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Nephros

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FY2023 Annual Report · Nephros
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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, DC 20549

FORM 10-K

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

For the fiscal year ended December 31, 2023

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

For the transition period from       to

Commission File Number 001-32288

NEPHROS, INC.
(Exact name of registrant specified in its charter)

Delaware
(State or Other Jurisdiction of
Incorporation or Organization)

13-3971809
(I.R.S. Employer
Identification No.)

380 Lackawanna Place
South Orange, NJ 07079
(Address of Principal Executive Offices)

(201) 343-5202
(Telephone Number, Including Area Code)

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

Title of each class
Common stock, par value $0.001 per share

Trading symbol
NEPH

Name of exchange on which registered
The Nasdaq Stock Market LLC

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

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

Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Exchange Act. Yes ☐ No ☒

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

Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of
Regulation S-T (§ 232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files).
Yes ☒ No ☐

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

Large accelerated filer ☐
Non-accelerated filer ☒

Accelerated filer ☐
Smaller reporting company ☒
Emerging growth company ☐

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new
or revised financial accounting standards provided pursuant to Section 13(a) of the 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 whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes ☐ No ☒

The aggregate market value of the voting stock held by non-affiliates of the registrant, as of June 30, 2023, was $10,420,918. Such aggregate market value
was computed by reference to the closing price of the common stock as reported on the Nasdaq Stock Market on June 30, 2023. For purposes of making
this calculation only, the registrant has defined affiliates as including only directors and executive officers and stockholders holding greater than 10% of the
voting stock of the registrant as of June 30, 2023.

As of March 6, 2024, there were 10,543,675 shares of the registrant’s common stock, $0.001 par value, outstanding.

DOCUMENTS INCORPORATED BY REFERENCE

Certain portions of the registrant’s proxy statement to be filed with the Securities and Exchange Commission in connection with the 2024 Annual Meeting
of Stockholders (the “2024 Proxy Statement”) are incorporated by reference into Part III of this Annual Report on Form 10-K. The 2024 Proxy Statement
will be filed within 120 days of December 31, 2023.

 
 
 
 
 
 
 
 
NEPHROS, INC. AND SUBSIDIARIES

TABLE OF CONTENTS

PART I

Item 1. Business
Item 1A. Risk Factors
Item 1B. Unresolved Staff Comments
Item 2. Properties
Item 3. Legal Proceedings
Item 4. Mine Safety Disclosures

PART II

Item 5. Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities
Item 6. Selected Financial Data
Item 7. Management’s Discussion and Analysis of Financial Condition and Results of Operations
Item 7A. Quantitative and Qualitative Disclosures About Market Risk
Item 8. Financial Statements and Supplementary Data
Item 9. Changes in and Disagreements with Accountants on Accounting and Financial Disclosure
Item 9A. Controls and Procedures
Item 9B. Other Information

PART III

Item 10. Directors, Executive Officers and Corporate Governance
Item 11. Executive Compensation
Item 12. Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters
Item 13. Certain Relationships and Related Transactions, and Director Independence
Item 14. Principal Accounting Fees and Services

PART IV

Item 15. Exhibits, Financial Statement Schedules
Item 16. Form 10K Summary

SIGNATURES

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FORWARD LOOKING STATEMENTS

The Private Securities Litigation Reform Act of 1995 provides a “safe harbor” for forward-looking statements. Certain statements in this Annual Report on
Form 10-K constitute “forward-looking statements.” Such statements include statements regarding our ability to increase our revenue, limit our expenses
and other expected operating results, including our ability and the timing of our business generating positive cash flows from operations, the adequacy of
our existing capital resources to fund our operations, our belief that we will maintain good relationships with our suppliers, distributors and customers, and
other  statements  that  are  not  historical  facts,  including  statements  that  may  be  preceded  by  the  words  “intends,”  “may,”  “will,”  “plans,”  “expects,”
“anticipates,” “projects,” “predicts,” “estimates,” “aims,” “believes,” “hopes,” “potential” or similar words. Forward-looking statements are not guarantees
of future performance, are based on certain assumptions and are subject to various known and unknown risks and uncertainties, many of which are beyond
our control. Actual results may differ materially from the expectations contained in the forward-looking statements. Factors that may cause such differences
include, but are not limited to, the risks that:

● we face significant challenges in obtaining market acceptance of our products, which, if not obtained, could adversely affect our potential sales and

revenues;

● product-related deaths or serious injuries or product malfunctions could trigger recalls, class action lawsuits and other events that could cause us to

incur expenses and may also limit our ability to generate revenues from such products;

● we face potential liability associated with the production, marketing and sale of our products, and the expense of defending against claims of product

liability could materially deplete our assets and generate negative publicity, which could impair our reputation;

● to the extent our products or marketing materials are found to violate any provisions of the U.S. Food, Drug and Cosmetic Act (the “FDC Act”) or any
other statutes or regulations, we could be subject to enforcement actions by the U.S. Food and Drug Administration (the “FDA”) or other governmental
agencies;

● we may not be able to obtain funding when needed or on terms favorable to us in order to continue operations;
● we may not have sufficient capital to successfully implement our business plan;
● we may not be able to effectively market and sell our products;
● we may not be able to sell our water filtration products at competitive prices or profitably;
● we may encounter problems with our suppliers, manufacturers, and distributors;
● we may encounter unanticipated internal control deficiencies or weaknesses or ineffective disclosure controls and procedures;
● we may not be able to obtain appropriate or necessary regulatory approvals to achieve our business plan;
● we may not be able to secure or enforce adequate legal protection, including patent protection, for our products;
● we may not be able to achieve sales growth in key geographic markets.

More  detailed  information  about  us  and  the  risk  factors  that  may  affect  the  realization  of  forward-looking  statements,  including  the  forward-looking
statements in this Annual Report on Form 10-K, is set forth in our filings with the U.S. Securities and Exchange Commission (the “SEC”), including our
other  periodic  reports  filed  with  the  SEC.  We  urge  investors  and  security  holders  to  read  those  documents  free  of  charge  at  the  SEC’s  web  site  at
www.sec.gov. We do not undertake to publicly update or revise our forward-looking statements because of new information, future events or otherwise,
except as required by law.

3

 
 
 
 
 
 
Item 1. Business

Overview

PART I

We are a commercial-stage company that develops and sells high performance water solutions to the medical and commercial markets.

In  medical  markets,  we  sell  water  filtration  products.  Our  medical  water  filters,  mostly  classified  as  ultrafilters,  are  used  primarily  by  hospitals  for  the
prevention of infection from waterborne pathogens, such as legionella and pseudomonas, and in dialysis centers for the removal of biological contaminants
from water and bicarbonate concentrate. Because our ultrafilters capture contaminants as small as 0.005 microns in size, they minimize exposure to a wide
variety of bacteria, viruses, fungi, parasites, and endotoxins.

In commercial markets, we manufacture and sell water filters that improve the taste and odor of water and reduce biofilm, bacteria, and scale build-up in
downstream equipment. Our products are marketed primarily to the food service, hospitality, convenience store, and health care markets. These commercial
products are also marketed into medical markets, as supplemental filtration to our medical filters.

We were founded in 1997 by healthcare professionals affiliated with Columbia University Medical Center/New York-Presbyterian Hospital to develop and
commercialize  an  alternative  method  to  hemodialysis.  We  have  extended  our  filtration  technologies  to  meet  the  demand  for  liquid  purification  in  other
areas, in particular, water purification.

Our Products

Water Filtration Products

We develop and sell water filtration products used in both medical and commercial applications. Our water filtration products employ multiple filtration
technologies, as described below.

In medical markets, our primary filtration mechanism is to pass liquids through the pores of polysulfone hollow fiber. Our filters’ pores are significantly
smaller  than  those  of  competing  products,  resulting  in  highly  effective  elimination  of  waterborne  pathogens,  including  legionella  bacteria  (the  cause  of
Legionnaires disease) and viruses, which are not eliminated by most other microbiological filters on the market. Additionally, the fiber structure and pore
density in our hollow fiber enables significantly higher flow rates than in other polysulfone hollow fiber.

Our primary sales strategy in medical markets is to sell through value-added resellers (“VARs”). Leveraging VARs has enabled us to rapidly expand our
access to target customers with limited sales staff expansion. In addition, while we are currently focused on medical markets, the VARs that support these
customers also support a wide variety of commercial and industrial customers. We believe that our VAR relationships have and will continue to facilitate
growth in filter sales outside of the medical industry.

In commercial markets, we develop and sell our filters, for which carbon-based absorption is the primary filtration mechanism. These products allow us to
improve water’s odor and taste, to reduce scale and heavy metals, and to reduce other water contaminants for customers who are primarily in the food
service,  convenience  store,  and  hospitality  industries.  These  commercial  products  are  also  sold  into  medical  markets,  as  supplemental  filtration  to  our
medical filters.

In commercial markets, our model combines both direct and indirect sales. Through our employee sales staff, we have sold products directly to a number of
convenience stores, hotels, casinos, and restaurants. We have also signed an agreement with a partner to be the exclusive distributor to resell select water
filters and related products to customers in the commercial food and beverage markets subject to meeting certain minimum thresholds.

4

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Target Markets

Our ultrafiltration products currently target the following markets:

● Hospitals and Other Healthcare Facilities: Filtration of water for washing and drinking as an aid in infection control. The filters produce water that

is suitable for wound cleansing, cleaning of equipment used in medical procedures, and washing of surgeons’ hands.

● Dialysis Centers and Home/Portable Dialysis Machines: Filtration of water or bicarbonate concentrate used in hemodialysis.
● Commercial Facilities: Filtration and purification of water for consumption, including for use in ice machines and soft drink dispensers.
● Military and Outdoor Recreation: Individual water purification devices used by soldiers and backpackers to produce drinking water in the field, as

well as filters customized to remote water processing systems.

Hospitals and Other Healthcare Facilities. Nephros filters are a leading tool used to provide proactive protection to patients in high-risk areas (e.g., ice
machines, surgical rooms, NICUs) and reactive protection to patients in broader areas during periods of water pathogen outbreaks. Our products are used in
hundreds of medical facilities to aid in infection control, both proactively and reactively.

As of 2023, according to the American Hospital Association, there are approximately 6,129 hospitals in the U.S., with approximately 920,000 beds. Over
34 million patients were admitted to these hospitals. The U.S. Department of Health and Human Services estimates that healthcare associated infections
(“HAI”) occur in approximately 1 out of every 31 hospital patients, which calculates to over one million patients in 2023. HAIs affect patients in hospitals
or other healthcare facilities and are not present or incubating at the time of admission. They also include infections acquired by patients in the hospital or
facility, but appearing after discharge, and occupational infections among staff. Many HAIs are caused by waterborne bacteria and viruses that can thrive in
aging or complex plumbing systems often found in healthcare facilities.

In January 2022, the Center for Clinical Standards and Quality at the Centers for Medicare and Medicaid Services (“CMS”) expanded its requirements –
originally implemented in 2017 – for facilities to develop policies and procedures that inhibit the growth and spread of legionella and other opportunistic
pathogens  in  building  water  systems.  In  this  2022  update,  CMS  requires  teams  to  be  assigned  to  the  development  of  formal  water  management  plans
(“WMPs”),  as  well  as  detailed  documentation  regarding  the  development  of  the  WMPs  and  their  execution.  CMS  surveyors  regularly  review  policies,
procedures, and reports documenting water management implementation results to verify that facilities are compliant with these requirements. We believe
that these CMS regulations may have a positive impact on the sale of our HAI-inhibiting ultrafilters.

We currently have FDA 510(k) clearance on the following portfolio of medical device products for use in the hospital setting to aid in infection control:

● The  DSU-H  and  SSU-H  are  in-line,  0.005-micron  ultrafilters  that  provide  dual-  and  single-stage  protection,  respectively,  from  waterborne
pathogens. They are primarily used to filter potable water feeding ice machines, sinks, and medical equipment, such as endoscope washers and
surgical  room  humidifiers.  The  DSU-H  has  an  up  to  6-month  product  life  in  a  typical  hospital  setting,  while  the  SSU-H  has an up to 3-month
product life.

● The S100  is  a  point-of-use,  0.01-micron  microfilter  that  provides  protection  from  waterborne  pathogens.  The  S100  is  primarily  used  to  filter

potable water feeding sinks and showers. The S100 has an up to 3-month product life when used in a hospital setting.

● The  HydraGuardTM  and  HydraGuardTM  -  Flush  are  0.005-micron  cartridge  ultrafilters  that  provide  single-stage  protection  from  waterborne
pathogens. The HydraGuard ultrafilters are primarily used to filter potable water feeding ice machines and medical equipment, such as endoscope
washers and surgical room humidifiers. The HydraGuard has an up to 6-month product life and the HydraGuard - Flush has an up to 12-month
product life when used in a hospital setting.

5

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Our  complete  hospital 
in-line,  and  point-of-use  can  be  viewed  on  our  website  at
https://www.nephros.com/infection-control/. We are not including the information on our website as a part of, nor incorporating it by reference into, this
Annual Report on Form 10-K.

infection  control  product 

including 

line, 

Dialysis  Centers  -  Water/Bicarbonate.  In  the  dialysis  water  market,  Nephros  ultrafiltration  products  are  among  the  highest  performing  products  on  the
market. The DSU-D, SSU-D and the SSUmini have become the standard endotoxin filter in many portable reverse osmosis systems. The EndoPur®, our
large-format ultrafilter targeted at dialysis clinic water systems, provides the smallest pore size available.

To  perform  hemodialysis,  all  dialysis  clinics  have  dedicated  water  purification  systems  to  produce  water  and  bicarbonate  concentrate,  two  essential
ingredients  for  making  dialysate,  the  liquid  that  removes  waste  material  from  the  blood.  According  to  the  National  Institute  of  Health,  there  are
approximately  7,100  dialysis  clinics  in  the  United  States  servicing  approximately  500,000  patients  annually.  We  estimate  that  there  are  over  100,000
hemodialysis machines in operation in the United States.

We currently have FDA 510(k) clearance on the following portfolio of medical device products for use in the dialysis setting to aid in bacteria, virus, and
endotoxin retention:

● The DSU-D, SSU-D and SSUmini are in-line, 0.005-micron ultrafilters that provide protection from bacteria, viruses, and endotoxins. All of these
products have an up to 12-month product life in the dialysis setting and are used to filter water following treatment with a reverse osmosis (“RO”)
system, and to filter bicarbonate concentrate. These ultrafilters are primarily used in the water lines and bicarbonate concentrate lines leading into
dialysis machines, and as a polish filter for portable RO machines.

● The EndoPur is a 0.005-micron cartridge ultrafilter that provides single-stage protection from bacteria, viruses, and endotoxins. The EndoPur has
an up to 12-month product life in the dialysis setting and is used to filter water following treatment with an RO system. More specifically, the
EndoPur is used primarily to filter water in large RO systems designed to provide ultrapure water to an entire dialysis clinic. The EndoPur is a
cartridge-based, “plug and play” market entry that requires no plumbing at installation or replacement. The EndoPur is available in 10”, 20”, and
30” configuration.

Commercial  and  Industrial  Facilities.  Our  commercial  NanoGuard®  product  line  accomplishes  ultrafiltration  via  small  pore  size  (0.005  micron)
technology,  filtering  bacteria  and  viruses  from  water.  In  addition,  our  commercial  filtration  offerings  include  technologies  that  are  primarily  focused  on
improving odor and taste and on reducing scale and heavy metals from filtered water.

Our commercial market focus is on the hotel, restaurant, and convenience store markets. In March 2022, we entered into an agreement to provide water
filtration systems to an organization that services approximately 3,000 Quick Service Restaurants (“QSR”). Effective January 1, 2023, we entered into a
new supply agreement with this commercial partner, which superseded the March 2022 agreement. Under the January 2023 agreement, we engaged this
commercial partner to be our exclusive distributor to the food, beverage and hospitality industries. We continue to pursue other national accounts, which,
over time, may result in step-change increases in commercial market revenue.

Over time, we believe that the same water safety management programs currently underway at medical facilities may migrate to commercial markets. As
the epidemiology of waterborne pathogens expands, links to contamination sources will become more efficient and the data more readily available. In cases
where those sources are linked to restaurants, hotels, office buildings and residential complexes, the corporate owners of those facilities will likely face
increasing liability exposure. We expect that building owners will come to understand ASHRAE-188, which outlines risk factors for buildings and their
occupants, and provides water safety management guidelines. We believe, in time, most commercial buildings will need to follow the basic requirements of
ASHRAE-188: create a water management plan, perform routine testing, and establish a plan to treat the building in the event of a positive test.

As  demand  for  water  testing  and  microbiological  filtration  grows,  we  will  be  ready  to  deploy  our  expertise  and  solutions  based  on  years  of  experience
servicing the medical market. We believe that we have an opportunity to offer unique expertise and products to the commercial market, and that our future
revenue from the commercial market could even surpass our infection control revenue.

6

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
We currently market the following portfolio of proprietary products for use in the commercial, industrial, and food service settings:

● The NanoGuard set of products are in-line, 0.005-micron ultrafilter that provides dual-stage retention of any organic or inorganic particle larger
than  15,000  Daltons.  NanoGuard  products  are  designed  to  fit  a  variety  of  existing  plumbing  configurations,  including  10”  and  20”  standard
housings, and Nephros and Everpure® manifolds. Included in the NanoGuard product line are both conventional and flushable filters.

● The Nephros line of commercial filters provides a variety of technology solutions that improve water quality in food service, convenience store,
hospitality,  and  industrial  applications.  Nephros  filters  improve  water  taste  and  odor,  and  reduce  sediment,  dirt,  rust  particles  and  other  solids,
chlorine and heavy minerals, lime scale build-up, and both particulate lead and soluble lead.

Nephros  commercial  products  combine  effectively  with  NanoGuard  ultrafiltration  technologies  to  offer  full-featured  solutions  to  the  commercial  water
market, including to existing users of Everpure filter manifolds.

Hemodiafiltration (HDF) Systems and Specialty Renal Products, Inc.

The current standard of care in the United States for patients with chronic renal failure is hemodialysis (“HD”), a process in which toxins are cleared via
diffusion. Patients typically receive HD treatments at least 3 times weekly for 3-4 hours per treatment. HD is most effective in removing smaller, easily
diffusible toxins. For patients with acute renal failure, the current standard of care in the United States is hemofiltration (“HF”), a process where toxins are
cleared  via  convection.  HF  offers  a  much  better  removal  of  larger  sized  toxins  when  compared  to  HD;  however,  HF  treatment  is  more  challenging  for
patients, as it is performed daily, and typically takes 12-24 hours per treatment.

Our company was originally founded to develop and commercialize a hemodiafiltration (“HDF”) medical device. HDF is an alternative dialysis modality
that  combines  the  benefits  of  HD  and  HF  into  a  single  therapy  by  clearing  toxins  using  both  diffusion  and  convection. Though  not  widely  used  in  the
United States, HDF is prevalent in Europe and is performed for a growing number of patients. Clinical experience and literature demonstrate that HDF’s
benefits, among other factors, include enhanced clearance of middle and large molecular weight toxins, improved patient survival, reduced incidence of
dialysis-related amyloidosis, improved patient quality of life and reduced hospitalizations and overall length of stays.

Our original HDF device (“HDF1”) was cleared by the U.S. Food and Drug Administration (“FDA”) for the treatment of patients with chronic renal failure
in 2012, but did not gain market acceptance due to, among other reasons, the feeling that it was too difficult to use.

We previously held a majority stake in Specialty Renal Products, Inc. (“SRP”), a development-stage medical device company that was focused primarily on
the  development  of  the  second-generation  HDF  device  (“HDF2”).  SRP  undertook  efforts  to  redesign  and  dramatically  simplify  our  HDF  device.  We
believe those updates made the system significantly easier to use. On May 13, 2022, the FDA gave 510(k) clearance to SRP’s second-generation model of
the OLpūrH2H Hemodiafiltration System, which enables nephrologists to provide HDF treatment to patients with end stage renal disease. In January 2023,
SRP management began exploring strategic partnerships to support a commercial launch of the HDF product but was unsuccessful in identifying a partner.
By  late  February  2023,  SRP  had  nearly  exhausted  its  capital  resources  and,  due  to  its  limited  capital  and  lack  of  prospects  for  securing  a  strategic
partnership or additional financing, the board of directors of SRP adopted a plan on March 6, 2023 to wind down SRP operations, liquidate its remaining
assets  and  dissolve  the  company.  That  plan  was  approved  by  SRP’s  stockholders  on  March  9,  2023,  and  on  April  13,  2023,  SRP  filed  a  certificate  of
dissolution with the State of Delaware. SRP’s cash resources were sufficient to satisfy all of its outstanding liabilities other than its obligations to us under a
loan  with  an  outstanding  balance  of  approximately  $1.5  million.  Accordingly,  SRP  assigned  to  us  all  of  its  remaining  assets,  including  its  intellectual
property  rights  in  the  HDF2  device,  in  satisfaction  of  its  outstanding  loan  balance. Although  we  have  no  current  plans  to  do  so,  we  may  re-evaluate
opportunities for HDF in the future.

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Corporate Information

We were incorporated under the laws of the State of Delaware in April 1997. Our principal executive offices are located at 380 Lackawanna Place, South
Orange, New Jersey 07079, and our telephone number is (201) 343-5202. We also have an office in Whippany, New Jersey. For more information about
Nephros, please visit our website at www.nephros.com. We are not including the information on our website as a part of, nor incorporating it by reference
into, this Annual Report on Form 10-K.

Manufacturing and Suppliers

We do not, and do not intend to in the near future, manufacture any of our medical device filtration products. We do manufacture some of our commercial
filtration products in our facility in South Orange, New Jersey.

On April 23, 2012, we entered into a License and Supply Agreement (the “License and Supply Agreement”) with Medica S.p.A. (“Medica”), an Italy-based
medical  product  manufacturing  company,  for  the  marketing  and  sale  of  certain  filtration  products  based  upon  Medica’s  proprietary  Medisulfone
ultrafiltration technology in conjunction with our filtration products, and for an exclusive supply arrangement for the filtration products. Under the License
and Supply Agreement, as amended, Medica granted us an exclusive license, with right of sublicense, to market, promote, distribute, offer for sale and sell
the filtration products worldwide, with certain limitations on territory, during the term of the License and Supply Agreement. In addition, we granted to
Medica  an  exclusive  license  under  our  intellectual  property  to  make  the  filtration  products  during  the  term  of  the  License  and  Supply  Agreement.  The
filtration covered under the License and Supply Agreement include both certain products based on Medica’s proprietary Versatile microfiber technology
and certain filtration products based on Medica’s proprietary Medisulfone ultrafiltration technology. The term of the License and Supply Agreement with
Medica expires on December 31, 2028, unless earlier terminated by either party in accordance with the terms of the License and Supply Agreement. We
currently  have  an  understanding  with  Medica  whereby  we  have  agreed  to  pay  interest  per  month  at  the  EURIBOR  360-day  rate  plus  500  basis  points
calculated on the principal amount of any outstanding invoices that are overdue by more than 15 days beyond the original payment terms.

In exchange for the rights granted, we agreed to make minimum annual aggregate purchases from Medica throughout the term of the License and Supply
Agreement.

Sales and Marketing

Our New Jersey headquarters oversees global sales and marketing activity of our ultrafilter products. We work with multiple distributors for our ultrafilter
products in the hospital and dialysis water markets. For the food service and hospitality markets, we have contracted with Donastar LLC as our master
distributor.  For  other  prospective  markets  for  our  ultrafilter  products,  we  are  pursuing  alliance  opportunities  for  joint  product  development  and/or
distribution. Our ultrafilter manufacturer in Europe shares certain intellectual property rights with us for one of our dual stage ultrafilter designs.

Research and Development

Our research and development efforts continue on several fronts directly related to our current product lines. For the ultrafiltration systems business, we are
continually working with existing and potential distributors of ultrafilter products to develop solutions to meet customer needs.

8

 
 
 
 
 
 
 
 
 
 
 
 
Major Customers

For the years ended December 31, 2023 and 2022, the following customers accounted for the following percentages of our revenues, respectively:

Customer
A
B
Total

2023

2022

23% 
11% 
34% 

26%
10%
36%

As of December 31, 2023 and 2022, the following customers accounted for the following percentages of our accounts receivable, respectively:

Customer
A
B
C
Total

2023

2022

12% 
6% 
3% 
21% 

21%
10%
10%
41%

Competition

With respect to the water filtration market, we compete with companies that are well-entrenched in the water filtration domain. These companies include
Pall  Corporation  (wholly  owned  by  Danaher  Corporation),  which  manufactures  point-of-use  microfiltration  products,  as  well  as  3M  and  Pentair,  who
manufacture the Cuno® and Everpure® brands of water filtration and purification products, respectively. Our methods of competition in the water filtration
domain include:

● developing and marketing products that are designed to meet critical and specific customer needs more effectively than competitive devices;
● offering unique attributes that illustrate our product reliability, “user-friendliness,” and performance capabilities;
● selling products to specific customer groups where our unique product attributes are mission-critical; and
● pursuing alliance and/or acquisition opportunities for joint product development and distribution.

Intellectual Property

Patents

We  protect  our  technology  and  products  through  patents  and  patent  applications.  In  addition  to  the  United  States,  we  also  apply  for  patents  in  other
jurisdictions,  such  as  the  European  Patent  Office,  Canada,  and  Japan,  to  the  extent  we  deem  appropriate.  We  have  built  a  portfolio  of  patents  and
applications covering our products, including their hardware design and methods of hemodiafiltration.

We  believe  that  our  patent  strategy  will  provide  a  competitive  advantage  in  our  target  markets,  but  our  patents  may  not  be  broad  enough  to  cover  our
competitors’ products and may be subject to invalidation claims. Our U.S. patent for the “Method and Apparatus for a Hemodiafiltration Module for use
with  a  Dialysis  Machine,”  has  claims  that  cover  the  OLpūr  MDHDF  filter  series  and  the  method  of  hemodiafiltration  employed  in  the  operation  of  the
products.  Technological  developments  in  ESRD  therapy  could  reduce  the  value  of  our  intellectual  property.  Any  such  reduction  could  be  rapid  and
unanticipated. We have issued patents on our water filtration products and applications in process to cover various applications in residential, commercial,
and remote environments.

As of December 31, 2023, we had four U.S. patents and one Canadian patent. In addition, we have one pending patent application in the United States. Our
pending  US  patent  application  relates  to  filter  technologies,  including  liquid  purification  filter  systems  that  are  particularly  suited  for  use  in  harsh
environments.

9

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Trademarks

As  of  December  31,  2023,  in  the  United  States,  we  secured  registrations  of  the  trademarks  ENDOPUR,  HYDRAGUARD,  NANOGUARD,  and
NEPHROS. In the US, we filed two trademark applications for BECAUSE WATER MATTERS. In the UK, we secured registrations for the trademarks
NANOGUARD, NEPHROS HYDRAGUARD, and PATHOGUARD.

Governmental Regulation

The  research  and  development,  manufacturing,  promotion,  marketing,  and  distribution  of  our  ESRD  therapy  products  in  the  United  States,  Europe  and
other  regions  of  the  world  are  subject  to  regulation  by  numerous  governmental  authorities,  including  the  FDA,  the  European  Union  and  analogous
agencies.

United States

The FDA regulates the manufacture and distribution of medical devices in the United States pursuant to the Food, Drug, and Cosmetics (FDC) Act. All of
our ESRD therapy products are regulated in the United States as medical devices by the FDA under the FDC Act. Under the FDC Act, medical devices are
classified into one of three classes, namely Class I, II or III, on the basis of the controls deemed necessary by the FDA to reasonably ensure their safety and
effectiveness.

● Class I  devices  are  medical  devices  for  which  general  controls  are  deemed  sufficient  to  ensure  their  safety  and  effectiveness.  General  controls
include  provisions  related  to  (1)  labeling,  (2)  producer  registration,  (3)  defect  notification,  (4)  records  and  reports  and  (5)  quality  service
requirements (“QSR”).

● Class II devices are medical devices for which the general controls for the Class I devices are deemed not sufficient to ensure their safety and
effectiveness and require special controls in addition to the general controls. Special controls include provisions related to (1) performance and
design standards, (2) post-market surveillance, (3) patient registries and (4) the use of FDA guidelines.

● Class III devices are the most regulated medical devices and are generally limited to devices that support or sustain human life or are of substantial
importance in preventing impairment of human health or present a potential, unreasonable risk of illness or injury. Pre-market approval by the
FDA is the required process of scientific review to ensure the safety and effectiveness of Class III devices.

Before  a  new  medical  device  can  be  introduced  to  the  market,  Section  510(k),  and  Section  515  of  the  FDC  Act  require  a  manufacturer  who  intends  to
market a medical device to submit a premarket notification (Section 510(k)) or a request for premarket approval (Section 515), to the FDA.

A  510(k)  clearance  will  be  granted  if  the  submitted  information  establishes  that  the  proposed  device  is  “substantially  equivalent”  to  a  legally  marketed
Class I or Class II medical device or to a Class III medical device for which the FDA has not called for premarket approval under Section 515. The 510(k)
clearance process is generally faster and simpler than the premarket approval process.

Premarket approval (PMA) is the FDA’s process of scientific and regulatory review to evaluate the safety and effectiveness of Class III medical devices.
Class III devices are those that support or sustain human life, are of substantial importance in preventing impairment of human health, or which present a
potential, unreasonable risk of illness or injury, or are new and present unknown safety or effectiveness issues or risks. PMA is the most stringent type of
device marketing application required by the FDA. To gain approval, the manufacturer must present adequate scientific evidence to assure that the device is
safe and effective for its intended use(s).

For any devices cleared through the 510(k) clearance process, modifications or enhancements that could significantly affect the safety or effectiveness of
the device or that constitute a major change to the intended use of the device will require a new 510(k) clearance submission. Accordingly, if we do obtain
Section  510(k)  clearance  for  any  of  our  ESRD  therapy  and/or  filtration  products,  we  will  need  to  submit  another  Section  510(k)  notification  if  we
significantly affect that product’s safety or effectiveness through subsequent modifications or enhancements.

10

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
All of our products have been cleared by the FDA as Class II devices, such as.

● DSU Dual Stage UltraFilter: In June 2009, we received FDA 510(k) clearance of the DSU to be used to filter biological contaminants from water

and bicarbonate concentrate used in hemodialysis procedures.

● SSU-D/DSU-D Dual Stage UltraFilter: In July 2011, we received FDA 510(k) clearance of the SSU/DSU to be used to filter water or bicarbonate

concentrate used in hemodialysis procedures.

● OLpūr H2H Module and OLpūr MD 220 Hemodiafilter: In April 2012, we received FDA 510(k) clearance of the OLpūr H2H Module and OLpūr
MD  220  Hemodiafilter  for  use  with  a  UF  controlled  hemodialysis  machine  that  provides  ultrapure  dialysate  in  accordance  with  current
ANSI/AAMI/ISO standards, for the treatment of patients with chronic renal failure in the United States.

● DSU-H/SSU-H:  In  October  2014,  we  received  FDA  510(k)  clearance  of  the  DSU-H  and  SSU-H  ultrafilters  to  be  used  to  filter  EPA  quality
drinking water. The filters retain bacteria, viruses, and endotoxin. By providing ultrapure water for patient washing and drinking, the filters aid in
infection control.

● S100 Point of Use Filter: In April 2016, we received FDA 510(k) clearance of the S100 point-of-use filter to be used to filter EPA quality drinking

water. The filters retain bacteria. By retaining bacteria in water for washing and drinking, the filter may aid in infection control.

● HydraGuard: In December 2016, we received FDA 510(k) clearance of the HydraGuard 10” ultrafilter intended to be used to filter EPA quality
drinking water. The filter retains bacteria, viruses and endotoxin. By providing ultrapure water for patient washing and drinking, the filter aids in
infection control.

● EndoPur: In March 2017, we received FDA 510(k) clearance of the EndoPur ultrafilter intended to be used to filter water used in hemodialysis
devices. It assists in providing hemodialysis quality water. The device is not a complete water treatment system but serves to remove biological
contaminants. Therefore, it must be used in conjunction with other water treatment equipment (Reverse Osmosis, Deionization, etc.).

The FDC Act requires that medical devices be manufactured in accordance with the FDA’s current QSR regulations which require, among other things,
that:

● the design and manufacturing processes be regulated and controlled by the use of written procedures;
● the ability to produce medical devices which meet the manufacturer’s specifications be validated by extensive and detailed testing of every aspect

of the process;

● any deficiencies in the manufacturing process or in the products produced be investigated;
● detailed records be kept, and a corrective and preventative action plan be in place; and
● manufacturing facilities be subject to FDA inspection on a periodic basis to monitor compliance with QSR regulations.

In addition to the requirements described above, the FDC Act requires that:

● all medical device manufacturers and distributors register with the FDA annually and provide the FDA with a list of those medical devices which

they distribute commercially;

● information be provided to the FDA on death or serious injuries alleged to have been associated with the use of the products, as well as product

malfunctions that would likely cause or contribute to death or serious injury if the malfunction were to recur; and

● certain medical devices not cleared with the FDA for marketing in the United States meet specific requirements before they are exported.

We and our contract manufacturers are required to manufacture our products in compliance with current Good Manufacturing Practice (GMP) requirements
set forth in the QSR. The QSR requires a quality system for the design, manufacture, packaging, labeling, storage, installation, and servicing of marketed
devices, and it includes extensive requirements with respect to quality management and organization, device design, buildings, equipment, purchase and
handling  of  components  or  services,  production  and  process  controls,  packaging  and  labeling  controls,  device  evaluation,  distribution,  installation,
complaint  handling,  servicing,  and  record  keeping.  The  FDA  evaluates  compliance  with  the  QSR  through  periodic  unannounced  inspections  that  may
include the manufacturing facilities of our subcontractors. If the FDA believes that we or any of our contract manufacturers, or regulated suppliers, are not
in compliance with these requirements, there may be a material adverse effect on our manufacturing operations, effecting our ability to sell.

11

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
European Union

The  European  Union  began  to  harmonize  national  regulations  comprehensively  for  the  control  of  medical  devices  in  member  nations  in  1993,  when  it
adopted  its  Medical  Devices  Directive  93/42/EEC.  The  European  Union  directive  applies  to  both  the  manufacturer’s  quality  assurance  system  and  the
product’s technical design and discusses the various ways to obtain approval of a device (dependent on device classification), how to properly CE mark a
device, and how to place a device on the market.

In 2017, the European Union (EU) adopted the EU Medical Device Regulation (Council Regulations 2017/745) which imposes stricter requirements for the
marketing and sale of medical devices, including new quality system and post-market surveillance requirements.

As defined in EU Medical Device Regulation (Council Regulations 2017/745), the regulatory approach necessary to demonstrate to the European Union
that  the  organization  has  the  ability  to  provide  medical  devices  and  related  services  that  consistently  meet  customer  requirements  and  regulatory
requirements applicable to medical devices requires the certification of a full quality management system by a notified body.

European Union requirements for products are set forth in harmonized European Union standards and include conformity to safety requirements, physical
and biological properties, construction and environmental properties, and information supplied by the manufacturer. A company demonstrates conformity
to these requirements, with respect to a product, by pre-clinical tests, biocompatibility tests, qualification of products and packaging, risk analysis and well-
conducted clinical investigations approved by ethics committees.

Once a manufacturer’s full quality management system is determined to be in compliance with ISO 13485/2016 and other statutory requirements, and the
manufacturer’s products conform to harmonized European standards, the notified body will recommend and document such conformity. The manufacturer
will receive a CE marking and ISO certifications, and then may place a CE mark on the relevant products. The CE mark, which stands for Conformité
Européene, demonstrates compliance with the relevant European Union requirements. Products subject to these provisions that do not bear the CE mark
cannot be imported to, or sold or distributed within, the European Union.

Medical Devices sold in Europe/ anticipated to be sold in Europe, shall be examined, and classified as:

● Class I: Provided non-sterile or do not have a measuring function; Low Risk
● Class I: Provided sterile and/or have a measuring function; Low/medium risk
● Class IIa: Medium risk
● Class IIb: Medium/high risk
● Class III: High risk

Currently  we  are  in  the  process  to  seek  approval  for  CE  certification  under  EU  Medical  Device  Regulation  (Council  Regulations  2017/745).  Once
approved, the following products will have certification from BSI America for CE marking and adherence to ISO13485 standards as Class IIa (Rule 3)
medical devices:

● SSU-D/DSU-D/SSUmini Ultrafilters: Intended to be used to filter water or bicarbonate concentrate used in hemodialysis procedures.

12

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Regulatory Authorities in Regions Outside of the United States and the European Union

In November 2007 and May 2011, the Therapeutic Products Directorate of Health Canada, the Canadian health regulatory agency, approved our OLpūr
MD220 Hemodiafilter and our DSU, respectively, for marketing in Canada. Other than the Canadian approval of our OLpūr MD220 Hemodiafilter and
DSU products, we have not obtained any regulatory approvals to sell any of our products outside of the United States and the European Union and there is
no assurance that any such clearance or certification will be issued.

Requirements pertaining to medical devices vary widely from country to country, ranging from no health regulations to detailed submissions such as those
required by the FDA. Our manufacturing facilities are subject to audits and have been certified to be ISO 13485:2016, which allows us to sell our products
in the United States and Canada.

In  November  2020,  we  received  MDSAP  certification  to  continue  sales  and  compliance  in  the  United  States  and  Health  Canada.  The  Medical  Device
Single Audit Program (MDSAP) is a program that allows the conduct of a single regulatory audit of a medical device manufacturer’s quality management
system that satisfies the requirements of multiple regulatory jurisdictions. Audits are conducted by Auditing Organizations authorized by the participating
Regulatory Authorities to audit under MDSAP requirements. The MDSAP is a way that medical device manufacturers can be audited once for compliance
with the standard and regulatory requirements of up to five different medical device markets: Australia, Brazil, Canada, Japan, and the United States.

In November 2023, we received approval for expansion of our MDSAP certification to include Brazil. This expansion provides Nephros the approval to
sell the following medical devices in Brazil:

● SSSUmini Ultrafilters: Intended to be used to filter water or bicarbonate concentrate used in hemodialysis procedures.

● EndoPur Filters: The device is not a complete water treatment system but serves to remove biological contaminants. Therefore, it must be used in

conjunction with other water treatment equipment (Reverse Osmosis, Deionization, etc.).

Product Liability and Insurance

The production, marketing and sale of our products have an inherent risk of liability in the event of product failure or claim of harm caused by product
operation.  We  have  acquired  product  liability  insurance  for  our  products  in  the  amount  of  $3  million.  A  successful  claim  in  excess  of  our  insurance
coverage could materially deplete our assets. Moreover, any claim against us could generate negative publicity, which could decrease the demand for our
products, our ability to generate revenues and our profitability.

Some  of  our  existing  and  potential  agreements  with  manufacturers  of  our  products  and  components  of  our  products  do  or  may  require  us  (1)  to  obtain
product  liability  insurance  or  (2)  to  indemnify  manufacturers  against  liabilities  resulting  from  the  sale  of  our  products.  If  we  are  not  able  to  maintain
adequate product liability insurance, we will be in breach of these agreements, which could materially adversely affect our ability to produce our products.
Even if we are able to obtain and maintain product liability insurance, if a successful claim in excess of our insurance coverage is made, then we may have
to indemnify some or all of our manufacturers for their losses, which could materially deplete our assets.

Employees

As of December 31, 2023, we employed a total of 31 full-time employees, including 11 employed in sales/marketing/customer support, 15 in logistics,
general, and administrative, and 4 in research and development and 1 in manufacturing. None of our employees are currently represented by a labor union
or covered by a collective bargaining agreement and we believe that our relations with our employees are good. During 2023, we had limited voluntary
turnover. Going forward, we intend to focus on maintaining our current good relations with our employees and continuing to develop and explore ways to
collaborate with our employees and create a well-regarded workplace.

Available Information

We are subject to the reporting requirements of the Securities Exchange Act of 1934, as amended (the “Exchange Act”). The Exchange Act requires us to
file  periodic  reports,  proxy  statements  and  other  information  with  the  SEC.  The  SEC  maintains  a  website  that  contains  reports,  proxy  and  information
statements, and other information regarding issuers that file electronically with the SEC. These materials may be obtained electronically by accessing the
SEC’s website at http://www.sec.gov.

13

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Item 1A. Risk Factors

Risks Related to Our Overall Business and Operations

We have a history of operating losses and a significant accumulated deficit, and we may not achieve or maintain profitability in the future.

As of December 31, 2023, we had an accumulated deficit of $144.4 million as a result of historical operating losses. While we believe that revenues will
increase following our planned sales team expansion, there can be no guarantee of this. We may continue to incur additional losses in the future depending
on the timing and marketplace acceptance of our products and as a result of operating expenses being higher than our gross margin from product sales. We
began sales of our first product in March 2004, and we may never realize sufficient revenues from the sale of our products or be profitable. Each of the
following factors, among others, may influence the timing and extent of our profitability, if any:

● the market acceptance of our technologies and products in each of our target markets;
● our ability to effectively and efficiently manufacture, market and distribute our products;
● our ability to sell our products at competitive prices that exceed our per unit costs; and
● our ability to continue to develop products and maintain a competitive advantage in our industry.

If we are unable to achieve profitability, we will need additional capital to fund our operating activities. Such capital is likely to be from the sale of shares
of our common stock or other equity securities or from loans or other debt securities. However, there is no assurance that such capital will be available on
favorable terms or at all.

We may be unable to achieve or sustain revenue growth.

Our  business  and  future  prospects  are  substantially  dependent  upon  our  ability  to  significantly  grow  our  product  revenue.  Although  our  sales  were
approximately 43% higher in 2023 compared to 2022, there is no assurance that we will be able to continue our sales growth in future periods. Our ability
to  increase  our  revenues  in  future  periods  will  depend  on  our  ability  to  significantly  grow  our  customer  base  and  then  consistently  obtaining  product
reorders from those customers. If we cannot sustain significant revenue growth for an extended period, our financial results will be adversely affected, and
our stock price may decline.

We face significant challenges in obtaining market acceptance of our products, which could adversely affect our potential sales and revenues.

Our success depends on our ability to both maintain our existing customers and to continue growing our customer base. If we are unable to maintain and
further  grow  our  customer  base,  our  ability  to  grow  revenue  will  be  limited  and  we  will  have  difficulty  achieving  profitability.  Our  ability  to  grow  our
customer  base  also  depends  on  our  ability  to  continue  increasing  achieve  market  acceptance  of  our  water  filter  products,  including  among  healthcare
facility  customers,  or  may  not  be  deemed  suitable  for  other  commercial,  military,  industrial  or  retail  applications.  Factors  that  may  affect  our  ability  to
achieve acceptance of our water filtration products and technologies in the marketplace include whether such products will be safe for use, whether they
will be effective and whether they will be cost-effective.

If we are not able to successfully scale-up production of our products, then our sales and revenues will suffer.

In  order  to  successfully  commercialize  our  products,  we  need  to  be  able  to  produce  them  in  a  cost-effective  way  on  a  large  scale  to  meet  commercial
demand, while maintaining extremely high standards for quality and reliability. The extent to which we fail to successfully commercialize our products will
limit our ability to be profitable.

We  rely  on,  and  for  the  foreseeable  future  expect  to  continue  to  rely  on,  a  limited  number  of  independent  manufacturers  to  produce  our  products.  Our
manufacturers’ systems and procedures may not be adequate to support our operations and may not be able to achieve the rapid execution necessary to
exploit  the  market  for  our  products.  If  we  are  successful  in  continuing  to  increase  our  product  revenue,  we  will  need  to  also  increase  our  supply
requirements. However, our contracted manufacturers could experience manufacturing and control problems in connection with their manufacture of our
products, which could disrupt their ability to timely and adequately supply us with product. If we experience any of these problems with respect to our
manufacturers’ scale-ups of manufacturing operations, then we may not be able to have our products manufactured and delivered in a timely manner. Our
products are new and evolving, and our manufacturers may encounter unforeseen difficulties in manufacturing them in commercial quantities or at all.

14

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
If we cannot develop adequate distribution, customer service and technical support networks, then we may not be able to market and distribute our
products effectively and/or customers may decide not to order our products. In either case, our sales and revenues will suffer.

Our strategy requires us to distribute our products and provide a significant amount of customer service and maintenance and other technical service. To
provide these services, we have begun, and will need to continue, to develop a network of distribution and a staff of employees and independent contractors
in each of the areas in which we intend to operate. In particular, our ability to grow sales in our commercial business depends largely on the efforts of a
distribution partner with respect to which we have given exclusive distribution rights to our products in the food, beverage and hospitality markets. We
cannot  assure  that  we  will  be  able  to  organize  and  manage  this  network  on  a  cost-effective  basis.  If  we  cannot  effectively  organize  and  manage  this
network, then it may be difficult for us to distribute our products and to provide competitive service and support to our customers, in which case customers
may be unable, or decide not, to order our products and our sales and revenues will suffer.

We have limited experience selling our products to healthcare facilities, and we might be unsuccessful in increasing our sales.

Our  business  strategy  depends  in  part  on  our  ability  to  sell  our  products  to  hospitals  and  other  healthcare  facilities,  including  dialysis  clinics.  We  have
limited experience with respect to sales and marketing. If we are unsuccessful at manufacturing, marketing, and selling our products, our operations and
potential revenues will be materially adversely affected.

We are dependent on third parties to supply us with our products to us, making us vulnerable to supply problems and price fluctuations.

We rely on third-party suppliers to provide us with certain components of our products. With respect to our proprietary filter material used in our DSU-H,
SSU-H, S100 and HydraGuardTM and HydraGuardTM – Flush filters, we rely on a single source supplier. Our agreement with that supplier will expire in
2028 and although our relationship with this supplier is good, there can be no assurance that our current agreement will guarantee uninterrupted supply or
that we will be able to renew the agreement on favorable terms, or at all. We depend on our suppliers to provide us and our customers with materials in a
timely manner that meet our and their quality, quantity and cost requirements. These suppliers may encounter problems during manufacturing for a variety
of reasons, any of which could delay or impede their ability to meet our demand and our customers’ demands.

Companies in the United States and around the world have experienced a disruption in the supply of certain components and raw materials, such as resins
and  polymers,  which  may  adversely  affect  us  and  our  ability  to  obtain  these  components  in  a  timely  manner,  in  the  volumes  we  require,  or  at  all.  In
addition, the prices of these components and other supplies we rely upon in the manufacture of our products may rise. For example, we and our suppliers
have recently experienced, and may continue to experience, rising costs due to inflation, such as costs of materials, labor and freight. If inflation continues
to rise, the prices of our components may rise, resulting in increased expenses to us that we may not be able to offset by raising the prices of our products.

Any supply interruption from our suppliers or failure to obtain additional suppliers for any of the components used in our products, or price increases of
these supplies, could have a material adverse effect on our business, financial condition and results of operations.

We operate with a limited senior management team and are highly dependent on our sales and marketing personnel. Our business could be harmed if
we are unable to attract and retain personnel necessary for our success.

We  operate  our  business  with  a  two-person  senior  management  team.  We  have  a  Chief  Executive  Officer  and  a  Chief  Financial  Officer,  who  together
directly oversee operations, sales and finances. Our dependence on two officers to perform multiple functions exposes us to various risks, including the risk
that two officers may be unable to devote sufficient or timely attention to all aspects of operating our business and that in the event of a sudden departure of
one officer, we may not be able to promptly identify a successor. We do not carry key person life insurance on any of our employees. If we are unable to
recruit and retain qualified personnel to our senior management teams, we will be unlikely to achieve our objectives of continuing to grow our company
and our business may otherwise be harmed.

15

 
 
 
 
 
 
 
 
 
 
 
 
In addition, our need to significantly increase our revenue is also dependent on the personnel in our sales and marketing organization. Although we have
recently added a number of new sales and marketing professionals, our success will depend on their ability to quickly integrate into our business and our
ability to develop and retain them as employees. Our ability to increase our sales revenue may be materially impaired if we experience attrition in our sales
and marketing organization.

We rely on information technology systems and network infrastructure to operate and manage our business. If we experience a breach, cyber attack or
other disruption to these systems or data, our business, results of operations and financial condition could be adversely affected.

We are increasingly dependent on sophisticated information technology systems to operate our business, including to process, transmit and store sensitive
data. Specifically, we rely on our information technology systems to effectively manage sales and marketing, accounting and financial functions, inventory
management, and our research and development data. Our business therefore depends on the continuous, effective, reliable, and secure operation of our
computer hardware, software, networks, Internet servers, and related infrastructure.

Although we believe our computer and communications hardware is protected by reasonable physical, technical, and administrative safeguards, it is still
vulnerable to system malfunction, computer viruses, and cybersecurity breaches – including ransomware, phishing, malware, brute force, insider threats,
and other cyber attacks and security incidents. These events could lead to the unauthorized access to information systems maintained by us or our service
providers  or  customers  and  result  in  the  misappropriation  or  unauthorized  disclosure  of  confidential  information  belonging  to  us,  our  employees,
customers, distributors or our suppliers. The techniques used by criminal elements to attack computer systems are sophisticated, change frequently and may
originate from less regulated and remote areas of the world, including countries that engage in state-sponsored cyber attacks. As a result, we may not be
able  to  address  these  techniques  proactively  or  implement  adequate  preventative  measures.  Additionally,  the  regulatory  environment  governing
information, security and privacy laws is increasingly demanding and continues to evolve. If our information technology systems are compromised, we
could be subject to fines, damages, litigation and enforcement actions and we could lose trade secrets or other confidential information, the occurrence of
which could harm our reputation, business, results of operations and financial condition.

Our  information  systems,  and  those  of  third  parties  with  whom  we  contract,  also  require  an  ongoing  commitment  of  significant  resources  to  maintain,
protect  and  enhance  existing  systems  and  develop  new  systems  to  keep  pace  with  continuing  changes  in  information  technology.  The  failure  of  our
information technology systems to perform as we anticipate or our failure to effectively implement new systems could disrupt our operations and could
result  in  decreased  sales,  increased  overhead  costs,  excess  inventory  and  product  shortages,  all  of  which  could  have  a  material  adverse  effect  on  our
reputation, business, results of operations and financial condition.

Product  liability  associated  with  the  production,  marketing,  and  sale  of  our  products,  and/or  the  expense  of  defending  against  claims  of  product
liability, could materially deplete our assets and generate negative publicity which could impair our reputation.

The production, marketing and sale of water-filtration products, particularly to healthcare facility customers, have inherent risks of liability in the event of
product failure or claim of harm caused by product operation. Voluntary recalls could subject us to claims or proceedings by consumers, the FDA or other
regulatory authorities which may adversely impact our sales and revenues. Furthermore, even meritless claims of product liability may be costly to defend
against. Although we have acquired product liability insurance for our products, we may not be able to maintain or obtain this insurance on acceptable
terms or at all. Because we may not be able to obtain insurance that provides us with adequate protection against all potential product liability claims, a
successful claim in excess of our insurance coverage could materially deplete our assets. Moreover, even if we are able to obtain adequate insurance, any
claim  against  us  could  generate  negative  publicity,  which  could  impair  our  reputation  and  adversely  affect  the  demand  for  our  products,  our  ability  to
generate sales and our profitability.

Some  of  the  agreements  that  we  may  enter  into  with  manufacturers  of  our  products  and  components  of  our  products  may  require  us  to  obtain  product
liability insurance; or to indemnify manufacturers against liabilities resulting from the sale of our products. For example, the agreement with our contract
manufacturer (“CM”) requires that we obtain and maintain certain minimum product liability insurance coverage and that we indemnify our CM against
certain  liabilities  arising  out  of  our  products  that  they  manufacture,  provided  they  do  not  arise  out  of  our  CM’s  breach  of  the  agreement,  negligence  or
willful misconduct. If we are not able to obtain and maintain adequate product liability insurance, then we could be in breach of these agreements, which
could materially adversely affect our ability to produce our products and generate revenues. Even if we are able to obtain and maintain product liability
insurance, if a successful claim in excess of our insurance coverage is made, then we may have to indemnify some or all of our manufacturers for their
losses, which could materially deplete our assets.

16

 
 
 
 
 
 
 
 
 
 
We cannot assure you that our products will be safe or that there will not be product-related deaths, serious injuries or product malfunctions. Further,
we are required under applicable law to report any circumstances relating to our medically approved products that could result in deaths or serious
injuries. These circumstances could trigger recalls, class action lawsuits and other events that could cause us to incur expenses and may also limit our
ability to generate revenues from such products.

We cannot assure you that our products will prove to be safe or that there will not be product-related deaths or serious injuries or product malfunctions,
which could trigger recalls, class action lawsuits and other events that could cause us to incur significant expenses, limit our ability to market our products
and generate revenues from such products or cause us reputational harm. Under the FDC Act, we are required to submit medical device reports (“MDRs”)
to the FDA to report device-related deaths, serious injuries and malfunctions of medically approved products that could result in death or serious injury if
they were to recur. Depending on their significance, MDRs could trigger events that could cause us to incur expenses and may also limit our ability to
generate revenues from such products. Additionally, any of the following could occur:

● information contained in the MDRs could trigger FDA regulatory actions such as inspections, recalls and patient/physician notifications;
● because the reports are publicly available, MDRs could become the basis for private lawsuits, including class actions; and
● if we fail to submit a required MDR to the FDA, the FDA could take enforcement action against us.

If any of these events occur, then we could incur significant expenses and it could become more difficult for us to market and sell our products and to
generate revenues from sales. Other countries may impose analogous reporting requirements that could cause us to incur expenses and may also limit our
ability to generate revenues from sales of our products.

Risks Related to Government Regulation

If we violate any provisions of the FDC Act or any other statutes or regulations, then we could be subject to enforcement actions by the FDA or other
governmental agencies.

We face a significant compliance burden under the FDC Act and other applicable statutes and regulations which govern the testing, labeling, storage, record
keeping,  distribution,  sale,  marketing,  advertising  and  promotion  of  our  medically  approved  products.  If  we  violate  the  FDC  Act  or  other  regulatory
requirements (either with respect to our ultrafilters or otherwise) at any time during or after the product development and/or approval process, we could be
subject to enforcement actions by the FDA or other agencies, including:

● fines;
● injunctions;
● civil penalties;
● recalls or seizures of products;
● total or partial suspension of the production of our products;
● withdrawal of any existing approvals or pre-market clearances of our products;
● refusal to approve or clear new applications or notices relating to our products;
● recommendations that we not be allowed to enter into government contracts; and
● criminal prosecution.

Any of the above could have a material adverse effect on our business, financial condition, and results of operations.

If we develop new water filter products in the future, we may be required to obtain regulatory approvals and clearances in the countries in which we
intend to sell such products. If we fail to receive, or experience a significant delay in receiving, such approvals and clearances, then we may not be able
to get our new products to market and enhance our revenues.

Our current water filter products that we market and sell to healthcare facilities and dialysis centers have 510(k) clearance from the FDA. However, we will
need to continue developing new products in the future to continue to compete in our industry, and such new products may require obtaining regulatory
approvals in the U.S. and other jurisdictions in which we intend to market them.

17

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
We cannot ensure that any new products developed by us in the future, will be approved for marketing. The clearance and/or approval processes can be
lengthy and uncertain, and each requires substantial commitments of our financial resources and our management’s time and effort. We may not be able to
obtain further CE marking or regulatory approval for any of our existing or new products in a timely manner or at all. Even if we do obtain regulatory
approval, approval may be only for limited uses with specific classes of patients, processes, or other devices. Our failure to obtain, or delays in obtaining,
the necessary regulatory clearance and/or approvals would prevent us from selling our affected products in the applicable regions. If we cannot sell some of
our products in such regions, or if we are delayed in selling while waiting for the necessary clearance and/or approvals, our ability to generate revenues
from these products will be limited.

Over time, we intend to market our products globally. Requirements pertaining to the sale of our products vary widely from country to country. It may be
very expensive and difficult for us to meet the requirements for the sale of our products in many countries. As a result, we may not be able to obtain the
required approvals in a timely manner, if at all. If we cannot sell our products in a particular region, then the size of our potential market could be reduced,
which would limit our potential sales and revenues.

Significant additional governmental regulation could subject us to unanticipated delays that would adversely affect our sales and revenues.

Our business strategy depends in part on our ability to get our products into the market as quickly as possible. Additional laws and regulations, or changes
to existing laws and regulations that are applicable to our business may be enacted or promulgated, and the interpretation, application or enforcement of the
existing laws and regulations may change. We cannot predict the nature of any future laws, regulations, interpretations, applications or enforcements or the
specific effects any of these might have on our business. Any future laws, regulations, interpretations, applications, or enforcements could delay or prevent
regulatory approval or clearance of our products and our ability to market our products. Moreover, changes that result in our failure to comply with the
requirements of applicable laws and regulations could result in enforcement actions by the FDA and/or other agencies, all of which could impair our ability
to have manufactured and to sell the affected products.

If we are not able to maintain sufficient quality controls, then the approval or clearance of our products by the European Union, the FDA or other
relevant authorities could be withdrawn, delayed, or denied and our sales and revenues will suffer.

Approval  or  clearance  of  our  products  could  be  withdrawn,  delayed,  or  denied  by  the  European  Union,  the  FDA  and  the  relevant  authorities  of  other
countries if our manufacturing facilities do not comply with their respective manufacturing requirements. The European Union imposes requirements on
quality control systems of manufacturers, which are inspected and certified on a periodic basis and may be subject to additional unannounced inspections.
Failure by our manufacturers to comply with these requirements could prevent us from marketing our products in the European Community. The FDA also
imposes  requirements  through  quality  system  requirements  regulations,  which  include  requirements  for  good  manufacturing  practices.  Failure  by  our
manufacturers to comply with these requirements could prevent us from obtaining FDA pre-clearance or approval of our products and from marketing such
products in the United States. Although the manufacturing facilities and processes that we use to manufacture our OLpūr MD HDF filter series have been
inspected  and  certified  by  a  worldwide  testing  and  certification  agency  (also  referred  to  as  a  notified  body)  that  performs  conformity  assessments  to
European Union requirements for medical devices, they have not been inspected by the FDA. A “notified body” is a group accredited and monitored by
governmental agencies that inspects manufacturing facilities and quality control systems at regular intervals and is authorized to carry out unannounced
inspections. We cannot be sure that any of the facilities or processes we use will comply or continue to comply with their respective requirements on a
timely basis or at all, which could delay or prevent our obtaining the approvals we need to market our products in the European Community and the United
States.

To market our products in the European Community, the United States, and other countries, where approved, manufacturers of such products must continue
to comply or ensure compliance with the relevant manufacturing requirements. Although we cannot control the manufacturers of our products, we may
need to expend time, resources and effort in product manufacturing and quality control to assist with their continued compliance with these requirements. If
violations of applicable requirements are noted during periodic inspections of the manufacturing facilities of our manufacturers, then we may not be able to
continue to market the products manufactured in such facilities and our revenues may be materially adversely affected.

18

 
 
 
 
 
 
 
 
 
Risks Related to our Intellectual Property

Protecting our intellectual property in our technology through patents may be costly and ineffective. If we are not able to adequately secure or enforce
protection of our intellectual property, then we may not be able to compete effectively and we may not be profitable.

Our future success depends in part on our ability to protect the intellectual property for our technology through patents. We will only be able to protect our
products and methods from unauthorized use by third parties to the extent that our products and methods are covered by valid and enforceable patents or
are  effectively  maintained  as  trade  secrets.  Our  4  granted  U.S.  patents  will  expire  at  various  times  from  2029  to  2039,  assuming  they  are  properly
maintained.

The  protection  provided  by  our  patents,  and  patent  applications  if  issued,  may  not  be  broad  enough  to  prevent  competitors  from  introducing  similar
products  into  the  market.  Our  patents,  if  challenged  or  if  we  attempt  to  enforce  them,  may  not  necessarily  be  upheld  by  the  courts  of  any  jurisdiction.
Numerous publications may have been disclosed by, and numerous patents may have been issued to, our competitors and others relating to methods and
devices for dialysis of which we are not aware and additional patents relating to methods and devices for dialysis may be issued to our competitors and
others in the future. If any of those publications or patents conflict with our patent rights, or cover our products, then any or all of our patent applications
could be rejected and any or all of our granted patents could be invalidated, either of which could materially adversely affect our competitive position.

Litigation and other proceedings relating to patent matters, whether initiated by us or a third party, can be expensive and time-consuming, regardless of
whether the outcome is favorable to us, and may require the diversion of substantial financial, managerial, and other resources. An adverse outcome could
subject us to significant liabilities to third parties or require us to cease any related development, product sales or commercialization activities. In addition,
if  patents  that  contain  dominating  or  conflicting  claims  have  been  or  are  subsequently  issued  to  others  and  the  claims  of  these  patents  are  ultimately
determined to be valid, then we may be required to obtain licenses under patents of others in order to develop, manufacture, use, import and/or sell our
products. We may not be able to obtain licenses under any of these patents on terms acceptable to us, if at all. If we do not obtain these licenses, we could
encounter delays in, or be prevented entirely from using, importing, developing, manufacturing, offering, or selling any products or practicing any methods,
or delivering any services requiring such licenses.

If we file for or obtain additional patents in foreign countries, we will be subject to laws and procedures that differ from those in the United States. Such
differences could create additional uncertainty about the level and extent of our patent protection. Moreover, patent protection in foreign countries may be
different  from  patent  protection  under  U.S.  laws  and  may  not  be  as  favorable  to  us.  Many  non-U.S.  jurisdictions,  for  example,  prohibit  patent  claims
covering methods of medical treatment of humans, although this prohibition may not include devices used for such treatment.

If we are not able to secure and enforce protection of our trade secrets through enforcement of our confidentiality and non-competition agreements,
then our competitors may gain access to our trade secrets, we may not be able to compete effectively, and we may not be profitable. Such protection may
be costly and ineffective.

We attempt to protect our trade secrets, including the processes, concepts, ideas, and documentation associated with our technologies, through the use of
confidentiality  agreements  and  non-competition  agreements  with  our  current  employees  and  with  other  parties  to  whom  we  have  divulged  such  trade
secrets. If these employees or other parties breach our confidentiality agreements and non-competition agreements, or if these agreements are not sufficient
to protect our technology or are found to be unenforceable, then our competitors could acquire and use information that we consider to be our trade secrets
and we may not be able to compete effectively. Policing unauthorized use of our trade secrets is difficult and expensive and, in the event we further expand
our operations, the laws of other countries may not adequately protect our trade secrets.

19

 
 
 
 
 
 
 
 
 
 
The prices at which shares of the common stock trade have been and will likely continue to be volatile.

Risks Related to Owning Our Common Stock

During the two years ended December 31, 2023, our common stock has traded at prices ranging from a high of $6.19 to a low of $0.91 per share. Due to
the lack of an active trading market for our common stock, we expect the prices at which our common stock might trade to continue to be highly volatile.
The expected volatile price of our stock will make it difficult for investors to predict the value of an investment in our common stock, to sell shares at a
profit at any given time, or to plan purchases and sales in advance. A variety of other factors might also affect the market price of our common stock. These
include, but are not limited to:

● period-to-period fluctuations in our results of operations;

● sales of our common stock or other financing transactions;

● announcements of technological innovations or new commercial products by our competitors or us;

● developments concerning proprietary rights, including patents;

● achievement or rejection of regulatory approvals by our competitors or us;

● regulatory developments in the United States and foreign countries;

● economic or other crises and other external factors;

● threatened or actual litigation; and

● changes in financial estimates by securities analysts.

We are not able to control many of these factors, and we believe that period-to-period comparisons of our financial results will not necessarily be indicative
of our future performance.

Our common stock could be further diluted as a result of the issuance of additional shares of common stock, warrants or options.

In the past we have issued common stock and warrants in order to raise capital to help fund our business. We have also issued stock options and restricted
stock as compensation for services and incentive compensation for our employees, directors, and consultants. We have shares of common stock reserved
for issuance upon the exercise of certain of these securities and may increase the shares reserved for these purposes in the future. Our issuance of additional
common stock, options and warrants could affect the rights of our stockholders, could reduce the market price of our common stock, or could obligate us to
issue additional shares of common stock.

Market sales of large amounts of our common stock, or the potential for those sales even if they do not actually occur, may have the effect of depressing the
market price of our common stock, the supply of common stock available for resale could be increased, which could stimulate trading activity and cause
the market price of our common stock to drop, even if our business is doing well. Furthermore, the issuance of any additional shares of our common stock
or securities convertible into our common stock could be substantially dilutive to holders of our common stock if they do not invest in future offerings.

We have never paid dividends and do not intend to pay cash dividends.

We have never paid dividends on our common stock and currently do not anticipate paying cash dividends on our common stock for the foreseeable future.
Consequently, any returns on an investment in our common stock in the foreseeable future will have to come from an increase in the value of the stock
itself. As noted above, the lack of an active trading market for our common stock will make it difficult to value and sell our common stock. While our
dividend policy will be based on the operating results and capital needs of our business, we anticipate that all earnings, if any, will be retained to finance
our future operations.

Several  provisions  of  the  Delaware  General  Corporation  Law,  our  fourth  amended  and  restated  certificate  of  incorporation,  as  amended,  and  our
second amended and restated bylaws could discourage, delay or prevent a merger or acquisition, which could adversely affect the market price of our
common stock.

Several provisions of the Delaware General Corporation Law, our fourth amended and restated certificate of incorporation, as amended, and our second
amended and restated bylaws could discourage, delay or prevent a merger or acquisition that stockholders may consider favorable, and the market price of
our common stock could be reduced as a result. These provisions include:

● authorizing our board of directors to issue “blank check” preferred stock without stockholder approval;

● providing for a classified board of directors with staggered, three-year terms;

20

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
● prohibiting  us  from  engaging  in  a  “business  combination”  with  an  “interested  stockholder”  for  a  period  of  three  years  after  the  date  of  the

transaction in which the person became an interested stockholder unless certain provisions are met;

● prohibiting cumulative voting in the election of directors;

● limiting the persons who may call special meetings of stockholders; and

● establishing advance notice requirements for nominations for election to our board of directors or for proposing matters that can be acted on by

stockholders at stockholder meetings.

As a smaller reporting company with little or no name recognition and with several risks and uncertainties that could impair our business operations,
we are not likely to generate widespread interest in our common stock. Without widespread interest in our common stock, our common stock price may
be highly volatile and an investment in our common stock could decline in value.

Unlike  many  companies  with  publicly  traded  securities,  we  have  little  or  no  name  recognition  in  the  investment  community.  We  are  a  relatively  new
company and very few investors are familiar with either our company or our products. We do not have an active trading market in our common stock, and
one might never develop, or if it does develop, might not continue.

Additionally, the market price of our common stock may fluctuate significantly in response to many factors, many of which are beyond our control. Risks
and uncertainties, including those described elsewhere in this “Risk Factors” section could impair our business operations or otherwise cause our operating
results or prospects to be below expectations of investors and market analysts, which could adversely affect the market price of our common stock. As a
result, investors in our common stock may not be able to resell their shares at or above their purchase price and could lose all of their investment.

Securities class action litigation is often brought against public companies following periods of volatility in the market price of such company’s securities.
We may become subject to this type of litigation in the future. Litigation of this type could be extremely expensive and divert management’s attention and
resources from running our company.

Our directors, executive officers, and Wexford Capital LP (“Wexford”) control a significant portion of our stock and, if they choose to vote together,
could have sufficient voting power to control the vote on substantially all corporate matters.

As of March 1, 2024, Wexford, our largest stockholder, beneficially owned approximately 35% of our outstanding common stock. Collectively, Wexford,
our directors and our executive officers beneficially owned approximately 37.5% of our outstanding common stock. As a result of this ownership, Wexford
has the ability to exert significant influence over our policies and affairs, including the election of directors. Wexford, whether acting alone or acting with
other stockholders, could have the power to elect all of our directors and to control the vote on substantially all other corporate matters without the approval
of other stockholders. Furthermore, such concentration of voting power could enable Wexford, whether acting alone or acting with other stockholders, to
delay or prevent another party from taking control of our company even where such change of control transaction might be desirable to other stockholders.
The interests of Wexford in any matter put before the stockholders may differ from those of any other stockholder.

Future sales of our common stock could cause the market price of our common stock to decline.

The market price of our common stock could decline due to sales of a large number of shares in the market, including sales of shares by Wexford or any
other  large  stockholder,  or  the  perception  that  such  sales  could  occur.  These  sales  could  also  make  it  more  difficult  or  impossible  for  us  to  sell  equity
securities in the future at a time and price that we deem appropriate to raise funds through future offerings of common stock. Future sales of our common
stock by stockholders could depress the market price of our common stock.

Item 1B. Unresolved Staff Comments

Not required.

21

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Item 1C. Cybersecurity

Risk Management and Strategy

We  have  implemented  cybersecurity  processes,  technologies,  and  controls  to  aid  in  our  efforts  to  assess,  identify,  and  manage  cybersecurity  risks.  Our
enterprise risk management framework considers cybersecurity risk alongside other company risks as part of our overall risk assessment process.

Our  cybersecurity  risk  management  program  is  integrated  into  our  overall  enterprise  risk  management  program  and  shares  common  methodologies,
reporting channels, and governance processes that apply across the enterprise risk management program to other legal, compliance, strategic, operational,
and financial risk areas.

Our cybersecurity risk management program includes:

● risk assessments designed to help identify material cybersecurity risks to our critical systems, information, products, services, and our broader

enterprise information technology (“IT”) environment;

● an outsourced security team principally responsible for managing (1) our cybersecurity risk assessment processes, (2) our security controls,

and (3) our response to cybersecurity incidents;

● the use of external service providers, where appropriate, to assess, test, or otherwise assist with aspects of our security controls;

● cybersecurity awareness training for our employees, incident response personnel, and senior management. This includes mandatory computer-
based training,  internal  communications,  and  regular  phishing  awareness  campaigns  that  are  designed  to  emulate  real-world  contemporary
threats and provide immediate feedback (and, if necessary, additional training or remedial action) to employees.

In  addition  to  the  processes,  technologies,  and  controls  that  we  have  in  place  to  reduce  the  likelihood  of  a  material  cybersecurity  incident  (or  series  of
related cybersecurity incidents), our outsourced security team has a written incident response plan outlining how to address cybersecurity events that occur.
We  have  assigned  a  team  comprised  of  finance  and  technology  personnel  to  review  the  plan  annually  to  serve  as  a  framework  for  the  execution  of
responsibilities across businesses and operational roles. The incident response plan is designed to help us coordinate actions to prepare for, detect, respond
to and recover from cybersecurity incidents, and includes processes to triage, assess severity, escalate, contain, investigate, and remediate the incident, as
well as to assess the need for disclosure, comply with applicable legal obligations and mitigate the impact to our brand and reputation and on impacted
parties.

In addition to the cybersecurity incident response plan, our outsourced team conducts tabletop exercises to enhance our incident response preparedness.
They also have processes to oversee and identify material risks from cybersecurity threats associated with our use of third-party service providers. Such
processes include conducting due diligence and risk assessment of our current and potential vendors that examine such vendor’s cybersecurity protocols
and adherence to applicable regulations.

We also maintain business continuity and disaster recovery plans to prepare for and respond to the potential for any disruption in the technology we rely on.
Additionally,  we  maintain  insurance  coverage  that,  subject  to  its  terms  and  conditions,  is  intended  to  help  us  cover  certain  costs  associated  with
cybersecurity incidents and information system failures.

We (or the third parties we rely on) may not be able to fully, continuously, or effectively implement security controls as intended. As described above, we
utilize  a  risk-based  approach  and  judgment  to  determine  whether  and  how  to  implement  certain  security  controls  and  it  is  possible  that  we  may  not
implement  the  necessary  controls  if  we  are  unable  to  recognize  or  underestimate  a  particular  risk.  In  addition,  security  controls,  no  matter  how  well
designed  or  implemented,  may  only  mitigate  and  not  fully  eliminate  cybersecurity  risks.  Cybersecurity  events,  when  detected  by  security  tools  or  third
parties, may not always be identified immediately or addressed in the manner intended by our cybersecurity incident response plan.

22

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Governance

Based on the information available as of the date of this Annual Report, we have no reason to believe any risks from cybersecurity threats, including as a
result  of  any  previous  cybersecurity  incidents,  have  materially  affected  or  are  reasonably  likely  to  materially  affect  us,  including  our  business  strategy,
results of operations or financial condition. For additional information, see “Risks Related to Cybersecurity, Data Privacy and IT Systems,” in Item 1A,
“Risk Factors” in this Annual Report on Form 10-K.

Given that cybersecurity risks can impact various areas of responsibility of the Committees of the Board, as well as the overall size of the Board, the Board
believes it is useful and effective for the entire Board to maintain direct oversight over cybersecurity matters. We have implemented processes that will
include  regular  updates  to  the  Board  from  our  Chief  Executive  Officer  and  Chief  Financial  Officer  for  its  review  and  feedback  regarding  cybersecurity
governance processes, the status of projects to strengthen internal cybersecurity, results from third-party assessments, and also discusses any significant
cyber incidents, including recent incidents at other companies and the emerging threat landscape.

Our cybersecurity risk management strategy processes, discussed in greater detailed above, are led by our Chief Financial Officer, in conjunction with our
outsourced security team, under the supervision of our Chief Executive Officer. Our Chief Financial Officer has over 5 years of prior work experience in
various roles involving supervising the implementation of various information technology systems. These individuals are informed about and monitor the
prevention,  mitigation,  detection  and  remediation  of  cybersecurity  incidents  through  their  management  of,  and  participation  in,  the  cybersecurity  risk
management  and  strategy  processes  described  above,  including  their  roles  in  our  overall  enterprise  risk  management.  As  discussed  above,  our  Chief
Executive Officer and Chief Financial Officer regularly report to the Board about cybersecurity threat risks, among other cybersecurity related matters.

Item 2. Properties

Our  U.S.  facilities  are  located  at  380  Lackawanna  Place,  South  Orange,  New  Jersey  07079  and  30  Leslie  Court,  Whippany,  NJ  07981.  We  use  these
facilities to house our corporate headquarters, research, manufacturing, and distribution facilities.

We believe our current facilities are adequate to meet our needs, although we may consolidate facilities in the future. We do not own any real property for
use in our operation or otherwise.

Item 3. Legal Proceedings

There are currently no material pending legal proceedings and, as far as we are aware, no governmental authority is contemplating any material proceeding
to which we are a party or to which any of our properties is subject.

Item 4. Mine Safety Disclosures

Not applicable.

23

 
 
 
 
 
 
 
 
 
 
 
 
 
PART II

Item 5. Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities

Common Stock Information

Our common stock is quoted on the Nasdaq Capital Market under the symbol “NEPH”. Our common stock commenced trading on August 14, 2019.

As of December 31, 2023, there were approximately 44 holders of record and approximately 1,300 beneficial holders of our common stock.

Recent Sales of Unregistered Securities

Except as previously reported in our Quarterly Reports on Form 10-Q and our Current Reports on Form 8-K, we have not sold any equity securities during
the year ended December 31, 2023, that were not registered under the Securities Act of 1933, as amended.

Issuer Repurchases of Equity Securities

There were no repurchases of our common stock during the fourth quarter of 2023.

Equity Compensation Plan Information

See Part III, Item 12, under the heading “Equity Compensation Plan Information,” which is incorporated by reference herein.

Item 6. Reserved

Item 7. Management’s Discussion and Analysis of Financial Condition and Results of Operations

The following discussion includes forward-looking statements about our business, financial condition and results of operations including discussions about
management’s  expectations  for  our  business.  These  statements  represent  projections,  beliefs  and  expectations  based  on  current  circumstances  and
conditions and in light of recent events and trends, and these statements should not be construed either as assurances of performances or as promises of a
given course of action. Instead, various known and unknown factors are likely to cause our actual performance and management’s actions to vary, and the
results  of  these  variances  may  be  both  material  and  adverse.  A  list  of  the  known  material  factors  that  may  cause  our  results  to  vary,  or  may  cause
management to deviate from its current plans and expectations, is included in Item 1A, “Risk Factors,” of this Annual Report on Form 10-K. The following
discussion  should  also  be  read  in  conjunction  with  the  consolidated  financial  statements  and  notes  included  in  Item  8,  “Financial  Statements  and
Supplemental Data,” of this Annual Report on Form 10-K.

Business Overview

We are a commercial-stage company that develops and sells high performance water solutions to the medical and commercial markets.

Our medical water filters, mostly classified as ultrafilters, are used primarily by hospitals for the prevention of infection from waterborne pathogens, such
as legionella and pseudomonas, and in dialysis centers for the removal of biological contaminants from water and bicarbonate concentrate. Because our
ultrafilters  capture  contaminants  as  small  as  0.005  microns  in  size,  they  minimize  exposure  to  a  wide  variety  of  bacteria,  viruses,  fungi,  parasites,  and
endotoxins.

Our commercial water filters improve the taste and odor of water and reduce biofilm, cysts, particulates, and scale build-up in downstream equipment. Our
products are marketed primarily to the food service, hospitality, convenience store, and health care markets, and are also sold into medical institutions to
supplement our medical filters.

We previously held a majority stake in Specialty Renal Products, Inc. (“SRP”), a development-stage medical device company that was focused primarily on
developing hemodiafiltration (“HDF”) technology. On May 13, 2022, the FDA gave 510(k) clearance to SRP’s second-generation model of the OLpūrH2H
Hemodiafiltration  System,  which  enables  nephrologists  to  provide  HDF  treatment  to  patients  with  end  stage  renal  disease.  In  January  2023,  SRP
management began exploring strategic partnerships to support a commercial launch of the HDF product but was unsuccessful in identifying a partner. By
late February 2023, SRP had nearly exhausted its capital resources and, due to its limited capital and lack of prospects for securing a strategic partnership
or additional financing, the board of directors of SRP adopted a plan on March 6, 2023 to wind down SRP operations, liquidate its remaining assets and
dissolve the company. That plan was approved by SRP’s stockholders on March 9, 2023, and on April 13, 2023, SRP filed a certificate of dissolution with
the State of Delaware. SRP’s cash resources were sufficient to satisfy all of its outstanding liabilities other than its obligations to us under a loan with an
outstanding balance of approximately $1.5 million. Accordingly, SRP assigned to Nephros all of its remaining assets, including its intellectual property
rights in the HDF2 device, in satisfaction of its outstanding loan balance. Although we have no current plans to do so, we may re-evaluate opportunities for
HDF in the future.

24

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Recent Accounting Pronouncements

We  are  subject  to  recently  issued  accounting  standards,  accounting  guidance  and  disclosure  requirements.  For  a  description  of  these  new  accounting
standards, see “Note 2 – Summary of Significant Accounting Policies,” to our consolidated financial statements included in Item 8, “Financial Statements
and Supplementary Data,” of this Annual Report on Form 10-K.

Critical Accounting Policies and Estimates

Our discussion and analysis of our financial condition and results of operations is based on our consolidated financial statements, which have been prepared
in accordance with accounting principles generally accepted in the United States (“GAAP”). The preparation of financial statements in accordance with
GAAP requires application of management’s subjective judgments, often requiring estimates about the effect of matters that are inherently uncertain and
may change in subsequent periods. Our actual results may differ substantially from these estimates under different assumptions or conditions. While our
significant  accounting  policies  are  described  in  more  detail  in  “Note  2  –  Summary  of  Significant  Accounting  Policies,”  to  our  consolidated  financial
statements  included  in  Item  8,  “Financial  Statements  and  Supplementary  Data,”  of  this  Annual  Report  on  Form  10-K,  we  believe  that  the  following
accounting policies require the application of significant judgments and estimates.

Inventories

Our inventory reserve requirements are based on various factors including product expiration date and estimates for the future sales of the product. Reserve
assessments include inventory obsolescence based upon expiration date, damaged, or rejected product, slow-moving products, and other considerations. We
continue to monitor our inventory reserves amounts and policies, and to update both as required by relevant circumstances.

Results of Operations

Fluctuations in Operating Results

Our results of operations have fluctuated significantly from period to period in the past, including recently, and are likely to continue to do so in the future.
We  anticipate  that  our  annual  results  of  operations  will  be  impacted  for  the  foreseeable  future  by  several  factors,  including  market  acceptance  of  our
products, expense management, and progress in continuing to achieve positive operating cash flow. Due to these fluctuations, we believe that the period-to-
period comparisons of our operating results are not a good indication of our future performance.

25

 
 
 
 
 
 
 
 
 
 
 
Fiscal Year Ended December 31, 2023, Compared to the Fiscal Year Ended December 31, 2022

The following table sets forth our summarized, consolidated results of operations for the years ended December 31, 2023 and 2022 (in thousands except
percentages):

Total net revenues
Cost of goods sold
Gross margin
Gross margin %
Research and development expenses
Depreciation and amortization expenses
Selling, general and administrative expenses
Operating loss from continuing operations
Interest expense
Interest income
Other (expense) income, net
Net loss from continuing operations
Net loss from discontinued operations
Net Loss
Less: undeclared deemed dividend attributable to
continuing noncontrolling interest
Net loss attributable to Nephros, Inc. shareholders

Net Revenues.

Years Ended December 31,
2022
2023

  $

  $

14,238 
5,833 
8,405 

  $

9,975 
5,244 
4,731 

59% 
873 
214 
8,911 
(1,593)  
(2)  
64 
(44)  
(1,575)  

- 

(1,575)  

  $

- 
(1,575)   $

47% 

1,255 
218 
7,593 
(4,335)  
(20)  
14 
64 
(4,277)  
(2,829)  
(7,106)  

(276)  
(7,382)  

$
Increase
(Decrease)

%
Increase
(Decrease)

4,263   
589   
3,674   
-   
(382)  
(4)  
1,318   
2,742   
18   
50   
(108)  
2,702   
2,829   
5,531   

276   
5,807   

43%
11%
78%

(30)%
(2)%
17%
(63)%
(90)%
357%
(169)%
(63)%
100%
(78)%

(100)%
(79)%

Total  net  revenues  increased  43%  in  the  year  ended  December  31,  2023,  driven  by  investments  in  our  executive  and  sales  organizations,  as  well  as
partnering with a master distributor for much of our commercial business.

Gross Profit Margin

Gross profit margin was approximately 59% for the year ended December 31, 2023, compared to approximately 47% for the year ended December 31,
2022.  The  increase  of  approximately  12  percentage  points  reflects  a  return  to  target  gross  margins  of  55%-60%.  Lower  gross  margins  in  2022  were
primarily driven by large inventory write-downs due to expired product, and higher shipping expense from supply chain disruptions.

Research and Development Expenses

Research and development expenses decreased 30% primarily due to the wind down of SRP in 2023 and consequently a reduction in SRP-related research
and development expense of $0 in 2023 versus $376,000 in 2022, and slightly decreased investment in 2023 in water filter research and development.

Depreciation and Amortization Expense

Depreciation and amortization expenses were $0.2 million for each of the years ended December 31, 2023 and 2022.

Selling, General and Administrative Expenses

Selling, general and administrative expenses increased $1.3 million or 17%, primarily due to increased bonus and sales commission expense associated
with higher sales, the hiring of a new CEO and CFO to replace one person acting in both positions, and increased hires to support the sales organization.

Interest Expense

Interest  expense  was  approximately  $2,000  for  the  year  ended  December  31,  2023  compared  to  $20,000  for  the  year  ended  December  31,  2022.  This
reduction is primarily related to a lower principal balance of the company’s secured note payable.

Interest Income

Interest income was approximately $64,000 for the year ended December 31, 2023 compared to approximately $14,000 for the ended December 31, 2022.
The increase in interest income is due to higher interest rates earned on invested cash balances.

26

 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Other Income (Expense), net

Other expense was approximately $44,000 for the year ended December 31, 2023, compared to other income of $64,000 for the year ended December 31,
2022. This decrease is primarily a result of losses on foreign currency transactions in 2023. For the year ended December 31, 2022, other income related to
the release of the cumulative translation adjustment from accumulated other comprehensive income (loss) on the liquidation of a foreign entity, related to
the closure in the second quarter of 2022 of Nephros International, our wholly-owned subsidiary.

Loss from discontinued operations

Loss from discontinued operations was approximately $2.8 million for the year ended December 31, 2022. The discontinued operations are related to the
company’s former PDS operating segment.

Liquidity and Capital Resources

The following table summarizes our liquidity and capital resources as of December 31, 2023 and 2022 and is intended to supplement the more detailed
discussion that follows. The amounts stated are expressed in thousands.

Liquidity and Capital Resources
Cash and cash equivalents
Other current assets
Working capital
Stockholders’ equity

  $

As of December 31,

2023

2022

4,307    $
4,098   
6,292   
8,358   

3,634 
4,627 
6,849 
8,881 

We operate under an Investment, Risk Management and Accounting Policy adopted by our Board of Directors. Such policy limits the types of instruments
or securities in which we may invest our excess funds: U.S. Treasury Securities; Certificates of Deposit issued by money center banks; Money Funds by
money center banks; Repurchase Agreements; and Eurodollar Certificates of Deposit issued by money center banks. This policy provides that our primary
objectives  for  investments  are  the  preservation  of  principal  and  achieving  sufficient  liquidity  to  meet  our  forecasted  cash  requirements.  In  addition,
provided that such primary objectives are met, we may seek to achieve the maximum yield available under such constraints.

At December 31, 2023, we had an accumulated deficit of $144.4 million and we expect to incur additional operating losses from operations until such time,
if ever, that we are able to increase product sales and/or licensing revenue to achieve profitability.

Based on cash that is available for our operations and projections of our future operations, as well as the fact that we generated $0.7 million in cash flow in
2023, we believe that our existing cash resources together with our anticipated revenue, will be sufficient to fund our current operating plan through at least
the next 12 months from the date of issuance of the consolidated financial statements in this Annual Report on Form 10-K. Additionally, our operating
plans are designed to help control operating costs, to increase revenue and to raise additional capital until such time as we generate sufficient cash flows to
fund operations. If there were a decrease in the demand for our products due to either economic or competitive conditions, or if we are otherwise unable to
achieve our plan or achieve our anticipated operating results, there could be a significant reduction in liquidity due to our possible inability to cut costs
sufficiently. In such event, the Company may need to take further actions to reduce its discretionary expenditures, including further reducing headcount,
reducing spending on R&D projects and reducing other variable costs.

Our future liquidity sources and requirements will depend on many other factors, including:

● the market acceptance of our products, and our ability to effectively and efficiently produce, market and sell our products;

● the costs involved in filing and enforcing patent claims and the status of competitive products; and

● the cost of litigation, including potential patent litigation and any other actual or threatened litigation.

We expect to put our current capital resources toward the development, marketing, and sales of our water filtration products and working capital purposes.

27

 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Net  cash  provided  by  operating  activities  was  $0.8  million  for  the  year  ended  December  31,  2023  compared  to  net  cash  used  in  operating  activities  of
approximately $3.2 million for the year ended December 31, 2022, an increase of $4.1 million. This increase of $4.1 million is due primarily to a decrease
in the net loss incurred of $5.5 million, in addition there was approximately $1.4 million in non-cash charges for impairment of assets held for sale in 2022.

Net cash used in investing activities was $0.1 million for the years ended December 31, 2023 and 2022

Net cash used in financing activities was approximately $79,000 for the year ended December 31, 2023. This was primarily from payments of $71,000 on
our secured note, principal  payments  of  approximately  $7,000  on  our  finance  lease  obligation  and  principal  payments  of  approximately  $1,000  on  our
equipment financing debt.

Net  cash  provided  by  financing  activities  was  $34,000  for  the  year  ended  December  31,  2022.  This  was  primarily  from  proceeds  from  the  exercise  of
warrants of $0.2 million and from the sale to Nephros of SRP preferred shares of $0.2 million, offset partially by payments of $0.3 million on our secured
note,  payments  of  employee  taxes  on  restricted  stock  of  approximately  $31,000,  principal  payments  of  approximately  $12,000  on  our  finance  lease
obligation and principal payments of approximately $3,000 on our equipment financing debt.

Purchase Commitments

In exchange for the rights granted under the License and Supply Agreement with Medica (see Note 9 – License and Supply Agreement, net), the Company
agreed  to  make  certain  minimum  annual  aggregate  purchases  from  Medica  over  the  term  of  the  License  and  Supply  Agreement.  For  the  year  ended
December 31, 2023, the Company had agreed to make minimum annual aggregate purchases from Medica of €3.8 million (approximately $4.1 million).
For the year ended December 31, 2023, aggregate purchase commitments totaled €4.9 million (approximately $5.3 million). All purchase agreements were
met.

Future purchase commitments under the License and Supply Agreement with Medica are as follows:

● 2024: €4,208,000

● 2025: €4,629,000

● 2026: €4,976,000

Item 7A. Quantitative and Qualitative Disclosures About Market Risk

Not required for smaller reporting companies.

Item 8. Financial Statements and Supplementary Data

28

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Report of Independent Registered Public Accounting Firm

To the Board of Directors and Stockholders of
Nephros, Inc.

Opinion on the Financial Statements

We have audited the accompanying balance sheets of Nephros, Inc. (the “Company”) as of December 31, 2023 and 2022, and the related statements of
operations and comprehensive loss, changes in stockholders’ equity, and cash flows for each of the two years in the period ended December 31, 2023, and
the related notes (collectively referred to as the “consolidated financial statements”). In our opinion, the financial statements present fairly, in all material
respects, the financial position of the Company as of December 31, 2023 and 2022, and the results of its operations and its cash flows for each of the two
years in the period ended December 31, 2023, in conformity with accounting principles generally accepted in the United States of America.

Basis for Opinion

These consolidated financial statements are the responsibility of the Company’s management. Our responsibility is to express an opinion on the Company’s
financial statements based on our audits. We are a public accounting firm registered with the Public Company Accounting Oversight Board (United States)
(“PCAOB”) and are required to be independent with respect to the Company in accordance with the U.S. federal securities laws and the applicable rules
and regulations of the Securities and Exchange Commission and the PCAOB.

We conducted our audits in accordance with the standards of the PCAOB. Those standards require that we plan and perform the audit to obtain reasonable
assurance about whether the financial statements are free of material misstatement, whether due to error or fraud. The Company is not required to have, nor
were we engaged to perform, an audit of its internal control over financial reporting. As part of our audits, we are required to obtain an understanding of
internal  control  over  financial  reporting,  but  not  for  the  purpose  of  expressing  an  opinion  on  the  effectiveness  of  the  Company’s  internal  control  over
financial reporting. Accordingly, we express no such opinion.

Our audits included performing procedures to assess the risks of material misstatement of the consolidated 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 consolidated 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 consolidated 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  consolidated  financial  statements  that  was
communicated  or  required  to  be  communicated  to  the  audit  committee  and  that  (i)  relates  to  accounts  or  disclosures  that  are  material  to  the  financial
statements and (ii) involved our especially challenging, subjective, or complex judgments. The communication of critical audit matters 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.

Inventory Valuation

Critical Audit Matter Description

As described in Note 2 to the financial statements, inventory consists of finished goods and raw materials and is valued at the lower of cost or net realizable
value using the first-in, first-out method. The Company’s inventory reserve requirements are based on various factors including product expiration date and
estimates for the future sales of the product. Reserve assessments include inventory obsolescence based upon expiration date, damaged or rejected product,
slow-moving products, and other considerations.

We identified the assessment of the excess and obsolete inventory reserve as a critical audit matter. The principal consideration for our determination that
this is a critical audit matter is the significant judgment by management to estimate the excess and obsolete inventory reserve, which led to a high degree of
auditor judgment, subjectivity and effort in performing procedures to evaluate management’s significant assumptions.

How We Addressed the Matter in Our Audit

Addressing  the  matter  involved  performing  procedures  and  evaluating  audit  evidence  in  connection  with  forming  our  overall  opinion  on  the  financial
statements. The primary procedures we performed to address this critical audit matter included:

● testing management’s process for estimating the excess and obsolete inventory reserve, including evaluating the appropriateness of the approach

utilized and underlying assumptions

● testing the mathematical accuracy of the excess and obsolete inventory reserve calculation
● testing the completeness and accuracy of underlying data used in the analysis, including historical usage and inventory age

/s/ Baker Tilly US, LLP

We have served as the Company’s auditor since 2015.

Tewksbury, Massachusetts
March 15, 2024

29

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
NEPHROS, INC. AND SUBSIDIARIES
CONSOLIDATED BALANCE SHEETS
(In thousands, except share and per share amounts)

December 31, 
2023

December 31, 
2022

ASSETS
Current assets:

Cash and cash equivalents
Accounts receivable, net
Inventory
Prepaid expenses and other current assets

Total current assets
Property and equipment, net
Lease right-of-use assets
Intangible assets, net
Goodwill
License and supply agreement, net
Other assets
TOTAL ASSETS

LIABILITIES AND STOCKHOLDERS’ EQUITY
Current liabilities:

Current portion of secured note payable
Accounts payable
Accrued expenses
Current portion of lease liabilities

Total current liabilities

Equipment financing, net of current portion
Lease liabilities, net of current portion
TOTAL LIABILITIES

COMMITMENTS AND CONTINGENCIES (Note 17)

STOCKHOLDERS’ EQUITY:

Preferred stock, $.001 par value; 5,000,000 shares authorized at
December 31, 2023 and 2022; no shares issued and outstanding at
December 31, 2023 and 2022
Common stock, $.001 par value; 40,000,000 shares authorized at
December 31, 2023 and 2022; 10,543,675 and 10,297,429 shares issued
and outstanding at December 31, 2023 and 2022, respectively

Additional paid-in capital
Accumulated deficit

Subtotal

Noncontrolling interest

TOTAL STOCKHOLDERS’ EQUITY
TOTAL LIABILITIES AND STOCKHOLDERS’ EQUITY

$

$

$

$

4,307    $
1,496   
2,470   
132   
8,405   
152   
1,807   
381   
759   
271   
86   
11,861    $

-    $

873   
794   
446   
2,113   
-   
1,390   
3,503   

3,634 
1,286 
3,153 
188 
8,261 
116 
984 
423 
759 
402 
54 
10,999 

71 
740 
285 
316 
1,412 
1 
705 
2,118 

-   

- 

10   
152,754   
(144,406)  
8,358   
-   
8,358   
11,861    $

10 
148,413 
(142,831)
5,592 
3,289 
8,881 
10,999 

The accompanying notes are an integral part of these consolidated financial statements.

30

 
 
 
 
 
   
 
 
 
   
 
 
 
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
 
  
 
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
 
  
 
 
   
 
 
 
 
 
    
 
  
 
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
NEPHROS, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE LOSS
(In thousands, except share and per share amounts)

Years Ended December 31,

2023

2022

Net revenue:

Product revenues
Royalty and other revenues

Total net revenues

Cost of goods sold
Gross Margin

Operating expenses:

Research and development
Depreciation and amortization
Selling, general and administrative

Total operating expenses

Operating loss from continuing operations
Other (expense) income:

Interest expense
Interest income
Other (expense) income, net

Total other income:

Loss from continuing operations
Net loss from discontinued operations
Net loss
Less: undeclared deemed dividend attributable to noncontrolling interest
Net loss attributable to Nephros, Inc. shareholders

Net loss per common share, basic and diluted from continuing operations
Net loss per common share, basic and diluted from discontinued operations
Net loss per common share, basic and diluted
Net loss per common share, basic and diluted, attributable to continuing noncontrolling
interest

Net loss per common share, basic and diluted, attributable to Nephros, Inc, shareholders
Weighted average common shares outstanding, basic and diluted

Comprehensive loss:
Net loss
Other comprehensive loss, foreign currency translation adjustments, net of tax
Comprehensive loss
Comprehensive loss attributable to continuing noncontrolling interest
Comprehensive loss attributable to Nephros, Inc. shareholders

$

$

$

$

$

$

14,110    $
128   
14,238   
5,833   
8,405   

873   
214   
8,911   
9,998   
(1,593)  

(2)  
64   
(44)  
18   
(1,575)  
-   
(1,575)  
-   
(1,575)  

(0.15)   $
-   
(0.15)   $

-   

9,929 
46 
9,975 
5,244 
4,731 

1,255 
218 
7,593 
9,066 
(4,335)

(20)
14 
64 
58 
(4,277)
(2,829)
(7,106)
(276)
(7,382)

(0.42)
(0.28)
(0.70)

(0.03)

(0.15)   $

10,386,018   

(0.73)
10,297,134 

(1,575)   $
-   
(1,575)  
-   
(1,575)   $

(7,106)
(14)
(7,120)
(276)
(7,396)

The accompanying notes are an integral part of these consolidated financial statements.

31

 
 
 
 
 
 
 
 
   
 
 
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
    
 
  
 
 
 
 
 
 
 
    
 
  
 
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
NEPHROS, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF CHANGES IN STOCKHOLDERS’ EQUITY
(In thousands, except share amounts)

Additional

Accumulated
Other

Common Stock

Paid-in    

Comprehensive    Accumulated   

Shares

    Amount    Capital

Income

Deficit

    Subtotal   

    Noncontrolling   
Interest

Total
Stockholders’ 
Equity

Balance, December 31,
2021

Net loss
Change in non-controlling
interest
Restricted stock vesting
Elimination of cumulative
translation adjustment,
upon closing of wholly
owned foreign subsidiary  
Exercise of warrants
Restricted shares withheld
for employee taxes
Stock-based compensation  
Balance, December 31,
2022

Net loss
Change in non-controlling
interest
Cashless exercise of stock
options
Restricted stock vesting
Stock-based compensation  
Balance, December 31,
2023

  10,198,712    $

10    $ 147,346    $

         64    $

(135,725)   $ 11,695    $

3,054    $

-   

44,732   

60,374   

(6,389)  
-   

-   

-   

-   
-   

-   
-   

-   

-   

-   
163   

(31)  
935   

-   

(7,106)  

(7,106)  

-   

-   

-   
-   

-   
-   

(64)  
163   

(31)  
935   

188   
-   

-   
-   

-   
47   

(64)  
-   

-   
-   

  10,297,429    $

10    $ 148,413    $

-   

-   

16,576   
187,503   
-   

-   

-   

-   
-   
-   

-   

3,262   

-   
1,079   

-    $
-   

(142,831)   $ 5,592    $

(1,575)  

(1,575)  

3,289    $
-   

-   

-   
-   

-   

3,262   

(3,262)  

-   
-   
1,079   

-   
-   

-   
(27)  

14,749 
(7,106)

188 
- 

(64)
163 

(31)
982 

8,881 
(1,575)

- 

- 
- 
1,052 

  10,501,508    $

10    $ 152,754    $

-    $

(144,406)   $ 8,358    $

-    $

8,358 

The accompanying notes are an integral part of these consolidated financial statements.

32

 
 
 
 
 
   
 
 
 
   
   
   
 
 
 
 
 
 
 
 
 
 
    
 
 
 
    
 
    
 
    
 
    
 
    
 
    
 
 
 
 
 
 
 
    
 
 
 
 
 
    
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
 
    
 
    
 
 
    
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
NEPHROS, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF CASH FLOWS
(In thousands)

OPERATING ACTIVITIES:
Net loss
Adjustments to reconcile net loss to net cash provided by (used in) operating activities:

Depreciation of property and equipment
Amortization of intangible assets, license and supply agreement and finance lease right-of-
use asset
Stock-based compensation
Inventory impairments and writeoffs
Increase (Decrease) in provision for bad debt
Impairment of assets held for sale
Gain (Loss) on foreign currency transactions

Decrease (Increase) in operating assets:

Accounts receivable
Inventory
Prepaid expenses and other current assets
Change in right-of-use asset
Other assets

(Decrease) Increase in operating liabilities:

Accounts payable
Accrued expenses
Lease liabilities

Net cash provided by (used in) operating activities

INVESTING ACTIVITIES:

Purchase of property and equipment

Net cash used in investing activities

FINANCING ACTIVITIES:

Proceeds from sale of subsidiary preferred shares to noncontrolling interest
Payments on secured note payable
Principal payments on finance lease liability
Principal payments on equipment financing
Payments to employee taxes on restricted stock
Proceeds from exercise of warrants

Net cash provided by (used in) financing activities

Effect of exchange rates on

Net increase (decrease) in cash and cash equivalents
Cash and cash equivalents, beginning of year
Cash and cash equivalents, end of year

Supplemental disclosure of cash flow information

Cash paid for interest expense
Cash paid for income taxes

Supplemental disclosure of noncash investing and financing activities
Right-of-use asset obtained in exchange for operating lease liability

Years Ended December 31,

2023

2022

$

(1,575)   $

39   

175   
1,052   
295   
11   
-   
-   

(221)  
387   
56   
(342)  
(31)  

133   
506   
342   
827   

(75)  
(75)  

-   
(71)  
(7)  
(1)  
-   
-   
(79)  
-   
673   
3,634   
4,307    $

2    $
-    $

1,164    $

$

$
$

$

(7,106)

93 

258 
982 
773 
(1)
1,395 
(60)

357 
765 
26 
353 
29 

(593)
(150)
(355)
(3,234)

(137)
(137)

188 
(271)
(12)
(3)
(31)
163 
34 
(2)
(3,339)
6,973 
3,634 

19 
- 

743 

The accompanying notes are an integral part of these consolidated financial statements.

33

 
 
 
 
 
 
 
 
   
 
 
 
    
 
  
 
 
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
 
  
 
 
 
 
 
 
 
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
 
  
 
 
 
 
    
 
  
 
 
 
NEPHROS, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

Note 1 - Organization and Nature of Operations

Nephros, Inc. (“Nephros” or the “Company”) was incorporated under the laws of the State of Delaware on April 3, 1997. The Company was founded by
health  professionals,  scientists  and  engineers  affiliated  with  Columbia  University  to  develop  advanced  end  stage  renal  disease  (“ESRD”)  therapy
technology and products.

Beginning in 2009, Nephros introduced high performance liquid purification filters to meet the demand for water purification in certain medical markets.
The Company’s filters, generally classified as ultrafilters, are primarily used in hospitals for the prevention of infection from waterborne pathogens, such as
legionella and pseudomonas, and in dialysis centers for the removal of biological contaminants from water and bicarbonate concentrate. The Company also
develops and sells water filtration products for commercial applications, focusing on the hospitality and food service markets. The water filtration business
is a reportable segment, referred to as the Water Filtration segment.

On October 4, 2022, the Company entered into a definitive asset purchase agreement with a third party for the sale of substantially all of the Company’s
Pathogen Detection Systems (“PDS”) business, which had been previously reported as a separate reportable operating segment. As a result of the sale of
the  PDS  business,  we  completely  exited  the  PDS  business.  As  a  result,  we  determined  that  our  PDS  business  had  met  the  criteria  for  discontinued
operations  as  of  September  30,  2022.  We  no  longer  separately  report  the  PDS  business  as  a  separate  reportable  segment  in  our  financial  statements
including in this Annual Report for any of the periods presented.

In  July  2018,  the  Company  formed  a  subsidiary,  Specialty  Renal  Products,  Inc.  (“SRP”),  to  drive  the  development  of  its  second-generation
hemodiafiltration system and other products focused on improving therapies for patients with renal disease. After SRP’s formation, the Company assigned
to SRP all of the Company’s rights to three patents relating to the Company’s hemodiafiltration technology, which were carried at zero book value. On
March 9, 2023, the SRP Stockholders approved a plan of dissolution to wind down SRP’s operations, liquidate SRP’s remaining assets and dissolve SRP.
Pursuant to such plan, SRP filed a certificate of dissolution with the State of Delaware on April 13, 2023. As a result of the SRP Stockholders’ approval of
the plan of dissolution and provisions therein and after satisfying all of SRP’s liabilities, there are no assets available for distribution to the holders of any
of SRP’s capital stock, including its Series A Preferred Stock. As such, the value recorded to non-controlling interest was written to zero and the impact
reclassified to the Company’s additional paid-in capital as the Company retained control of SRP.

The Company’s primary U.S. facility is located at 380 Lackawanna Place, South Orange, New Jersey 07079. This location along with our Whippany, NJ
facility, houses the Company’s corporate headquarters, research, manufacturing, and distribution facilities.

34

 
 
 
 
 
 
 
 
 
 
Note 2 - Summary of Significant Accounting Policies

Principles of Consolidation and Basis of Presentation

The accompanying consolidated financial statements include the accounts of Nephros, Inc. and its subsidiaries, including the Company’s wholly owned
subsidiary  Nephros  International,  which  was  dissolved  during  the  quarter  ended  June  30,  2022,  and  SRP,  which  was  dissolved  pursuant  to  a  plan  of
dissolution adopted by its stockholders on March 9, 2023 and the subsequent filing of a certificate of dissolution with the State of Delaware on April 13,
2023. All intercompany accounts and transactions were eliminated in the preparation of the accompanying consolidated financial statements.

Discontinued Operations

See  Note  3,  Discontinued  Operations,  for  a  discussion  of  the  Company’s  significant  accounting  policy  surrounding  the  sale  of  substantially  all  of  the
Company’s PDS business.

Use of Estimates

The  preparation  of  consolidated  financial  statements  in  conformity  with  accounting  principles  generally  accepted  in  the  United  States  of  America
(“GAAP”) requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent
assets and liabilities, at the date of the financial statements, and the reported amount of revenues and expenses, during the reporting period. Actual results
could differ materially from those estimates. Included in these estimates are assumptions about the collection of accounts receivable, value of inventories,
useful  life  of  fixed  assets  and  intangible  assets,  the  assessment  of  expected  cash  flows  used  in  evaluating  goodwill  and  other  long-lived  assets,  the
assessment of the ability to continue as a going concern and assumptions used in determining stock compensation such as expected volatility and risk-free
interest rate.

Reclassifications

Certain  reclassifications  were  made  to  the  prior  year’s  amounts  to  conform  to  the  2023  presentation.  On  the  Consolidated  Statements  of  Cash  Flows,
Inventory impairments and writeoffs reported as $623,000 for the year ended December 31, 2022, was increased to $773,000, and Inventory reported as
$915,000 for the year ended December 31, 2022 was decreased to $765,000, to accurately reflect the non-cash portion of the change in inventories for the
year ended December 31, 2022.

Liquidity

In February 2022, pursuant to a First Amendment to Series A Preferred Stock Purchase Agreement (the “Amendment”) among SRP and the holders of
SRP’s outstanding shares of Series A Preferred Stock, SRP issued and sold an additional 100,003 shares of its Series A Preferred Stock at a price of $5.00
per share, resulting in total gross proceeds of $500,015. See “Note 15 – Stockholders’ Equity – Noncontrolling Interest,” below. In addition to the funds
provided  by  the  sale  of  these  additional  shares  of  Series A  Preferred  Stock,  the  Company  and  SRP  also  maintained  a  loan  agreement  under  which  the
Company loaned $1.3 million to SRP, of which $1.0 million had been loaned during the year ended December 31, 2020. These loaned funds were used to
fund  SRP’s  operating  activities  through  the  FDA  510(k)  clearance  process  of  SRP’s  second-generation  hemodiafiltration  system,  which  was  initially
submitted  to  the  FDA  on  February  24,  2021,  and  which  received  510(k)  clearance  on  May  13,  2022.  In  connection  with  SRP’s  plan  of  dissolution  and
pursuant  to  an  agreement  between  the  Company  and  SRP  entered  into  on  May  24,  2023,  SRP  assigned  substantially  all  of  its  remaining  assets  to  the
Company in satisfaction of the entire loan balance. Accordingly, as of December 31, 2023, there was no outstanding balance of this loan.

The  Company  has  sustained  operating  losses  every  quarter  through  December  31,  2023,  generating  an  accumulated  deficit  of  $144.4  million  as  of
December 31, 2023. Throughout 2023, however, the Company’s operating cash flows have been positive due to increased sales, improved gross margins,
careful expense management, and the dispositions of the PDS and SRP businesses. These actions resulted in the Company generating cash from operations
of approximately $0.8 million through the twelve months ended December 31, 2023. Based on these positive cash flows, the Company believes that its
cash  balances  are  sufficient  to  fund  its  current  operating  plan  through  at  least  the  next  12  months  from  the  date  of  issuance  of  the  accompanying
consolidated  financial  statements.  However,  in  the  event  that  the  Company’s  operating  results  do  not  meet  its  expectations,  the  Company  may  need  to
further reduce discretionary expenditures such as headcount, R&D projects, and other variable costs.

35

 
 
 
 
 
 
 
 
 
 
 
 
 
 
Concentration of Credit Risk

The  Company  deposits  its  cash  in  financial  institutions.  At  times,  such  deposits  may  be  in  excess  of  insured  limits.  To  date,  the  Company  has  not
experienced any impairment losses on its cash. The Company also limits its credit risk with respect to accounts receivable by performing credit evaluations
when deemed necessary.

Major Customers

For the years ended December 31, 2023 and 2022, the following customers accounted for the following percentages of our revenues, respectively:

Customer
A
B
Total

2023

2022

23% 
11% 
34% 

26%
10%
36%

As of December 31, 2023 and 2022, the following customers accounted for the following percentages of our accounts receivable, respectively:

Customer
A
B
C
Total

2023

2022

12% 
6% 
3% 
21% 

21%
10%
10%
41%

Cash and Cash Equivalents

The  Company  considers  all  highly  liquid  money  market  instruments  with  an  original  maturity  of  three  months  or  less  when  purchased  to  be  cash
equivalents. The company also classifies, as cash equivalents, certificates of deposit with an original maturity of greater than three months for which there
is no cost to withdrawal funds prior to maturity date. At December 31, 2023 and 2022, cash and cash equivalents were deposited in financial institutions
and consisted entirely of immediately available fund balances. The Company maintains its cash deposits and cash equivalents with financial institutions it
believes to be well-known and stable.

Accounts Receivable

The Company recognizes an allowance that reflects a current estimate of credit losses expected to be incurred over the life of a financial asset, including
trade receivables. The Company continuously monitors collections and payments from its customers and maintains a provision for estimated credit losses.
The  Company  determines  its  allowance  for  credit  losses  by  considering  a  number  of  factors,  including  the  length  of  time  balances  are  past  due,  the
Company’s previous loss history, the customer’s current ability to pay its obligations to the Company and the expected condition of the general economy
and  the  industry  as  a  whole.  The  Company  writes  off  accounts  receivable  when  they  are  determined  to  be  uncollectible.  The  allowance  for  doubtful
accounts was approximately $11,000 and $0 as of December 31, 2023 and 2022, respectively.

Inventory

For all medical device products and some commercial products, the Company engages third parties to manufacture and package its finished goods, which
are  shipped  to  the  Company  for  warehousing,  until  sold  to  distributors  or  end  customers.  Some  commercial  products  are  manufactured  at  Company
facilities.  Inventory  consists  of  finished  goods  and  raw  materials  and  is  valued  at  the  lower  of  cost  or  net  realizable  value  using  the  first-in,  first-out
method.

36

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Our inventory reserve requirements are based on various factors including product expiration date and estimates for the future sales of the product. Reserve
assessments include inventory obsolescence based upon expiration date, damaged, or rejected product, slow-moving products, and other considerations.

License and Supply Rights

The  Company’s  rights  under  the  License  and  Supply  Agreement  with  Medica  are  capitalized  and  stated  at  cost,  less  accumulated  amortization,  and  are
amortized using the straight-line method over the term of the License and Supply Agreement, which is from April 23, 2012 through December 31, 2028.
The Company determines amortization periods for licenses based on its assessment of various factors impacting estimated useful lives and cash flows of
the  acquired  rights.  Such  factors  include  the  expected  launch  date  of  the  product,  the  strength  of  the  intellectual  property  protection  of  the  product  and
various  other  competitive,  developmental,  and  regulatory  issues,  and  contractual  terms.  See  Note  9  –  License  and  Supply  Agreement,  net  for  further
discussion.

Leases

The Company determines if an arrangement contains a lease at inception. Leases are included in lease right-of-use (“ROU”) assets and lease liabilities on
the consolidated balance sheet.

Lease  ROU  assets  and  lease  liabilities  are  recognized  based  on  the  present  value  of  the  future  minimum  lease  payments  over  the  lease  term  at
commencement  date.  As  most  of  the  Company’s  leases  do  not  provide  an  implicit  rate,  the  Company  uses  its  incremental  borrowing  rate  based  on  the
information  available  at  commencement  date  in  determining  the  present  value  of  future  payments.  The  operating  lease  ROU  asset  includes  any  lease
payments made and initial direct costs incurred and excludes lease incentives. The Company’s lease terms may include options to extend or terminate the
lease when it is reasonably certain that the Company will exercise that option. Lease expense for minimum lease payments is recognized on a straight-line
basis over the lease term.

The Company has elected as an accounting policy not to apply the recognition requirements in ASC 842 to short-term leases. Short-term leases are leases
that have a term of 12 months or less and do not include an option to purchase the underlying asset that the Company is reasonably certain to exercise. The
Company recognizes the lease payments for short-term leases on a straight-line basis over the lease term.

The Company has also elected, as a practical expedient, by underlying class of asset, not to separate lease components from non-lease components and,
instead, account for them as a single component.

Property and Equipment, net

Property and equipment, net is stated at cost less accumulated depreciation. These assets are depreciated over their estimated useful lives of three to seven
years using the straight-line method.

The  Company  adheres  to  ASC  360  and  periodically  evaluates  whether  current  facts  or  circumstances  indicate  that  the  carrying  value  of  its  depreciable
assets to be held and used may not be recoverable. If such circumstances are determined to exist, an estimate of undiscounted future cash flows produced
by the long-lived assets, or the appropriate grouping of assets, is compared to the carrying value to determine whether impairment exists. If an asset is
determined to be impaired, the loss is measured based on the difference between the asset’s fair value and its carrying value. For long-lived assets, the
estimate of fair value is based on various valuation techniques, including a discounted value of estimated future cash flows. The Company reports an asset
to be disposed of at the lower of its carrying value or its fair value less costs to sell. For the year ended December 31, 2022, See Note 3 Discontinued
Operations, for a discussion of the Company’s significant accounting policy surrounding the sale of substantially all of the Company’s PDS business and
related impairment charge. There were no impairment losses for long-lived assets recorded for the year ended December 31, 2023.

37

 
 
 
 
 
 
 
 
 
 
 
 
 
Intangible Assets

The Company’s intangible assets include finite lived assets. Finite lived intangible assets, consisting of customer relationships, tradenames, service marks
and domain names are amortized on a straight-line basis over the estimated useful lives of the assets.

Finite lived intangible assets are tested for impairment when events or changes in circumstances indicate that the carrying value of the asset may not be
recoverable. Impairment testing requires management to estimate the future undiscounted cash flows of an intangible asset using assumptions believed to
be reasonable, but which are unpredictable and inherently uncertain. Actual future cash flows may differ from the estimates used in the impairment testing.

Goodwill

Goodwill represents the excess of purchase price over the fair value of net assets acquired. In accordance with ASC 350, “Goodwill and Other Intangibles,”
rather than recording periodic amortization, goodwill is subject to an annual assessment for impairment by applying a fair value-based test. If the fair value
of the reporting unit exceeds the reporting unit’s carrying value, including goodwill, then goodwill is considered not impaired, making further analysis not
required. The Company reviews goodwill for possible impairment annually during the fourth quarter, or whenever events or circumstances indicate that the
carrying amount may not be recoverable.

Fair Value Measurements

The Company measures certain financial instruments and other items at fair value.

To determine the fair value, the Company uses the fair value hierarchy for inputs used in measuring fair value that maximizes the use of observable inputs
and minimizes the use of unobservable inputs by requiring that the most observable inputs be used when available. Observable inputs are inputs market
participants would use to value an asset or liability and are developed based on market data obtained from independent sources. Unobservable inputs are
inputs based on assumptions about the factors market participants would use to value an asset or liability.

To measure fair value, the Company uses the following fair value hierarchy based on three levels of inputs, of which the first two are considered observable
and the last unobservable:

Level 1 - Quoted prices in active markets for identical assets or liabilities.

Level 2 - Inputs other than Level 1 that are observable for the asset or liability, either directly or indirectly, such as quoted prices for similar assets and
liabilities in active markets; quoted prices for identical or similar assets or liabilities in markets that are not active; or other inputs that are observable or can
be corroborated by observable market data by correlation or other means.

Level 3 - Unobservable inputs that are supported by little or no market activity and that are significant to the fair value of the assets or liabilities. Value is
determined using pricing models, discounted cash flow methodologies, or similar techniques and also includes instruments for which the determination of
fair value requires significant judgment or estimation.

Revenue Recognition

The  Company  recognizes  revenue  under  ASC  606,  “Revenue  from  Contracts  with  Customers.”  ASC  606  prescribes  a  five-step  model  for  recognizing
revenue,  which  includes  (i)  identifying  contracts  with  customers;  (ii)  identifying  performance  obligations;  (iii)  determining  the  transaction  price;  (iv)
allocating the transaction price; and (v) recognizing revenue. See Note 4 – Revenue Recognition for further discussion.

Shipping and Handling Costs

Shipping and handling costs charged to customers are recorded as revenue and as cost of goods sold and were approximately $107,000 and $98,000 for the
years ended December 31, 2023 and 2022, respectively.

38

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Research and Development Costs

Research  and  development  costs  represent  a  significant  part  of  our  business.  Costs  included  in  research  and  development  are  expensed  as  incurred  and
relate to the processes of discovering, testing and developing new products, improving existing products and regulatory compliance prior to FDA approval.
Research and development costs include, but are not limited to, personnel expenses, consulting costs and equipment depreciation.

Stock-Based Compensation

The  fair  value  of  stock  options  is  recognized  as  stock-based  compensation  expense  in  the  Company’s  consolidated  statement  of  operations  and
comprehensive  loss.  The  Company  calculates  stock-based  compensation  expense  in  accordance  with  ASC  718.  The  fair  value  of  the  Company’s  stock
option awards is estimated using a Black-Scholes option valuation model. This model requires the input of highly subjective assumptions and elections
including expected stock price volatility and the estimated life of each award. The fair value of stock-based awards is amortized over the vesting period of
the award. For stock awards that vest based on performance conditions (e.g., achievement of certain milestones), expense is recognized when it is probable
that the condition will be met.

Warrants

The Company accounts for stock warrants as either equity instruments or derivative liabilities depending on the specific terms of the warrant agreement.

Other Income and Expense, net

Other  expense  of  approximately  $44,000  for  the  year  ended  December  31,  2023,  is  primarily  a  result  of  losses  on  foreign  currency  transactions.  Other
income of approximately $64,000 for the year ended December 31, 2022, is primarily related to the release of the cumulative translation adjustment from
accumulated other comprehensive income (loss) on the liquidation of a foreign entity and of gains on foreign currency transactions related to the closure in
the second quarter of 2022 of Nephros International, a wholly owned subsidiary of Nephros, Inc.

Income Taxes

The Company accounts for income taxes in accordance with ASC 740, which requires accounting for deferred income taxes under the asset and liability
method.  Deferred  income  taxes  are  recognized  for  the  tax  consequences  of  temporary  differences  by  applying  enacted  statutory  tax  rates  applicable  in
future years to differences between the financial statement carrying amounts and the tax basis of existing assets and liabilities.

For financial reporting purposes, the Company has incurred a loss in each period since its inception. Based on available objective evidence, including the
Company’s history of losses, management believes it is more likely than not that the net deferred tax assets will not be fully realizable. Accordingly, the
Company provided for a full valuation allowance against its net deferred tax assets at December 31, 2023 and 2022.

ASC 740 prescribes, among other things, a recognition threshold and measurement attributes for the financial statement recognition and measurement of
uncertain tax positions taken or expected to be taken in a company’s income tax return. ASC 740 utilizes a two-step approach for evaluating uncertain tax
positions. Step one, or recognition, requires a company to determine if the weight of available evidence indicates a tax position is more likely than not to be
sustained upon audit, including resolution of related appeals or litigation processes, if any. Step two, or measurement, is based on the largest amount of
benefit that is more likely than not to be realized on settlement with the taxing authority. The Company is subject to income tax examinations by major
taxing authorities for all tax years subsequent to 2016. During the years ended December 31, 2023 and 2022, the Company recognized no adjustments for
uncertain tax positions. However, management’s conclusions regarding this policy may be subject to review and adjustment at a later date based on factors
including, but not limited to, on-going analyses of and changes to tax laws, regulation and interpretations, thereof.

See Note 13 – Income Taxes for further discussion.

39

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Net Loss per Common Share

Basic  loss  per  common  share  is  calculated  by  dividing  net  loss  available  to  common  shareholders  by  the  number  of  weighted  average  common  shares
issued  and  outstanding.  Diluted  loss  per  common  share  is  calculated  by  dividing  net  loss  available  to  common  shareholders  by  the  weighted  average
number  of  common  shares  issued  and  outstanding  for  the  period,  plus  amounts  representing  the  dilutive  effect  from  the  exercise  of  stock  options  and
warrants and unvested restricted stock, as applicable. The Company calculates dilutive potential common shares using the treasury stock method, which
assumes the Company will use the proceeds from the exercise of stock options and warrants to repurchase shares of common stock to hold in its treasury
stock reserves.

The following potentially dilutive securities have been excluded from the computations of diluted weighted average shares outstanding as they would be
antidilutive:

Shares underlying options outstanding
Unvested restricted stock

Foreign Currency Translation

December 31,

2023

2022

1,789,206   
42,167   

1,365,365 
- 

Foreign currency translation is recognized in accordance with ASC 830. The functional currency of Nephros International Limited, the Company’s Irish
subsidiary is the Euro, and its translation gains and losses are included in accumulated other comprehensive income. The balance sheet is translated at the
year-end rate. The consolidated statements of operations and comprehensive loss are translated at the weighted average rate for the year.

Transactions denominated in a currency other than an entity’s functional currency may give rise to transaction gains and losses. The Company recognizes
transaction gains and losses within other (expense) income, net, within the consolidated statements of operations and comprehensive loss.

Comprehensive Loss

Comprehensive  loss,  as  defined  in  ASC  220,  is  the  total  of  net  loss  and  all  other  non-owner  changes  in  equity  (or  other  comprehensive  loss).  The
Company’s other comprehensive loss consists only of foreign currency translation adjustments.

Segment Reporting

The Company operates in only one business segment from which the Company’s chief operating decision maker evaluates the financial performance of the
Company.

Recent Accounting Pronouncements, Not Yet Effective

In December 2023, the FASB issued ASU 2023-09, “Improvements to Income Tax Disclosures,” which enhances the transparency and decision usefulness
of income tax disclosures. The guidance is effective for the Company’s annual reporting period ending December 31, 2025. Early adoption is permitted.
The Company is assessing the impact of adopting this guidance on its consolidated financial statements.

In November 2023, the FASB issued ASU 2023-07, “Improvements to Reportable Segment Disclosures,” which improves reportable segment disclosure
requirements,  primarily  through  enhanced  disclosures  about  significant  segment  expenses.  The  guidance  is  effective  for  the  Company  beginning  in  the
annual  reporting  period  ending  December  31,  2024  and  interim  periods  beginning  in  fiscal  year  2025.  Early  adoption  is  permitted.  The  Company  is
assessing the impact of adopting this guidance on its consolidated financial statements.

40

 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Note 3 – Discontinued Operations

In  accordance  with  ASC  205-20,  Presentation  of  Financial  Statements:  Discontinued  Operations,  a  disposal  of  a  component  of  an  entity  or  a  group  of
components of an entity (disposal group) is required to be reported as discontinued operations if the disposal represents a strategic shift that has (or will
have)  a  major  effect  on  an  entity’s  operations  and  financial  results  when  the  disposal  group  meets  the  criteria  to  be  classified  as  held-for-sale.  The
consolidated statements of operations reported for current and prior periods report the results of operations of the discontinued operations, including the
impairment loss recognized as a component of net income (loss) separate from the net income (loss) from continuing operations.

All discontinued operations relate to the Company’s previously reported PDS segment, for the year ended December 31, 2022.

(In thousands)

Total net revenues
Gross margin
Research and development expenses
Depreciation and amortization expense
Selling, general and administrative expenses
Total operating expenses
Operating loss from discontinued operations

Impairment of assets held for sale
Loss from discontinued operations

Year Ended
December 31,
2022

110 
(259)
637 
- 
535 
1,175 
(1,434)

(1,395)
(2,829)

  $

  $

On  October  4,  2022,  the  Company  entered  into  a  definitive  asset  purchase  agreement  with  a  third  party  pursuant  to  which  the  Company  agreed  to  sell
substantially all of the assets used in the Company’s PDS business. In consideration for the sale of these assets, the Company received $1,000 in cash at the
closing, and will receive potential royalties payable to Nephros for a seven-year period commencing on January 1, 2023 subject to a minimum gross margin
threshold. As such, the potential royalties payable to the Company are a gain contingency as they pertain to an uncertain event that will be resolved in
future  reporting  periods.  As  a  result,  the  Company  will  recognize  the  gain  contingency  when  it  is  probable  the  contingency  will  be  resolved,  which  is
ultimately when settled. The Company determined all of the required criteria for held-for-sale and discontinued operations classification were met as of
September 30, 2022. Additionally, the Company evaluated the disposal group including the relevant intangible assets and recorded an impairment loss of
$1,395,000. Based upon the selling price less the costs of sale, the Company determined the net carrying value of the assets held for sale were impaired,
and the value of the asset group to be sold was $0.

The following items related to discontinued operations were included in the consolidated statement of cash flows:

(in thousands)

Depreciation
Amortization
Stock compensation
Impairment of assets held-for-sale
Operating lease right-of-use assets
Purchases of property and equipment

41

For the Year ended
December 31,
2022

  $

42 
82 
38 
1,395 
33 
(34)

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
During year ended December 31, 2022, $49,000 of right-of-use assets related to discontinuing operations were obtained in exchange for operating lease
liabilities.

Note 4 – Revenue Recognition

The Company recognizes revenue related to product sales when product is shipped via external logistics providers and the other criteria of ASC 606 are
met. Product revenue is recorded net of returns and allowances. There was no allowance for sales returns at December 31, 2023 or 2022. In addition to
product revenue, the Company recognizes revenue related to royalty and other agreements in accordance with the five-step model in ASC 606. Royalty and
other revenues recognized for the years ended December 31, 2023 and 2022 (in thousands) is comprised of:

Years Ended
December 31,

2023

2022

Other revenue
Royalty revenue under the Sublicense Agreement with CamelBak (1)
Total royalty and other revenues

  $

  $

97    $
31   
128    $

46 
- 
46 

(1)

In  May  2015,  the  Company  entered  into  a  Sublicense  Agreement  (the  “Sublicense  Agreement”)  with  CamelBak  Products,  LLC
(“CamelBak”).  Under  this  Sublicense  Agreement,  the  Company  granted  CamelBak  an  exclusive,  non-transferable,  worldwide  (with  the
exception of Italy) sublicense and license, in each case solely to market, sell, distribute, import and export the IWTD. In exchange for the
rights granted to CamelBak, CamelBak agreed, through December 31, 2022, to pay the Company a percentage of the gross profit on any sales
made to a branch of the U.S. military, subject to certain exceptions, and to pay a fixed per-unit fee for any other sales made. CamelBak was
also required to meet or exceed certain minimum annual fees payable to the Company, and, if such fees are not met or exceeded, the Company
was able to convert the exclusive sublicense to a non-exclusive sublicense with respect to non-U.S. military sales. In the first quarter of 2019,
the  Sublicense  Agreement  was  amended  to  eliminate  the  minimum  fee  obligations  starting  May  6,  2018  and,  as  such,  CamelBak  has  no
further  minimum  fee  obligations.  The  Sublicense  Agreement  expired  on  December  31,  2022,  though  we  and  CamelBak  thereafter  orally
agreed to continue operating under the terms of the Sublicense agreement. In March 2024, we entered into a further written amendment to the
Sublicense Agreement, which was made effective December 31, 2022, that extended the term of the Sublicense Agreement through December
31, 2025.

Other Revenue – Other revenues are derived from sales of services to customers, which primarily include installation, training and testing on product and
equipment sold to certain customers.

Note 5 – Fair Value Measurements

Assets and Liabilities Measured at Fair Value on a Recurring Basis

The  Company  evaluates  its  financial  assets  and  liabilities  subject  to  fair  value  measurements  on  a  recurring  basis  to  determine  the  appropriate  level  of
classification for each reporting period.

At  December  31,  2023  and  December  31,  2022,  the  Company’s  cash  equivalents  consisted  of  money  market  funds.  The  Company  values  its  cash
equivalents using observable inputs that reflect quoted prices for securities with identical characteristics and classify the valuation techniques that use these
inputs as Level 1.

42

 
 
 
 
  
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
At December 31, 2023 and December 31, 2022, the fair value measurements of the Company’s assets and liabilities measured on a recurring basis were as
follows:

Fair Value Measurements at Reporting Date Using

Quoted
Prices in
Active
Markets for
Identical
Assets
(Level 1)

$

$

$

$

274    $

2,515   
1,518   
4,307    $

1,598   
2,036   
3,634    $

Significant
Other
Observable
Inputs
(Level 2)
(in thousands)

Significant
Unobservable
Inputs
(Level 3)

           -    $

-   

          - 
- 

-    $

-   
-   
-    $

- 

- 
- 
- 

December 31, 2023

Cash
Money market funds
Certificate of deposit

Cash and cash equivalents

December 31, 2022

Cash
Money market funds

Cash and cash equivalents

Assets and Liabilities Not Measured at Fair Value on a Recurring Basis

The carrying amounts of cash and cash equivalents, accounts receivable, accounts payable and accrued expenses approximate fair value as of December 31,
2023 and 2022 due to the short-term maturity of these instruments.

The carrying amounts of the secured long-term note payable, lease liabilities and equipment financing approximate fair value as of December 31, 2023 and
2022  because  those  financial  instruments  bear  interest  at  rates  that  approximate  current  market  rates  for  similar  agreements  with  similar  maturities  and
credit.

Note 6 - Inventory

Inventory is stated at the lower of cost or net realizable value using the first-in, first-out method and consists of raw materials and finished goods. The
Company’s inventory components as of December 31, 2023 and December 31, 2022, were as follows:

(In thousands)

Finished goods
Raw material
Work in process
Total inventory

December 31,

2023

2022

$

$

2,144    $
326   
-   
2,470    $

Note 7 - Property and Equipment, Net

Property and equipment as of December 31, 2023 and 2022 was as follows (in thousands): 

Manufacturing and research equipment
Capitalized internal use software and website development
Computer equipment
Furniture and fixtures
Leasehold improvements
Property and equipment, gross
Less: accumulated depreciation
Property and equipment, net

Estimated
Useful

Life

3-7 years 
5 years 
3-4 years 
7 years 
Life of lease 

$

$

43

December 31,

2023

2022

843    $
103   
43   
37   
88   
1,114   
(962)  
152    $

2,709 
422 
22 
3,153 

843 
103 
43 
37 
13 
1,039 
(923)
116 

 
 
 
 
 
 
 
 
   
   
 
 
 
 
   
   
 
 
 
 
    
 
    
 
  
 
 
 
 
 
 
 
 
    
 
  
 
 
 
 
    
 
    
 
  
 
 
    
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
  
 
 
 
  
 
Depreciation related to equipment utilized in the manufacturing process is recognized in cost of goods sold on the consolidated statements of operations
and comprehensive loss. Depreciation expense for the years ended December 31, 2023 and 2022 was approximately $39,000 and $93,000,  respectively.
Approximately $3,000 of depreciation expense has been recognized in cost of goods sold for the year ended December 31, 2023. Approximately $22,000
of depreciation expense has been recognized in cost of goods sold for the year ended December 31, 2022.

Note 8 – Intangible Assets and Goodwill

Intangible Assets

Intangible assets at December 31, 2023 and December 31, 2022 are set forth in the table below. Gross carrying values and accumulated amortization of the
Company’s intangible assets by type are as follows:

December 31, 2023
Accumulated
Amortization   

Cost

Net

Cost

December 31, 2022
Accumulated
Amortization   

Net

Tradenames, service marks and domain names
Customer relationships
Total intangible assets

  $

  $

50    $
540   
590    $

(50)   $
(159)  
(209)   $

(in thousands)
-    $

381   
381    $

50    $
540   
590    $

(40)   $
(127)  
(167)   $

10 
413 
423 

The  Company  recognized  amortization  expense  of  approximately  $42,000  for  the  years  ended  December  31,  2023  and  December  31,  2022  in  selling,
general and administrative expenses on the accompanying consolidated statement of operations and comprehensive loss.

As of December 31, 2023, future amortization expense for each of the next five years is (in thousands): 

Fiscal Years
2024
2025
2026
2027
2028

  $

32 
32 
32 
32 
32 

The Company recognized approximately $1.0 million in intangible asset impairment charges during the year ended December 31, 2022, related to the fair
value of assets held for sale. (See Note 3–Discontinued Operations).

Goodwill

Goodwill had a carrying value on the Company’s consolidated balance sheets of $0.8 million at December 31, 2023 and 2022, respectively. The Company
concluded the carrying value of goodwill was not impaired as of December 31, 2023, or 2022 as the Company determined that it was not more likely than
not that the fair value of goodwill was less than its carrying value.

44

 
 
 
 
 
 
 
 
   
 
 
 
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
Note 9 – License and Supply Agreement, net

On April 23, 2012, the Company entered into a License and Supply Agreement (as thereafter amended, the “License and Supply Agreement”) with Medica
S.p.A. (“Medica”), an Italy-based medical product manufacturing company, for the marketing and sale of certain filtration products based upon Medica’s
proprietary Medisulfone ultrafiltration technology in conjunction with the Company’s filtration products, and for an exclusive supply arrangement for the
filtration products. Under the License and Supply Agreement, Medica granted to the Company an exclusive license, with right of sublicense, to market,
promote, distribute, offer for sale and sell the filtration products worldwide, with certain limitations on territory, during the term of the License and Supply
Agreement. In addition, the Company granted Medica an exclusive license under the Company’s intellectual property to make the filtration products during
the term of the License and Supply Agreement. The filtration products covered under the License and Supply Agreement include both certain products
based  on  Medica’s  proprietary  Versatile  microfiber  technology  and  certain  filtration  products  based  on  Medica’s  proprietary  Medisulfone  ultrafiltration
technology.  In  December  2023,  the  Company  signed  a  new  agreement  with  Medica  which  extends  the  term  until  December  31,  2028,  unless  earlier
terminated by either party in accordance with the terms of the License and Supply Agreement.

In exchange for the license, the gross value of the intangible asset capitalized was $2.3 million. License and supply agreement, net, on the consolidated
balance sheet is $0.3 million and $0.4 million as of December 31, 2023 and 2022, respectively. Accumulated amortization is $2.0 million and $1.9 million
as of December 31, 2023 and 2022, respectively. The intangible asset is being amortized as an expense over the life of the License and Supply Agreement.
Amortization expense of $0.1 million was recognized in each of the years ended December 31, 2023 and 2022 on the consolidated statement of operations
and comprehensive loss.

As of December 11, 2023, the Company contractually has agreed to pay interest per month at the EURIBOR 360-day rate plus 500 basis points calculated
on  the  principal  amount  of  any  outstanding  invoices  that  are  overdue  by  more  than  15  days  beyond  the  original  payment  terms. There  was  no  interest
recognized for the years ended December 31, 2023 or 2022.

In  addition,  for  the  period  beginning  April  23,  2014  through  December  31,  2023,  the  Company  paid  Medica  a  royalty  rate  of  3%  of  net  sales  of  the
filtration  products  sold,  subject  to  reduction  as  a  result  of  a  supply  interruption  pursuant  to  the  terms  of  the  License  and  Supply Agreement.  Royalty
expense of $0.4 million and $0.3 million for the years ended December 31, 2023 and 2022, respectively, was recognized and is included in cost of goods
sold  on  the  consolidated  statement  of  operations  and  comprehensive  loss.  Approximately  $90,000  and  $71,000  of  this  royalty  expense  was  included  in
accounts payable as of December 31, 2023 and 2022, respectively.

Note 10 – Secured Note Payable

On March 27, 2018, the Company entered into a Secured Promissory Note Agreement (the “Secured Note”) with Tech Capital for a principal amount of
$1.2 million. During the year ended December 31, 2023, the principal balance of the Secured Note was paid off. As of December 31, 2022, the principal
balance of the Secured Note was $0.1 million.

The Secured Note has a maturity date of April 1, 2023. The unpaid principal balance accrues interest at a rate of 8% per annum. Principal  and  interest
payments are due on the first day of each month commencing on May 1, 2018. The Secured Note is subject to terms and conditions of and is secured by
security  interests  granted  by  the  Company  in  favor  of  Tech  Capital  under  the  Loan  and  Security  Agreement  entered  into  on  August  17,  2017  and
subsequently amended on December 20, 2019 (the “Loan Agreement”). An event of default under such Loan Agreement is an event of default under the
Secured Note and vice versa.

During  each  of  the  years  ended  December  31,  2023  and  2022,  the  Company  made  payments  under  the  Secured  Note  of  approximately  $71,000  and
$289,000 respectively. Included in the total payments made, approximately $1,000 and $18,000  was  recognized  as  interest  expense  on  the  consolidated
statement of operations and comprehensive loss for the year ended December 31, 2023 and 2022, respectively.

Note 11 – Leases

The Company has operating leases for corporate offices, warehouse space, an automobile and office equipment. The leases have remaining lease terms of 1
year to 5 years.

Lease cost, as presented below, includes costs associated with leases for which right-of-use (“ROU”) assets have been recognized as well as short-term
leases.

45

 
 
 
 
 
 
 
 
 
 
 
 
 
 
The components of total lease costs were as follows (in thousands):

Operating lease cost
Finance lease cost:

Amortization of right-of-use assets
Interest on lease liabilities

Total finance lease cost
Variable lease cost
Total lease cost

Supplemental cash flow information related to leases was as follows (in thousands):

Cash paid for amounts included in the measurement of lease liabilities:

Operating cash flows from operating leases
Financing cash flows from finance leases

Year ended
December 31, 2023

Year ended
December 31, 2022

334    $

7   
2   
9   
44   
387    $

351 

12 
2 
14 
53 
418 

Year ended
December 31, 2023

Year ended
December 31, 2022

408    $
7    $

365 
12 

$

$

$
$

Supplemental balance sheet information related to leases was as follows (in thousands except years):

Operating lease right-of-use assets
Finance lease right-of-use assets

Current portion of operating lease liabilities
Operating lease liabilities, net of current portion

Total operating lease liabilities

Current portion of finance lease liabilities
Finance lease liabilities, net of current portion

Total finance lease liabilities

Weighted average remaining lease term

Operating leases
Finance leases

Weighted average discount rate

Operating leases
Finance leases

As of December 31, 2023, maturities of lease liabilities were as follows (in thousands):

2024
2025
2026
2027
2028

Total future minimum lease payments

Less imputed interest

Total

46

December 31, 2023

December 31, 2022

1,803 
4 

  $
  $

442 
1,390 
1,832 

4 
- 
4 

  $

  $

  $

  $

972 
12 

309 
700 
1,009 

8 
4 
12 

4.3 years 
0.6 years 

3.9 years 
1.5 years 

8.0% 
8.0% 

Operating Leases

Finance Leases

562    $
435   
450   
450   
251   
2,148   
(316)  
1,832    $

8.0%
8.0%

    4 
- 
- 
- 
- 
4 
- 
4 

  $
  $

  $

  $

  $

  $

$

$

 
 
 
 
 
   
 
 
 
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
  
 
 
 
 
 
 
 
  
 
 
  
 
 
 
 
 
 
 
  
 
 
  
 
 
  
 
 
  
 
 
 
 
 
 
 
 
 
 
 
  
 
 
  
 
 
  
 
 
  
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Note 12 - Accrued Expenses

Accrued expenses as of December 31, 2023 and 2022 were as follows (in thousands):

Accrued bonus
Accrued directors’ fees
Accrued legal
Accrued sales commission
Accrued sales tax payable
Accrued franchise tax
Accrued other

Note 13 - Income Taxes

December 31,

2023

2022

537    $
-   
10   
117   
22   
14   
94   
794    $

76 
126 
4 
36 
7 
10 
26 
285 

$

$

There was no income tax current or deferred tax benefit or expense recognized during the years ended December 31, 2023 and 2022.

A reconciliation of the income tax benefit computed at the statutory tax rate to the Company’s effective tax rate for the years ended December 31, 2023,
and 2022 is as follows:

U.S. federal statutory rate
State taxes
Expired NOLs and credits
Stock-based compensation
Federal research and development credits
Foreign Rate Differential
Other
Non-taxable Cancelation of Indebtedness
Valuation allowance
Effective tax rate

Years Ended December 31,

2023

2022

21.00%  
12.22%  
(115.56)% 
(4.54)% 
-%  
-%  
0.12%  
19.14%  
67.62%  
-%  

Significant components of the Company’s deferred tax assets (liabilities) as of December 31, 2023 and 2022 are as follows (in thousands):

Deferred tax assets:
Net operating loss carry forwards
Research and development credits
Nonqualified stock option compensation expense
Lease liabilities
Capital loss carryforwards
Fixed and intangible basis difference
Other temporary book - tax differences
Total deferred tax assets

Deferred tax liabilities:
Lease right-of-use assets
Fixed and intangible asset basis difference
Total deferred tax liabilities

Deferred tax assets, net
Valuation allowance for deferred tax assets
Net deferred tax assets after valuation allowance

December 31,

2023

2022

$

$

16,700    $
1,087   
613   
449   
2,072   
-   
713   
21,634   

(442)  
(116)  
(558)  

21,076   
(21,076)  

-    $

47

21.00%
4.79%
(12.78)%
(2.43)%
0.62%
9.15%
3.44%
-%
(23.78)%
-%

17,672 
1,401 
543 
243 
1,946 
328 
243 
22,376 

(234)
- 
(234)

22,142 
(22,142)
- 

 
 
 
  
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
   
 
 
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
 
  
 
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
    
 
  
 
 
 
 
 
 
 
 
A  valuation  allowance  has  been  recognized  to  offset  the  Company’s  net  deferred  tax  asset  as  it  is  more  likely  than  not  that  such  net  asset  will  not  be
realized. The Company primarily considered its historical loss and potential Internal Revenue Code Section 382 limitations to arrive at its conclusion that a
valuation allowance was required. The Company’s valuation allowance decreased approximately $1.1 million from December 31, 2022 to December 31,
2023.

At December 31, 2023, the Company had Federal income tax net operating loss carryforwards of $77.3 million and State income tax net operating loss
carryforwards of $6.8 million. The Company had Federal research and development tax credit carryforwards of $1.1 million at December 31, 2023. The
Company’s net operating losses and research and development tax credits may ultimately be limited by Section 382 of the Internal Revenue Code and, as a
result, the Company may be unable to offset future taxable income (if any) with losses, or its tax liability with credits, before such losses and credits expire.
Included in the Federal net operating loss carryforwards are $14 million of losses generated from 2018 onward that have an indefinite carryover period. The
remaining  Federal  and  New  Jersey  net  operating  loss  carryforwards  and  Federal  and  New  Jersey  tax  credit  carryforwards  will  expire  at  various  times
between 2024 and 2041 unless utilized.

The  Company  has  analyzed  the  tax  positions  taken  or  expected  to  be  taken  in  its  tax  returns  and  concluded  it  has  no  liability  related  to  uncertain  tax
positions. The Company is subject to income tax examinations by major taxing authorities for all tax years subsequent to 2018 and does not anticipate a
change in its uncertain tax positions within the next twelve months. The Company’s policy is to report interest and penalties, if any, related to unrecognized
tax benefits in income tax expense.

Note 14 - Stock Plans and Share-Based Payments

The  fair  value  of  stock  options  and  restricted  stock  is  recognized  as  stock-based  compensation  expense  in  the  Company’s  consolidated  statement  of
operations  and  comprehensive  loss.  The  Company  calculates  stock-based  compensation  expense  in  accordance  with  ASC  718.  The  fair  value  of  stock-
based awards is amortized over the vesting period of the award.

Stock Plans

In 2015, the Board of Directors adopted the Nephros, Inc. 2015 Equity Incentive Plan (“2015 Plan”). As of December 31, 2023, including amendments
approved by the Board of Directors, 2,547,400 shares of common stock were approved for issuance pursuant to stock options, restricted stock and other
equity incentive awards to the Company’s employees, directors and consultants. The maximum contractual term for stock options granted under the 2015
Plan is 10 years.

As of December 31, 2023, options to purchase 1,774,819 shares of common stock had been issued to employees under the 2015 Plan and were outstanding.
The options issued to employees expire on various dates between April 15, 2025 and December 27, 2033. Taking into account all options and restricted
stock  granted  under  the  2015  Plan,  there  are  65,580  shares  available  for  future  grant  under  the  2015  Plan.  Generally,  grants  vest  based  on  a  service
condition only and vest between two to four years.

48

 
 
 
 
 
 
 
 
 
 
The Company’s previously adopted and approved plan, the 2004 Stock Incentive Plan (“2004 Plan”), expired in the year ended December 31, 2014. As of
December 31, 2023, options to purchase 14,387 shares of common stock had been issued to employees under the 2004 Plan and were outstanding. The
options expire on various dates between February 5, 2024 and March 26, 2024.  No  shares  are  available  for  future  grants  under  the  2004  Plan.  Options
currently outstanding are fully vested.

On November 1, 2023, the Company issued 122,524 stock options outside of the 2015 Plan to the Company’s new Chief Financial Officer. The terms for
these options are identical to those issued to employees under the 2015 Plan.

Stock Options

The Company has elected to recognize forfeitures as they occur. Stock-based compensation expense recognized for the years ended December 31, 2023 and
2022 was $1.0 million and $0.9 million, respectively.

For the year ended December 31, 2023, $1.0 million and approximately $39,000 are included in selling, general and administrative expenses and research
and development expenses, respectively, on the accompanying consolidated statement of operations and comprehensive loss. For the year ended December
31, 2022, $0.8 million and approximately $63,000 are included in selling, general and administrative expenses and research and development expenses,
respectively, on the accompanying consolidated statement of operations and comprehensive loss.

The following table issued summarizes the option activity for the years ended December 31, 2023 and 2022:

Outstanding at December 31, 2021
Options granted
Options forfeited or expired
Options exercised
Outstanding at December 31, 2022
Options granted
Options forfeited or expired
Options exercised (1)
Outstanding at December 31, 2023

Shares

1,426,510    $
279,115   
(340,260)  
-   

1,365,365    $
583,089   
(102,722)  
(56,526)  
1,789,206    $

(1) 56,526 options were exercised via cashless exercise which resulted in 16,576 shares issued.

The following table summarizes the options exercisable and vested and expected to vest as of December 31, 2023 and 2022.

Exercisable at December 31, 2022
Vested and expected to vest at December 31, 2022
Exercisable at December 31, 2023
Vested and expected to vest at December 31, 2023

Shares

968,441    $
1,342,342    $
1,171,824    $
1,753,398    $

Weighted 
Average 
Exercise 
Price

Weighted 
Average 
Exercise 
Price

6.29 
1.91 
6.88 
- 
5.25 
1.47 
5.87 
2.47 
4.07 

5.55 
5.26 
5.25 
4.12 

The fair value of each option grant is estimated on the date of grant using the Black-Scholes option pricing model. The below assumptions for the risk-free
interest rates, expected dividend yield, expected lives and expected stock price volatility were utilized for the stock options granted during the year ended
December 31, 2023.

49

 
 
 
 
 
 
 
  
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
   
 
 
 
 
 
 
 
 
 
 
 
Assumption for Option Grants
Stock Price Volatility
Risk-Free Interest Rates
Expected Life (in years)
Expected Dividend Yield

2023

2022

72.40% 
3.71% 
6.22 

0% 

75.44%
2.74%
5.64 

0%

Expected volatility is based on historical volatility of the Company’s common stock at the time of grant. The risk-free interest rate is based on the U.S.
Treasury yields in effect at the time of grant for periods corresponding with the expected life of the options. For the expected life, the Company is using the
simplified method as described in the SEC Staff Accounting Bulletin 107. This method assumes that stock option grants will be exercised based on the
average of the vesting periods and the option’s life.

The  weighted-average  fair  value  of  options  granted  in  2023  and  2022  is  $0.99  and  $1.25,  respectively.  The  aggregate  intrinsic  values  of  stock  options
outstanding and stock options vested or expected to vest as of December 31, 2023 was approximately $1.4 million and $0 respectively. A stock option has
intrinsic value, at any given time, if and to the extent that the exercise price of such stock option is less than the market price of the underlying common
stock at such time. The weighted-average remaining contractual life of options vested or expected to vest as of December 31, 2023 was approximately 6.4
years.

The intrinsic values of stock options exercised was approximately $58,000 for the year ended December 31, 2023. No stock options were exercised for the
year ended December 31, 2022.

As of December 31, 2023, there was $0.6 million of total unrecognized compensation cost related to unvested share-based compensation awards granted
under the equity compensation plans which will be amortized over the weighted average remaining requisite service period of 2.97 years.

There was no tax benefit related to expense recognized in the twelve months ended December 31, 2023 and 2022, as the Company is in a net operating loss
position.

Restricted Stock

The Company has issued restricted stock as compensation for the services of certain employees and non-employee directors. The grant date fair value of
restricted stock is based on the fair value of the common stock on the date of grant, and compensation expense is recognized based on the period in which
the restrictions lapse.

The following table summarizes restricted stock activity for the years ended December 31, 2023 and 2022:

Nonvested at December 31, 2021
Granted
Vested
Forfeited
Nonvested at December 31, 2022
Granted
Vested
Nonvested at December 31, 2023

Shares

59,732    $
-   
(44,732)  
(15,000)  
-   
299,670   
(187,503)  

42,167    $

Weighted 
Average 
Grant Date 
Fair Value

8.07 
- 
7.87 
8.66 
- 
1.47 
1.08 
3.18 

The total fair value of restricted stock that vested during the years ended December 31, 2023 and 2022 was approximately $0.2 million and $0.4 million,
respectively.

Total stock-based compensation expense for restricted stock was approximately $322,000 and $42,000 for the year ended December 31, 2023 and 2022,
respectively  and  is  recognized  in  selling,  general  and  administrative  expenses  on  the  accompanying  consolidated  statement  of  operations  and
comprehensive loss.

50

 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Approximately $154,000 of stock compensation expense was recognized in the year ended December 31, 2022 related to restricted stock granted to board
members and employees for the year ended December 31, 2023 to settle liabilities for services incurred in the respective prior fiscal year.

As of December 31, 2023, there was approximately $15,000 of unrecognized compensation expense related to restricted stock-based awards granted under
the equity compensation plans, which will be amortized over the weighted average remaining requisite service period of 0.4 years. As of December 31,
2022, there was no unrecognized compensation expense related to the restricted stock awards.

The  aggregate  shares  of  common  stock  legally  issued  and  outstanding  as  of  December  31,  2023  is  greater  than  the  aggregate  shares  of  common  stock
outstanding for accounting purposes by the amount of unvested restricted shares.

SRP Equity Incentive Plan

SRP’s 2019 Equity Incentive Plan was approved on May 7, 2019 under which 150,000 shares of SRP’s common stock are reserved for the issuance of
options and other awards. This plan is no longer operational, due to the wind down of SRP’s operations and its April 2023 dissolution.

Due to the Company’s deemed acquisition of the non-controlling interest in SRP during the year ended December 31, 2023, all remaining equity-based
awards  have  been  forfeited  and  no  further  expense  will  be  incurred  related  to  these  awards.  There  were  no  SRP  stock  options  or  other  equity  awards
granted during the year ended December 31, 2023. For the year ended December 31, 2023, a credit of approximately ($27,000) was recognized for expense
related to the SRP equity-based awards. Stock-based compensation expense related to the SRP stock grants was approximately $47,000 during the year
ended December 31, 2022. Stock-based compensation expense related to the SRP equity-based awards is included in selling, general and administrative
expenses on the accompanying consolidated statement of operations and comprehensive loss. Stock-based compensation expense related to the SRP stock
options is presented by the Company as noncontrolling interest on the consolidated balance sheet as of December 31, 2022.

Note 15 - Stockholders’ Equity

Noncontrolling Interest

Pursuant  to  the  terms  and  conditions  of  a  Series  A  Preferred  Stock  Purchase  Agreement,  dated  September  9,  2018,  among  SRP  and  the  purchasers
identified therein (the “SRP Purchase Agreement”), SRP sold to such purchasers an aggregate of 600,000 shares of its Series A Preferred Stock (the “Series
A Preferred”) at a price of $5.00 per share resulting in total gross proceeds of $3.0 million. On February 1, 2022, SRP and such purchasers amended the
SRP  Purchase  Agreement  to  allow  for  the  sale  of  an  additional  100,003  shares  of  Series  A  Preferred,  all  of  which  were  sold  on  February  4,  2022,  for
aggregate  gross  proceeds  of  $500,015  and  otherwise  on  the  same  terms  and  conditions  as  set  forth  in  the  SRP  Purchase  Agreement.  Approximately
$188,000 of the proceeds from the February 2022 sales were recorded as an increase to the equity of the non-controlling interests. The Company purchased
62,500 shares of SRP’s Series A Preferred at such closing and, as a result, maintained its 62.5% stock ownership position in SRP. The other purchasers at
the  February  2022  closing  included  the  Company’s  Chief  Executive  Officer,  who  purchased  313  shares,  and  Lambda  Investors  LLC  (“Lambda”),  an
affiliate of Wexford Capital, which together with its affiliates owns approximately 36% of the Company’s common stock, which purchased 25,938 shares
of the Series A Preferred in February 2022. Such purchases were made on the same terms as all other purchasers. In addition to the funds provided by the
SRP Purchase Agreement, the Company loaned to SRP to the principal amount of $1.3 million, $1.0 million of which was advanced during the year ended
December 31, 2020.

As  of  December  31,  2022,  the  non-controlling  interest  in  SRP  held  by  holders  of  the  Series  A  Preferred  was  classified  as  equity  on  the  accompanying
consolidated balance sheet, as the non-controlling interest is redeemable only upon the occurrence of events that are within the control of the Company. As
a result of the adoption of the plan of liquidation and dissolution by SRP’s stockholders and the subsequent filing of a certificate of dissolution of SRP with
the State of Delaware, the redemption feature related to the Series A Preferred Stock effectively terminated. As such, the value of the Series A Preferred
Stock previously presented in non-controlling interest was reclassified to additional paid in capital as the Company retained control of SRP.

51

 
 
 
 
 
 
 
 
 
 
 
 
In March 2023, the board of directors of SRP adopted, and the stockholders of SRP approved, a plan to wind down SRP’s operations and dissolve, and in
April  2023,  SRP  filed  a  certificate  of  dissolution  with  the  State  of  Delaware.  In  accordance  with  its  plan  of  dissolution,  after  SRP  satisfied  its  other
outstanding  liabilities,  SRP  assigned  to  the  Company  all  of  its  remaining  assets,  including  its  intellectual  property  rights,  in  satisfaction  of  outstanding
indebtedness owed to the Company in the approximate amount of $1.5 million. No other assets are available for distribution to any of SRP’s stockholders,
including the Company, in respect of their shares of SRP capital stock, including the Series A Preferred. As a result of the dissolution described above, it
was determined approximately $24,000 of inventory likely had no value, and was written off in the period ended March 31, 2023.

Warrants

The Company accounts for stock warrants as either equity instruments or derivative liabilities depending on the specific terms of the warrant agreement.
The company had no outstanding warrants at December 31, 2023 and December 31, 2022.

Warrants Exercised During 2022

During the year ended December 31, 2022, warrants to purchase 60,374 shares of the Company’s common stock were exercised, resulting in proceeds of
$0.2 million and the issuance of 60,374  shares  of  the  Company’s  common  stock.  Of  the  warrants  exercised  during  the  year  ended  December  31,  2022,
warrants to purchase 14,815 shares of the Company’s common stock were exercised by members of management, resulting in proceeds of approximately
$40,000. Warrants to purchase 63,102 shares of the Company’s common stock expired unexercised during the year ended December 31, 2022.

Note 16 – Savings Incentive Match Plan

On January 1, 2017, the Company established a Savings Incentive Match Plan for Employees Individual Retirement Account (SIMPLE IRA), which covers
all  employees.  The  SIMPLE  IRA  Plan  provides  for  voluntary  employee  contributions  up  to  statutory  IRA  limitations.  The  Company  matches  100%  of
employee contributions to the SIMPLE IRA Plan, up to 3% of each employee’s salary. The Company contributed and expensed approximately $91,000 and
$104,000 to the SIMPLE IRA in 2023 and 2022, respectively.

Note 17 - Commitments and Contingencies

Purchase Commitments

In exchange for the rights granted under the License and Supply Agreement with Medica (see Note 9 – License and Supply Agreement, net), the Company
agreed  to  make  certain  minimum  annual  aggregate  purchases  from  Medica  over  the  term  of  the  License  and  Supply  Agreement.  For  the  year  ended
December 31, 2023, the Company agreed to make minimum annual aggregate purchases from Medica of €3.8 million (approximately $4.1 million). For the
year ended December 31, 2023, aggregate purchase commitments totaled €4.9 million (approximately $5.3 million). All minimum purchase requirements
were met.

Future purchase commitments under the License and Supply Agreement with Medica are as follows:

● 2024: €4,208,000
● 2025: €4,629,000
● 2026: €4,976,000
● 2027: €5,349,000
● 2028: €5,750,000

52

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Item 9. Changes in and Disagreements with Accountants on Accounting and Financial Disclosure

None.

Item 9A. Controls and Procedures

Disclosure Controls and Procedures

Disclosure controls and procedures are controls and other procedures that are designed to ensure that information required to be disclosed in the reports
filed or submitted under the Exchange Act is recorded, processed, summarized and reported within the time periods specified in the SEC’s rules and forms.
Disclosure  controls  and  procedures  include,  without  limitation,  controls  and  procedures  designed  to  ensure  that  information  required  to  be  disclosed  in
company reports filed or submitted under the Exchange Act is accumulated and communicated to management, including the Chief Executive Officer and
Chief Financial Officer, to allow timely decisions regarding required disclosure.

As required by Rules 13a-15 and 15d-15 under the Exchange Act, the Chief Executive Officer and Chief Financial Officer carried out an evaluation of the
effectiveness  of  the  design  and  operation  of  the  disclosure  controls  and  procedures  as  of  December  31,  2023.  Based  upon  this  evaluation,  the  Chief
Executive  Officer  and  Chief  Financial  Officer  have  concluded  that  the  disclosure  controls  and  procedures  were  effective  as  of  December  31,  2023.
Accordingly, management believes that the financial statements included in this Annual Report on Form 10-K present fairly in all material respects the
financial position, results of operations and cash flows for the period presented.

Management’s Report on Internal Control Over Financial Reporting

Management is responsible for establishing and maintaining adequate internal control over financial reporting, as such term is defined in Exchange Act
Rules 13a-15(f) and 15d-15(f). Under the supervision of the Chief Executive Officer and Chief Financial Officer, management conducted an evaluation of
the effectiveness of the internal control over financial reporting as of December 31, 2023 based on the framework set forth by the Committee of Sponsoring
Organizations of the Treadway Commission (COSO) in “Internal Control-Integrated Framework”. Based on the assessment, management concluded that
the internal control over financial reporting was effective as of December 31, 2023.

Changes in Internal Control Over Financial Reporting

There were no changes in the internal control over financial reporting that occurred during the most recent fiscal quarter that materially affected, or are
reasonably likely to materially affect, the internal control over financial reporting.

Item 9B. Other Information

We are reporting the following information in lieu of reporting on a Current Report on Form 8-K:

Item 1.01 Entry into a Material Definitive Agreement.

On December 11, 2023, Nephros, Inc. (the “Company”) entered into a license and supply agreement (the “License and Supply Agreement”) with Medica
S.p.A. (“Medica”), an Italy-based medical product manufacturing company, for the marketing and sale of certain filtration products based upon Medica’s
proprietary Medisulfone ultrafiltration technology in conjunction with the Company’s filtration products (collectively, the “Products”), and to engage in an
exclusive supply arrangement for the Products. The License and Supply Agreement supersedes and replaces that certain License and Supply Agreement,
dated April 23, 2012, as amended (the “Prior Agreement”) between the Company and Medica, which Prior Agreement was terminated by the parties upon
entry into the License and Supply Agreement.

53

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Under the License and Supply Agreement, Medica granted the Company an exclusive license, with right of sublicense, to market, promote, distribute, offer
for sale and sell the Products in the Territory (as defined in the License and Supply Agreement). In addition, the Company granted to Medica an exclusive
license under the Company’s intellectual property to make the Products during the term of the License and Supply Agreement. In exchange for the rights
granted,  the  Company  has  agreed  to  make  minimum  annual  aggregate  purchases  from  Medica  of  €3,825,000,  €4,208,000,  €4,629,000,  €4,976,000,
€5,349,000  and  €5,750,000  for  the  years  2023,  2024,  2025,  2026,  2027  and  2028,  respectively.  The  License  and  Supply  Agreement  contains  standard
representations and warranties and indemnification obligations of the parties.

The  term  of  the  License  and  Supply  Agreement  commenced  on  December  11,  2023  and  continues  in  effect  through  December  31,  2028,  unless  earlier
terminated by either party in accordance with the terms of the License and Supply Agreement.

The foregoing description of the License and Supply Agreement does not purport to be complete and is subject to and qualified in its entirety by reference
to  the  License  and  Supply  Agreement,  a  copy  of  which  is  filed  as  Exhibit  10.36  to  this  Annual  Report  on  Form  10-K  and  is  incorporated  herein  by
reference.

Item 1.02 Termination of a Material Definitive Agreement.

The  information  related  to  the  termination  of  the  Prior  Agreement  contained  in  Item  1.01  of  this  Item  9B  of  this  Annual  Report  on  Form  10-K  is
incorporated herein by reference.

Item 10. Directors, Executive Officers and Corporate Governance

PART III

The information set forth under the captions “Proposal No. 1 – Election of Directors,” “Corporate Governance” and “Delinquent Section 16(a) Reports” in
the 2024 Proxy Statement is incorporated herein by reference.

Item 11. Executive Compensation

The information set forth under the caption “Compensation Matters” in the 2024 Proxy Statement is incorporated herein by reference.

Item 12. Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters

The  information  set  forth  under  the  captions  “Stock  Ownership  of  Management  and  Principal  Stockholders”  and  “Compensation  Matters”  in  the  2024
Proxy Statement is incorporated herein by reference.

Item 13. Certain Relationships and Related Transactions, and Director Independence

The information set forth under the captions “Corporate Governance” and “Certain Relationships and Related Transactions” in the 2024 Proxy Statement is
incorporated herein by reference.

Item 14. Principal Accounting Fees and Services

The information set forth under the caption “Proposal No. 2 – Ratification of Selection of Independent Registered Public Accounting Firm” in the 2024
Proxy Statement is incorporated herein by reference.

54

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Item 15. Exhibits, Financial Statement Schedules

(a) Documents filed as part of this report:

(1) Consolidated Financial Statements of Nephros, Inc.

PART IV

Report of independent registered public accounting firm, Baker Tilly US, LLP. 1 Highwood Drive, Tewksbury, MA 01876, Firm ID - 23
Consolidated balance sheets as of December 31, 2023 and 2022.
Consolidated statements of operations and comprehensive loss for the years ended December 31, 2023 and 2022.
Consolidated statements of changes in stockholders’ equity for the years ended December 31, 2023 and 2022.
Consolidated statements of cash flows for the years ended December 31, 2023 and 2022.
Notes to consolidated financial statements.

(2) Exhibits:

Exhibit
No.
2.1

Description
  Agreement for Purchase and Sale of Assets, dated October 4, 2022, by and between Nephros, Inc. and BWSI, LLC, incorporated by reference to
Exhibit  2.1  to  Nephros  Inc.’s  Current  Report  on  Form  8-K,  filed  with  the  SEC  on  November  21,  2022  (pursuant  to  Item  601(b)(2)(ii)  of
Regulation S-K, certain information contained in this Exhibit 2.1 has been redacted as indicated therein).

3.1

  Conformed Copy of the Fourth Amended and Restated Certificate of Incorporation, incorporating those Certificates of Amendment dated June 4,
2007; June 29, 2007; November 13, 2007; October 23, 2009; March 10, 2011; March 11, 2011 and July 8, 2019, incorporated by reference to
Exhibit 3.1 to Nephros, Inc.’s Quarterly Report on Form 10-K for the quarter ended June 30, 2019, filed with the SEC on August 7, 2019.

3.2

  Second Amended and Restated By-Laws of the Registrant, incorporated by reference to Exhibit 3.1 to Nephros, Inc.’s Current Report on Form

8-K, filed with the SEC on December 3, 2007.

4.1

  Specimen  of  Common  Stock  Certificate  of  the  Registrant,  incorporated  by  reference  to  Exhibit  4.1  to  Nephros,  Inc.’s  Amendment  No.  1  to

Registration Statement on Form S-1/A (Reg. No. 333-116162), filed with the SEC on July 20, 2004.

4.2

  Description  of  Capital  Stock,  incorporated  by  reference  to  Exhibit  4.5  to  Nephros,  Inc.’s  Annual  Report  on  Form  10-K  for  the  year  ended

December 31, 2019, filed with the SEC on February 27, 2020.

10.1   Nephros,  Inc.  2004  Stock  Incentive  Plan,  incorporated  by  reference  to  Exhibit  10.2  to  Nephros,  Inc.’s  Amendment  No.  1  to  Registration

Statement on Form S-1/A (Reg. No. 333-116162), filed with the SEC on July 20, 2004. †

10.2   Amendment No. 1 to Nephros, Inc. 2004 Stock Incentive Plan, incorporated by reference to Exhibit 4.3 to Nephros, Inc.’s Registration Statement

on Form S-8 (Reg. No. 333-127264), filed with the SEC on August 5, 2005. †

10.3   Amendment No. 2 to Nephros, Inc. 2004 Stock Incentive Plan, incorporated by reference to Exhibit 10.7 to Nephros, Inc.’s Quarterly Report on

Form 10-QSB for the quarter ended September 30, 2007, filed with the SEC on November 13, 2007. †

10.4   Amendment No. 3 to Nephros, Inc. 2004 Stock Incentive Plan, incorporated by reference to Exhibit 10.51 to Nephros, Inc.’s Annual Report on

Form 10-K for the year ended December 31, 2008, filed with the SEC on March 31, 2009 †

10.5   Amendment  No.  4  to  Nephros,  Inc.  2004  Stock  Incentive  Plan,  incorporated  by  reference  to  Exhibit  A  to  Nephros,  Inc.’s  Definitive  Proxy

Statement, filed with the SEC on December 2, 2010. †

55

 
 
 
 
 
 
 
 
 
 
   
 
   
 
   
 
   
 
   
 
   
 
   
 
   
 
   
 
10.6   Amendment No. 5 to Nephros, Inc. 2004 Stock Incentive Plan, incorporated by reference to Appendix A to Nephros, Inc.’s Definitive Proxy

Statement, filed with the SEC on April 11, 2013. †

10.7   Amendment No. 6 to Nephros, Inc. 2004 Stock Incentive Plan, dated June 14, 2013, incorporated by reference to Exhibit 10.2 to Nephros, Inc.’s

Quarterly Report on Form 10-Q for the quarter ended June 30, 2013, filed with the SEC on August 13, 2013. †

10.8   Nephros, Inc. 2015 Equity Incentive Plan, incorporated by reference to Exhibit 10.2 to Nephros, Inc.’s Quarterly Report on Form 10-Q for the

quarter ended March 31, 2015, filed with the SEC on May 15, 2015. †

10.9   Form of Incentive Stock Option Agreement under the 2015 Equity Incentive Plan, incorporated by reference to Exhibit 10.3 to Nephros, Inc.’s

Quarterly Report on Form 10-Q for the quarter ended March 31, 2015, filed with the SEC on May 15, 2015. †

10.10   Form of Non-Qualified Stock Option Agreement under the 2015 Equity Incentive Plan, incorporated by reference to Exhibit 10.4 to Nephros,

Inc.’s Quarterly Report on Form 10-Q for the quarter ended March 31, 2015, filed with the SEC on May 15, 2015. †

10.11   Form  of  Restricted  Stock  Agreement  under  the  2015  Equity  Incentive  Plan,  incorporated  by  reference  to  Exhibit  10.5  to  Nephros,  Inc.’s

Quarterly Report on Form 10-Q for the quarter ended March 31, 2015, filed with the SEC on May 15, 2015. †

10.12   Form of Restricted Stock Unit Agreement under the 2015 Equity Incentive Plan, incorporated by reference to Exhibit 10.6 to Nephros, Inc.’s

Quarterly Report on Form 10-Q for the quarter ended March 31, 2015, filed with the SEC on May 15, 2015. †

10.13   Nephros, Inc. Director Compensation Policy, incorporated by reference to Exhibit 10.15 to Nephros, Inc.’s Annual Report on Form 10-K for the

year ended December 31, 2017, filed with the SEC on February 26, 2018.

10.14   License and Supply Agreement, dated April 23, 2012, between the Registrant and Medica S.p.A., incorporated by reference to Exhibit 10.1 to

Nephros, Inc.’s Current Report on Form 8-K, filed with the SEC on April 26, 2012.

10.15   Second Amendment to License and Supply Agreement, dated May 4, 2015, between the Registrant and Medica S.p.A., incorporated by reference

to Exhibit 10.4 to Nephros, Inc.’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2015, filed with the SEC on August 10, 2015.

10.16   Third Amendment to License and Supply Agreement, dated May 5, 2017, between the Registrant and Medica S.p.A., incorporated by reference

to Exhibit 10.4 to Nephros, Inc.’s Quarterly Report on Form 10-Q for the quarter ended March 31, 2017, filed with the SEC on May 9, 2017.

10.17   Fourth Amendment to License and Supply Agreement, dated September 26, 2017, between the Registrant and Medica S.p.A., incorporated by

reference to Exhibit 10.1 to Nephros, Inc.’s Current Report on Form 8-K, filed with the SEC on September 27, 2017.

56

 
 
 
   
 
   
 
   
 
   
 
   
 
   
 
   
 
   
 
   
 
   
 
   
 
10.18   Registration Rights Agreement, dated September 19, 2007, among the Registrant and the Holders, incorporated by reference to Exhibit 10.3 to

Nephros, Inc.’s Current Report on Form 8-K, filed with the SEC on September 25, 2007.

10.19   Form of Registration Rights Agreement, between the Registrant and Wexford Capital LP, incorporated by reference to Exhibit 10.57 to Nephros,

Inc.’s Registration Statement on Form S-1 (Reg. No. 333-169728), filed with the SEC on October 1, 2010.

10.20   Registration Rights Agreement, dated February 4, 2013, between the Registrant and Wexford Capital LP, incorporated by reference to Exhibit

10.68 to Nephros, Inc.’s Registration Statement on Form S-1 (Reg. No. 333-187036), filed with the SEC on March 4, 2013.

10.21   First  Amendment  to  Registration  Rights  Agreement,  dated  May  23,  2013,  between  the  Registrant  and  Wexford  Capital  LP,  incorporated  by
reference to Exhibit 10.1 to Nephros, Inc.’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2013, filed with the SEC on August
13, 2013.

10.22   Registration Rights Agreement, dated November 12, 2013, between the Registrant and Wexford Capital LP, incorporated by reference to Exhibit

10.2 to Nephros, Inc.’s Current Report on Form 8-K, filed with the SEC on November 14, 2013.

10.23   First  Amendment  to  Registration  Rights  Agreement,  dated  April  14,  2014,  between  the  Registrant  and  Wexford  Capital  LP,  incorporated  by
reference to Exhibit 10.2 to Nephros, Inc.’s Quarterly Report on Form 10-Q for the quarter ended March 31, 2014, filed with the Securities and
Exchange Commission on May 14, 2014.

10.24   Registration Rights Agreement, dated August 29, 2014, between the Registrant and Wexford Capital LP, incorporated by reference to Exhibit

10.2 to Nephros, Inc.’s Current Report on Form 8-K, filed with the SEC on September 3, 2014.

10.25   First Amendment to Registration Rights Agreement, dated September 23, 2014, between the Registrant and Wexford Capital LP, incorporated by
reference to Exhibit 10.5 to Nephros, Inc.’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2014, filed with the SEC on
November 13, 2014.

10.26   Registration Rights Agreement dated March 17, 2017, among the Registrant and the Purchasers identified therein, incorporated by reference to

Exhibit 10.2 to Nephros, Inc.’s Current Report on Form 8-K, filed with the SEC on March 23, 2017.

10.27   Amended and Restated Loan and Security Agreement, dated May 26, 2020, by and between Tech Capital, LLC and the Registrant, incorporated
by reference to Exhibit 10.2 to Nephros Inc.’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2020, filed with the SEC on August
5, 2020.

10.28   Amended  and  Restated  Secured  Promissory  Note  (Single  Advance  –  Non-Revolving),  dated  May  26,  2020,  issued  by  the  Registrant,
incorporated by reference to Exhibit 10.3 to Nephros, Inc.’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2020, filed with the
SEC on August 5, 2020.

10.29   Employment  Agreement  between  the  Registrant  and  Andrew  Astor,  dated  August  23,  2020,  incorporated  by  reference  to  Exhibit  10.1  to
Nephros, Inc.’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2020, filed with the SEC on November 5, 2020. †

10.30   Employment Agreement dated May 5, 2023, between Nephros, Inc. and Robert Banks (incorporated by reference to Exhibit 10.1 to Nephros,

Inc.’s Quarterly Report on Form 10-Q for the quarter ended June 30, 2023). †

10.31   Letter Agreement, dated July 28, 2023, between the Nephros, Inc. and Judy Krandel. * †

57

 
 
 
   
 
   
 
   
 
   
 
   
 
   
 
   
 
   
 
   
 
   
 
   
 
   
 
   
 
10.32   Inducement Stock Option Agreement, dated November 1, 2023, between Nephros, Inc. and Judy Krandel. * †

10.33   Amendment to Employment Agreement, dated August 9, 2023, between Nephros, Inc. and Andrew Astor (incorporated by reference to Exhibit

10.1 to Nephros, Inc.’s Quarterly Report on Form 10-Q for the quarter ended September 30, 2023). †

10.34   License  and  Supply  Agreement,  dated  December  11,  2023,  between  the  Registrant  and  Medica  S.p.A.  (pursuant  to  Item  601(b)(2)(ii)  of

Regulation S-K, certain information contained in this Exhibit 10.34 has been redacted as indicated therein).*

21.1   List of Subsidiaries of Nephros, Inc. *

23.1   Consent of Baker Tilly US, LLP Independent Registered Public Accounting Firm. *

24.1   Power of Attorney (included on the signature page). *

31.1   Certification by the Chief Executive Officer and Chief Financial Officer Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002. *

32.1   Certification by the Chief Executive Officer and Chief Financial Officer Pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906

of the Sarbanes-Oxley Act of 2002. *

97.1   Nephros, Inc. Policy for Recoupment of Erroneously Awarded Compensation. *

101

  Interactive Data File. *

*
†
+

Filed herewith.
Management contract or compensatory plan arrangement.
Confidential treatment has been granted for certain portions omitted from this exhibit pursuant to Rule 24b-2 under the Securities Exchange Act of
1934, as amended.

Item 16. Form 10-K Summary

Not applicable.

58

 
 
 
   
 
   
 
   
 
   
 
   
 
   
 
   
 
   
 
   
 
 
 
 
Pursuant  to  the  requirements  of  Section  13  or  15(d)  of  the  Securities  Exchange  Act  of  1934,  the  Registrant  has  duly  caused  this  report  to  be

signed on its behalf by the undersigned, thereunto duly authorized.

SIGNATURES

Date: March 15, 2024

Date: March 15, 2024

NEPHROS, INC.

/s/ Robert Banks

By:
Name: Robert Banks
Title: President, Chief Executive Officer (Principal Executive Officer)

/s/ Judy Krandel

By:
Name: Judy Krandel
Title: Chief Financial Officer (Principal Financial and Accounting Officer)

POWER OF ATTORNEY

We, the undersigned directors and officers of Nephros, Inc., hereby severally constitute and lawfully appoint Robert Banks, our true and lawful
attorney-in-fact with full power to him to sign for us, in our names in the capacities indicated below, the Annual Report on Form 10-K for the fiscal year
ended December 31, 2023 of Nephros, Inc. and any and all amendments thereto, and to file the same with all exhibits thereto, and all other documents in
connection  therewith,  with  the  Securities  and  Exchange  Commission,  granting  unto  said  attorney-in-fact  and  agent,  full  power  and  authority  to  do  and
perform each and every act and thing requisite and necessary to be done, as fully to all intents and purposes as such person might or could do in person,
hereby ratifying and confirming all that said attorney-in-fact and agent, or their or his or her substitute or substitutes, may lawfully do or cause to be done
by virtue hereof.

Pursuant to the requirements of the Securities Exchange Act of 1934, this report has been signed below by the following persons on behalf of the

Registrant and in the capacities and on the dates indicated.

Signature

/s/ Robert Banks
Robert Banks

/s/ Judy Krandel
Judy Krandel

/s/ Arthur H. Amron
Arthur H. Amron

/s/ Oliver Spandow
Oliver Spandow

/s/ Alisa Lask
Alisa Lask

/s/Joe Harris
Joe Harris

Title

  President, Chief Executive Officer
(Principal Executive Officer)

  Chief Financial Officer

(Principal Financial and Accounting Officer)

  Director

  Director

  Director

  Director

59

Date

March 15, 2024

March 15, 2024

March 15, 2024

March 15, 2024

March 15, 2024

March 15, 2024

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Exhibit 10.31

July 28, 2023
Judith Krandel

Dear Judy,

I am very pleased to offer you the position of Chief Financial Officer (CFO) at Nephros (“the Company”). Initially, the position is targeted at an expected
time commitment of 50% and the compensation is structured at the same level. This percentage – of both time and pay – may be increased or decreased
from time to time by mutual agreement, in writing. Your employment is expected to begin on or about November 1, 2023.

As CFO, your primary responsibilities will be to manage the financial, risk management, and administrative operations of Nephros, including accounting,
financial reporting, financial strategies, and control systems. You will also work closely with me in representing the Company to the public markets, and
also partner with me in developing and executing strategies for increasing the market value of Nephros.

Your  initial  annual  base  salary  will  be  $140,000,  which  is  based  on  the  aforementioned  50%  time  commitment.  Your  salary  will  be  reviewed  annually,
beginning January 1, 2025.

In addition, you will be eligible to receive an annual bonus targeted at 25% of your base salary, based on the Company’s achievements of its goals. If your
bonus is payable for 2023 company performance, it will be prorated to your start date. Bonuses may be paid in cash, restricted stock, or a combination of
the two, at the Company’s discretion and in accordance with similar payments to other senior executives.

Subject to approval of the Company’s board of directors, you will be granted an option to purchase 122,524 shares of the Company’s stock (1.0% of current
fully diluted shares) pursuant to the Company’s 2015 Equity Incentive Plan (the “2015 Plan”). Your right to exercise the stock options will vest over four
years,  in  accordance  with  standard  practices  of  the  Company.  In  the  event  of  a  Change  of  Control  (as  such  term  is  defined  in  the  2015  Plan),
notwithstanding  anything  to  the  contrary  contained  herein,  all  shares  subject  to  the  option  that  have  not  then  vested  shall  vest  and  become  exercisable
immediately and, unless all such options are cashed- out in the Change of Control transaction, shall remain exercisable for a period of not less than 360
days (or the expiration of the Option term, if sooner), regardless of whether your employment is terminated in connection with such Change of Control
transaction.

 
 
 
 
 
 
 
 
 
 
 
 
Notwithstanding the foregoing, unless otherwise determined by the board of directors, no change in ownership of the Company’s outstanding securities
shall be deemed a Change of Control if such change in ownership is caused by or relates solely to any disposition or acquisition of any Company securities
by  Wexford  Capital,  LP  and/or  its  affiliates.  This  stock  option  will  be  subject  to  the  terms  and  conditions  of  the  2015  Plan  and  a  separate  stock  option
agreement in the standard form approved for use under the 2015 Plan by the board of directors.

Nephros currently provides its employees with a benefits package, including:

● Health plan – Approximately 90% company-paid
● Health Reimbursement Plan – 100% company-paid
● Dental and Vision Plan – 100% company-paid
● Life Insurance – 100% company-paid
● Flexible Spending Account – employee-paid
● Long- and Short-Term Disability Plan – employee-paid
● SIMPLE IRA Savings Plan – employee-paid with up to 3% company match
● 15 PTO days annually. “Use it or lose it” policy, where lawful

Please note that, as set forth in the Company’s employee handbook, the employee benefits provided to you by the Company are subject to change by the
Company, in its sole discretion, at any time and from time to time.

Even though some provisions of this letter refer to future dates, they are merely reference points for certain events that are scheduled for as long as you are
employed  by  the  Company.  Your  employment  with  the  Company  is  for  an  indefinite  term  and  nothing  in  this  letter  modifies  your  at-will  employment
relationship with the Company. Further, your employment will also be subject to (a) the Company’s personnel policies and procedures as set forth in the
Company’s Employee Handbook and other documents, (b) your entry into a Confidentiality, Invention Assignment and Non-Competition Agreement in the
form  separately  provided  to  you,  and  (c)  Nephros’  general  satisfaction  with  your  work  performance.  Either  you  or  Nephros  may  terminate  your
employment with the Company for any reason.

If you have any questions regarding the details of this offer, please feel free to contact me. We are very excited about having you on our team. If you agree
to the conditions that have been outlined, please sign, date, and return by e-mail at your earliest convenience.

Respectfully,

Robert Banks, President & Chief Executive Officer

Accepted:

 /s/ Judith Krandel
Judith Krandel

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
NEPHROS, INC.

INDUCEMENT STOCK OPTION AGREEMENT

Exhibit 10.32

THIS  INDUCEMENT  STOCK  OPTION  AGREEMENT  (this  “Agreement”),  made  effective  as  of  this  1st  day  of  November,  2023,  by  and

between Nephros, Inc., a Delaware corporation (the “Company”), and Judy Krandel (“Participant”).

W I T N E S S E T H:

WHEREAS, the Company maintains the Nephros, Inc. 2015 Equity Incentive Plan (as it may be amended and/or restated from time to time, the

“Plan”);

WHEREAS, as an inducement material to Participant’s acceptance of employment with the Company in accordance with Nasdaq Listing Rule
5635(c)(4) and the related guidance under Nasdaq IM 5635-1, the Company desires to grant this Option (as defined below) to Participant outside of the
Plan pursuant to the terms of this Agreement;

WHEREAS,  notwithstanding  the  foregoing,  the  Company  and  Participant  intend  for  this  Agreement  and  the  Option  to  be  subject  to  all  of  the

terms and conditions of the Plan, as if the Option had been granted under the Plan;

WHEREAS, the Administrator of the Plan has determined that, as of the effective date of this Agreement, the fair market value of the Company’s

Common Stock is $1.71 per share; and

WHEREAS, all of the capitalized terms used in this Agreement and not otherwise defined in this Agreement have the same respective meanings

as defined in the Plan.

NOW, THEREFORE, in consideration of the premises and of the mutual covenants herein contained, the parties hereto agree as follows:

1.  Grant  of  Option.  The  Company  hereby  grants  to  Participant  on  the  date  set  forth  above  (the  “Date  of  Grant”),  the  right  and  option  (the
“Option”) to purchase all or portions of an aggregate of one hundred twenty-two thousand five hundred twenty-four (122,524) shares of Common Stock at
a  per  share  price  of  $1.71,  on  the  terms  and  conditions  set  forth  herein,  and  subject  to  adjustment  pursuant  to  Section  16  of  the  Plan.  This  Option  is  a
nonqualified stock option and will not be treated as an incentive stock option, as defined under Section 422, or any successor provision, of the Internal
Revenue Code of 1986, as amended (the “Code”), and the regulations thereunder.

2. Duration and Exercisability.

a. General. The term during which this Option may be exercised shall terminate at the close of business on November 1, 2033, except as

otherwise provided in Paragraphs 2(b) through 2(e) below. This Option shall become exercisable according to the following schedule:

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Twenty-five  percent  (25%)  of  the  shares  subject  to  the  Option  will  vest  and  become  exercisable  on  the  first  anniversary  of  the  Date  of  Grant,  and  the
remaining  seventy-five  (75%)  of  the  shares  subject  to  the  Option  will  thereafter  vest  and  become  exercisable  in  twelve  approximately  equal  quarterly
installments.

Once the Option becomes exercisable to the extent of one hundred percent (100%) of the aggregate number of shares specified in Paragraph 1, Participant
may continue to exercise this Option under the terms and conditions of this Agreement until the termination of the Option as provided herein. If, upon an
exercise of this Option, Participant does not purchase the full number of shares which Participant is then entitled to purchase, Participant may purchase
upon any subsequent exercise prior to this Option’s termination such previously unpurchased shares in addition to those Participant is otherwise entitled to
purchase.

b. Termination  of  Employment  or  Service  Relationship  for  Cause.  If  Participant  ceases  to  be  a  Director  of  the  Company  or  any
Subsidiary for Cause, as defined below, the unexercised portion of this Option shall immediately expire, and all rights of Participant under this Option shall
be forfeited.

For purposes of this Section 2, “Cause” shall mean (i) the conviction of Participant for the commission of any felony, (ii) the commission
by Participant of any crime involving moral turpitude (e.g., larceny, embezzlement) which results in harm to the business, reputation, prospects or financial
condition of the Company or any Affiliate, or (iii) a disciplinary discharge pursuant to the terms of the Company’s management handbooks or policies as in
effect at the time.

c. Termination of Employment or Service Relationship (other than for Cause, Disability or Death). If Participant ceases to be an
Employee of the Company or any Subsidiary for any reason other than for Cause, disability or death, this Option shall completely terminate on the earlier
of: (i) the close of business on the three-month anniversary date of Participant’s termination; and (ii) the expiration date of this Option stated in Paragraph
2(a) above. In such period following Participant’s termination, this Option shall be exercisable only to the extent the Option was exercisable on the vesting
date immediately preceding such termination but had not previously been exercised. To the extent this Option was not exercisable upon such termination,
or if Participant does not exercise the Option within the time specified in this Paragraph 2(c), all rights of Participant under this Option shall be forfeited.

d. Disability. If Participant ceases to be an Employee of the Company or any Subsidiary because of disability (as defined in Code Section
22(e),  or  any  successor  provision),  this  Option  shall  terminate  on  the  earlier  of:  (i)  the  close  of  business  on  the  twelve-month  anniversary  date  of
Participant’s termination; and (ii) the expiration date of this Option stated in Paragraph 2(a) above. In such period following Participant’s termination, this
Option  shall  be  exercisable  only  to  the  extent  the  Option  was  exercisable  on  the  vesting  date  immediately  preceding  such  termination  but  had  not
previously been exercised. To the extent this Option was not exercisable upon such termination, or if Participant does not exercise the Option within the
time specified in this Paragraph 2(d), all rights of Participant under this Option shall be forfeited.

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e. Death. In the event of Participant’s death, this Option shall terminate on the earlier of: (i) the close of business on the twelve-month
anniversary  of  the  date  of  Participant’s  death;  and  (ii)  the  expiration  date  of  this  Option  stated  in  Paragraph  2(a)  above.  In  such  period  following
Participant’s death, this Option may be exercised by the person or persons to whom Participant’s rights under this Option shall have passed by Participant’s
will  or  by  the  laws  of  descent  and  distribution  only  to  the  extent  the  Option  was  exercisable  on  the  vesting  date  immediately  preceding  the  date  of
Participant’s death, but had not previously been exercised. To the extent this Option was not exercisable upon the date of Participant’s death, or if such
person or persons fail to exercise this Option within the time specified in this Paragraph 2(e), all rights under this Option shall be forfeited.

3. Manner of Exercise.

a. General. The Option may be exercised only by Participant (or other proper party in the event of death or incapacity), subject to the
conditions  of  the  Plan  and  subject  to  such  other  administrative  rules  as  the  Administrator  may  deem  advisable,  by  delivering  within  the  option  period
written notice of exercise to the Company at its principal office. The notice shall state the number of shares as to which the Option is being exercised and
shall be accompanied by payment in full of the option price for all shares designated in the notice. The exercise of the Option shall be deemed effective
upon receipt of such notice by the Company and upon payment that complies with the terms of the Plan and this Agreement. The Option may be exercised
with respect to any number or all of the shares as to which it can then be exercised and, if partially exercised, may be so exercised as to the unexercised
shares any number of times during the option period as provided herein.

b. Form of Payment. Subject to the approval of the Administrator, payment of the exercise price by Participant may be (i) in cash, or
with a personal check or certified check, (ii) by the transfer from Participant to the Company of previously acquired unencumbered shares of Common
Stock, (iii) through the withholding of shares of Common Stock from the number of shares otherwise issuable upon the exercise of the Option (e.g., a net
share settlement), (iv) through broker-assisted cashless exercise if such exercise complies with applicable securities laws and any insider trading policy of
the Company, (v) such other form of payment as may be authorized by the Administrator, or (vi) by a combination thereof. In the event Participant elects to
pay the exercise price in whole or in part with previously acquired shares of Common Stock or through a net share settlement, the then-current Fair Market
Value of the Common Stock delivered or withheld shall equal the total exercise price for the shares being purchased in such manner. For purposes of this
Agreement, “previously acquired shares of Common Stock” means shares of Common Stock which Participant has owned for at least six (6) months prior
to the exercise of the option (or for such period of time, if any, required by applicable accounting principles).

c. Stock  Transfer  Records.  As  soon  as  practicable  after  the  effective  exercise  of  all  or  any  part  of  the  Option,  Participant  shall  be
recorded on the stock transfer books of the Company as the owner of the shares purchased, and the Company shall deliver to Participant one or more duly
issued stock certificates evidencing such ownership, or, if requested by Participant and permitted by the Company’s governing documents, its designated
agent, and applicable law, shall cause the purchased shares to be issued in book-entry form. All requisite original issue or transfer documentary stamp taxes
shall be paid by the Company.

3

 
 
 
 
 
 
 
4. General Provisions.

a. Employment or Other Relationship; Rights as Stockholder. This Agreement shall not confer on Participant any right with respect
to the continuance of employment or any other relationship with the Company or any of its Subsidiaries, nor will it interfere in any way with the right of
the Company to terminate such employment or relationship. Nothing in this Agreement shall be construed as creating an employment or service contract
for any specified term between Participant and the Company or any Affiliate. Participant shall have no rights as a stockholder with respect to shares subject
to this Option until such shares have been issued to Participant (or, if permitted, a book entry made) upon exercise of this Option. No adjustment shall be
made for dividends (ordinary or extraordinary, whether in cash, securities or other property), distributions or other rights for which the record date is prior
to the date such shares are issued, except as provided in Section 15 of the Plan.

b. 280G Limitations. Notwithstanding anything in the Plan, this Agreement or in any other agreement, plan, contract or understanding
entered into from time to time between Participant and the Company or any of its Subsidiaries to the contrary (except an agreement that expressly modifies
or excludes the application of this Paragraph 4(b)), the exercisability of this Option shall not be accelerated in connection with a Change of Control to the
extent that such acceleration, taking into account all other rights, payments and benefits to which Participant is entitled under any other plan or agreement,
would constitute a “parachute payment” or an “excess parachute payment” for purposes of Code Sections 280G and 4999, or any successor provisions, and
the regulations issued thereunder; provided, however, that the Administrator, in its sole discretion and in accordance with applicable law, may modify or
exclude the application of this Paragraph 4(b).

c. Securities Law Compliance. The exercise of all or any parts of this Option shall only be effective at such time the Company and its
counsel shall have determined that the issuance and delivery of Common Stock pursuant to such exercise will not violate any state or federal securities or
other laws. If the issuance of such shares upon exercise is not registered under a then-currently effective registration statement under the Securities Act of
1933,  as  amended,  Participant  may  be  required  by  the  Company,  as  a  condition  of  the  effectiveness  of  any  exercise  of  this  Option,  to  give  any  written
assurances that are necessary or desirable in the opinion of the Company and its counsel to ensure the issuance complies with applicable securities laws,
including that all Common Stock to be acquired pursuant to such exercise shall be held, until such time that such Common Stock is registered and freely
tradable  under  applicable  state  and  federal  securities  laws,  for  Participant’s  own  account  without  a  view  to  any  further  distribution  thereof;  that  the
certificates  (or,  if  permitted,  book  entries)  for  such  shares  shall  bear  an  appropriate  legend  or  notation  to  that  effect;  and  that  such  shares  will  be  not
transferred or disposed of except in compliance with applicable state and federal securities laws.

d. Extension of Expiration Date. In the event that the exercise of this Option would be prohibited solely because the issuance of shares
of Common Stock pursuant to the Option would violate applicable securities laws, the Administrator may, in its sole discretion and in accordance with
Code  Section  409A  and  the  regulations,  notices  and  other  guidance  of  general  applicability  thereunder,  permit  the  expiration  of  the  Option  to  be  tolled
during such time as its exercise is so prohibited; provided, however, that the expiration date may not thereby be extended more than 30 days after the date
the exercise first would no longer violate applicable securities laws.

4

 
 
 
 
 
 
 
e.  Mergers,  Recapitalizations,  Stock  Splits,  Etc.  Except  as  otherwise  specifically  provided  in  any  employment,  change  of  control,
severance or similar agreement executed by Participant and the Company, pursuant and subject to Section 15 of the Plan, certain changes in the number or
character  of  the  Common  Stock  of  the  Company  (through  sale,  merger,  consolidation,  exchange,  reorganization,  divestiture  (including  a  spin-off),
liquidation, recapitalization, stock split, stock dividend or otherwise) shall result in an adjustment, reduction or enlargement, as appropriate, in Participant’s
rights with respect to any unexercised portion of the Option (i.e., Participant shall have such “anti-dilution” rights under the Option with respect to such
events, but, subject to the Administrator’s discretion, shall not have “preemptive” rights).

f. Shares Reserved. The Company shall at all times during the term of this Agreement reserve and keep available such number of shares

as will be sufficient to satisfy the requirements of this Agreement.

g.  Withholding  Taxes.  To  permit  the  Company  to  comply  with  all  applicable  federal  and  state  income  tax  laws  or  regulations,  the
Company  may  take  such  action  as  it  deems  appropriate  to  ensure  that,  if  necessary,  all  applicable  federal  and  state  payroll,  income,  or  other  taxes  are
withheld from any amounts payable by the Company to Participant. If the Company is unable to withhold such federal and state taxes, for whatever reason,
Participant hereby agrees to pay to the Company an amount equal to the amount the Company would otherwise be required to withhold under federal or
state law. Subject to such rules as the Administrator may adopt, the Administrator may, in its sole discretion, permit Participant to satisfy such withholding
tax obligations, in whole or in part by: (i) delivering shares of Common Stock, or (ii) electing to have the Company withhold shares of Common Stock
otherwise  issuable  to  Participant  as  a  result  of  the  exercise  of  the  Option.  In  either  case,  such  shares  shall  have  a  Fair  Market  Value,  as  of  the  date  the
amount of tax to be withheld is determined under applicable tax law, equal to the statutory minimum amount required to be withheld for tax purposes.
Participant’s request to deliver shares or to have shares withheld for purposes of such withholding tax obligations shall be made on or before the date that
triggers such obligations, or, if later, the date that the amount of tax to be withheld is determined under applicable tax law, and shall be irrevocable on such
date if approved by the Administrator. Participant’s request shall comply with such rules as the Administrator may adopt to assure compliance with Rule
16b-3, if applicable.

h.  Nontransferability.  Unless  otherwise  permitted  by  the  Administrator  in  its  sole  discretion,  during  the  lifetime  of  Participant,  the
Option  shall  be  exercisable  only  by  Participant  or  by  Participant’s  guardian  or  other  legal  representative,  and  shall  not  be  assignable  or  transferable  by
Participant, in whole or in part, other than by will or by the laws of descent and distribution.

5

 
 
 
 
 
 
i. 2015 Equity Incentive Plan.  The  Company  and  Participant  acknowledge  and  agree  that  the  Option  is  granted  outside  of  the  Plan.
Notwithstanding the foregoing, the Option evidenced by this Agreement is subject to and in all respects limited and conditioned as provided in the Plan, a
copy of which Plan has been made available to Participant and is hereby incorporated into this Agreement. All capitalized terms in this Agreement not
defined herein shall have the meanings ascribed to them in the Plan. The Plan governs this Option and, in the event of any questions as to the construction
of this Agreement or in the event of a conflict between the Plan and this Agreement, the Plan shall govern, except as the Plan otherwise provides.

j. Lockup Period Limitation. Participant agrees that in the event the Company advises Participant that it plans an underwritten public
offering of its Common Stock in compliance with the Securities Act of 1933, as amended, Participant will execute any lock-up agreement the Company
and the underwriter(s) deem necessary or appropriate, in their sole discretion, in connection with such public offering.

k.  Blue  Sky  Limitation.  Notwithstanding  anything  in  this  Agreement  to  the  contrary,  in  the  event  the  Company  makes  any  public
offering of its securities and it is determined that it is necessary to reduce the number of issued but unexercised stock purchase rights so as to comply with
any state securities or Blue Sky law limitations with respect thereto, and such determination is affirmed by the Board of Directors, unless the Board of
Directors determines otherwise, (i) the exercisability of this Option and the date on which this Option must be exercised shall be accelerated, provided that
the Company agrees to give Participant 15 days’ prior written notice of such acceleration, and (ii) any portion of this Option or any other option granted to
Participant pursuant to the Plan which is not exercised prior to or contemporaneously with such public offering shall be canceled. Notice shall be deemed
given  when  delivered  personally  or  when  deposited  in  the  United  States  mail,  first  class  postage  prepaid  and  addressed  to  Participant  at  the  address  of
Participant on file with the Company.

l. Affiliates.  Participant  agrees  that,  if  Participant  is  an  “affiliate”  of  the  Company  or  any  Affiliate  (as  defined  in  applicable  legal  and
accounting principles) at the time of a Change of Control (as defined in Section 1(f) of the Plan), Participant will comply with all requirements of Rule 145
of the Securities Act of 1933, as amended, and the requirements of such other applicable legal or accounting principles, and will execute any documents
necessary to ensure such compliance.

m. Stock Legend. The Administrator may require that the certificates (or, if permitted, book entries) for any shares of Common Stock
purchased  by  Participant  (or,  in  the  case  of  death,  Participant’s  successors)  shall  bear  an  appropriate  legend  or  notation  to  reflect  the  restrictions  of
Paragraph 4(c) and Paragraphs 4(j) through 4(l) of this Agreement; provided, however, that failure to so endorse any of such certificates shall not render
invalid or inapplicable Paragraph 4(c) or Paragraphs 4(j) through 4(l).

n.  Scope  of  Agreement.  This  Agreement  shall  bind  and  inure  to  the  benefit  of  the  Company  and  its  successors  and  assigns  and
Participant and any successor or successors of Participant permitted by Paragraph 2 or Paragraph 4(h) above. This Award is expressly subject to all terms
and conditions contained in the Plan and in this Agreement, and Participant’s failure to execute this Agreement shall not relieve Participant from complying
with such terms and conditions.

6

 
 
 
 
 
 
 
 
o. Choice of Law. The law of the state of Delaware shall govern all questions concerning the construction, validity, and interpretation of

this Plan, without regard to that state’s conflict of laws rules.

p. Severability. In the event that any provision of this Plan shall be held illegal or invalid for any reason, such illegality or invalidity shall

not affect the remaining provisions of this Plan, and the Plan shall be construed and enforced as if the illegal or invalid provision had not been included.

q. Arbitration. Any dispute arising out of or relating to this Agreement or the alleged breach of it, or the making of this Agreement,
including claims of fraud in the inducement, shall be discussed between the disputing parties in a good faith effort to arrive at a mutual settlement of any
such  controversy.  If,  notwithstanding,  such  dispute  cannot  be  resolved,  such  dispute  shall  be  settled  by  binding  arbitration.  Judgment  upon  the  award
rendered by the arbitrator may be entered in any court having jurisdiction thereof. The arbitrator shall be a retired state or federal judge or an attorney who
has practiced securities or business litigation for at least 10 years. If the parties cannot agree on an arbitrator within 20 days, any party may request that the
chief judge of the District Court of Essex County, select an arbitrator. Arbitration will be conducted pursuant to the provisions of this Agreement, and the
commercial arbitration rules of the American Arbitration Association, unless such rules are inconsistent with the provisions of this Agreement. Limited
civil discovery shall be permitted for the production of documents and taking of depositions. Unresolved discovery disputes may be brought to the attention
of the arbitrator who may dispose of such dispute. The arbitrator shall have the authority to award any remedy or relief that a court of this state could order
or  grant;  provided,  however,  that  punitive  or  exemplary  damages  shall  not  be  awarded.  The  arbitrator  may  award  to  the  prevailing  party,  if  any,  as
determined  by  the  arbitrator,  all  of  its  costs  and  fees,  including  the  arbitrator’s  fees,  administrative  fees,  travel  expenses,  out-of-pocket  expenses  and
reasonable attorneys’ fees. Unless otherwise agreed by the parties, the place of any arbitration proceedings shall be Essex County, New Jersey.

***Signature Page Follows***

7

 
 
 
 
 
 
ACCORDINGLY, the parties hereto have caused this Agreement to be executed on the day and year first above written.

NEPHROS, INC.

/s/ Robert Banks

By:
Name: Robert Banks
Its:

Chief Executive Officer

/s/ Judy Krandel
Judy Krandel

[Inducement Stock Option Agreement Signature Page]

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Pursuant  to  Item  601  of  Regulation  S-K,  certain  information  in  this  Exhibit  10.34  has  been  redacted.  Information  that  was  redacted  has  been
noted  in  this  document  with  a  placeholder  identified  by  the  mark  “[*****].”  The  registrant  believes  the  redacted  information  is  both  (i)  not
material  and  (ii)  the  type  that  the  Registrant  treats  as  private  or  confidential.  If  requested  by  the  Commission  or  its  staff,  the  Registrant  will
promptly provide on a supplemental basis an unredacted copy of this exhibit and its materiality and privacy or confidentiality analyses.

LICENSE AND SUPPLY AGREEMENT

This LICENSE and SUPPLY AGREEMENT (this “Agreement”) is entered into as of December 11, 2023 (the “Effective Date”) by and between
Nephros,  Inc.,  a  Delaware  corporation  with  its  principal  office  at  380  Lackawanna  Place,  South  Orange,  New  Jersey  07079,  U.S.A.  (“Nephros”),  and
Medica S.p.A., with registered office in Medolla (MO), Via Degli Artigiani, 7 – 41036, Italy (“Medica”), and sometimes herein referred to individually as a
“Party” and collectively, as the “Parties”.

Exhibit 10.34

RECITALS

1. Medica develops, manufactures, markets, and sells ultrafiltration products based in part upon a proprietary ultrafiltration technology.

2. Nephros currently markets and sells filtration products based upon its own proprietary filtration technology and products based in part upon

Medica’s proprietary filtration technology.

3.  The  Parties  are  currently  parties  to  that  certain  License  and  Supply  Agreement,  dated  April  23,  2012,  as  amended  from  time  to  time
(collectively,  the  “Prior Agreement”)  pursuant  to  which  Medica  exclusively  supplies  Nephros,  and  Nephros  exclusively  markets  and  sells,  the  Medica
Products (defined below) within the Territory (defined below) in conjunction with the Nephros Products (defined below).

5. Nephros and Medica desire to terminate the Prior Agreement and to enter into this new License and Supply Agreement setting forth the Parties’
understanding with respect to the supply of Medica Products and Nephros Products and related marketing rights within the Territory, and the ownership and
licensing of Intellectual Property, among other things.

NOW, THEREFORE, in consideration of the foregoing and of the mutual representations, warranties and covenants contained herein, the Parties

agree as follows:

1. Definitions

1.1 “Affiliate” of a Party hereto means any entity which controls, is controlled by or is under common control with, such Party, For purposes of
this definition, a Party shall be deemed to control another entity if it owns or controls, directly or indirectly, at least fifty percent (50%) of the voting equity
of another entity (or other comparable ownership interest for an entity other than a corporation) or if it has management control of the other entity. Any
reference in this Agreement to a Party shall include the Affiliates of that Party (unless the context requires otherwise).

 
 
 
 
 
 
 
 
 
 
 
 
 
 
1.2 “Agents” shall mean any officer, director, employee, agent, subcontractor, or other authorized representative of a Party or Person.

1.3 “Applicable Law” shall mean: (a) all laws, statutes, constitutions, treaties, rules, regulations, ordinances, codes, guidance, and common law,
and (b) all judicial, executive, legislative, administrative or military orders, directives, decrees, injunctions, judgments, Permits, agreements, and other legal
requirements, in each case, of, with, or adopted or imposed by any Governmental Authority, now or hereafter in effect and, in each case, as amended from
time to time, including, without limitation, any of the foregoing that relate to or govern (i) the manufacture, quality, marketing, sale, promotion, storage
handling, distribution or disposal of the Product and (ii) health, safety, industrial hygiene, or sanitation.

1.4 “cGMP’” means the current applicable regulatory requirements for current good manufacturing practices promulgated by the FDA applicable

to the Products as well as those required by other Regulatory Authorities in the Territory, as the same may be amended from time to time.

1.5 “Change of Control”  shall  mean,  with  respect  to  a  Party,  any  event  in  which:  (a)  any  Person  or  group  (as  such  term  is  defined  in  the  U.S.
Securities Exchange Act of 1934, as amended) acquires beneficial ownership of securities of such Party representing more than fifty percent (50%) of the
voting  power  of  the  then  outstanding  securities  of  such  Party  with  respect  to  the  election  of  directors  of  such  Party;  (b)  a  Party  enters  into  a  merger,
consolidation,  or  similar  transaction  with  any  Person  in  which  such  Party  is  not  the  surviving  entity  in  such  transaction;  or  (c)  a  Party  enters  into  a
transaction to sell to any Person, in one or more related transactions, assets (i) representing all or substantially all of such Party’s assets, (ii) representing all
or substantially all of such Party’s assets, or (iii) solely with respect to Medica, all or substantially all of its assets relating to the Products, including without
limitation, the Medica IP; provided, however, that with respect to Nephros, no transaction with Wexford Capital LC or any Affiliate thereof shall constitute
a Change of Control.

1.6  “Claim”  shall  mean  any  claim,  suit,  action,  cause  of  action,  proceeding,  investigation,  dispute,  demand,  order,  directive,  obligation,  loss,
injury, liability, damage, deficiency, assessment, fine, penalty, forfeiture, judgment, lien, diminution of value, notice of violation or non-compliance, cost,
and expense, including, without limitation, attorneys’ fees and expenses incurred to enforce this Agreement, cost of defense, and cost of settlement.

1.7 “Commercialization”  means  any  and  all  activities  directed  to  marketing,  promoting,  distributing,  offering  for  sale  and  selling  the  Products.

When used as a verb “Commercialize” means to engage in Commercialization.

1.8 “Confidential Information” shall have the meaning ascribed to such term in Section 8.1.

1.9 “Direct Claim” shall have the meaning ascribed to such term in Section 9.5.

1.10 “Disclosing Party” shall have the meaning ascribed to such term in Section 8.1.

1.11 “FDA” shall mean the U.S. Food and Drug Administration.

2

 
 
 
 
 
 
 
 
 
 
 
 
1.12 “Governmental Authority” shall mean any national, state, commonwealth, provincial, local or foreign governmental authority, entity, body,
branch,  agency,  department,  bureau,  board,  commission,  officer,  official,  court,  adjudicator,  tribunal,  or  other  entity,  including  any  Agent,  division  or
subdivision  thereof  in  the  Territory  exercising  executive,  legislative,  judicial,  regulatory  or  administrative  authority  over  the  manufacture,  quality,
marketing, sale, promotion, storage, handling, testing, labeling, packaging, distribution, supply or disposal of medical device products, including, without
limitation, any and all state, commonwealth, provincial, local and foreign equivalents.

1.13 “Indemnitee” shall have the meaning ascribed to such term in Section 9.3.1.

1.14 “Indemnitor” shall have the meaning ascribed to such term in Section 9.3.1.

1.15 “Installment Payments” shall have the meaning ascribed to such term in Section 4.1.

1.16  “Intellectual  Property”  means  all  worldwide  patents,  copyrights,  trademarks,  service  marks,  logos,  package  designs,  trade  names,  trade
secrets,  rights  in  data  and  all  other  intellectual  property  rights  (in  each  case  whether  registered  or  unregistered),  and  including  all  applications  and
registrations with respect thereto.

1.17 “Invalidity Claim” shall have the meaning ascribed to such term in Section 7.3.1.

1.18 “Joint Invention” means, whether or not protected or protectable, and whether or not Confidential Information, all enhancements, technical
modifications,  inventions,  improvements,  technology,  data,  works,  designs,  discoveries,  tool  drawings,  manufacturing  processes  and  revisions  to  the
Products that are conceived, reduced to practice, created, written, designed, developed, authored, or made by a Party, its Affiliates or Agents, or any Person
on behalf of a Party alone or in combination with others, directly relating to the Products, or derived from a Party’s practice of the Joint Patents.

1.19 “Joint Patents” means: (a) the Patents Rights recited in Schedule 1; (b) the Patent Rights covered by the Joint Inventions; and (c) any and all
divisions,  continuations,  continuations-  in-part,  patents  of  addition,  reissues,  renewals,  extensions,  registrations,  confirmations,  re-  examinations,
supplementary protection certificates or the like of any such Patent Rights and any patents issuing thereon, and foreign equivalents of any of the foregoing
in the Territory to the extent such Patent Rights relate to (a) or (b) of this Section 1.19.

1.20 “Minimum Purchase Requirement” shall have the meaning ascribed to such term in Section 3.2.

1.21 “Medica IP’’ means Intellectual Property owned or controlled by Medica and which is used in or to develop or manufacture the Products,

including without limitation, Medica’s right, title and interest in and to the Joint Patents and the Joint Inventions.

1.22 “Medica Products” shall mean any Medica water filtration products based in whole or in part upon Medica’s proprietary Medisulfone® fiber
technology  and/or  other  polysulfone  based  hollow  fiber,  and  Versatile-PES®  fiber  technology  or  other  polyethersulfone  based  hollow  fiber,  or  upon
technology in existence as of the Effective Date or developed at any time during the Term, including without limitation, those covered under Schedule 2
(the “Product Schedule”), but subject to the exclusions set forth in the Product Schedule.

3

 
 
 
 
 
 
 
 
 
 
 
 
 
1.23 “Nephros IP” means Intellectual Property owned or controlled by Nephros and which is used in or to develop or manufacture the Products,

including without limitation, Nephros’ right, title and interest in and to the Joint Patents and the Joint Inventions.

1.24 “Nephros Products” shall mean any Nephros filtration products based in whole or in part upon Nephros’ proprietary filtration technology in

existence as of the Effective Date or developed at any time during the Term, including, without limitation, those covered under the Product Schedule.

1.25  “Net  Sales”  means,  for  any  period  of  determination,  the  aggregate  amount  invoiced  by  Nephros  for  any  Affiliate,  permitted  successor,
permitted assignee, or agent of Nephros) to a third puny distributor, agent, contractor or end user for the sale of a Products during such period less the
following amounts that are actually incurred, allowed and taken or specifically allocated and not already reflected in the amount invoiced: (a) reasonable
credits, refunds and allowances for spoiled, damaged, outdated and returned Products, (b) trade volume and cash discounts and rebates (including coupons
and government charge-backs) in amounts that are usual and customary to the trade, and (c) sales, use, and other like taxes, excluding income tax. The
amounts of any deductions accrued pursuant to clauses (a) — (c) shall be determined from books and records maintained in accordance with U.S. GAAP,
consistently applied, and shall only be deducted once and only to the extent not otherwise deducted from the aggregate amount invoiced, “Net Sales” shall
not include revenue received by Nephros (or any of its Affiliates) from transactions with an Affiliate, where the Product in question will be resold to an
independent third party distributor, agent or end user by the Affiliate where such revenue received by the Affiliate from such resale is included in Net Sales.

1.26 “Patent Rights”  means  all  existing  patents  and  patent  applications  and  all  patent  applications  hereafter  filed,  including  any  continuations,
continuations-in-part, divisions, or any substitute applications, any patent issued with respect to any such patent applications, any reissue, reexamination,
renewal or extension (including any supplementary protection certificate) of any such patent, and any confirmation patent or registration patent or patent of
addition based on any such patent, and all foreign counterparts of any of the foregoing, or as applicable portions thereof or individual claims therein.

1.27  “Permit”  shall  main  any  application  permit,  authorization,  license,  approval,  registration,  franchise,  certificate,  permission,  exemption,
consent,  variance,  or  equivalent  decision  or  document  of,  from,  or  required  or  issued  by  any  Governmental  Authority  or  under  any  Applicable  Law,  as
amended or supplemented from time to time.

1.28 “Person” shall mean and include, without limitation: (a) any corporation, partnership, Limited liability company, joint venture, joint stock
company, association, trust, business trust, estate, unincorporated organization, or other business entity recognized under Applicable Law, other than the
Nephros or Medica; (b) any Governmental Authority; or (c) any individual.

1.29 “Pricing Schedule” means the prices for the Products as set forth in Schedule 3 attached hereto.

1.30 “Prior Agreement” shall have the meaning ascribed to such term in the Recitals.

1.31 “Products” shall mean collectively, the Medica Products and the Nephros Products.

4

 
 
 
 
 
 
 
 
 
 
 
1.32 “Raw Materials” shall have the meaning ascribed to such term in Section 5.2.

1.33 “Receiving Party” shall have the meaning ascribed to such term in Section 8.1.

1.34 “Regulatory Authority” means any national, regional, state, provincial or local regulatory agency, department, bureau, commission, council
or  other  governmental  authority  in  the  Territory  involved  in  the  granting  of  approvals  (including  pricing  and  reimbursement  approvals),  licenses,
registrations or authorizations for the marketing, sale, manufacturing, testing, labeling, packaging, shipping or supply of medical devices.

1.35 “Specifications”  means  the  written  specifications  for  a  Product  mutually  agreed  upon  by  the  Parties  including  us  are  mutually  agreed  in
writing by the Parties from time to time after the Effective Date and during the Term, which shall become a part of and incorporated by reference in this
Agreement.

1.36 “Supply” means the manufacture, processing, testing, storing, labeling and packaging for and sale and delivery of the Products by Medial for

Nephros and its Affiliates and Nephros’ designated sublicensees and distributors.

1.37 “Supply Interruption” shall have the meaning ascribed to such term in Section 5.5.

1.38 “Term” shall have the meaning ascribed to such term in Section 10.1.

1.39 “Territory” means North America, Central America, Brazil, Columbia, Venezuela, Chile, Ecuador, Peru, United Kingdom (only for Quanta
Dialysis  Systems),  Australia  and  New  Zealand.  By  the  end  of  2025  the  Parties  will  meet  in  good  faith  in  order  to  evaluate  if  there  are  no  commercial
activities in one or some countries of the Territory. The Territory could be reduced on mutual agreement.

1.40 “Third Party” means any Person other than Nephros and Medica and their respective Affiliates.

1.41 “Third Party Claim” shall have the meaning ascribed to such term in Section 9.3.1.

2. Licenses and Grants.

2.1 Commercialization License. Subject to the terms and conditions of this Agreement, Medica hereby grants to Nephros, and Nephros accepts, an
exclusive,, with right of sublicense, under Medica’s IP to Commercialize the Products in the Territory. Medica covenants and agrees with Nephros that
during the Term Medica will not grant any license or similar right with respect to the Products to Commercialize, or to make or have made the Products for
sale in the Territory.

2.2 Manufacturing License.  Subject  to  the  terms  and  conditions  of  this  Agreement,  Nephros  hereby  grants  to  Medica,  and  Medica  accepts  an
exclusive, worldwide license under the Nephros IP to make and have made the Products during the Term under the terms and conditions set forth in this
Agreement. Nephros covenants and agrees with Medica that during the Term Nephros will not grant any license or similar right to make or have made the
Products for sale in the Territory.

5

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
2.3 Joint Inventions. Each Party hereby grants to the other Party an exclusive (as to Third Parties), royalty-free, license under the Joint Inventions

solely in furtherance of the license grants set forth in Section 2.1 and Section 2.2.

2.4 Trademarks.  Subject  to  the  terms  and  conditions  of  this  Agreement,  Medica  hereby  grants  to  Nephros,  and  Nephros  accepts,  an  exclusive,
license  to  use  Medica’s  Versatile-PES®”  and  “Medisulfone®”  marks  and  variations  of  same  in  the  Territory  solely  in  conjunction  with  the  sale  and
distribution of the Products.

2.5 Reservation of Rights. Each Party retains all rights in and to its Intellectual Property not specifically granted to the other Party in Section 2.1

through Section 2.4.

3. Other Risks and Obligations of the Parties.

3.1 Diligent Efforts. Nephros shall: (a) exercise diligent efforts to promote, market and establish and/or increase the sales of the Medica Products
in the Territory to customers in both the private and institutional sectors; (b) schedule periodic discussions, or as Medica may request, between Medica’s
representatives  and  Nephros’  personnel  in  order  to  facilitate  the  dissemination  of  information  about  the  Medica  Products  and  any  promotional  and
marketing programs related to the Medica Products; (c) inform each of its customers in a timely manner of such programs; and (d) prominently display and
actively  promote  the  Medica  Products  at  any  tradeshows  and  other  trade  meetings  which  Nephros  attends  when  consistent  with  the  application  of  the
Medica Products. Nephros shall further, employ and maintain at all times, at its cost and expense, professional service representatives in sufficient number
for the full promotion, marketing and sale of the Medica Products in the Territory. Any and all such professional service representatives shall be deemed
Agents of Nephros and not those of Medica, and Nephros shall train such professional service representatives and direct their activities.

3.2 Minimum  Purchase  Requirement.  During  each  calendar  year  during  the  Term,  Nephros  shall  make  minimum  annual  aggregate  purchases

(“Minimum Purchase Requirement”) from Medica as follows:

Year
2023
2024
2025
2026
2027
2028

  €
  €
  €
  €
  €
  €

Minimum
Purchase
Requirement

6

3,825,000 
4,208,000 
4,629,000 
4,976,000 
5,349,000 
5,750,000 

 
 
 
 
 
 
 
 
 
 
 
The Minimum Purchase Requirement will be measured by purchase orders submitted by Nephros in each calendar year. For 2023, purchase orders
submitted in 2023 under the Prior Agreement will be counted toward the Minimum Purchase Requirement. In the event that Medica is unable to deliver
Products that are included Nephros’ forecast, as described in Section 5.4.1., and that have binding purchase orders, the Minimum Purchase Requirement set
forth for a given year above will be divided by twelve (12) and for every month when there are Products delivered by Medica more than ten (10) weeks
later than the forecasted Products requirement, the Minimum Purchase Requirement in that month will be reduced by 8%.

3.3 Information Sharing. Each Party shall provide the other Party with marketing materials, clinical trial data, other information relating to clinical
use of the Products, quality control, approvals, recalls, adverse events and any other information developed or received by the other Party concerning the
Products  promptly  upon  such  information  being  developed  or  becoming  available  to  the  other  Party  and  in  any  event  upon  the  request  of  Nephros  or
Medica, as applicable.

3.4 Right to Audit. Each Party shall ensure that the other Party’s authorized representatives and, to the extent permitted by Applicable Law, each
Governmental  Authority,  having  jurisdiction,  may  examine  and  inspect,  during  regular  business  hours,  its  facilities  or,  subject  to  any  reasonable
confidentiality restrictions or obligations relating thereto, such Party’s facilities and the facilities of any subcontractor used by it in the performance of this
Agreement. This right to inspect may be exercised upon reasonable written notice but no earlier than five (5) business days, at any time during the Term of
this Agreement, or such longer period as shall be required by Applicable Law.

4. Payments and Reports.

4.1 Manner of Payment.  All  sums  (“Installment  Payments”)  due  under  this  Agreement  shall  be  payable  in  Euros  by  bank  wire  in  immediately
available funds to such bank account(s) as Medica shall designate. All amounts overdue to Medica hereunder by more than 15 days shall bear interest per
month  at  the  EURIBOR  360  Day  rate  +  500  basis  points  (calculated  as  a  monthly  equivalent  rate)  as  published  in  the  Financial  Times  as  of  the  first
business day of the month in which the overdue payment is due.

4.2 Terms and Withholding. Except as set forth in this Section 4.2,  all  payments  under  this  Agreement  will  be  made  without  any  deduction  or
withholding for or on account of any tax, duties, levies, or other charges unless such deduction or withholding is required by Applicable Law or regulations
to be assessed against Medica. If Nephros is so required to deduct or withhold, Nephros will: (a) notify Medica of such requirement in writing; (b) pay to
the relevant authorities the full amount required to be deducted or withheld promptly upon the earlier of determining that such deduction or withholding is
required or receiving notice that such amount has been assessed against Medica; and (c) forward to Medial an official receipt (or certified copy) or other
documentation reasonably acceptable to Medica evidencing such payment to such authorities.

4.3 Financial Record Keeping; Audits.  Nephros  shall  keep  books  and  accounts  of  record  in  connection  with  sales  of  the  Products  in  sufficient
detail to permit accurate determination of all figures necessary for verification of royalties to be paid hereunder, Nephros shall maintain such records for a
period of at least five (5) years atter the end of the calendar quarter in which they were generated; provided, however, that if any records are in dispute and
Nephros has received written notice from Medica of the records which are in dispute, Nephros shall keep such records until the later of one (1) year or until
such dispute is resolved.

7

 
 
 
 
 
 
 
 
 
5. Manufacturing and Supply.

5.1 Supply.  Subject  to  the  terms  and  conditions  hereof  and  in  the  Schedules,  during  the  Term,  Medica  shall  exclusively  Supply  Nephros  and
Nephros Affiliates and their respective sublicensees and distributors with, and Nephros shall exclusively purchase from Medica, all of Nephros’ and its
Affiliates’  or  their  respective  sublicensees  and  distributors’  requirements  for  the  Products  in  the  Territory  during  the  Term,  pursuant  to  purchase  orders
delivered by Nephros or its Affiliates or Nephros’ Third Party distributor to Medica in accordance with Section 5.4.

5.2 Raw Materials. Medica shall have responsibility for the procurement, manufacture, quality control, processing, testing, storage, treatment and
handling of all packaging, raw materials, work-in-process and other materials used for Supply (collectively, “Raw Materials”). Medica shall Supply the
Products in accordance with the terms and conditions of this Agreement and the applicable Product Schedule, Specifications, and cGMP. Medica shall be
solely responsible for disposing of all Raw Materials and wastes arising from its performance hereunder and for performance of its obligations hereunder in
accordance with Applicable Law in effect at the time and place of manufacture of the Products.

5.3 Quality Control.  All  quality  control  processes  and  procedures  relating  to  the  Products  shall  be  the  sole  cost  and  responsibility  of  Medica.
Medica shall conduct quality control testing of Products prior to shipment in accordance with the applicable Specifications and Applicable Law. Medica
shall prepare and retain records pertaining to such testing as required by Applicable Law and Medical’s standard operating procedures. With every finished
lot Medica will provide Nephros with a certificate of conformity and applicable device history records (i.e Product Record, Bioburden, Sterilization, etc.)
showing that the Products have been manufactured to Specifications and pass all quality control testing.

5.4 Forecasts, Order and Delivery of Products.

5.4.1 Nephros shall deliver to Medica monthly rolling forecasts of the quantities of the Products required by Nephros (and/or its Affiliates
or their respective sublicensees and distributors) for the following four months. The quantities of Product set forth in the first 12 weeks contained
in any such forecast and issued via a purchase order shall be firm and binding on Nephros during the Term. The forecast quantities of Products set
forth in the remaining months of the forecast period shall be non-binding good faith estimates of Nephros’ Product requirements for such months
and shall be used by Medica for production planning. Medica shall, no later than ten (10) days after receipt of each such forecast notify Nephros in
writing of any objections or prospective problems in meeting Nephros’ forecasted requirements.

5.4.2 Nephros shall furnish to Medica binding purchase orders for the quantities of Products which Nephros shall purchase and Medica
shall  deliver.  Such  purchase  orders  shall  be  delivered  by  Nephros  at  least  twelve  (12)  weeks  in  advance  of  the  delivery  date  specified  therein.
Medica shall not maintain a quantity of safety stock of the Products. Each such purchase order shall designate the quantity of Product ordered and
the  date  by  which  Medica  must  deliver  the  Product  to  Nephros  or  to  any  Nephros  Affiliate  or  any  Third  Party  designated  by  Nephros.  No
provision  of  any  purchase  order  submitted  by  Nephros  or  its  Affiliate  or  any  Third  Party  designated  by  Nephros,  or  of  any  confirmation  or
acknowledgement submitted by Medica, shall be controlling to the extent it sets forth any terms or conditions that are additional to, or in conflict
or inconsistent with, the terms or conditions of this Agreement or the Supply Schedule.

8

 
 
 
 
 
 
 
 
 
5.4.3  Medica  shall  deliver  the  quantities  of  Product  set  forth  in  each  purchase  order  Ex  Works  Incoterms  2020,  published  by  the
International Chamber of Commerce at Medica’s facility to Nephros’ designated carrier as specified by Nephros in the applicable purchase order.
Nephros reserves the right to designate the carrier for shipment from Medica’s facility, provided that Medica has approved such carrier for the
facility, such approval not to be unreasonably withheld, conditioned, or delayed. Risk of loss and damage and title to Product shall pass to Nephros
when the Product is delivered to Nephros’ designated carrier.

5.5 Supply Interruption. A “Supply Interruption” will be deemed to have occurred and continuing if Nephros has ordered Product from Medica,
and  Nephros  documents  that  during  a  period  of  at  least  two  (2)  consecutive  months  Nephros  has  not  received  at  least  ninety  percent  (90%)  of  those
quantities of Product so ordered. In the event of a Supply Interruption (other than as a result of an act or omission by Nephros or any of its Affiliates or
sublicensees  or  distributors),  which  Medica  has  not  cured  within  thirty  (30)  days  after  receipt  of  written  notice  from  Nephros  detailing  the  Supply
Interruption,  including  a  listing  of  all  outstanding  purchase  orders,  not  in  limitation  of  any  other  rights  or  remedies  available  to  Nephros  under  this
Agreement or otherwise, Nephros shall be entitled to a reduction of 1% of the purchase price on the affected Products during the duration of the Supply
Interruption  and,  once  cured,  for  an  additional  period  equivalent  to  the  duration  of  the  Supply  Interruption.  Notwithstanding  the  foregoing,  no  Supply
Interruption will be deemed to have occurred if the applicable outstanding purchase orders referenced above exceed one hundred twenty percent (120%) of
the  applicable  quantities  of  Product  set  forth  in  the  forecast  delivered  by  Nephros  for  the  calendar  quarter  immediately  preceding  such  purchase  order.
Medica shall be deemed to have cured such Supply Interruption upon delivery to Nephros of quantities of Product covered under such outstanding orders
but  only  for  that  amount  which  does  not  exceed  one  hundred  twenty  percent  (120%)  of  the  applicable  quantities  of  Product  set  forth  in  the  forecast
delivered by Nephros for the calendar quarter immediately preceding such purchase order.

5.6  Invoice.  Medica  shall  invoice  Nephros  for  all  quantities  of  Product  delivered  in  accordance  herewith.  Each  invoice  shall  be  delivered
concurrently with each shipment of Product. In accordance with Section 4.5, payment shall be due within forty five (45) days after delivery of the invoice
to Nephros; provided, however, that if Nephros rejects such shipment pursuant to Section 5.8, then payment shall be due within forty five (45) days after
receipt by Nephros of replacement Product.

5.7 Price; Price Escalation. The price for Product delivered hereunder, including any applicable discounts relating to samples, shall be as set forth
in the Pricing Schedule. Prices shall be subject to increase no more than once per annum, based upon documented increases in direct labor and material
costs. Any price increase hereunder shall be implemented in the calendar year following the year in which the increase occurred and shall be subject to a
three percent (3%) annual increase limit.

9

 
 
 
 
 
 
5.8 Product Not in Compliance with Purchase Order. Within thirty (30) days after receipt of any Product, Nephros or its agent shall perform an
examination of the documentation, if any, provided with each shipment of Product, and shall determine whether such Product meets the requirements of the
applicable purchase order. In the event that Nephros determines, within such thirty (30) day period, that any Product supplied by Medica does not conform
to the applicable purchase order, Nephros shall give Medica written notice thereof and the reason(s) therefor within thirty (30) days after receipt thereof. If
Nephros does not submit written notice of rejection within such thirty day period, such Product shall be deemed accepted by Nephros. If a shipment is
rejected, Medica shall have the right, and if such right is exercised shall not be deemed in default hereunder to: (a) correct such shipment to conform to the
applicable purchase order; or (b) grant Nephros a credit on that portion of the shipment that is nonconforming.

5.9 Inspections by Regulatory Authorities.  Medica  shall  allow  representatives  of  any  Regulatory  Authority  to  inspect  the  relevant  parts  of  the
facility where the Supply of Product is carried out and to inspect the lot, batch and other manufacturing records to verify compliance with cGMP and ISO
13485 and other Applicable Law and practices and shall promptly notify Medica of the scheduling of any such inspection relating to Supply, Medica shall
promptly  send  to  Nephros  a  copy  of  any  reports,  citations,  or  warning  letters  received  by  Medica  in  connection  with  an  inspection  by  a  Regulatory
Authority to the extent such documents relate to or affect Supply.

6. Representations and Warranties.

6.1 Representations of Medica. Medica hereby represents and warrants to Nephros that the following statements are and shall be true and correct

in all material respects.

6.1.1 Organization and Good Standing. Medica: (a) is an entity duly organized, validly existing, and in good standing under the laws of
its  jurisdiction  of  formation;  (b)  has  the  entity  power  and  authority  to  conduct  the  business  in  which  it  presently  is  engaged,  to  enter  into  this
Agreement,  and  to  perform  its  obligations  hereunder;  (c)  is  qualified  to  do  business  in,  and  is  in  good  standing  in,  each  jurisdiction  where  the
nature of its business in such jurisdiction requires it to be so qualified; and (d) is in good standing with regard to manufacturing quality control
with aspect to the requirements of the FDA and ISO or other jurisdictions in the Territory which Nephros intends to sell the Products.

6.1.2  Authorization  and  Binding  Effect.  All  corporate  action  on  the  part  of  Medica  and  its  officers  and  directors  necessary  for  the
authorization, execution, and delivery of this Agreement and for the performance of all of Medica’s obligations hereunder has been taken, and this
Agreement,  when  executed  and  delivered,  shall  constitute  a  valid  and  legally  binding  obligation  of  Medica  enforceable  against  Medica  in
accordance  with  the  terms  of  this  Agreement,  except  as  enforceability  may  be  limited  by  bankruptcy,  insolvency,  and  other  laws  affecting
creditors’ rights generally or by general equitable principles.

6.1.3 Execution, Delivery and Performance. The execution, delivery, and performance by Medica of this Agreement do not: (a) violate or
breach the certificate of incorporation, articles of association, bylaws, or other constituent documents of Medica; (b) violate or conflict with any
Applicable  Law;  (c)  violate,  breach,  cause  a  default  under,  or  otherwise  give  rise  to  a  right  of  termination,  cancellation,  or  acceleration  with
respect to (presently, with the giving of notice or the passage of time), any agreement, contract, or instrument to which Medica is a party or by
which any of its assets are bound; or (d) result in creation or imposition of any lien, pledge, mortgage, claim, charge, or encumbrance upon any
assets of Medica.

10

 
 
 
 
 
 
 
 
 
6.1.4 Governmental and Other Consents. No consent, authorization, license, Permit, registration or approval of, or exemption or other
action by, any Person is required in connection with Medica’s execution and delivery of this Agreement or with the performance by Medica of its
obligations hereunder that has not been obtained.

6.1.5 Litigation. To Medica’s knowledge, no Third Party has filed, or threatened in writing to file any claim, lawsuit, charge, complaint or

other action alleging infringement of any Medica IP in the Territory.

6.1.6 Existence and Validity of Medica IP. Any registered Medica IP is valid and subsisting in the Territory.

6.1.7 Inconsistent Obligations. Medica has, as of the Effective Date, no obligation or commitment, and will not, during the Term, assume

or undertake any obligation or commitment, that is inconsistent with its obligations under, or the terms and conditions of, this Agreement.

6.1.8 Supply of Product. Medica shall ensure its ability to supply Product in accordance with the terms of this Agreement.

6.1.9 Specifications and Regulatory Compliance. When supplied, the Products shall be manufactured in accordance with the applicable
Specifications,  and  all  other  requirements  of  the  FDA  and  other  Applicable  Laws  and  in  accordance  with  cGMP  and  current  E.U.  Good
Manufacturing Practices.

6.1.10 Approval. Medica has, and during the Term Medica shall maintain, all necessary and appropriate approvals with the FDA and each
other applicable Governmental Authority to qualify Medica as a supplier of the Products, and Medica shall: (a) respond fully and accurately to all
inquiries directed to it by any Governmental Authority (and Medici shall promptly notify Nephros of same and provide copies of all such written
inquiries and Medica’s written responses and submissions relating thereto); (b) assist Nephros in responding to inquiries directed to any of them
by  any  Governmental  Authority  and  relating  to  the  Products;  and  (c)  provide  a  Governmental  Authority  with  such  information  and  data  as  is
requested by such Governmental Authority with respect to the manufacture of the Products (and Medial shall promptly provide copies thereof to
Nephros).

6.2 Representations of Nephros. Nephros hereby represents and warrants to Medica that the following statements are and shall be true and correct

in all material respects:

6.2.1 Organization and Good Standing.  Nephros:  (a)  is  a  corporation  duly  organized,  validly  existing,  and  in  good  standing  under  the
laws of Delaware; (b) has the corporate power and authority to conduct the business in which it presently is engaged, to enter into this Agreement,
and to perform its obligations hereunder; and (c) is qualified to do business in, and is in good standing in, each jurisdiction where the nature of its
business in such jurisdiction requires it to be so qualified.

11

 
 
 
 
 
 
 
 
 
 
 
6.2.2  Authorization  and  Binding  Effect.  All  corporate  action  on  the  part  of  Nephros  and  its  officers  and  directors  necessary  for  the
authorization, execution, and delivery of this Agreement and for the performance of all of Nephros’ obligations hereunder has been taken, and this
Agreement,  when  executed  and  delivered,  shall  constitute  a  valid  and  legally  binding  obligation  of  Nephros  enforceable  against  Nephros  in
accordance  with  the  terms  of  this  Agreement,  except  as  enforceability  may  be  limited  by  bankruptcy,  insolvency,  and  other  laws  affecting
creditors’ rights generally or by general equitable principles.

6.2.3 Execution, Delivery and Performance. The execution, delivery, and performance by Nephros of this Agreement do not: (a) violate
or breach the certificate of incorporation, articles of association, bylaws, or other constituent documents of Nephros; (b) to the best of Nephros’
knowledge, violate or conflict with any Applicable Law; (c) violate, breach, cause a default under, or otherwise give rise to a right of termination,
cancellation, or acceleration with respect to (presently, with the giving of notice or the passage of time), any agreement, contract, or instrument to
which  Nephros  is  a  party  or  by  which  any  of  its  assets  are  bound;  or  (d)  result  in  creation  or  imposition  of  any  lien,  pledge,  mortgage,  claim,
charge, or encumbrance upon any assets of Nephros.

6.2.4 Governmental and Other Consents. No consent, authorization, license, Permit, registration or approval of, or exemption or other
action by, any Person is required in connection with Nephros’ execution and delivery of this Agreement or with the performance by Nephros of its
obligations hereunder that has not been obtained.

6.2.5  Inconsistent  Obligations.  Nephros  has,  as  of  the  Effective  Date,  no  obligation  or  commitment,  and  will  not,  during  the  Term,
assume or undertake any obligation or commitment, that is inconsistent with its obligations under, or the terms and conditions of, this Agreement.

7. Patents and Infringement Matters.

7.1 Prosecution and Maintenance of Patents.

7.1.1 Nephros shall have the right to prepare, file, prosecute, maintain, and extend all Patent Rights covering the Joint Patents and related
applications. Nephros shall use commercially reasonable efforts to prepare, file, prosecute and maintain, and shall consult with Medica prior to
abandoning any Joint Patents or related applications that are material to and relevant to the matters contemplated in this Agreement. If Nephros
fails to undertake (or, after commencement of such filing, prosecution and/or maintenance, ceases) the prosecution or the maintenance of any such
Patent Rights, then Medica shall have the right, at its election but not obligation, and Medica shall be entitled, at its sole cost and expense, to file,
prosecute and/or maintain such Joint Patent in the Territory in the name of Nephros and shall be entitled to reimbursement for its expenses upon an
agreed upon recovery schedule.

12

 
 
 
 
 
 
 
 
 
7.1.2 Each of the Parties shall execute or have executed by its appropriate agents such documents as may be necessary to obtain, perfect
or maintain any Patent Rights covering the Joint Patents filed or to be filed pursuant to this Agreement, and shall cooperate with the other Party so
far as reasonably necessary with respect to furnishing all information and data in its possession reasonably necessary to obtain or maintain such
patent rights.

7.1.3 Nephros shall determine, in consultation with Medica, if a Joint Invention warrants patent protection, or whether it should be kept
as a trade secret or know-how. If Nephros decides that a patent application should be prepared, filed and prosecuted as a Joint Invention, then the
claims, strategy, timing and location of first filing said patent shall be mutually agreed upon by the Parties and costs shared equally or as otherwise
agreed by the Parties. If Nephros decides not to go forward with a patent application the Joint Invention will remain know-how available to both
Parties subject to Section 9 and neither Party shall publish on or license the know-how without the prior written agreement of the other Party.

7.2 Protection of the Joint Patents and Joint Inventions.

7.2.1 In case of an infringement of the Joint Patents or Intellectual Property rights covering the Joint Inventions in the Territory by a Third Party,
Nephros shall decide whether to act or not in order to protect the Joint Patents or Joint Inventions in its sole discretion, Nephros shall have the sole and
exclusive right to select counsel for any suit initiated pursuant to this Section 7.

7.2.2 In the event that Nephros determines not to act to protect the Joint Patents or ceases an enforcement action after commencement, Medica
may,  with  prior  written  authorization  by  Nephros,  act  in  order  to  protect  the  Joint  Patents  at  its  sole  expense  and  retain  any  recovery  in  connection
therewith, subject to reimbursement of any expenses incurred by Nephros in connection with an enforcement action commenced under Section 7.3.1.

7.2.3  If  a  Party  is  rewarded  financially  as  a  result  of  successfully  enforcing  the  Joint  Patents  or  Joint  Inventions  against  an  infringement,  the
Parties shall share in any such financial rewards in the amount determined in good faith by the Parties. If required under Applicable Law in order for the
Party to initiate and/or maintain such suit, the other Party shall join as a party to the suit. The other Party shall, in any se, whether required by Applicable
Law or not, offer reasonable assistance to the initiating Party in connection therewith.

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7.3 Patent Invalidity Claims; Claimed Infringement.

7.3.1 If a Third Party at any time asserts a claim that any Joint Patents are invalid or otherwise unenforceable (an “Invalidity Claim”)
control of the response to such claim in the Territory shall, as between the Parties, be determined in the same manner as enforcement rights with
lispct.t to such Joint Patents is determined pursuant to Section 7.2, and the non-controlling Party shall cooperate with the controlling Party in the
preparation and formulation of such response, and in taking other steps reasonably necessary to respond, to such Invalidity Claim. Neither Party
shall  settle  or  compromise  any  Invalidity  Claim  without  the  consent  of  the  other  Party,  which  consent  shall  not  be  unreasonably  withheld,
conditioned or delayed. If an Invalidity Claim is asserted with respect to the Joint Patents or any Patent Rights covered by the Joint Inventions, the
Parties  shall  cooperate  and  shall  mutually  agree  upon  an  appropriate  course  of  action  and  shall  share  equally  in  the  cost  and  expense  of  such
action.

7.3.2  In  the  event  that  a  Party  becomes  aware  of  any  claim  that  the  practice  by  either  Party  of  the  Joint  Patents,  Intellectual  Property
rights covering Joint Inventions, the Medica IP, or the Nephros IP infringes the Intellectual Property rights of any Third Party, such Party shall
promptly notify the other Party. In any such instance, the Parties shall cooperate and shall mutually agree upon an appropriate course of action
Each Party shall provide to the other Part) copies of any notices it receives from third parties regarding any patent nullity actions, any declaratory
judgment  actions  and  any  alleged  infringement  or  misappropriation  of  Third  Party  Intellectual  Property  relating  to  the  Commercialization,
manufacture or supply of the Products. Such notices shall be provided promptly, but in no event after more than fifteen (15) days following receipt
thereof.

8. Confidentiality.

8.1 General. Pursuant to the terms of this Agreement, each of Nephros and Medica (in such capacity, the “Disclosing Party”) has disclosed and
will  be  disclosing  to  the  other  Party,  and  to  the  officers,  directors,  employees,  agents  and/or  representatives  of  each  (in  such  capacity,  the  “Receiving
Party”) certain secret, confidential or proprietary data, trade secrets, know-how, intellectual property and related information, including, without limitation,
operating methods and procedures, marketing, manufacturing, distribution and sales methods and systems, sales figures, pricing policies and price lists and
other business information (“Confidential Information”). The Receiving Party shall make no use of any Confidential Information of the Disclosing Party
except  in  the  exercise  of  its  rights  and  the  performance  of  its  obligations  set  forth  in  this  Agreement.  The  Receiving  Party:  (a)  shall  keep  and  hold  as
confidential, and shall cause its officers, directors, employees, agents and representatives to keep and hold as confidential, all Confidential Information of
the  Disclosing  Party;  and  (b)  shall  not  disclose,  and  shall  cause  its  officers,  directors,  employees,  agents  and  representatives  not  to  disclose,  arty
Confidential  Information  of  the  Disclosing  Party.  A  Disclosing  Party’s  Confidential  Information  shall,  at  all  times  be  and  remain  the  property  of  the
Disclosing Party, its Affiliates and/or licensors, which shall retain the sole and exclusive right, title and/or interest thereto. A Receiving Party shall have no
right to use a Disclosing Party’s Confidential Information except as expressly set forth in this Agreement.

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8.2 Exceptions.  The  above  restrictions  on  the  use  and  disclosure  of  Confidential  Information  shall  not  apply  to  any  information  which:  (a)  is
already known to the Receiving Party at the time of disclosure by the Disclosing Party, as demonstrated by competent proof (other than as a result of prior
disclosure under any agreement between the Parties with respect to confidentiality); (b) is or becomes generally available to the public other than through
any act or omission of the Receiving Party in breach of this Agreement; (c) is acquired by the Receiving Party from a Third Party who is not directly or
indirectly under an obligation of confidentiality to the Disclosing Party with respect to same; or (d) is developed independently by the Receiving Party
without use, direct or indirect, of Confidential Information. In addition, nothing in this Section 8 shall be interpreted to limit the ability of either Party to
disclose  its  own  Confidential  Information  to  any  other  Person  on  such  terms  and  subject  to  such  conditions  as  it  deems  advisable  or  appropriate.
Notwithstanding anything in this Agreement to the contrary, during the Term Medica shall keep and hold as confidential the trade secrets and know-how
relating to the manufacturing of fiber for the Products without regard to Section 8.1.

8.3 Permitted Disclosure. It shall not be a breach of Section 8.1 if a Receiving Party discloses Confidential Information of a Disclosing Party: (a)
pursuant to Applicable Law, including securities laws applicable to a public company, to any Governmental Authority; or (b) in a judicial, administrative or
arbitration proceeding to enforce such Party’s rights under this Agreement; provided, that, the Receiving Party (i) provides the Disclosing Party with as
much advance written notice as possible of the required disclosure, (ii) reasonably cooperates with the Disclosing Party in any attempt to prevent, limit or
seek confidential treatment for the disclosure, and (iii) discloses only the minimum amount of Confidential Information necessary for compliance.

8.4 Confidential Terms.  Each  Party  acknowledges  and  agrees  that  the  terms  and  conditions  of  this  Agreement  shall  be  considered  Confidential
Information  of  each  Party  and  shall  be  treated  accordingly.  Notwithstanding  the  foregoing,  each  Party  acknowledges  and  agrees  that  the  other  may  be
required to disclose some or all of the information included in this Agreement in order to comply with its obligations under securities laws, and hereby
consents to such disclosure to the extent deemed advisable or appropriate by its respective counsel (but only after consulting with the other to the extent
practicable). The Parties may also disclose the existence of this Agreement and terms thereof to their directors, investors, officers, employees, attorneys,
accountants and other advisers on a need to know basis provided such Persons are under obligations of confidentiality substantially similar to this Section
8.

8.5 Equitable Remedies. Each Party specifically recognizes that any breach by it of this Section 8 may cause irreparable injury to the other Party
and that actual damages may be difficult to ascertain, and in any event, may be inadequate. Accordingly (and without limiting the availability of legal or
equitable, including injunctive, remedies under any other provisions of this Agreement), each Party agrees that in the event of any such breach, the other
Party shall be entitled to seek injunctive relief and such other legal and equitable remedies as may be available.

8.6 Return. Upon the expiration or termination of this Agreement, or at any time at Disclosing Party’s request: (a) Receiving Party shall promptly
return to Disclosing Party or destroy all materials (in written, electronic or other form) containing or constituting Proprietary Information of Disclosing
Party, including any copies and extracts thereof; and (b) Receiving Party shall not use such Confidential Information in any way for any purpose.

15

 
 
 
 
 
 
 
8.7 Electronic Copy. As an exception to Section 8.6, the Receiving Party will be able to make an electronic copy of the materials returned to the
Disclosing  Party  for  legal  compliance  obligations,  and  the  Receiving  Party  shall  not  be  required  to  destroy  any  computer  files  stored  securely  by  the
Receiving Party that are created during automatic system back-up, provided, however, that the same confidentiality and non-use obligations as agreed in
the Agreement shall remain valid for so long as such back-up exists.

9. Indemnification; Limitation of Liability.

9.1 Indemnification by Medica. Medica shall, at its cost and expense, indemnify on demand, defend, and forever hold harmless Nephros and its
Affiliates  from  and  against  any  Claim  arising  out  of  or  resulting  from:  (a)  any  breach  by  Medica  or  any  of  its  Agents  or  Affiliates  of  an)  obligation,
representation,  or  warranty  of  Medica  under  this  Agreement;  (b)  any  negligence,  error,  or  omission  by  Medica  or  any  of  its  Agents  of  Affiliates  with
respect to its or their obligations under or by reason of this Agreement; (c) any violation of Applicable Law that materially adversely impacts Nephros; (d)
any  fine,  penalty,  litigation  cost,  or  other  assessment  of  any  kind,  including,  without  limitation,  those  levied  by  any  Governmental  Authority;  or  (e)
infringement by the Product resulting from the Improvements of a patent or trademark of any Person, except to the extent that any such Claim shall be
within the indemnification obligations of Nephros under Section 9.2.

9.2 Indemnification by Nephros. Nephros shall, at its cost and expense, indemnify on demand, defend, and forever hold harmless Medica and its
Affiliates from and against any Claim arising out of or resulting from: (a) any breach by Nephros or any of its Agents of any obligation, representation, or
warranty of Nephros under this Agreement; (b) any negligence, ann., or omission by Nephros or any of its Agents with respect to its or their obligations
under this Agreement; or (c) any violation of Applicable Law that materially adversely impacts Medica, except to the extent that any such Claim shall be
within the indemnification obligations of Medica under Section 9.1.

9.3 Procedure for Indemnification.

9.3.1 Notice. In the case of a Claim made by Third Party (a “Third Party Claim”) as to which a Party (the “Indemnitor”) may be obligated
to provide indemnification pursuant to this Agreement, such Party seeking indemnification hereunder (“Indemnitee”) will notify the Indemnitor in
writing  of  the  Third  Party  Claim  (and  specifying  in  reasonable  detail  the  factual  basis  for  the  Third  Party  Claim  and  to  the  extent  known,  the
amount of the Third Party Claim) reasonably promptly after becoming aware of such Third Party Claim; provided, however, that failure to give
such notification will not affect the indemnification provided hereunder except to the extent the Indemnitor shall have been actually materially
prejudiced as a result of such failure.

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9.3.2 Defense of Claim. If a Third Party Claim is made against an Indemnitee, the Indemnitor will be entitled, within thirty (30) days
after receipt of written notice from the Indemnitee of the commencement or assertion of any such Third Party Claim, to assume the defense thereof
by providing written notice to Indemnitee of its intention to assume the defense of such Third Party Claims within mid thirty (30) day period (at
the expense of the Indemnitor) with counsel selected by the Indemnitor and reasonably satisfactory to the Indemnitee for so long as the Indemnitor
is conducting a good faith and diligent defense. Should the Indemnitor so elect to assume the defense of a Third Party Claim, the Indemnitor will
not be liable to the Indemnitee for any legal or other expenses subsequently incurred by the Indemnitee in connection with the defense thereof;
provided,  that  if  under  applicable  standards  of  professional  conduct  a  conflict  of  interest  exists  between  the  Indemnitor  and  the  Indemnitee  in
respect of such claim, such Indemnitee shall have the right to employ separate counsel to represent such Indemnitee with respect to the matters as
to which a conflict of interest exists and in that event the reasonable fees and expenses of such separate counsel shall be paid by such Indemnitor;
provided, further, that the Indemnitor shall only be responsible for the reasonable fees and expenses of one separate counsel for such Indemnitee.
If the Indemnitor assumes the defense of any Third Party Claim, the Indemnitee shall have the right to participate in the defense thereof and to
employ counsel, at its own expense, separate from the counsel employed by the Indemnitor. If the Indemnitor assumes the defense of any Third
Party Claim, the Indemnitor will promptly supply to the Indemnitee copies of all correspondence and documents relating to or In connection with
such Third Party Claim and keep the Indemnitee informed of developments relating to or in connection with such Third Party Claim, as may be
reasonably requested by the Indemnitee (including, without limitation, providing to the Indemnitee on reasonable request updates and summaries
as to the status thereof). If the Indemnitor chooses to defend a Third Party Claim, all Indemnitees shall reasonably cooperate with the Indemnitor
in the defense thereof (such cooperation to be at the expense, including reasonable legal fees and expenses, of the Indemnitor). If the Indemnitor
does not elect to assume control by written acknowledgement of the defense of any Third Party Claim within the thirty day period set forth above,
or if such good faith and diligent defense Is not being or ceases to be conducted by the Indemnitor, the Indemnitee shall have the right, at the
expense of the Indemnitor, after three (3) business days’ notice to the Indemnitor of its intent to do so, to undertake the defense of the Third Party
Claim for the account of the Indemnitor (with counsel selected by the Indemnitee), and to compromise or settle such Third Party Claim, exercising
reasonable business judgment.

9.3.3 Settlement of Claims. If the Indemnitor acknowledges in writing its obligation to indemnify the Indemnitee for a Third Party Claim,
the Indemnitee will agree to a reasonable settlement, compromise or discharge of such Third Party Claim that the Indemnitor may recommend that
by its terms obligates the Indemnitor to pay the full amount of Liabilities (whether through settlement or otherwise) in connection with such Third
Party  Claim  and  unconditionally  and  Irrevocably  releases  the  Indemnitee  completely  from  all  Liabilities  in  connection  with  such  Third  Party
Claim; provided, however, that, without the Indemnitee’s prior written consent, the Indemnitor shall not consent to any settlement, compromise or
discharge (including, without limitation, the consent to entry of any judgment), and the Indemnitee may refuse to agree to any such settlement,
compromise or discharge, that provides for injunctive or other nonmonetary relief affecting the Indemnitee. If the Indemnitor acknowledges in
writing its obligation to indemnify the Indemnitee for a Third Party Claim, the Indemnitee shall not (unless required by Law) admit any liability
with respect to, or settle, compromise or discharge, such Third Party Claim without the Indemnitor’s prior written consent (which consent shall not
be unreasonably withheld, delayed or conditioned).

17

 
 
 
 
9.4 Assumption of Defense. Notwithstanding anything to the contrary contained herein, an Indemnitee shall be entitled to assume the defense of
any Third Party Claim with respect to the Indemnitee upon written notice to the Indemnitor pursuant to this Section 9.4. In which case, the Indemnitor shall
be relieved of liability under Section 9.1 or 9.2, as applicable, solely for such Third Party Claim.

9.5 Direct Claims.  Any  Claim  which  does  not  involve  a  Third  Party  Claim  (a  “Direct Claim”)  shall  be  asserted  by  reasonably  prompt  written
notice (stating in reasonable detail, the basis of such claim and a reasonable estimate of the amount thereof) given by the Indemnitee to the Indemnitor. For
a period of sixty (60) days from and after the receipt of the written notice the Parties shall attempt in good faith to resolve such Direct Claim. If the parties
are unable to resolve such Direct Claim, the party seeking recourse may thereafter institute proceedings under Section 11.13 to enforce said Direct Claim.

9.6 Limitation  of  Liability.  EXCEPT  AS  EXPRESSLY  SET  FORTH  IN  THIS  AGREEMENT,  IN  NO  EVENT  SHALL  EITHER  PARTY  BE
LIABLE  TO  THE  OTHER  OR  ANY  OF  ITS  AFFILIATES  FOR  ANY  CONSEQUENTIAL,  INCIDENTAL,  INDIRECT,  SPECIAL,  PUNITIVE  OR
EXEMPLARY  DAMAGES  (INCLUDING,  WITHOUT  LIMITATION,  LOST  PROFITS,  BUSINESS  OR  GOODWILL)  SUFFERED  OR  INCURRED
BY  SUCH  OTHER  PARTY  OR  ITS  AFFILIATES  IN  CONNECTION  WITH  A  BREACH  OR  ALLEGED  BREACH  OF  THIS  AGREEMENT.  THE
FOREGOING  SENTENCE  SHALL  NOT  APPLY  IN  CASES  OF  FRAUD  OR  BREACHES  OF  THIS  AGREEMENT  MADE  INTENTIONALLY  IN
BAD FAITH OR IN RECKLESS DISREGARD FOR THE PROVISIONS OF THIS AGREEMENT AND SHALL NOT LIMIT THE OBLIGATIONS OF
EITHER PARTY TO INDEMNIFY THE OTHER PARTY FOR THIRD PARTY CLAIMS UNDER THIS SECTION 9.

10. Term and Termination.

10.1 This Agreement shall commence on the Effective Date and shall continue in effect through December 31, 2028 (“Term”), or until terminated

by either Party in accordance with this Agreement.

10.2 Either Party shall have the right to terminate this Agreement at any time for a material breach of this Agreement by the other Party, provided
that the non-breaching Party shall have first given thirty (30) days prior written notice to the breaching Party describing such material breach and stating the
non-breaching Party’s intention to terminate this Agreement if such material breach remains uncured, and the breathing Party thereafter fails to cure such
material breach within thirty (30) days thereafter.

10.3 This Agreement may be terminated by Medica upon written notice upon Nephros’ failure to cure a monetary default under this Agreement

within thirty (30) days after written notice thereof is provided to Nephros.

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10.4 This Agreement may be terminated by Nephros upon ninety (90) days’ written notice to Medica for convenience.

10.5 If either Party becomes insolvent, makes an assignment for the benefit of its creditors, is placed in the hands of a receiver or liquidates its
business, and such action is not cured within thirty (30) days, then, in any such case, the other Party shall have the immediate right, in its sole discretion, to
terminate this Agreement by giving written notice to that Party.

10.6 No termination hereunder shall constitute a waiver of any rights or causes of action that either Party may have for any acts or omissions or

breach hereunder by the other Party prior to the termination date.

10.7 The following provisions shall survive the expiration or termination of this Agreement: Section 1, Section 3.4, Section 5, Section 7, Section

8, Section 9, , this Section 10.7, Section 11 and provisions relating to accrued payment obligations.

11. Miscellaneous.

11.1 Compliance with Laws. At all times during the Term, each Party shall comply in all material respects with Applicable Law in effect in the

Territory that is applicable to the Products or the conduct of business under this Agreement.

11.2 Independent Contractor. Neither Nephros nor Medica, together in each case with their respective employees or representatives, are under any
circumstances to be considered as employees, partners, joint venturers, agents or representatives of the other by virtue of this Agreement, and neither shall
have the authority or power to bind the other or contract in the other’s name.

11.3 Notices. Any notice or other communication required or permitted hereunder shall be in writing and shall be deemed given when so delivered

in person, by overnight courier, or by facsimile transmission (with receipt confirmed by automatic transmission report), as follows:

If to Nephros:

If to Medica:

  Nephros, Inc.
  380 Lackawanna Place
  South Orange, New Jersey 07079 USA
  Attn: Mr. Robert Banks, President & CEO

robert.banks@nephros.com and info@nephros.com

  Facsimile: +1.201.343.5207

  Medica S.p.A.
  Via Degli Artigiani, 7
  41036 Medolla (MO) - ITALY
  Attn: Marco Fecondini, CEO
  marco.fecondini@medica-spa.com
  Facsimile: (+39) 0535 52605

Either Party may by notice given in accordance with this Section 11.3 to the other Party designate another address or person for receipt of notices

hereunder.

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11.4 Binding Effect; No Assignment; No Third Party Beneficiaries. This Agreement shall be binding upon and inure to the benefit of the Parties
and  their  respective  successors  and  permitted  assigns.  Neither  Nephros  nor  Medial  may  assign  any  of  its  rights  or  delegate  any  of  its  liabilities  or
obligations  hereunder  without  the  prior  written  consent  of  the  other  whether  in  connection  with  a  Change  of  Control  or  otherwise.  Nothing  in  this
Agreement, express or implied, is intended to or shall confer upon any Person other than Medica and Nephros and their respective successors and permitted
assigns  any  right,  benefit  or  remedy  of  any  nature  whatsoever  under  or  by  reason  of  this  Agreement,  except  for  Affiliates  entitled  to  indemnification
pursuant to Section 9.

11.5 No Implied Waivers; Rights Cumulative. No failure on the part of Nephros or Medica to exercise and no delay in exercising any right, power,
remedy  or  privilege  under  this  Agreement,  or  provided  by  statute  or  at  law  or  in  equity  or  otherwise,  including  the  right  or  power  to  terminate  this
Agreement, shall impair, prejudice or constitute a waiver of any such right, power, remedy or privilege or be construed as a waiver of any breach of this
Agreement or as an acquiescence therein, nor shall any single or partial exercise of any such right, power, remedy or privilege preclude any other or further
exercise thereof or the exercise of any other right, power, remedy or privilege.

11.6 Severability. If any provision of this Agreement is held invalid or unenforceable by any court of competent jurisdiction, the other provisions
of this Agreement shall remain in full force and effect. Any provision of this Agreement held invalid or unenforceable only in part or degree shall remain in
full force and effect to the extent not held invalid or unenforceable. The Parties further agree to replace such invalid or unenforceable provision of this
Agreement with a valid and enforceable provision that shall achieve, to the extent possible, the economic, business and other purposes of such invalid or
unenforceable provision.

11.7 Force Majeure. Neither Party shall be liable for delay in delivery or nonperformance (except for any obligation for the payment of money), in
whole or in part, nor shall the other Party have the right to terminate this Agreement except us otherwise specifically provided in this Section 11.7, where
delivery or performance has been affected by a condition beyond a Party’s reasonable control, including fires, floods, embargoes, shortages, epidemics,
quarantines, war, acts of war (whether war be declared or not), terrorism, insurrections, riots, civil commotion, strikes, lockouts or other labor disturbances,
acts of God or acts, omissions or delays in acting by any governmental authority; provided that the Party affected by such a condition shall, within ten (10)
days  of  its  occurrence,  give  notice  to  the  other  Party  stating  the  nature  of  the  condition,  its  anticipated  duration  and  any  action  being  taken  to  avoid  or
minimize its effect. The suspension of performance shall be of no greater scope and no longer duration than is reasonably required and the nonperforming
Party shall use its best efforts to remedy us inability to perform; provided, however, that in the event the suspension of performance continues for ninety
(90) days after the date of the occurrence, and such failure to perform would constitute a material breach of this Agreement in the absence of such force
majeure event, the nonaffected Party may terminate this Agreement immediately by written notice to the other Party.

11.8  Section  Headings;  Construction.  The  headings  of  Sections  in  this  Agreement  are  provided  for  convenience  only  and  shall  not  affect  its
construction or interpretation. All references to “Section” or “Sections” refer to the corresponding Section or Sections of this Agreement. All words used in
this Agreement shall be construed to be of such gender or number as the circumstances require. Unless otherwise expressly provided, the word “including”
does not limit the preceding words or terms and shall be deemed to be following by the words “without limitation.”

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11.9 Amendment; Waiver. This Agreement may not be amended except by an instrument signed by each of the Parties hereto. Any Party hereto
may:  (a)  extend  the  time  for  the  performance  of  any  of  the  obligations  or  other  acts  of  another  Party  hereto;  or  (b)  waive  compliance  with  any  of  the
agreements  of  another  Party  or  any  conditions  to  its  own  obligations,  in  each  case  only  to  the  extent  such  obligations,  agreements,  or  conditions  are
intended for its benefit; provided, however, that any such extension or waiver shall be binding upon a Party only if such extension or waiver is set forth in a
writing executed by such Party.

11.10 Rules of Construction.  The  Parties  hereto  agree  that  they  have  been  represented  by  counsel  during  the  negotiation  and  execution  of  this
Agreement and, therefore, waive the application of any law, regulation, holding or ruling of construction providing that ambiguities in an agreement or
other document shall be construed against the Party drafting such agreement or document.

11.11 Publication. Nephros and Medical agree not to issue any press relate or other public statement disclosing the existence of or relating to this
Agreement or the Ancillary Agreements without the express written consent of the other Party; provided, however, that neither Party shall be prevented
from complying with any duty of disclosure it may have pursuant to Applicable Law, including securities laws applicable to a public company, subject to
notifying the other Party in writing and giving such other Party reasonable time to comment on the same prior to disclosure.

11.12 Expenses. Except as expressly set forth herein, each Party hereto shall bear all fees and expenses incurred by such Party in connection with,
relating to or arising out of the execution, delivery and performance of this Agreement and the consummation of the transactions contemplated hereby,
including attorneys’, accountants’ and other professional fees and expenses.

11.13  Governing  Law/Disputes.  This  Agreement  shall  be  construed  and  governed  in  all  respects,  and  the  respective  rights  of  the  Parties
determined, according to the substantive laws of the State of New York, U.S., without regard to its conflict of laws principles. The application of the United
Nations Convention on Contracts for the International Sales of Goods is hereby expressly excluded. Any controversy or claim arising out of or relating to
this  Agreement  or  the  applicability  of  this  Section  11.13  that  is  not  resolved  amicably  will  be  determined  by  binding  arbitration  under  the  Rules  of
Arbitration of the International Chamber of Commerce. Such arbitration shall be conducted by a sole arbitrator mutually selected by written agreement of
the  Parties.  In  the  event  that  the  Parties  are  not  able  to  mutually  select  the  sole  arbitrator,  the  arbitration  shall  be  conducted  by  a  panel  of  three  (3)
arbitrators,  consisting  of  one  neutral  arbitrator  to  be  selected  by  each  of  the  Parties  and  a  third  neutral  arbitrator  to  be  selected  jointly  by  the  two  (2)
arbitrators  selected  by  the  Parties.  Each  arbitrator  shall  be  an  attorney  actively  engaged  in  the  practice  of  law  for  at  least  ten  (10)  years  and  shall  have
experience with and knowledge of the medical device industry. The place of the arbitration will be New York, New York. The language of the arbitration
shall  be  English.  Prior  to  commencement  of  hearings,  each  of  the  arbitrators  appointed  must  provide  an  oath  of  impartiality.  Judgment  upon  the  award
rendered by the arbitrators may be entered by any court having jurisdiction thereof. The cost of any such arbitration shall be divided equally by Nephros
and Medica, with each Party bearing its own attorneys’ fees and costs. Notwithstanding anything to the contrary contained in this Agreement, either Party
shall has the right to bring an action or Claim for interim measures, including specific performance or injunctive relief in order to preserve its rights or
enforce the obligations of the other Party under this Agreement, in any court of competent jurisdiction or having jurisdiction over any of the Parties or their
respective assets, without the need to submit such matter to arbitration under this Section 11.13.

11.14 Entire Agreement. The Parties expressly agree that the Prior Agreement is hereby terminated. This Agreement together with its Schedules,
contains the entire agreement between the Parties with respect to the subject matter hereof and supersede all prior agreements, written or oral, among the
Parties thereto.

11.15 Counterparts; Electronic Transmissions. This Agreement may be executed in multiple counterparts, all of which, when executed, shall be
deemed to be an original and all of which together shall constitute one and the same document. Electronic transmissions of this Agreement (e.g., fax, .pdf,
etc.), and reproductions thereof, signed by the Parties shall in all respects be deemed to be originals.

[Signatures on follow page]

21

 
 
 
 
 
 
 
 
 
 
IN WITNESS WHEREOF, the Parties have entered into this Agreement as of the Effective Date.

NEPHROS, INC.

By: /s/ Robert Banks
Robert Banks
President & Chief Executive Officer

  MEDICA, S.p.A.

  By: /s/ Marco Fecondini
  Marco Fecondini

Chief Executive Officer

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Schedule 1

JOINT PATENTS

Device Name:

  Dual-Stage Ultrafilter (DSU)
  REDUNDANT ULTRAFILTRATION

Official Patent Title

  DEVICES

ISSUED PATENTS

Country
United States

Grant Date
17-Aug-10

Expiration Date
June 15, 2026

Grant No.
7,775,375

 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
Products

Schedule 2

Any  water  and  dialysate  solution  filtration  products  of  Nephros  or  Medica  based  in  whole  or  in  part  upon  Medica’s  proprietary  Medisulfone  fiber
technology and/or other polysulfone based hollow fiber or technology having a nominal pore size of less than 0.2 micron in existence as of the Effective
Date or developed at any time during the Term.

The following Medica products are excluded from this License and Supply Agreement:

● Blood, plasma and haemoderivates filtration products (not including MD220 for HDF)

● Filtration products manufactured by Medica or Medica USA and sold by Evoqua as of the date of the Asset deal signed in April 2023 between Medica
and  Evoqua.  Medica  will  not  provide,  sell,  or  distribute  products  to  Evoqua  consisting  of  membranes  included  in  the  products  licensed  to Nephros
under this agreement.

● Fluid concentration/clarification/purification products related to the life science/bioprocessing field (perfusion and harvesting).

● Filters based on Graphene technology. Medica will allow Nephros the right of first refusal to distribute Graphene technology products.

● Ultrafilter for Mozarc Medtronic machine

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Schedule 3
Pricing

[*****]

 
 
 
 
 
 
Name
Biocon 1, LLC
Aether Water Systems, LLC

Jurisdiction

  Nevada
  Nevada

  Percentage Equity
  100%
  100%

Subsidiaries of Nephros, Inc.

Exhibit 21.1

 
 
 
 
 
 
 
 
 
 
 
 
CONSENT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

We hereby consent to the incorporation by reference in the Registration Statements of Nephros, Inc. on Form S-8 (Nos 333-127264; 333-148236; 333-
188592;  333-205167;  333-223849;  333-232707,  333-238563  and  333-256712)  and  on  Form  S-3  (Nos  333-225109,  333-232708,  333-234528  and  333-
259370), of our report dated March 15, 2024, relating to the consolidated financial statements of Nephros, Inc. as of and for the years ended December 31,
2023 and 2022, which appears in this Annual Report on Form 10-K for the year ended December 31, 2023.

Exhibit 23.1

/s/ Baker Tilly US, LLP

Tewksbury, Massachusetts
March 15, 2024

 
 
 
 
 
 
 
 
 
 
 
 
CERTIFICATION OF THE CHIEF EXECUTIVE OFFICER
PURSUANT TO SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002

Exhibit 31.1

I, Robert Banks, certify that:

(1) I have reviewed this Annual Report on Form 10-K of Nephros, Inc.;

(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 registrant as of, and for, the periods presented in this report;

(4) The registrant’s other certifying officer 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 registrant and have:

(a) Designed such  disclosure  controls  and  procedures,  or  caused  such  disclosure  controls  and  procedures  to  be  designed  under  our  supervision,  to
ensure  that  material  information  relating  to  the  registrant,  including  its  consolidated  subsidiaries,  is  made  known  to  us  by  others  within  those
entities, particularly during the period in which this report is being prepared;

(b) Designed  such  internal  control  over  financial  reporting,  or  caused  such  internal  control  over  financial  reporting  to  be  designed  under  our
supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external
purposes in accordance with generally accepted accounting principles;

(c) Evaluated  the  effectiveness  of  the  registrant’s  disclosure  controls  and  procedures  and  presented  in  this  report  our  conclusions  about  the

effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

(d) Disclosed in  this  report  any  change  in  the  registrant’s  internal  control  over  financial  reporting  that  occurred  during  the  registrant’s  most recent
fiscal quarter (the registrant’s fourth fiscal quarter in the case of the annual report) that has materially affected, or is reasonably likely to materially
affect, the registrant’s internal control over financial reporting; and

(5) The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the

registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):

(a) All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably

likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

(b) Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control

over financial reporting.

Dated: March 15, 2024

/s/ Robert Banks
Robert Banks
President, Chief Executive Officer
(Principal Executive Officer)

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
CERTIFICATION OF THE CHIEF FINANCIAL OFFICER
PURSUANT TO SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002

Exhibit 31.2

I, Judy Krandel, certify that:

(1) I have reviewed this Annual Report on Form 10-K of Nephros, Inc.;

(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 registrant as of, and for, the periods presented in this report;

(4) The registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in
Exchange Act Rules 13a-15€ 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 registrant and have:

(a) Designed such  disclosure  controls  and  procedures,  or  caused  such  disclosure  controls  and  procedures  to  be  designed  under  our  supervision,  to
ensure  that  material  information  relating  to  the  registrant,  including  its  consolidated  subsidiaries,  is  made  known  to  us  by  others  within  those
entities, particularly during the period in which this report is being prepared;

(b) Designed  such  internal  control  over  financial  reporting,  or  caused  such  internal  control  over  financial  reporting  to  be  designed  under  our
supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external
purposes in accordance with generally accepted accounting principles;

(c) Evaluated  the  effectiveness  of  the  registrant’s  disclosure  controls  and  procedures  and  presented  in  this  report  our  conclusions  about  the

effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

(d) Disclosed in  this  report  any  change  in  the  registrant’s  internal  control  over  financial  reporting  that  occurred  during  the  registrant’s  most recent
fiscal quarter (the registrant’s fourth fiscal quarter in the case of the annual report) that has materially affected, or is reasonably likely to materially
affect, the registrant’s internal control over financial reporting; and

(5) The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the

registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent functions):

(a) All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably

likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

(b) Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control

over financial reporting.

Dated: March 15, 2024

/s/ Judy Krandel
Judy Krandel
Chief Financial Officer
(Principal Financial and Accounting Officer)

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
CERTIFICATION OF THE CHIEF EXECUTIVE OFFICER
PURSUANT TO 18 U.S.C. SECTION 1350
AS ADOPTED PURSUANT TO
SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

Exhibit 32.1

In  connection  with  the  Annual  Report  on  Form  10-K  of  Nephros,  Inc.  (the  “Company”)  for  the  fiscal  year  ended  December  31,  2023  as  filed  with  the
Securities  and  Exchange  Commission  on  the  date  hereof  (the  “Report”),  I,  Robert  Banks,  President,  Chief  Executive  Officer  of  the  Company,  certify,
pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that, to my knowledge:

(1) The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934; and

(2) The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

Dated: March 15, 2024

/s/ Robert Banks
Robert Banks
President, Chief Executive Officer
(Principal Executive Officer)

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
CERTIFICATION OF THE CHIEF FINANCIAL OFFICER
PURSUANT TO 18 U.S.C. SECTION 1350
AS ADOPTED PURSUANT TO
SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

Exhibit 32.2

In  connection  with  the  Annual  Report  on  Form  10-K  of  Nephros,  Inc.  (the  “Company”)  for  the  fiscal  year  ended  December  31,  2023  as  filed  with  the
Securities and Exchange Commission on the date hereof (the “Report”), I, Judy Krandel, Chief Financial Officer of the Company, certify, pursuant to 18
U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that, to my knowledge:

(1) The Report fully complies with the requirements of Section 13(a) or 15(d) of the Securities Exchange Act of 1934; and

(2) The information contained in the Report fairly presents, in all material respects, the financial condition and results of operations of the Company.

Dated: March 15, 2024

/s/ Judy Krandel
Judy Krandel
Chief Financial Officer
(Principal Financial and Accounting Officer)

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
NEPHROS, INC.

Policy for the Recoupment of Erroneously Awarded Compensation

Exhibit 97.1

Description

Nephros,  Inc.,  a  Delaware  corporation  (the  “Company”),  has  adopted  this  Policy  for  the  Recoupment  of  Erroneously  Awarded  Compensation  (the
“Policy”), pursuant to the requirements of Nasdaq Listing Rule 5608 and Securities Exchange Act Rule 10D-1. The Policy sets forth the circumstances
under which the Company will recoup certain incentive compensation paid to the Executive Officers of the Company in connection with certain financial
restatements.

Each Executive Officer is required to sign and return to the Company the Acknowledgement Form attached hereto as Exhibit A, pursuant to which such
Executive  Officer  will  agree  to  be  bound  by  the  terms  and  comply  with  this  Policy  in  exchange  for  adequate  and  reasonable  consideration;  provided,
however, that any failure by an Executive Officer to return a signed Acknowledgement Form does not affect the validity or enforceability of this Policy.

Definitions

(A)

(B)

(C)

“Clawback Period” means the three completed fiscal years immediately preceding the earlier of (i) the date the Company’s board of directors
concludes, or reasonably should have concluded, that a Covered Accounting Restatement is required to be prepared or (ii) the date a court,
regulator or other legally authorized body directs the Company to prepare a Covered Accounting Restatement, in either case regardless of if
or when such Covered Accounting Restatement is filed (such date, the “Clawback Trigger Date”), and any transition period (that results from
a change in the Company’s fiscal year) of less than nine months within or immediately following those three completed fiscal years.

“Committee” means the Compensation Committee of the Board of Directors of the Company.

“Covered Accounting Restatement” means an accounting restatement prepared due to the material noncompliance of the Company with any
financial  reporting  requirement  under  the  securities  laws,  including  any  required  accounting  restatement  to  correct  an  error  in  previously
issued financial statements that is material to the previously issued financial restatements (i.e., a “Big R” restatement), or that would result in
a  material  misstatement  if  the  error  were  corrected  only  in  the  current  period  or  left  uncorrected  in  the  current  period  (i.e.,  a  “little  r”
restatement). For the avoidance of doubt, a Covered Accounting Restatement will not include changes to the Company’s financial statements
that  do  not  represent  error  corrections  under  accounting  standards  applicable  to  the  Company  at  the  time  of  the  accounting  restatement,
including as a result of a (i) retrospective application of a  change  in  accounting  principle,  (ii)  retrospective  revision  to  reportable  segment
information due to a change in the structure of the Company’s internal organization, (iii) retrospective reclassification due to a discontinued
operation, (iv) retrospective application  of  a  change  in  reporting  entity,  and  (v)  retrospective  revision  for  stock  splits,  reverse  stock  splits,
stock dividends or other changes in capital structure.

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
(D)

(E)

(F)

(G)

“Covered Incentive-Based Compensation” means any Incentive-Based Compensation (i) received by a current or former Executive Officer
after beginning service as an Executive Officer, provided that the current or former Executive Officer served as an Executive Officer at any
time  during  the  performance  period  applicable  to  such  Incentive-Based  Compensation,  (ii)  received  on  or  after  [December  1],  2023  (the
“Effective Date”), and (iii) received while the Company had a listed class of securities on a national securities exchange. For purposes of this
Policy, Incentive-Based Compensation is deemed to be “received” in the fiscal year in which the financial reporting measure included in the
Incentive-Based Compensation award is attained or satisfied, regardless of whether the payment or grant occurs before or after such fiscal
year, and regardless of whether the Incentive-Based Compensation continues to be subject to a service-based vesting condition.

“Executive Officer” has the meaning assigned to it in Nasdaq Listing Rule 5608(d).

“Financial Reporting Measure” means (i) any measure determined in accordance with accounting principles used in the Company’s financial
statements, whether presented in or outside of the Company’s financial statements and whether or not included in a filing with the Securities
and Exchange Commission, (ii) any measures derived wholly or in part from such measures (including non-GAAP measures), and (iii) other
performance measures affected by accounting-related information, including stock price, total shareholder return and relative total shareholder
return.

“Incentive-Based Compensation” means any compensation that is granted, earned or vested based wholly or in part on the attainment of any
Financial Reporting Measure, which may include awards granted under the Company’s annual incentive plan as well as performance-based
restricted stock units, and which may include Incentive-Based Compensation contributed to a plan, other than a tax-qualified retirement plan.
For the avoidance of doubt, Incentive-Based Compensation shall not include equity awards that vest solely based on continued service and
were not granted based on the attainment of any Financial Reporting Measure or any bonus compensation based on discretionary or subjective
goals or goals that are not based on any Financial Reporting Measure.

(H)

“Sarbanes-Oxley Act Section 304” means Section 304 of the Sarbanes-Oxley Act of 2002.

General Rules

In  the  event  the  Company  determines  it  is  required  to  prepare  a  Covered  Accounting  Restatement,  the  Committee  shall  review  any  Covered  Incentive-
Based  Compensation  received  by  a  current  or  former  Executive  Officer  of  the  Company  during  the  Clawback  Period.  In  the  event  the  Committee
determines that the amount of any such Covered Incentive-Based Compensation that was received during the Clawback Period exceeds the amount that
otherwise would have been received had it been determined based on the restated results (the “Erroneously Awarded Compensation”), the amount of such
Erroneously Awarded Compensation shall be recouped on a pre-tax basis.

Recoupment  under  this  Policy  with  respect  to  an  Executive  Officer  shall  not  require  the  finding  of  any  misconduct  by  such  Executive  Officer  or  such
Executive Officer being found responsible for the accounting error leading to the Covered Accounting Restatement.

For purposes of this section, Incentive-Based Compensation is deemed to be “received” in the fiscal year in which the financial reporting measure included
in the Incentive-Based Compensation award is attained or satisfied, regardless of whether the payment or grant occurs before or after such fiscal year.

2

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Calculation of Erroneously Awarded Compensation

In the event any applicable Covered Incentive-Based Compensation has been granted in the form of equity or equity-based awards, and such awards remain
outstanding as of the Clawback Trigger Date, the Erroneously Awarded Compensation shall be calculated as the number of shares received in excess of the
number  that  should  have  been  received  (or  the  corresponding  value  of  such  shares).  In  the  event  that  any  applicable  Covered  Incentive-Based
Compensation is in a nonqualified deferred compensation plan, the Company shall calculate the amount contributed to the notional account based on the
Erroneously Awarded Compensation and any earnings accrued to-date on that notional amount, and that sum shall be considered “Erroneously Awarded
Compensation” with respect to that plan.

For the avoidance of doubt, in the event Covered Incentive-Based Compensation is attained only partially based on the achievement of financial reporting
measures, only the portion of such compensation based on or derived from the financial reporting measures shall be subject to recoupment.

In the event the Erroneously Awarded Compensation is not able to be calculated directly from information in an accounting restatement (e.g., equity awards
subject to total shareholder return (“TSR”) or stock price measures), in order to determine the amount of such Erroneously Awarded Compensation that
shall be subject to recoupment, the Committee shall use a reasonable estimate of the effect of the Covered Accounting Restatement on the TSR or stock
price upon which the Covered Incentive-Based Compensation was received (in which case the Company shall maintain documentation of the determination
of such reasonable estimate and provide such documentation to The Nasdaq Stock Market).

Method for Recoupment

The  Committee  shall,  in  its  discretion,  determine  the  appropriate  means  for  recoupment  of  any  Erroneously  Awarded  Compensation,  including  but  not
limited  to  the  cancellation  of  outstanding  and  future  annual  or  long-term  incentive  compensation  or  requiring  repayment  by  the  applicable  Executive
Officer, provided that the recoupment occurs reasonably promptly. For the avoidance of doubt, the Committee may, subject to compliance with applicable
law,  affect  recoupment  under  this  Policy  from  any  amount  otherwise  payable  to  the  applicable  Executive  Officer,  including  amounts  payable  to  such
individual under any otherwise applicable Company plan or program, including base salary, bonuses or commissions and compensation previously deferred
by  such  Executive  Officer.  The  Committee  may  consider  all  applicable  facts  and  circumstances  in  determining  the  appropriate  means  for  recoupment,
including pursuing an appropriate balance of cost and speed.

Recoupment shall be required in all circumstances unless the Committee determines that it would be impracticable and that one of the conditions set forth
in in accordance with Nasdaq Listing Rule 5608(b)(1)(iv).

Non-Exclusive; Conflicts

This Policy is in addition to any and all other rights the Company may have to pursue remedies against an employee or former employee in connection with
an accounting restatement or for misconduct or similar behavior in the course of employment by the Company, all of which are expressly retained by the
Company. Any right of recoupment under this Policy is in addition to, and not in lieu of, any other remedies, including termination of employment and
institution of legal proceedings, as well as rights of repayment, forfeiture, offset or recoupment that may be available to the Company pursuant to any other
forfeiture policy or similar provisions in any employment agreement, equity award agreement or similar agreement, or any other legal remedies available to
the Company. Nothing in this Policy restricts the Company from seeking recoupment under any other compensation recoupment Policy or any applicable
provisions in plans, agreements, awards or other arrangements that contemplate the recoupment of compensation from an Executive.

3

 
 
 
 
 
 
 
 
 
 
 
The Company’s rights under this Policy are in addition to the reimbursement provisions of Sarbanes-Oxley Act Section 304; provided, that any amounts
paid pursuant to Sarbanes-Oxley Act Section 304 will be considered in determining any amounts recovered under this Policy.

The Company will not enter into any agreement that exempts any Incentive-Based Compensation from the application of this Policy or that waives the
Company’s  right  to  recoupment  of  any  Erroneously  Awarded  Compensation,  and  this  Policy  shall  supersede  any  such  agreement  (whether  entered  into
before, on or after the Effective Date).

The  provisions  of  this  Policy  are  intended  to  be  applied  to  the  fullest  extent  of  the  law.  To  the  extent  that  any  provision  of  this  Policy  is  found  to  be
unenforceable or invalid under any applicable law, such provision shall be applied to the maximum extent permitted, and shall automatically be deemed
amended in a manner consistent with its objectives to the extent necessary to conform to any limitations required under applicable law.

Indemnification Prohibition

The Company is not permitted to indemnify any Executive Officer against (i) the loss of any Erroneously Awarded Compensation that is repaid, returned,
recovered or recouped pursuant to the terms of this Policy, or (ii) any claims relating to the Company’s enforcement of its rights under this Policy. The
Company is also prohibited from paying or reimbursing an Executive Officer for purchasing insurance to cover any such loss. To the extent of a conflict
with any agreement with an Executive Officer that purports to provide indemnification rights to the Executive Officer that conflict with the foregoing, this
Policy shall supersede any such agreement (whether entered into before, on or after the Effective Date).

Reporting and Disclosure

The  Company  shall  file  all  disclosures  with  respect  to  this  Policy  in  accordance  with  the  requirements  of  the  federal  securities  laws,  including  the
disclosure required by applicable Securities and Exchange Commission filings.

Amendment or Termination

The  Committee  may  amend  or  terminate  this  Policy  from  time  to  time  in  its  discretion,  including  as  required  to  comply  with  any  applicable  law  or
regulation. Any such amendment will be binding on employees who continue in the employment after the effective date of such amendment.

Administration

The Committee is authorized to interpret and construe this Policy and to make all determinations necessary, appropriate, or advisable for the administration
of this Policy. The Committee has full and final authority to make all determinations under this Policy, in each case to the extent permitted under applicable
rules  and  regulations  and  in  compliance  with  (or  pursuant  to  an  exemption  from  the  application  of)  Section  409A  of  the  Internal  Revenue  Code.  All
determinations and decisions made by the Committee hereunder shall be final, conclusive and binding on all persons.

4

 
 
 
 
 
 
 
 
 
 
 
 
 
Any action or inaction by the Committee with respect to an Executive Officer under this Policy in no way limits the Committee’s actions or decisions not to
act  with  respect  to  any  other  Executive  Officer  under  this  Policy  or  under  any  similar  policy,  agreement  or  arrangement,  nor  shall  any  such  action  or
inaction serve as a waiver of any rights the Company may have against any Executive Officer other than as set forth in this Policy.

This Policy is intended to comply with the requirements set forth in Nasdaq Listing Rule 5608 (as such rule may be amended from time to time) and shall
be construed and interpreted in accordance with such intent.

Successors

This Policy shall be binding and enforceable against all Executive Officers and, to the extent required by applicable law or guidance from the Securities
and Exchange Commission or Nasdaq, their beneficiaries, heirs, executors, administrators, and other legal representatives.

Governing Law; Venue

The validity, enforceability, construction and interpretation of this Policy shall be governed by and construed exclusively in accordance with the laws of the
State of Delaware, without regard to the conflicts of laws principles of any jurisdictions.

5

 
 
 
 
 
 
 
 
Exhibit A

Acknowledgement Form

NEPHROS, INC.

Policy for the Recoupment of Erroneously Awarded Compensation

By signing below, the undersigned acknowledges and confirms that the undersigned has received and reviewed a copy of the Nephros, Inc. Policy for the
Recoupment of Erroneously Awarded Compensation (the “Policy”). Capitalized terms used but not otherwise defined in this Acknowledgement Form (this
“Acknowledgement Form”) shall have the meanings ascribed to such terms in the Policy.

By signing this Acknowledgement Form, the undersigned acknowledges and agrees, in exchange for receipt of adequate and reasonable consideration, that
the undersigned is and will continue to be subject to the Policy and that the Policy will apply both during and after the undersigned’s employment with the
Company. Further, by signing below, the undersigned agrees to abide by the terms of the Policy, including, without limitation, by returning any Erroneously
Awarded  Compensation  to  the  Company  to  the  extent  required  by,  and  in  a  manner  consistent  with,  the  Policy  and  the  Committee’s  determinations
thereunder.

  Signature

  Printed Name

  Date