financial Liabilities will be Indemnified – the addendum which stipulates the events for which financial liabilities will
be indemnified was updated to reflect the events that our board of directors has determined are likely to occur in light of our operations;

Indemnification  Limits  per  Event  –  the  per-event  indemnification  limit  stipulated  in  the  addendum  to  our  previous  letter  of  indemnification  was
removed, such that the indemnification per event shall not be limited other than by the Limit Amount, as defined in the new letter of indemnification,
which has remained unchanged;

Defense of Claim – where we have assumed the defense of the indemnitee in a claim, certain changes have been made with respect to conflicts of
interest that may arise, including that the Company will be the person to determine the existence of a conflict of interest, instead of the attorney as was
stipulated in our previous letter of indemnification;

Presumption of Entitlement to Indemnification – the new letter of indemnification clarifies that the presumption is that the indemnitee is entitled to
indemnification under the letter of indemnification, and we, the Company, shall have the burden of proof to overcome that presumption;

Indemnification in the Event of a Counterclaim – the new letter of indemnification stipulates that we will not be required to indemnify or advance any
Expenses (as defined in the new letter of indemnification) to the indemnitee with respect to a counter claim made by us or in our name in connection
with a claim against us filed by the indemnitee;

Mechanism  for  Payment  of  Indemnification  –  the  mechanism  of  payment  of  indemnification  amounts  has  been  updated  in  the  new  letter  of
indemnification such that the payment by us for any Expenses (as defined in the new letter of indemnification) will be grossed up to cover any tax
payment that the indemnitee may be required to make and will be paid as soon as practicable, and in any event within 15 days from receipt of a written
demand;

Reimbursement  of  Indemnification  –  where  we  have  determined,  based  on  advice  from  our  legal  counsel,  that  the  indemnitee  was  not  entitled  to
indemnification  payments,  the  indemnitee  will  not  be  required  to  repay  such  amounts  if  the  indemnitee  disputes  the  Company’s  determination,  in
which case the indemnitee’s obligation to repay us shall be postponed until such dispute is resolved by a court of competent jurisdiction in a final and
non-appealable order;

Third Party Indemnification – the new letter of indemnification contains a provision concerning third-party indemnification undertakings, stipulating
that where the indemnitee may be entitled to indemnification from other sources, we acknowledge that we are the indemnitor of first resort.

111

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Our board of directors approved that the indemnification undertaking relating to financial liabilities imposed on an indemnitee in favor of another person by any court
judgment, including a judgment given as a result of a settlement or an arbitrator’s award which has been confirmed by a court, or what we refer to as Financial Liabilities, is
limited to the events listed in the letter of indemnification which are foreseeable in light of our activities on the date of its approval, and that the maximum indemnification
amount provided in the letter of indemnification is reasonable under the circumstances.

In  relation  to  Financial  Liabilities,  the  maximum  indemnification  amount  that  we  have  undertaken  to  indemnify  our  office  holders  is  twenty-five  (25%)  of  our
consolidated  shareholders’  equity  as  is  in  accordance  with  our  most  recent  consolidated  annual  financial  statements,  that  existed  as  of  the  actual  date  of  payment  for  the
indemnification, or what we refer to as the Limit Amount. In the event the indemnification amount that we are required to pay to our office holders exceeds the Limit Amount
(as existing at that time), the Limit Amount or its remaining balance will be allocated pro rata between the office holders entitled to indemnification, in the manner that the
amount of indemnification that each office holder will actually receive will be calculated in accordance with the ratio between the amount each individual office holder may be
indemnified for, and the aggregate amount that all officer holders involved in the event may be indemnified for at the time of the indemnification.

Any existing indemnification or similar agreements with any director or officer that served upon the adoption of our new letter of indemnification was cancelled and
replaced by the new letter of indemnification. Notwithstanding the foregoing, the grant of the new letters of indemnification to the current and future directors and officers of
the Company does not derogate in any way from any indemnification undertaking we have made in the past, provided however, that the aggregate indemnification amount
pursuant to all letters of indemnification granted or that will be granted by us to current and future directors and officers, as well as to current and future employees of the
Company who serve as directors or officers in corporations held by the Company (including in their capacity in other roles in the Company or any corporation held by the
Company), and including such directors, officers and employees who no longer serve at or are employed by the Company, will not exceed the Limit Amount. 

Employment and Services Agreements

We have entered into employment or services agreements with our senior management. See “Item 6.B. Compensation.”

Options

We have granted options to purchase our ordinary shares to certain of our officers and directors. See “Item 6.B. Compensation” and “Item 7.A. Major Shareholders.”

We describe our option plans under “Item 6.E. Share Ownership” and “Item 7.A. Major Shareholders.”

C. Interests of Experts and Counsel

Not applicable.

ITEM 8. FINANCIAL INFORMATION.

A. Consolidated Statements and Other Financial Information.

See “Item 18. Financial Statements.”

Legal Proceedings

See “Item 4.B. Business Overview—Legal Proceedings.”

Dividends

We  have  never  declared  or  paid  cash  dividends  to  our  shareholders.  Currently,  we  do  not  intend  to  pay  cash  dividends.  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, applicable Israeli law and other
factors our board of directors may deem relevant. In addition, the distribution of dividends is limited by Israeli law, which permits the distribution of dividends only out of
distributable  profits  and  only  if  there  is  no  reasonable  concern  that  such  distribution  will  prevent  us  from  meeting  our  existing  and  future  obligations  when  they  become
due.  For  information  regarding  certain  reliefs  for  Israeli  companies  whose  securities  are  traded  on  an  exchange  outside  of  Israel,  see  “Item  16G.  Corporate  Governance
Practices”.

112

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
B. Significant Changes

Other than as otherwise described in this Annual Report on Form 20-F and as set forth below, no significant change has occurred in our operations since the date of our

consolidated financial statements included in this Annual Report on Form 20-F.

ITEM 9. THE OFFER AND LISTING

A. Offer and Listing Details

On May 25, 2021, our ordinary shares were approved for trading on the Nasdaq Global Market, and began trading at the open of market on June 4, 2021. At such time,
our former securities ADSs were mandatorily cancelled and exchanged for ordinary shares at a one-for-one ratio. Prior to that, our ADSs were quoted on the OTCQX from
March 2015 to May 25, 2017, on the OTCQB from May 26, 2017 to January 30, 2018 and on the Nasdaq Capital Market from January 31, 2018 to June 3, 2021 under the
symbol “CLGN”. In 2018, we delisted our ordinary shares from trading on the Tel Aviv Stock Exchange, or TASE, and the last date of trading of our ordinary shares on the
TASE was on October 29, 2018.

B. Plan of Distribution

Not applicable.

C. Markets

Our ordinary shares are listed on the Nasdaq Global Market.

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. Memorandum and Articles of Association

Copies of our Memorandum of Association and Amended and Restated Articles of Association are attached as Exhibits 1.1 and 1.2 to this Annual Report, respectively.

Other than as disclosed below, the information called for by this Item is set forth in Exhibit 2.1 to this Annual Report and is incorporated by reference into this Annual Report.

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C. Material Contracts

We have not entered into any material contract within the two years prior to the date of this Annual Report on Form 20-F, other than contracts entered into in the
ordinary  course  of  business,  or  as  otherwise  described  herein  in  “Item  4.A.  History  and  Development  of  the  Company”,  “Item  4.B.  Business  Overview”,  “Item  7A.  Major
Shareholders” or “Item 7B. Related Party Transactions” above.

D. Exchange Controls

There are currently no Israeli currency control restrictions on remittances of dividends on our ordinary shares, proceeds from the sale of the shares or interest or other

payments to non-residents of Israel, except for shareholders who are subjects of countries that are, or have been, in a state of war with Israel.

E. Taxation.

The  following  description  is  not  intended  to  constitute  a  complete  analysis  of  all  tax  consequences  relating  to  the  acquisition,  ownership  and  disposition  of  our
ordinary shares. You should consult your own tax advisor concerning the tax consequences of your particular situation, as well as any tax consequences that may arise under the
laws of any state, local, foreign, or other taxing jurisdiction.

Israeli Tax Considerations

The  following  is  a  brief  summary  of  certain  material  Israeli  tax  laws  applicable  to  us,  and  certain  Israeli  government  programs  that  benefit  us.  This  section  also
contains  a  discussion  of  certain  material  Israeli  tax  consequences  concerning  the  ownership  and  disposition  of  our  ordinary  shares.  This  summary  does  not  discuss  all  the
aspects of Israeli tax law that may be relevant to a particular investor in light of his or her personal investment circumstances or to some types of investors subject to special
treatment under Israeli law. Examples of such investors include residents of Israel or traders in securities who are subject to special tax regimes not covered in this discussion.
To the extent that the discussion is based on tax legislation that has not yet been subject to judicial or administrative interpretation, we cannot assure you that the appropriate tax
authorities or the courts will accept the views expressed in this discussion. The discussion below is not intended, and should not be construed, as legal or professional tax advice
and is not exhaustive of all possible tax considerations. The discussion is subject to change, including due to amendments under Israeli law or changes to the applicable judicial
or administrative interpretations of Israeli law, which change could affect the tax consequences described below, possibly with a retroactive effect.

THEREFORE, YOU ARE URGED TO CONSULT YOUR OWN TAX ADVISORS AS TO THE ISRAELI OR OTHER TAX CONSEQUENCES OF THE PURCHASE,

OWNERSHIP AND DISPOSITION OF OUR SHARES, INCLUDING, IN PARTICULAR, THE EFFECT OF ANY FOREIGN, STATE OR LOCAL TAXES.

General Corporate Tax Structure in Israel

Israeli resident (as defined below) companies, such as us, are generally subject to corporate tax at the rate of 23% as of 2018. However, the effective tax rate payable
by a company that derives income from a Preferred Enterprise or a Preferred Technological Enterprise (as discussed below) may be considerably lower. Capital gains derived
by an Israeli company are generally subject to tax at the prevailing corporate tax rate.

Law for the Encouragement of Industry (Taxes), 5729-1969

The Law for the Encouragement of Industry (Taxes), 5729-1969, or the Industry Encouragement Law, provides several tax benefits for “Industrial Companies.”

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The Industry Encouragement Law defines an “Industrial Company” as a company resident in Israel, of which 90% or more of its income in any tax year, other than
income from certain government loans, capital gains, interest and dividends, is derived from an “Industrial Enterprise” owned by it and located in Israel or in the “Area,” in
accordance  with  the  definition  under  Section  3A  of  the  Israeli  Income  Tax  Ordinance  (New  Version)  1961,  or  the  Ordinance. An  “Industrial  Enterprise”  is  defined  as  an
enterprise whose principal activity in a given tax year is industrial production.

The following corporate tax benefits, among others, are available to Industrial Companies:

● amortization over an eight-year period of the cost of patents and rights to use a patent and know-how which were purchased in good faith and are used for the

development or advancement of the Industrial Enterprise;

● deduction over a three-year period of expenses incurred in connection with the issuance and listing of shares on a stock market; and

● under certain conditions, an election to file consolidated tax returns with related Israeli Industrial Companies.

There can be no assurance that we currently qualify, or will continue to qualify, as an Industrial Company or that the benefits described above will be available in the

future.

Law for the Encouragement of Capital Investments, 5719-1959

Tax Benefits for Income from Preferred Enterprise

The  Law  for  the  Encouragement  of  Capital  Investments,  5719-1959,  or  the  Investment  Law,  currently  provides  certain  tax  benefits  for  income  generated  by  a
“Preferred Company” through its “Preferred Enterprise”. The definition of a Preferred Company includes, inter alia, a company incorporated in Israel that is not wholly owned
by a governmental entity, which:

● owns  a  Preferred  Enterprise,  which  is  defined  as  an  “Industrial  Enterprise”  (as  defined  under  the  Investment  Law)  that  is  classified  as  either  a  “Competitive

Enterprise” (as defined under the Investment Law) or a “Competitive Enterprise in the Field of Renewable Energy” (as defined under the Investment Law);

● is controlled and managed from Israel;

● is not a “Family Company,” a “Transparent Company,” or a “Kibbutz” (collective community) as defined under the Ordinance;

● keeps acceptable books of account and files reports in accordance with the provisions of the Investment Law and the Ordinance; and

● was not, and certain officers of which were not, convicted of certain crimes in the 10 years prior to the tax year with respect to which benefits are being claimed.

As of January 1, 2017, a Preferred Company is currently entitled to a reduced corporate tax rate of 16% with respect to its income derived by its Preferred Enterprise,

unless the Preferred Enterprise is located in development area A, in which case the rate is currently 7.5% (our operations are currently not located in development area A).

Dividends distributed from income generated from a Preferred Enterprise are subject to tax at the rate of 20% or to a lower rate as may be provided in an applicable tax
treaty. However, if such dividends are distributed to an Israeli company, such dividends are exempt from tax (unless such dividends are subsequently distributed to individuals
or a non-Israeli company).

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If in the future we generate taxable income, to the extent that we qualify as a “Preferred Company,” the benefits provided under the Investment Law could potentially
reduce  our  corporate  tax  liabilities. Therefore,  the  termination  or  substantial  reduction  of  the  benefits  available  under  the  Investment  Law  could  materially  increase  our  tax
liabilities.

Tax Benefits for Income from Preferred Technological Enterprise

An amendment to the Investment Law was enacted as part of the Economic Efficiency Law that was published on December 29, 2016, and became effective as of
January 1, 2017, or the 2017 Amendment. The 2017 Amendment provides new tax benefits for two types of “Technological Enterprises,” as described below, and is in addition
to the other existing tax beneficial programs under the Investment Law.

The 2017 Amendment provides that a Preferred Company satisfying certain conditions will qualify as having a “Preferred Technological Enterprise” and will thereby
enjoy a reduced corporate tax rate of 12% on income that qualifies as “Preferred Technological Income,” as defined in the Investment Law. The corporate tax rate is further
reduced  to  7.5%  with  respect  to  a  Preferred  Technological  Enterprise  located  in  development  area  A.  In  addition,  a  Preferred  Company  qualify  as  having  a  “Preferred
Technological  Enterprise”  will  enjoy  a  reduced  corporate  tax  rate  of  12%  on  capital  gain  derived  from  the  sale  of  certain  “Benefitted  Intangible Assets”  (as  defined  in  the
Investment  Law)  to  a  related  foreign  company  if  the  Benefitted  Intangible  Assets  were  acquired  from  a  foreign  company  on  or  after  January  1,  2017  for  at  least  NIS
200 million, and the sale receives prior approval from the IIA.

The 2017 Amendment further provides that a “Preferred Company” satisfying certain conditions (including group consolidated revenues of at least NIS 10 billion) will
qualify as having a “Special Preferred Technological Enterprise” and will thereby enjoy a reduced corporate tax rate of 6% on “Preferred Technological Income” regardless of
the  company’s  geographic  location  within  Israel.  In  addition,  a  “Special  Preferred Technological  Enterprise”  will  enjoy  a  reduced  corporate  tax  rate  of  6%  on  capital  gain
derived  from  the  sale  of  certain  “Benefitted  Intangible  Assets”  to  a  related  foreign  company  if  the  “Benefitted  Intangible  Assets”  were  either  developed  by  the  “Special
Preferred Enterprise” or acquired from a foreign company on or after January 1, 2017, and the sale received prior approval from the IIA. A “Special Preferred Technological
Enterprise” that acquires “Benefitted Intangible Assets” from a foreign company for more than NIS 500 million will be eligible for these benefits for at least ten years, subject
to certain approvals as specified in the Investment Law.

Dividends distributed by a Preferred Technological Enterprise that are paid out of Preferred Technological Income are subject to tax at the rate of 20%, but if such
dividends are distributed to a foreign company and at least 90% of the shares of the distributing company are held by foreign resident companies then the tax rate may be as low
as 4%, subject to the fulfillment of certain conditions.

As we have not yet generated taxable income, there is no assurance that we qualify as a Preferred Technological Enterprise or that the benefits described above will be

available to us in the future.

If in the future we generate taxable income, to the extent that we qualify as a “Preferred Company”, the benefits provided under the Investment Law could potentially
reduce  our  corporate  tax  liabilities. Therefore,  the  termination  or  substantial  reduction  of  the  benefits  available  under  the  Investment  Law  could  materially  increase  our  tax
liabilities.

The Encouragement of Research, Development and Technological Innovation in the Industry Law 5744

Under  the  Encouragement  of  Research,  Development  and  Technological  Innovation  in  the  Industry  Law  5744-1984  (formerly  known  as  the  Law  for  the
Encouragement  of  Research  and  Development  in  Industry  5744-1984),  or  Innovation  Law,  and  the  regulations  and  guidelines  promulgated  thereunder,  research  and
development programs which meet specified criteria and are approved by a committee of the IIA, are eligible for grants. The grants awarded are up to 50% of certain of the
project’s  expenditures,  as  determined  by  the  research  committee.  The  grantee  is  required  to  pay  royalties  to  the  State  of  Israel  from  the  revenues  derived  from  products
developed program the sale of products incorporating technology developed within the framework of the approved research and development program or derived from such
program (including ancillary services in connection with such program), usually up to 100% of the grant, linked to the dollar and bearing interest at the LIBOR rate. The terms
of the IIA participation also require that products developed with IIA grants be manufactured in Israel and that the know-how developed thereunder may not be transferred
outside of Israel, unless approval is received from the IIA and additional payments are made to the IIA. However, this does not restrict the export of products that incorporate
the  funded  know-how. The  royalty  repayment  ceiling  can  reach  up  to  three  times  the  amount  of  the  grant  received  (plus  interest)  if  manufacturing  is  transferred  outside  of
Israel, and repayment of up to six times the amount of the grant (plus interest) may be required if the technology itself is transferred outside of Israel.

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Taxation of our Shareholders

Capital Gains Tax

Israeli law generally imposes a capital gains tax (i) on the sale of any capital assets by residents of Israel, as defined for Israeli tax purposes, and (ii) on the sale of
capital assets located in Israel, including shares of Israeli companies, by non-residents of Israel, unless a specific exemption is available or unless a tax treaty between Israel and
the shareholder’s country of residence provides otherwise. The law distinguishes between real gain and inflationary surplus. The inflationary surplus is a portion of the total
capital  gain  that  is  equivalent  to  the  increase  of  the  relevant  asset’s  purchase  price  which  is  attributable  to  the  increase  in  the  Israeli  consumer  price  index,  or  in  certain
circumstances a foreign currency exchange rate, between the date of purchase and the date of sale. The real gain is the excess of the total capital gain over the inflationary
surplus.

Israeli Residents

Generally, as of January 1, 2012 and thereafter, the tax rate applicable to real capital gains derived from the sale of shares, whether listed on a stock market or not, is
25% for Israeli individuals, unless such shareholder claims a deduction for financing expenses in connection with such shares, in which case the gain will generally be taxed at
a rate of 30%. Additionally, if such shareholder is considered a “substantial shareholder” at the time of the sale or at any time during the 12-month period preceding such sale,
the  tax  rate  will  be  30%. A  “substantial  shareholder”  is  defined  as  one  who  holds,  directly  or  indirectly,  alone  or  “together  with  another”  (i.e.,  together  with  a  relative,  or
together with someone who is not a relative but with whom, according to an agreement, there is regular cooperation in material matters of the company, directly or indirectly),
holds, directly or indirectly, at least 10% of any of the “means of control” in the company. “Means of control” generally include the right to vote, receive profits, nominate a
director or an executive officer, receive assets upon liquidation, or instruct someone who holds any of the aforementioned rights regarding the manner in which such rights are
to be exercised. However, different tax rates will apply to dealers in securities. Israeli companies are subject to capital gains tax at the regular corporate tax rate (i.e., 23% for
the tax year 2024) on real capital gains derived from the sale of listed shares.

In  some  instances  where  our  shareholders  are  liable  for  Israeli  tax  on  the  sale  of  their  ordinary  shares,  the  payment  of  the  consideration  may  be  subject  to  the

withholding at source of Israeli tax at source.

Non-Israeli Residents

A non-Israeli resident who derives capital gains from the sale of shares in an Israeli resident company that were purchased after the company was listed for trading on
a stock exchange in Israel (and also if the company was not listed on stock exchange in Israel, under certain conditions) will be exempt from Israeli tax so long as the shares
were  not  held  through  a  permanent  establishment  that  the  non-resident  maintains  in  Israel.  However,  non-Israeli  resident  corporations  will  not  be  entitled  to  the  foregoing
exemption if (i) an Israeli resident has a controlling interest, directly or indirectly, alone, “together with another” (as defined above), or together with another Israeli resident, of
more than 25% in one or more of the “means of control” (as defined above) in such non-Israeli resident corporation, or (ii) Israeli residents are the beneficiaries of, or are
entitled to, 25% or more of the revenues or profits of such non-Israeli resident corporation, whether directly or indirectly.

In addition, a sale of securities by a non-Israeli resident may be exempt from Israeli capital gains tax under the provisions of an applicable tax treaty. For example,
pursuant  to  the  provisions  of  the  Convention  between  the  Government  of  the  United  States  of America  and  the  Government  of  the  State  of  Israel  with  respect  to Taxes  on
Income, as amended, or the U.S.-Israel Tax Treaty, capital gains arising from the sale, exchange or disposition of our ordinary shares by (i) a person who qualifies as a resident
of the United States within the meaning of the U.S.-Israel Tax Treaty, (ii) who holds the shares as a capital asset, and (iii) who is entitled to claim the benefits afforded to such
person by the U.S.-Israel Tax Treaty is generally exempt from Israeli capital gains tax. Such exemption will not apply if: (i) such person holds, directly or indirectly, shares
representing 10% or more of our voting power during any part of the 12-month period preceding such sale, exchange, or disposition, subject to particular conditions; (ii) the
capital gains from such sale, exchange, or disposition are attributable to a permanent establishment in Israel; or (iii) such person is an individual and was present in Israel for
183 days or more during the relevant tax year. In such case, the capital gain arising from the sale, exchange, or disposition of our ordinary shares would be subject to Israeli tax,
to the extent applicable; however, under the U.S.-Israel Tax Treaty, the taxpayer may be permitted to claim a credit for such taxes against the U.S. federal income tax imposed
with respect to such sale, exchange, or disposition, subject to the limitations under U.S. law applicable to foreign tax credits. The U.S.-Israel Tax Treaty does not relate to U.S.
state or local taxes.

117

 
 
 
 
 
 
 
 
 
 
 
Shareholders may be required to demonstrate that they are exempt from tax on their capital gains in order to avoid withholding tax at source at the time of sale.

It should be noted that in the event that the real capital gain realized by an individual shareholder is not exempt from tax in Israel, the tax rates applicable to Israeli

resident individual shareholders should generally apply.

In some instances where our shareholders may be liable for Israeli tax on the sale of their ordinary shares, the payment of the consideration may be subject to the

withholding of Israeli tax at source.

Taxation of Dividend Distributions

Israeli Residents

Israeli resident individuals are generally subject to Israeli income tax on the receipt of dividends paid in respect to ordinary shares, other than bonus shares (share
dividends). As of January 1, 2012 and thereafter, the tax rate applicable to such dividends is generally 25%. With respect to a person who is a “substantial shareholder” (as
defined above) at the time the dividend is received or at any time during the preceding 12-month period, the applicable tax rate is 30%. Dividends distributed from income
derived from Preferred Enterprises and Preferred Technology Enterprises will generally be subject to income tax at a rate of 20%.

As of January 1, 2020, Israeli resident shareholders who are individuals with taxable income that exceeds NIS 651,600 in a tax year (linked to the Israeli consumer
price index each year) will be subject to an additional tax at the rate of 3% on the portion of their taxable income for such tax year that exceeds NIS 651,600 (linked to the
Israeli  consumer  price  index  each  year).  For  this  purpose,  taxable  income  includes  taxable  capital  gains  from  the  sale  of  our  shares  and  taxable  income  from  dividend
distributions.

Dividends  paid  to  an  Israeli  resident  individual  shareholder  on  our  ordinary  shares  will  generally  be  subject  to  withholding  tax  at  the  rates  corresponding  with  the

income tax rates detailed above unless we are provided in advance with a withholding tax certificate issued by the Israel Tax Authority stipulating a different rate.

Notwithstanding the above, dividends distributed to an Israeli resident “substantial shareholder” (as defined above) on publicly traded shares, like our ordinary shares,
which are held via a “nominee company” (as defined under the Israeli Securities Law), are generally subject to Israeli withholding tax at a rate of 25%, unless a different rate is
provided under an applicable tax treaty, provided that a certificate from the Israel Tax Authority allowing for a reduced withholding tax rate is obtained in advance.

If the dividend is attributable partly to income derived from a Preferred Enterprise or a Preferred Technology Enterprise and partly to other sources of income, the tax
rate will be a blended tax rate reflecting the relative portions of the various types of income. We cannot assure you that we will designate the profits that are being distributed in
a way that will reduce shareholders’ tax liability.

Israeli resident companies are generally exempt from tax on the receipt of dividends paid on our ordinary shares.

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Non-Israeli Residents

Unless relief is provided in a treaty between Israel and the shareholder’s country of residence, non-Israeli residents are generally subject to Israeli income tax on the
receipt of dividends paid on our ordinary shares at the rate of 25%. With respect to a person (including a corporation) who is a “substantial shareholder” (as defined above) at
the time of receiving the dividend or at any time during the preceding 12-month period, absent treaty relief as mentioned above, the applicable capital gains tax rate is 30%.
Notwithstanding the above, dividends distributed from income derived from Preferred Enterprises or Preferred Technological Enterprise will be subject to lower rates of Israeli
tax (as detailed above and subject to the fulfillment of certain conditions).

In this regard, dividends paid to a non-Israeli resident shareholder on our ordinary shares will generally be subject to withholding tax at the rates corresponding with
the income tax rates detailed above unless we are provided in advance with a withholding tax certificate issued by the Israel Tax Authority stipulating a different rate (e.g., in
accordance with the provisions of an applicable tax treaty).

Notwithstanding the above, dividends paid to a non-Israeli resident “substantial shareholder” (as defined above) on publicly traded shares, like our ordinary shares,
which are held via a “nominee company” (as defined under the Israeli Securities Law), are generally subject to Israeli withholding tax at a rate of 25%, unless a different rate is
provided under an applicable tax treaty, provided that a certificate from the Israel Tax Authority allowing for a reduced withholding tax rate is obtained in advance.

In addition, it should be noted that an additional 3% tax might be applicable to individual shareholders if certain conditions are met.

Under the U.S.-Israel Tax Treaty, the maximum Israeli tax on dividends paid to a holder of ordinary shares who qualifies as a resident of the United States within the
meaning of the U.S.-Israel Tax Treaty is 25%. Such tax rate is generally reduced to 12.5% if: (i) the shareholder is a U.S. corporation and holds at least 10% of the outstanding
shares of our voting stock during the part of our tax year that precedes the date of payment of the dividends and during the whole of our prior tax year; (ii) not more than 25%
of  our  gross  income  in  the  tax  year  preceding  the  payment  of  the  dividends  consists  of  interest  or  dividends,  other  than  dividends  or  interest  received  from  subsidiary
corporations that 50% or more of the outstanding shares of voting stock of such corporations are owned by us at the time such dividends or interest are received by us; and
(iii)  the  dividends  are  not  sourced  from  income  derived  during  a  period  for  which  we  were  entitled  to  the  reduced  tax  rate  applicable  to  a  Preferred  Enterprise  under  the
Investment Law. If the dividends are sourced from income derived during a period for which we are entitled to the reduced tax rate applicable to a Preferred Enterprise or a
Preferred Technological Enterprise under the Investment Law, to the extent that the first two conditions detailed above are met, the Israeli tax rate applicable to such dividends
should be 15%.

If the dividend is attributable partly to income derived from a Preferred Enterprise or a Preferred Technological Enterprise and partly to other sources of income, the
tax rate will be a blended rate reflecting the relative portions of the various types of income. We cannot assure you that we will designate the profits that are being distributed in
a way that will reduce shareholders’ tax liability.

Excess Tax

Individuals who are subject to tax in Israel are also subject to an additional tax at a rate of 3% on annual taxable income exceeding NIS 721,560 for 2024 (linked to the

annual change in the Israeli consumer price index), including, but not limited to, income derived from, dividends, interest and capital gains.

Estate and gift tax

Israeli law presently does not impose estate tax.

Israeli law also does not presently impose gift taxes upon the transfer of assets to Israeli resident individuals so long as it is demonstrated to the satisfaction of the

Israel Tax Authority that the transfer was executed in good faith.

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Certain Material U.S. Federal Income Tax Consequences

The following summary describes certain material U.S. federal income tax consequences relating to an investment in our ordinary shares. This summary deals only
with ordinary shares that are held as capital assets (generally, property held for investment) within the meaning of Section 1221 of the U.S. Internal Revenue Code of 1986, as
amended, or the Code, and does not address tax considerations of holders that may be subject to special tax rules, including, but not limited to, dealers or traders in securities or
currencies,  financial  institutions,  tax-exempt  organizations,  insurance  companies,  regulated  investment  companies,  real  estate  investment  trusts,  grantor  trusts,  individual
retirement and tax-deferred accounts, certain former citizens or residents of the United States, persons who acquire our ordinary shares through the exercise or cancellation of
employee  stock  options  or  otherwise  as  compensation  for  their  services,  persons  holding  ordinary  shares  as  part  of  a  hedging,  integrated,  conversion  or  constructive  sale
transaction, or a straddle, persons that mark their securities to market for U.S. federal income tax purposes, persons subject to the alternative minimum tax, or persons who have
a functional currency other than the U.S. dollar. In addition, this discussion does not address the tax treatment of U.S. holders (as defined below) who own, directly, indirectly,
or constructively, 10% or more of our outstanding stock, by vote or value. The summary set forth below relating to U.S. holders is applicable only to such U.S. holders (i) who
are residents of the United States for purposes of the U.S.-Israel Tax Treaty, (ii) whose ordinary shares are not, for purposes of the U.S.-Israel Tax Treaty, effectively connected
with or attributable to a permanent establishment in Israel, and (iii) who otherwise qualify for the full benefits of the U.S.-Israel Tax Treaty. The discussion below is based upon
the Code, final, temporary and proposed Treasury regulations promulgated thereunder, applicable administrative rulings and judicial interpretations thereof, and the U.S.-Israel
Tax Treaty, all as in effect as of the date of this Annual Report on Form 20-F and all of which are subject to change, possibly on a retroactive basis, and all of which are open to
differing interpretations. In addition, this summary does not consider the possible application of U.S. federal gift or estate taxes or any aspect of state, local, or non-U.S. tax
laws. Furthermore, we will not seek a ruling from the IRS with regard to the U.S. federal income tax treatment of an investment in our ordinary shares and can provide no
assurance that the tax consequences contained in this summary will not be challenged by the IRS or will be sustained in a court if challenged.

As used in this summary the term “U.S. holder” means a beneficial owner of ordinary shares that is, for U.S. federal income tax purposes: (i) an individual citizen or
resident of the United States, (ii) a corporation (or other entity taxable as a corporation for U.S. federal income tax purposes) created or organized in or under the laws of the
United States or any state thereof, or the District of Columbia; (iii) an estate the income of which is subject to U.S. federal income taxation regardless of its source, or (iv) a
trust if either (a) a court within the United States is able to exercise primary supervision over the administration of the trust and one or more U.S. persons have the authority to
control all substantial decisions of the trust, or (b) the trust has a valid election in effect under applicable Treasury regulations to be treated as a U.S. person. Except to the
limited extent discussed below, this summary does not consider the U.S. federal tax considerations to a person that is not a U.S. holder (a “non-U.S. holder”). In addition, the
tax treatment of persons who hold ordinary shares through a partnership or other pass-through entity treated as a partnership for U.S. federal income tax purposes generally
depends upon the status of the partner (or person or entity treated as a partner) and the activities of the partnership. The tax consequences to such a partner or partnership are not
considered in this summary and partners and partnerships should consult their tax advisors with respect to the U.S. federal tax consequences of investing in our ordinary shares.

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This summary does not discuss all aspects of U.S. federal income taxation that may be relevant to a particular investor in light of its circumstances. Purchasers of our
ordinary  shares  should  consult  their  own  tax  advisors  with  respect  to  the  specific  U.S.  federal  income  tax  consequences  to  such  person  of  purchasing,  holding,  or
disposing of our ordinary shares, as well as the effect of any state, local, or other tax laws.

Distributions on Ordinary Shares

As noted above, we currently do not expect to pay cash dividends on our ordinary shares in the foreseeable future. Subject to the discussion under the heading “Passive
Foreign Investment Company Consequences,” U.S. holders are required to include in gross income the amount of any distribution paid on ordinary shares to the extent the
distribution is paid out of our current and/or accumulated earnings and profits, as determined for U.S. federal income tax purposes. To the extent a distribution paid with respect
to our ordinary shares exceeds our current and accumulated earnings and profits, such amount will be treated first as a non-taxable return of capital, reducing a U.S. holder’s tax
basis for our ordinary shares to the extent thereof, and thereafter as either long-term or short-term capital gain depending upon whether the U.S. holder has held our ordinary
shares for more than one year as of the time such distribution is received. Preferential tax rates for long-term capital gains are applicable for U.S. holders that are individuals,
estates, or trusts. However, we do not expect to maintain calculations of our earnings and profits under United States federal income tax principles. Therefore, U.S. holders
should expect that the entire amount of any distribution (without reduction for any Israeli tax withheld from such distribution) generally will be reported as dividend income
when actually or constructively received. The amount of the dividend will generally be treated as foreign-source dividend income to U.S. holders. A non-corporate U.S. holder
that meets certain eligibility requirements may qualify for a lower rate of U.S. federal income taxation on dividends paid if we are a “qualified foreign corporation” for U.S.
federal income tax purposes. We generally will be treated as a qualified foreign corporation if we are not a passive foreign investment company, or PFIC, in the taxable year in
which such dividends are paid or in the preceding taxable year (see discussion below), and (i) we are eligible for benefits under the United States-Israel income tax treaty or
(ii) our ordinary shares are listed on an established securities market in the United States (which includes the Nasdaq Global Market). In addition, a non-corporate U.S. holder
will not be eligible for a reduced U.S. federal income tax rate with respect to dividend distributions on ordinary shares if (a) such U.S. holder has not held our ordinary shares
for at least 61 days during the 121-day period starting on the date which is 60 days before, and ending 60 days after the ex-dividend date, (b) to the extent the U.S. holder is
under an obligation to make related payments on substantially similar or related property, or (c) with respect to any portion of a dividend that is taken into account by the U.S.
holder as investment income under Section 163(d)(4)(B) of the Code. Any days during which the U.S. holder has diminished its risk of loss with respect to ordinary shares (for
example, by holding an option to sell our ordinary shares) are not counted towards meeting the 61-day holding period. Non-corporate U.S. holders should consult their own tax
advisors concerning whether dividends received by them qualify for the reduced rate of tax.

Corporate U.S. holders generally will not be allowed a deduction for dividends received from us.

The amount of a distribution with respect to our ordinary shares equals the amount of cash and the fair market value of any property distributed plus the amount of any
Israeli taxes withheld therefrom. The amount of any cash distributions paid in NIS equals the U.S. dollar value of the NIS on the date of distribution based upon the exchange
rate in effect on such date, regardless of whether the NIS are converted into U.S. dollars at that time, and U.S. holders who include such distribution in income on such date will
have a tax basis in such NIS for U.S. federal income tax purposes equal to such U.S. dollar value. 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. However, if the U.S. holder converts the NIS into U.S. dollars on a later date, the U.S. holder must include,
in computing its income, any gain or loss resulting from any exchange rate fluctuations. The gain or loss will be equal to the difference between (i) the U.S. dollar value of the
amount included in income when the dividend was received and (ii) the amount received on the conversion of the NIS into U.S. dollars. Such gain or loss will generally be
ordinary  income  or  loss  and  United  States  source  income  for  U.S.  foreign  tax  credit  purposes.  U.S.  holders  should  consult  their  own  tax  advisors  regarding  the  tax
consequences to them if we pay dividends in NIS or any other non-U.S. currency.

Subject to certain significant conditions and limitations, including potential limitations under the U.S.-Israel Tax Treaty, U.S. holders may be entitled to a credit against
their U.S. federal income tax liability or a deduction against U.S. federal taxable income in an amount equal to the non-refundable Israeli tax withheld on distributions on our
ordinary shares. However, as a result of recent changes to the U.S. foreign tax credit rules, a withholding tax may need to satisfy certain additional requirements in order to be
considered  a  creditable  tax  for  a  U.S.  holder.  We  have  not  determined  whether  these  requirements  have  been  met  and,  accordingly,  no  assurance  can  be  given  that  any
withholding tax on dividends paid by us will be creditable. The election to deduct, rather than credit, foreign taxes, is made on a year-by-year basis and applies to all foreign
taxes paid by a U.S. holder or withheld from a U.S. holder that year. Distributions paid on our ordinary shares will generally be treated as passive income that is foreign source
for U.S. foreign tax credit purposes, which may be relevant in calculating a U.S. holder’s foreign tax credit limitation. The rules relating to the determination of the foreign tax
credit are complex, and U.S. holders should consult their own tax advisors to determine whether and to what extent they would be entitled to such credit.

121

 
 
 
 
 
 
 
 
Disposition of Ordinary Shares

Subject to the discussion under the heading “Passive Foreign Investment Company Consequences,” upon the sale, exchange or other disposition of ordinary shares, a
U.S. holder generally will recognize capital gain or loss in an amount equal to the difference between the amount realized on the disposition and such U.S. holder’s adjusted tax
basis in our ordinary shares. The adjusted tax basis in an ordinary share generally will be equal to the cost of such ordinary share. The capital gain or loss realized on the sale,
exchange, or other disposition of ordinary shares will be long-term capital gain or loss if the U.S. holder held our ordinary shares for more than one year as of the time of
disposition. Preferential tax rates for long-term capital gain will generally apply to non-corporate U.S. holders. Any gain or loss realized by a U.S. holder on the sale, exchange,
or other disposition of ordinary shares generally will be treated as from sources within the United States for U.S. foreign tax credit purposes. The deductibility of capital losses
for U.S. federal income tax purposes is subject to limitations.

U.S.  holders  should  consult  their  own  tax  advisors  regarding  the  U.S.  federal  income  tax  consequences  of  receiving  currency  other  than  U.S.  dollars  upon  the

disposition of their ordinary shares.

Disclosure of Reportable Transactions

If a U.S. holder sells or disposes of our ordinary shares at a loss or otherwise incurs certain losses that meet certain thresholds, such U.S. holder may be required to

file a disclosure statement with the IRS. Failure to comply with these and other reporting requirements could result in the imposition of significant penalties.

Passive Foreign Investment Company Consequences

Generally, a non-U.S. corporation will be a PFIC for U.S. federal income tax purposes in any taxable year in which either (i) 75% or more of its gross income for such
year consists of certain types of “passive” income or (ii) 50% or more of the average fair market value of its assets during such year (based on quarterly valuations) produce or
are  held  for  the  production  of  passive  income.  Passive  income  for  this  purpose  generally  includes  dividends,  interest,  rents,  royalties,  annuities,  income  from  certain
commodities transactions and from notional principal contracts, and the excess of gains over losses from the disposition of assets that produce passive income. Passive income
also includes amounts derived by reason of the temporary investment of funds, including those raised in a public offering. Assets that produce or are held for the production of
passive income may include cash, even if held as working capital or raised in a public offering, as well as marketable securities, and other assets that may produce passive
income. In determining whether a non-U.S. corporation is a PFIC, a proportionate share of the income and assets of each corporation in which it owns, directly or indirectly, at
least a 25% interest (by value) is taken into account.

A foreign corporation’s PFIC status is an annual determination that is based on tests that are factual in nature, and our PFIC status for any year will depend on the
composition  of  our  income,  fair  market  value  of  our  assets,  and  our  activities  for  such  year.  Based  on  our  non-passive  revenue-producing  operations  for  the  year  ended
December 31, 2023, we do not expect to be a PFIC for our 2023 taxable year. Because the PFIC determination is highly fact intensive, there can be no assurance that we were
not a PFIC in 2023 and will not be a PFIC in 2024 or any other year. Even if we determine that we are not a PFIC after the close of a taxable year, there can be no assurance
that the IRS or a court will agree with our conclusion.

If we were a PFIC for any taxable year during which a U.S. holder held ordinary shares, then unless an election has been made by a U.S. holder to be taxed under one
of the alternative regimes discussed below, gain recognized by a U.S. holder on a sale or other disposition (including certain pledges) of our ordinary shares would be allocated
ratably  over  the  U.S.  holder’s  holding  period  for  our  ordinary  shares. The  amounts  allocated  to  the  taxable  year  of  the  sale  or  other  disposition  and  to  any  year  before  we
became a PFIC would be taxed as ordinary income. The amount allocated to each other taxable year would be subject to tax at the highest rate in effect for individuals or
corporations,  as  appropriate,  for  that  taxable  year,  and  an  interest  charge  would  be  imposed  on  the  amount  allocated  to  that  taxable  year.  Similar  rules  would  apply  to  any
distribution with respect to our ordinary shares in excess of 125% of the average of the annual distributions received by a U.S. holder during the preceding three years or such
U.S. holder’s holding period, whichever is shorter. In addition, 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.

122

 
 
 
 
 
 
 
 
 
 
 
If we are a PFIC for any taxable year during which you hold our ordinary shares and our non-United States subsidiary is also a PFIC (the non-United States subsidiary
in such a case, the “lower-tier PFIC”),, a U.S. holder would be treated as owning a proportionate amount (by value) of the shares of the lower-tier PFIC for purposes of the
application of these rules and a disposition by us of the shares of the lower-tier PFIC or receipt by us of a distribution from the lower-tier PFIC generally will be treated as a
deemed disposition of such shares or the deemed receipt of such distribution by the U.S. holder, subject to taxation under the PFIC rules even though the U.S. holder does not
receive any proceeds from those dispositions or distributions. There can be no assurance that a U.S. holder will be able to make a “QEF” election with respect to the lower-tier
PFIC. U.S. holders are urged to consult their tax advisors about the application of the PFIC rules to our non-United States subsidiary.

If we are treated as a PFIC for any taxable year during the holding period of a non-electing U.S. holder (i.e., a U.S. holder that does not elect to be taxed under one of
the alternative regimes discussed below), we will continue to be treated as a PFIC for all succeeding years during which such non-electing U.S. holder is treated as a direct or
indirect holder even if we are not a PFIC for such years. A U.S. holder is encouraged to consult its tax advisor with respect to any available elections that may be applicable in
such a situation, including the “deemed sale” election of Section 1298(b)(1) of the Code.

Notwithstanding the default PFIC rules described in the preceding paragraphs, certain elections may be available that would result in alternative tax consequences;
i.e., the “qualified electing fund” or “QEF” election and the “mark to market” election. If a U.S. holder makes a timely and valid mark-to-market election, the U.S. holder
generally will recognize as ordinary income any excess of the fair market value of our ordinary shares at the end of each taxable year over their adjusted tax basis, and will
recognize an ordinary loss in respect of any excess of the adjusted tax basis of our ordinary shares over their fair market value at the end of the taxable year (but only to the
extent of the net amount of income previously included as a result of the mark-to-market election). The U.S. holder’s tax basis in our ordinary shares will be adjusted to reflect
the income or loss resulting from the mark-to-market election. Any gain recognized on the sale or other disposition of ordinary shares in a year when we are a PFIC will be
treated as ordinary income and any loss will be treated as an ordinary loss (but only to the extent of the net amount of income previously included as a result of the mark-to-
market election and any loss in excess of such amount will be treated as capital loss). The mark-to-market election is available only if we are a PFIC and our ordinary shares are
“regularly  traded”  on  a  “qualified  exchange”  within  the  meaning  of  applicable  U.S.  Treasury  regulations.  Our  ordinary  shares  will  be  treated  as  “regularly  traded”  in  any
calendar year in which more than a de minimis quantity of our ordinary shares are traded on a qualified exchange on at least 15 days during each calendar quarter. Although the
IRS has not published any authority identifying specific exchanges that may constitute “qualified exchanges,” Treasury Regulations provide that a qualified exchange is (i) a
U.S. securities exchange that is registered with the Securities and Exchange Commission, (ii) the U.S. market system established pursuant to Section 11A of the Securities and
Exchange Act of 1934, or (iii) a non-U.S. securities exchange that is regulated or supervised by a governmental authority of the country in which the market is located, provided
that: (a) such non-U.S. exchange has trading volume, listing, financial disclosure, surveillance, and other requirements designed to prevent fraudulent and manipulative acts and
practices, to remove impediments to and perfect the mechanism of a free and open, fair and orderly, market, and to protect investors, and the laws of the country in which such
non-U.S.  exchange  is  located  and  the  rules  of  such  non-U.S.  exchange  ensure  that  such  requirements  are  actually  enforced;  and  (b)  the  rules  of  such  non-U.S.  exchange
effectively promote active trading of listed shares. The Nasdaq Global Market is a qualified exchange for this purpose, but there can be no assurance that the trading in our
ordinary shares will be sufficiently regular to qualify our ordinary shares as marketable stock. A mark-to-market election will not apply to ordinary shares held by a U.S. holder
for any taxable year during which we are not a PFIC, but will remain in effect with respect to any subsequent taxable year in which we become a PFIC unless our ordinary
shares are no longer regularly traded on a qualified exchange or the IRS consents to the revocation of the election. Such election will not apply to any PFIC subsidiary that we
own.  Each  U.S.  holder  is  encouraged  to  consult  its  own  tax  advisor  with  respect  to  the  availability  and  tax  consequences  of  a  mark-to-market  election  with  respect  to  our
ordinary shares.

Another  way  in  which  certain  of  the  adverse  consequences  of  PFIC  status  can  be  mitigated  is  for  a  U.S.  holder  to  make  a  QEF  election.  Generally,  a  shareholder
making the QEF election is required for each taxable year to include in income a pro rata share of our ordinary earnings and net capital gain of the QEF, subject to a separate
election to defer payment of taxes, which deferral is subject to an interest charge. An election to treat us as a QEF will not be available if we do not provide the information
necessary to make such an election. We are not obligated and do not currently intend to provide the information necessary to make a QEF election and thus it is not expected
that a QEF election will be available for U.S. holders of our ordinary shares if we were a PFIC in any prior year, the current year or any future year.

123

 
 
 
 
 
 
U.S. holders should consult their tax advisors to determine under what circumstances these elections would be available and, if available, what the consequences of the

alternative treatments would be in their particular circumstances.

If a U.S. holder holds ordinary shares in any year in which we are treated as a PFIC, the U.S. holder will be required to file IRS Form 8621 and may be subject to

certain other information reporting requirements.

The U.S. federal income tax rules relating to PFICs are complex. U.S. holders are urged to consult their own tax advisors with respect to the consequences to them of
an investment in a PFIC, any elections available with respect to our ordinary shares and the IRS information reporting obligations with respect to the purchase, ownership, and
disposition of our ordinary shares in the event we are determined to be a PFIC.

Medicare Tax on Investment Income

In addition to the income taxes described above, U.S. holders that are individuals, estates, or trusts and whose income exceeds certain thresholds will be subject to a
3.8% tax on all or a portion of their “net investment income,” which generally would include dividends on, and dispositions of, our ordinary shares. U.S. holders should consult
their tax advisors with respect to the applicability of the 3.8% Medicare tax to their income and gains, if any, resulting from their investment in our ordinary shares.

Information Reporting and Backup Withholding

A  U.S.  holder  may  be  subject  to  backup  withholding  and  information  reporting  requirements  with  respect  to  cash  distributions  and  proceeds  from  a  disposition  of
ordinary  shares.  In  general,  backup  withholding  will  apply  only  if  a  U.S.  holder  fails  to  comply  with  certain  identification  procedures.  Information  reporting  and  backup
withholding  will  not  apply  with  respect  to  payments  made  to  certain  exempt  recipients,  such  as  corporations  and  tax-exempt  organizations.  Backup  withholding  is  not  an
additional tax and may be claimed as a credit against the U.S. federal income tax liability of a U.S. holder, provided that the required information is furnished to the IRS.

Tax Reporting

Certain U.S. holders will be required to file an IRS Form 926 (Return by a U.S. Transferor of Property to a Foreign Corporation) to report a transfer of cash or other
property to us. Substantial penalties may be imposed on a U.S. holder that fails to comply with this reporting requirement. Each U.S. holder is urged to consult with its own tax
advisor regarding this reporting obligation.

Foreign Asset Reporting

Certain  U.S.  holders  who  are  individuals  may  be  required  to  report  information  relating  to  an  interest  in  our  ordinary  shares,  subject  to  certain  exceptions.  For
example, certain U.S. holders that own “specified foreign financial assets” with an aggregate value in excess of $50,000 on the last day of the taxable year or $75,000 at any
time during the taxable year (or such higher dollar amount as may be prescribed by applicable IRS guidance) are generally required to file IRS Form 8938 with respect to such
assets with their tax returns. “Specified foreign financial assets” include any financial accounts maintained by foreign financial institutions, as well as any of the following, but
only if they are not held in accounts maintained by financial institutions: (i) stocks and securities issued by non-U.S. persons; (ii) financial instruments and contracts held for
investment  that  have  non-U.S.  issuers  or  counterparties;  and  (iii)  interests  in  foreign  entities.  Failure  to  file  IRS  Form  8938  for  each  applicable  taxable  year  may  result  in
substantial penalties and the statute of limitations on the assessment and collection of U.S. federal income taxes of such U.S. holder for the related taxable year may not close
until  three  years  after  the  date  on  which  the  required  information  is  filed.  U.S.  holders  are  urged  to  consult  their  tax  advisors  regarding  the  application  of  these  and  other
reporting requirements that may apply to their ownership of ordinary shares.

124

 
 
 
 
 
 
 
 
 
 
 
 
 
Non-U.S. Holders of Ordinary Shares

Except as provided below, a non-U.S. holder of ordinary shares generally will not be subject to U.S. income or withholding tax on the payment of dividends on and the

proceeds from the disposition of ordinary shares.

A non-U.S. holder may be subject to U.S. federal income tax on dividends received on ordinary shares or upon the receipt of income from the disposition of ordinary
shares if: (i) such income is effectively connected with the conduct by the non-U.S. holder of a trade or business in the United States or, in the case of a resident of a country
which has an applicable income tax treaty with the United States, such item is attributable to a permanent establishment or a fixed place of business of the non-U.S. holder in
the United States; (ii) with respect to a U.S. holder that is an individual, the non-U.S. holder is an individual who is present in the United States for 183 days or more in the
taxable year of the sale and certain other conditions are met; or (iii) the non-U.S. holder is subject to tax pursuant to the provisions of the U.S. tax laws applicable to certain
former citizens or residents of the United States.

Payments to non-U.S. holders of distributions on, or proceeds from the disposition of, ordinary shares are generally exempt from information reporting and backup
withholding.  However,  a  non-U.S.  holder  may  be  required,  under  certain  circumstances,  to  establish  that  exemption  by  providing  certification  of  non-U.S.  status  on  an
appropriate IRS Form W-8.

THE  DISCUSSION  ABOVE  IS  A  GENERAL  SUMMARY  AND  IS  NOT  INTENDED  TO  CONSTITUTE  A  COMPLETE  ANALYSIS  OF  ALL  TAX
CONSEQUENCES  RELATING TO THE  PURCHASE,  OWNERSHIP AND  DISPOSITION  OF  OUR  ORDINARY  SHARES.  IT  DOES  NOT  COVER ALL TAX
MATTERS THAT MAY BE OF IMPORTANCE TO A U.S. HOLDER. EACH U.S. HOLDER IS URGED TO CONSULT ITS OWN TAX ADVISOR ABOUT THE
TAX  CONSEQUENCES  TO  IT  RELATING  TO  THE  PURCHASE,  OWNERSHIP,  AND  DISPOSITION  OF  ORDINARY  SHARES  IN  LIGHT  OF  THE
INVESTOR’S OWN CIRCUMSTANCES.

F. Dividends and Paying Agents

Not applicable.

G. Statement by Experts

Not applicable.

H. Documents on Display

We are subject to certain information reporting requirements of the Exchange Act, applicable to foreign private issuers and under those requirements will file reports
with the SEC. The SEC maintains an internet site at http://www.sec.gov that contains reports, proxy and information statements and other information regarding issuers that file
electronically with the SEC. Our filings with the SEC will also be available to the public through the SEC’s website at www.sec.gov.

As a foreign private issuer, we are exempt from the rules under the Exchange Act related to the furnishing and content of proxy statements, and our officers, directors
and principal shareholders will be exempt from the reporting and short-swing profit recovery provisions contained in Section 16 of the Exchange Act. In addition, we are not
required under the Exchange Act to file annual, quarterly and current reports and financial statements with the SEC as frequently or as promptly as U.S. domestic companies
whose  securities  are  registered  under  the  Exchange Act.  However,  we  will  file  with  the  SEC,  within  120  days  after  the  end  of  each  fiscal  year,  or  such  applicable  time  as
required by the SEC, an annual report on Form 20-F containing financial statements audited by an independent registered public accounting firm, and may submit to the SEC,
on a Form 6-K, unaudited quarterly financial information.

125

 
 
 
 
 
 
 
 
 
 
 
 
 
 
I. Subsidiary Information.

Not applicable.

J. Annual Report to Security Holders.

Not applicable.

ITEM 11. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

We are exposed to market risk in the ordinary course of our business. Market risk represents the risk of loss that may impact our financial position due to adverse

changes in financial market prices and rates. Our market risk exposure is primarily a result of fluctuations in foreign currency exchange rates and interest rates.

Foreign Currency Exchange Risk

Our functional and reporting currency is the U.S. dollar. Our foreign currency exposures give rise to market risk associated with exchange rate movements of the NIS,
mainly against the U.S. dollar and the Euro. A material portion of our expenses consist principally of payments in NIS made to employees, subcontractors and consultants for
clinical  trials,  other  research  and  development  activities,  and  purchase  of  new  equipment.  A  material  portion  of  our  research  and  development  is  conducted  through
collaboration  agreements  denominated  in  U.S.  dollars,  and  therefore  our  net  research  and  development  expenses  are  subject  to  significant  foreign  currency  risk.  If  the  NIS
fluctuates significantly against either the U.S. dollar or the Euro, it may have a negative impact on our results of operations.

To date, we have not entered into any hedging arrangements with respect to foreign currency risk or other derivative financial instruments. In the future, we may enter
into currency hedging transactions to decrease the risk of financial exposure from fluctuations in the operating currencies. These measures, however, may not adequately protect
us from the material adverse effects of such fluctuations.

Interest Rate Risk

At present, our investments consist primarily of cash and cash equivalents in short-term deposits. The primary objective of our investment activities is to preserve our
capital to fund our operations. Our investments are exposed to market risk due to fluctuation in interest rates, which may affect our interest income and the fair market value of
our investments, if any. We manage this exposure by performing ongoing evaluations of our investments. Due to the short-term maturities, if any, of our investments to date,
their carrying value has always approximated their fair value. We believe that our exposure to interest rate risk is not significant and a 1% change in market interest rates would
not have a material impact on our assets.

ITEM 12. DESCRIPTION OF SECURITIES OTHER THAN EQUITY SECURITIES

A. Debt Securities.

Not applicable.

B. Warrants and rights.

Not applicable.

C. Other Securities.

Not applicable.

D. American Depositary Shares

Not applicable.

126

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
ITEM 13. DEFAULTS, DIVIDEND ARREARAGES AND DELINQUENCIES

None.

PART II

ITEM 14. MATERIAL MODIFICATIONS TO THE RIGHTS OF SECURITY HOLDERS AND USE OF PROCEEDS

There are no material modifications to the rights of security holders.

ITEM 15. CONTROLS AND PROCEDURES

(a) Disclosure Controls and Procedures

Our management, with the participation of our Chief Executive Officer and Deputy CEO & Chief Financial Officer, has evaluated the effectiveness of our disclosure
controls and procedures (as such term is defined in Rules 13a-15(c) and 15d-15(e) under the Exchange Act) as of December 31, 2023, or the Evaluation Date. Based on such
evaluation,  those  officers  have  concluded  that,  as  of  the  Evaluation  Date,  our  disclosure  controls  and  procedures  are  effective  in  recording,  processing,  summarizing  and
reporting, on a timely basis, information required to be included in periodic filings under the Exchange Act and that such information is accumulated and communicated to
management, including our principal executive and financial officers, as appropriate to allow timely decisions regarding required disclosure.

(b) Management’s Annual Report on Internal Control over Financial Reporting

Our  management  is  responsible  for  establishing  and  maintaining  adequate  internal  control  over  our  financial  reporting.  Internal  control  over  financial  reporting  is
defined  in  Rule  13a-15(f)  or  15d-15(f)  promulgated  under  the  Exchange Act  as  a  process  designed  by,  or  under  the  supervision  of,  the  company’s  principal  executive  and
principal  financial  officers  and  effected  by  the  company’s  board  of  directors,  management  and  other  personnel,  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 and includes those policies and
procedures that:

● pertain to the maintenance of records that in reasonable detail accurately and fairly reflect the transaction and dispositions of the assets of the company;

● provide  reasonable  assurance  that  transactions  are  recorded  as  necessary  to  permit  preparation  of  financial  statements  in  accordance  with  generally  accepted
accounting principles, and that receipts and expenditures of the company are being made only in accordance with authorizations of management and directors of
the company; and

● provide reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use or disposition of the company’s assets that could have a

material effect on the financial statements.

Because of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Projections of any evaluation of effectiveness to
future periods are subject to the risk that controls may become inadequate because of changes in conditions, or that the degree of compliance with the policies or procedures
may deteriorate.

Our management assessed the effectiveness of our internal control over financial reporting as of December 31, 2023. In making this assessment, our management used
the criteria set forth by the Committee of Sponsoring Organizations of the Treadway Commission (COSO) in Internal Control-Integrated Framework (2013). Based on that
assessment, our management concluded that as of December 31, 2023, our internal control over financial reporting was effective.

127

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
(c) Attestation Report of the Registered Public Accounting Firm

Our independent registered public accounting firm, Kost Forer Gabbay & Kasierer, a member of EY Global, has audited the consolidated financial statements included
in this Annual Report on Form 20-F, and as part of its audit, has issued its attestation report regarding the effectiveness of our internal control over financial reporting as of
December  31,  2023.  The  report  of  Kost  Forer  Gabbay  &  Kasierer  is  included  with  our  consolidated  financial  statements  included  elsewhere  in  this Annual  Report  and  is
incorporated herein by reference.

(d) Changes in Internal Control over Financial Reporting

There were no changes in our internal control over financial reporting (as such term is defined in Rules 13a-15(f) and 15d-15(f) under the Exchange Act) that occurred

during the period covered by this Annual Report that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.

ITEM 16. [RESERVED]

ITEM 16A. AUDIT COMMITTEE FINANCIAL EXPERT

Our board of directors has determined that one member of our audit committee, Dr. Elan Penn, is an audit committee financial expert, as defined under the rules under

the Exchange Act, and is independent in accordance with applicable Exchange Act rules and the Nasdaq Listing Rules.

ITEM 16B. CODE OF ETHICS

Our board of directors has adopted a Code of Business Conduct and Ethics applicable to all of our directors and employees, including our Chief Executive Officer,
Chief Financial Officer, controller or principal accounting officer, or other persons performing similar functions, which is a “code of ethics” as defined in Item 16B of Form 20-
F promulgated by the SEC. The full text of the Code of Business Conduct and Ethics is posted on our website at www.CollPlant.com. Information contained on, or that can be
accessed through, our website does not constitute a part of this a part of this Annual Report on Form 20-F and is not incorporated by reference herein. In November 2023, our
board of directors adopted an amendment to our Code of Business Conduct and Ethics, focusing on Environmental, Governance and Corporate (ESG) aspects, to strengthen our
dedication to responsible business conduct and aligning with current governance best practices. If we make any amendment to the Code of Business Conduct and Ethics or
grant any waivers, including any implicit waiver, from a provision of the Code of Business Conduct and Ethics, we will disclose the nature of such amendment or waiver on our
website to the extent required by the rules and regulations of the SEC. We have not granted any waivers under our Code of Business Conduct and Ethics.

ITEM 16C. PRINCIPAL ACCOUNTANT FEES AND SERVICES

The following table provides information regarding fees paid by us to Kost Forer Gabbay and Kasierer and/or other member firms of Ernst and Young Global and to
Kesselman & Kesselman and/or other member firms of PricewaterhouseCoopers International Limited for all services, including audit services, for the years ended December
31, 2023 and 2022:

(USD in thousands)
Audit fees (1)
Tax fees(2)
All other fees
Total

2023

2022

261     
12     
63     
336     

230 
12 
54 
296 

(1) The audit fees for the years ended December 31, 2023 and 2022 includes professional services rendered in connection with the audit of our annual consolidated financial
statements and the review of our consolidated interim financial statements, statutory audits of the Company and its subsidiaries, issuance of consents and assistance with
review of documents filed with the SEC.

(2) Tax fees for the years ended December 31, 2023 and 2022 were for services related to tax advice, including assistance with tax audit.

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Pre-Approval of Auditors’ Compensation

Our  audit  committee  has  a  pre-approval  policy  for  the  engagement  of  our  independent  registered  public  accounting  firm  to  perform  certain  audit  and  non-audit
services. Pursuant to this policy, which is designed to assure that such engagements do not impair the independence of our auditors, the audit committee pre-approves annually
a catalog of specific audit and non-audit services in the categories of audit services, audit-related services and tax services that may be performed by our independent registered
public accounting firm. If a type of service, that is to be provided by our auditors, has not received such general pre-approval, it will require specific pre-approval by our audit
committee. The policy prohibits retention of the independent registered public accounting firm to perform the prohibited non-audit functions defined in applicable SEC rules.

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

Under the Companies Law, companies incorporated under the laws of the State of Israel, whose shares are publicly traded, including companies whose shares are listed
on the Nasdaq Global Market are considered public companies under Israeli law and are required to comply with various corporate governance requirements under Israeli law
relating  to  such  matters  as  external  directors,  the  audit  committee,  compensation  committee,  compensation  policy,  company’s  auditors,  and  an  internal  auditor.  These
requirements are in addition to the corporate governance requirements imposed by the Nasdaq Listing Rules, and other applicable provisions of U.S. securities laws to which
we  are  subject  as  a  foreign  private  issuer  due  to  the  listing  of  our  ordinary  shares  on  the  Nasdaq  Global  Market.  However,  pursuant  to  regulations  promulgated  under  the
Companies Law, companies with shares traded on certain U.S. stock exchanges, including the Nasdaq Global Market, may, subject to certain conditions, “opt out” from the
requirement  of  the  Companies  Law  to  appoint  external  directors  (i.e.,  adopt  the  Exemption)  and  related  Companies  Law  rules  concerning  the  composition  of  the  audit
committee and compensation committee of the board of directors (other than the gender diversification rule under the Companies Law which requires the appointment of a
director from the other gender if, at the time a director is appointed, all members of the board of directors are of the same gender). In accordance with these regulations, we
have  elected  to  “opt  out”  from  such  requirements  of  the  Companies  Law.  For  further  information,  see  “Item  6.C.  –  Board  Practices  -  Board  of  Directors”.  Under  these
regulations,  the  exemptions  from  such  Companies  Law’s  requirements  will  continue  to  be  available  to  us  so  long  as  we  comply  with  the  following:  (i)  we  do  not  have  a
“controlling shareholder” (as such term is defined under the Companies Law), (ii) our shares are traded on certain U.S. stock exchanges, including the Nasdaq Global Market,
and (iii) we comply with the director independence requirements and the requirements regarding the composition of the audit committee and the compensation committee under
U.S. laws (including applicable Nasdaq rules) applicable to U.S. domestic issuers.

129

 
 
 
 
 
 
 
 
 
 
 
 
Additionally, on March 3, 2024, the Knesset's Legislative Committee approved an amendment to the Companies Regulations (Reliefs for Companies whose Securities
are Traded Outside of Israel), 2000, or the Relief Regulations, and the Amendment, which came into effect on March 12, 2024. The following is a brief overview of the main
provisions of the Amendment that may be applicable to the Company:

-

-

-

-

Share Buybacks – under the Companies Law, a distribution by an Israeli company by means of a share buyback requires the court’s approval if it does not meet the
profit test stipulated under the Companies Law. Under the Amendment, the board of directors of foreign- and dual-listed companies (including the Company) may
approve a share buyback without approaching the court if several conditions are met, as stipulated in the Relief Regulations.

Substantial Private Placements – Under the Companies Law, a Substantial Private Placement, as such term is defined in the Companies Law, requires the approval of
the board of directors and then the general meeting of shareholders of a company subject to certain exceptions, under which the requirement to obtain shareholders’
approval is removed. Prior to the Amendment, foreign-listed companies were able to enjoy a relief that enabled them to opt-out of the Companies Law provisions
altogether  with  respect  to  substantial  private  placements.  Pursuant  to  the Amendment,  foreign-  and  dual-listed  companies  are  able  to  enjoy  this  relief  only  if  they
choose to comply with the legal requirements pertaining to private placements that would apply to a company that is incorporated in the country where the company is
traded (in our case, to act as a domestic issuer under U.S. rules).

Reliefs Relating to General Meetings – the Amendment introduces certain provisions intended to streamline the procedures relating to general meetings and align these
with the provisions that apply in the country where the securities of the foreign- or dual-listed company are traded. These include reliefs regarding the publication of a
notice  of  a  general  meeting  and  the  removal  of  the  requirement  to  produce  voting  cards,  position  statements  and  powers  of  attorney  if  the  foreign-  or  dual-listed
company complies with the relevant requirements that would apply to a company that is incorporated in the country where that company is traded. The Amendment
also extends the record date for a general meeting to up to 60 days prior to the date of the general meeting, and simplifies the process for a shareholder to inform the
company of a personal interest or absence thereof.

Addition of an Item to the Agenda of a General Meeting – Proposal of a Candidate to Serve as a Director on the Board – under the Companies Law, a shareholder
holding 1% at least of a company’s voting rights may request the board of directors to add an item to the agenda of a general meeting, if such item is appropriate to be
discussed by the general meeting. This would include the proposal of a candidate to serve as a director on the board of directors. The Amendment raises the threshold
specifically for the purpose of proposing a candidate for a position on the board of directors from 1% to 5% in foreign- and dual-listed companies.

Under the Nasdaq Listing Rules, a foreign private issuer, such as us, may generally follow its home country rules of corporate governance in lieu of the comparable
requirements  of  the  Nasdaq  Global  Market,  except  for  certain  matters  including  (among  others)  the  composition  and  responsibilities  of  the  audit  committee  and  the
independence of its members within the meaning of the rules and regulations of the SEC.

We intend to rely on this “home country practice exemption” with respect to the following Nasdaq Listing Rules:

● Quorum  requirements.  As  permitted  under  the  Companies  Law  pursuant  to  our  articles  of  association,  the  quorum  required  for  an  ordinary  meeting  of
shareholders will consist of at least two shareholders present in person, by proxy or by other voting instrument in accordance with the Companies Law, who hold
at least 20% of the voting power of our shares (and in an adjourned meeting, with some exceptions, any number of participating shareholders), instead of 331/3%
of the issued share capital required under the Nasdaq Listing Rules.

● Distribution  of  certain  reports  to  shareholders.  As  opposed  to  the  Nasdaq  Listing  Rules,  which  require  listed  issuers  to  make  its  annual  reports  available  to
shareholders in one of a number of specific manners, Israeli law does not require that we distribute annual reports, including our financial statements. As such, the
generally accepted business practice in Israel is to distribute such reports to shareholders through a public regulated distribution website. In addition to making
such reports available on a public regulated distribution website, we plan to make our audited financial statements available to our shareholders at our offices and
will only mail such reports to shareholders upon request. As a foreign private issuer, we are generally exempt from the SEC’s proxy solicitation rules.

130

 
 
 
 
 
 
 
 
 
 
 
 
 
● Shareholder approval. We will seek shareholder approval for all corporate actions requiring such approval under the requirements of the Companies Law, rather
than seeking approval for corporate actions in accordance with Nasdaq Listing Rule 5635. In particular, under this Nasdaq Listing Rule, shareholder approval is
generally required for: (i) an acquisition of shares or assets of another company that involves the issuance of 20% or more of the acquirer’s shares or voting rights
or  if  a  director,  officer  or  5%  shareholder  has  greater  than  a  5%  interest  in  the  target  company  or  the  consideration  to  be  received;  (ii)  the  issuance  of  shares
leading to a change of control; (iii) adoption or amendment of equity compensation arrangements; and (iv) issuances of 20% or more of the shares or voting rights
(including securities convertible into, or exercisable for, equity) of a listed company via a private placement (or via sales by directors, officers or 5% shareholders)
if  such  equity  is  issued  (or  sold)  at  below  the  greater  of  the  book  or  market  value  of  shares.  By  contrast,  under  the  Companies  Law,  shareholder  approval  is
required  (subject  to  certain  limited  exceptions)  for,  among  other  things:  (a)  transactions  with  directors  concerning  the  terms  of  their  service  (including
indemnification, exemption, and insurance for their service or for any other position that they may hold at a company), for which approvals of the compensation
committee, board of directors, and shareholders are all required; (b) extraordinary transactions with controlling shareholders of publicly held companies, which
require the special approval described below under “Disclosure of Personal Interests of Controlling Shareholders and Approval of Certain Transactions;” (c) terms
of office and employment or other engagement of our controlling shareholder, if any, or such controlling shareholder’s relative, which require the special approval
described  below  under  “Disclosure  of  Personal  Interests  of  Controlling  Shareholders  and Approval  of  Certain Transactions;”  (d)  approval  of  transactions  with
Company’s Chief Executive Officer with respect to his or hers compensation, whether in accordance with the approved compensation policy of the Company or
not  in  accordance  with  the  approved  compensation  policy  of  the  Company,  or  transactions  with  officers  of  the  Company  not  in  accordance  with  the  approved
compensation policy; and (e) approval of the compensation policy of the Company for office holders. In addition, under the Companies Law, a merger requires
approval of the shareholders of each of the merging companies.

Except as stated above, we intend to comply with the rules generally applicable to U.S. domestic companies listed on the Nasdaq Global Market. We may in the future
decide  to  use  other  foreign  private  issuer  exemptions  with  respect  to  some  or  all  of  the  other  Nasdaq  Listing  Rules.  Following  our  home  country  governance  practices,  as
opposed to the requirements that would otherwise apply to a company listed on the Nasdaq Global Market, may provide less protection than is accorded to investors under the
Nasdaq Listing Rules applicable to domestic issuers.

ITEM 16H. MINE SAFETY DISCLOSURE

Not applicable.

ITEM 16I. DISCLOSURE REGARDING FOREIGN JURISDICTIONS THAT PREVENT INSPECTIONS

Not applicable.

ITEM 16J. INSIDER TRADING POLICIES

Pursuant to applicable SEC transition guidance, the disclosure required by Item 16J will only be applicable to the Company from the fiscal year ending on December

31, 2024.

ITEM 16K. CYBERSECURITY

We have developed and maintain a cybersecurity risk management program, consisting of cybersecurity policies, procedures, compliance and awareness programs to
mitigate  risk  and  to  ensure  compliance  with  security,  availability  and  confidentiality  trust  principles.  The  cybersecurity  process  has  been  integrated  into  our  overall  risk
management system and process, and is solely internally managed. Management is responsible for identifying risks that threaten achievement of the control activities stated in
the management’s description of the services organizations systems. Management has implemented a process for identifying relevant risks that could affect the organization’s
ability to provide secure and reliable service to its users. The risk assessment occurs annually, or as business needs change, and covers identification of risks that could act
against the Company's objectives as well as specific risks related to a compromise to the security of data. See “Item 3.D — Risk Factors — Risks Related to Our Business
Operations— Our business and operations would suffer in the event of computer system failures or security breaches.”

131

 
 
 
 
 
 
 
 
 
 
 
 
 
The level of each identified risk is determined by considering the impact of the risk itself and the likelihood of the risk materializing and high scoring risks are actioned
upon. Risks are analyzed to determine whether the risk meets Company risk acceptance criteria to be accepted or whether a mitigation plan will be applied. Mitigation plans
include both the individual or department responsible for the plan and may include budget considerations.

The oversight of cybersecurity threats is undertaken by our information technology manager, supported by our management and external professional consultants. Our

management is responsible for cybersecurity oversight and monitoring risk.

As of the date of this report, we have not, to our knowledge, experienced any material IT system failures or any material cybersecurity attacks, and we are not aware of
any material risks from cybersecurity threats that have materially affected or are reasonably likely to materially affect us, including our business strategy, results of operations
or financial condition.

ITEM 17. FINANCIAL STATEMENTS

We have elected to provide financial statements and related information pursuant to Item 18.

ITEM 18. FINANCIAL STATEMENTS

PART III

The consolidated financial statements and the related notes required by this Item are included in this Annual Report on Form 20-F beginning on page F-1.

ITEM 19. EXHIBITS.

Exhibit No.
1.1

  Exhibit Description
  Memorandum of Association of the Company (unofficial English translation from Hebrew original) (included as Exhibit 3.1 to our Registration Statement on

Form F-1 as filed with the Securities and Exchange Commission on October 21, 2016, and incorporated herein by reference).

1.2

2.1

4.1

4.2†

  Amended  and  Restated Articles  of Association  of  the  Company,  as  currently  in  effect  (unofficial  English  translation  from  Hebrew  original).  (included  as
Exhibit 1.2 to our Annual Report on Form 20-F filed with the Securities and Exchange Commission on March 26, 2021, and incorporate herein by reference)

  Description of Securities Registered under Section 12 (included as Exhibit 2.1 to our Annual Report on Form 20-F filed with the Securities and Exchange

Commission on March 29, 2023, and incorporate herein by reference).

  Form  of  Letter  of  Indemnification Agreement  (included  as  Exhibit   A  to  Exhibit  99.1  to  our  Report  on  Form  6-K  filed  with  the  Securities  and  Exchange

Commission on June 8, 2023, and incorporated herein by reference)

  Agreement,  dated  July  13,  2004,  by  and  among  Meytav—Technological  Innovation  Center  Ltd.,  Yehuda  Zafrir  Fagin,  Yissum  Research  Development
Company of the Hebrew University of Jerusalem Ltd., or Yissum, and Prof. Oded Shoseyov (includes unofficial English translation of certain exhibits from
Hebrew original) (included as Exhibit 10.2 to our Registration Statement on Form F-1 as filed with the Securities and Exchange Commission on October 21,
2016, and incorporated herein by reference)

132

 
 
 
 
 
 
 
 
 
 
 
 
   
 
   
 
   
 
   
 
4.3#*

4.4#*

4.5#

4.6#

4.7

  Employee Share Ownership and Option Plan (2010) (as amended))

  Employee Share Ownership and Option Plan (2024)

  Employment Agreement dated September 30, 2009 between CollPlant Ltd. and Yehiel Tal (includes unofficial English translation of an exhibit from Hebrew
original) (included as Exhibit 10.5 to our Registration Statement on Form F-1 as filed with the Securities and Exchange Commission on October 21, 2016, and
incorporated herein by reference)

  Employment  Agreement  dated  October  30,  2011  between  CollPlant  Ltd.  and  Eran  Rotem  (includes  unofficial  English  translation  of  certain  exhibits  from
Hebrew original) (included as Exhibit 10.6 to our Registration Statement on Form F-1 as filed with the Securities and Exchange Commission on October 21,
2016, and incorporated herein by reference)

  Waiver  dated  September  10,  2017  to Agreement,  dated  July  13,  2004,  by  and  among  Meytav—Technological  Innovation  Center  Ltd., Yehuda  Zafrir  Fagin,
Yissum Research Development Company of the Hebrew University of Jerusalem Ltd., or Yissum, and Prof. Oded Shoseyov (included as Exhibit 10.8 to our
Amendment No. 3 to the Registration Statement on Form F-1 as filed with the Securities and Exchange Commission on November 22, 2017, and incorporated
herein by reference)

4.8†

  Rental Agreement, dated November 15, 2018, as amended (unofficial English translation from Hebrew original) (included as Exhibit 4.24 to our Annual Report

on Form 20-F as filed with the Securities and Exchange Commission on April 1, 2019, and incorporated herein by reference)

4.9

  Form of Securities Purchase Agreement dated as of February 11, 2021 by and between the Company and the Purchasers named therein (included as Exhibit 10.1

to our Report on Form 6-K filed with the Securities and Exchange Commission on February 17, 2021, and incorporated herein by reference)

4.10#

  Amended  and  Restated  Compensation  Policy  (included  as  Exhibit  B  to  Exhibit  99.1  to  our  Report  on  Form  6-K  filed  with  the  Securities  and  Exchange

Commission on June 8, 2023, and incorporated herein by reference)

8.1

  Subsidiaries of the Company (included as Exhibit 8.1 to our Annual Report on Form 20-F as filed with the Securities and Exchange Commission on March 24,

2022, and incorporated herein by reference)

12.1*

12.2*

13.1*

13.2*

15.1*

97.1#

101

  Certification of the Chief Executive Officer pursuant to rule 13a-14(a) of the Securities Exchange Act of 1934

  Certification of the Chief Financial Officer pursuant to rule 13a-14(a) of the Securities Exchange Act of 1934

  Certification of the Chief Executive Officer pursuant to 18 U.S.C. 1350

  Certification of the Chief Financial Officer pursuant to 18 U.S.C. 1350

  Consent of Kost Forer Gabbay & Kasierer, a member firm of Ernst & Young Global, Independent Registered Public Accounting Firm.

  Clawback Policy (included as Exhibit A to Exhibit B to Exhibit 99.1 to our Report on Form 6-K filed with the Securities and Exchange Commission on June 8,

2023, and incorporated herein by reference)

  The following financial information from CollPlant Biotechnologies Ltd.’s Annual Report on Form 20-F for the year ended December 31, 2023, formatted in
Inline  Extensible  Business  Reporting  Language  (IXBRL):  (i)  Consolidated  Balance  Sheet,  (ii)  Consolidated  Statements  of  Operations,  (iii)  Statements  of
Changes in Equity, (iv) Consolidated Statements of Cash Flows and (iv) Notes to Consolidated Financial Statements.*

104

  Cover Page Interactive Data File (formatted as Inline iXBRL and contained in Exhibit 101).

*

†

Filed herewith.

Portions of this exhibit have been omitted and filed separately with the Securities and Exchange Commission pursuant to a confidential treatment request.

# Management contract or compensatory plan.

133

 
 
 
   
 
   
 
   
 
   
 
   
 
   
 
   
 
   
 
   
 
   
 
   
 
   
 
   
 
   
 
   
 
   
 
 
 
 
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

Annual Report on Form 20-F filed on its behalf.

SIGNATURES

Date: April 4, 2024

COLLPLANT BIOTECHNOLOGIES LTD.

By:

/s/ Eran Rotem
Eran Rotem
Deputy CEO and Chief Financial Officer

134

 
 
 
 
 
 
 
 
 
 
 
 
 
COLLPLANT BIOTECHNOLOGIES LTD.
FINANCIAL STATEMENTS

AS OF DECEMBER 31, 2023

U.S. DOLLARS IN THOUSANDS

INDEX

Report of Independent Registered Public Accounting Firm (Firm Name: Kost Forer Gabay & Kasierer / PCAOB ID No. 1281)

Consolidated Balance Sheets

Consolidated Statements of Operations

Consolidated Statements of Changes in Shareholders’ Equity

Consolidated Statements of Cash Flows

Notes to the Consolidated Financial Statements

F-1

Page

F-2-F-4

F-5-F-6

F-7

F-8

F-9-F-10

F-11-F-32

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Kost Forer Gabbay & Kasierer
144 Menachem Begin Road, Building A,
Tel-Aviv 6492102, Israel

Tel: +972-3-6232525
Fax: +972-3-5622555
ey.com

Report of Independent Registered Public Accounting Firm

To the Shareholders and the Board of Directors of

CollPlant Biotechnologies Ltd.

Opinion on the Financial Statements

We have audited the accompanying consolidated balance sheets of CollPlant Biotechnologies Ltd. (the Company) as of December 31, 2023 and 2022, the related consolidated
statements of operations, shareholders’ equity and cash flows for each of the three years in the period ended December 31, 2023, and the related notes (collectively referred to
as the “consolidated financial statements”). In our opinion, the consolidated financial statements present fairly, in all material respects, the financial position of the Company at
December 31, 2023 and 2022, and the results of its operations and its cash flows for each of the three years in the period ended December 31, 2023, in conformity with U.S.
generally accepted accounting principles.

We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States) (PCAOB), the Company's internal control over
financial reporting as of December 31, 2023, based on criteria established in Internal Control-Integrated Framework issued by the Committee of Sponsoring Organizations of
the Treadway Commission (2013 framework), and our report dated April 4, 2024, expressed an unqualified opinion thereon.

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  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 audit to obtain reasonable assurance about
whether the financial statements are free of material misstatement, whether due to error or fraud. 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.

Critical Audit Matter

The  critical  audit  matter  communicated  below  is  a  matter  arising  from  the  current  period  audit  of  the  financial  statements  that  was  communicated  or  required  to  be
communicated to the audit committee and that: (1) relates to accounts or disclosures that are material to the financial statements and (2) involved our especially challenging,
subjective or complex judgments. The communication of the critical audit matter does not alter in any way our opinion on the consolidated financial statements, taken as a
whole, and we are not, by communicating the critical audit matter below, providing a separate opinion on the critical audit matter or on the accounts or disclosures to which it
relates.

F-2

 
 
 
 
 
 
 
 
 
 
 
 
 
 
Liquidity and Capital Resources

Description of the Matter

  As discussed in Note 1 to the consolidated financial statements, the Company has incurred operating losses and negative cash-flow from
operations since inception. The Company’s operations are dependent on its ability to raise additional funds. This dependency will continue
until  the  Company  will  be  able  to  completely  finance  its  operations  by  generating  revenue  from  its  product  candidates.  Management  has
concluded that, based on its current projections and plans, the Company will be able to satisfy its liquidity requirements for at least one year
from the date these financial statements were issued.

  We  identified  the  assessment  of  liquidity  and  the  Company’s  ability  to  continue  as  a  going  concern  as  a  critical  audit  matter  due  to  the
subjective judgments required of management to conclude the Company would have sufficient liquidity to sustain itself for at least a year
beyond  the  date  of  the  issuance  of  the  consolidated  financial  statements.  This  in  turn  led  to  a  high  degree  of  auditor  subjectivity  and
judgment to evaluate the audit evidence supporting the liquidity conclusions.

How We Addressed the Matter
in Our Audit

  Addressing  the  matter  involved  performing  procedures  and  evaluating  audit  evidence  in  connection  with  our  overall  opinion  on  the
consolidated financial statements. These procedures included testing the effectiveness of internal controls relating to the company's going
concern  assessment  process.  We  tested  controls  over  management’s  process  to  forecast  financial  results  and  liquidity,  including
management's review of significant assumptions and the completeness and accuracy of underlying data used in the forecast.

  These procedures also included, among others, testing the completeness, accuracy, and relevance of underlying data used in the Company's
assessment; and evaluating the reasonableness of the assumptions included in the forecasted cash flows used by management.  Evaluating
the forecasted cash flows involved evaluating whether the underlying assumptions were reasonable considering (i) the Company’s current
and past performance, (ii) whether these assumptions were consistent with evidence obtained in other areas of the audit.

  We also compared the Company’s historical forecast to its actual results to assess the Company’s ability to accurately forecast and assessed
the  sensitivity  and  impact  of  reasonably  possible  changes  in  the  key  assumptions  and  estimates  included  in  management’s  cash  flow
forecasts and liquidity position.

In addition, we assessed the adequacy of the company’s liquidity and capital resources disclosures included in note 1 to the consolidated
financial statements.

/s/ Kost Forer Gabbay & Kasierer

A Member of EY Global

We have served as the Company’s auditor since 2020.

Tel-Aviv, Israel

April 4, 2024

F-3

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Kost Forer Gabbay & Kasierer
144 Menachem Begin Road, Building A,
Tel-Aviv 6492102, Israel 

Tel: +972-3-6232525
Fax: +972-3-5622555
ey.com 

Report of Independent Registered Public Accounting Firm

To the Shareholders and the Board of Directors of

CollPlant Biotechnologies Ltd.

Opinion on Internal Control Over Financial Reporting

We  have  audited  CollPlant  Biotechnologies  Ltd.'s  internal  control  over  financial  reporting  as  of  December  31,  2023,  based  on  criteria  established  in  Internal  Control—
Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission (2013 framework), (the COSO criteria). In our opinion, CollPlant
Biotechnologies  Ltd.  (the  Company)  maintained,  in  all  material  respects,  effective  internal  control  over  financial  reporting  as  of  December  31,  2023,  based  on  the  COSO
criteria.

We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States) (PCAOB), the consolidated balance sheets of the
Company as of December 31, 2023 and 2022, the related consolidated statements of operations, shareholders' equity and cash flows for each of the three years in the period
ended December 31, 2023, and the related notes and our report dated April 4, 2024 expressed an unqualified opinion thereon.

Basis for Opinion

The Company’s management is responsible for maintaining effective internal control over financial reporting and for its assessment of the effectiveness of internal control over
financial  reporting  included  in  the  accompanying  Management’s  Report  on  Internal  Control  over  Financial  Reporting.  Our  responsibility  is  to  express  an  opinion  on  the
Company’s internal control over financial reporting based on our audit. We are a public accounting firm registered with the 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  audit  in  accordance  with  the  standards  of  the  PCAOB. Those  standards  require  that  we  plan  and  perform  the  audit  to  obtain  reasonable  assurance  about
whether effective internal control over financial reporting was maintained in all material respects.

Our audit included obtaining an understanding of internal control over financial reporting, assessing the risk that a material weakness exists, testing and evaluating the design
and operating effectiveness of internal control based on the assessed risk, and performing such other procedures as we considered necessary in the circumstances. We believe
that our audit provides a reasonable basis for our opinion.

Definition and Limitations of Internal Control Over Financial Reporting

A company’s internal control over financial reporting is a process designed 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. A company’s internal control over financial reporting 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 the
company;  (2)  provide  reasonable  assurance  that  transactions  are  recorded  as  necessary  to  permit  preparation  of  financial  statements  in  accordance  with  generally  accepted
accounting principles, and that receipts and expenditures of the company are being made only in accordance with authorizations of management and directors of the company;
and (3) provide reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use, or disposition of the company’s assets that could have a material
effect on the financial statements.

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 risk that controls may become inadequate because of changes in conditions, or that the degree of compliance with the policies or procedures
may deteriorate.

/s/ Kost Forer Gabbay & Kasierer

A Member of EY Global

Tel-Aviv, Israel

April 4, 2024

F-4

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
COLLPLANT BIOTECHNOLOGIES LTD.
CONSOLIDATED BALANCE SHEETS
(U.S. dollars in thousands)

Assets
Current assets:

Cash and cash equivalents
Restricted deposit
Trade receivables, net
Other accounts receivable and prepaid expenses
Inventories

Total current assets

Non-current assets:
Restricted deposit
Operating lease right-of-use assets
Property and equipment, net
Intangible assets, net

Total non-current assets

Total assets

December 31,

2023

2022

  $

  $

26,674    $
241     
-     
393     
714     
28,022     

57     
3,070     
2,789     
188     
6,104     
34,126    $

29,653 
23 
9 
543 
1,430 
31,658 

188 
2,711 
2,966 
245 
6,110 
37,768 

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

F-5

 
 
 
 
 
 
 
 
   
 
 
    
  
 
    
  
   
   
   
   
   
   
      
  
   
   
   
   
   
 
  
COLLPLANT BIOTECHNOLOGIES LTD.
CONSOLIDATED BALANCE SHEETS
(U.S. dollars in thousands, except share data)

Liabilities and shareholders’ equity
Current liabilities:
Trade payables
Operating lease liabilities
Accrued liabilities and other payables
Total current liabilities
Non-current liabilities:

Operating lease liabilities
Total non-current liabilities

Total liabilities

Commitments and contingencies

Shareholders’ Equity:

Ordinary shares, NIS 1.5 par value - authorized: 30,000,000 ordinary shares as of December 31, 2023 and , 2022; issued and

outstanding: 11,452,672 and 11,186,481 ordinary shares as of December 31, 2023 and  2022, respectively

Additional paid in capital
Accumulated other comprehensive loss
Accumulated deficit

Total shareholders’ equity
Total liabilities and shareholders’ equity

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

F-6

December 31,

2023

2022

980    $
624     
1,647     
3,251     

2,535     
2,535     
5,786     

1,133 
529 
1,443 
3,105 

2,382 
2,382 
5,487 

4,982     
121,068     
(969)    
(96,741)    
28,340     
34,126    $

4,873 
118,099 
(969)
(89,722)
32,281 
37,768 

  $

  $

 
 
 
 
 
 
 
 
   
 
   
     
 
 
    
  
   
   
   
   
      
  
   
   
   
 
   
      
  
   
      
  
 
   
      
  
   
      
  
   
   
   
   
   
 
 
COLLPLANT BIOTECHNOLOGIES LTD.
CONSOLIDATED STATEMENTS OF OPERATIONS
(U.S. dollars in thousands, except share and per share data)

Revenues
Cost of revenues
Gross profit (loss)

Operating expenses:

Research and development
General, administrative and marketing

Total operating income (loss)
Financial income, net
Net income (loss)

Basic net income (loss) per ordinary share
Diluted net income (loss) per ordinary share
Weighted average number of ordinary shares used in computation of basic net income (loss) per share

Weighted average number of ordinary shares used in computation of diluted net income (loss) per share

  $

  $
  $
  $

Year ended December 31,
2022

2023

2021

10,959    $
1,991     
8,968     

299    $
400     
(101)    

15,641 
2,005 
13,636 

10,484     
5,996     
(7,512)    
493     
(7,019)   $
(0.62)   $
(0.62)   $
11,389,168     
11,389,168     

10,255     
6,741     
(17,097)    
172     
(16,925)   $
(1.53)   $
(1.53)   $
11,033,310     
11,033,310     

7,631 
5,940 
65 
172 
237 
0.02 
0.02 
9,968,972 
11,966,788 

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

F-7

 
 
 
 
 
 
 
 
   
   
 
   
   
 
   
      
      
  
   
      
      
  
   
   
   
   
   
   
 
 
COLLPLANT BIOTECHNOLOGIES LTD.
CONSOLIDATED STATEMENTS OF SHAREHOLDERS’ EQUITY
(U.S. dollars in thousands, except share data)

Ordinary shares

Number

Amounts   

    Additional    
paid-in
capital

    comprehensive    Accumulated   

loss

deficit

Total

Accumulated
other

BALANCE AT DECEMBER 31, 2020
Issuance of ordinary shares and warrants, net of issuance costs of

6,963,838    $

2,933    $

75,547    $

(969)   $

(73,034)   $

4,477 

$3,205

Exercise of warrants, net of issuance costs of $51
Exercise of options
Share-based compensation
Net income
BALANCE AT DECEMBER 31, 2021
Exercise of warrants
Exercise of options
Share-based compensation
Net loss
BALANCE AT DECEMBER 31, 2022
Exercise of warrants
Exercise of options
Share-based compensation
Net loss
BALANCE AT DECEMBER 31, 2023

2,250,000     
1,442,149     
66,037     
-     
-     
    10,722,024    $
425,000     
39,457     
-     
-     
    11,186,481    $
186,000     
80,191     
-     
-     
    11,452,672    $

1,035     
665     
31     
-     
-     
4,664    $
191     
18     
-     
-     
4,873    $
76     
33     
-     
-     
4,982    $

31,758     
5,053     
268     
1,597     
-     
114,223    $
1,509     
156     
2,211     
-     
118,099    $
668     
331     
1,970     
-     
121,068    $

-     
-     
-     
-     
-     
(969)   $
-     
-     
-     
-     
(969)   $
-     
-     
-     
-     
(969)   $

-     
-     
-     
-     
237     
(72,797)   $
-     
-     
-     
(16,925)    
(89,722)   $
-     
-     
-     
(7,019)    
(96,741)   $

32,793 
5,718 
299 
1,597 
237 
45,121 
1,700 
174 
2,211 
(16,925)
32,281 
744 
364 
1,970 
(7,019)
28,340 

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

F-8

 
 
 
 
   
   
 
   
 
 
 
 
   
  
 
 
   
   
   
   
 
   
   
   
   
   
   
   
   
   
   
   
   
   
   
 
 
COLLPLANT BIOTECHNOLOGIES LTD.
CONSOLIDATED STATEMENTS OF CASH FLOWS
(U.S. dollars in thousands)

Year ended December 31,
2022

2023

2021

Cash flows from operating activities:

Net income (loss)
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:
Loss on sale of property and equipment
Depreciation and amortization
Accrued interest
Share-based compensation to employees and consultants
Exchange differences on cash and cash equivalents
Remeasurement of Derivatives liability

Changes in assets and liabilities:
Decrease in trade receivables
Decrease (increase) in inventories
Decrease (increase) in other receivables and prepaid expenses
Decrease in operating lease right-of-use assets
Increase (decrease) in trade payables
Decrease in operating lease liabilities
Increase (decrease) in accrued liabilities and other payables
Decrease in deferred revenues
Net cash provided by (used in) operating activities

Cash flows from investing activities:
Capitalization of intangible assets
Purchase of property and equipment
Proceed from short term deposit
Investment in restricted deposits
Investment in deposits
Proceeds from sale of property and equipment
Net cash provided by (used in) investing activities

Cash flows from financing activities:

Proceeds from issuance of shares and warrants less issuance expenses
Exercise of options and warrants into shares
Net cash provided by financing activities

Effect of exchange rate changes on cash and cash equivalents and restricted deposits
Net increase (decrease) in cash and cash equivalents and restricted deposits
Cash and cash equivalents and restricted cash at the beginning of the year

  $

(7,019)   $

(16,925)   $

18     
1,102     
(28)    
1,937     
379     
-     

9     
749     
150     
527     
(153)    
(638)    
204     
-     
(2,763)    

-     
(954)    
-     
(270)    
-     
68     
(1,156)    

-     
1,108     
1,108     
(379)    
(3,190)    
29,864     

-     
1,076     
(87)    
2,174     
608     
-     

261     
(312)    
(119)    
461     
99     
(916)    
14     
(32)    
(13,698)    

(42)    
(1,274)    
50,238     
-     
(20,000)    
-     
28,922     

-     
1,874     
1,874     
(608)    
16,490     
13,374     

Cash and cash equivalents and restricted deposits at the end of the year

  $

26,674    $

29,864    $

F-9

237 

- 
773 
(151)
1,597 
(143)
(28)

560 
181 
(185)
400 
236 
(337)
(464)
(175)
2,501 

(161)
(1,428)
- 
- 
(30,000)
33 
(31,556)

32,743 
6,017 
38,760 
143 
9,848 
3,526 

13,374 

 
 
 
 
 
 
 
 
   
   
 
   
     
     
 
   
      
      
  
   
   
   
   
   
   
 
   
      
      
  
   
      
      
  
   
   
   
   
   
   
   
   
   
   
      
      
  
   
   
   
   
   
   
   
   
      
      
  
   
   
   
   
   
   
 
   
      
      
  
 
COLLPLANT BIOTECHNOLOGIES LTD.
CONSOLIDATED STATEMENTS OF CASH FLOWS
(U.S. dollars in thousands)

Supplemental discloser of non-cash activities:

Right of use assets recognized with corresponding lease liabilities
Classification of issuance costs liability to equity
Capitalization of Share-based compensation to inventory

Supplemental discloser of cash activities:

Cash paid during the year for taxes

Reconciliation of cash, cash equivalents and restricted cash at the end of the year

Cash and cash equivalents
Restricted deposits short term
Restricted deposits long term
Total cash and cash equivalents and restricted deposits

Year ended December 31,
2022

2023

2021

886    $
-    $
33    $

219    $
-    $
37    $

557 
50 
- 

8    $

31    $

- 

26,674    $
-     
-     
26,674    $

29,653    $
23     
188     
29,864    $

13,148 
13 
213 
13,374 

  $
  $
  $

  $

  $

  $

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

F-10

 
 
 
 
 
 
 
 
   
   
 
 
    
    
  
 
 
    
    
  
 
   
      
      
  
   
      
      
  
 
   
      
      
  
 
   
      
      
  
   
      
      
  
   
   
 
 
COLLPLANT BIOTECHNOLOGIES LTD.
NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS
(U.S. dollars in thousands, except share and per share data)

NOTE 1 - GENERAL  

Company description

a. CollPlant Biotechnologies Ltd. (the “Company” or “CollPlant”) is a regenerative and aesthetic medicine company focused on 3D bioprinting of tissues and organs
and medical aesthetics. The Company’s products are based on its rhCollagen (recombinant human collagen) produced with CollPlant’s proprietary plant-based
technology. These products address indications for the diverse fields of tissue repair, aesthetics, and organ manufacturing.   

The Company’s revenues include income from business collaborators and from sales of (i) bioink products for the development of 3D bioprinting of organs and
tissues, (ii) rhCollagen for the medical aesthetics market, and  (iii) rhCollagen-based products for tendinopathy and wound care. 

The Company operates mainly through its wholly-owned subsidiary CollPlant Ltd. In November 2021 CollPlant Ltd. established CollPlant Inc., a wholly owned
subsidiary in the United States. As of December 31, 2023, CollPlant Inc. has not commenced operation.

b. For the year ended December 31, 2023, the Company incurred net loss of $7,019 and has an accumulated deficit in the total amount of $96,741. The Company's
negative cash flows from operating activities was $2,763. The Company's cash and cash equivalent as of December 31, 2023 totaled $26,674. The Company has
sufficient  funds  to  support  its  operation  for  more  than  12  months  following  the  approval  of  its  consolidated  financial  statements  for  the  fiscal  year  ended
December 31, 2023.

The  Company  expects  to  incur  future  net  losses  and  the  transition  to  profitability  is  dependent  upon,  among  other  things,  the  successful  development  and
commercialization of the Company’s products and product candidates or of the dermal filler product developed by AbbVie, the establishment of contracts for the
distribution  of  new  product  lines,  any  of  which,  or  in  combination,  would  contribute  to  the  achievement  of  a  level  of  revenue  adequate  to  support  the  cost
structure. Until the Company achieves profitability or generates positive cash flows, it will continue to need to raise additional cash. The Company intends to fund
future operations through existing cash on hand, additional private and/or public offerings of debt or equity securities, additional milestone payments that may be
received  under  the  AbbVie  Development  Agreement,  adjustment  of  operating  expenses  to  meet  available  cash  resources  or  a  combination  of  the  foregoing.
Notwithstanding, there can be no assurance that the Company will be able to raise additional funds or achieve or sustain profitability or positive cash flows from
operations.

F-11

 
 
 
 
 
 
 
 
 
 
COLLPLANT BIOTECHNOLOGIES LTD.
NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS
(U.S. dollars in thousands, except share and per share data)

NOTE 2 - SIGNIFICANT ACCOUNTING POLICIES

a.

Basis of presentation of the financial statements

The  accompanying  consolidated  financial  statements  have  been  prepared  in  accordance  with  generally  accepted  accounting  principles  in  the  United  States  (“U.S
GAAP”). 

b.

Use of estimates

The preparation of financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions that affect the reported amounts of
assets and liabilities, the disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during
the reporting period. The Company’s management believes that the estimates, judgment and assumptions used are reasonable based upon information available at the
time they are made. Actual results may differ from those estimates.

c.

Financial statements in U.S. dollars:

The  functional  currency  is  the  currency  that  best  reflects  the  economic  environment  in  which  the  Company  and  its  subsidiaries  operates  and  conducts  their
transactions.  Most  of  the  Company's  revenues  and  financing  activity  are  incurred  in  U.S.  dollar.  Based  on  the  Company's  management  assessment  the  functional
currency of the Company is the U.S. dollar.

Transactions and balances that are denominated in currencies other than the U.S. dollar are remeasured into U.S. dollars in accordance with principles set forth in ASC
830, Foreign Currency Matters (“ASC 830"). In accordance with ASC 830, monetary assets and liabilities denominated in foreign currencies are remeasured into U.S.
dollars at the end of each reporting period using the exchange rates in effect at the balance sheet date. Non-monetary assets denominated in foreign currencies are
measured using historical exchange rates. Gains and losses resulting from remeasurement are reflected in the statements of operation as financial income or expenses,
as appropriate. 

d.

Principles of consolidation

The consolidated financial statements include the accounts of the Company and its subsidiaries. All inter-company transactions and balances have been eliminated in
consolidation.

e.

Segments 

The  Company  identifies  operating  segments  in  accordance  with  ASC  Topic  280,  “Segment  Reporting”  as  components  of  an  entity  for  which  discrete  financial
information is available and is regularly reviewed by the chief operating decision maker in making decisions regarding resource allocation and evaluating financial
performance. The Company defines the term “chief operating decision maker” to be its chief executive officer. The Company determined it operates in one operating
segment and reportable segment, as its chief operating decision maker reviews financial information presented only on a consolidated basis for purposes of allocating
resources and evaluating financial performance.

f.

Cash and cash equivalents

The Company considers as cash equivalents all short-term, highly liquid investments, which include short-term bank deposits with original maturities of three months
or less from the date of purchase that are not restricted as to withdrawal or use and are readily convertible to known amounts of cash.

F-12

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
COLLPLANT BIOTECHNOLOGIES LTD.
NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS
(U.S. dollars in thousands, except share and per share data)

NOTE 2 - SIGNIFICANT ACCOUNTING POLICIES (continued)

g.

Restricted deposits

The Company’s restricted deposits long term and short term collaterals related to the Company’s lease contracts and credit card.

h.

Trade receivables, net

Trade  receivables  are  recorded  net  of  credit  losses  allowance  for  any  potential  uncollectible  amounts.  The  allowance  for  credit  losses  is  based  on  the  Company’s
assessment of the collectability of accounts. The Company regularly assessed collectability based on a combination of factors, including an assessment of the current
customer’s  aging  balance,  the  nature  and  size  of  the  customer,  the  financial  condition  of  the  customer,  and  other  factors  that  may  affect  its  ability  to  collect  from
customers.

i.

Inventories

Inventories are stated at the lower of cost or net realizable value. 

Inventory costing is based on the moving average cost method. In the case of purchased goods and work in process, costs include raw materials, direct labor, share
based compensation and other direct costs and fixed production overheads (based on the normal operating capacity of the production facilities). The Company
periodically evaluates the quantities on hand relative to historical, current and projected sales volume. Based on this evaluation, an impairment charge is recorded
when required to write-down inventory to its net realizable value.

Net realizable value is the estimated selling price in the ordinary course of business, less attributable selling expenses. 

j.

Leases

The Company determines if an arrangement is a lease at inception. Balances related to operating leases are included in operating lease right-of-use (“ROU”) assets and
current and non-current operating lease liabilities in the consolidated balance sheets.

ROU  assets  represent  the  Company’s  right  to  use  an  underlying  asset  for  the  lease  term  and  lease  liabilities  represent  the  Company’s  obligation  to  make  lease
payments arising from the lease. Operating lease ROU assets and liabilities are recognized as of the commencement date based on the present value of lease payments
over the lease term. Lease terms may include options to extend or terminate the lease when it is reasonably certain that the Company will exercise that option. The
Company’s  uses  its  estimated  incremental  borrowing  rate  based  on  the  information  available  at  the  commencement  date  in  determining  the  present  value  of  lease
payments. Lease expense for lease payments is recognized on a straight-line basis over the lease term. The Company elected to not recognize a lease liability or ROU
asset for leases with a term of twelve months or less. The Company also elected the practical expedient to not separate lease and non-lease components for its leases
(see also Note 5).

k.

Property and equipment

Property and equipment are stated at cost, net of accumulated depreciation.

The Company’s property and equipment are depreciated by the straight-line method on the basis of their estimated useful life.

F-13

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
COLLPLANT BIOTECHNOLOGIES LTD.
NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS
(U.S. dollars in thousands, except share and per share data)

NOTE 2 - SIGNIFICANT ACCOUNTING POLICIES (continued)

The depreciation period is as follows:

Laboratory and production equipment
Greenhouse equipment*
Computer equipment
Office furniture
Leasehold improvements
Electronic equipment
Vehicles

Years

5
4 - 10
3
17
**
7
7

* Greenhouse equipment - agricultural equipment used in the tobacco production greenhouse.

** Leasehold improvements are amortized by the straight-line method over the shorter of the lease term or useful economic life.

l.

Impairment of long-lived assets

The  Company’s  long-lived  assets  are  reviewed  for  impairment  in  accordance  with ASC  360,  “Property,  Plant  and  Equipment”  (“ASC  360”),  whenever  events  or
changes  in  circumstances  indicate  that  the  carrying  amount  of  the  asset  may  not  be  recoverable.  Recoverability  of  an  asset  to  be  held  and  used  is  measured  by  a
comparison of the carrying amount of an asset to the future undiscounted cash flows expected to be generated by the asset. If such asset is considered to be impaired,
the impairment to be recognized is measured by the amount by which the carrying amount of the asset exceeds its fair value.

As of December 31, 2023, 2022 and 2021, the Company did not recognize an impairment loss for its long-lived assets.

m.

Intangible assets 

The Company capitalizes development costs incurred during the application development stage that are related to internal use technology. Under ASC 350-40, internal-
use software capitalization begins when the preliminary project stage is complete and ceases at the point in which the project is substantially complete and is ready for
its intended purpose.
Cost capitalized to internal use software include sub-contractors services and employee salary expenses.

n.

Share-based compensation

The Company accounts for employees’, directors’ and consultants’ share-based payment awards classified as equity awards using the grant-date fair value. The fair
value of each share option award is estimated on the grant date using the Black-Scholes option-pricing model. The Black-Scholes option-pricing model requires the
input of highly subjective assumptions, including the fair value of the underlying ordinary shares, the expected term of the share option, the expected volatility of the
price of our ordinary shares, risk-free interest rates, and the expected dividend yield of ordinary shares. The assumptions used to determine the fair value of the option
awards represent management’s best estimates.

The Company elected to recognize compensation costs for awards conditioned only on continued service that have a graded vesting schedule using the accelerated
method based on the multiple-option award approach.

The Company elected to account for forfeitures as they occur.

F-14

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
COLLPLANT BIOTECHNOLOGIES LTD.
NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS
(U.S. dollars in thousands, except share and per share data)

NOTE 2 - SIGNIFICANT ACCOUNTING POLICIES (continued)

o.

Research and development expenses

Research  and  development  expenses  include  costs  directly  attributable  to  the  conduct  of  research  and  development  programs,  including  the  cost  of  salaries,  share-
based compensation expenses, payroll taxes and other employee benefits, lab expenses, consumable materials and equipment and consulting fees. All costs associated
with research and developments are expensed as incurred.

p.

Revenue recognition

Revenues  are  recognized  in  accordance  with ASC  606;  revenue  from  contracts  with  customers  is  recognized  when  control  of  the  promised  goods  or  services  is
transferred to the customers, in an amount that the Company expects in exchange for those goods or services.

The  Company  recognizes  revenue  under  the  core  principle  that  transfer  of  control  to  the  Company’s  customers  should  be  depicted  in  an  amount  reflecting  the
consideration the Company expects to receive in revenue. In order to achieve that core principle, the Company applies the following five-step approach:

(1) Identify the contract with a customer

A  contract  is  an  agreement  between  two  or  more  parties  that  creates  enforceable  rights  and  obligations.  In  evaluating  the  contract,  the  Company  analyzes  the
customer’s intent and ability to pay the amount of promised consideration and considers the probability of collecting substantially all of the consideration.

(2) Identify the performance obligations in the contract

At a contract’s inception, the Company assesses the goods or services promised in a contract with a customer and identifies the performance obligations.

Performance obligations are promised goods or services in a contract to transfer a distinct good or service to the customer.

The  Company  evaluates  whether  options  granted  to  a  customer  to  acquire  additional  goods  or  services  give  rise  to  a  performance  obligation.  If  an  agreement
contains such option, the Company determines that the option is a separate performance obligation only if the option provides a material right to the customer that
it would not receive without entering into that agreement.

(3) Determine the transaction price

The Company estimates the transaction price based on the amount of consideration the Company expects to be received for transferring the promised goods or
services in the contract. The consideration may include both fixed consideration and variable consideration. At the inception of each arrangement that includes
variable consideration, the Company evaluates the amount of the potential payments and the likelihood that the payments will be received. If it is probable that a
significant revenue reversal would not occur, the variable consideration is included in the transaction price.

(4) Allocate the transaction price to the performance obligations in the contract

For  contracts  with  more  than  one  performance  obligation  the  Company  allocates  the  transaction  price  to  each  separate  performance  obligation,  based  on  its
relative standalone selling price.

F-15

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
COLLPLANT BIOTECHNOLOGIES LTD.
NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS
(U.S. dollars in thousands, except share and per share data)

NOTE 2 - SIGNIFICANT ACCOUNTING POLICIES (continued)

(5) Recognize revenue when a performance obligation is satisfied

Revenue  is  recognized  when  or  as  performance  obligations  are  satisfied  by  transferring  control  of  a  promised  good  or  service  to  a  customer.  Control  either
transfers over time or at a point in time, which affects when revenue is recorded.

Up-front payments and fees are recorded as deferred revenue upon receipt or when due until the Company performs its obligations under these arrangements.

The Company has elected to apply the practical expedient for financing component for transactions in which the difference between the payment date and the
revenue recognition timing is up to 12 months. 

1. Revenues from sale of goods

The goods are the Company’s rhCollagen and rhCollagen-based products, and include the bioink products for the development of 3D bioprinting of organs
and tissues and the medical aesthetics and products for tendinopathy and wound care. The Company recognizes revenues from selling goods at a point in time
when control over the product is transferred to customers.

2. Revenues from rendering services

Revenue from rendering of services is recognized over time, during the period the customer simultaneously receives and consumes the benefits provided by
the  Company’s  performance.  Under  the  Company’s  service  contracts,  the  Company  has  a  right  to  consideration  from  the  customer  in  an  amount  that
corresponds  directly  with  the  value  to  the  customer  of  the  Company’s  performance  completed  to  date  and  recognizes  revenue  in  the  amount  to  which  the
Company has a right to invoice.

The Company charges its customers based on payment terms agreed upon in specific agreements.

As of December 31, 2023 and 2022, the Company did not recognize revenue from rendering services.

3. Revenues from licensing agreement

On  February  5,  2021,  the  Company  entered  into  development  and  global  commercialization  agreement  (the  “AbbVie  Development  Agreement"),  with
Allergan, an AbbVie company, pursuant to which the Company and AbbVie agreed to collaborate in the development and commercialization of dermal and
soft tissue filler products for the medical aesthetics market, using the Company’s rhCollagen technology and AbbVie’s technology (see also Note 7). 

Pursuant  to  the AbbVie  Development Agreement  CollPlant  grants AbbVie,  its  affiliates  and  third-party  transferees  a  right  to  use  any  know-how  related  to
CollPlant  rhCollagen  that  is  (a)  necessary  or  useful  to  exploit  an  exclusive  product  and  (b)  controlled  by  CollPlant  or  its  affiliates,  solely  to  support  the
regulatory approval of such exclusive product.

The  Company  determined  that  those  rights  described  above  are  to  the  use  of  the  IP  of  CollPlant,  therefore  represent  a  right  under  a  license  contract. The
Company farther identified the license as a performance obligation.

In addition, the Company has identified in the AbbVie Development Agreement (i) certain development activities, (ii) a right of first negotiation for Option
Products, and (iii) an option for future supply agreement. However, neither of the abovementioned is distinct and/or provides a material right to the customer
and therefore, do not give rise to a performance obligation.

F-16

 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
COLLPLANT BIOTECHNOLOGIES LTD.
NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS
(U.S. dollars in thousands, except share and per share data)

NOTE 2 - SIGNIFICANT ACCOUNTING POLICIES (continued)

As such the Company has concluded that the contract includes only one performance obligation, and the transaction price was fully allocated to the license
delivery performance obligation.

The  transaction  price  included  an  up-front  paid  amount  of  $14,000  as  well  as  variable  considerations  contingent  upon  the  Company  or AbbVie  achieving
certain milestones and sales-based royalties (“Variable Consideration”).

The  potential  milestones  will  be  included  in  the  transaction  price  when  the  Company  concludes  that  achievement  of  the  milestones  is  probable,  and  that
recognition  of  revenue  related  to  the  milestones  will  not  result  in  a  significant  reversal  in  amounts  recognized  in  future  periods,  and  as  such  have  been
excluded from the transaction price until such probability is achieved. Any consideration related to sales-based royalties will be recognized if and when the
related sales occur.

At contract inception, since it is not probable that a significant reversal in the amount of cumulative revenue recognized will not occur when the uncertainty
associated  with  the  milestone  payments  is  resolved,  and  since  the  contract  include  termination  provisions,  the  Company  estimated  the  transaction  price  at
$14,000 and recognized that amount as revenue once the license was delivered.

In  June  2023,  the  Company  received  notification  from AbbVie  about  achievement  of  a  milestone  with  respect  to  the  clinical-phase  dermal  filler  product.
According  to  the  AbbVie  Development  Agreement,  the  milestone  achievement  triggered  a  $10,000  payment  from  AbbVie  to  CollPlant.  Such  payment
received in July 2023, and recognized as revenue in the year 2023.

q.

Income taxes

1) Deferred taxes

Income taxes are computed using the asset and liability method. Under the asset and liability method, deferred income tax assets and liabilities are determined
based on the differences between the financial reporting and tax bases of assets and liabilities and are measured using the currently enacted tax rates and laws.
A valuation allowance is recognized to the extent that it is more likely than not that the deferred taxes will not be realized in the foreseeable future.

2) Uncertainty in income taxes

The Company follows a two-step approach in recognizing and measuring uncertain tax positions. The first step is to evaluate the tax position for recognition
by determining if the available evidence indicates that it is more likely than not that the position will be sustained based on technical merits. If the more likely
than not threshold is met, the second step is to measure the tax position as the largest amount that has more than a 50% likelihood of being realized upon
ultimate settlement. When applicable, the Company accounts for interest and penalties related to unrecognized tax benefits as a component of income tax
expense. As of December 31, 2023 and 2022, no liability for unrecognized tax benefits was recorded.

F-17

 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
COLLPLANT BIOTECHNOLOGIES LTD.
NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS
(U.S. dollars in thousands, except share and per share data)

NOTE 2 - SIGNIFICANT ACCOUNTING POLICIES (continued)

r.

Income (loss) per share  

Basic income (loss) per share is computed on the basis of the net income (loss), for the period divided by the weighted average number of ordinary shares and prepaid
warrants  outstanding  during  the  period.  Diluted  income  (loss)  per  share  is  based  upon  the  weighted  average  number  of  ordinary  shares  and  of  potential  ordinary
shares  outstanding  when  dilutive.  Ordinary  share  equivalents  include  outstanding  stock  options  and  warrants,  which  are  included  under  the  treasury  stock  method
when dilutive. The calculation of diluted income (loss) per share does not include options and warrants exercisable into 2,007,546, 2,558,164 and 1,590,346 shares for
the years ended December 31, 2023, 2022 and 2021, respectively, because the effect would be anti-dilutive.

s.

Fair value measurement

Fair value is based on the price that would be received from the sale of an asset or that would be paid to transfer a liability in an orderly transaction between market
participants at the measurement date. In order to increase consistency and comparability in fair value measurements, the guidance establishes a fair value hierarchy that
prioritizes observable and unobservable inputs used to measure fair value into three broad levels, which are described as follows:

Level 1: Quoted prices (unadjusted) in active markets that are accessible at the measurement date for assets or liabilities.

Level 2: Observable prices that are based on inputs not quoted on active markets, but corroborated by market data.

Level 3: Unobservable inputs are used when little or no market data is available.

In determining fair value, the Company utilizes valuation techniques that maximize the use of observable inputs and minimize the use of unobservable inputs to the
extent possible and considers counterparty credit risk in its assessment of fair value. A financial instrument’s categorization within the valuation hierarchy is based
upon the lowest level of input that is significant to the fair value measurement.

The carrying amount of the cash and cash equivalents, restricted deposits, trade receivable, trade payables, accrued expenses and other liabilities approximates their
fair value.

t.

Warrants:

During the twelve -month ended December 31, 2021, the Company issued warrants to acquire up to 250,000 ordinary shares. There were no issued warrants during the
twelve months ended December 31, 2023 and 2022. The Company assessed the warrants pursuant to ASC 480 "Distinguishing Liabilities from Equity" and ASC 815
"Derivatives  and  Hedging"  and  determined  that  the  warrants  should  be  accounted  for  as  equity  and  not  as  a  derivative  liability.  Refer  to  Note  8A  for  additional
information.

u.

Severance Pay

All  of  the  Company’s  employees  who  are  Israeli  citizens  have  subscribed  to  Section  14  of  Israel’s  Severance  Pay  Law,  5723-1963  (the  “Severance  Pay  Law”).
Pursuant to Section 14 of the Severance Pay Law, employees covered by this section are entitled to monthly deposits at a rate of 8.33% of their monthly salary, made
on their behalf by the Company. Payments made to employees in accordance with this section release the Company from any future severance liabilities with respect
to such employees. Neither severance pay liability nor severance pay fund under Section 14 of the Severance Pay Law is recorded on the Company’s consolidated
balance sheets.

F-18

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
COLLPLANT BIOTECHNOLOGIES LTD.
NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS
(U.S. dollars in thousands, except share and per share data)

NOTE 2 - SIGNIFICANT ACCOUNTING POLICIES (continued)

v.

New accounting pronouncements not yet effective: 

In  November  2023,  the  Financial Accounting  Standards  Board  (“FASB”)  issued Accounting  Standards  Update  (“ASU”)  2023-07,  Segment  Reporting  (Topic  280):
Improvements  to  Reportable  Segment  Disclosures,  which  requires  public  entities  to  disclose  information  about  their  reportable  segments’  significant  expenses  and
other segment items on an interim and annual basis. Public entities with a single reportable segment are required to apply the disclosure requirements in ASU 2023-07,
as  well  as  all  existing  segment  disclosures  and  reconciliation  requirements  in ASC  280  on  an  interim  and  annual  basis. ASU  2023-07  is  effective  for  fiscal  years
beginning after December 15, 2023, and for interim periods within fiscal years beginning after December 15, 2024, with early adoption permitted. The Company is
currently evaluating the impact of adopting ASU 2023-07.

In December 2023, the FASB issued ASU 2023-09, Income Taxes (Topic 740): Improvements to Income Tax Disclosures, which requires public entities, on an annual
basis, to provide disclosure of specific categories in the rate reconciliation, as well as disclosure of income taxes paid disaggregated by jurisdiction. ASU 2023-09 is
effective for fiscal years beginning after December 15, 2024, with early adoption permitted. The Company is currently evaluating the impact of adopting ASU 2023-
09.

NOTE 3 - INVENTORIES, NET

a.

Inventories on December 31, 2023 and 2022 consisted of the following:

Work in progress
Finished goods

December 31,

2023

2022

  $

  $

173    $
541     
714    $

881 
549 
1,430 

b.

The Company recorded inventories write-downs of $866, $296 and $367 for the years ended December 31, 2023, 2022 and 2021, respectively, which were recorded as
part of cost of revenues.

F-19

 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
   
 
 
 
COLLPLANT BIOTECHNOLOGIES LTD.
NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS
(U.S. dollars in thousands, except share and per share data)

NOTE 4 - PROPERTY AND EQUIPMENT, NET

Cost:

Laboratory equipment
Production equipment
Greenhouse equipment
Computer and electronic equipment
Office furniture
Leasehold improvements
Vehicles

Less:

Accumulated depreciation
Property and Equipment, net

December 31

2023

2022

  $

  $

1,979    $
1,769     
771     
306     
266     
3,503     
241     
8,835     

(6,046)    
2,789    $

1,491 
1,673 
751 
231 
300 
3,310 
251 
8,007 

(5,041)
2,966 

Depreciation expenses totaled $1,045, $1,036 and $773 for the years ended December 31, 2023, 2022 and 2021, respectively.

During the year ended December 31, 2023, 2022 and 2021, the Company disposed of property and equipment in the net amount of $86, $7 and $33, respectively.

F-20

 
 
 
 
 
 
 
 
 
   
 
 
 
   
 
 
   
   
   
   
   
   
 
   
   
      
  
   
 
 
 
COLLPLANT BIOTECHNOLOGIES LTD.
NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS
(U.S. dollars in thousands, except share and per share data)

NOTE 5 - LEASES

The  Company’s  leases  includes  the  production  sites,  corporate  headquarter,  research  lab  center  and  car  leases,  which  are  all  classified  as  operating  leases. The  car
leases are generally for three years period and the payments are linked to the Israeli CPI.

As collateral for part of the lease agreements, a restricted deposit was pledged in favor of the property owners. The balance of the restricted deposit as of December 31,
2023 amounted to $190, classified as current assets, and $57 classified as non-current asset.

To secure the terms of the car lease agreements, the Company has made certain prepayments to the leasing company, representing approximately three months of lease
payments.

Operating leases cost for space and cars for the years ended December 31, 2023, 2022 and 2021 totaled $775, $645 and $646, respectively.

The operating lease costs include variable lease payments of $52, $24 and $12 in 2023, 2022 and 2021, respectively.

Supplemental cash flow information related to leases was as follows:

Operating cash flows from operating leases

Supplemental balance sheet information related to leases was as follows:

Operating Leases
Operating lease right-of-use assets

Current lease liabilities
Non-current lease liabilities
Total lease liabilities

Weighted Average Remaining Lease Term
Operating leases

Weighted Average Discount Rate
Operating leases

F-21

Year ended December 31,
2022
2023

  $

809    $

770 

December 31,

2023

2022

  $

  $

  $

3,070 

  $

624 
2,535 
3,159 

  $

  $

2,711 

529 
2,382 
2,911 

5.14 years 

5.7 years 

7.46%   

7.13%

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
   
      
  
 
 
 
 
 
 
 
 
 
 
  
 
  
 
   
  
   
  
   
   
 
   
  
   
  
   
  
   
  
   
   
 
   
  
   
  
   
  
   
  
   
 
COLLPLANT BIOTECHNOLOGIES LTD.
NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS
(U.S. dollars in thousands, except share and per share data)

NOTE 5 - LEASES (continued)

As of December 31, 2023, the maturities of lease liabilities were as follows:

Year ending December 31,
2024
2025
2026
2027
2028
Thereafter

Total undiscounted lease payments
Less – imputed interests
Present value of lease liabilities

NOTE 6 - COMMITMENTS AND CONTINGENCIES

Commitment to pay royalties to the government of Israel

Operating
leases

  $

  $

824 
768 
664 
636 
627 
303 
3,822 
(663)
3,159 

The Company received grants from the IIA for research and development funding until the year 2019, and therefore is subject to the provisions of the Israeli Law for
the Encouragement of Research, Development and Technological Innovation in the Industry and the regulations and guidelines thereunder (the “Innovation Law”), the
regulations promulgated thereunder, the IIA’s rules and guidelines and the terms of the approved program funded by the IIA. Under the Innovation Law royalties of
3%  on  the  income  deriving  from  products  and  from  related  know-how  and  services  developed  in  whole  or  in  part,  directly  or  indirectly,  under  IIA  programs  are
payable to the IIA. Such commitment is up to the amount of grants received (dollar linked), plus interest at annual rate based on LIBOR. In addition to paying any
royalty due, the Company must abide by other restrictions associated with receiving such grants under the Innovation Law that continue to apply following repayment
to the IIA. These restrictions may impair the Company’s ability to outsource manufacturing or otherwise transfer its know-how outside of Israel and may require it to
obtain the approval of the IIA for certain actions and transactions and pay additional royalties and other amounts to the IIA.

The Company did not apply for grants from the IIA since 2019. For the years ended December 31, 2023, 2022 and 2021, the Company recorded royalties expenses of
$329, $9 and $468, respectively.

The royalty expenses which are related to the funded project are recognized in the statements of operations as a component of cost of revenue.

As of December 31, 2023, the maximum total royalty amount payable by the Company under IIA funding arrangement is approximately $6,987 (without interest).

F-22

 
 
  
 
 
 
 
 
   
  
   
   
   
   
   
   
   
 
 
 
 
 
 
 
COLLPLANT BIOTECHNOLOGIES LTD.
NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS
(U.S. dollars in thousands, except share and per share data)

NOTE 7 - DEVELOPMENT, EXCLUSIVITY AND OPTION PRODUCTS AGREEMENTS

On February 5, 2021, CollPlant entered into development and global commercialization agreement (the "AbbVie Development Agreement") with Allergan, an AbbVie
company, pursuant to which CollPlant and AbbVie agreed to collaborate in the development and commercialization of dermal and soft tissue filler products for the
medical aesthetics market, using CollPlant rhCollagen technology and AbbVie’s technology.

Pursuant to the AbbVie Development Agreement, CollPlant agreed to undertake projects for the development of an aseptic process for sterile rhCollagen that meets or
exceeds certain specifications as set forth in the Development Agreement.

Pursuant to the AbbVie Development Agreement, CollPlant granted to AbbVie and its affiliates, worldwide exclusive rights to use its rhCollagen in combination with
AbbVie proprietary technologies, for the production and commercialization of dermal and soft tissue filler products, or the Exclusive Products. Further, pursuant to the
AbbVie Development Agreement, CollPlant granted to AbbVie and its affiliates, a right of first negotiation to enter into a definitive agreement to obtain exclusive,
worldwide rights to the use of CollPlant rhCollagen for the commercialization and sale of an injectable breast implant product and a right of first negotiation to enter
into a definitive agreement to obtain exclusive, worldwide rights to the use of CollPlant's rhCollagen for the commercialization and sale of a photocurable dermal filler
product,  each  an  “Option  Product”  and  together,  the  “Option  Products”.  Other  than  under  the AbbVie  Development Agreement,  CollPlant  agreed  not  to  research,
develop or commercialize its rhCollagen for use with any Exclusive Products during the term of the Development Agreement or grant any third party any rights to
CollPlant's rhCollagen technology that would conflict with rights granted to AbbVie.

The AbbVie Development Agreement provides that later on CollPlant and AbbVie will enter into a supply agreement whereby CollPlant will manufacture and supply
AbbVie with rhCollagen, at a pre-agreed price, to be used solely for the development and manufacture of the Exclusive Products and Option Products.

The AbbVie Development Agreement provides that with respect to the Exclusive Products CollPlant shall be entitled to receive up to $50,000 comprised of an upfront
cash payment of $14,000, which was paid in February 2021, and up to $36,000 in proceeds upon the achievement of certain development, clinical trial, regulatory and
commercial sale milestones. In June 2023, a milestone under the AbbVie Development Agreement was achieved. Such milestone achievement triggered a payment of
$10,000  from  AbbVie  to  CollPlant,  which  was  received  in  July  2023.  In  addition,  CollPlant  shall  be  entitled  to  a  fixed-fee  royalty  payment  (subject  to  certain
adjustments) for each product commercially sold during the applicable royalty term as well as a fee for the supply of rhCollagen to AbbVie. In addition, with respect to
the Option Products, CollPlant shall be entitled to receive up to $53,000, as further described below, plus a fixed-fee royalty payment (subject to certain adjustments)
for each product commercially sold during the applicable royalty term and a fee for the supply of rhCollagen to AbbVie. The $53,000 in proceeds includes a one-time
non-refundable payment of $6,000 upon signing a definitive agreement with regards to the injectable breast implant product; a one-time non-refundable payment of
$4,000 for signing a definitive agreement with regards to the photocurable dermal filler product; and up to an additional $43,000 payable upon the achievement of
certain clinical trial, regulatory approval and commercial sale milestones.

F-23

 
 
 
 
 
 
 
 
 
COLLPLANT BIOTECHNOLOGIES LTD.
NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS
(U.S. dollars in thousands, except share and per share data)

NOTE 7 - DEVELOPMENT, EXCLUSIVITY AND OPTION PRODUCTS AGREEMENTS (continued)

Unless earlier terminated, the AbbVie Development Agreement will continue in effect on a product-by-product and country-by-country basis until the later of (i) the
expiration, invalidation or abandonment of the last CollPlant patent covering a product in a particular country, and (ii) 10 years from the first commercial sale of such
product in such country. Following expiration (unless earlier terminated), the rights granted to AbbVie in the AbbVie Development Agreement will continue on a non-
exclusive,  fully  paid-up,  royalty-free,  perpetual  and  irrevocable  basis.  The AbbVie  Development Agreement  may  be  terminated  early  by  either  party  for  material
breach or bankruptcy. In addition, AbbVie may terminate the AbbVie Development Agreement at any time immediately upon written notice to CollPlant if AbbVie
reasonably believes that it is not advisable for AbbVie to continue to develop or commercialize the Exclusive Products under the AbbVie Development Agreement as a
result of a perceived serious safety issue regarding the use of any Exclusive Product or upon 60 days’ written notice, for any or no reason, with respect to its rights
under the AbbVie Development Agreement on an Exclusive Product-by-Exclusive Product or country-by-country basis.

NOTE 8 - SHARE CAPITAL

A.

Ordinary shares

1)

Rights of the Company’s ordinary shares

Each ordinary share is entitled to one vote. The holder of the ordinary shares is also entitled to receive dividends whenever funds are legally available, when
and if declared by the Board of Directors. Since its inception, the Company has not declared any dividends.

On January 31, 2018 the Company’s ADSs commenced trading on the Nasdaq Capital Market, under the symbol CLGN. On May 25, 2021, The Company's
ordinary  shares  were  approved  for  trading  on  the  Nasdaq  Global  Market,  and  began  trading  at  the  open  of  market  on  June  4,  2021.  At  such  time,  the
Company's ADSs were mandatorily cancelled and exchanged for ordinary shares at a one-for-one ratio. 

2)

Changes in share capital:

a)

During January-April 2021, one of the Company’s shareholder exercised 992,149 warrants into 992,149 ADS in return of $3,969.

In 2021, one of the U.S investors exercised 450,000 warrants into 450,000 ordinary shares in return of $1,800.

In 2022, three U.S investors exercised 425,000 warrants into 425,000 ordinary shares in return of $1,700.

In 2023, Mr. Sagy exercised 186,000 warrants into 186,000 ordinary shares in return of $744.

b)

On February 17, 2021, the Company completed a registered direct offering providing for the sale and issuance of an aggregate of 2,000,000 ADSs at
a purchase price of $17.50 per ADS, for aggregate gross proceeds of $35,000. The total issuance costs accumulated to $3,200.

On the same date, one of the Company’s investors transferred the Company an amount of $1,000 by way of an equity investment, and the Company
issued  to  the  investor  250,000 ADSs  representing  250,000  ordinary  shares  and  a  warrant  to  purchase  up  to  250,000 ADSs  representing  250,000
ordinary shares.

F-24

 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
COLLPLANT BIOTECHNOLOGIES LTD.
NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS
(U.S. dollars in thousands, except share and per share data)

NOTE 8 - SHARE CAPITAL (continued) 

The following table summarizes information about warrants outstanding and exercisable as of December 2023:

Issuance date
February 17, 2021

B.

Share-based compensation:

1)

Option plan

Year ended December 31, 2023
Exercise
price per
warrant

warrants
outstanding and
exercisable

warrants
outstanding

250,000    $

4.00     

    Contractual term
250,000    February 17, 2024

Under  the  Company’s  Share  Ownership  and  Option  Plan  (2010),  or  the  2010  Plan,  employees,  directors  and  consultants  of  the  Company  may  be  granted
options, each exercisable into one ordinary share of the Company of NIS 1.50 par value.

2)

Options grants

a.

Option granted to employees and directors  

In the years ended December 31, 2023, 2022 and 2021, the Company granted options as follows (amounts presented reflect the number of shares underlying options):

Employees

Employees
Directors

F-25

Award
amount

158,000    $

Year ended December 31, 2023
Vesting
period
4 years

Exercise
price range

5.65-7.5   

Award
amount

529,000    $
217,000    $

Exercise
price range

Year ended December 31, 2022
Vesting
period
4 years
4 years

5.33-9.22   
9.22   

  Expiration  
10 years

  Expiration  
10 years
10 years

 
 
 
 
 
 
 
     
 
   
   
   
 
   
      
      
      
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
   
 
 
 
 
 
 
 
 
   
   
   
 
 
   
 
 
 
COLLPLANT BIOTECHNOLOGIES LTD.
NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS
(U.S. dollars in thousands, except share and per share data)

NOTE 8 - SHARE CAPITAL (continued)

Employees
Directors

Award
amount

Exercise
price range

Year ended December 31, 2021
Vesting
period
4 years
4 years

12.78-20.7   
15.2   

96,500    $
23,000    $

  Expiration  
10 years
10 years

The fair value of options granted on the date of grant was computed using the Black-Scholes model. The underlying data used for computing the fair value of the
options are as follows:  

Value of one ordinary share
Dividend yield
Expected volatility
Risk-free interest rate
Expected term

  $

2023

Year ended December 31,
2022

5.73-7.5 

  $
0%   
70.27-74.1%   
3.62-4.33%   
6.11 years 

5.03-9.22 

  $
0%   
67.95-72.27%   
0.39-3.03%   
6.11 years 

2021
11.9-20.37 

0%
65.36-66.49%
0.64-1.37%
6.11 years 

The fair value of options granted during 2023, 2022 and 2021 was $747, 3,970 and $1,094 respectively.

The total unrecognized compensation cost of options on December 31, 2023 is $1,342, which is expected to be recognized over a weighted average period of 1.64
year.

Modification of share-based compensation

On August  23,  2023,  the  Company’s  board  of  directors  approved  the  repricing  of  the  exercise  price  of  outstanding  options  to  purchase  969,886  ordinary  shares,
previously granted to employees and directors, to a price of $6.39 per share, out of which the repricing of 583,979 options granted to the Company’s directors and the
Chief Executive Officer, were subject to the approval of the general meeting of the shareholders, which approval was obtained on October 10, 2023. There was no
change in the number of shares subject to each option, vesting or other terms of the options. 

The  total  incremental  fair  value  of  these  options  amounted  to  $579  and  was  determined  based  on  the  Black-Scholes  pricing  options  model  using  the  following
assumptions: risk free interest rate of 4.33%-4.74%, expected volatility of 72.1% - 77%, expected term of 3.4-4.71 years and dividend yield of 0%. For the year ended
December 31, 2023, the Company recorded expenses totaling $523 associated with the repricing. The remaining incremental fair value will be recognized over the
remaining vesting period and until May 2026.

F-26

 
 
 
 
 
 
 
 
 
 
   
   
   
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
   
   
   
   
  
 
 
 
 
 
COLLPLANT BIOTECHNOLOGIES LTD.
NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS
(U.S. dollars in thousands, except share and per share data)

NOTE 8 - SHARE CAPITAL (continued)

A summary of options data for the years ended December 31, 2023, 2022 and 2021, is as follows:

Weighted-average grant date fair value of options granted, per option
Total intrinsic value of the options exercised
Total fair value of options vested

Year ended December 31,
2022

2023

2021

  $
  $
  $

4.73    $
271    $
4,380    $

5.32    $
221    $
2,802    $

9.16 
869 
3,356 

A summary of the activity in options granted to employees and directors for the year ended December 31, 2023 is as follows:

Options outstanding at the beginning of the year
Granted
Exercised
Expired
Forfeited
Options outstanding at the end of the year

Options exercisable at the end of the year

* After repricing- see Note 8(B)(2)(a).

Number of
options

1,868,749    $
158,000     
(76,441)    
(83,156)    
(121,272)    
1,745,880    $
1,151,015    $

2023

weighted
average
remaining
contractual

term (in years)    

Weighted
average
exercise
price*

6.02     
7.05     
4.52     
9.79     
8.81     
5.8     
5.49     

aggregate
intrinsic value*  
4,620 
- 
- 
- 
- 
1,165 
1,062 

6.81    $
-     
-     
-     
-     
5.91    $
4.6    $

b.

Option granted to non-employees

A summary of the activity in options granted to non-employees for the year ended December 31, 2023 is as follows:

Options outstanding at the beginning of the year
Exercised
Options outstanding at the end of the year

Options exercisable at the end of the year

2023

weighted
average
remaining
contractual

term (in years)    

Weighted
average
exercise
price

Number of
options

15,416    $
(3,750)    
11,666    $
6,329    $

16.04     
5.07     
16.78     
10.00     

1.79    $

1.36    $
1.34    $

aggregate
intrinsic value  
23 

2 
2 

F-27

 
 
 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
 
 
 
   
   
   
   
   
   
   
   
   
 
 
 
 
 
 
 
 
 
 
   
   
   
   
      
  
   
   
 
COLLPLANT BIOTECHNOLOGIES LTD.
NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS
(U.S. dollars in thousands, except share and per share data)

NOTE 8 - SHARE CAPITAL (continued)

The following tables summarize information concerning outstanding and exercisable options as of December 31, 2023:

Options outstanding
Number of
options
outstanding
at end of year

December 31, 2023

Weighted
average
remaining
contractual Life

Options exercisable

Number of
options
exercisable
at end of year

Weighted
average
remaining
contractual life

Exercise prices *

$

$

24.81     
6.07     
10.08     
5.07     
4.02     
9.22     
5.33     
7.5     
6.5     
5.65     
6.39     

6,666     
5,000     
2,625     
149,500     
352,464     
3,905     
111,000     
103,000     
33,500     
20,000     
969,886     
1,757,546     

1.38     
1.33     
0.17     
2.08     
1.29     
0.11     
8.92     
9.25     
9.65     
9.2     
7.33     

1,329     
5,000     
2,625     
149,500     
352,464     
3,905     
27,750     
-     
-     
-     
614,771     
1,157,344     

*

In U.S. dollars per Ordinary Share.

c.

The following table illustrates the effect of share-based compensation on the statements of operations:

1.38 
1.33 
0.17 
2.08 
1.29 
0.11 
8.92 
- 
- 
- 
6.97 

Cost of revenues
Research and development expenses
General, administrative and marketing expenses

Year ended December 31
2022

2023

2021

  $

  $

-    $
714     
1,223     
1,937    $

22    $
565     
1,587     
2,174    $

78 
525 
1,017 
1,620 

F-28

 
 
 
 
 
 
   
 
   
   
   
   
 
 
 
 
 
 
 
 
 
 
 
      
      
  
 
 
 
 
 
 
 
 
 
   
   
 
   
   
 
 
COLLPLANT BIOTECHNOLOGIES LTD.
NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS
(U.S. dollars in thousands, except share and per share data)

NOTE 9 - INCOME TAX

The Company and its Israeli subsidiary are taxed under Israel tax laws:

A.

Tax rates

After the Company consummates its Net Operating Losses, the corporate tax rate applicable for the years 2021-2023, is 23%.

B.

Tax assessments

The Company and its subsidiary have tax assessments that are considered to be final through tax year 2017.

C.

Losses for tax purposes carried forward to future years

As of December 31, 2023, CollPlant Biotechnologies Ltd. and CollPlant Ltd had approximately $7,365, and $59,993, respectively, of net carried forward tax losses
which are available to be offset against future taxable income in future with no limited period of use.

D.

Deferred income taxes

Deferred tax assets
Net operating loss carry forward
Research and development expenses
Offering costs
Operating lease liabilities
Share-based compensation
Total gross deferred tax assets
Less – valuation allowance

Deferred tax liabilities:
Operating lease assets
Net deferred tax assets

2023

2022

15,492    $
1,993     
-     
726     
1,035     
19,246     
(18,540)    

20,105 
1,736 
230 
670 
349 
23,090 
(22,466)

706     
-    $

624 
- 

  $

  $

Realization of deferred tax assets is contingent upon sufficient future taxable income during the period that deductible temporary differences and carried forward losses
are  expected  to  be  available  to  be  offset  against  taxable  income. As  the  achievement  of  required  future  taxable  income  is  not  likely,  the  Company  recorded  a  full
valuation allowance.

E.

Reconciliation of theoretical tax expenses to actual expenses

The primary difference between the statutory tax rate of the Company and the effective rate results virtually from the changes in valuation allowance in respect of
carried forward tax losses for tax purposes and research and development expenses due to the uncertainty of the realization of such tax benefits.

F-29

 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
   
 
 
    
  
   
   
   
   
   
   
 
   
      
  
   
      
  
   
 
 
 
 
COLLPLANT BIOTECHNOLOGIES LTD.
NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS
(U.S. dollars in thousands, except share and per share data)

NOTE 9 - INCOME TAX (continued)

F.

Uncertain tax positions

As of December 31, 2023 and 2022, the Company does not have a provision for uncertain tax positions.

G.

Roll forward of valuation allowance:

Balance at December 31, 2022
Change

Balance at December 31, 2023

NOTE 10 - SUPPLEMENTARY FINANCIAL STATEMENT INFORMATION:

Balance sheets:

a. Accrued liabilities and other payables:
Employees and institutions for employees
Provisions for vacation
Royalties and Other

Statements of operations:

b.

Revenues

1) Disaggregated revenues

Revenues from licensing agreement (see Note 2(p))
Revenues from the sales of goods
Revenues from the rendering of services

Total revenues

2) Revenues by geographical area (based on the location of customers):

United states
Canada
Europe and Other
Israel

Total revenues

F-30

  $

  $

22,466 
(3,926)
18,540 

December 31,

2023

2022

  $

  $

1,052    $
490     
105     
1,647    $

944 
446 
53 
1,443 

Year ended December 31,
2022

2023

2021

10,000    $
959     
-     
10,959    $

-    $
299     
-     
299    $

14,000 
1,595 
46 
15,641 

Year ended December 31,
2022

2023

2021

10,839    $
87     
28     
5     
10,959    $

16    $
158     
104     
21     
299    $

14,951 
57 
633 
- 
15,641 

  $

  $

  $

  $

 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
   
 
   
      
  
   
   
 
 
 
 
 
 
 
 
 
 
 
   
   
 
   
   
 
 
 
 
 
 
 
 
   
   
 
   
   
   
 
COLLPLANT BIOTECHNOLOGIES LTD.
NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS
(U.S. dollars in thousands, except share and per share data)

NOTE 10 - SUPPLEMENTARY FINANCIAL STATEMENT INFORMATION (continued)

3) Major customers

Set forth below is a breakdown of the Company’s revenue by major customers (major customer –revenues from these customers constitute at least 10% of total
revenues in a certain year):

Customer A

Customer B

Customer C

Customer D

*) Less than 10%.

4) The changes in deferred revenues relating to goods that were not yet delivered are as follows:

Balance at beginning of year
Contract liability recognized during the period
Revenue recognized during the period

Balance at end of year
Contract liability presented in current liabilities
Contract liability presented in non-current liabilities

c.

Long-lived assets

All of the Company’s operating Right-of-use lease assets and long-lived assets are located in Israel.

d.

Financial income (expenses), net

Exchange rate differences
Bank and other fees
Remeasurement of financial instruments
Other financing expenses
Interest on bank deposits
Financial income, net

F-31

Year ended December 31,
2022

2023

2021

10,743    $
-    $
79    $
-    $

9    $
101     
158     
-    $

14,770 
*) 
*) 
169 

2023

2022

2021

-    $
-     
-     

-    $
-    $
-    $

(32)   $
-     
32     

-    $
-    $
-    $

Year ended December 31,
2022

2023

2021

(285)   $
(10)    
-     
-     
788     
493    $

(115)   $
(10)    
-     
(24)    
321     
172    $

(207)
(32)
207 

(32)
(32)
- 

(38)
(30)
28 
(7)
219 
172 

  $
  $
  $
  $

  $

  $
  $
  $

  $

  $

 
 
 
 
 
 
 
 
 
 
 
   
   
 
 
 
 
 
 
 
   
   
 
   
   
 
   
      
      
  
  
 
 
 
 
 
 
 
 
   
   
 
   
   
   
   
 
COLLPLANT BIOTECHNOLOGIES LTD.
NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS
(U.S. dollars in thousands, except share and per share data)

NOTE 11 - SUBSEQUENT EVENTS 

a. On April 3, 2024, the board of directors (following the approval of the compensation committee with respect to the Company's directors and officers) approved to
extend the expiry date of 337,464 options exercisable into 337,464 ordinary shares that were previously granted to some of the Company’s employees and directors,
from an expiry date ranging between December 2024 and July 2025, by an additional three years, such that the expiry dates will range between December 2027 and
July  2028.  Out  of  the  said  options,  126,800  options  exercisable  into  126,800  ordinary  shares  are  held  by  some  of  the  Company's  directors  and  its  CEO  (who  also
serves as a director on the board of directors), and as such, the extension of the expiry dates of these options is subject to the receipt of shareholders’ approval by the
required majorities under applicable law.

b. On April 3, 2024, the board of directors approved the adoption of an equity-based incentive plan (the “2024 Plan”). The 2024 Plan allows the Company to grant its
employees,  directors  and  consultants  with  several  equity-based  awards,  including  options,  shares,  restricted  shares,  restricted  share  units,  stock  appreciation  rights,
performance units, performance shares and other stock or cash awards. The 2024 Plan shall be in effect for a term of ten (10) years from the date of adoption, i.e., until
April 2034, unless earlier terminated by its administrator.

F-32

 
 
 
 
 
 
 
 
 
 
Exhibit 4.3

COLLPLANT HOLDINGS LTD.
(the “Company”)

SHARE OWNERSHIP

AND OPTION PLAN (2010)

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
TABLE OF CONTENTS

Preamble.

Administration of the Plan.

Shares Subject to the Plan.

Option Exercise Prices.

Exclusivity of the Plan.

Grant of the Options and Issuance of the Shares to the Trustee.

Option or Share Purchase Agreement; Termination of Employment.

Assumption of an Option; Liquidation.

Acceleration of an Option

Term of Options; Exercise.

Additional Documents.

Taxation.

Dividends.

Rights and/or Benefits arising out of the Employee/Employer Relationship and the Absence of an Obligation to Employ.

Adjustments upon Changes in Capitalization.

Term, Termination and Amendment.

Effectiveness of the Plan; Approvals.

Release of the Trustee and the Attorney from Liability.

Governing Law.

1.

2.

3.

4.

5.

6.

7.

8.

8a.

9.

10.

11.

12.

13.

14.

15.

16.

17.

18.

APPENDICES

Appendix A:     Employee’s Notice to the Trustee as to Exercise of the Option (Section 9.2).

Appendix B:      Notice to the Company of Exercise of the Option by the Trustee (Section 9.2).

Appendix C:      Proxy and Power of Attorney (Section 10.2).

1

2

2

3

3

3

5

7

7

8

9

10

11

12

12

13

13

13

13

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1. PREAMBLE

1.1. Purpose;  Eligibility.  This  plan,  as  amended  from  time  to  time,  shall  be  known  as  the  “CollPlant  Holdings  Ltd.  Share  Ownership  and  Option  Plan  (2010)”  (the
“Plan”). The purpose and intent of the Plan is to provide incentives to employees, directors and/or service providers including advisors of the Company and/or of
subsidiaries  and/or  affiliated  companies  of  the  Company  (each  a  “Related  Company”  and  collectively,  “Related  Companies”)  by  providing  them  with  the
opportunity to purchase shares of the Company. In addition the Company may provide individual grantees who are employed by advisors or service providers and
approved by the Board of Directors of the Company (the “Board”) the opportunity to purchase shares of the Company under the Plan.

1.2. Types of Awards; Tax Regimes. The Plan is intended to enable the Company to grant options and issue shares under various and different tax regimes, including,
without limitation: (i) pursuant and subject to Section 102 of the Israeli Income Tax Ordinance (New Version), 1961 (the “Income Tax Ordinance”) or any provision
which may amend or replace it and any regulations, rules, orders or procedures promulgated thereunder (collectively, “Section 102”) and to designate them as either
grants made through a trustee or not through a trustee; (ii) pursuant and subject to Section 3(i) of the Income Tax Ordinance; (iii) as “incentive stock options” within
the  meaning  of  Section  422  of  the  United  States  Internal  Revenue  Code  of  1986,  as  amended  (“Incentive  Stock  Options”  and  the  “Code”,  respectively);  (iv)  as
options to U.S. residents, which would not qualify as Incentive Stock Options (“Non-Qualified Stock Options”); (v) to grantees in jurisdictions other than Israel and
the United States; and (vi) as restricted shares.

The Company, however, does not warrant that the Plan will be recognized by the income tax authorities in any jurisdiction or that future changes will not be made to
the provisions of applicable laws, or rules or regulations which are promulgated from time to time thereunder, or that any exemption or benefit currently available,
whether pursuant to Section 102 or otherwise, will not be abolished.

1.3. Adjustments and Compliance with Tax Laws. The Board shall have the authority to make any requisite adjustments in the Plan and determine the relevant terms in
any Agreement (as defined in Section 7 below) in order to comply with the requirements of any of the relevant tax regimes. Furthermore, should any provision of
Section 102 be amended, such amendment shall be deemed included in the Plan with respect to options granted or shares issued in the context of Section 102. Where
a conflict arises between any section of the Plan, the Agreement or their application, and the provisions of any relevant tax law, rule or regulation, whether relied upon
for tax relief or otherwise, the Board at its sole discretion shall determine the necessary changes to be made to the Plan and its determination regarding this matter
shall be final and binding.

1.4. Grants as Public Company. The Plan contemplates the grant of option awards by the Company as a company whose shares are publicly-traded. The Company’s shares
are registered for trading on the Tel-Aviv Stock Exchange Ltd. and may in the future be traded on other stock exchanges or on an electronic quotation system, whether
in Israel or abroad. Therefore, the options and/or shares allotted in accordance with the Plan may be made conditional to any requirement or instruction of the stock
exchange authorities or of any other relevant authority acting pursuant to applicable law as shall exist from time to time. In such case, by means of a Board resolution,
the Plan and the Agreements prepared pursuant hereto, may be amended as necessary to meet such requirements. In the event of a contradiction between any such
amendment and the Plan’s provisions, the amendment shall prevail.

1

 
 
 
 
 
 
 
 
2. ADMINISTRATION OF THE PLAN

2.1. The Plan shall be administered by the Board and/or by any committee of the Board so designated by the Board. Any subsequent references herein to the Board shall
also mean any such committee if appointed and, unless the powers of the committee have been specifically limited by law or otherwise, such committee shall have all
of  the  powers  of  the  Board  granted  herein. Without  derogating  from  the  generality  of  the  foregoing,  the  Board  shall  have  the  authority  to  designate  grants  made
pursuant to Section 102 as either grants made through a trustee or not through a trustee and to determine (and from time to time, change, subject to Section 102) the
tax route applicable to options granted through a trustee pursuant to Section 102 (e.g., the capital gains route or the employment income route) and to make any other
elections  with  respect  to  the  Plan  pursuant  to  applicable  law.  Subject  to  Sections  4  and  15,  the  Board  shall  have  plenary  authority  to  determine  the  terms  and
conditions of all options (which need not be identical), including, without limitation, the purchase price of the shares covered by each option, the identity of those to
whom, and the time or times at which, options shall be granted, the number of shares to be subject to each option, whether an option shall be granted pursuant to
Section 102 or otherwise and when an option can be exercised and whether in whole or in installments. Subject to Section 15, the Board shall have plenary authority
to construe and interpret the Plan, to prescribe, amend and rescind the rules and regulations relating to it and to make all other determinations deemed necessary or
advisable for the administration of the Plan. All determinations and decisions of the Board pursuant to the provisions of the Plan and all related orders and resolutions
of the Board shall be final, conclusive and binding on all persons, including the Company, its shareholders, grantees and their estates and beneficiaries.

2.2. Any directive or notice signed by a member of the Board shall constitute conclusive proof and authority for every act or decision of the Company.

2.3. No director or officer of the Company shall be personally liable or obligated to any grantee as a result of any decision made and/or action taken with respect to the

Plan or its execution.

3. SHARES SUBJECT TO THE PLAN

The shares subject to the Plan shall be Ordinary Shares of the Company. The initial maximum number of shares that may be issued under the Plan is ___ Ordinary Shares
of NIS 0.03 nominal value each, as such number of shares may be adjusted in accordance with Section 14. The Board may from time to time increase or decrease the
maximum number of shares that may be issued under the Plan. Such shares may be in whole or in part, as the Board shall from time to time determine and subject to
applicable law, authorized and unissued Ordinary Shares or issued and fully paid Ordinary Shares which shall have been purchased by the Company or the Trustee (as
hereinafter defined) hereunder with funds provided by the Company, or otherwise as the Board shall determine. If any option granted under the Plan shall expire, terminate
or be canceled for any reason without having been exercised in full, the shares subject to the expired, terminated or cancelled portion of such option shall again be available
for the purposes of the Plan.

2

 
 
 
 
 
 
 
 
4. OPTION EXERCISE PRICES

The consideration to be paid by a grantee for each share purchased by exercising an option (the “Option Exercise Price”) shall be as determined by the Board on the date
of the option approval (the “Date of Grant”), but, in the case of an Incentive Stock Option, not less than 100% of the Fair Market Value (as defined in Section 9.5 below)
of the underlying Ordinary Shares on the Date of Grant or such other amount as may be required pursuant to the Code, and provided that the Option Exercise Price shall
not be less than the nominal value of the shares subject to the option.

No Incentive Stock Option shall be granted to a grantee who at the time of grant owns (or is considered to own within the meaning of Section 424(d) of the Code) shares
possessing more than 10% of the total combined voting power of all classes of shares of the Company (or any parent or subsidiary of the Company), unless at the time the
Option Exercise Price is at least 110% of the Fair Market Value of the underlying Ordinary Shares and the Incentive Stock Option by its terms is not exercisable after the
expiration of five (5) years from the Date of Grant.

The Board may, at its discretion, grant the holder of an outstanding option, in exchange for the surrender and cancellation of such option, a new option having an Option
Exercise Price lower than provided in the option so surrendered and canceled, and containing such other terms and conditions as the Board may prescribe in accordance
with the provisions of this Plan, provided that such new Option Exercise Price shall not be less than the nominal value of the shares subject to the new option.

5. EXCLUSIVITY OF THE PLAN

Unless otherwise determined by the Board in any particular instance as part of the Agreement, each grantee hereunder will be required to declare and agree that all prior
agreements, arrangements and/or understandings with respect to shares of the Company or options to purchase shares of the Company which have not actually been issued
or granted prior to execution of the Agreement shall be null and void and that only the provisions of the Plan and/or the Agreement shall apply.

Notwithstanding the above, the adoption of this Plan, by itself, shall not be construed as amending, modifying or rescinding any incentive arrangement previously approved
by the Board or as creating any limitations on the power of the Board to adopt such other incentive arrangements as it may deem desirable, including, without limitation,
the granting of options otherwise than under this Plan, and such arrangements may be either applicable generally or only in specific cases.

6. GRANT OF THE OPTIONS AND ISSUANCE OF THE SHARES TO THE TRUSTEE

6.1. The Board shall appoint a trustee for the purposes of this Plan, which trustee shall be approved, with respect to grants designated as grants made through a trustee
pursuant to Section 102, in accordance with Section 102 (the “Trustee”). The Trustee shall have all the powers provided by law, Section 102 and the Plan and shall
act pursuant to the provisions thereof, as they shall apply from time to time. The Company shall pay the Trustee a fee as shall be agreed between the Trustee and the
Company.

3

 
 
 
 
 
 
 
 
 
 
 
6.2. Unless otherwise determined by the Board, all option awards shall be issued by the Company in the name of the Trustee and the share certificates representing any
shares issued pursuant to options exercised hereunder, and any and all other or additional rights or shares deriving from or issued in connection therewith, if any, such
as, but not limited to, bonus shares (share dividends) (“Additional Rights”), shall be issued by the Company in the name of the Trustee in trust for the designated
grantee and shall be deposited with the Trustee, held by him and registered in his name in the register of members of the Company for such period as determined by
the Board but, in the case of grants designated as grants made through a trustee pursuant to Section 102, not less than the period required, or approved, with respect
thereto pursuant to Section 102, as shall be in effect from time to time (the “Lock-Up Period”).

Furthermore, and without derogating from the aforesaid or any other provision hereof, with respect to options granted or shares issued which were designated as made
through a trustee pursuant to Section 102: (i) they may not be sold until the end of the Lock-Up Period, unless otherwise allowed or determined by the Israeli tax
authorities; and (ii) all Additional Rights will be subject to the same tax route applicable to the original option and/or shares.

6.3. Without derogating from the provisions of Sections 6.2 above or 6.7 below, and unless otherwise determined by the Board generally or in any particular instance, the
shares  issued  with  respect  to  any  options  granted  hereunder  and  all Additional  Rights,  if  any,  will  be  held  by  the  Trustee  and  registered  in  his  name.  Since  the
Company  is  listed  for  trade  in  the Tel-Aviv  Stock  Exchange  Ltd.,  the  grantee  may  request  the  registration  of  the  options  in  his/her  name  and  transfer  to  him/her
subject to the provisions of Section 102, applicable laws and the Plan all as shall be in effect from time to time (e.g., payment of taxes, etc.). Notwithstanding the
above, options granted and designated as grants made through a trustee pursuant to Section 102 will be held by the Trustee and registered in his name in trust for the
designated grantee, for not less than the Lock-Up Period.

6.4. Options  granted  hereunder  shall  not  confer  upon  the  holder  thereof  any  of  the  rights  of  a  shareholder  of  the  Company  with  respect  to  the  shares  subject  to  such

options until such shares are issued and registered in the name of the holder upon the exercise of the options.

6.5. For as long as any shares are held by the Trustee or registered in his name or for as long as the certificates representing any shares are held by the Trustee, the Trustee
alone  shall  be  entitled  to  receive  every  notice  to  which  a  shareholder  is  entitled,  or  to  demand  any  information,  and  any  financial  and/or  other  report  to  which  a
shareholder is entitled from the Company, and only he or whomever he shall designate pursuant to the Proxy and Power of Attorney referred to and as defined in
Section 10.2 below (the “Attorney”), shall be entitled to exercise every other right of the shareholders vis-a-vis the Company including the right to participate in and
to vote at all shareholders’ meetings. No grantee shall be entitled to exercise any of these rights as shareholder nor make any demand or request of the Trustee and/or
of the Attorney in this regard.

6.6. Shares registered in the Trustee’s name shall be represented at meetings of shareholders of the Company and shall be voted by the Trustee or the Attorney.

6.7. Nothing in the aforegoing provisions shall derogate from the power of the Board to grant options or to allot shares to the Trustee otherwise than under the provisions
of Section 102, or to allot shares or grant options to grantees directly otherwise than through the Trustee or on terms which differ from those specified above, or to
approve the transfer of shares from the Trustee to the name of any grantee(s) upon such conditions as shall be determined by the Board.

4

 
 
 
 
 
 
 
 
 
7. OPTION OR SHARE PURCHASE AGREEMENT; TERMINATION OF EMPLOYMENT

Unless otherwise determined by the Board, every grantee shall be required to sign an option or share purchase agreement or other document as shall be determined by the
Board, in the form approved by the Board (the “Agreement”).

The Agreement  shall  specify  the  type  of  option  award  granted  and  whether  it  constitutes  an  option  pursuant  to  Section  102,  and  if  so,  under  which  regime,  an  option
pursuant to Section 3(i) of the Income Tax Ordinance, an Incentive Stock Option, a Non-Qualified Stock Option or otherwise. The Agreement need not be identical with
respect  to  each  grantee.  The  following  terms,  however,  shall  apply  to  all  options,  and,  mutatis  mutandis,  shares,  unless  expressly  otherwise  decided  in  respect  of  a
particular option:

7.1. Unless  otherwise  determined  by  the  Board  or  in  the Agreement,  the  Option  Exercise  Price  shall  be  paid  by  the  grantee  to  the  Company  no  later  than  the  date  of

exercise of the option in such manner as the Company may prescribe.

7.2. The grantee shall have no right of first refusal to purchase shares of the Company which may be offered for sale by shareholders of the Company, and shall have no

pre-emptive rights to purchase shares which are being allotted or shall in the future be allotted by the Company, to the extent any such rights otherwise exist.

7.3. The option and/or the right to the option and/or the shares are personal and except insofar as is specified in this Plan, and, where applicable, subject to Section 102,
may not be transferred, assigned, pledged, withheld, attached or otherwise charged either voluntarily or pursuant to any law, except by way of transfer pursuant to the
laws of inheritance, and no power of attorney or deed of transfer, whether the same has immediate effect or shall take effect on a future date, shall be given with
respect thereto. During the lifetime of the grantee, the option may only be exercised by the designated grantee or, if granted to the Trustee, by the Trustee on behalf of
the  designated  grantee. A  note  as  to  the  provisions  of  this  sub-section  or  a  legend  may  appear  on  any  document  which  grants  the  option  and  in  particular  in  the
Agreement, and also on any share certificate.

7.4. The right to exercise the option is granted to the Trustee on behalf of the grantee. Vesting shall be in installments, gradually over a period of 4 (four) years from the
Date of Grant of the option or such other period or periods as determined by the Board. Unless otherwise determined, at the conclusion of each period for the exercise
of the option as determined in the Agreement (“Vesting Periods”), the option may, from time to time, be exercised in relation to part or all the shares allocated for
that  period,  in  such  manner  that  at  the  end  of  1  (one)  year  from  the  granting  of  the  option,  the  Trustee  shall,  in  the  absence  of  a  contrary  determination  in  the
Agreement, be entitled to exercise on behalf of the grantee and at his or her request, up to 25% (twenty five percent) of the shares subject to the option and thereafter
1/16 of the options quarterly over 3 years.

In addition, during each of the Vesting Periods, the option may be exercised in relation to all or part of the shares allocated for any previous Vesting Period in which
the option was not fully exercised, provided, subject to the provisions of Section 7.6 hereof, that at the time of the exercise of the option the grantee has continued to
be employed by or to serve as a director of or provide services to, the Company or a Related Company on a continual basis from the Date of Grant thereof until the
date of their exercise. After the end of the Vesting Periods and during the balance of the option period, the option may be exercised, from time to time, in relation to
all or part of the shares which have not at that time been exercised and which remain subject to the option, subject to the provisions of Section 7.6 hereof and to any
condition in the Agreement, if such exists, which provides a minimum number of shares with respect to which the option may be exercised and any provision which
determines the number of times that the Trustee may send the Company notice of exercise on behalf of the grantee in respect of the option. The Board shall be entitled
at any time to shorten the vesting schedule or any Vesting Period.

5

 
 
 
 
 
 
 
 
 
 
7.5. The Board may determine at its sole discretion, that any grantee shall be entitled to receive the options or the shares, through the Trustee, pursuant to the provisions of
this Plan or, subject to the provisions of Section 102 as relevant, directly in the name of the grantee, immediately upon execution of the Agreement or on such other
date  or  dates  as  the  Company  has  undertaken  towards  such  grantee.  In  the  event  that  a  grantee  is  exempt  from  the Vesting  Periods  (pursuant  to  the  provisions  of
Section  7.4),  the  Board  shall  be  entitled  to  determine  that  where  the  grantee  does  not  comply  with  the  conditions  determined  by  the  Board  or  ceases  to  be  an
employee, director or service provider of the Company or a Related Company, the Trustee, the Company or a Related Company shall have the right to repurchase the
shares from the grantee for nominal or any other consideration paid by the grantee or as otherwise determined by the Board at the time of grant. The Board may set
additional  conditions  to  this  right  of  repurchase,  including  the  provision  of  appropriate  arrangements  for  the  monies  which  shall  be  available  to  the  Trustee  or  a
Related Company or others for the purpose of the repurchase and may set conditions with respect to the voting rights of the grantee, rights of first refusal or pre-
emptive  rights  to  purchase  shares  in  the  Company,  to  the  extent  such  rights  exist,  the  grantees  right  to  receive  reports  or  information  from  the  Company,  and  the
grantee’s  right  to  a  dividend  in  respect  of  shares  which  are  subject  to  a  right  of  reacquisition  as  aforesaid.  For  as  long  as  the  aforegoing  conditions  of  the  Board
(including a minimum period of employment or engagement as a condition for the lapse of the right to reacquisition) have not been complied with, the grantee shall
not be entitled to sell or charge or transfer in any other manner the shares which are subject to the right of reacquisition. As security for the compliance with this
undertaking, the share certificate will be deposited with the Trustee who will release the same to the grantee only after the grantee becomes entitled to the shares and
the same are not subject to any other restrictive condition.

7.6. Termination of Engagement

7.6.1

If  a  grantee  ceases  to  be  an  employee,  director  or  service  provider  (or,  if  relevant,  an  employee  of  a  service  provider)  of  the  Company  or  a  Related
Company, other than: (i) by reason of death, disability (as determined by the Board in its absolute discretion) or retirement as provided in Section 7.6.3
below;  or  (ii)  for  Cause  (as  defined  below)  (at  which  time  the  option  shall  terminate  immediately  upon  the  earlier  of  such  cessation  or  notice  of
cessation); the option shall remain exercisable for a period of ninety (90) days following the earlier of such cessation or notice of cessation (but only to
the extent exercisable at termination of employment, the director or service-provider relationship and not beyond the scheduled expiration date) (unless
the Agreement provides otherwise).

6

 
 
 
 
 
The  term  “Cause”  shall  mean,  for  the  purposes  hereof:  (i)  conviction  of  any  felony  involving  moral  turpitude  or  affecting  the  Company;  (ii)
embezzlement  of  funds  of  the  Company  or  its  affiliates;  (iii)  any  breach  of  the  grantee’s  fiduciary  duties  or  material  breach  of  duties  of  care  of  the
Company,  including  without  limitation  disclosure  of  confidential  information  of  the  Company;  or  (iv)  any  conduct  (other  than  conduct  in  good  faith)
reasonably determined by the Board of Directors to be materially detrimental to the Company.

If the employment or the director or service-provider relationship of a grantee is terminated by reason of death, disability (as determined by the Board in
its absolute discretion) or retirement after age 60 with the approval of the Board, the option shall remain exercisable for a period of twelve (12) months
following such termination (but only to the extent exercisable at termination of employment, the director or service-provider relationship and not beyond
the scheduled expiration date).

The  Board  may  determine  whether  any  given  leave  of  absence  constitutes  a  termination  of  employment,  the  director  or  service-provider  relationship.
Options awarded under this Plan shall not be affected by any change of employment, the director or service-provider relationship so long as the grantee
continues to be an employee, director or service-provider, as applicable, of the Company or a Related Company.

7.6.2

7.6.3

7.6.4

Notwithstanding the foregoing, the Board may at its absolute discretion, extend the period of exercise of the option by a grantee or grantees for such time
as it shall determine either with or without conditions.

8. ASSUMPTION OF AN OPTION; LIQUIDATION

In the event of: (i) a sale of all or substantially all of the assets of the Company; or (ii) a consolidation or merger of the Company in which the Company is not the ongoing
or surviving corporation, then, and unless in each case: (i) the applicable Agreement provides otherwise; or (ii) the Board determines otherwise, the Company shall be
entitled to determine that all of the outstanding unexercised options held by or for the benefit of any grantee shall be assumed or substituted for an appropriate number of
options of the successor company, provided that the aggregate amount of the exercise price for such options shall be equal to the aggregate amount of the exercise price of
the Company’s unexercised options held by each grantee at such time.

8a. ACCELRATION OF AN OPTION

8a.1

In the occurrence of an M&A Transaction (as defined below), and notwithstanding the provisions of section 8 above, the unvested portion of the options shall
become fully vested.

“M&A Transaction” shall mean a “merger” as such term or term of similar nature is defined in the Israeli Companies Law of 1999, as well as (i) a sale of
50% or more of the assets of the Company and its subsidiaries taken as a whole, or the sale or disposition (whether by merger or otherwise) of one or more
subsidiaries of the Company if more than 50% of the assets of the Company and its subsidiaries taken as a whole are held by such subsidiary or subsidiaries;
or (ii) a sale of all or more than 50% of the shares of the share capital of the Company whether by a single transaction or a series of related transactions which
occur either over a period of 12 months or within the scope of the same acquisition agreement; (iii) an issuance of shares of the Company, whether by a single
transaction or a series of related transactions which occur either over a period of 12 months or within the scope of the same acquisition agreement, that results
in the offeree holding more than 50% of the share capital of the Company; or (iv) a merger, consolidation or like transaction of the Company with or into
another corporation including a reverse triangular merger, but excluding a merger which falls within the definition of Reorganization (as defined below).

7

 
 
 
 
 
 
 
 
 
 
 
“Reorganization” shall mean any re-domestication of the Company, share flip, creation of a holding Company for the Company which will hold all, or 50%
or more, of the shares of the Company or any other transaction involving the Company in which the ordinary shares of the Company outstanding immediately
prior to such transaction continue to represent, or are converted into or exchanged for shares that represent, immediately following such transaction, at least a
majority, by voting power, of the share capital of the surviving, acquiring or resulting corporation and in which there is no material change to the interests
held by the shareholders of the Company prior to such transaction and thereafter.

8a.2

The Board may also determine that in the occurrence of a Fund Raising Transaction (as defined below), that all of the outstanding and unexercised options
held by or for the benefit of any grantee shall become fully vested. Such determination shall be specifically determined in the grantee’s letter of grant.

“Fund Raising Transaction “ – the raise by the Company of at least $10 million by way of public offerings and/or private placements of equity securities by
one transaction or more, except in the event of issuance of equity securities in connection with the grant in exchange for services or as part of a commercial
transaction.

9. TERM OF OPTIONS; EXERCISE

9.1. The term of each option shall be for such period as the Board shall determine, but not more than 10 (ten) years from the Date of Grant thereof or such shorter period
as is prescribed in Section 7.6 or 8.3 hereof or, with respect to Incentive Stock Options, as prescribed in Section 4 above. Notwithstanding the foregoing, the Board
may, in its sole discretion, extend the term of each option by an additional period of up to five (5) years, beyond the ten-year period stipulated above.

9.2. A grantee who desires that the Trustee exercise an option granted to the Trustee on his or her behalf shall so instruct the Trustee in writing in the form annexed hereto
as Appendix A or in such other form as shall be approved by the Board from time to time. The notice shall be accompanied by, or specify the arrangements for,
payment of the full Option Exercise Price of such shares as provided in the Agreement. The Company may require, as a condition to the exercise of an option, that the
grantee  pay  or  otherwise  make  arrangements  to  the  Company’s  satisfaction,  for  the  payment  of  the  tax  and  other  obligatory  payments  applicable  to  him  or  her
(including  all  sums  payable  arising  out  of  or  in  connection  with  the  Company’s  obligation  to  deduct  tax  and  other  obligatory  payments  at  source)  pursuant  to
applicable law and the provisions of the Plan. The Company may also require that the grantee provide or make such representations and agreements as to grantee’s
investment intent and such other matters as the Company may deem necessary, advisable or appropriate at such time. Upon receipt of all the requisite documents,
approvals and payments from the grantee, including sufficient proof of payment or other arrangement with respect to the payment of any applicable taxes in form
satisfactory to the Company and the Trustee, the Trustee shall deliver a notice to the Company in the form annexed hereto as Appendix B or in such other form as
shall be approved by the Board from time to time, whereupon the Company shall allot the shares in the name of the Trustee.

8

 
 
 
 
 
 
 
 
9.3. A grantee who desires to exercise an option granted directly to him or her (and not through the Trustee) shall so notify the Company in writing in such form as shall
be prescribed by the Board from time to time. As a condition for the exercise of the option, the grantee shall pay or otherwise make arrangements, to the Company’s
satisfaction,  for  the  payment  of  the  tax  and  other  obligatory  payments  applicable  to  him  or  her  (including  all  sums  payable  by  the  Company  arising  out  of  its
obligation  to  deduct  tax  and  other  obligatory  payments  at  source)  pursuant  to  applicable  law  and  the  provisions  of  the  Plan.  Upon  receipt  of  all  the  requisite
documents, approvals and payments from the grantee, including sufficient proof of payment or other arrangement with respect to the payment of any applicable taxes
in form satisfactory to the Company, the Company shall allot the shares in the name of the grantee.

9.4. Without limiting the foregoing, the Board may, with the consent of the grantee, from time to time cancel all or any portion of any option then subject to exercise, and
the Company’s obligation in respect of such option may be discharged by: (i) payment to the grantee or to the Trustee on behalf of the grantee of an amount in cash
equal to the excess, if any, of the Fair Market Value (as defined below) of the relevant shares at the date of such cancellation subject to the portion of the option so
canceled over the aggregate Option Exercise Price of such shares; (ii) the issuance or transfer to the grantee or to the Trustee on behalf of the grantee of shares of the
Company with a Fair Market Value at the date of such transfer equal to any such excess; or (iii) a combination of cash and shares with a combined value equal to any
such excess, all as determined by the Board in its sole discretion.

For purposes hereof, the “Fair Market Value” of the Ordinary Shares shall mean, as of any date, the average reported sale price of the Ordinary Share during the last
30  trading  days  prior  to  that  date,  of  the  Ordinary  Shares  of  the  Company  on  the  principal  securities  exchange  on  which  such  shares  are  then  traded;  provided,
however,  that  if  such  shares  are  not  publicly  traded  for  30  days  prior  to  the  date  as  of  which  Fair  Market Value  is  to  be  determined,  “Fair  Market Value”  of  the
Ordinary Shares shall mean the value as determined in good faith by the Board.

10. ADDITIONAL DOCUMENTS

10.1. The  grantee  shall  provide,  any  certificate,  declaration  or  other  document  which  the  Company  or  the  Trustee  shall  consider  to  be  necessary  or  desirable  whether
pursuant to any law, whether local or foreign, or otherwise, including any undertaking on the part of the grantee not to sell his or her shares during any period which
shall be required by an underwriter or investment bank or advisor of the Company for the purpose of any share issue, whether private or public (including lock-up
and/or market stand-off arrangements and undertakings), and including any certificate or agreement which the Company shall require, if any, from the grantees as
members  of  a  class  of  shareholders,  or  any  certificate,  declaration  or  other  document  the  obtaining  of  which  shall  be  deemed  by  the  Board  or  the  Trustee  to  be
appropriate or necessary for the purpose of raising capital for the Company, of merging the Company with or into another company (whether the Company is the
surviving entity or not), or of reorganization of the Company, including, in the event of a consolidation or merger of the Company or any sale, lease, exchange or
other transfer of all or substantially all of the assets or shares of the Company, for the sale or exchange, as the case may be, of any shares the grantee (or the Trustee
on his or her behalf) may have purchased hereunder all as shall be deemed necessary or desirable by the Board or the Trustee.

9

 
 
 
 
 
 
 
As long as the shares and/or the options are registered in the Trustee’s name, the same shall be authorized to sign the grantee’s name and on his/her behalf on any of
the  aforesaid  documentation.  In  the  event  that  the  options  or  shares  have  been  transferred  into  the  name  of  the  grantee,  and  he/she  has  refused  to  confirm  any
document  required  by  the  Company  as  aforesaid  by  placing  his/her  signature  thereon,  the  Trustee  shall  be  entitled,  at  the  request  of  the  Company,  to  sign  any
document in the name of the grantee and on his/her behalf.

10.2. In  order  to  guarantee  the  aforesaid,  and  because  the  rights  of  the  Company  and  the  other  shareholders  are  dependent  thereon,  the  grantee  shall,  upon  signing  the
Agreement and as a condition to the grant of any options hereunder, execute the Proxy and Power of Attorney attached hereto as Appendix C, or in such other form
as shall be approved by the Board from time to time (the “Proxy and Power of Attorney”), irrevocably empowering the Trustee and/or the Attorney, to sign any
document and take any action in his or her name as aforesaid, and the grantee shall have no complaint or claim against the Trustee and/or the Attorney in respect of
any  such  signature  or  action,  or  in  respect  of  any  determination  of  the Trustee  pursuant  hereto,  including  pursuant  to  Section  6.6  or  10.1  above. The  grantee  will
authenticate his or her signature in the presence of a notary if he or she shall be asked to do so by the Company, in order to give full validity to the Proxy and Power
of Attorney.

11. TAXATION

11.1. General

The grantee shall be liable for all taxes, duties, fines and other payments which may be imposed by the tax authorities (whether in Israel or abroad) and for every
obligatory  payment  of  whatever  source  (including,  but  not  limited  to,  social  security,  health  tax,  etc.,  as  may  be  applicable)  in  respect  of  the  options,  the  shares
(including, without limitation, upon the grant of the options, the exercise of the options, the issuance of the shares, the sale of the shares or the registration of the
shares in the grantee’s name) or dividends or any other benefit in respect thereof and/or for all charges which shall accrue to the grantee, the Company, any Related
Company  and/or  to  the  Trustee  in  connection  with  the  Plan,  the  options  and/or  the  shares,  or  any  act  or  omission  by  the  grantee  or  the  Company  in  connection
therewith or pursuant to any determination by the applicable tax or other authorities, including, without limitation, any such payments required to be made by the
Company as the result of any sale by the grantee of shares which were designated as made through a trustee pursuant to Section 102 prior to the end of the Lock-Up
Period.  Notwithstanding  the  foregoing,  if  the  Company  elects  the  “employment  income”  route  for  options  granted  through  a  trustee  pursuant  to  Section  102,  the
Company or the Related Company, as applicable, shall pay, at its expense, any social security payments payable by the employer with respect to options so granted to
the extent required as a result of such choice.

11.2. Deduction at Source

The Company (including any Related Company) and/or the Trustee shall have the right to withhold or to require the grantee to pay an amount in cash or to retain or
sell without notice Ordinary Shares in value sufficient to cover any tax or obligatory payment required by any governmental or administrative authority to be withheld
or otherwise deducted and paid with respect to the options or the Ordinary Shares subject thereto (including, without limitation, upon their grant, exercise, issuance or
sale or the registration of the Ordinary Shares in the grantee’s name) or with respect to dividends or any other benefits in respect thereof (“Withholding Tax”), and to
make  payment  (or  to  reimburse  itself  or  himself  for  payment  made)  to  the  appropriate  tax  or  other  authority  of  an  amount  in  cash  equal  to  the  amount  of  such
Withholding Tax. Notwithstanding the foregoing, the grantee shall be entitled to satisfy the obligation to pay any Withholding Tax, in whole or in part, by providing
the Company and/or the Trustee with funds sufficient to enable the Company and/or the Trustee to pay such Withholding Tax.

10

 
 
 
 
 
 
 
 
 
11.3. Certificate of Authorization of Assessing Officer

The Company (including any Related Company) or the Trustee shall at any time be entitled to apply to the Assessing Officer, and in the case of a grantee abroad, to
any foreign tax authority, and to any other governmental or administrative authority for receipt of their certificate of authorization as to the amount of tax or other
obligatory payments which the Company or any Related Company or the grantee or the Trustee is to pay to the tax or other authorities resulting from granting the
options or allotting the shares, or regarding any other question with respect to the application of the Plan.

11.4. Security for Payment of Taxes

Without  derogating  from  the  above,  the  Company  (including  any  Related  Company)  and/or  the  Trustee  shall  have  the  right  to  require  that  any  grantee  provide
guarantees or other security to the Company’s satisfaction to guarantee the payment of any taxes or other obligatory payments which may be payable as a result of or
in  connection  with  the  grant  of  an  option,  the  exercise  thereof,  the  issuance,  sale  or  transfer  of  any  shares  and/or  the  registration  of  any  options  or  shares  in  the
grantee’s name (including any sum payable arising out of or in connection with the Company’s obligations to deduct tax and other obligatory payments at source);
and, with respect to options granted pursuant to Section 102 which were not designated as made through a trustee, if the grantee’s employment with the Company or
any Related Company is terminated for any reason, the grantee will be obligated to provide the Company with a guarantee or other security to its satisfaction and at
its discretion, to cover any tax obligations which may arise thereafter in connection with the disposition of the shares.

12. DIVIDENDS

The Ordinary Shares issued as a result of the exercise of the options shall participate equally with the Company’s other Ordinary Shares in every cash dividend which shall
be declared and distributed subject to the following provisions:

12.1. A cash dividend shall be distributed only to persons registered in the register of members as shareholders on the record date fixed for the distribution of the dividend.

12.2. A dividend with regard to shares which are registered in the name of the Trustee shall be paid to the Trustee, subject to any lawful deduction of tax, whether such rate
is at the usual rate applicable to a dividend or at a higher rate. The Trustee shall transfer the dividend to the grantees in accordance with instructions that he shall
receive from the Company. Alternatively, the Company shall be entitled to pay the dividend directly to the grantee subject to the deduction of the applicable tax.

11

 
 
 
 
 
 
 
 
 
 
12.3. Without  derogating  from  the  provisions  of  Sections  11.2  and  12.2  hereof,  the  Company  or  the  Trustee  shall  be  entitled  to  set  off  and  deduct  at  source  from  any
dividend any sum that the grantee owes to the Company (including any Related Company) or the Trustee, whether under the Plan or otherwise, and/or any sum that
the grantee owes to the tax or other authorities.

Notwithstanding the above, if at any time following the grant of options to the grantee, or to the Trustee on behalf of the grantee, the Company shall distribute a cash
dividend to its shareholders, then upon record date fixed for the purpose of such distribution, the Option Exercise Price of each unexercised or unvested option at such time
shall be reduced by an amount equal to the total cash dividend amount paid for each Company’s share (i.e., prior to any Withholding Tax required for such distribution).

13. RIGHTS  AND/OR  BENEFITS  ARISING  OUT  OF  THE  EMPLOYEE/  EMPLOYER  RELATIONSHIP  AND  THE  ABSENCE  OF  AN  OBLIGATION  TO

EMPLOY

13.1. No income or gain which shall be credited to or which purports to be credited to the grantee as a result of the Plan, shall in any manner be taken into account in the
calculation of the basis of the grantee’s entitlements from the Company or any Related Company or in the calculation of any social welfare right or other rights or
benefits  arising  out  of  the  employee/employer  relationship.  If,  pursuant  to  any  law,  the  Company  or  any  Related  Company,  shall  be  obliged  for  the  purposes  of
calculation of the said items to take into account income or gain actually or theoretically credited to the grantee, the grantee shall indemnify the Company or any
Related Company, against any expense caused to it in this regard.

13.2. Nothing  in  the  Plan  shall  be  interpreted  as  binding  the  Company  or  any  Related  Company  to  employ  the  grantee  and  nothing  in  the  Plan  or  any  option  granted
pursuant thereto shall confer upon any grantee any right to continue in the employment or the director or service-provider relationship of the Company or any Related
Company or restrict the right of the Company or any Related Company to terminate such employment or the director or service-provider relationship at any time. The
grantee  shall  have  no  claim  whatsoever  against  the  Company  or  any  Related  Company  as  a  result  of  the  termination  of  his  or  her  employment  or  the  director  or
service-provider relationship, including, without limitation, any claim that such termination causes any options to expire and/or prevents the grantee from exercising
the options and/or from receiving or retaining any shares pursuant to any agreement between him or her and the Company, or results in any loss due to an imposition,
or earlier than anticipated imposition, of tax or other liability pursuant to applicable law.

14. ADJUSTMENTS UPON CHANGES IN CAPITALIZATION

Notwithstanding any other provisions of the Plan, the Board shall take such actions, if any, as it deems appropriate for the adjustment of the number and class of shares
subject to each unexercised or unvested option, and in the option prices in the case of, changes in the outstanding share capital of the Company by reason of any share
dividend  (bonus  shares),  stocksplit,  recapitalization,  combination,  exchange  of  shares,  merger,  consolidation,  liquidation,  split-up,  split-off,  spin-off  or  other  similar
occurrences or changes in capitalization. In the event of any such event, the Board may make any adjustments it deems appropriate, including in the aggregate number and
class of shares available under the Plan, and the Board’s determination in this regard shall be conclusive.

12

 
 
 
 
 
 
 
 
 
Provided however, that in the event that following the grant of options to the grantee, or to the Trustee on behalf of the grantee, the Company shall offer securities to its
shareholders by way of a rights offering, then upon the record date of such offering, the Option Exercise Price of each unexercised or unvested option shall be reduced by
an  amount  equal  to  the  difference  between  the  price  per  share  applicable  on  the  distribution  date  and  the  actual  price  of  securities  issued  under  the  rights  offering
prospectus.

15. TERM, TERMINATION AND AMENDMENT

Unless the Plan shall theretofore have been terminated as hereinafter provided, the Plan shall terminate on, and no option shall be granted after, the twentieth anniversary of
the date the Plan was first adopted by the Board. The Board may at any time terminate, modify or amend the Plan in such respects as it shall deem advisable. Options
granted prior to termination of the Plan may, subject to the terms of the Plan and any Agreement, be exercised thereafter. Without the consent of the grantee to whom any
option shall theretofore be granted, any amendment or modification of the Plan may not adversely affect the rights of such grantee under such option.

16. EFFECTIVENESS OF THE PLAN; APPROVALS

The Plan shall become effective as of the date determined by the Board. Notwithstanding the foregoing and Sections 3 and 15 above, in the event that approval of the Plan
or  any  modification  or  amendment  thereto  by  the  shareholders  of  the  Company  is  required  under  applicable  law  or  pursuant  to  applicable  stock  exchange  rules  or
regulations, such approval shall, to the extent possible, be obtained within the time required under the applicable law, rule or regulation. If such shareholder approval is
required in connection with the application of specified tax treatments, the Company shall make reasonable efforts to obtain such approval within the required time.

17. RELEASE OF THE TRUSTEE AND THE ATTORNEY FROM LIABILITY

In no event shall the Trustee or the Attorney be liable to any grantee under the Plan, or to a purchaser of shares from any grantee with respect to any act which has been or
will be carried out in relation to the Plan, its execution and any matter connected thereto or arising therefrom. The grantee will be required to covenant, upon signing the
Agreement that he or she will not make any claim against the Trustee or the Attorney in any manner whatsoever and on any ground whatsoever and that he or she will
expressly agree that if the Trustee or the Attorney are sued by them, then the Trustee or the Attorney shall be entitled by virtue of this Section alone to apply to the court for
dismissal of the action against them with costs.

18. GOVERNING LAW

The Plan and all instruments issued thereunder, shall be governed by and construed in accordance with the laws of the State of Israel, subject to the provisions of the Code
with  respect  to  Incentive  Stock  Options  and,  in  the  event  of  any  ambiguity  or  conflict,  the  provisions  hereof  shall  be  so  construed  and  applied  as  to  give  effect  to  the
intention that any Incentive Stock Option granted will qualify as such under Section 422 of the Code.

13

 
 
 
 
 
 
 
 
 
 
  
COLLPLANT HOLDINGS LTD.

Appendix A

to CollPlant Holdings Ltd.’s Share Ownership
and Option Plan (2010)

(Section 9.2)

NOTICE OF EXERCISE

Date: ______________

The Trustee under the CollPlant Holdings Ltd.
Share Ownership and Option Plan (the “Plan”)

Dear Sirs,

Re: Notice of Exercise

I hereby wish to inform you that it is my desire that of the Option which was granted to you on ________ to acquire ______ (________) Ordinary Shares of CollPlant Holdings
Ltd. (the “Company”) on my behalf, you exercise and acquire on my behalf ______ (________) of the Ordinary Shares subject to the said Option at a price of NIS ____ per
share, all in accordance with the Plan.

Attached to this Notice is a check in the amount of NIS ________ (NIS ________) as payment for the abovementioned shares.

I am aware that all the shares shall be allotted to you, registered in your name and that you shall hold all the share certificates representing such shares.

Likewise, I am aware of and agree to all the other provisions of the Plan and applicable law.

Yours sincerely,

Employee’s name

14

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
COLLPLANT HOLDINGS LTD.

Appendix B

to CollPlant Holdings Ltd.’s Share Ownership
and Option Plan (2010)

(Section 9.2)

NOTICE OF EXERCISE

CollPlant Holdings Ltd.

Dear Sirs,

Please be advised that I hereby exercise ________ (________) of the Ordinary Shares subject to the Option which was granted to me on behalf of __________ on ________ to
acquire ________ (________) Ordinary Shares of CollPlant Holdings Ltd., at a price of NIS ____ per share, all in accordance with the Plan.

Attached to this Notice is a check in the amount of NIS ________ (NIS ________) as payment for the abovementioned shares.

Re: Notice of Exercise

Date: ______________

Yours sincerely,

The Trustee

15

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
COLLPLANT HOLDINGS LTD.

Appendix C

to CollPlant Holdings Ltd.’s Share Ownership
and Option Plan (2010)

(Section 10.2)

IRREVOCABLE PROXY AND POWER OF ATTORNEY

I,  the  undersigned,  ________  ,  hereby  appoint  _____________  and/or  __________  or  whomever  shall  replace  him  as  trustee  pursuant  to  CollPlant  Holdings  Ltd.’s  Share
Ownership and Option Plan (2010) (the “Trustee” and the “Plan”, respectively) or whomever the Trustee shall designate (the Trustee and/or such designee shall be referred to
hereafter  as  the  “Attorney”)  as  my  proxy  to  participate  and  vote  (or  abstain)  for  me  and  on  my  behalf  as  the Attorney  at  his  sole  discretion  shall  deem  appropriate,  on  all
matters  and  at  all  meetings  of  shareholders  (whether  ordinary,  extraordinary  or  otherwise),  of  CollPlant  Holdings  Ltd.  (the  “Company”),  on  behalf  of  all  the  shares  and/or
options of the Company held by the Trustee on my behalf and hereby authorize and grant a power of attorney to the Attorney as follows:

I hereby authorize and grant power of attorney to the Attorney for as long as any shares and/or options which were allotted or granted on my behalf are held by the Trustee or
registered in his name, or for as long as the certificates representing any shares are held by the Trustee, to exercise every right, power and authority with respect to the shares
and/or  options  and  to  sign  in  my  name  and  on  my  behalf  any  document  (including  any  agreement,  including  a  merger  agreement  of  the  Company  or  an  agreement  for  the
purchase or sale of assets or shares (including the shares of the Company held on my behalf) and any and all documentation accompanying any such agreements, such as, but
not limited to, resolutions, decisions, requests, instruments, receipts and the like), and any affidavit or approval with respect to the shares and/or options or to the rights which
they represent in the Company in as much as the Attorney shall deem it necessary or desirable to do so. In addition and without derogating from the generality of the foregoing,
I hereby authorize and grant power of attorney to the Attorney to sign any document as aforesaid and any affidavit or approval (such as any waiver of rights of first refusal to
acquire  shares  which  are  offered  for  sale  by  other  shareholders  of  the  Company  and/or  any  waiver  of  any  preemptive  rights  to  acquire  any  shares  being  allotted  by  the
Company, in as much as such rights shall exist pursuant to the Company’s Articles of Association as shall be in existence from time to time) and/or to make and execute any
undertaking in my name and on my behalf if the Attorney shall, at his sole discretion, deem that the document, affidavit or approval is necessary or desirable for purposes of
any placement of securities of the Company, whether private or public (including lock-up and/or market stand-off arrangements and undertakings), whether in Israel or abroad,
for purposes of a merger of the Company with or into another entity, whether the Company is the surviving entity or not, for purposes of any reorganization or recapitalization
of the Company or for purposes of any purchase or sale of assets or shares of the Company.

This Proxy and Power of Attorney shall be interpreted in the widest possible sense, in reliance upon the Plan and upon the goals and intentions thereof.

This Proxy and Power of Attorney shall be irrevocable until such time as the rights of the Company and the Company’s shareholders are dependent hereon. The revocation of
this Proxy and Power of Attorney shall in no manner effect the validity of any document (as aforesaid), affidavit or approval which has been signed or given as aforesaid prior
to the revocation hereof and in accordance herewith.

This Proxy and Power of Attorney shall also apply to all shares and/or options in other entities issued or granted to or on behalf of the undersigned and held by the Trustee in
consideration  or  in  exchange  for,  or  by  virtue  of,  any  shares  and/or  options  of  the  Company  in  connection  with  any  consolidation,  merger,  spin-off  or  like  transaction  with
respect to the Company, and the term “Company” when used herein shall include any other such entity.

16

 
 
 
 
 
 
 
 
 
 
 
 
IN WITNESS WHEREOF, I have executed this Proxy and Power of Attorney on the __ day of ________, ____.

__________________
Name:
I.D. Number:

CONFIRMATION

I, the undersigned, ________, hereby confirm the signature of ________ which appears above.

_______________

17

 
 
 
 
 
 
 
 
 
 
 
Exhibit 4.4

COLLPLANT BIOTECHNOLOGIES LTD.

2024 SHARE AWARD PLAN

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
1.

Purposes of the Plan.

COLLPLANT BIOTECHNOLOGIES LTD.
2024 SHARE AWARD PLAN

The  purpose  of  this  2024  Share Award  Plan  (the  “Plan”)  is  to  advance  the  interests  of  CollPlant  Biotechnologies  Ltd.  (the  “Company”)  and  its  shareholders  by
attracting and retaining the best available personnel for positions of substantial responsibility, providing additional incentive to employees, officers, directors, advisors
and consultants and promoting a close identity of interests between those individuals and the Company and/or its Affiliate.

2.

Definitions.

As used herein, the following definitions shall apply:

2.1.

2.2.

2.3.

2.4.

2.5.

2.6.

2.7.

2.8.

“Administrator” means the Board or any of its Committees as shall be administrating the Plan, in accordance with Section 3 hereof.

“Affiliate” means any entity controlling, controlled by or under common control with the Company. For the purpose of this definition of Affiliate, control
shall mean the ability, to direct the activities of the relevant entity and/or shall include the holding of more than 50% of the capital or the voting of such entity
and any “employing company” within the meaning of Section 102(a) of the Ordinance.

“Applicable  Law”  means  including  but  not  limited  to  the  requirements  under  Israeli  tax  laws,  Israeli  social  security  laws,  Israeli  security  laws,  Israeli
companies laws, any stock exchange or quotation system on which the Shares are listed or quoted and the applicable law of any country or jurisdiction where
Awards are granted under the Plan.

“Award”  means  a  grant  of  an  Option  and/or  Share  under  the  Plan  or  any  Sub-Plan,  including,  restricted  shares  and/or  restricted  share  units  and/or  stock
appreciation rights and/or performance units, performance shares and other stock or cash awards as the Administrator may determine.

“Award Agreement” means the written or electronic agreement setting forth the terms and provisions applicable to each Award granted under the Plan. The
Award Agreement is subject to the terms and conditions of the Plan.

“Board” means the Board of Directors of the Company.

“Committee”  means  a  compensation  committee,  if  any,  of  the  Board,  designated  from  time  to  time  by  the  resolution  of  the  Board,  which  shall  consist  of
members of the Board.

“Consultant”  means  any  person  or  entity  who  is  engaged  by  the  Company  or  any Affiliate  to  render  consulting  or  advisory  services  to  such  entity,  or  a
Director  or  (“Nosei  Misra”),  as  such  term  is  defined  in  the  Israeli  Companies  Law,  5759-1999  (the  “Companies  Law”),  if  such  Director  or  Nosei  Misra
receives the payment for his services from the Company or its Affiliates via an entity.

2.9.

“Controlling Shareholder” for purposes of Section 102 shall have the meaning ascribed to it in Section 32(9) of the Ordinance.

2.10.

“Director” means a member of the Board.

2.11.

“Employee” means any person who is employed by the Company or its Affiliates, including an individual who is serving as a Director or Nosei Misra, but
excluding a Controlling Shareholder as defined in Section 32(9) of the Ordinance. To clarify, a Director or Nosei Misra who receives the payment for his
services from the Company or its Affiliates via an entity is not considered an Employee.

2

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
2.12.

“Fair Market Value” means, as of any date, the value of a Share determined as follows: the closing sales price for such Shares (or the closing bid, if no sales
were reported) as quoted on the established stock exchange or a national market system on which the Shares are listed, for the last market trading day prior to
the time of determination, as reported in The Wall Street Journal or such other source as the Administrator deems reliable; Without derogating from the above
and  solely  for  the  purpose  of  determining  the  tax  liability  pursuant  to  Section  102(b)(3),  the  fair  market  value  of  the  Share  at  the  date  of  grant  shall  be
determined in accordance with the average closing value of the Company’s Shares on the thirty (30) trading days preceding the date of grant.

2.13.

“ITA” means the Israeli Tax Authority

2.14.

“Option” means an option to purchase one Share pursuant to the Plan or any Sub-Plan.

2.15.

“Ordinance” means the Israeli Income Tax Ordinance [New Version], 5721-1961 and any regulation, rules, orders or other procedures promulgated thereunder
as now in effect or as hereafter amended.

2.16.

“Participant” means the holder of an Award granted under the Plan.

2.17.

“Retirement” means a Participant’s retirement pursuant to Applicable Law.

2.18.

“Section 102” means Section 102 of the Ordinance.

2.19.

“Section 3(i)” means Section 3(i) of the Ordinance.

2.20.

2.21.

“Section 102 Capital Gain Track” means grant of an Award with a Trustee under the capital gain track as defined in Sections 102(b)(2) and 102(b)(3) of the
Ordinance.

“Section 102 Employment Income Track” means grant of an Award with a Trustee under the employment income track as defined in Section 102(b)(1) of the
Ordinance.

2.22.

“Section 102 Non-Trustee Track” means grant of an Award without a trustee as defined in Section 102(c) of the Ordinance.

2.23.

“Share” means ordinary share of the Company, with a nominal value of NIS 1.50 per share.

2.24.

“Sub-Plan” means any sub-plan subject to the terms of the Plan.

3.

Administration of the Plan.

3.1.

Procedure.

3.1.1.

The Plan shall be administered by the Board or a Committee appointed by the Board.

3.1.2.

In administering the Plan, the Board and/or the Committee (subject to the provisions under the Companies Law) shall comply with all Applicable
Laws.

3.2.

Powers of the Administrator. Subject to the provisions of the Plan, Applicable Law and the approval of any relevant authorities, the Administrator shall have
the authority, in its discretion:

3.2.1.

to grant an Award under the Plan;

3.2.2.

to construe and interpret the terms of the Plan and any Award granted pursuant to the Plan;

3.2.3.

to determine the number of Shares to be covered by each such Award granted hereunder;

3

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
3.2.4.

to determine the exercise price or purchase price, as applicable, of the Shares covered by each Award;

3.2.5.

to determine the Participant to whom, and the time or times at which an Award shall be granted;

3.2.6.

to prescribe forms of agreement for use under the Plan;

3.2.7.

to determine the terms and conditions of any Award granted hereunder (which need not be identical) including, but not limited to, the time and the
extent to which the Awards will vest;

3.2.8.

to prescribe, amend and rescind rules and regulations relating to the Plan;

3.2.9.

to amend, modify or supplement the terms of each outstanding Award in accordance with the ITA ruling (if required);

3.2.10.

subject to Applicable Law, to make an Election (as defined below);

3.2.11.

to appoint a Trustee (as defined below);

3.2.12.

to amend the Plan and/or the terms and conditions under which an Award has been granted under the Plan as explicitly allowed herein;

3.2.13.

to accelerate or defer the vesting periods of an Award Agreement;

3.2.14.

to authorize conversion or substitution under the Plan of any or all Awards or Shares and to cancel or suspend Awards, as necessary, provided that, if
such action is not specifically allowed under the terms of this Plan, any material harm to the interests of the Participants shall be subject to consent
from the Participants except for when such amendments apply to all Participants in the same manner;

3.2.15.

to determine the effect of any increase or decrease of scope of engagement of a Participant on the vesting schedule of previously granted Awards;

3.2.16.

to take all other actions and make all other determinations necessary for the administration of the Plan.

3.3.

3.4.

3.5.

Effect of Administrator’s Decision. All decisions, determinations and interpretations of the Administrator shall be final and binding on all Participants. No
member of the Administrator shall be liable for any action or determination with respect to the Plan or any Award granted thereunder.

Grants to Administrator Members. A member of the Administrator shall be eligible to receive an Award under the Plan while serving on the Administrator, in
accordance with the provisions of any Applicable Law.

Certain Award Grants. All grants of an Award to Participants pursuant to this Plan shall be authorized and implemented in accordance with the provisions of
the Companies Law and the Ordinance.

4.

Eligibility.

4.1.

Subject to the provisions of the Plan, the Administrator may at any time, and from time to time, grant an Award to Participants under the Plan.

4

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
4.2.

4.3.

4.4.

4.5.

4.6.

4.7.

4.8.

4.9.

An Award granted under this Plan to Employees who are Israeli tax residents, shall be granted pursuant to the provisions of Section 102 Capital Gain Track,
Section 102 Employment Income Track and/or Section 102 Non-Trustee Track (together: “Section 102 Tracks”). All Section 102 Tracks shall be subject to
the  provisions  of  Section  102  and  the  Ordinance  and  any  pre-ruling  related  thereto  including  the  Income  Tax  Rules  (Tax  Benefits  in  Share  Issuance  to
Employees),  5763-2003  (the  “Rules”).  The  Administrator  shall  make  an  election  with  respect  to  either  Section  102  Capital  Gain  Track  or  Section  102
Employment Income Track in accordance with the provisions of Section 102(g) of the Ordinance (the: “Election”). It is hereby clarified that Awards granted
to Employees who are non-Israeli tax residents may be made under the Plan (and Sub-Plan, if applicable) in accordance with Applicable Law in the relevant
jurisdiction.

For avoidance of doubt, the grant of an Award under Section 102 Capital Gain Track and Section 102 Employment Income Track, is subject to approval and
filing  the  Company’s  Election  with  the  ITA  at  least  thirty  (30)  days  prior  to  the  date  of  first  grant  of Awards,  all  in  accordance  with  Section  102  and  the
regulations promulgated thereunder.

An Award under Section 102 Capital Gain Track and Section 102 Employment Income Track shall be held in trust pursuant to Section 5 of the Plan.

An Award granted under this Plan to Consultants and/or to Controlling Shareholders who are Israeli tax residents, shall be granted pursuant to the provisions
of Section 3(i). Administrator may determine, in its sole discretion, that any such Awards shall be held in trust pursuant to the provisions of the Plan. It is
hereby clarified that Awards granted to Consultants and/or to Controlling Shareholders who are non-Israeli tax residents may be made under the Plan (and
Sub-Plan, if applicable) in accordance with Applicable Law in the relevant jurisdiction.

An  Award  pursuant  to  Section  102  of  the  Ordinance  shall  be  granted  only  to  Employees  of  the  Company  who  are  not  Controlling  Shareholders  of  the
Company.

For the avoidance of any doubt, the designation of Section 102 Capital Gain Track, Section 102 Employment Income Track and Section 102 Non-Trustee
Track shall be subject to the terms and conditions of Section 102.

Notwithstanding anything to the contrary in the Plan, Awards granted under Section 102 Capital Gain Track may only be settled in Shares and not in cash.

The  receipt  of  an Award  under  the  Plan  shall  not  confer  upon  any  Participant  any  right  with  respect  to  continuing  the  Participant’s  relationship  with  the
Company  or  an Affiliate  as  an  Employee  or  Consultant  nor  shall  it  interfere  in  any  way  with  his  or  her  right  or  the  Company’s  right,  or  the  right  of  the
Company’s Affiliate, to terminate such relationship at any time, with or without Cause, as defined herein.

4.10.

Section 102 Non-Trustee Track. With respect to the grant of Section 102 Non Trustee Track, the Participant will be obligated to provide the Company with
any form of collateral or guarantee, which shall satisfy the demands of the Committee in its sole discretion, in order to secure payment by the Participant of
any applicable income tax and/or social charges due in the event that the Participant is no longer employed by the Company when the Shares are sold and the
related taxes become due and payable. The grant of Section 102 Non-Trustee Track to Participant shall be made in accordance with the provisions of Section
102(c).

5.

Appointment of a Trustee.

5.1.

In case of Election of either Section 102 Capital Gain Track or Section 102 Employment Income Track, the Administrator shall elect and appoint a Trustee
(the “Trustee”). Upon such an appointment, a trust agreement, which complies with the relevant and Applicable Law, will be signed between the Trustee and
the Company.

5

 
 
 
 
 
 
 
 
 
 
 
 
 
5.2.

5.3.

5.4.

5.5.

5.6.

5.7.

In  case  of  Election  of  either  Section  102  Capital  Gain  Track  or  Section  102  Employment  Income  Track,  all  Awards  granted  (and  Shares  issued  upon
exercising or vesting of Awards, as applicable) shall be held by the Trustee and registered in the Trustee’s name for the benefit of Employee. Awards or any
Shares allocated or issued upon exercise or vesting of Awards, as applicable, and/or other shares and/or rights received subsequently following any realization
of rights, including without limitation bonus shares and dividends, shall be registered and held by the Trustee for the benefit of the Employee at least until the
end of the required holding period as defined in Section 102 (the “Required Holding Period”). In addition, the Company at its sole discretion, may choose
that Awards other than those under the Section 102 Capital Gain Track or under the Section 102 Employment Income Track, as well as the Shares received
pursuant to the settlement of such Awards, shall be held in trust by the Trustee.

Any grant and any issuance of Shares pursuant to exercise or vesting (as applicable) of Awards granted under Section 102 Capital Gain Track shall be notified
to the Trustee in accordance with the ITA’s guidelines.

In the event the requirements under Section 102 Capital Gain Track or Section 102 Employment Income Track are not met, then such Award shall be treated
in accordance with the provisions of Section 102 and will result in adverse tax consequences pursuant to Section 102 or Section 3(i).

Notwithstanding anything to the contrary, the Trustee shall not release any Award, (nor Shares be allocated or issued upon exercise or settlement of Awards
including any dividends and/or bonus shares), granted under Section 102 Capital Gain Track and Section 102 Employment Income Track prior to the full
payment of the Participant’s tax liabilities arising from such Awards.

As long as the applicable tax has not been paid, neither the Award nor the Shares received upon the exercise or vesting of an Award, as the case may be, may
be  sold,  transferred,  assigned,  pledged  or  attorney  for  mortgaged  (other  than  through  a  transfer  by  will  or  by  operation  of  law),  nor  may  be  subject  of  an
attachment,  power  of  attorney  or  transfer  deed  (other  than  a  power  of  the  purpose  of  participation  in  shareholders  meetings  or  voting  such  Shares)  unless
Section 102 and/or the regulations, rules, orders or procedures promulgated thereunder allow otherwise.

With respect to any Award granted under Section 102 Capital Gain Track and Section 102 Employment Income Track, subject to the provisions of Section
102 and any rules or regulation or orders or procedures promulgated thereunder, a Participant shall not be entitled to sell and/or release from trust any Shares
or Awards and/or Share received upon the exercise or vesting of an Award, as applicable, and/or any other asset received, including without limitation any
dividends and/or bonus shares, until the lapse of the Required Holding Period and/or in accordance with tax ruling obtained. Notwithstanding the above, if
any such release or transfer occurs during the Required Holding Period, the sanctions under Section 102 shall apply to and shall be borne by such Participant.

5.8.

The Trustee shall be exempt from any liability in respect of any action or decision duly taken in compliance with Applicable Law.

6.

Shares Subject to the Plan.

6.1.

Subject to the provisions of Section 16 hereof, the aggregate number of Shares which may be received under the Plan shall be determined by the Board from
time to time.

6

 
 
 
 
 
 
 
 
 
 
 
7.

Grant of Options

7.1.

7.2.

The Administrator may grant Options from time to time at their sole discretion. The Options granted pursuant to the Plan, shall be evidenced by a written
Award Agreement. Each Award Agreement shall state, among other matters, the number of Options granted, the vesting dates, the exercise price, the tax route
and such other terms and conditions as the Administrator at its discretion may prescribe in accordance with this Plan.

Awards  which  are  issued  pursuant  to  Section  102  Tracks,  as  determined  in  the Award Agreement,  and  any  Shares  issued  following  the  exercise  of  such
Options shall be subject to the Trustee’s trusteeship, as provided in Section 5 above.

8.

Vesting of Awards

8.1.

8.2.

8.3.

8.4.

8.5.

The Administrator shall set vesting criteria in its discretion, which, depending on the extent to which the criteria are met, will determine the number of Awards
that will vest. The Administrator may set vesting criteria based upon continued engagement with the Company or any Affiliate or based upon both continued
engagement  and  the  achievement  of  Company-wide,  business  unit,  or  individual  goals,  or  any  other  condition  as  determined  by  the Administrator  in  its
discretion. Notwithstanding anything to the contrary herein, Awards granted under the Section 102 Capital Gain which are subject to performance goals, must
comply with ITA requirements such as inclusion of objective milestones as the performance goals and clearly defining the maximum number of Shares to be
issued  upon  vesting  of  the  Awards.  The  vesting  conditions  and  schedule  may  be  set  in  the  resolution  of  the  Administrator  and  the  applicable  Award
Agreement, and such conditions may vary.

Notwithstanding  the  provisions  of  Section  8.1,  unless  otherwise  resolved  by  the Administrator  and  stated  in  the Award Agreement, Awards  shall  vest  and
become  exercisable  (or  with  respect  to  restricted  shares,  the  Period  of  Restriction  (reverse  vesting)  shall  be)  in  accordance  with  the  following  schedule:
twenty-five percent (25%) of the Shares covered by the Award shall vest following the first anniversary of the vesting commencement date determined by the
Administrator (in the absence of such determination, the vesting commencement date shall be the date on which such Award was granted, in accordance with
Section 22 of the Plan) and 6.25% of the Shares/ covered by the Award shall vest on the lapse of each three (3) months following the first anniversary of the
vesting  commencement  date  such  that  100%  of  the Awards  will  vest  upon  their  fourth  anniversary  of  the  vesting  commencement  date,  provided  that  the
Participant remains engaged by the Company or its Affiliates continuously throughout such vesting periods. No Award shall be exercised after the Expiration
Date, as defined in Section 13 hereof.

Unless determined otherwise by the Administrator, the vesting of the Awards shall be postponed during any unpaid leave of absence other than in any leave of
absence which was pre-approved by the Company explicitly for purposes of continuing the vesting of the Awards. Upon return to service, the vesting shall
continue and each of the remaining vesting dates shall be postponed by the number of days of such period of unpaid leave (i.e., shifting the entire remaining
vesting  schedule  and  extending  it  by  the  number  of  unpaid  leave  days).  Despite  the  aforementioned,  the  following  shall  not  postpone  the  vesting  of  the
Awards: paid vacation, paid sick leave, paid maternity leave, infant care leave, medical emergency leave, military reserve duty or other periods during which
the provision of equivalent benefits during leave to those provided during active employment is legally required pursuant to Applicable Law.

The vesting of the Awards shall continue upon any transfer of a Participant between the Company and any Affiliate or between Affiliates.

An  Award  may  be  subject  to  such  other  terms  and  conditions,  not  inconsistent  with  the  Plan,  on  the  time  or  times  when  it  may  be  exercised  as  the
Administrator may deem appropriate.

7

 
 
 
 
 
 
 
 
 
 
 
9.

Exercise Price and Method of Payment.

9.1.

9.2.

9.3.

9.4.

The exercise price or purchase price, as applicable, of an Award shall be determined by the Administrator on the date of grant in accordance with Applicable
Law and subject to guidelines as shall be suggested by the Administrator from time to time.

The exercise price or purchase price, as applicable, may or may not be equal to the Fair Market Value of the Company’s Shares, and any evaluation executed
in relation to the Company’s Shares shall not obligate the Company when determining the exercise price or purchase price of any Award.

The consideration for the exercise or purchase of an Award shall be payable in a form satisfactory to the Company, including without limitation, by cash or
check.

In addition, the Company, in its full discretion and subject to Applicable Law and/or a tax ruling issued by the ITA (if required), may allow for a cashless
and/or  net  exercise  method  in  accordance  with  the  ITA  ruling  (if  required)  or  the  ITA’s  guidelines. The  exercise  of Awards,  if  made  by  way  of  a  cashless
and/or net exercise, shall be calculated in the accordance with the following formula:

A x (B - C)
B

A = The number of Awards which the Participant wishes to exercise as specified in the exercise notice;

B = The closing price of the Shares on the stock exchange in which the Shares are principally traded on the date of exercising the Award;

C = Exercise Price per Award.

If based on Applicable Law, including but not limited to stock exchange requirements, the Participant must pay the nominal value of the Shares, then in the
example above, the following formula shall apply:

D = nominal value of the Shares.

A x (B - C)
B-D

It is clarified any that any fractional Shares resulting from the formulas above shall be rounded down to the nearest whole Share.

9.5.

The proceeds received by the Company from the issuance of Shares subject to the Awards will be added to the general funds of the Company and used for its
corporate purposes.

10.

Exercise of Award.

10.1.

10.2.

Any Award  granted  hereunder  shall  be  exercisable  according  to  the  terms  of  the  Plan  and  at  such  times  and  under  such  conditions  as  determined  by  the
Administrator and set forth in the Award Agreement. An Award may not be exercised for a fraction of a Share and any fractional Shares that are available for
exercise shall be rounded down to the nearest whole Share.

An Award shall be deemed exercised when the Company receives: (i) in the case of an Option, a written or electronic notice of exercise (in accordance with
the Award Agreement) from the person entitled to exercise the Award, and (ii) full payment of the exercise price for such Shares with respect to which the
Award is exercised. Full payment may consist of any consideration and method of payment authorized by the Company and permitted by Applicable Law, the
Award Agreement and the Plan. Shares issued upon exercise of an Award shall be issued in the name of the Participant, provided that Shares issued upon
exercise of any Award which was granted under Section 102 Capital Gain Track or under Section 102 Employment Income Track shall be held, issued and
registered in the name of the Trustee for the benefit of the Participant until the end of the Required Holding Period.

8

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
10.3.

10.4.

If any law or regulation requires the Company to take any action with respect to the Shares specified in such notice of exercise before the issuance thereof,
then the date of their issuance shall be extended for the period necessary to take such action.

Subject to Applicable Law, an Award may not be exercised unless, at the time the Participant gives notice of exercise to the Company, the Participant includes
with such notice also payment in cash or by bank check (or payment through sale of shares, to the extent permitted by Applicable Law and in accordance with
an ITA ruling (if required) or the ITA guidelines) of all withholding taxes due, if any, on account of his or her acquired Shares under the Award or gives other
assurance satisfactory to the Company of the payment of those withholding taxes.

10.5.

Exercise of an Award in any manner shall result in a decrease in the number of Shares thereafter available, both for purposes of the Plan and for sale under the
Award, by the number of Shares as to which the Award is exercised.

10.6.

Participant shall sign any document required under any Applicable Law or by the Company or the Trustee for the purposes of issuance of the Shares.

11.

Restricted Shares.

11.1.

11.2.

11.3.

The Administrator shall determine the eligible Participants to whom, and the time or times at which, grants of restricted shares will be made; the number of
Shares  to  be  awarded,  the  purchase  price  (if  any)  to  be  paid  by  the  Participant  (subject  to  Section  11.2);  the  time  or  times  at  which  such Awards  may  be
subject to forfeiture and repurchase by the Company or the Company’s shareholders (e.g., if repurchase by the Company is not permitted under applicable
law),  if  applicable  (the  “Period  of  Restriction”)  (subject  to  Section  8.2);  the  rights  to  acceleration  of  the  Period  of  Restriction;  and  all  other  terms  and
conditions of the Awards. Unless otherwise determined by the Administrator, the Participant shall not be permitted to sell or transfer restricted shares awarded
under  this  Plan  during  the  Period  of  Restriction  set  by  the Administrator  at  grant  (if  any)  commencing  with  the  date  of  such Award,  as  set  forth  in  the
applicable Award Agreement.

The purchase price of restricted shares shall be determined by the Administrator. The repurchase price of restricted shares shall be equal to the amount paid by
the Participant, if any, subject to Applicable Law. Awards of restricted shares must be accepted within a period as the Administrator may specify at grant by
executing an Award Agreement and by paying whatever price (if any) the Administrator has designated thereunder.

Each Participant receiving restricted shares shall be issued a share certificate in respect of such restricted shares, unless the Company elects to use another
system,  such  as  book  entries  by  the  transfer  agent,  as  evidencing  ownership  of  restricted  shares.  Such  certificate  shall  be  registered  in  the  name  of  such
Participant,  and  shall  bear  an  appropriate  legend  referring  to  the  terms,  conditions,  and  restrictions  applicable  to  such Award.  However,  restricted  shares
granted under Section 102 Capital Gain Track or under Section 102 Employment Income Track shall be held, issued and registered in the name of the Trustee
for the benefit of the Participant, at least until the end of the Required Holding Period.

11.4.

Except as otherwise determined by the Administrator and set forth in the Award Agreement, the Participant shall have, with respect to any restricted shares, all
of  the  rights  of  a  holder  of  Shares  including,  without  limitation,  the  right  to  receive  any  dividends,  the  right  to  vote  such  shares  and,  subject  to  and
conditioned upon the full vesting of restricted shares, the right to tender such shares.

9

 
 
 
 
 
 
 
 
 
 
 
11.5.

If and when the Period of Restriction set by the Administrator expires without a prior forfeiture of the restricted shares subject to such Period of Restriction,
the certificates for such shares shall be delivered to the Participant, or to the Trustee for the benefit of the Participant if the restricted shares were granted
under Section 102 Capital Gain Track or under Section 102 Employment Income Track until the end of the Required Holding Period. Then, all legends shall
be removed from said certificates at the time of delivery to the Participant or the Trustee except as otherwise required by Applicable Law or in accordance
with Section 21 hereof. Notwithstanding the foregoing, actual certificates shall not be issued to the extent that book entry recordkeeping is used.

12.

Restricted Share Units.

12.1.

12.2.

12.3.

12.4.

The Administrator shall determine the eligible Participants to whom, and the time or times at which, grants of restricted share units will be made, the number
of restricted share units to be awarded, the number of Shares subject to the restricted share units, the vesting schedule, and all other terms and conditions of
the Awards.

Shares shall be issued to the Participant, or to the Trustee for the benefit of the Participant if the restricted share units were granted under Section 102 Capital
Gain Track or under Section 102 Employment Income Track until the end of the Required Holding Period, promptly following each vesting date determined
by the Administrator, provided that the Participant is engaged with the Company on the applicable vesting date. After each such vesting date, the Company
shall promptly cause to be issued to or for the benefit of Participant, Shares with respect to restricted share units that became vested on such vesting date. It is
clarified that no Shares shall be issued pursuant to the restricted share units to the Participant until the vesting criteria determined by the Administrator is met.

Prior to the actual issuance of any Shares, each restricted share unit will represent an unfunded and unsecured obligation of the Company, payable only from
the general assets of the Company.

A Participant holding restricted share units shall not be, nor have any of the rights or privileges of, a shareholder of the Company in respect of any Shares
issuable upon the vesting of any part of the restricted share units unless and until such Shares shall have been issued by the Company to such Participant, or to
the Trustee for the benefit of the Participant if the restricted share units were granted under Section 102 Capital Gain Track or under Section 102 Employment
Income Track  (as  evidenced  by  the  appropriate  entry  on  the  books  of  the  Company  or  of  a  duly  authorized  transfer  agent  of  the  Company,  or  by  a  share
certificate of the Company). No adjustment will be made for a dividend or other right for which the record date is prior to the date the Shares are issued,
unless otherwise provided herein, including but not limited to Section 16 hereof.

13.

Term of Award.

The term of an Award shall expire upon the earlier of: (i) ten (10) years from the date of grant thereof unless the Administrator determines a shorter term; or (ii) the
lapse of the applicable periods provided in Section 15 hereof (the “Expiration Date”).

Notwithstanding the above, if the Expiration Date of any Award occurs during a period in which trading in the Company’s Shares is prohibited as per the Company’s
internal procedures (the “Blackout Period”), the Expiration Date shall be automatically extended by an additional 14 calendar days following the termination of the
Blackout Period, provided however, that no extension beyond a total of ten (10) years from the date of grant of an Award, will be given.

10

 
 
 
 
 
 
 
 
 
 
 
14.

Non-Transferability of Award.

An Award and the rights and privileges thereof shall not be sold, pledged, assigned, hypothecated, transferred, mortgaged, seizure or given as collateral or disposed of
in any manner other than by will or by the laws of descent or distribution and may be exercised during the lifetime of the Participant, only by the Participant and
subject to the provisions of Section 102 and/or any Applicable Law, and shall not be subject to sale under execution, attachment, levy or similar process; provided that
with respect to Shares issued upon exercise or vesting, as applicable, or Awards that are granted as Shares, the restrictions on transfer shall be as set forth in Section 21
hereof.

15.

Termination.

Except as otherwise determined by the Administrator and set forth in a specific Award Agreement:

15.1.

15.2.

in the event of termination of Participant’s employment with the Company or any of its Affiliates, or if applicable, the termination of services given to the
Company or any of its Affiliates by the Participant, (i) all Awards granted to Participant, which are vested and exercisable at the time of such termination,
may,  unless  earlier  terminated  in  accordance  with  the Award Agreement,  be  exercised  within  ninety  (90)  days  after  the  date  of  such  termination  (or  such
different period as the Administrator shall prescribe) but in no event later than the expiration of the term of such Award as set forth in the Award Agreement or
the Expiration Date. On the date of termination, all unvested Awards shall expire, and the Shares covered by the unvested portion of the Awards shall revert to
the  Plan.  If  vested Awards  upon  termination  are  not  so  exercised  within  the  time  specified  above,  or  with  respect  to Awards  that  are  unvested  and/or  the
restrictions have not lapsed at the time of termination, the Awards shall terminate and expire, and the Shares covered by such Awards shall revert to the Plan.

in the event of termination of Participant’s employment with the Company or any of its Affiliates, or if applicable, the termination of services given to the
Company or any of its Affiliates by the Participant, by reason of death or total and permanent disability, (i) all Awards granted to Participant, which are vested
and exercisable at the time of such termination may be exercised by the Participant, the Participant’s legal guardian, the Participant’s estate or a person who
acquires  the  right  to  exercise  the Awards  upon  bequest  or  inheritance,  as  the  case  may  be,  within  twelve  (12)  months  after  termination  of  employment  or
services to the extent the Awards are vested on the date of termination (but in no event later than the expiration of the term of such Award as set forth in the
Award Agreement or the Expiration Date). If, on the date of termination, a portion of the Shares covered by the Participant’s Award is not vested in full, the
unvested Shares shall revert to the Plan. If vested Shares covered by the Awards are not so exercised within the period specified above, or with respect to
Awards that are unvested and/or the restrictions have not lapsed at the time of termination, the Awards shall terminate and expire, and the Shares covered by
such Awards shall revert to the Plan.

15.3.

in the event of termination of Participant’s employment with the Company or any of its Affiliates, or if applicable, the termination of services given to the
Company  or  any  of  its Affiliates  by  the  Participant,  by  reason  of  such  Participant’s  Retirement,  all Awards  granted  to  Participant,  which  are  vested  and
exercisable  at  the  time  of  such  termination  may  be  exercised  by  the  Participant,  the  Participant’s  legal  guardian,  the  Participant’s  estate  or  a  person  who
acquires the right to exercise the Awards upon bequest or inheritance, as the case may be, within twelve (12) months after termination to the extent the Awards
are vested on the date of termination (but in no event later than the expiration of the term of such Award as set forth in the Award Agreement).

11

 
 
 
 
 
 
 
 
 
15.4.

15.5.

15.6.

notwithstanding Sections 15.1, 15.2 and 15.3 of the Plan, in the event of termination of Participant’s employment with the Company or any of its Affiliates, or
if  applicable,  the  termination  of  services  given  to  the  Company  or  any  of  its Affiliates  by  the  Participant  for  Cause  (as  defined  hereunder),  then  unless
otherwise  determined  by  the Administrator,  all  outstanding Awards  granted  to  such  Participant  (whether  vested  or  not)  shall,  to  the  extent  not  exercised,
terminate on the date of such termination, and the Shares covered by such Award shall revert to the Plan and if applicable, be repurchased by the Company, or
be repurchased by the Company’s shareholders (e.g., if repurchase by the Company is not permitted under applicable law). The repurchase price shall be the
nominal value of the Shares.

for  purposes  of  this  Section,  termination  for  “Cause”  shall  mean  any  of  the  following:  (i)  Participant  has  committed  a  dishonorable  criminal  offense;  (ii)
Participant is in breach of Participant’s duties of trust or loyalty to Company and/or Affiliate; (iii) Participant deliberately causes harm to Company’s and/or
Affiliate’s  business  affairs,  and/or  any  action  (including  without  limitation,  an  action  constituting  negligence  or  fraud)  by  the  Participant  which  has  a
detrimental  effect  on  the  Company  and/or  its Affiliate’s  reputation  or  business;  (iv)  Participant  breaches  the  confidentiality  and/or  non-competition  and/or
non-solicitation and/or assignment of inventions provisions of any agreement between the Company and/or Affiliate and the Participant and/or the provisions
relating to confidentiality of the terms and conditions of any agreement signed between the Company and/or Affiliate and the Participant; (v) the Participant’s
failure or inability to perform any reasonable assigned duties after written notice from the Company and/or its Affiliate of, and a reasonable opportunity to
cure, such failure or inability; and/or (vi) circumstances that do not entitle Participant to severance payments under any Applicable Law and/or under any
judicial decision of a competent tribunal.

in the event that the Participant does not comply in full with any of non-compete, non-solicitation, confidentiality or any other requirements of any agreement
between the Company and/or Affiliate and the Participant (whether before or after termination of Participants employment or engagement, as applicable, by
the  Company  and/or  its Affiliate),  the  Company  may,  in  its  sole  discretion,  refuse  to  allow  the  exercise  of  the Awards,  all  outstanding Awards  shall  be
terminated  and  the  Shares  covered  by  such Awards  shall  revert  to  the  Plan  and  if  applicable,  be  repurchased  by  the  Company,  or  be  repurchased  by  the
Company’s shareholders (e.g., if repurchase by the Company is not permitted under applicable law). The repurchase price shall be the nominal value of the
Shares.

15.7.

Participant shall not be entitled to claim that he or she was prevented from continuing to vest Awards as of the termination date. Such Participant shall not be
entitled to any compensation in respect of the Awards which would have vested in his or her favor had such Participant’s employment or engagement with the
Company not been terminated.

16.

Adjustments.

In the event of a shares split, reverse shares split, shares dividend, recapitalization, combination or reclassification of the Shares, distribution of bonus shares, rights
issuance or any other increase or decrease in the number of issued Shares effected without receipt of consideration by the Company (but not the conversion of any
convertible securities of the Company), the Company in its sole discretion (in accordance with the provisions of this Section 16) may make an appropriate adjustment
in the number of Shares related to each outstanding Award, the number of Shares reserved for issuance under the Plan, as well as the exercise price per Share of each
outstanding Award,  provided,  however,  that  any  fractional  shares  resulting  from  such  adjustment  shall  be  rounded  down  to  the  nearest  whole  share,  and  that  all
adjustments shall be made in accordance with the terms and conditions of any applicable ruling issued by the ITA with respect to Awards under the Section 102 Capital
Gain Track, to the extent required. Except as expressly provided herein, no issuance by the Company of shares of any class, or securities convertible into shares of any
class, shall affect an Award granted to a Participant, and no adjustment by reason thereof shall be made with respect to the number or price of Shares subject to an
Award.

16.1

Rights Issuance. In the event of a rights issuance made by the Company to all holders of Shares, the number of Shares covered by Awards granted under the
Plan as of the record date of such issuance shall be proportionately adjusted by the benefit component underlying the rights issuance. The application of this
Section 16.1 with respect to any Awards under the Section 102 Capital Gain Track shall be subject to obtaining a ruling from the ITA, to the extent required,
and subject to the terms and conditions of any such ruling.

12

 
 
 
 
 
 
 
 
 
16.2

Dividends. In the event of a distribution of cash dividend by the Company to all holders of Shares, the exercise price of any Award, if applicable, which is
outstanding and unexercised on the record date of such distribution, shall be reduced by an amount equal to the per Share gross dividend amount distributed
by the Company, provided that the exercise price following such reduction shall be not less than the nominal value of a Share. The application of this Section
16.2 with respect to any Awards under the Section 102 Capital Gain Track shall be subject to obtaining a ruling from the ITA, to the extent required, and
subject to the terms and conditions of any such ruling.

17.

Dissolution or Liquidation.

In  the  event  of  dissolution  or  liquidation  of  the  Company,  the Administrator  shall  notify  each  Participant  as  soon  as  practicable  prior  to  the  effective  date  of  such
transaction. The Administrator in its discretion will determine the period of time of which Award (which is vested and exercisable) may be exercised, which in no
event is less than fifteen (15) days prior to such transaction. To the extent the Award has not been previously exercised, the Award will expire immediately prior to the
consummation of such proposed action.

18.

Structural Change

18.1.

In  the  event  of  a  Structural  Change,  the Administrator  in  its  discretion  may  determine  that  the  Shares  underlying  the Awards  subject  to  the  Plan  shall  be
exchanged or converted into shares of the Company or Successor Company in accordance with the exchange effectuated in relation to the ordinary shares of
the Company, and the exercise price and quantity of shares underlying the Awards shall be adjusted in accordance with the terms of the Structural Change.
The adjustments required shall be determined in good faith solely by the Administrator and shall be subject to the receipt of any approval required, including
any tax ruling, if necessary.

18.2.

For purposes of this Section:

18.2.1. “Structural Change” shall mean any re-domestication of the Company, share flip, creation of a holding company for the Company which will hold
substantially all of the Shares of the Company or any other transaction involving the Company in which the Shares of the Company outstanding
immediately prior to such transaction continue to represent, or are converted into or exchanged for shares that represent, immediately following such
transaction, at least a majority, by voting power, of the share capital of the surviving, acquiring or resulting corporation.

18.2.2. “Successor Company” shall mean any entity with or into which the Company was merged or consolidated, or to which certain operations or certain

assets of the Company were transferred, or which purchased substantially all the Company’s assets or shares, including any parent of such entity.

13

 
 
 
 
 
 
 
 
 
 
19.

Spin-Off.

19.1.

In the event of a Spin-Off, the Administrator may determine that the holders of Awards shall be entitled to receive equity in the new company formed as a
result of the Spin-Off, in accordance with equity granted to the ordinary shareholders of the Company within the Spin-Off, taking into account the terms of
the Awards, including the vesting schedule and exercise price. The determination regarding the Participant’s entitlement within the scope of a Spin-Off shall
be in the sole and absolute discretion of the Administrator.

19.2.

For the purpose of this Section, “Spin-Off” shall mean any transaction in which assets of the Company or Shares of the Company are transferred or sold to a
company or corporate entity in which the shareholders of the Company hold the same respective ownership stakes they are then holding in the Company.

20.

M&A Transaction.

20.1.

In the event of an M&A Transaction, as defined below, then the vesting of the unvested portion of the Awards shall be automatically accelerated and such
portion shall become fully vested and exercisable, unless determined otherwise by the Administrator on the date of grant of the Award.

For this purpose, an “M&A Transaction” shall mean a “merger” as such term or term of similar nature is defined in the Israeli Companies Law of 1999, as
well  as:  (i)  a  sale  of  50%  or  more  of  the  assets  of  the  Company  and  its  subsidiaries  taken  as  a  whole,  or  the  sale  or  disposition  (whether  by  merger  or
otherwise) of one or more subsidiaries of the Company if more than 50% of the assets of the Company and its subsidiaries taken as a whole are held by such
subsidiary or subsidiaries; or (ii) a sale of all or more than 50% of the shares of the share capital of the Company whether by a single transaction or a series of
related transactions which occur either over a period of 12 months or within the scope of the same acquisition agreement; (iii) an issuance of shares of the
Company, whether by a single transaction or a series of related transactions which occur either over a period of 12 months or within the scope of the same
acquisition  agreement,  that  results  in  the  offeree  holding  more  than  50%  of  the  share  capital  of  the  Company;  or  (iv)  a  merger,  consolidation  or  like
transaction of the Company with or into another corporation including a reverse triangular merger, but excluding a merger which falls within the definition of
Structural Change or Spin-Off.

With respect to the vested portions of the Awards and the unvested portions of the Awards that are automatically accelerated, the Administrator shall notify the
applicable  Participants  in  writing  a  reasonable  time  prior  to  the  consummation  of  the  M&A  Transaction  that  such  outstanding  Awards  held  by  such
Participants shall be exercisable for a designated period determined by the Administrator (the “Designated Period”). Any of the aforementioned Awards not
exercised prior to the expiration of the Designated Period shall be treated in accordance with Section 20.3 below.

14

 
 
 
 
 
 
 
 
 
20.2. With  respect  to  all  outstanding  Awards  which  have  not  been  converted  into  Shares  including  further  to  the  application  of  Section  20.2  above,  the
Administrator  shall  have  sole  and  absolute  discretion  to  determine  the  effect  of  the  M&A  Transaction  on  such  portion  of  Awards  that  are  outstanding
immediately prior to the effective time of the M&A Transaction. This treatment may include any one or more of the following, whether in a manner equitable
or not among individual Participants or groups of Participants: (i) assumption or substitution of the outstanding Awards with equivalent awards or the rights to
receive consideration by the acquiring or successor corporation or an affiliate thereof; and/or (ii) the outstanding Awards shall become exercisable in full prior
to the date of consummation of the M&A Transaction, or on another date and/or dates or at an event and/or events as the Administrator shall determine at its
sole and absolute discretion; and/or (iii) that all or a portion or certain categories of the outstanding Awards shall be cancelled upon the actual consummation
of  the  M&A  Transaction  and  instead  the  holders  thereof  will  receive  consideration  (by  cash  including  cash-out  of  the  Awards  for  the  net  value  and/or
securities), or no consideration.

20.3. With respect to applicable Awards of Options that are vested or accelerated and then exercised, payments shall be made, in such form as may be determined
by the Administrator in respect of each Share underlying the Award equal to the excess, if any, of (A) the per share amount payable to holders of Shares in
connection  with  the  M&A  Transaction,  over  (B)  the  per  share  exercise  price  payable  by  such  holder  in  connection  with  such  exercise.  For  clarity,  this
payment may be zero if the value of the payment to holders of Shares in the M&A Transaction is equal to or less than the exercise price of the Award.

20.4.

20.5.

Notwithstanding the foregoing, in the event of an M&A Transaction, the Administrator may determine, in its sole and absolute discretion, that upon or prior to
completion  of  such  M&A  Transaction,  the  terms  of  the  Plan  shall  be  amended  and/or  modified  and/or  the  terms  of  any  Award  be  otherwise  amended,
modified or terminated in order to facilitate the M&A Transaction and/or otherwise as required in context of the M&A Transaction, as the Administrator shall
deem  to  be  appropriate,  including  but  not  limited  to,  that  the  Award  shall  confer  the  right  to  purchase  or  receive  any  other  security  or  asset,  or  any
combination  thereof,  or  that  its  terms  be  otherwise  amended,  modified  or  terminated,  as  the  Administrator  shall  deem  to  be  appropriate.  Any  escrow,
holdback, indemnification, earn-out or similar provisions in the M&A Transaction may apply to any Award or payments in respect of any Award to the same
extent and in the same manner as such provisions apply to holders of Shares in the Company.

Neither the authorities and powers of the Administrator under this Section 20 nor the exercise or implementation thereof, shall (i) be restricted or limited in
any way by any adverse consequences (tax or otherwise) that may result to any holder of an Award, provided that a Participant’s vested rights, including but
not  limited  to,  vested  rights  due  to  an  acceleration  of  vesting  upon  the  consummation  of  an  M&A Transaction,  shall  not  be  adversely  affected  and  (ii)  be
deemed to constitute a change or an amendment of the rights of such holder under this Plan, nor shall any such adverse consequences (as well as any adverse
tax consequences that may result from any tax ruling or other approval or determination of any relevant tax authority) be deemed to constitute a change or an
amendment of the rights of such holder under this Plan.

20.6.

For avoidance of doubt, it is hereby clarified that any tax consequences arising from the above described, shall be borne solely by the Participant.

21.

Articles of Association; Classes of Shares.

21.1.

Participants acknowledge that the terms and provisions of the Articles of Association of the Company, as shall be amended from time to time, shall apply to
any Awards and/or Shares received pursuant to Awards. Any change of the Articles of Association or any other incorporation document, which may change
the rights attached to the Company’s ordinary shares, shall also apply to the Awards and/or Shares, and the provisions hereof shall apply with the necessary
modifications arising from any such change.

21.2.

The grant of Awards under this Plan shall not restrict the Company in any way regarding future creation of additional and/or other classes of shares, including
classes of shares, which may in any manner be preferred over the currently existing ordinary shares which are offered to Participants under this Plan.

15

 
 
 
 
 
 
 
 
 
 
 
22.

Date of Grant.

Subject  to Applicable  Law,  the  date  of  grant  of  an Award  shall,  for  all  purposes,  be  the  date  on  which  the Administrator  makes  the  determination  granting  such
Participant, except if an Award is subject to shareholder approval and under such circumstances, the date of grant shall be the date of the shareholder approval.

23.

Rights as a Shareholder; Voting and Dividends.

23.1.

23.2.

Prior to exercise of an Award, a Participant shall have none of the rights of a shareholder of the Company. Upon exercise of an Award, a Participant shall have
no shareholder rights until the Shares are issued, as evidenced by the appropriate entry on the books of the Company or of a duly authorized transfer agent of
the Company or by share certificate.

Upon issuance of Shares as a result of exercise or vesting of Awards, as applicable, the Shares shall carry equal voting rights on all matters where such vote is
permitted by Applicable Law. The Company shall issue (or cause to be issued) such Shares promptly after the Award is exercised or vested, as applicable. No
adjustment  will  be  made  for  a  dividend  or  other  shareholder  right  for  which  the  record  date  precedes  the  date  of  issuance  of  the  Shares,  unless  otherwise
determined by the Company in accordance with the provisions of Section 16 hereof.

24.

Tax Consequences.

24.1.

24.2.

24.3.

24.4.

Any tax consequences arising from the grant and/or vesting and/or exercise and/or sale and/or transfer and/or any disposition and/or vesting and/or waiver
and/or expiration and/or amendment of an Award and/or from any other event or act (whether of the Participant or of the Company or of its Affiliates or of the
Trustee) hereunder, shall be borne solely by the Participant.

For the avoidance of doubt, it is clarified that any Award granted to a Consultant or a Controlling Shareholder or any Award granted to a Participant who is
not an Israeli tax resident, shall not be subject to the provisions of Section 102 and shall be taxed in accordance with Applicable Law.

The Company and/or the Trustee shall have the right to withhold taxes according to the requirements under Applicable Laws, rules and regulations, including
withholding taxes at source and under Section 102 or Section 3(i).

Furthermore, a Participant shall indemnify the Company and/or Affiliate and/or the Trustee (if applicable) and/or the Company’s shareholders and/or directors
and/or officers, immediately upon request, and hold them harmless against and from any and all liability for any tax including without limitation interest,
linkage differentials or penalty thereon, liabilities relating to the necessity to withhold tax for which the Participant is liable under any Applicable Law or
under  the  Plan,  and  which  was  paid  by  the  Company,  the Affiliate  or  the  Trustee  (if  applicable),  or  which  the  Company,  the Affiliate  or  the  Trustee  (if
applicable)  are  required  to  pay  such  tax.  The  Company,  the Affiliate  and  the  Trustee  (if  applicable)  may  exercise  such  indemnification  by  deducting  the
amount subject to indemnification from the Participants’ salaries or remunerations.

16

 
 
 
 
 
 
 
 
 
 
 
 
24.5.

Except as otherwise required by law, the Company shall not be obligated to honor the exercise or vesting, as applicable, of any Award by or on behalf of a
Participant until all tax consequences (if any) arising from the exercise and/or vesting of such Award and/or sale of Shares and/or Award are resolved in a
manner reasonably acceptable to the Company. Furthermore, the Company’s or the Trustee’s (if applicable) obligation to sell or to transfer Shares is subject to
payment  (or  provision  for  payment  satisfactory  to  the  Company  and  the  Trustee  (if  applicable))  by  the  Participant  of  all  Taxes  due  by  him  under  any
Applicable Law.

24.6. With  respect  to Awards  granted  under  Section  102  Capital  Gain Track  and  Section  102  Employment  Income Track,  the Trustee  and/or  the  Company  will

withhold any tax due to the ITA according to applicable trust agreement, the Plan and any Applicable Law.

24.7.

In  respect  to  Awards  granted  under  Section  102  Non  Trustee  Track,  if  the  Participant’s  service  to  or  employment  with  the  Company  or  an  Affiliate  is
terminated, the Participant shall extend to the Company or the applicable Affiliate a security or guarantee for the payment of Tax due in respect of such Award
as required under Section 102.

24.8. Without derogating the above, the Participant’s Award shall be subject to any tax ruling and/or other arrangements between the Company and tax authorities.

24.9.

For avoidance of doubt it is clarified that the tax treatment of any Award granted under this Plan is not guaranteed and although Awards may be granted under
a certain tax route, they may become subject to a different tax route in the future.

24.10. Any Award granted under Section 102 Capital Gain Track is meant to comply in full with the terms and conditions of Section 102 and the requirements of the
ITA, therefore the Plan is to be read such that it complies with the requirements of Section 102. Should any provision in the Plan disqualify the Plan and/or
any Award granted under Section 102 Capital Gain Track granted thereunder from beneficial tax treatment pursuant to the provisions of Section 102, such
provision shall not apply to such Awards and underlying Shares unless the ITA provides approval of compliance with Section 102.

25.

No Rights to Employment.

Nothing in the Plan or in any Award granted or agreement entered into force pursuant hereto shall confer upon any Participant the right to continue an employment
relationship, or to continue in a consultant, director, officer or service provider relationship with the Company or Affiliate or to be entitled to any remuneration or
benefits  not  set  forth  in  the  Plan  or  such  agreement  or  to  interfere  with  or  limit  in  any  way  the  right  of  the  Company  or Affiliate  to  terminate  such  Participant’s
relationship.

26.

Term, Termination and Amendment of the Plan.

26.1.

The Plan shall become effective upon its adoption by the Administrator and shall continue in effect for a term of ten (10) years from the date of adoption
unless sooner terminated.

26.2.

The Administrator may at any time amend, update, change, alter, suspend or terminate the Plan or the term and conditions of an Award granted under the Plan.

26.3.

26.4.

26.5.

Termination of the Plan shall not affect the Administrator’s ability to exercise the powers granted to it hereunder with respect to Awards granted under the
Plan prior to the date of such termination.

The  Company  shall  obtain  the  approval  of  the  Company’s  shareholders  for  the  adoption  of  this  Plan  or  for  any  amendment  to  this  Plan,  if  shareholders’
approval is necessary or desirable to comply with any Applicable Law, including without limitation the securities laws of jurisdictions applicable to Awards
granted to Participants under this Plan, or if shareholders’ approval is required by any authority or by any governmental agency or by any securities exchange.

The Plan and any Award granted thereunder shall be binding on all successors and assignees of the Company and a Participant, including, without limitation,
the  estate  of  such  Participant  and  the  executor,  administrator  or  trustee  of  such  estate,  or  any  receiver  or  trustee  in  bankruptcy  or  representative  of  the
Participant’s creditors.

17

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
27.

Conditions Upon Issuance of Shares.

27.1.

27.2.

Legal Compliance. Shares shall not be issued pursuant to the exercise or vesting of an Award, as applicable, unless the exercise or vesting of the Award, the
method of payment and the issuance and delivery of such Shares shall comply with Applicable Law, including but not limited to any provisions concerning
restrictions on the use of inside information and other provisions deemed by the Company to be appropriate in order to ensure compliance with Applicable
Law.

Investment Representations. As a condition to the exercise or settlement of an Award, or the grant of an Award, the Company may require the Participant to
represent and warrant at the time of such exercise or grant that the Shares are being purchased only for investment and without any present intention to sell or
distribute such Shares if, in the opinion of counsel for the Company, such a representation is required.

27.3.

Other Compliance. At the time of issuance, the Participant may not be in default under any agreement between the Company and any of its Affiliates.

28.

Inability to Obtain Authority.

The inability of the Company to obtain authority from any regulatory body having jurisdiction, which authority is deemed by the Company’s counsel to be necessary
to the lawful issuance of any Shares hereunder, shall release the Company from any liability in respect of the failure to issue or sell such Shares as to which such
requisite authority shall not have been obtained.

29.

Reservation of Shares.

The Company, during the term of this Plan, shall at all time reserve and keep available such number of Shares as shall be sufficient to satisfy the requirements of the
Plan.

30.

Multiple Agreements.

30.1.

The terms of each Award may differ from other Awards granted under the Plan at the same time.

30.2.

This  Plan  (together  with  the  applicable  Award  Agreement(s)  entered  into  with  any  Participant  and  any  Sub-Plan)  constitutes  the  entire  agreement  and
understanding between the Company and such Participant in connection with the grant of Awards to the Participant. Any representation and/or promise and/or
undertaking made and/or given by the Company or by whosoever on its behalf, which has not been explicitly expressed herein or in an Award Agreement,
shall have no force and effect.

31.

Governing Law.

This Plan shall be governed by and construed and enforced in accordance with the laws of the State of Israel, without giving effect to the principles of conflict of laws.
The competent courts of Tel-Aviv, Israel shall have sole jurisdiction in any matters pertaining to the Plan.

******

18

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
CERTIFICATION OF THE CHIEF EXECUTIVE OFFICER UNDER SECTION 302 OF
THE SARBANES-OXLEY ACT

Exhibit 12.1

I, Yehiel Tal, certify that:

1.

I have reviewed this annual report on Form 20-F of CollPlant Biotechnologies Ltd.;

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:

o 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;

o 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;

o

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

o 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):

o 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

o 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 4, 2024

/s/ Yehiel Tal
Yehiel Tal
Chief Executive Officer

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
CERTIFICATION OF THE CHIEF FINANCIAL OFFICER UNDER SECTION 302 OF
THE SARBANES-OXLEY ACT

Exhibit 12.2

I, Eran Rotem, certify that:

1.

I have reviewed this annual report on Form 20-F of CollPlant Biotechnologies Ltd.;

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:

o 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;

o 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;

o

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

o 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):

o 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

o 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 4, 2024

/s/ Eran Rotem
Eran Rotem
Chief Financial Officer

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
CERTIFICATION OF CHIEF EXECUTIVE OFFICER UNDER SECTION 906 OF THE
SARBANES-OXLEY ACT

Exhibit 13.1

Pursuant  to  18  U.S.C.  Section  1350,  as  created  by  Section  906  of  the  Sarbanes-Oxley Act  of  2002,  the  undersigned  officer  of  CollPlant  Biotechnologies  Ltd.  (the

“Company”) hereby certifies to such officer’s knowledge that:

(i)

the accompanying Annual Report on Form 20-F of the Company for the year ended December 31, 2023 (the “Report”) fully complies with the requirements of
Section 13(a) or Section 15(d), as applicable, of the Securities Exchange Act of 1934, as amended; and

(ii) the information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

Dated: April 4, 2024

/s/ Yehiel Tal
Yehiel Tal
Chief Executive Officer

The foregoing certification is being furnished solely to accompany the Report pursuant to 18 U.S.C. Section 1350, and is not being filed for the purposes of Section 18 of the
Securities Exchange Act of 1934, as amended, and is not to be incorporated by reference to any filing of the Company, whether made before or after the date hereof, regardless
of any general incorporation language in such filing.

 
 
 
 
 
 
 
 
 
 
 
 
 
 
CERTIFICATION OF CHIEF FINANCIAL OFFICER UNDER SECTION 906 OF THE
SARBANES-OXLEY ACT

Exhibit 13.2

Pursuant  to  18  U.S.C.  Section  1350,  as  created  by  Section  906  of  the  Sarbanes-Oxley Act  of  2002,  the  undersigned  officer  of  CollPlant  Biotechnologies  Ltd.  (the

“Company”) hereby certifies to such officer’s knowledge that:

(i)

the accompanying Annual Report on Form 20-F of the Company for the year ended December 31, 2023 (the “Report”) fully complies with the requirements of
Section 13(a) or Section 15(d), as applicable, of the Securities Exchange Act of 1934, as amended; and

(ii) the information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

Dated: April 4, 2024

/s/ Eran Rotem
Eran Rotem
Chief Financial Officer

The foregoing certification is being furnished solely to accompany the Report pursuant to 18 U.S.C. Section 1350, and is not being filed for the purposes of Section 18 of the
Securities Exchange Act of 1934, as amended, and is not to be incorporated by reference to any filing of the Company, whether made before or after the date hereof, regardless
of any general incorporation language in such filing.

 
 
 
 
 
 
 
 
 
 
 
 
 
 
Kost Forer Gabbay & Kasierer
144 Menachem Begin Road, Building A
Tel-Aviv 6492102, Israel

Tel: +972-3-6232525
Fax: +972-3-5622555
ey.com

Exhibit 15.1

CONSENT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

We consent to the incorporation by reference in the following Registration Statements:

(1) Registration Statements (Form F-3 No. 333-238731 and 333-269087) of CollPlant Biotechnologies Ltd., and

(2) Registration  Statements  (Form  S-8  No.  333-229163,  333-248479,  333-263842  and  333-271320)  pertaining  to  the  Share  Ownership  and  Option  Plan  (2010)  of

CollPlant Biotechnologies Ltd.;

of our reports dated April 4, 2024, with respect to the consolidated financial statements of CollPlant Biotechnologies Ltd. and the effectiveness of internal control over financial
reporting of CollPlant Biotechnologies Ltd. included in this Annual Report (Form 20-F) of CollPlant Biotechnologies Ltd. for the year ended December 31, 2023.

/s/ Kost Forer Gabbay & Kasierer
Kost Forer Gabbay & Kasierer
A Member of EY Global

Tel Aviv, Israel
April 4, 2024