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ShockWave Medical

swav · NASDAQ Healthcare
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FY2019 Annual Report · ShockWave Medical
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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

FORM 10-K

(Mark One)
☒

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

For the fiscal year ended December 31, 2019
OR

☐

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

For the transition period from                      to                     
Commission File Number 001-38829

ShockWave Medical, Inc.

(Exact name of Registrant as specified in its Charter)

Delaware
(State or other jurisdiction of
incorporation or organization)
5403 Betsy Ross Drive
Santa Clara, CA
(Address of principal executive offices)

27-0494101
(I.R.S. Employer
Identification No.)

95054
(Zip Code)

Registrant’s telephone number, including area code: (510) 279-4262

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

Title of each class of securities

ShockWave Medical Inc., common stock, par
value $0.001 per share

Trading symbol(s)

SWAV

Name of each national exchange and principal
U.S. market for the securities
The Nasdaq Stock Market LLC
(Nasdaq Global Select Market)

Securities registered pursuant to Section 12(g) of the 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 15(d) of the 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, smaller reporting company, or an emerging growth company. See the 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
Emerging growth company

  ☐

  ☒
  ☒

   Accelerated filer

   Smaller reporting 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 is a shell company (as defined in Rule 12b-2 of the Exchange Act).  YES ☐ NO ☒
As of June 28, 2019, the aggregate market value of shares held by non-affiliates of the registrant (based upon the closing sale prices of such shares on the Nasdaq Global Select Market on June 28,
2019) was approximately $1.0 billion. For purposes of calculating the aggregate market value of shares held by non-affiliates, we have assumed that all outstanding shares are held by non-affiliates, except for
shares held by each of our executive officers, directors and 5% or greater stockholders. In the case of 5% or greater stockholders, we have not deemed such stockholders to be affiliates unless there are facts
and circumstances which would indicate that such stockholders exercise any control over our company, or unless they hold 10% or more of our outstanding common stock. These assumptions should not be
deemed to constitute an admission that all executive officers, directors and 5% or greater stockholders are, in fact, affiliates of our company, or that there are not other persons who may be deemed to be
affiliates of our company. Further information concerning shareholdings of our officers, directors and principal stockholders is included or incorporated by reference in Part III, Item 12 of this Annual Report
on Form 10-K.

The number of shares of Registrant’s Common Stock outstanding as of March 5, 2020 was 31,765,657.

DOCUMENTS INCORPORATED BY REFERENCE

Portions of the registrant’s Proxy Statement for its 2020 Annual Meeting of Stockholders are incorporated herein by reference in Part III of this Annual Report on Form 10-K to the extent stated

herein. Such proxy statement will be filed with the Securities and Exchange Commission within 120 days of the registrant’s fiscal year ended December 31, 2019.

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
PART I
Item 1.
Item 1A.
Item 1B.
Item 2.
Item 3.
Item 4.

PART II
Item 5.
Item 6.
Item 7.
Item 7A.
Item 8.
Item 9.
Item 9A.
Item 9B.

PART III
Item 10.
Item 11.
Item 12.
Item 13.
Item 14.

PART IV
Item 15.
Item 16

Table of Contents

Business
Risk Factors
Unresolved Staff Comments
Properties
Legal Proceedings
Mine Safety Disclosures

Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities
Selected Financial Data
Management’s Discussion and Analysis of Financial Condition and Results of Operations
Quantitative and Qualitative Disclosures About Market Risk
Financial Statements and Supplementary Data
Changes in and Disagreements With Accountants on Accounting and Financial Disclosure
Controls and Procedures
Other Information

Directors, Executive Officers and Corporate Governance
Executive Compensation
Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters
Certain Relationships and Related Transactions, and Director Independence
Principal Accounting Fees and Services

Exhibits, Financial Statement Schedules
Form 10-K Summary

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SPECIAL NOTE REGARDING FORWARD-LOOKING STATEMENTS

This Annual Report on Form 10-K contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of

1995. In some cases, you can identify these statements by forward-looking words such as “may,” “might,” “will,” “should,” “expects,” “plans,”
“anticipates,” “believes,” “estimates,” “predicts,” “potential” or “continue,” the negative of these terms and other comparable terminology. These forward-
looking statements, which are subject to risks, uncertainties and assumptions about us, may include projections of our future financial performance, our
anticipated growth strategies and anticipated trends in our business. Forward-looking statements contained in this Annual Report on Form 10-K include,
but are not limited to statements about:

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our ability to design, develop, manufacture and market innovative products to treat patients with challenging medical conditions,
particularly in peripheral artery disease, coronary artery disease and aortic stenosis;

our expected future growth, including growth in international sales;

the size and growth potential of the markets for our products, and our ability to serve those markets;

the rate and degree of market acceptance of our products;

coverage and reimbursement for procedures performed using our products;

the performance of third parties in connection with the development of our products, including third-party suppliers;

regulatory developments in the United States and foreign countries;

our ability to obtain and maintain regulatory approval or clearance of our products on expected timelines;

our plans to research, develop and commercialize our products and any other approved or cleared product;

our ability to scale our organizational culture of cooperative product development and commercial execution;

the development, regulatory approval, efficacy and commercialization of competing products;

the loss of key scientific or management personnel;

our expectations regarding the period during which we qualify as an emerging growth company under the JOBS Act;

our ability to develop and maintain our corporate infrastructure, including our internal controls;

our financial performance and capital requirements; and

our expectations regarding our ability to obtain and maintain intellectual property protection for our products, as well as our ability to
operate our business without infringing the intellectual property rights of others.

These statements are only predictions based on our current expectations and projections about future events. There are important factors that could
cause our actual results, level of activity, performance or achievements to differ materially from the results, level of activity, performance or achievements
expressed or implied by the forward-looking statements, including those factors discussed in the section titled “Risk Factors.”  Although we believe the
expectations reflected in the forward-looking statements are reasonable, we cannot guarantee future results, level of activity, performance or achievements.
We undertake no obligation to update any of these forward-looking statements after the date of this Annual Report on Form 10-K to conform our prior
statements to actual results or revised expectations.

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Item 1. Business.

Company Overview

PART I

We are a medical device company focused on developing and commercializing products intended to transform the way calcified cardiovascular
disease is treated. We aim to establish a new standard of care for medical device treatment of atherosclerotic cardiovascular disease (“atherosclerosis”)
through our differentiated and proprietary local delivery of sonic pressure waves for the treatment of calcified plaque, which we refer to as intravascular
lithotripsy (“IVL”). Our IVL system (our “IVL System”), which leverages our IVL technology (our “IVL Technology”), is a minimally invasive, easy-to-
use and safe way to significantly improve patient outcomes.

Our Shockwave M5 IVL catheter (“M5 catheter”) was CE-Marked in April 2018 and cleared by the U.S. Food and Drug Administration (“FDA”) in

July 2018 for use in our IVL System for the treatment of peripheral artery disease (“PAD”).

Our Shockwave C2 IVL catheter (“C2 catheter”), which we are currently marketing in Europe, was CE-Marked in June 2018 for use in our IVL

System for the treatment of coronary artery disease (“CAD”). In August 2019, we received the Breakthrough Device Designation from the FDA for our C2
catheters using our IVL System for the treatment of CAD.

The second version of our Shockwave S4 IVL catheter (“S4 catheter”) was cleared by the FDA in August 2019. We commenced a full commercial

launch of our S4 catheter in the second half of 2019 in select approved geographies.

We also have ongoing clinical programs across several products and indications, which, if successful, will allow us to expand commercialization of

our products into new geographies and indications. Importantly, we are undertaking ongoing clinical trials of our C2 catheter intended to support a pre-
market application (“PMA”) in the United States and a Shonin submission in Japan for the treatment of CAD. In October 2018, we received staged
Investigational Device Exemption (“IDE”) approval for our DISRUPT CAD III global study, which began enrollment in 2019. This study is designed to
support U.S. PMA approval for our C2 catheters. We anticipate having final data from these ongoing clinical trials intended to support a U.S. launch of our
C2 catheter in the first half of 2021 and a Japan launch in the first half of 2022.

The Opportunity

Atherosclerosis is a common disease of aging in which arteries become narrowed (“stenotic”) and the supply of oxygenated blood to the affected
organ is reduced by the progressive growth of plaque. Atherosclerotic plaque is comprised of fibrous tissue, lipids (fat) and, when it progresses, calcium.
This calcium is present both deep within the walls of the artery (“deep” or “medial” calcium) and close to the inner surface of the artery (“superficial” or
“intimal” calcium).

The first two indications we are targeting with our IVL System are occlusive PAD, the narrowing or blockage of vessels that carry blood from the
heart to the extremities, and CAD, the narrowing or blockage of the arteries that supply blood to the heart. In the future, we see significant opportunity in
the potential treatment of aortic stenosis (“AS”), a condition in which the heart’s aortic valve becomes increasingly calcified with age, causing it to narrow
and obstruct blood flow from the heart.

The PAD population in the United States has been estimated to be at least eight million people, according to the National Institutes of Health. The

global PAD device market size for treatment of occlusive disease is estimated at approximately $2.9 billion and is expected to grow approximately 3%
annually due to the fundamental drivers of an aging population and increasing prevalence of diabetes. The “calcium” segment of the PAD market represents
a significant percentage of the market, with 50% or more of the population having moderate-to-severe calcium in their vessels, according to our estimates.
Current technologies are often not able to safely and effectively treat heavily calcified vessels. Accordingly, we believe our IVL System to treat PAD has a
total addressable market opportunity of over $1.7 billion.

The global device market in coronary intervention for CAD is estimated to be nearly $10 billion, according to Millennium Research Group, Inc.

(“MRG”). The most common treatment for patients is percutaneous coronary intervention (“PCI”). This involves a suite of devices to facilitate successful
angioplasty and stenting, the most commonly used device being drug-eluting stents (“DES”). Moreover, there are nearly four million PCI procedures
performed globally every year, and the number of PCI procedures is growing at a rate of more than 5% annually. We believe our IVL System can help grow
this market through the improved treatment of patients undergoing PCI in whom the currently available solutions pose a higher degree of clinical risk, as
well as through increased adoption of IVL by cardiologists compared to currently available

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plaque modification devices. A study published in the American Journal of Cardiology in 2014 demonstrated that more than 30% of patients undergoing
PCI have calcified lesions and this percentage is growing. Minimizing complications is particularly important in the coronary vessels, but current plaque
modification devices carry meaningful safety risks and are inherently challenging to use, which is why these devices are used very sparingly for PCI
procedures in patients with calcified coronary disease. Despite significant under-penetration of the market, these devices still represented a market of nearly
$100 million in 2018 within the United States alone, according to MRG; we believe this market is significantly larger globally. Due to the increasing
prevalence of calcified cardiovascular disease, the market growth for plaque modification devices exceeds that of PCI procedure growth. We believe the
safety, ease of use and efficient impact on calcium of our IVL System will result in rapid adoption and market expansion in markets where our C2 catheter
is introduced. We believe there is an over $2 billion total addressable market opportunity for our IVL System to treat CAD.

The global market for aortic valve replacement (“AVR”), the main treatment for AS, is growing rapidly, and is dominated by the emergence of
transcatheter AVR (“TAVR”) devices. TAVR has rapidly developed into a multibillion-dollar market globally. According to an article published in the
Journal of Thoracic Disease in 2017, the global market for TAVR is over 125,000 procedures performed worldwide in 2018 and is expected to grow to
nearly 300,000 by 2025. We believe our IVL System may be able to improve the treatment of AS among patients in whom currently available solutions are
inadequate. We are currently developing an IVL catheter which we believe can safely and effectively treat patients with AS. If successful, this represents a
potential total addressable market of over $3 billion for our IVL System to treat AS.

Current Challenges

The primary approaches to treat vascular disease are angioplasty balloons (“balloons”), drug-coated balloons (“DCB”), bare metal stents and DES.

These devices all work by using pressurized balloons to expand the diseased blood vessels. Calcified plaque creates challenges for these therapies in
achieving optimal outcomes in treating PAD and CAD because the calcified vessels fail to expand under safe pressures. This, in turn, can lead to acute
failure, damage to the blood vessel, which increases the rate of restenosis (re-occlusion of the vessel following endovascular treatment) or complications
requiring adjunctive tools, future re-interventions or conversion to bypass surgery. These complications are significantly increased when treating calcified
cardiovascular disease and include dissections, embolization, restenosis, vessel perforations and vessel recoil.

Plaque modification devices (including atherectomy and specialty balloons) have enhanced the treatment of some moderately calcified
cardiovascular lesions by improving the ability of stent and balloon therapies to effectively expand in the vessel. Atherectomy devices are designed to
break or remove superficial calcium by cutting or sanding the calcium in order to improve vessel expansion. Specialty balloon devices incorporate metallic
elements like wires and cutting blades onto standard angioplasty balloons; these devices are intended to make discreet cuts in the plaque and surrounding
tissue in order to improve vessel expansion. Despite improvements in plaque modification devices, significant limitations remain, including being difficult
to use and creating complications and inconsistent efficacy. Further, because medial calcium is encased in the vessel wall, the existing plaque modification
devices are unable to impact medial calcium without damaging the vessel. Combined, these limitations decrease the utilization of plaque modification
devices for treating calcified cardiovascular disease, thereby reducing the clinical benefit of angioplasty and stent therapies compared to their use in non-
calcified anatomies.

Calcified iliac and femoral arteries can hinder the delivery of large endovascular devices for other catheter-based procedures, including those that

treat aortic aneurysms (endovascular aneurysm repair and thoracic endovascular aneurysm repair procedures), severe aortic stenosis treated with TAVR and
cardiac support devices for high-risk PCI (e.g., Abiomed’s Impella). The standard practice for these procedures is to gain vascular access in the femoral
artery and insert large diameter sheaths that facilitate the delivery of the treatment devices to the aorta or the heart. However, when significant calcium is
present in these arteries, it can prevent delivery of the devices, and thus may require more invasive treatments, increase complications or prevent the device
from being used altogether. For example, in up to 20% of patients, the transfemoral approach through the iliac and femoral arteries is not viable for TAVR
delivery or creates risk of vessel trauma due to the extent of vascular calcification, according to a 2018 study in the Journal of the American College of
Cardiology.

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Our Solution

We have adapted the use of lithotripsy to the cardiovascular field with the aim of creating what we believe can become the safest, most effective

means of addressing the growing challenge of cardiovascular calcification. Lithotripsy has been used to successfully treat kidney stones (deposits of
hardened calcium) for over 30 years. By integrating lithotripsy into a device that resembles a standard balloon catheter, physicians can prepare, deliver and
treat calcified lesions using a familiar form factor, without disruption to their standard procedural workflow. Our differentiated IVL System works by
delivering shockwaves through the entire depth of the artery wall, modifying calcium in the medial layer of the artery, not just in the intimal layer. The
shockwaves crack this calcium and enable the stenotic artery to expand at low pressures, thereby minimizing complications inherent to traditional balloon
dilations, such as dissections or tears. Preparing the vessel with IVL facilitates optimal outcomes with other therapies, including stents and drug-eluting
technologies. Using IVL also avoids complications associated with atherectomy devices such as dissection, perforation and embolism. When followed by
an anti-proliferative therapy such as a DCB or DES, the micro-fractures may enable better drug penetration into the arterial wall and improve drug uptake,
thereby improving the effectiveness of the combination treatment.

Our IVL System

(Left) Our IVL System consisting of a generator, connector cable and IVL catheter. (Right) Our IVL System delivering lithotripsy directly to a calcified vessel

Our IVL System includes a generator, connector cable and a variety of IVL catheters designed to treat PAD and CAD. Our IVL System employs

our IVL Technology to crack calcium through short, microsecond bursts of sonic pressure waves, which are generated within the IVL catheter, travel
through the vessel and crack calcium with an effective pressure of up to 50 atmospheres (“atm”) (a unit of pressure) without harming the soft tissue. Our
IVL catheters utilize multiple lithotripsy emitters that are integrated into a standard, semi-compliant balloon-catheter platform. The IVL catheter is
advanced to the target lesion and the integrated balloon is inflated with fluid at a low pressure to make contact with the arterial wall. IVL is then activated
through the generator with the touch of a button, creating a small bubble within the catheter balloon which rapidly expands and collapses. The rapid
expansion and collapse of the bubble creates sonic pressure waves that travel through the vessel and crack the calcium, allowing the blood vessel to expand
under low static pressure.

We believe there is a significant opportunity to apply our IVL Technology as a platform to treat a wide array of indications throughout the
cardiovascular system. Ultimately, our plan is to have a family of IVL catheters that can treat calcium-related diseases across a wide variety of vasculatures
and structures.

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Our Products and Ongoing Development

The interchangeability of specific catheters enables delivery of IVL therapy of diseased vasculature throughout the body. Our IVL catheters are

cleared or approved for use in a number of geographies. Development programs are underway to expand indications and geographies:

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M5 catheters (“medium” vessel, five-emitters): for treating above-the-knee PAD in the United States and internationally.

C2 catheters (coronary arteries, two-emitters): for treating CAD in select international markets. We received IDE approval to conduct a
pivotal global study, which is intended to support U.S. FDA and Japanese Shonin approval of the device. We commenced enrollment of the
study in early 2019.

S4 catheters (“small” vessel, four-emitters): for treating PAD Below-the-Knee (“BTK”) in the United States, Europe and other select
international markets. We have 510(k) clearance and CE Mark and we are currently engaged in a limited market evaluation of the product to
test its performance in the heavily calcified and challenging BTK environment.

Our IVL catheters resemble in form a standard balloon angioplasty catheter, the device most commonly used by interventionalists. This familiarity

makes our IVL System easy to learn, adopt and use on a day-to-day basis.

A development program and initial clinical work are also currently underway to explore the ability of our IVL Technology to directly treat calcified

aortic valves to safely reduce the symptoms of and potentially delay or negate valve replacement treatment for AS.

Since inception, we have focused on generating clinical data to demonstrate the safety and effectiveness of our IVL Technology. These initial
studies have consistently delivered low rates of complications regardless of which vessel was being studied. In addition to gaining regulatory approvals or
clearances, the data from our clinical studies strengthen our ability to drive adoption of IVL Technology across multiple therapies in existing and new
market segments. Our past studies have demonstrated that our IVL Technology reduces residual stenosis and vascular complications in infrapopliteal and
femoropopliteal PAD, with outstanding durability and sustained improvement in functional outcome in 115 patients. Our past studies have also guided
optimal IVL procedure technique and informed the design of our IVL System and future products in development. In the treatment of CAD, our past
studies have demonstrated both safety and effectiveness of our IVL System in heavily calcified coronary lesions prior to stenting in 180 patients. Feasibility
studies have shown the potential of our transcatheter aortic valve lithotripsy system (our “TAVL System”) to safely improve the aortic valve area and
reduce transvalvular gradients in AS. We are currently enrolling patients in multiple studies to support applications for and clearances in a variety of
indications and geographies, as well as a randomized trial to assess the combination of IVL with DCB for treating PAD.

We market our IVL System to hospitals whose interventional cardiologists, vascular surgeons and interventional radiologists treat patients with

PAD and CAD. We have dedicated meaningful resources to establish direct sales capability in the United States, Germany, Austria and Switzerland, which
we have complemented with distributors covering more than 35 countries. We are actively expanding our international field presence through new
distributors, additional sales and clinical personnel, and are adding new U.S. sales territories.

For the treatment of CAD, our C2 catheter has a CE Mark that indicates its use in calcified, stenotic de novo coronary arteries prior to stenting. For
the treatment of PAD, our M5 and S4 catheters have a CE Mark and have FDA clearances that indicate their use in calcified, stenotic peripheral arteries in
patients who are candidates for percutaneous therapy. Our products are not indicated for the treatment of cerebrovascular or carotid arteries; our M5 and
S4 catheters are not indicated for the treatment of coronary arteries.

While we believe that, from a technological or medical perspective, there are no material disadvantages to the use of our products in comparison to

other commercially available alternative products, our products are relatively new, we currently have limited commercialization, sales and marketing
experience and our products compete against alternative products that are well-established and are widely accepted by physicians, patients and third-party
payors. Many of our competitors are large, well-capitalized companies with significantly greater market share and resources than we have. Our success will
depend in part on our ability to increase adoption of our products, expand existing relationships with our customers, obtain regulatory clearances or
approvals for our planned or future products, maintain existing reimbursement and obtain reimbursement where it does not currently exist, and develop
new products or add new features to our existing products.

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Why ShockWave?

Safe – Simple – Effective.

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Treatment of both superficial and deep calcium.

Improved safety through unique mechanism of action.

Improved efficacy for angioplasty, stents and drug-eluting technologies.

Seamless integration into interventional practice with exceptional ease-of-use.

Expanded access to interventional techniques for patients.

Our Growth Strategy

Our mission is to provide safe, effective and easy-to-use treatments to optimize outcomes for calcified cardiovascular disease. We believe the

following strategies will advance our mission and will contribute to our future success and growth.

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Address unmet clinical needs in multiple large markets.

Advance our IVL System as a common treatment for calcified PAD and CAD.

Grow our specialized sales force across indications and geographies to foster deep relationships with physicians and drive revenue growth.

Execute on our clinical program to expand indications and build a robust body of clinical evidence.

Leverage our IVL Technology to develop new products that satisfy significant unmet clinical needs.

Drive profitability by scaling our business operations to achieve cost and production efficiencies.

Research and Development

We invest in research and development efforts that advance our IVL Technology with the goal to expand and improve upon our existing product

offerings. Our research and development expenses totaled $22.7 million and $32.9 million for the years ended December 31, 2018 and December 31, 2019,
respectively.

We believe our ability to rapidly develop innovative products is attributable to the dynamic product innovation process that we have implemented,

the versatility and leveragability of our core technology and the management philosophy behind that process. We have recruited and retained engineers and
scientists with significant experience in the development of medical devices. We have a pipeline of products in various stages of development that are
expected to provide additional commercial opportunities. Our research and development efforts are based at our facility in Santa Clara, California.

Manufacturing

We completed the move of our production of our IVL catheters from our prior Fremont, California facility to our facilities in Santa Clara, California

in the second half of 2019. We stock inventory of raw materials, components and finished goods at our facilities in Santa Clara and finished products with
our direct sales representatives, who travel to our hospital customers’ locations as part of their sales efforts. Our electronics (i.e., our generators and
connector cables) are produced by original equipment manufacturing partners using our design specifications. We rely on a single or limited number of
suppliers for certain raw materials and components, and we generally have no long-term supply arrangements with our suppliers, as we order on a purchase
order basis. In the United States, we generally ship our IVL products from Santa Clara to our hospital customers in the United States on a consignment
basis, but also may sell our IVL products directly to our hospital customers through our direct sales representatives, who deliver such products to hospital
customers in the field. Internationally, we ship our IVL products from Santa Clara to either our third-party logistic provider located in the Netherlands who
then ships directly to hospital customers and distributors pursuant to purchase orders or from Santa Clara directly to hospital customers and distributors
pursuant to purchase orders. We also ship to some customers in Germany, Austria and Switzerland on a consignment basis from our third-party logistic
provider located in the Netherlands. As of December 31, 2019, we had approximately 103 operations and manufacturing employees.

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Our rigorous quality control management programs have earned us a number of quality-related manufacturing designations. Our manufacturing

facilities are EN ISO 13485 compliant with ISO 13485:2016 edition certification achieved in 2017. In 2014, we achieved compliance with the applicable
standards set forth in the European Union’s Medical Device Directive (93/42/EEC) (the “MDD”). We use annual internal audits, combined with external
audits by regulatory agencies, to help ensure strong quality control practices. An internal, on-going staff training and education program contributes to our
quality assurance program and training is documented and considered part of the employee evaluation process.

Sales & Marketing

We market our products to hospitals whose interventional cardiologists, vascular surgeons and interventional radiologists treat patients with PAD

and CAD. We have dedicated meaningful resources to establish a direct sales capability in the United States, Germany, Austria and Switzerland, which we
have complemented with distributors covering 35 countries. We are actively expanding our international field presence through new distributors, additional
sales and clinical personnel, and are adding new U.S. sales territories. We have the CE Mark in Europe and the 510(k) clearance in the United States for our
IVL System using our peripheral catheters (our M5 catheters and S4 catheters) and CE Mark in Europe for our IVL System using our C2 catheter.

Our sales representatives and sales managers generally have substantial and applicable medical device experience, specifically in the vascular space

and market our products directly to interventional cardiologists, vascular surgeons and interventional radiologists who treat patients with PAD and CAD.
We are focused on developing strong relationships with our physician and hospital customers in order to educate them on the use and benefits of our
products. Similarly, our marketing team has a significant amount of domain expertise and a strong track record of success. Our global sales and marketing
team totaled 83 professionals as of December 31, 2019.

In the United States, our IVL generators and connector cables are typically provided, on loan, to our hospital customers at no charge, while our

disposable IVL catheters are provided on a consignment basis whereby title to such catheters passes to the hospital once they are used in a clinical
procedure. Following such use, we charge the hospital a predetermined set fee for each IVL catheter, which fee may be determined based on the hospital’s
overall use of our IVL catheters.

In addition to our direct sales organizations, we sell to distributors in certain geographies outside the United States where we have determined that

selling through third party distributors is the best way to optimize our opportunities and resources. We select distribution partners who have deep
experience in our markets, have strong customer relationships and have a demonstrated track record of launching innovative products.

Our IVL System is simple, intuitive, easy to install and easy to use. This provides value to our customers, but also makes our sales model a source

of competitive advantage. Lower service burden means we can develop a cost-efficient sales model by optimizing a mix of clinical specialists and
salespeople. Moreover, our vascular IVL catheters have similar call points, meaning we can further leverage our field sales team.

Reimbursement

In the U.S., our products are generally purchased by hospitals, which in turn normally bill various third-party payors, including government

programs, such as Medicare and Medicaid, and private health insurance plans, for the healthcare services required to treat each patient. The applicable
third-party payors determine whether to provide coverage for a particular procedure or product, and, if so, the amount for which the provider will be
reimbursed for treatment.

Outside the U.S., reimbursement levels vary significantly by country, and by region within some countries. Reimbursement is obtained from a

variety of sources, including government-sponsored and private health insurance plans, and combinations of both.

Our ability to achieve market acceptance or significant sales volume will depend in large part on the availability of coverage and the level of

reimbursement for procedures performed using our products under healthcare payment systems in the markets where we sell and distribute our products.
We cannot assure you that government or private payors will continue to cover and reimburse the procedures performed using our products in whole or in
part in the future or that payment rates will continue to be adequate.

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In addition, we expect that we will continue to see pressure globally by third-party payors to manage the cost of healthcare. Cost management may
come in a variety of forms, including rules and practices of third-party payors, judicial decisions, laws and regulations, group purchasing and managed care
organizations, and medical device reimbursement policies. Cost management could potentially limit the amount which healthcare providers may be willing
to pay for our products and impact demand for our products, product pricing, reimbursement and usage, and which, in turn, may adversely affect our
product sales and results of operations.

Competition

The medical device industry is intensely competitive, subject to rapid change and significantly affected by new product introductions and other

market activities of industry participants. We compete or plan to compete with manufacturers and distributors of cardiovascular medical devices. Our most
notable competitors in the highly competitive cardiovascular field include Boston Scientific Corporation, Cardiovascular Systems, Inc., Medtronic plc and
Philips N.V. Many of these competitors are large, well-capitalized companies with significantly greater market share and resources than we have. As a
consequence, they are able to spend more on product development, marketing, sales and other product initiatives than we can. We also compete with
smaller medical device companies that have single products or a limited range of products. Some of our competitors have:

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significantly greater name recognition;

broader or deeper relations with healthcare professionals, customers and third-party payors;

more established distribution networks;

additional lines of products and the ability to offer rebates or bundle products to offer greater discounts or other incentives to gain a
competitive advantage;

greater experience in conducting research and development, manufacturing, clinical trials, marketing and obtaining regulatory clearance or
approval for products; and

greater financial and human resources for product development, sales and marketing and patent prosecution.

We believe that our proprietary IVL Technology, our focus on calcified cardiovascular disease and our organizational culture and strategy, will be

important factors in our future success. We compete primarily on the basis that our products are designed to treat patients with calcified cardiovascular
disease safely, easily and effectively, with improved outcomes and procedural cost savings. Our continued success depends on our ability to:

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develop innovative, proprietary products that can cost-effectively address significant clinical needs in a manner that is safe and effective for
patients and easy to use for physicians;

continue to innovate and develop scientifically advanced technology;

obtain and maintain regulatory clearances or approvals;

demonstrate efficacy in our sponsored and third-party clinical trials and studies;

obtain and maintain adequate reimbursement for procedures using our products;

apply technology across product lines and markets;

attract and retain skilled research and development and sales personnel; and

cost-effectively manufacture and successfully market and sell products.

Intellectual Property

Our success depends in part on our ability to obtain, maintain, protect and enforce our proprietary technology and intellectual property rights, in
particular, our patent rights, preserve the confidentiality of our trade secrets, and operate without infringing the valid and enforceable patents and other
proprietary rights of third parties. We rely on a combination of patent, trademark, trade secret, copyright and other intellectual property rights and measures
to protect the intellectual property rights that we consider important to our business. We also rely on know-how and continuing technological innovation to
develop and maintain our competitive position.

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We seek to protect our proprietary rights through a variety of methods, including confidentiality agreements and proprietary information agreements
with suppliers, employees, consultants and others who may have access to our proprietary information. However, trade secrets and proprietary information
can be difficult to protect. While we have confidence in the measures we take to protect and preserve our trade secrets and proprietary information, such
measures can be breached, and we may not have adequate remedies for any such breach. In addition, our trade secrets and proprietary information may
otherwise become known or be independently discovered by competitors.

As of December 31, 2019, we owned 39 issued U.S. patents and 17 issued foreign patents, 17 pending U.S. non-provisional patent applications and
18 pending foreign patent applications (including four Patent Cooperation Treaty (“PCT”) applications). This portfolio includes 17 issued U.S. patents, 24
issued foreign patents, 6 pending U.S. non-provisional patent applications and 8 pending foreign patent applications (including one PCT application)
relating to our current IVL Technology.

U.S. Pat. Nos. 9,642,673, 8,956,371 and 8,728,091, which are three of our issued U.S. patents relating to our current IVL Technology, are the
subject of IPR proceedings filed by Cardiovascular Systems, Inc., one of our competitors. For more information regarding these proceedings, please see the
section titled “Part I, Item 3 of this Annual Report on Form 10-K.”

Our issued patents, and any patents granted from any pending applications, are expected to expire between 2029 and 2039, without taking into

account potential patent term extensions or adjustments. The term of individual patents depends upon the legal term for patents in the countries in which
they are granted. In most countries, including the United States, the patent term is 20 years from the earliest claimed filing date of a non-provisional patent
application in the applicable country. In the United States, a patent’s term may, in certain cases, be lengthened by patent term adjustment, which
compensates a patentee for administrative delays by the United States Patent and Trademark Office in examining and granting a patent, or may be
shortened if a patent is terminally disclaimed over a commonly owned patent or a patent naming a common inventor and having an earlier expiration date.
We cannot be sure that any patent applications we have filed, or may file in the future, will result in issued patents.  We can give no assurance that any
patents that have been issued or may be issued in the future will protect our current or future products, will provide us with any competitive advantage, and
will not be challenged, invalidated, or circumvented.

For more information regarding the risks related to our intellectual property, including the above referenced IPRs, please see the section titled “Risk

Factors—Risks Related to Our Intellectual Property.”

Regulation

Our products are medical devices subject to extensive laws, rules regulations, as well as other federal and state regulatory bodies in each of the

markets in which we sell or distribute our products. These laws, rules and regulations govern, among other things, product design and development, pre-
clinical and clinical testing, manufacturing, packaging, labeling, storage, record keeping and reporting, clearance or approval, marketing, distribution,
promotion, import and export, pricing and discounts, post-marketing surveillance and interactions with healthcare professionals. Failure to comply with
applicable requirements may subject one or more of our products or us to a variety of sanctions, such as loss of product approvals/clearances/certifications,
issuance of warning letters, import detentions, and civil monetary penalties or judicial sanctions, such as product seizures, injunctions and criminal
prosecution.

United States

FDA’s Premarket Clearance and Approval Requirements. Each medical device we seek to commercially distribute in the United States will require

either a prior 510(k) clearance, unless it is exempt, or a premarket approval (“PMA”) from the FDA. Medical devices are classified into one of three
classes-Class I, Class II or Class III-depending on the degree of risk associated with each medical device and the extent of control needed to provide
reasonable assurance of safety and effectiveness. Class I devices are deemed to be low risk and are subject to the general controls of the U.S. federal Food,
Drug and Cosmetic Act (the “FD&C Act”), such as provisions that relate to adulteration; misbranding; registration and listing; notification, including
repair, replacement, or refund; records and reports; and good manufacturing practices. Most Class I devices are classified as exempt from premarket
notification under Section 510(k) of the FD&C Act, and therefore may be commercially distributed without obtaining 510(k) clearance from the FDA.
Class II devices are subject to both general controls and special controls to provide reasonable assurance of safety and effectiveness. Special controls
include performance standards, postmarket surveillance, patient registries, and guidance documents. A manufacturer may be required to submit to the FDA
a premarket notification requesting permission to commercially distribute some Class II devices. Devices deemed by the FDA to pose the greatest risk,
such as life-sustaining, life-supporting or implantable devices, or

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devices deemed not substantially equivalent to a previously cleared 510(k) device, are placed in Class III. A Class III device cannot be marketed in the
United States unless the FDA approves the device after submission of a PMA application. However, there are some Class III devices for which the FDA
has not yet called for a PMA. For these devices, the manufacturer must submit a premarket notification and obtain 510(k) clearance in order to
commercially distribute these devices. The FDA can also impose sales, marketing or other restrictions on devices in order to assure that they are used in a
safe and effective manner.

510(k) Clearance Pathway. When a 510(k) clearance is required, we must submit a premarket notification to the FDA demonstrating that our

proposed device is substantially equivalent to a predicate device, which is a previously cleared and legally marketed 510(k) device or a device that was in
commercial distribution before May 28, 1976. By regulation, a premarket notification must be submitted to the FDA at least 90 days before we intend to
market a device, and we must receive 510(k) clearance from the FDA before we actually market the device. The Medical Device User Fee Amendments
(“MDUFA”) performance goals for a traditional 510(k) clearance is 90 days. As a practical matter, however, clearance often takes longer, because the
review clock is paused by the FDA to allow time to resolve any questions the FDA may have on the 510(k). To demonstrate substantial equivalence, the
manufacturer must show that the proposed device has the same intended use as the predicate device, and it either has the same technological characteristics,
or different technological characteristics and the information in the premarket notification demonstrates that the device is equally safe and effective and
does not raise different questions of safety and effectiveness. The FDA may require further information, including clinical data, to make a determination
regarding substantial equivalence. If the FDA determines that the device, or its intended use, is not substantially equivalent to a previously cleared device
or use, the FDA will place the device into Class III.

There are three types of 510(k)s: traditional, special and abbreviated. Special 510(k)s are typically for devices that are modified and the results of
change evaluation can be sufficiently reviewed in a summary or risk analysis format. Abbreviated 510(k)s are for devices that conform to special controls
for the device type or to a recognized standard. The special and abbreviated 510(k)s are intended to streamline review, and the FDA intends to process
special 510(k)s within 30 days of receipt.

Premarket Approval Pathway. A PMA application under section 515 of the FD&C Act must be submitted to the FDA for Class III devices 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. The PMA application process is much more demanding than the 510(k) premarket notification process. A PMA is based on a
determination by FDA that the PMA application contains sufficient valid scientific evidence to assure that the device is safe and effective for its intended
use(s).

After a PMA application is submitted, the FDA has 45 days to determine whether the application is sufficiently complete to permit a substantive

review and thus whether the FDA will file the application for review. The FDA has 180 days to review a filed PMA application, although the review of an
application generally occurs over a significantly longer period of time and can take up to several years. During this review period, the FDA may request
additional information or clarification of the information already provided. Also, an advisory panel of experts from outside the FDA may be convened to
review and evaluate the application and provide recommendations to the FDA as to the approvability of the device. Although the FDA is not bound by the
advisory panel decision, the panel’s recommendations are important to the FDA’s overall decision making process. In addition, the FDA may conduct a
preapproval inspection of the manufacturing facility to ensure compliance with the Quality System Regulation (“QSR”). The FDA also may inspect one or
more clinical sites to assure compliance with the FDA’s regulations.

Upon completion of the PMA application review, the FDA may: (i) approve the PMA which authorizes commercial marketing with specific
prescribing information for one or more indications, which can be more limited than those originally sought; (ii) issue an approvable letter which indicates
the FDA’s belief that the PMA application is approvable and states what additional information the FDA requires, or the post-approval commitments that
must be agreed to prior to approval; (iii) issue a not approvable letter which outlines steps required for approval, but which are typically more onerous than
those in an approvable letter, and may require additional clinical trials that are often expensive and time consuming and can delay approval for months or
even years; or (iv) deny the application. If the FDA issues an approvable or not approvable letter, the applicant has 180 days to respond, after which the
FDA’s review clock is reset.

Clinical Trials. Clinical trials are almost always required to support a PMA and are sometimes required for 510(k) clearance. In the United States,
for significant risk devices, these trials require submission of an application for an IDE to the FDA. The IDE application must be supported by appropriate
data, such as animal and laboratory testing results, showing it is safe to test the device in humans and that the testing protocol is scientifically sound. The
IDE must be approved in advance by the FDA for a specific number of patients at specified study sites. During the trial, the sponsor must comply with the

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FDA’s IDE requirements for investigator selection, trial monitoring, reporting, and recordkeeping. The investigators must obtain patient informed consent,
rigorously follow the investigational plan and study protocol, control the disposition of investigational devices, and comply with all reporting and
recordkeeping requirements. Clinical trials for significant risk devices may not begin until the IDE application is approved by the FDA and the appropriate
institutional review boards, or IRBs, at the clinical trial sites. An IRB is an appropriately constituted group that has been formally designated to review and
monitor medical research involving subjects and which has the authority to approve, require modifications in, or disapprove research to protect the rights,
safety and welfare of human research subjects. A nonsignificant risk device does not require FDA approval of an IDE; however, the clinical trial must still
be conducted in compliance with various requirements of FDA’s IDE regulations and be approved by an IRB at the clinical trials sites. We, the FDA or the
IRB at each site at which a clinical trial is being performed may withdraw approval of a clinical trial at any time for various reasons, including a belief that
the risks to study subjects outweigh the benefits or a failure to comply with FDA or IRB requirements. Even if a trial is completed, the results of clinical
testing may not demonstrate the safety and effectiveness of the device, may be equivocal or may otherwise not be sufficient to obtain approval or clearance
of the product.

Sponsors of clinical trials of devices are required to register with clinicaltrials.gov, a public database of clinical trial information. Information
related to the device, patient population, phase of investigation, study sites and investigators, and other aspects of the clinical trial is made public as part of
the registration.

Ongoing Regulation by the FDA. Even after a device receives clearance or approval and is placed on the market, numerous regulatory requirements

apply. These include:

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establishment registration and device listing;

the QSR, which requires manufacturers, including third-party manufacturers, to follow stringent design, testing, control, documentation, and
other quality assurance procedures during all aspects of the manufacturing process;

labeling regulations and the FDA prohibitions against the promotion of products for un-cleared, unapproved or “off-label” uses, and other
requirements related to promotional activities;

medical device reporting regulations, which require that manufactures report to the FDA if their device may have caused or contributed to a
death or serious injury or if their device malfunctioned and the device or a similar device marketed by the manufacturer would be likely to
cause or contribute to a death or serious injury if the malfunction were to recur;

corrections and removal reporting regulations, which require that manufactures report to the FDA field corrections or removals if undertaken
to reduce a risk to health posed by a device or to remedy a violation of the FD&C Act that may present a risk to health; and

post market surveillance regulations, which apply to certain Class II or Class III devices when necessary to protect the public health or to
provide additional safety and effectiveness data for the device.

After a device receives 510(k) clearance, any modification that could significantly affect its safety or effectiveness, or that would constitute a major
change in its intended use, will require a new 510(k) or possibly a PMA. The FDA requires each manufacturer to make this determination initially, but the
FDA can review any such decision and can disagree with a manufacturer’s determination. If the FDA disagrees with our determination not to seek a new
510(k) clearance, the FDA may retroactively require us to seek 510(k) clearance or possibly a PMA. The FDA could also require us to cease marketing and
distribution and/or recall the modified device until 510(k) clearance or a PMA is obtained. Also, in these circumstances, we may be subject to significant
regulatory fines and penalties.

Some changes to an approved PMA device, including changes in indications, labeling, or manufacturing processes or facilities, require submission

and FDA approval of a new PMA application or PMA supplement, as appropriate, before the change can be implemented. Supplements to a PMA often
require the submission of the same type of information required for an original PMA application, except that the supplement is generally limited to that
information needed to support the proposed change from the device covered by the original PMA. The FDA uses the same procedures and actions in
reviewing PMA supplements as it does in reviewing original PMA applications.

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FDA regulations require us to register as a medical device manufacturer with the FDA. Additionally, the California Department of Health Services
(“CDHS”) requires us to register as a medical device manufacturer within the state. Because of this, the FDA and the CDHS inspect us on a routine basis
for compliance with the QSR. These regulations require that we manufacture our products and maintain related documentation in a prescribed manner with
respect to manufacturing, testing and control activities. We have undergone and expect to continue to undergo regular QSR inspections in connection with
the manufacture of our products at our facilities. Further, the FDA requires us to comply with various FDA regulations regarding labeling. Failure by us or
by our suppliers to comply with applicable regulatory requirements can result in enforcement action by the FDA or state authorities, which may include
any of the following sanctions:

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

customer notifications, voluntary or mandatory recall or seizure of our products;

operating restrictions, partial suspension or total shutdown of production;

delay in processing submissions or applications for new products or modifications to existing products;

withdrawing approvals/clearances that have already been granted; and

criminal prosecution.

Newly discovered or developed safety or effectiveness data may require changes to a product’s labeling, including the addition of new warnings and

contraindications, and also may require the implementation of other risk management measures. Also, new government requirements, including those
resulting from new legislation, may be established, or the FDA’s policies may change, which could delay or prevent regulatory clearance or approval of our
products under development.

Anti-Kickback Statute.  The U.S. federal Anti-Kickback Statute (the “Anti-Kickback Statute”) prohibits, subject to certain safe harbors set forth in

the Anti-Kickback Statute, persons or entities from knowingly and willfully soliciting, offering, receiving or paying any remuneration, directly or
indirectly, overtly or covertly, in cash or in kind, in exchange for or to induce either the referral of an individual for the furnishing or arranging for a good
or service, or for the purchasing, leasing, ordering, or arranging for or recommending any good, facility, service or item for which payment may be made in
whole or in part under federal healthcare programs, such as the Medicare and Medicaid programs. The Anti-Kickback Statute is broad and prohibits many
arrangements and practices that are lawful in businesses outside of the healthcare industry. The term “remuneration” expressly includes kickbacks, bribes,
or rebates and also has been broadly interpreted to include anything of value, including, for example, gifts, discounts, the furnishing of supplies or
equipment, credit arrangements, payments of cash, waivers of payments, ownership interests and providing anything at less than its fair market
value.  Additionally, the intent standard under the federal Anti-Kickback Statute was amended under the Patient Protection and Affordable Care Act, as
amended by the Health Care and Education Reconciliation Act of 2010 (“Affordable Care Act”), to a stricter standard such that a person or entity no longer
needs to have actual knowledge of the statute or specific intent to violate it in order to have committed a violation. The Affordable Care Act provides that
the government may assert that a claim including items or services resulting from a violation of the Anti-Kickback Statute constitutes a false or fraudulent
claim for purposes of the federal civil False Claims Act which is discussed below. Penalties for violations of the anti-kickback statute include, but are not
limited to, criminal, civil and/or administrative penalties, damages, fines, disgorgement, individual imprisonment, possible exclusion from Medicare,
Medicaid and other federal healthcare programs, and the curtailment or restructuring of operations. Various states have adopted laws similar to the Anti-
Kickback Statute, and some of these state laws may be broader in scope in that some of these state laws extend to all payors and may not contain safe
harbors. In addition, many foreign jurisdictions in which we operate have similar laws and regulations.

Federal Civil False Claims Act. The U.S. federal civil False Claims Act prohibits, among other things, persons or entities from knowingly

presenting or causing to be presented a false or fraudulent claim to, or the knowing use of false statements to obtain payment from or approval by, the
federal government. Suits filed under the federal civil False Claims Act, known as “qui tam” actions, can be brought by any individual on behalf of the
government. These individuals, sometimes known as “relators” or, more commonly, as “whistleblowers,” may share in any amounts paid by the entity to
the government in fines or settlement. The number of filings of qui tam actions has increased significantly in recent years, causing more healthcare
companies to have to defend a case brought under the federal civil False Claim Act. If an entity is determined to have violated the federal civil False Claims
Act, it may be required to pay up to three times the actual damages sustained by the government, plus civil penalties for each separate false claim. Various
states have adopted laws similar to the federal civil False Claims Act, and many of these state laws are broader in scope and apply to all payors, and
therefore, are not limited to only those claims submitted to the federal government.

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Federal Civil Monetary Penalties Statute. The federal Civil Monetary Penalties Statute, among other things, imposes fines against any person who
is determined to have presented, or caused to be presented, claims to a federal healthcare program that the person knows, or should know, is for an item or
service that was not provided as claimed or is false or fraudulent.

Sunshine Act. The Affordable Care Act also included a provision, commonly referred to as the Sunshine Act, which requires that any manufacturer

of a covered device that provides payment or other transfer of value to a physician or teaching hospital, or to a third party at the request of a physician or
teaching hospital, must submit to CMS information about the payment or other transfer of value annually, with the reported information to be made public
on a searchable website. Similar laws have been enacted in foreign jurisdictions, including France.

Health Insurance Portability and Accountability Act of 1996.  The federal Health Insurance Portability and Accountability Act (“HIPAA”) created
several new federal crimes, including healthcare fraud and false statements relating to healthcare matters. The healthcare fraud statute prohibits knowingly
and willfully executing a scheme to defraud any healthcare benefit program, including private third-party payors. The false statements statute prohibits
knowingly and willfully falsifying, concealing or covering up a material fact or making any materially false, fictitious or fraudulent statement in connection
with the delivery of or payment for healthcare benefits, items or services. In addition, HIPAA and its implementing regulations established uniform
standards for certain covered entities, which are healthcare providers, health plans and healthcare clearinghouses, as well as their business associates,
governing the conduct of specified electronic healthcare transactions and protecting the security and privacy of protected health information.

The American Recovery and Reinvestment Act of 2009, commonly referred to as the economic stimulus package, included an expansion of

HIPAA’s privacy and security standards called the Health Information Technology for Economic and Clinical Health Act (“HITECH”). Among other
things, HITECH created four new tiers of civil monetary penalties and gave state attorneys general new authority to file civil actions for damages or
injunctions in federal courts to enforce the federal HIPAA laws and seek attorneys’ fees and costs associated with pursuing federal civil actions.

We are also subject to other federal, state and local laws, and regulations relating to safe working conditions, laboratory, and manufacturing

practices.

International

General.  International sales of medical devices are subject to a variety of foreign government regulations, which may vary substantially from

country to country. We expect this global regulatory environment will continue to be complex and evolving, which could impact the cost, the time needed
to approve, and our ability to maintain existing approvals or obtain future approvals for our products, and require extensive compliance and monitoring
obligations in the countries where we sell or distribute our products.  In addition, our international operations, distribution and sales require us to comply
with: the U.S. Foreign Corrupt Practices Act and similar anti-bribery laws in other jurisdictions; U.S. and foreign export control, trade embargo and custom
laws, as well as foreign tax laws; employment, immigration and labor laws; local intellectual property laws, which may not protect intellectual property
rights to the same extent as U.S. law; and privacy laws such as the European General Data Protection Regulation.

European Union.  The European Union has adopted numerous directives and standards regulating the design, manufacture, clinical trials, labeling

and adverse event reporting for medical devices.  Our products are regulated in the European Union as medical devices per the MDD. Conformity with the
MDD is indicated by the CE mark, which is issued by the applicable Notified Body following the successful satisfaction of a variety of requirements,
which depend on the class of the product, but normally involve a combination of: (a) submission of a design dossier; (b) self-assessment by the
manufacturer; (c) a third-party assessment, which generally consists of an audit of the manufacturer’s quality system and manufacturing site or evidence of
current, valid QMS certificate from a recognized Notified Body evidencing compliance with ISO 13485; and (d) review of the design dossier, which may
include safety and technical information, by the Notified Body. The CE mark is contingent upon continued compliance with the applicable regulations,
including compliance with ISO 13485 and applicable vigilance and post-market surveillance.

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The new European Union Medical Devices Regulation (the “MDR”), which was published in May 2017 with a transition period of three years,

replaces the MDD and will expand and modify the pre-market and post-market obligations of the MDD. Starting May 2020, the new MDR will apply and
no new applications under the previous directives will be permitted. We are in the process of updating our technical documentation and other quality
management system processes to meet the new MDR requirements. Under the new MDR requirements, CE certificates issued under the MDD prior to May
2020 will remain valid in accordance with their term, beyond the expiration of the transition period, however certain limitations set forth in the MDR, such
as the need to use classifications that are different from the previous directives, would apply. We do not expect such limitations to have any material impact
on our ability to supply our products to the countries covered by the MDR.

Regulatory Inspections

We are subject to periodic inspections by the FDA and other regulatory entities, such as a European Notified Body, related to the regulatory

requirements that apply to medical devices designed and manufactured, and clinical trials sponsored, by us. When the FDA conducts an inspection, the
inspectors will identify any deficiencies they believe exist in the form of a notice of inspectional observations, or Form FDA 483. If we receive a notice of
inspectional observations or deficiencies from the FDA following an inspection, we would be required to respond in writing, and would be required to
undertake corrective and/or preventive or other actions in order to address the FDA’s or other regulators’ concerns. Failure to address the FDA’s concerns
may result in the issuance of a warning letter or other enforcement or administrative actions.

Employees

As of December 31, 2019, we had 284 full-time employees worldwide. None of our employees are represented by a collective bargaining

agreement and we have never experienced a work stoppage. We believe our employee relations are good.

Legal Proceedings

We may be subject to other legal proceedings and claims in the ordinary course of business. We have received, and may from time to time receive,

letters from third parties alleging patent infringement, violation of employment practices or trademark infringement, and we may in the future participate in
litigation to defend ourselves. We cannot predict the results of any such disputes, and despite the potential outcomes, the existence thereof may have an
adverse material impact on us due to diversion of management time and attention as well as the financial costs related to resolving such disputes. For
information with respect to Legal Proceedings, see Part I, Item 3 of this Annual Report on Form 10-K.

Corporate Information

We were incorporated in 2009 as a Delaware corporation under the name ShockWave Medical, Inc. Our principal executive offices are located at

5403 Betsy Ross Drive, Santa Clara, California 95054, and our telephone number is (510) 279-4262. Our website address is www.shockwavemedical.com.
The information on, or that can be accessed through, our website is not part of this Annual Report on Form 10-K. We have included our website address as
an inactive textual reference only.

We use “Shockwave,” “Shockwave M5,” “Shockwave C2,” “Shockwave S4” and other marks as trademarks in the United States and other
countries. This Annual Report on Form 10-K contains references to our trademarks and service marks and to those belonging to other entities. Solely for
convenience, trademarks and trade names referred to in this Annual Report on Form 10-K, including logos, artwork and other visual displays, may appear
without the ® or ™ symbols, but such references are not intended to indicate in any way that we will not assert, to the fullest extent under applicable law,
our right or the rights of the applicable licensor to these trademarks and trade names. We do not intend our use or display of other entities’ trade names,
trademarks or service marks to imply a relationship with, or endorsement or sponsorship of us by, any other entity.

Implications of Being an Emerging Growth Company

We are an “emerging growth company,” as defined in the Jumpstart Our Business Startups Act of 2012 (the “JOBS Act”). We will remain an
emerging growth company until the earliest to occur of: the last day of the fiscal year in which we have more than $1.07 billion in annual revenue; the date
on which we are deemed to be a large accelerated filer (this means the market value of shares of our common stock that are held by non-affiliates exceeds
$700 million as of the end of the second quarter of that fiscal year); the issuance, in any three-year period, by us of more than $1 billion in non-
convertible debt securities; and the last day of the fiscal year ending after the fifth anniversary of our initial public offering. Any reference herein to
“emerging growth company” has the meaning ascribed to it in the JOBS Act.

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An emerging growth company may take advantage of reduced reporting requirements that are otherwise applicable to public companies. These

provisions include, but are not limited to:

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being permitted to present only two years of audited consolidated financial statements and only two years of related Management’s
Discussion and Analysis of Financial Condition and Results of Operations in the registration statement filed under the Securities Act of
1933 (the “Securities Act”) for an IPO of common equity securities;

not being required to comply with the auditor attestation requirements of Section 404 of the Sarbanes-Oxley Act of 2002, as amended;

reduced disclosure obligations regarding executive compensation in our periodic reports, proxy statements and registration statements; and

exemptions from the requirements of holding a nonbinding advisory vote on executive compensation and stockholder approval of any
golden parachute payments not previously approved.

The JOBS Act provides that an emerging growth company can take advantage of an extended transition period for complying with new or revised

accounting standards. We have irrevocably elected not to avail ourselves of this exemption and, therefore, we will be subject to the same new or revised
accounting standards as other public companies that are not emerging growth companies.

Available Information

We make our Annual Reports on Form 10-K, Quarterly Reports on Form 10-Q, Current Reports on Form 8-K, and amendments to those reports,

available free of charge at our website as soon as reasonably practicable after they have been filed with the SEC. Our website address is
www.shockwavemedical.com. Information on our website is not part of this report. The SEC maintains a website that contains the materials we file with
the SEC at www.sec.gov.

Item 1A. Risk Factors.

Our operating and financial results are subject to various risks and uncertainties. You should carefully consider the risks described below, as well
as all of the other information contained in this Annual Report on Form 10-K, including our financial statements and related notes, before investing in our
common stock. While we believe that the risks and uncertainties described below are the material risks currently facing us, additional risks that we do not
yet know of or that we currently think are immaterial may also arise and materially affect our business.

Risks Related to Our Business and Products

We have a history of net losses, and we expect to continue to incur losses for the foreseeable future. If we ever achieve profitability, we may not be able
to sustain it.

We have incurred losses since our inception and expect to continue to incur losses for the foreseeable future. For the years ended December 31,
2019 and 2018, we reported net losses of $51.1 million and $41.1 million, respectively. As a result of these losses, as of December 31, 2019, we had an
accumulated deficit of approximately $178.0 million. We expect to continue to incur significant sales and marketing, research and development, regulatory
and other expenses as we expand our marketing efforts to increase adoption of our products, expand existing relationships with our customers, obtain
regulatory clearances or approvals for our planned or future products, conduct clinical trials on our existing and planned or future products and develop
new products or add new features to our existing products. In addition, we expect our general and administrative expenses to increase due to the additional
costs associated with being a public company. The net losses that we incur may fluctuate significantly from period to period. We will need to generate
significant additional revenue in order to achieve and sustain profitability. Even if we achieve profitability, we cannot be sure that we will remain profitable
for any substantial period of time.

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We have limited commercialization experience.

We were incorporated in 2009 and began commercializing our Shockwave M5 IVL catheter (“M5 catheter”) for treating peripheral artery disease

(“PAD”) in the United States and Europe in 2018 and our Shockwave C2 IVL catheter (“C2 catheter”) for treating coronary artery disease (“CAD”) in
Europe in 2018. We initiated a limited launch of our S4 IVL catheter (“S4 catheter”) in the first half of 2019 and commenced a full commercial launch in
select approved geographies in the second half of 2019. Our C2 catheter has not yet been approved or cleared for the treatment of CAD in the United
States. Our limited commercialization experience and limited number of approved or cleared products make it difficult to evaluate our current business and
predict our future prospects.

These factors also make it difficult for us to forecast our future financial performance and growth, and such forecasts are subject to a number of
uncertainties, including our ability to successfully complete our Disrupt PAD III, Disrupt CAD II, Disrupt CAD III, Disrupt CAD IV and transcatheter
aortic valve replacement (“TAVR”) feasibility clinical trials and obtain U.S. Food and Drug Administration (“FDA”) pre-market approval for, and
successfully commercialize, our C2 catheter for the treatment of CAD in the United States or future planned products in the United States or in key
international markets. If our assumptions regarding the risks and uncertainties we face, which we use to plan our business, are incorrect or change due to
circumstances in our business or our markets, or if we do not address these risks successfully, our operating and financial results could differ materially
from our expectations and our business could suffer.

Our success depends in large part on our intravascular lithotripsy technology (our “IVL Technology”). If we are unable to successfully market and sell
products incorporating our IVL Technology, our business prospects will be significantly harmed and we may be unable to achieve revenue growth.

Our future financial success will depend substantially on our ability to effectively and profitably market and sell our products incorporating our IVL

Technology. The commercial success of our products and any of our planned or future products will depend on a number of factors, including the
following:

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the actual and perceived effectiveness and reliability of our products, especially relative to alternative products;

the prevalence and severity of any adverse patient events involving our products;

the results of clinical trials relating to the use of our products;

our ability to sustain meaningful clinical benefits for our patients;

our ability to obtain regulatory approval to market our planned or future products for use in treating PAD, CAD and aortic stenosis (“AS”) in
the United States;

the availability, relative cost and perceived advantages and disadvantages of alternative technologies or treatment methods for conditions
treated by our products;

the degree to which treatments using our products are covered and receive adequate reimbursement from third-party payors, including
governmental and private insurers;

the degree to which physicians adopt our products;

our ability to obtain, maintain, protect and enforce our intellectual property rights in and to our IVL Technology and our products that
incorporate our IVL Technology;

our ability to treat medial calcium and sustain a meaningful clinical benefit better than our competitors and alternative treatments or
therapies;

achieving and maintaining compliance with all regulatory requirements applicable to our products;

the extent to which we are successful in educating physicians about PAD, CAD and AS in general, and the benefits of our products in
treating such conditions;

the strength of our marketing and distribution infrastructure;

the effectiveness of our and our distributors’ marketing and sales efforts in the United States and abroad, including our efforts to build out
our sales team;

the level of education and awareness among physicians and hospitals concerning our products;

our reputation among physicians and hospitals;

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our ability to continue to develop, validate and maintain a commercially viable manufacturing process that is compliant with current Good
Manufacturing Practices (“cGMP”) and the Quality System Regulation (“QSR”); and

whether we are required by the FDA or comparable non-U.S. regulatory authorities to conduct additional clinical trials for future or current
indications.

If we fail to successfully market and sell our products, we will not be able to achieve profitability, which will have a material adverse effect on our

business, financial condition and results of operations. Our ability to grow our revenue in future periods will depend on our ability to successfully penetrate
our target markets and increase sales of our products and any new product or product indications that we introduce, which will, in turn, depend in part on
our success in growing our user base and driving increased use of our products. New products or product indications will also need to be approved or
cleared by the FDA and comparable non-U.S. regulatory agencies to drive revenue growth. If we cannot achieve revenue growth, it could have a material
adverse effect on our business, financial condition and results of operations.

We currently manufacture and sell products that are used in a limited number of procedures, which could negatively affect our operations and
financial condition.

Currently, our commercialized products consist primarily of our IVL System using M5 catheters for the treatment of above-the-knee PAD in the

United States and internationally, S4 catheters in the United States and C2 catheters for the treatment of CAD internationally. Therefore, we are dependent
on widespread market adoption of these products and we will continue to be dependent on the success of these products for the foreseeable future. There
can be no assurance that our products will gain a substantial degree of market acceptance among specialty physicians, patients or healthcare providers. Our
failure to successfully increase sales of these products or any other event impeding our ability to sell these products would result in a material adverse
effect on our business, financial condition and results of operations.

For our company to thrive, we must lead and benefit from a shift in thinking about the role of calcified lesions in our core disease areas.

A shift in thinking in the treatment of our core disease areas is needed for the successful market acceptance of our products. We will need to educate

the medical community about the safety, efficacy, necessity and efficiency of our products. This will require educating them not only about the benefits of
our technology, but also about the impact of calcified plaque on treatment choices and treatment outcomes. We believe that focusing on calcified plaque is a
paradigm shift in the treatment of these diseases because other interventions have not specifically focused on this source of atherosclerosis. Additionally,
we will need to convince the medical community that the additional cost and time of integrating the IVL procedure, designed to prepare the vessel for the
subsequent stenting or angioplasty procedure, is worth the increased efficacy of the overall procedure and improvement in patient outcomes. The failure of
our clinical, marketing and executive teams to drive this shift in thinking among doctors, patients, practitioners, third-party payors and regulators could
adversely affect our ability to grow the business.

The continuing development of our products depends upon our maintaining strong working relationships with physicians.

The research, development, marketing and sale of our current products and potential new and improved products or future product indications for
which we receive regulatory clearance or approval depend upon our maintaining working relationships with physicians. We rely on these professionals to
provide us with considerable knowledge and experience regarding the development, marketing and sale of our products. Physicians assist us in clinical
trials and in marketing, and as researchers, product consultants and public speakers. If we cannot maintain our strong working relationships with these
professionals and continue to receive their advice and input, the development and marketing of our products could suffer, which could have a material
adverse effect on our business, financial condition and results of operations. At the same time, the medical device industry’s relationship with physicians is
under increasing scrutiny by the U.S. Department of Health and Human Services Office of Inspector General (the “OIG”), the U.S. Department of Justice
(the “DOJ”), the state attorney generals and other foreign and domestic government agencies. Our failure to comply with requirements governing the
industry’s relationships with physicians or an investigation into our compliance by the OIG, the DOJ, state attorney generals and other government
agencies, could have a material adverse effect on our business, financial condition and results of operations. Additional information regarding the laws
impacting our relationships with physicians and other healthcare professionals can be found below under “Risks Related to Government Regulation and
Our Industry.”

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We currently have limited sales or marketing capabilities. If we are unable to establish effective sales and marketing capabilities or if we are unable to
enter into agreements with third parties to commercialize our products, we may not be able to effectively generate product revenue, sustain revenue
growth and compete effectively.

We currently have limited sales or marketing capabilities. Our sales were $42.9 million and $12.3 million for the years ended December 31, 2019

and 2018, respectively. We launched our M5 catheters for the treatment of PAD in the United States, Europe and select other countries in 2018, we
launched our C2 catheters for the treatment of CAD in Europe in 2018, and we expect to launch our C2 catheters for the treatment of CAD in the United
States in the first half of 2021, subject to FDA approval. We initiated a limited launch of our S4 catheter in the first half of 2019 and commenced a full
commercial launch in select approved geographies in the second half of 2019. Building the requisite sales, marketing or distribution capabilities will be
expensive and time-consuming and will require significant attention from our leadership team to manage. Any failure or delay in the development of our
sales, marketing or distribution capabilities would adversely impact the commercialization of our products. The competition for talented individuals
experienced in selling and marketing medical device products is intense, and we cannot assure you that we can assemble or maintain an effective team.
Additionally, we may choose to collaborate, either globally or on a territory-by-territory basis, with third parties on the commercialization of our products.
If we are unable to enter into such arrangements on acceptable terms or at all, we may not be able to successfully commercialize our products.

We may expend our limited resources to pursue a particular product or indication and fail to capitalize on products or indications that may be more
profitable or for which there is a greater likelihood of success.

Because we have limited financial and managerial resources, we focus on specific products, indications and discovery programs. As a result, we

may forgo or delay pursuit of other opportunities with others that could have had greater commercial potential. Our resource allocation decisions may cause
us to fail to capitalize on viable commercial products or profitable market opportunities. Our spending on current and future research and development
programs for specific indications may not yield any commercially viable products. If we do not accurately evaluate the commercial potential or target
market for a particular potential product, we may relinquish valuable rights to that potential product through future collaborations, licenses and other
similar arrangements in cases in which it would have been more advantageous for us to retain sole development and commercialization rights to such
potential product.

In the future our products may become obsolete, which would negatively affect operations and financial condition.

The medical device industry is characterized by rapid and significant change. There can be no assurance that other companies will not succeed in

developing or marketing devices and products that are more effective than our IVL System or that would render our IVL System obsolete or
noncompetitive. Additionally, new surgical procedures, medications and other therapies could be developed that replace or reduce the importance of our
products. Accordingly, our success will depend in part on our ability to respond quickly to medical and other changes through the development and
introduction of new products. Product development involves a high degree of risk, and there can be no assurance that our new product development efforts
will result in any commercially successful products.

The commercial success of our products will depend upon attaining significant market acceptance of these products among physicians, healthcare
payors and the medical community.

Our success will depend, in part, on the acceptance of our products as safe, useful and, with respect to providers, cost effective. We cannot predict

how quickly, if at all, physicians will accept our products or, if accepted, how frequently they will be used. Our products and planned or future products we
may develop or market may never gain broad market acceptance among physicians and the medical community for some or all of our targeted indications.
Healthcare providers must believe that our products offer benefits over alternative treatment methods. The degree of market acceptance of any of our
products will depend on a number of factors, including:

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whether physicians and others in the medical community consider our products to be safe and cost-effective treatment methods;

the potential and perceived advantages of our products over alternative treatment methods;

the prevalence and severity of any side effects associated with using our products;

product labeling or product insert requirements by the FDA or other regulatory authorities;

limitations or warnings contained in the labeling cleared or approved by the FDA or other authorities;

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the cost of treatment in relation to alternative treatments methods;

the convenience and ease of use of our products relative to alternative treatment methods;

pricing pressure, including from group purchasing organizations (“GPOs”), seeking to obtain discounts on our products based on the
collective buying power of the GPO members;

a substantial shift in the number of PAD procedures that are performed in office-based labs (“OBLs”) compared to those performed in a
hospital as OBLs tend to have higher price sensitivity than hospitals;

the availability of coverage and adequate reimbursement for procedures using our products from third-party payors, including government
authorities;

the willingness of patients to pay out-of-pocket in the absence of coverage and adequate reimbursement by third-party payors, including
government authorities;

our ability to provide incremental clinical and economic data that show the safety, clinical efficacy and cost effectiveness of, and patient
benefits from, our products; and

the effectiveness of our sales and marketing efforts for our products.

For example, in July 2018, we initiated and subsequently completed a voluntary recall of our S4 catheters after seeing a higher instance of leaks in

the balloon, which prevented the balloon from staying inflated at four atmospheres (“atm”) for the full course of lithotripsy application. Although there
were no patient safety issues reported and no reports of adverse clinical events related to this issue, and the issue has been corrected, customer satisfaction
problems early in a product’s launch can have lasting negative impact on our ability to sell such product. We have also proceeded with a full commercial
launch of our S4 catheter in select approved geographies in the second half of 2019. However, we cannot guarantee that issues with our S4 catheters will not
resurface. Any future government or voluntary recalls of our S4 catheter could divert managerial and financial resources, harm our reputation and adversely
affect our business.

In addition, if we do not educate physicians about PAD and the existence of our products, they may not gain market acceptance, as many physicians
do not routinely screen for PAD while screening for CAD. Additionally, even if our products achieve market acceptance, they may not maintain that market
acceptance over time if competing products or technologies, which are more cost effective or received more favorably, are introduced. Failure to achieve or
maintain market acceptance and/or market share would limit our ability to generate revenue and would have a material adverse effect on our business,
financial condition and results of operations.

The sizes of the markets for our current and future products have not been established with precision, and may be smaller than we estimate.

Our estimates of the annual total addressable markets for our current products and products under development are based on a number of internal
and third-party estimates, including, without limitation, the number of patients with calcified cardiovascular disease and the assumed prices at which we
can sell tests for markets that have not been established. While we believe our assumptions and the data underlying our estimates are reasonable, these
assumptions and estimates may not be correct and the conditions supporting our assumptions or estimates may change at any time, thereby reducing the
predictive accuracy of these underlying factors. In addition, our estimates of the sizes of the PAD and CAD patient population include patients who are
asymptomatic or in the early stages of disease; these patients might never progress to more advanced disease stages and, accordingly, might never be likely
candidates for treatment with our products. As a result, our estimates of the annual total addressable market for our current or future products may prove to
be incorrect. If the actual number of patients who would benefit from our products, the price at which we can sell future products, or the annual total
addressable market for our products is smaller than we have estimated, it may impair our sales growth and have an adverse impact on our business.

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We have limited commercial manufacturing experience and may experience development or manufacturing problems or delays in producing our
products and planned or future products that could limit the potential growth of our revenue or increase our losses.

We have limited experience in commercially manufacturing our products and no experience manufacturing these products in the volume that we

anticipate will be required if we achieve planned levels of commercial sales. The forecasts of demand we use to determine order quantities and lead times
for components purchased from outside suppliers may be incorrect. Our failure to obtain required components or sub-assemblies when needed and at a
reasonable cost would adversely affect our business. As a result, we may not be able to develop and implement efficient, low-cost manufacturing
capabilities and processes that will enable us to manufacture our existing, planned or future products in significant volumes, while meeting the legal,
regulatory, quality, price, durability, engineering, design and production standards required to market our products successfully.

We may encounter unforeseen situations in the manufacturing and assembly of our products that would result in delays or shortfalls in our
production. For example, our production processes and assembly methods may have to change in order to accommodate any significant future expansion of
our manufacturing capacity, which may increase our manufacturing costs, delay production of our products, reduce our product margin and adversely
impact our business. Conversely, if demand for our products shifts such that a manufacturing facility is operated below its capacity for an extended period,
we may adjust our manufacturing operations to reduce fixed costs, which could lead to uncertainty and delays in manufacturing times and quality during
any transition period.

Since we produce all of our IVL catheters at one facility, any contamination of the controlled environment, equipment malfunction or failure to
strictly follow procedures can significantly reduce our yield. A drop in yield can increase our cost to manufacture our products or, in more severe cases,
require us to halt the manufacture of our products until the problem is resolved. Identifying and resolving the cause of a drop in yield can require
substantial time and resources.

If our manufacturing activities are adversely impacted or if we are otherwise unable to keep up with demand for our products by successfully
manufacturing, assembling, testing and shipping our products in a timely manner, our revenue could be impaired, market acceptance for our products could
be adversely affected and our customers might instead purchase our competitors’ products, which would have a material adverse effect on our business,
financial condition and results of operations.

We may be unable to compete successfully with larger companies in our highly competitive industry.

There are numerous approved products for treating vascular diseases in the indications in which we have received clearance or approval and those
that we are pursuing or may pursue in the future. Many of these cleared or approved products are well-established and are widely accepted by physicians,
patients and third-party payors. Third-party payors may encourage the use of competitors’ products. In addition, many companies are developing products,
and we cannot predict what the standard of care will be in the future.

The medical device industry is intensely competitive, subject to rapid change and significantly affected by new product introductions and other

market activities of industry participants. We compete or plan to compete with manufacturers and distributors of cardiovascular medical devices. Our most
notable competitors in the highly competitive cardiovascular field include Boston Scientific Corporation, Cardiovascular Systems, Inc., Medtronic plc and
Philips. Many of these competitors are large, well-capitalized companies with significantly greater market share and resources than we have. As a
consequence, they are able to spend more on product development, marketing, sales and other product initiatives than we can. We also compete with
smaller medical device companies that have single products or a limited range of products. Some of our competitors have:

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significantly greater name recognition;

broader or deeper relations with healthcare professionals, customers and third-party payors;

more established distribution networks;

additional lines of products and the ability to offer rebates or bundle products to offer greater discounts or other incentives to gain a
competitive advantage;

greater experience in conducting research and development, manufacturing, clinical trials, marketing and obtaining regulatory clearance or
approval for products; and

greater financial and human resources for product development, sales and marketing and patent litigation.

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We believe that our proprietary IVL Technology, our focus on calcified cardiovascular disease and our organizational culture and strategy, will be
important factors in our future success. We compete primarily on the basis that our products treat patients with calcified cardiovascular disease safely and
effectively, with improved outcomes and procedural cost savings. Our continued success depends on our ability to:

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develop innovative, proprietary products that can cost-effectively address significant clinical needs;

continue to innovate and develop scientifically advanced technology;

obtain and maintain regulatory clearances or approvals;

demonstrate efficacy in our sponsored and third-party clinical trials and studies;

apply our technology across product lines and markets;

attract and retain skilled research and development and sales personnel; and

cost-effectively manufacture and successfully market and sell products.

In addition, competitors with greater financial resources than ours could acquire other companies to gain enhanced name recognition and market

share, as well as new technologies or products that could effectively compete with our existing products, which may cause our revenue to decline and
would harm our business.

Our competitors also compete with us in recruiting and retaining qualified scientific, management and commercial personnel, as well as in
acquiring technologies complementary to, or necessary for, our products. Because of the complex and technical nature of our products and the dynamic
market in which we compete, any failure to attract and retain a sufficient number of qualified employees could materially harm our ability to develop and
commercialize our products, which would have a material adverse effect on our business, financial condition and results of operations.

Our operating results may fluctuate significantly, which makes our future operating results difficult to predict and could cause our operating results to
fall below expectations or any guidance we may provide.

Our quarterly and annual operating results may fluctuate significantly, which makes it difficult for us to predict our future operating results. These

fluctuations may occur due to a variety of factors, many of which are outside of our control, including, but not limited to:

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the level of demand for our products and any approved products, which may vary significantly;

expenditures that we may incur to acquire, develop or commercialize additional products and technologies;

the timing and cost of obtaining regulatory approvals or clearances for planned or future products or indications;

the rate at which we grow our sales force and the speed at which newly hired salespeople become effective, and the cost and level of
investment therein;

the degree of competition in our industry and any change in the competitive landscape of our industry, including consolidation among our
competitors or future partners;

coverage and reimbursement policies with respect to our products, if approved, and potential future products that compete with our products;

the timing and success or failure of preclinical studies or clinical trials for our products or any future products we develop or competing
products;

the timing of customer orders or medical procedures using our products and the number of available selling days in any quarterly period,
which can be impacted by holidays, the mix of products sold and the geographic mix of where products are sold;

seasonality, including the seasonal slowing of demand for our products we have experienced in the fourth quarter and summer months based
on the elective nature of procedures performed using our products, and which we expect to become more pronounced in the future as our
business grows;

the timing and cost of, and level of investment in, research, development, regulatory approval and commercialization activities relating to
our products, which may change from time to time;

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the cost of manufacturing our products, which may vary depending on the quantity of production and the terms of our agreements with third-
party suppliers and manufacturers; and

future accounting pronouncements or changes in our accounting policies.

The cumulative effects of these factors could result in large fluctuations and unpredictability in our quarterly and annual operating results. As a

result, comparing our operating results on a period-to-period basis may not be meaningful. Investors should not rely on our past results as an indication of
our future performance.

This variability and unpredictability could also result in our failing to meet the expectations of industry or financial analysts or investors for any

period. If our revenue or operating results fall below the expectations of analysts or investors or below any forecasts we may provide to the market, it could
have a material adverse effect on our business, financial condition and results or operations.

Reimbursement may not be available for the procedures that utilize our products, which could diminish our sales or affect our ability to sell our
products profitably.

In both U.S. and non-U.S. markets, our ability to successfully commercialize and achieve market acceptance of our products depends, in significant

part, on the availability of adequate financial coverage and reimbursement from third-party payors, including governmental payors (such as the Medicare
and Medicaid programs in the United States), managed care organizations and private health insurers. Third-party payors decide which treatments they will
cover and establish reimbursement rates for those treatments. Third-party payors in the United States generally do not provide reimbursement for our
products. Rather, we expect certain components of our IVL System to continue to be purchased by hospitals and other providers who will then seek
reimbursement from third-party payors for the procedures performed using our products. While third-party payors currently cover and provide
reimbursement for procedures using our currently cleared or approved products, we can give no assurance that these third-party payors will continue to
provide coverage and adequate reimbursement for the procedures using our products, to permit hospitals and doctors to offer procedures using our products
to patients requiring treatment, or that current reimbursement levels for procedures using our products will continue. Third-party payors are increasingly
examining the cost effectiveness of products, in addition to their safety and efficacy, when making coverage and payment decisions. Furthermore, although
we believe there is potential to improve on the current reimbursement profile for our devices in the future, the overall amount of reimbursement available
for PAD and CAD procedures could remain at current levels or decrease in the future. Additionally, we cannot be sure that the PAD and CAD procedure
reimbursement amounts will not reduce or otherwise negatively affect the demand for our marketed products. Failure by hospitals and other users of our
products to obtain coverage and adequate reimbursement for the procedures using our products would cause our business to suffer.

Third-party payors have also instituted initiatives to limit the growth of healthcare costs using, for example, price regulation or controls and
competitive pricing programs. Some third-party payors also require demonstrated superiority, on the basis of randomized clinical trials, or pre-approval of
coverage, for new or innovative devices or procedures before they will reimburse healthcare providers who use such devices or procedures. Additionally,
no uniform policy for coverage and reimbursement exists in the United States, and coverage and reimbursement can differ significantly from payor to
payor. Third-party payors often rely upon Medicare coverage policy and payment limitations in setting their own reimbursement rates, but also have their
own methods and approval process apart from Medicare determinations. It is uncertain whether our current products or any planned or future products will
be viewed as sufficiently cost effective to warrant coverage and adequate reimbursement levels for procedures using such marketed products.

If our products are not approved for planned or new indications, our commercial opportunity will be limited.

We currently market and sell our M5 and S4 catheters for the treatment of calcified plaque in patients with PAD in the United States and

international markets and our C2 catheters for the treatment of calcified plaque in patients with CAD in Europe. However, our strategy is to market and sell
our products for the treatment of CAD in the United States, upon approval or clearance from the FDA, and also to pursue additional vascular indications for
our products. Conducting clinical studies to obtain data for new or additional indications may require substantial additional funding. We cannot assure you
that we will be able to successfully obtain clearance or approval for any of these additional product indications.

Even if we obtain clearance or approval to market our products for additional indications in the United States or internationally, we cannot assure

you that any such indications will be successfully commercialized, widely accepted in the marketplace or more effective than other commercially available
alternatives. If we are unable to successfully develop our products for new or additional indications, our commercial opportunity will be limited, which
would have a material adverse effect on our business, financial condition and results of operations.

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We have limited data and experience regarding the safety and efficacy of our products. Results of earlier studies may not be predictive of future clinical
trial results, and planned studies may not establish an adequate safety or efficacy profile for such products and other planned or future products, which
would affect market acceptance of these products.

Because our IVL Technology is relatively new in the treatment of PAD and CAD, we have performed clinical trials only with limited patient

populations. The long-term effects of using our products in a large number of patients have not been studied and the results of short-term clinical use of
such products do not necessarily predict long-term clinical benefits or reveal long-term adverse effects. The results of preclinical studies and clinical trials
of our products conducted to date and ongoing or future studies and trials of our current, planned or future products may not be predictive of the results of
later clinical trials, and interim results of a clinical trial do not necessarily predict final results. Our interpretation of data and results from our clinical trials
do not ensure that we will achieve similar results in future clinical trials in other patient populations. In addition, preclinical and clinical data are often
susceptible to various interpretations and analyses, and many companies that have believed their products performed satisfactorily in preclinical studies and
earlier clinical trials have nonetheless failed to replicate results in later clinical trials and subsequently failed to obtain marketing approval. Products in later
stages of clinical trials may fail to show the desired safety and efficacy despite having progressed through nonclinical studies and earlier clinical trials.

If our clinical trials are unsuccessful or significantly delayed, or if we do not complete our clinical trials, our business may be harmed.

Clinical development is a long, expensive and uncertain process and is subject to delays and the risk that products may ultimately prove unsafe or

ineffective in treating the indications for which they are designed. Completion of clinical trials may take several years or more. Clinical trials can be
delayed for a variety of reasons, including delays in obtaining regulatory approval to commence a trial, in reaching an agreement on acceptable clinical trial
terms with prospective sites, in obtaining institutional review board approval at each site, in recruiting patients to participate in a trial or in obtaining
sufficient supplies of clinical trial materials.

We cannot provide any assurance that we will successfully, or in a timely manner, enroll our clinical trials, that our clinical trials will meet their

primary endpoints or that such trials or their results will be accepted by the FDA or foreign regulatory authorities.

We may experience numerous unforeseen events during, or because of, the clinical trial process that could delay or prevent us from receiving

regulatory clearance or approval for new products or modifications of existing products, including new indications for existing products, including:

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enrollment in our clinical trials may be slower than we anticipate, or we may experience high screen failure rates in our clinical trials,
resulting in significant delays;

our clinical trials may produce negative or inconclusive results, and we may decide, or regulators may require us, to conduct additional
clinical and/or preclinical testing which may be expensive and time-consuming;

trial results may not meet the level of statistical significance required by the FDA or other regulatory authorities;

the FDA or similar foreign regulatory authorities may find the product is not sufficiently safe for investigational use in humans;

the FDA or similar foreign regulatory authorities may interpret data from preclinical testing and clinical trials in different ways than we do;

there may be delays or failure in obtaining approval of our clinical trial protocols from the FDA or other regulatory authorities;

there may be delays in obtaining institutional review board approvals or governmental approvals to conduct clinical trials at prospective
sites;

the FDA or similar foreign regulatory authorities may find our or our suppliers’ manufacturing processes or facilities unsatisfactory;

the FDA or similar foreign regulatory authorities may change their review policies or adopt new regulations that may negatively affect or
delay our ability to bring a product to market or receive approvals or clearances to treat new indications;

we may have trouble in managing multiple clinical sites;

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we may have trouble finding patients to enroll in our trials;

we may experience delays in agreeing on acceptable terms with third-party research organizations and trial sites that may help us conduct
the clinical trials; and

we, or regulators, may suspend or terminate our clinical trials because the participating patients are being exposed to unacceptable health
risks.

Failures or perceived failures in our clinical trials will delay and may prevent our product development and regulatory approval process, damage

our business prospects and negatively affect our reputation and competitive position.

Clinical trials may be delayed, suspended or terminated for many reasons, which will increase our expenses and delay the time it takes to develop new
products or seek new indications.

We may experience delays in our ongoing or future preclinical studies or clinical trials, and we do not know whether future preclinical studies or

clinical trials will begin on time, need to be redesigned, enroll an adequate number of patients on time or be completed on schedule, if at all. The
commencement and completion of clinical trials for future products or indications may be delayed, suspended or terminated as a result of many factors,
including:

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the FDA or other regulators disagreeing as to the design, protocol or implementation of our clinical trials;

the delay or refusal of regulators or institutional review boards (“IRBs”) to authorize us to commence a clinical trial at a prospective trial
site;

changes in regulatory requirements, policies and guidelines;

delays or failure to reach agreement on acceptable terms with prospective clinical research organizations (“CROs”) and clinical trial sites,
the terms of which can be subject to extensive negotiation and may vary significantly among different CROs and trial sites;

delays in patient enrollment and variability in the number and types of patients available for clinical trials;

the inability to enroll a sufficient number of patients in trials to observe statistically significant treatment effects in the trial;

having clinical sites deviate from the trial protocol or dropping out of a trial;

negative or inconclusive results from ongoing preclinical studies or clinical trials, which may require us to conduct additional preclinical
studies or clinical trials or to abandon projects that we expect to be promising;

safety or tolerability concerns that could cause us to suspend or terminate a trial if we find that the participants are being exposed to
unacceptable health risks;

reports from preclinical or clinical testing of other similar therapies that raise safety or efficacy concerns;

regulators or IRBs requiring that we or our investigators suspend or terminate clinical research for various reasons, including noncompliance
with regulatory requirements or safety concerns, among others;

lower than anticipated retention rates of patients and volunteers in clinical trials;

our CROs or clinical trial sites failing to comply with regulatory requirements or meet their contractual obligations to us in a timely manner,
or at all, deviating from the protocol or dropping out of a trial;

delays relating to adding new clinical trial sites;

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

the quality of the products falling below acceptable standards;

the inability to manufacture sufficient quantities of our products to commence or complete clinical trials; and

exceeding budgeted costs due to difficulty in accurately predicting costs associated with clinical trials.

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We could also encounter delays if a clinical trial is suspended or terminated by us, by the IRBs or the Ethics Committees of institutions at which
such trials are being conducted, by the Data Safety Monitoring Board for such trial or by the FDA or other regulatory authorities. Such authorities may
suspend or terminate a clinical trial due to a number of factors, including failure to conduct the clinical trial in accordance with regulatory requirements,
including the FDA’s current Good Clinical Practice (“GCP”), regulations, or our clinical protocols, inspection of the clinical trial operations or trial site by
the FDA resulting in the imposition of a clinical hold, unforeseen safety issues or adverse side effects, failure to demonstrate safety and effectiveness,
changes in governmental regulations or administrative actions or lack of adequate funding to continue the clinical trial. In addition, we may encounter
delays if the FDA concludes that our financial relationships with investigators result in a perceived or actual conflict of interest that may have affected the
interpretation of a study, the integrity of the data generated at the applicable clinical trial site or the utility of the clinical trial itself. Principal investigators
for our clinical trials may serve as scientific advisors or consultants to us from time to time and receive cash compensation and/or stock options in
connection with such services. If these relationships and any related compensation to or ownership interest by the clinical investigator carrying out the
study result in perceived or actual conflicts of interest, or if the FDA concludes that the financial relationship may have affected interpretation of the study,
the integrity of the data generated at the applicable clinical trial site may be questioned and the utility of the clinical trial itself may be jeopardized, which
could result in the delay or rejection by the FDA. Any such delay or rejection could prevent us from commercializing any of our products currently in
development.

If we experience delays in the commencement or completion of any clinical trial of our products, or if any of our clinical trials are terminated, the

commercial prospects of our products may be harmed, and our ability to generate revenue from sales may be delayed or materially diminished.

We do not know whether any of our future preclinical studies or clinical trials will begin as planned, will need to be restructured or will be

completed on schedule, or at all. Any delays in completing our clinical trials will increase our costs, slow down our product development and approval
process and jeopardize our ability to commence sales and generate associated revenue. Any of these occurrences may significantly harm our business,
financial condition and prospects. In addition, many of the factors that cause, or lead to, a delay in the commencement or completion of clinical trials may
also ultimately lead to the denial, suspension or revocation of expanded regulatory clearance or approval of our products. Significant preclinical study or
clinical trial delays also could shorten any periods during which we may have the exclusive right to commercialize our products or allow our competitors to
bring products to market before we do and impair our ability to successfully commercialize our products.

We may be required to suspend or discontinue clinical trials due to side effects or other safety risks that could preclude approval of our products.

Our clinical trials may be suspended at any time for a number of reasons. We may voluntarily suspend or terminate our clinical trials if at any time
we believe that they present an unacceptable risk to participants. In addition, regulatory agencies may order the temporary or permanent discontinuation of
our clinical trials at any time if they believe that the clinical trials are not being conducted in accordance with applicable regulatory requirements or that
they present an unacceptable safety risk to participants.

Our ability to market our current products is limited to the treatment of PAD in the United States and certain countries outside of the United States and
limited to the treatment of CAD in certain countries outside of the United States. If we want to market our products for further uses in the United
States, we will need to file for FDA clearances or approvals and may need to conduct trials in addition to our existing trials to support expanded use,
which would be expensive and time-consuming and may not be successful. The use, misuse or off-label use of our products may also result in injuries
that lead to product liability suits, which could be costly to our business.

Our current products are cleared in the United States solely for the treatment of PAD and in certain non-U.S. jurisdictions solely for the treatment of

PAD and CAD. This prohibits our ability to market or advertise our products for any other indication, which restricts our ability to sell these products and
could affect our growth. Additionally, our products are contra-indicated for use in the carotid or cerebrovascular arteries. Our promotional materials and
training methods must comply with FDA and other applicable laws and regulations, including the prohibition on the promotion of a medical device for a
use that has not been cleared or approved by the FDA.

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Use of a device outside of its cleared or approved indication is known as “off-label” use. We cannot prevent a physician from using our products for

off-label use, as the FDA does not restrict or regulate a physician’s choice of treatment within the practice of medicine. However, we are not allowed to
actively promote or advertise our products for off-label uses. In addition, we cannot make comparative claims regarding the use of our products against any
alternative treatments without conducting head-to-head comparative clinical studies, which would be expensive and time-consuming. If the FDA
determines that our promotional, reimbursement or training materials for sales representatives or physicians constitute promotion of an off-label use, the
FDA could request that we modify our training, promotional or reimbursement materials and/or subject us to regulatory or enforcement actions, including
the issuance of an untitled letter, a warning letter, injunction, seizure, disgorgement of profits, significant penalties, including civil fines and criminal
penalties. Other federal, state or foreign governmental authorities also might take action if they consider our promotion, reimbursement or training
materials to constitute promotion of an off-label use, which could result in significant fines or penalties under other statutory authorities, such as laws
prohibiting false claims for reimbursement. Although we train our sales force not to promote our products for off-label uses, and our instructions for use in
all markets specify that our products are not intended for use outside of those indications cleared or approved for use, the FDA or another regulatory agency
could conclude that we have engaged in off-label promotion. For example, the government may take the position that off-label promotion resulted in
inappropriate reimbursement for an off-label use in violation of the federal civil False Claims Act for which it might impose significant civil fines and even
pursue criminal action. In those possible events, our reputation could be damaged and adoption of the products would be impaired.

We currently require limited training in the use of our products incorporating our IVL Technology because we market primarily to physicians who

are experienced in the interventional techniques required to use our devices. If demand for our products continues to grow, less experienced physicians will
likely use our products, potentially leading to more injury and an increased risk of product liability claims. The use or misuse of our products may in the
future result in complications, including damage to the treated artery, infection, internal bleeding and limb loss, potentially leading to product liability
claims.

We will require substantial additional capital to finance our planned operations, which may not be available to us on acceptable terms or at all. Our
failure to obtain additional financing when needed on acceptable terms, or at all, could force us to delay, limit, reduce or eliminate our product
development programs, commercialization efforts or other operations.

Since inception, we have incurred significant net losses and expect to continue to incur net losses for the foreseeable future. Since our inception, our
operations have been financed primarily by net proceeds from the sale of our equity securities and, to a lesser extent, product revenue. As of December 31,
2019, we had $195.3 million in cash, cash equivalents and short-term investments, and an accumulated deficit of $178.0 million. Based on our current
planned operations, we expect our cash, cash equivalents and short-term investments will enable us to fund our operating expenses for at least the next 12
months. We have based this estimate on assumptions that may prove to be wrong, and we could use our capital resources sooner than we currently expect.

We have a number of ongoing clinical trials, and expect to continue to make substantial investments in these trials and in additional clinical trials

that are designed to provide clinical evidence of the safety and efficacy of our products. We intend to continue to make significant investments in our sales
and marketing organization by increasing the number of U.S. sales representatives and expanding our international marketing programs to help facilitate
further adoption among existing hospital accounts as well as broaden awareness of our products to new hospitals. We also expect to continue to make
investments in research and development, regulatory affairs and clinical studies to develop future generations of our products, support regulatory
submissions and demonstrate the clinical efficacy of our products. Moreover, we expect to incur additional expenses associated with operating as a public
company, including legal, accounting, insurance, exchange listing and SEC compliance, investor relations and other expenses. Because of these and other
factors, we expect to continue to incur substantial net losses and negative cash flows from operations for the foreseeable future. Our future capital
requirements will depend on many factors, including:

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the cost, timing and results of our clinical trials and regulatory reviews;

the cost and timing of establishing sales, marketing and distribution capabilities;

the terms and timing of any other collaborative, licensing and other arrangements that we may establish;

the timing, receipt and amount of sales from our current and potential products;

the degree of success we experience in commercializing our products;

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•

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the emergence of competing or complementary technologies;

the cost of preparing, filing, prosecuting, maintaining, defending and enforcing any patent claims and other intellectual property rights; and

the extent to which we acquire or invest in businesses, products or technologies, although we currently have no commitments or agreements
relating to any of these types of transactions.

We will require additional financing to fund working capital and pay our obligations. We may seek to raise any necessary additional capital through

a combination of public or private equity offerings and/or debt financings. There can be no assurance that we will be successful in acquiring additional
funding at levels sufficient to fund our operations or on terms favorable to us. If adequate funds are not available on acceptable terms when needed, we may
be required to significantly reduce operating expenses, which may have a material adverse effect on our business and/or results of operations and financial
condition. If we do raise additional capital through public or private equity or convertible debt offerings, the ownership interest of our existing stockholders
will be diluted, and the terms of these securities may include liquidation or other preferences that adversely affect our stockholders’ rights. If we raise
additional capital through debt financing, we may be subject to covenants limiting or restricting our ability to take specific actions, such as incurring
additional debt, making capital expenditures or declaring dividends. Additional capital may not be available on reasonable terms, or at all.

The terms of the Loan and Security Agreement require us to meet certain operating and financial covenants and place restrictions on our operating
and financial flexibility. If we raise additional capital through debt financing, the terms of any new debt could further restrict our ability to operate our
business.

Our Loan and Security Agreement with Silicon Valley Bank (the “Loan and Security Agreement”), entered into in February 2018, provided for a

$2.0 million revolving line of credit and a $15.0 million term loan. In connection with the Loan and Security Agreement, Silicon Valley Bank was
concurrently issued a common stock warrant that entitles Silicon Valley Bank to purchase up to 34,440 shares of our common stock with an exercise price
of $4.026 per share, with a term of ten years. In April 2019, all of these common stock warrants were net exercised into 29,887 shares of common stock.

On February 11, 2020, we entered into the First Amendment (the “Amendment”) to the Loan and Security Agreement, to refinance our existing
term loan. The Amendment provided us with a supplemental term loan in the amount of $16.5 million. We used $13.2 million of the proceeds from the
supplemental term loan to repay in full all amounts due under the existing term loan and to pay related expenses. In addition, the Amendment terminated
the Company’s revolving line of credit.

The supplemental term loan is secured by all of the Company’s assets, excluding intellectual property and certain other assets. Subject to the terms
of the Amendment, the supplemental term loan can be repaid at any time, subject to certain penalty payments, prior to the December 1, 2023 maturity date,
at which time all amounts borrowed will be due and payable.  The supplemental term loan is subject to customary affirmative and restrictive covenants,
including with respect to our ability to enter into fundamental transactions, incur additional indebtedness, grant liens, pay any dividend or make any
distributions to our holders, make investments, merge or consolidate with any other person or engage in transactions with our affiliates, but is not subject to
any financial covenants. If we fail to comply with the covenants or payments in connection with the supplemental term loan, Silicon Valley Bank could
declare an event of default, which would give it the right to terminate its commitment to provide additional loans and declare all borrowings outstanding,
together with accrued and unpaid interest and fees, to be immediately due and payable. In addition, Silicon Valley Bank would have the right to proceed
against the assets we provided as collateral pursuant to the loan.

The foregoing may restrict our current and future operations, particularly our ability to respond to certain changes in our business or industry, or

take future actions. See the section titled “Management’s Discussion and Analysis of Financial Condition and Results of Operations—Liquidity and Capital
Resources—Debt obligations.”

We are highly dependent on our senior management team and key personnel, and our business could be harmed if we are unable to attract and retain
personnel necessary for our success.

We are highly dependent on our senior management and other key personnel. Our success will depend on our ability to retain senior management
and to attract and retain qualified personnel in the future, including sales and marketing professionals, scientists, clinical specialists, engineers and other
highly skilled personnel and to integrate current and additional personnel in all departments. The loss of members of our senior management, sales and
marketing professionals, scientists, clinical and regulatory specialists and engineers could result in delays in product development and harm our business. If
we are not successful in attracting and retaining highly qualified personnel, it would have a material adverse effect on our business, financial condition and
results of operations.

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Competition for skilled personnel in our market is intense and may limit our ability to hire and retain highly qualified personnel on acceptable

terms, or at all. To induce valuable employees to remain at our company, in addition to salary and cash incentives, we have issued stock options that vest
over time. The value to employees of stock options that vest over time may be significantly affected by movements in our stock price that are beyond our
control, and may at any time be insufficient to counteract more lucrative offers from other companies. Despite our efforts to retain valuable employees,
members of our management, scientific and development teams may terminate their employment with us on short notice. Our employment arrangements
with our employees provide for at-will employment, which means that any of our employees could leave our employment at any time, with or without
notice. We also do not maintain “key man” insurance policies on the lives of these individuals or the lives of any of our other employees.

We have increased the size of our organization and expect to further increase it in the future, and we may experience difficulties in managing this
growth. If we are unable to manage the anticipated growth of our business, our future revenue and operating results may be adversely affected.

As of December 31, 2019, we had 289 full-time employees worldwide. We have significantly expanded the size of our organization over the past
three years, particularly in the number of sales and marketing personnel, and expect to do so in the future. As our sales and marketing strategies develop
and as we transition into operating as a public company, we expect to need additional managerial, operational, sales, marketing, financial and other
personnel. Future growth would impose significant added responsibilities on members of management, including:

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

managing our internal development efforts effectively, while complying with our contractual obligations to contractors and other third
parties; and

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

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

We expect to grow our sales force in anticipation of additional product approvals or clearances and increased entry into new markets. The growth
we may experience in the future may provide challenges to our organization, requiring us to also rapidly expand other aspects of our business, including
our manufacturing operations. Rapid expansion in personnel may result in less experienced people producing and selling our products, which could result
in unanticipated costs and disruptions to our operations. If we are not able to effectively expand our organization by hiring new employees and expanding
our groups of consultants and contractors, we may not be able to successfully implement the tasks necessary to further develop and commercialize our
products and, accordingly, may not achieve our research, sales and marketing goals, which would have a material adverse effect on our business, financial
condition and results of operations.

If we fail to grow our sales and marketing capabilities and develop widespread brand awareness cost effectively, our growth will be impeded and our
business may suffer.

We are actively expanding our international field presence through new distributors, additional sales and clinical personnel and are adding new U.S.

sales territories. We plan to continue to expand and optimize our sales infrastructure in order to grow our customer base and our business. Identifying and
recruiting qualified personnel and training them on the use of our products, on applicable federal and state laws and regulations and on our internal policies
and procedures, require significant time, expense and attention. It can take significant time before our sales representatives are fully trained and productive.
Our business may be harmed if our efforts to expand and train our sales force do not generate a corresponding increase in revenue. In particular, if we are
unable to hire, develop and retain talented sales personnel or if new sales personnel are unable to achieve desired productivity levels in a reasonable period
of time, we may not be able to realize the expected benefits of this investment or increase our revenue.

Our ability to increase our customer base and achieve broader market acceptance of our products will depend to a significant extent on our ability to

expand our marketing operations. We plan to dedicate significant financial and other resources to our marketing programs. Our business would be harmed
if our marketing efforts and expenditures do not generate an increase in revenue.

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In addition, we believe that developing and maintaining awareness of our brand in a cost-effective manner is critical to achieving broad acceptance

of our products and attracting new customers. Brand promotion activities may not generate customer awareness or increase revenue and, even if they do,
any increase in revenue may not offset the costs and expenses we incur in building our brand. If we fail to successfully promote, maintain and protect our
brand, we may fail to attract or retain the customers necessary to realize a sufficient return on our brand-building efforts, or to achieve the widespread brand
awareness that is critical for broad customer adoption of our technology.

We intend to expand sales of our products internationally in the future, but we may experience difficulties in obtaining regulatory clearance or
approval or in successfully marketing our products internationally even if approved. A variety of risks associated with marketing our products
internationally could materially adversely affect our business.

While most of our revenue has been in the United States, our current products are cleared in certain international markets for the treatment of PAD
and CAD, and international sales comprised 47% of our revenue for the year ended December 31, 2019. We intend to increase our sales outside the United
States, and our C2 catheters are currently only available outside the United States. Sales of our products outside of the United States are and will be subject
to foreign regulatory requirements governing clinical trials and marketing approval. We will incur substantial expenses in connection with our international
expansion. Additional risks related to operating in foreign countries include:

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differing regulatory requirements in foreign countries;

differing reimbursement regimes in foreign countries, including price controls;

unexpected changes in tariffs, trade barriers, price and exchange controls and other regulatory requirements;

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

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

foreign taxes, including withholding of payroll taxes;

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

difficulties staffing and managing foreign operations;

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

potential liability under the U.S. Foreign Corrupt Practices Act of 1977, as amended (the “FCPA”), or comparable foreign regulations;

challenges enforcing our contractual and intellectual property rights, especially in those foreign countries that do not respect and protect
intellectual property rights to the same extent as the United States;

product shortages resulting from any events affecting raw material or finished good supply or distribution or manufacturing capabilities
abroad; and

business interruptions resulting from geopolitical actions, including war and terrorism.

These and other risks associated with our international operations may materially adversely affect our ability to attain or maintain profitable

operations, which would have a material adverse effect on our business, financial condition and results of operations.

In addition, there can be no guarantee that we will receive approval to sell our products in every international market we target, nor can there be any

guarantee that any sales would result even if such approval is received. Even if the FDA grants marketing approval for a product, comparable regulatory
authorities of foreign countries must also approve the manufacturing or marketing of the product in those countries. Approval in the United States, or in
any other jurisdiction, does not ensure approval in other jurisdictions. Obtaining foreign approvals could result in significant delays, difficulties and costs
for us and require additional trials and additional expenses. Regulatory requirements can vary widely from country to country and could delay the
introduction of our products in those countries. Clinical trials conducted in one country may not be accepted by other countries, and regulatory approval in
one country does not mean that regulatory approval will be obtained in any other country. If we fail to comply with these regulatory requirements or to
obtain and maintain required approvals, our target market will be reduced and our ability to generate revenue will be diminished. Our inability to
successfully enter all our desired international markets and manage business on a global scale could negatively affect our business, financial results and
results of operations.

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Our future growth may depend, in part, on our ability to operate in foreign markets, where we would be subject to additional regulatory burdens and
other risks and uncertainties.

Our future growth may depend, in part, on our ability to develop and commercialize our planned and future products in foreign markets. We are not

permitted to market or promote any of our planned or future products before we receive regulatory approval from applicable regulatory authorities in
foreign markets, and we may never receive such regulatory approvals for any of our planned or future products. To obtain separate regulatory approval in
many other countries we must comply with numerous and varying regulatory requirements regarding safety and efficacy and governing, among other
things, clinical trials, commercial sales, pricing and distribution of our planned or future products. If we obtain regulatory approval of our products and
ultimately commercialize our planned or future products in foreign markets, we would be subject to additional risks and uncertainties, including:

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different regulatory requirements for approval of medical devices in foreign countries;

reduced protection for intellectual property rights;

the existence of additional third-party patent rights of potential relevance to our business;

unexpected changes in tariffs, trade barriers and regulatory requirements;

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

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

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

foreign reimbursement, pricing and insurance regimes;

workforce uncertainty in countries where labor unrest is common;

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

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

We face additional credit and compliance risks related to our international sales using foreign distributors.

We partner with distributors for our products in select geographies outside of the United States. Specifically, as of December 31, 2019 we have sold

to distributors located in Europe, Canada, Asia, South Africa, South America, Middle East, Australia and New Zealand. For the year ended December 31,
2019, approximately 47% of our sales were outside of the United States. We may not be able to collect all of the funds owed to us by our foreign
distributors. Some foreign distributors may experience financial difficulties, including bankruptcy, which may hinder our collection of accounts receivable.
Where we extend credit terms to distributors, we periodically review the collectability and creditworthiness when determining the payment terms for such
distributors. If our uncollectible accounts exceed our expectations, this could adversely impact our operating results. In addition, failure by our foreign
distributors to comply with the FCPA, the United Kingdom Bribery Act 2010 (the “U.K. Bribery Act”) or similar laws, insurance requirements or other
contract terms could have a negative impact on our business. Failure to manage the risks related to our foreign distributors would have a material adverse
effect on our business, financial condition and results of operations.

Governmental export or import controls could limit our ability to compete in foreign markets and subject us to liability if we violate them.

Our products may be subject to U.S. export controls. Governmental regulation of the import or export of our products, or our failure to obtain any

required import or export authorization for our products, when applicable, could harm our international sales and adversely affect our revenue. Compliance
with applicable regulatory requirements regarding the export of our products may create delays in the introduction of our products in international markets
or, in some cases, prevent the export of our products to some countries altogether. Furthermore, U.S. export control laws and economic sanctions prohibit
the shipment of certain products and services to countries, governments and persons targeted by U.S. sanctions. If we fail to comply with export and import
regulations and such economic sanctions, we may be fined or other penalties could be imposed, including a denial of certain export privileges. Moreover,
any new export or import restrictions, new legislation or shifting approaches in the enforcement or scope of existing regulations, or in the countries,
persons or technologies targeted by such regulations, could result in decreased use of our products by, or in our decreased ability to export our products to
existing or potential customers with international operations. Any decreased use of our products or limitation on our ability to export or sell access to our
products would likely materially and adversely affect our business, financial condition and results of operations.

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Technological change may adversely affect sales of our products and may cause our products to become obsolete.

The medical device market is characterized by extensive research and development and rapid technological change. Technological progress or new

developments in our industry could adversely affect sales of our products. Our products could be rendered obsolete because of future innovations by our
competitors or others in the treatment of vascular diseases, which would have a material adverse effect on our business, financial condition and results of
operations.

Consolidation in the medical device industry could have an adverse effect on our revenue and results of operations.

Many medical device companies are consolidating to create new companies with greater market power. As the medical device industry

consolidates, competition to provide goods and services to industry participants will become more intense. These industry participants may try to use their
market power to negotiate price concessions or reductions for our products. If we reduce our prices because of consolidation in the healthcare industry, our
revenue would decrease, which could have a material adverse effect on our business, financial condition and results of operations.

If product liability lawsuits are brought against us, we may incur substantial liabilities and may be required to limit or halt the marketing and sale of
our products. The expense and potential unavailability of insurance coverage for liabilities resulting from our products could harm us and our ability
to sell our products.

We face an inherent risk of product liability as a result of the marketing and sale of our products. For example, we may be sued if our products

cause or are perceived to cause injury or are found to be otherwise unsuitable during manufacturing, marketing or sale. Any such product liability claim
may include allegations of defects in manufacturing, defects in design, a failure to warn of dangers inherent in the product, negligence, strict liability or a
breach of warranties. In addition, we may be subject to claims against us even if the apparent injury is due to the actions of others or the pre-existing health
of the patient. For example, we rely on physicians in connection with the use of our products on patients. If these physicians are not properly trained or are
negligent, the capabilities of our products may be diminished or the patient may suffer critical injury. We may also be subject to claims that are caused by
the activities of our suppliers, such as those who provide us with components and sub-assemblies.

If we cannot successfully defend ourselves against product liability claims, we may incur substantial liabilities or be required to limit or halt

commercialization of our products. Even successful defense would require significant financial and management resources. Regardless of the merits or
eventual outcome, liability claims may result in:

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decreased demand for our products;

injury to our reputation;

initiation of investigations by regulators;

costs to defend the related litigation;

a diversion of management’s time and our resources;

substantial monetary awards to trial participants or patients;

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

loss of revenue;

exhaustion of any available insurance and our capital resources; and

the inability to market and sell our products.

We believe we have adequate product liability insurance, but it may not prove to be adequate to cover all liabilities that we may incur. Insurance

coverage is increasingly expensive. We may not be able to maintain or obtain insurance at a reasonable cost or in an amount adequate to satisfy any liability
that may arise. Our insurance policy contains various exclusions, and we may be subject to a product liability claim for which we have no coverage. The
potential inability to obtain sufficient product liability insurance at an acceptable cost to protect against product liability claims could prevent or inhibit the
marketing and sale of products we develop. We may have to pay any amounts awarded by a court or negotiated in a settlement that exceed our coverage
limitations or that are not covered by our insurance, and we may not have, or be able to obtain, sufficient capital to pay such amounts, which would have a
material adverse effect on our business, financial condition and results of operations. In addition, any product liability claims brought against us, with or
without merit, could increase our product liability insurance rates or prevent us from securing continuing coverage, harm our reputation in the industry,
significantly increase our expenses and reduce product sales.

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Some of our customers and prospective customers may also have difficulty in procuring or maintaining liability insurance to cover their operations

and use of our products. Medical malpractice carriers are withdrawing coverage in certain states or substantially increasing premiums. If this trend
continues or worsens, our customers may discontinue using our products and potential customers may opt against purchasing our products due to the cost
or inability to procure insurance coverage.

Litigation and other legal proceedings may adversely affect our business.

From time to time we may become involved in legal proceedings relating to patent and other intellectual property matters, product liability claims,

employee claims, tort or contract claims, federal regulatory investigations, securities class action and other legal proceedings or investigations, which could
have an adverse impact on our reputation, business and financial condition and divert the attention of our management from the operation of our business.
Litigation is inherently unpredictable and can result in excessive or unanticipated verdicts and/or injunctive relief that affect how we operate our business.
We could incur judgments or enter into settlements of claims for monetary damages or for agreements to change the way we operate our business, or both.
There may be an increase in the scope of these matters or there may be additional lawsuits, claims, proceedings or investigations in the future, which could
have a material adverse effect on our business, financial condition and results of operations. Adverse publicity about regulatory or legal action against us
could damage our reputation and brand image, undermine our customers’ confidence and reduce long-term demand for our products, even if the regulatory
or legal action is unfounded or not material to our operations.

If we experience significant disruptions in our information technology systems, our business may be adversely affected.

We depend on our information technology systems for the efficient functioning of our business, including the manufacture, distribution and

maintenance of our products, as well as for accounting, data storage, compliance, purchasing and inventory management. Our information technology
systems may be subject to computer viruses, ransomware or other malware, attacks by computer hackers, failures during the process of upgrading or
replacing software, databases or components thereof, power outages, damage or interruption from fires or other natural disasters, hardware failures,
telecommunication failures and user errors, among other malfunctions. We could be subject to an unintentional event that involves a third party gaining
unauthorized access to our systems, which could disrupt our operations, corrupt our data or result in release of our confidential information. We address
these data security concerns in more detail below. Technological interruptions would disrupt our operations, including our ability to timely ship and track
product orders, project inventory requirements, manage our supply chain and otherwise adequately service our customers or disrupt our customers’ ability
use our products for treatments. In the event we experience significant disruptions, we may be unable to repair our systems in an efficient and timely
manner. Accordingly, such events may disrupt or reduce the efficiency of our entire operation and have a material adverse effect on our business, financial
condition and results of operations. Currently, we carry business interruption coverage to mitigate certain potential losses but this insurance is limited in
amount, and we cannot be certain that such potential losses will not exceed our policy limits. We are increasingly dependent on complex information
technology to manage our infrastructure. Our information systems require an ongoing commitment of significant resources to maintain, protect and
enhance our existing systems. Failure to maintain or protect our information systems and data integrity effectively could have a material adverse effect on
our business, financial condition and results of operations.

If we experience security or data privacy breaches or other unauthorized or improper access to, use of, or destruction of our proprietary or confidential
data, employee data or personal data, or if customers, patients and other partners are reluctant to use our devices because of concerns about the
privacy or security of their data, we may face additional costs, loss of revenue, significant liabilities, harm to our brand, decreased use of our platform
and business disruption.

In connection with various facets of our business, we collect and use a variety of personal data, such as name, mailing address, email addresses,

mobile phone number, location information and clinical trial information. Any failure to prevent or mitigate security breaches or improper access to, use of,
or disclosure of our data or consumers’ personal data could result in significant liability under state (e.g., state breach notification laws, the California
Consumer Privacy Act (“CCPA”), which became effective in January 2020), federal (e.g., the Health Insurance Portability and Accountability Act
(“HIPAA”) and the Health Information Technology for Economic and Clinical Health Act (“HITECH Act”)) and international law (e.g., the European
Union’s General Data Protection Regulation (“GDPR”)). Such an incident may also cause a material loss of revenue from the potential adverse impact to
our reputation and brand, affect our ability to retain or attract new users and potentially disrupt our business. We may also rely on third-party service
providers to host or otherwise process some of our data and that of users, and any failure by such third party to prevent or mitigate security breaches or
improper access to or disclosure of such information could have similarly adverse consequences for us.

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Because the techniques used to obtain unauthorized access, disable or degrade service or sabotage systems change frequently and often are not
recognized until launched against a target, we and our service providers may be unable to anticipate these techniques or to implement adequate preventative
measures. Our servers and platforms may be vulnerable to computer viruses or physical or electronic break-ins that our security measures may not detect.
Individuals able to circumvent our security measures may misappropriate our confidential or proprietary information, disrupt our operations, damage our
computers or otherwise damage our reputation and business. We may need to expend significant resources and make significant capital investment to
protect against security breaches or to mitigate the impact of any such breaches. If we are unable to prevent or mitigate the impact of such security
breaches, our ability to attract and retain new customers, patients and other partners could be harmed, and we could be exposed to litigation and
governmental investigations, which could lead to a potential disruption to our business.

If we fail to identify, acquire and develop other products, we may be unable to grow our business.

As a significant part of our growth strategy, we intend to develop and commercialize additional products through our research and development

program or by licensing or acquiring additional products and technologies from third parties. The success of this strategy depends upon our ability to
identify, select and acquire the right to products and technologies on terms that are acceptable to us.

Any product we identify, license or acquire may require additional development efforts prior to commercial sale, including extensive clinical testing
and approval or clearance by the FDA and applicable foreign regulatory authorities. All products are prone to the risks of failure inherent in medical device
product development, including the possibility that the product will not be shown to be sufficiently safe and effective for approval or clearance by
regulatory authorities. In addition, we cannot assure you that any such products that are approved or cleared will be manufactured or produced
economically, successfully commercialized or widely accepted in the marketplace.

Proposing, negotiating and implementing an economically viable product or technology acquisition or license is a lengthy and complex process.

Other companies, including those with substantially greater financial, marketing and sales resources, may compete with us for the acquisition or license of
approved or cleared products. We may not be able to acquire or license the rights to additional approved or cleared products on terms that we find
acceptable, or at all.

If we are unable to develop suitable potential products through internal research programs or by obtaining rights from third parties, it could have a

material adverse effect on our business, financial condition and results of operations.

We may acquire other businesses which could require significant management attention, disrupt our business, dilute stockholder value and adversely
affect our results of operations.

As part of our business strategy, we may in the future make acquisitions or investments in complementary companies, products or technologies that

we believe fit within our business model and can address the needs of our customers and potential customers. In the future, we may not be able to acquire
and integrate other companies, products or technologies in a successful manner. We may not be able to find suitable acquisition candidates, and we may not
be able to complete such acquisitions on favorable terms, if at all. In addition, the pursuit of potential acquisitions may divert the attention of management
and cause us to incur additional expenses in identifying, investigating and pursuing suitable acquisitions, whether or not they are consummated. If we do
complete acquisitions, we may not ultimately strengthen our competitive position or achieve our goals, including increases in revenue, and any acquisitions
we complete could be viewed negatively by our customers, investors and industry analysts.

Future acquisitions may reduce our cash available for operations and other uses and could result in amortization expense related to identifiable

assets acquired. We may have to pay cash, incur debt or issue equity securities to pay for any such acquisition, each of which could adversely affect our
financial condition or the value of our common stock. The sale or issuance of equity to finance any such acquisitions would result in dilution to our
stockholders. The incurrence of indebtedness to finance any such acquisition would result in fixed obligations and could also include covenants or other
restrictions that could impede our ability to manage our operations. In addition, our future results of operations may be adversely affected by the dilutive
effect of an acquisition, performance earn-outs or contingent bonuses associated with an acquisition. Furthermore, acquisitions may require large, one-time
charges and can result in increased debt or contingent liabilities, adverse tax consequences, additional stock-based compensation expenses and the
recording and subsequent amortization of amounts related to certain purchased intangible assets, any of which items could negatively affect our future
results of operations. We may also incur goodwill impairment charges in the future if we do not realize the expected value of any such acquisitions.

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Also, the anticipated benefit of any strategic alliance, joint venture or acquisition may not materialize, or such strategic alliance, joint venture or

acquisition may be prohibited. In February 2018, we entered into the Loan and Security Agreement. The Loan and Security Agreement restricts our ability
to pursue certain mergers, acquisitions, amalgamations or consolidations that we may believe to be in our best interest. Additionally, future acquisitions or
dispositions could result in potentially dilutive issuances of our equity securities, the incurrence of debt, contingent liabilities or amortization expenses or
write-offs of goodwill, any of which could harm our financial condition. We cannot predict the number, timing or size of future joint ventures or
acquisitions, or the effect that any such transactions might have on our operating results.

Economic conditions may adversely affect our business.

Adverse worldwide economic conditions may negatively impact our business. A significant change in the liquidity or financial condition of our

customers could cause unfavorable trends in their purchases and also in our receivable collections, and additional allowances may be required, which could
adversely affect our business, financial condition and results of operations. Adverse worldwide economic conditions may also adversely impact our
suppliers’ ability to provide us with materials and components, which could have a material adverse effect on our business, financial condition and results
of operations.

Disasters and other business disruptions could seriously harm our future revenue and financial condition and increase our costs and expenses.

Our operations and one or more markets in which we operate, could be subject to earthquakes, fires, medical epidemics and pandemics (including
expectations about them), power shortages, telecommunications failures, water shortages, floods, hurricanes, typhoons, shifting climate patterns, extreme
weather conditions, and other natural or man-made disasters or business interruptions, for which we are predominantly self-insured. As well, we rely on:
(i) third-party manufacturers to produce various components that are integrated into our products; (ii) third-party distributors to distribute our products;
and (iii) hospitals to purchase our products. Our ability to obtain supplies of components and to distribute and sell our finished products could be disrupted
if the operations of these suppliers, distributors, or hospitals were materially affected by any such natural or man-made disaster or other business
interruption.

The recent outbreak of the SARS-COV-2 virus (coronavirus) is creating uncertainty in the markets, our operations, our supply chain and the
general public, given that none of the duration, scope or impact of the outbreak can be predicted.  A broad, sustained outbreak of COVID-19 would
negatively impact our results if: (i) our supply of product components or ability to distribute our products, is materially reduced despite our efforts to
manage potential supply-chain disruption; (ii) an outbreak materially impacts our headquarters and manufacturing operations for a sustained period of
time; (iii) hospitals are required to allocate resources to care of patients with COVID-19 and defer treatment of procedures utilizing our products; and/or
(iv) patients elect to defer treatment for procedures utilizing our products due to real or perceived concerns about the potential spread of coronavirus in
hospital settings.  The related financial impact of the coronavirus, however, cannot be reasonably estimated at this time.

In addition, our corporate headquarters and manufacturing facilities are located in Santa Clara, California, near major earthquake faults and fire

zones, and the ultimate impact on us of being located near major earthquake faults and fire zones and being consolidated in a certain geographical area is
unknown at this time.

The occurrence of any of these natural or man-made disasters or other business disruptions could seriously harm our operations and financial

condition and increase our costs and expenses.

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Risks Related to Government Regulation and Our Industry

If we fail to comply with U.S. federal and state fraud and abuse and other healthcare laws and regulations, including those relating to kickbacks and
false claims for reimbursement, we could face substantial penalties and our business operations and financial condition could be adversely affected.

Healthcare providers and third-party payors play a primary role in the distribution, recommendation, ordering and purchasing of any medical device

for which we have or obtain marketing clearance or approval. Through our arrangements with principal investigators, healthcare professionals, third-party
payors and customers, we are exposed to broadly applicable anti-fraud and abuse, anti-kickback, false claims and other healthcare laws and regulations that
may constrain our business, our arrangements and relationships with customers, and how we market, sell and distribute our marketed medical devices. We
have a compliance program, Code of Conduct and associated policies and procedures, but it is not always possible to identify and deter misconduct by our
employees and other third parties, and the precautions we take to detect and prevent noncompliance may not be effective in protecting us from
governmental investigations for failure to comply with applicable fraud and abuse or other healthcare laws and regulations.

In the United States, we are subject to various state and federal anti-fraud and abuse laws, including, without limitation, the federal healthcare Anti-

Kickback Statute (“Anti-Kickback Statute”) and federal civil False Claims Act. There are similar laws in other countries. Our relationships and our
distributors’ relationships with physicians, other health care professionals and hospitals are subject to scrutiny under these laws.

Healthcare fraud and abuse laws and related regulations are complex, and even minor irregularities can potentially give rise to claims that a statute

or prohibition has been violated. The laws that may affect our ability to operate include:

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the Anti-Kickback Statute, which prohibits, among other things, knowingly and willingly soliciting, offering, receiving or paying
remuneration, directly or indirectly, overtly or covertly, in cash or in kind, to induce or reward either the referral of an individual, or the
purchase, order or recommendation of, items or services for which payment may be made, in whole or in part, under a federal healthcare
program, such as the Medicare and Medicaid programs. The term “remuneration” has been broadly interpreted to include anything of value,
and the government can establish a violation of the Anti-Kickback Statute without proving that a person or entity had actual knowledge of
the law or a specific intent to violate. In addition, the government may assert that a claim, including items or services resulting from a
violation of the Anti-Kickback Statute, constitutes a false or fraudulent claim for purposes of the federal civil False Claims Act. The Anti-
Kickback Statute is subject to evolving interpretations and has been applied by government enforcement officials to a number of common
business arrangements in the medical device industry. There are a number of statutory exceptions and regulatory safe harbors protecting
certain business arrangements from prosecution under the Anti-Kickback Statute; however, those exceptions and safe harbors are drawn
narrowly, and there may be limited or no exception or safe harbor for many common business activities, such as reimbursement support
programs, educational and research grants or charitable donations. Practices that involve remuneration to those who prescribe, purchase or
recommend medical devices, including discounts, providing items or services for free or engaging such individuals as consultants, advisors
or speakers, may be subject to scrutiny if they do not fit squarely within an exception or safe harbor and would be subject to a facts and
circumstances analysis to determine compliance with the Anti-Kickback Statute. Our practices, such as the loan, consignment, or purchase
of certain components of our IVL System to customers, may not in all cases meet all of the criteria for statutory exception or regulatory safe
harbor protection from anti-kickback liability. In October 2019, the federal government published two proposed regulations that would
create new safe harbors for (among other things) certain value-based arrangements and patient engagement tools, and modify and clarify the
scope of existing safe harbors for warranties and personal service agreements; even if it is finalized, the impact of the proposed regulation on
our operations is not yet clear.

federal civil and criminal false claims laws, including the federal civil False Claims Act, and civil monetary penalties laws, which prohibits,
among other things, persons or entities from knowingly presenting, or causing to be presented, a false or fraudulent claim for payment of
government funds and knowingly making, using or causing to be made or used, a false record or statement to get a false claim paid or to
avoid, decrease or conceal an obligation to pay money to the federal government. A claim including items or services resulting from a
violation of the Anti-Kickback Statute constitutes a false or fraudulent claim for purposes of the federal civil False Claims Act. Actions
under the federal civil False Claims Act may be brought by the government or as a qui tam action by a private individual in the name of the
government. These individuals, sometimes known as “relators” or, more commonly, as “whistleblowers,” may share in any amounts paid by
the entity to the government in fines or settlement. Many pharmaceutical and medical device manufacturers have been

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investigated and have reached substantial financial settlements with the federal government under the federal civil False Claims Act for a
variety of alleged improper activities, including causing false claims to be submitted as a result of the marketing of their products for
unapproved and thus non-reimbursable uses and interactions with prescribers and other customers, including those that may have affected
their billing or coding practices and submission of claims to the federal government. Federal civil False Claims Act liability is potentially
significant in the healthcare industry because the statute provides for treble damages and mandatory monetary penalties for each false or
fraudulent claim or statement. Because of the potential for large monetary exposure, healthcare and medical device companies often resolve
allegations without admissions of liability for significant and material amounts to avoid the uncertainty of treble damages and per claim
penalties that may be awarded in litigation proceedings.

HIPAA, which imposes criminal and civil liability for, among other actions, knowingly and willfully executing, or attempting to execute, a
scheme to defraud any healthcare benefit program, including private third-party payors, or knowingly and willfully falsifying, concealing or
covering up a material fact or making a materially false, fictitious or fraudulent statement or representation, or making or using any false
writing or document knowing the same to contain any materially false, fictitious or fraudulent statement or entry in connection with the
delivery of or payment for healthcare benefits, items or services;

HIPAA, as amended by HITECH Act, and their implementing regulations, also impose obligations, including mandatory contractual terms,
on covered entities subject to the rule, such as health plans, healthcare clearinghouses and certain healthcare providers, as well as their
business associates that perform certain services for them or on their behalf involving the use or disclosure of individually identifiable health
information with respect to safeguarding the privacy, security and transmission of individually identifiable health information. We believe
we are not a covered entity for purposes of HIPAA, and we believe that we generally do not conduct our business in a manner that would
cause us to be a business associate under HIPAA;

the federal Physician Payments Sunshine Act, also known as Open Payments, which requires manufacturers of drugs, devices, biologics and
medical supplies for which payment is available under Medicare, Medicaid or the Children’s Health Insurance Program to report annually,
with certain exceptions to the CMS, information related to payments or other “transfers of value” made to physicians and teaching hospitals,
and requires applicable manufacturers and group purchasing organizations to report annually to CMS ownership and investment interests
held by physicians and their immediate family members. Beginning in 2022, applicable manufacturers also will be required to report
information regarding payments and transfers of value provided to physician assistants, nurse practitioners, clinical nurse specialists,
certified nurse anesthetists and certified nurse-midwives; and

analogous state and foreign law equivalents of each of the above federal laws, such as anti-kickback and false claims laws which may apply
to items or services reimbursed by any third-party payor, including commercial insurers; state laws that require medical device companies to
comply with the industry’s voluntary compliance guidelines and the applicable compliance guidance promulgated by the federal government
or otherwise restrict payments that may be made to healthcare providers and other potential referral sources; state beneficiary inducement
laws, which are state laws that require medical device manufacturers to report information related to payments and other transfers of value to
physicians and other healthcare providers or marketing expenditures; and state and foreign laws governing the privacy and security of health
information in certain circumstances, many of which differ from each other in significant ways and may not have the same effect, thus
complicating compliance efforts.

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•

State and federal regulatory and enforcement agencies continue to actively investigate violations of healthcare laws and regulations, and the U.S.
Congress continues to strengthen the arsenal of enforcement tools. Most recently, the Bipartisan Budget Act of 2018 (“BBA”) increased the criminal and
civil penalties that can be imposed for violating certain federal health care laws, including the Anti-Kickback Statute. Enforcement agencies also continue
to pursue novel theories of liability under these laws. In particular, government agencies recently have increased regulatory scrutiny and enforcement
activity with respect to manufacturer reimbursement support activities and patient support programs, including bringing criminal charges or civil
enforcement actions under the Anti-Kickback Statute, federal civil False Claims Act and HIPAA’s healthcare fraud and privacy provisions.

Because of the breadth of these laws and the narrowness of the statutory exceptions and regulatory safe harbors available under such laws, it is
possible that some of our business activities, including certain sales and marketing practices of our marketed IVL System, including the IVL generator,
connector cable and catheter, and financial arrangements with physicians, other healthcare providers, and other customers, could be subject to challenge
under one or more such laws. For example, in the United States, in many instances we generally loan for free to customers both the reusable IVL generator
and

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connector cable so long as the customer is purchasing our single-use catheters. Customers also have the option to purchase the IVL generator and connector
cable either at the initiation of the relationship or following the consignment period. Additionally, we consign catheters to our customers, free of charge,
until a catheter is used at which time the customer is billed for the catheter. The Anti-Kickback Statute includes, among others, space and equipment rental
safe harbors. These safe harbors require, among other things, that the aggregate payment between the parties is set in advance and consistent with fair
market value. As the IVL generator and connector cable are provided for free, and no payment is made for storage of our catheters at customers’ facilities,
these arrangements will likely not satisfy these or other safe harbors or statutory exceptions. Therefore, if these arrangements were investigated, they would
be subject to a facts and circumstances analysis to determine whether they include prohibited remuneration under the Anti-Kickback Statute. If an
arrangement were deemed to violate the Anti-Kickback Statute, it may also subject us to violations under other fraud and abuse laws such as the federal
civil False Claims Act and civil monetary penalties laws. Moreover, such arrangements could be found to violate comparable state fraud and abuse laws.

Achieving and sustaining compliance with applicable federal and state anti-fraud and abuse laws may prove costly. If we or our employees are
found to have violated any of the above laws we may be subjected to substantial criminal, civil and administrative penalties, including imprisonment,
exclusion from participation in federal healthcare programs, such as Medicare and Medicaid, and significant fines, monetary penalties, forfeiture,
disgorgement and damages, contractual damages, reputational harm, administrative burdens, diminished profits and future earnings and the curtailment or
restructuring of our operations, any of which could adversely affect our ability to operate our business and our financial results. Any action or investigation
against us for the violation of these healthcare fraud and abuse laws, even if successfully defended, could result in significant legal expenses and could
divert our management’s attention from the operation of our business. Companies settling federal civil False Claims Act, Anti-Kickback Statute or civil
monetary penalties law cases also may be required to enter into a Corporate Integrity Agreement with the OIG in order to avoid exclusion from
participation (i.e., loss of coverage for their products) in federal healthcare programs such as Medicare and Medicaid. Corporate Integrity Agreements
typically impose substantial costs on companies to ensure compliance. Defending against any such actions can be costly, time-consuming and may require
significant personnel resources, and may have a material adverse effect on our business, financial condition and results of operations.

We are subject to numerous laws and regulations related to anti-bribery and anti-corruption laws, such as the FCPA and the U.K. Bribery Act, in which
violations of these laws could result in substantial penalties and prosecution.

For our sales and operations outside the United States, we are similarly subject to various heavily-enforced anti-bribery and anti-corruption laws,

such as the FCPA, U.K. Bribery Act and similar laws around the world. These laws generally prohibit U.S. companies and their employees and
intermediaries from offering, promising, authorizing or making improper payments to foreign government officials for the purpose of obtaining or retaining
business or gaining any advantage. We face significant risks if we, which includes our third-party business partners and intermediaries, fail to comply with
the FCPA or other anti-corruption and anti-bribery laws.

We leverage various third parties to conduct our business and sell our products abroad, including to government owned universities and hospitals.
We, our distributors and our other third-party intermediaries may have direct or indirect interactions with officials and employees of government agencies
or state-owned or affiliated entities (such as in the context of obtaining government approvals, registrations or licenses or sales to government owned or
controlled healthcare facilities, universities, institutes, clinics, etc.) and may be held liable for the corrupt or other illegal activities of these third-party
business partners and intermediaries, our employees, representatives, contractors, partners and agents, even if we do not explicitly authorize such activities.
In many foreign countries, particularly in countries with developing economies, it may be a local custom that businesses engage in practices that are
prohibited by the FCPA or other applicable laws and regulations. To that end, while we have adopted and implemented internal control policies and
procedures and employee training and compliance programs to deter prohibited practices, such compliance measures ultimately may not be effective in
prohibiting our employees, contractors, business partners, intermediaries or agents from violating or circumventing our policies and/or the law.

Responding to any enforcement action or related investigation may result in a materially significant diversion of management’s attention and

resources and significant defense costs and other professional fees. Any violation of the FCPA or other applicable anti-bribery, anti-corruption or anti-
money laundering laws could result in whistleblower complaints, adverse media coverage, investigations, loss of export privileges, severe criminal or civil
sanctions and, in the case of the FCPA, suspension or debarment from U.S. government contracts, which could have a material and adverse effect on our
business, financial condition and results of operations.

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Regulatory compliance is expensive, complex and uncertain, and a failure to comply could lead to enforcement actions against us and other negative
consequences for our business.

The FDA and similar agencies regulate our products as medical devices. Complying with these regulations is costly, time-consuming, complex and

uncertain. For instance, before a new medical device, or a new intended use for, an existing device can be marketed in the United States, a company must
first submit and receive either 510(k) clearance or approval of a PMA from the FDA, unless an exemption applies. FDA regulations and regulations of
similar agencies are wide-ranging and include, among other things, oversight of:

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product design, development, manufacturing (including suppliers) and testing;

laboratory, preclinical and clinical studies;

product safety and effectiveness;

product labeling;

product storage and shipping;

record keeping;

pre-market clearance or approval;

marketing, advertising and promotion;

product sales and distribution;

product changes;

product recalls; and

post-market surveillance and reporting of deaths or serious injuries and certain malfunctions.

Our current products are subject to extensive regulation by the FDA and non-U.S. regulatory agencies. Further, all of our potential products and

improvements of our current products will be subject to extensive regulation and will likely require permission from regulatory agencies and ethics boards
to conduct clinical trials and clearance or approval from the FDA and non-U.S. regulatory agencies prior to commercial sale and distribution. Failure to
comply with applicable U.S. requirements regarding, for example, promoting, manufacturing or labeling our products, may subject us to a variety of
administrative or judicial actions and sanctions, such as Form 483 observations, warning letters, untitled letters, product recalls, product seizures, total or
partial suspension of production or distribution, injunctions, fines, civil penalties and criminal prosecution.

The FDA can also refuse to clear or approve pending applications. Any enforcement action by the FDA and other comparable non-U.S. regulatory

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

Our failure to comply with applicable regulatory requirements could result in enforcement action by the FDA or state agencies, which may include

any of the following actions:

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

unanticipated expenditures to address or defend such actions;

customer notifications for repair, replacement or refunds;

recall, detention or seizure of our products;

operating restrictions or partial suspension or total shutdown of production;

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

operating restrictions;

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

refusal to grant export approval for our products; or

criminal prosecution.

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If any of these events were to occur, it would have a material and adverse effect on our business, financial condition and results of operations.

We may not be able to obtain the necessary clearances or approvals or may be unduly delayed in doing so, which could harm our business.

Furthermore, even if we are granted regulatory clearances or approvals, they may include significant limitations on the indicated uses for the product,
which may limit the market for the product. Although we have obtained 510(k) clearance to market our M5 and S4 catheters, our clearance can be revoked
if safety or efficacy problems develop.

The FDA also regulates the advertising and promotion of our products to ensure that the claims we make are consistent with our regulatory
clearances and approvals, that there are adequate and reasonable data to substantiate the claims and that our promotional labeling and advertising is neither
false nor misleading in any respect. If the FDA determines that any of our advertising or promotional claims are misleading, not substantiated or not
permissible, we may be subject to enforcement actions, including warning letters, and we may be required to revise our promotional claims and make other
corrections or restitutions.

Our medical device operations are subject to pervasive and continuing FDA regulatory requirements.

Medical devices regulated by the FDA are subject to “general controls” which include: registration with the FDA; listing commercially distributed
products with the FDA; complying with cGMPs under QSR; filing reports with the FDA of and keeping records relative to certain types of adverse events
associated with devices under the medical device reporting regulation; assuring that device labeling complies with device labeling requirements; reporting
certain device field removals and corrections to the FDA; and obtaining pre-market notification 510(k) clearance for devices prior to marketing. Some
devices known as “510(k)-exempt” devices can be marketed without prior marketing-clearance or approval from the FDA. In addition to the “general
controls,” some Class II medical devices are also subject to “special controls,” including adherence to a particular guidance document and compliance with
the performance standard. Instead of obtaining 510(k) clearance, most Class III devices are subject to PMA. Our C2 catheters for the treatment of CAD is
designated as a Class III product and will follow the PMA process. As a Company, we do not have prior experience in obtaining PMA approval.

The medical device industry is now experiencing greater scrutiny and regulation by federal, state and foreign governmental authorities. Companies

in our industry are subject to more frequent and more intensive reviews and investigations, often involving the marketing, business practices and product
quality management. Such reviews and investigations may result in civil and criminal proceedings; the imposition of substantial fines and penalties; the
receipt of warning letters, untitled letters, demands for recalls or the seizure of our products; the requirement to enter into corporate integrity agreements,
stipulated judgments or other administrative remedies; and result in our incurring substantial unanticipated costs and the diversion of key personnel and
management’s attention from their regular duties, any of which may have a material and adverse effect on our business, financial condition and results of
operations, and may result in greater and continuing governmental scrutiny of our business in the future.

Additionally, federal, state and foreign governments and entities have enacted laws and issued regulations and other standards requiring increased

visibility and transparency of our interactions with healthcare providers. For example, Open Payments requires us to annually report to CMS payments and
other transfers of value to all U.S. physicians and U.S. teaching hospitals, with the reported information made publicly available on a searchable website.
Failure to comply with these legal and regulatory requirements could impact our business, and we have had and will continue to spend substantial time and
financial resources to develop and implement enhanced structures, policies, systems and processes to comply with these legal and regulatory requirements,
which may also impact our business and which could have a material adverse effect on our business, financial condition and results of operations.

Product clearances and approvals can often be denied or significantly delayed.

Under FDA regulations, unless exempt, a new medical device may only be commercially distributed after it has received 510(k) clearance, is
authorized through the de novo classification process or is the subject of an approved PMA. The FDA will clear marketing of a medical device through the
510(k) process if it is demonstrated that the new product is substantially equivalent to another legally marketed product not subject to a PMA. Sometimes, a
510(k) clearance must be supported by preclinical and clinical data.

The PMA process typically is more costly, lengthy and stringent than the 510(k) process. Unlike a 510(k) review, which determines “substantial

equivalence,” a PMA requires that the applicant demonstrate reasonable assurance that the device is safe and effective by producing valid scientific
evidence, including data from preclinical studies and human clinical

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trials. Therefore, to obtain regulatory clearance or approvals, we typically must, among other requirements, provide the FDA and similar foreign regulatory
authorities with preclinical and clinical data that demonstrate to their satisfaction that our products satisfy the criteria for approval. Preclinical testing and
clinical trials must comply with the regulations of the FDA and other government authorities in the United States and similar agencies in other countries.

We may be required to obtain PMAs, PMA supplements or additional 510(k) pre-market clearances to market modifications to our existing
products. The FDA requires device manufacturers to make and document a determination of whether a modification requires approval or clearance;
however, the FDA can review a manufacturer’s decision. The FDA may not agree with our decisions not to seek approvals or clearances for particular
device modifications. If the FDA requires us to obtain PMAs, PMA supplements or pre-market clearances for any modification to a previously cleared or
approved device, we may be required to cease manufacturing and marketing of the modified device and perhaps also to recall such modified device until
we obtain FDA clearance or approval. We may also be subject to significant regulatory fines or penalties.

The FDA may not approve our current or future PMA applications or supplements or clear our 510(k) applications on a timely basis or at all. Such

delays or refusals could have a material adverse effect on our business, financial condition and results of operations.

The FDA may also change its clearance and approval policies, adopt additional regulations or revise existing regulations, or take other actions

which may prevent or delay approval or clearance of our products under development or impact our ability to modify our currently approved or cleared
products on a timely basis. Any of these actions could have a material adverse effect on our business, financial condition and results of operations.

International regulatory approval processes may take more or less time than the FDA clearance or approval process. If we fail to comply with

applicable FDA and comparable non-U.S. regulatory requirements, we may not receive regulatory clearances or approvals or may be subject to FDA or
comparable non-U.S. enforcement actions. We may be unable to obtain future regulatory clearance or approval in a timely manner, or at all, especially if
existing regulations are changed or new regulations are adopted. For example, the FDA clearance or approval process can take longer than anticipated due
to requests for additional clinical data and changes in regulatory requirements. A failure or delay in obtaining necessary regulatory clearances or approvals
would materially adversely affect our business, financial condition and results of operations.

Although we have obtained regulatory clearance for our M5 and S4 catheters for the treatment of PAD in the United States, and our M5 and S4
catheters for the treatment of PAD and our C2 catheter for the treatment of CAD in certain non-U.S. jurisdictions, they will remain subject to extensive
regulatory scrutiny.

Although our M5 and S4 catheters for the treatment of PAD have obtained regulatory clearance in the United States, and our M5 and S4 catheters for

the treatment of PAD and C2 catheters for the treatment of CAD in certain non-U.S. jurisdictions have obtained applicable regulatory approvals, they will
be subject to ongoing regulatory requirements for manufacturing, labeling, packaging, storage, advertising, promotion, sampling, record-keeping, conduct
of post-marketing studies and submission of safety, effectiveness and other post-market information, including both federal and state requirements in the
United States and requirements of comparable non-U.S. regulatory authorities.

Our manufacturing facility is required to comply with extensive requirements imposed by the FDA and comparable foreign regulatory authorities,
including ensuring that quality control and manufacturing procedures conform to the QSR or similar regulations set by foreign regulatory authorities. As
such, we will be subject to continual review and inspections to assess compliance with the QSR and adherence to commitments made in any 510(k) or
PMA application. Accordingly, we continue to expend time, money and effort in all areas of regulatory compliance, including manufacturing, production
and quality control.

Any regulatory clearances or approvals that we have received for our products will be subject to limitations on the cleared or approved indicated

uses for which the product may be marketed and promoted, will be subject to the conditions of approval, or will contain requirements for potentially costly
post-marketing testing. We are required to report certain adverse events and production problems, if any, to the FDA and comparable foreign regulatory
authorities. Any new legislation addressing product safety issues could result in increased costs to assure compliance. The FDA and other agencies,
including the DOJ, closely regulate and monitor the post-clearance or approval marketing and promotion of products to ensure that they are marketed and
distributed only for the cleared or approved indications and in accordance with the provisions of the cleared or approved labeling. We have to comply with
requirements concerning advertising and promotion for our products.

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Promotional communications with respect to devices are subject to a variety of legal and regulatory restrictions and must be consistent with the
information in the products’ cleared or approved labeling. As such, we may not promote our products for indications or uses for which they do not have
clearance or approval. For certain changes, to a cleared or approved product, including certain changes to product labeling, the holder of a cleared 510(k) or
approved PMA application may be required to submit a new application and obtain clearance or approval. We train our marketing and sales force against
promoting our products for uses outside of the cleared or approved indications for use, known as “off-label uses.” However, physicians may use our
products for off-label purposes and are allowed to do so when in the physician’s independent professional medical judgment he or she deems it appropriate.
If the FDA determines that our promotional materials or training constitute promotion of an off-label or other improper use, or that our internal policies and
procedures are inadequate to prevent such off-label uses, it could subject us to regulatory or enforcement actions as discussed below.

If a regulatory agency discovers previously unknown problems with a product, such as adverse events of unanticipated severity or frequency, or

problems with our facility where the product is manufactured or disagrees with the promotion, marketing or labeling of a product, such regulatory agency
may impose restrictions on that product or us, including requiring withdrawal of the product from the market. If we fail to comply with applicable
regulatory requirements, a regulatory agency or enforcement authority may, among other things:

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•

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subject our facility to an adverse inspectional finding or Form 483, or other compliance or enforcement notice, communication or
correspondence;

issue warning or untitled letters that would result in adverse publicity or may require corrective advertising;

impose civil or criminal penalties;

suspend or withdraw regulatory clearances or approvals;

refuse to clear or approve pending applications or supplements to approved applications submitted by us;

impose restrictions on our operations, including closing our sub-assembly suppliers’ facilities;

seize or detain products; or

require a product recall.

In addition, violations of the Federal Food, Drug and Cosmetic Act (“FD&C Act”), relating to the promotion of approved products may lead to

investigations alleging violations of federal and state healthcare fraud and abuse and other laws, as well as state consumer protection laws.

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

negative publicity. Any failure to comply with ongoing regulatory requirements may significantly and adversely affect our ability to commercialize and
generate revenue from our products. If regulatory sanctions are applied or if regulatory clearance or approval is withdrawn, it would have a material
adverse effect on our business, financial condition and results of operations.

Even though we have received breakthrough device designation for our C2 catheter for lithotripsy-enabled, low pressure dilatation of calcified, stenotic
de novo coronary arteries prior to stenting, such designation may not expedite the development or review of the C2 catheter and does not provide
assurance ultimately of PMA submission or approval by FDA.

The Breakthrough Devices Program is a voluntary program intended to expedite the review, development, assessment and review of certain medical

devices that provide for more effective treatment or diagnosis of life-threatening or irreversibly debilitating human diseases or conditions for which no
approved or cleared treatment exists or that offer significant advantages over existing approved or cleared alternatives. All submissions for devices
designated as Breakthrough Devices will receive priority review, meaning that the review of the submission is placed at the top of the appropriate review
queue and receives additional review resources, as needed.

Although breakthrough designation or access to any other expedited program may expedite the development or approval process, it does not change

the standards for approval. Although we obtained breakthrough device designation for the C2 catheter for the CAD indication, we may not experience
faster development timelines or achieve faster review or approval compared to conventional FDA procedures. For example, the time required to identify
and resolve issues relating to manufacturing and controls, the acquisition of a sufficient supply of our product for clinical trial purposes or the need to
conduct additional nonclinical or clinical studies may delay approval by the FDA, even if the product qualifies for

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breakthrough designation or access to any other expedited program. Access to an expedited program may also be withdrawn by the FDA if it believes that
the designation is no longer supported by data from our clinical development program. Additionally, qualification for any expedited review procedure does
not ensure that we will ultimately obtain regulatory approval for such product.

Our products may be subject to recalls after receiving FDA or foreign approval or clearance, which could divert managerial and financial resources,
harm our reputation and adversely affect our business.

The FDA and similar foreign governmental authorities have the authority to require the recall of our products because of any failure to comply with
applicable laws and regulations, or defects in design or manufacture. A government mandated or voluntary product recall by us could occur because of, for
example, component failures, device malfunctions or other adverse events, such as serious injuries or deaths, or quality-related issues, such as
manufacturing errors or design or labeling defects. Any future recalls of our products could divert managerial and financial resources, harm our reputation
and adversely affect our business.

If we initiate a correction or removal for one of our devices to reduce a risk to health posed by the device, we would be required to submit a
publicly available Correction and Removal report to the FDA and, in many cases, similar reports to other regulatory agencies. This report could be
classified by the FDA as a device recall which could lead to increased scrutiny by the FDA, other international regulatory agencies and our customers
regarding the quality and safety of our devices. Furthermore, the submission of these reports has been and could be used by competitors against us in
competitive situations and cause customers to delay purchase decisions or cancel orders and would harm our reputation. In July 2018, we initiated and
subsequently completed a voluntary recall of our S4 catheters after seeing a higher instance of leaks in the balloon, which prevented the balloon from
staying inflated at four atm for the full course of lithotripsy application. While there were no patient safety issues reported and no reports of adverse clinical
events related to this issue and the issue has been corrected, we believe it was prudent to suspend utilization of the device and recall the product while we
determined the cause of the leak.

In addition, we are subject to medical device reporting regulations that require us to report to the FDA or similar foreign governmental authorities if
one of our products may have caused or contributed to a death or serious injury or if we become aware that it has malfunctioned in a way that would likely
cause or contribute to a death or serious injury if the malfunction recurred. Failures to properly identify reportable events or to file timely reports, as well as
failure to address each of the observations to the FDA’s satisfaction, can subject us to sanctions and penalties, including warning letters and recalls.
Physicians, hospitals and other healthcare providers may make similar reports to regulatory authorities. Any such reports may trigger an investigation by
the FDA or similar foreign regulatory bodies, which could divert managerial and financial resources, harm our reputation and have a material adverse effect
on our business, financial condition and results of operations.

If we or our suppliers fail to comply with the FDA’s Quality System Regulation or any applicable state equivalent, our operations could be interrupted
and our potential product sales and operating results could suffer.

Our manufacturing processes and those of our third-party suppliers are required to comply with the FDA’s QSR, which covers the design controls,

document controls, purchasing controls, identification and traceability, production and process controls, acceptance activities, nonconforming product
requirements, corrective and preventive action requirements, labeling and packaging controls, handling, storage, distribution and installation requirements,
complaint handling, records requirements, servicing requirements and statistical techniques potentially applicable to the production of our medical devices.
We and our suppliers are also subject to the regulations of foreign jurisdictions regarding the manufacturing process where we market products overseas. In
addition, we must engage in extensive recordkeeping and reporting and must make available our manufacturing facilities and records for periodic
announced or unannounced inspections by governmental agencies, including the FDA, state authorities and comparable agencies in other countries. If we
experience an unsuccessful Quality System inspection, our operations could be disrupted and our manufacturing could be interrupted. Failure to take
adequate corrective action in response to an adverse Quality System inspection could result in, among other things, a shut-down of our manufacturing
operations, significant fines, suspension of marketing clearances and approvals, seizures or recalls of our device, operating restrictions and criminal
prosecutions, any of which would cause our business to suffer. Furthermore, our key component suppliers may not currently be or may not continue to be in
compliance with applicable regulatory requirements, which may result in manufacturing delays for our product and cause our revenue to decline.

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We have registered with the FDA as a medical device manufacturer and have obtained a manufacturing license from the California Department of

Health Services (“CDHS”). We anticipate that we and certain of our third-party component suppliers will be subject to FDA and CDHS inspections.

We completed the move of our production of our IVL catheters from our prior Fremont, California facility to our facility in Santa Clara, California

in the second half of 2019. We produce all of our IVL catheters in-house at our facility in Santa Clara, California, which, together with our research and
development, controlled environment room and office space, currently totals 35,000 square feet. Our Santa Clara facility has been inspected by the FDA
and by the British Standards Institution (“BSI”). We can provide no assurance that we will continue to remain in compliance with QSR. If our facilities are
found to be in noncompliance or fail to take satisfactory corrective action in response to adverse QSR inspectional findings, the FDA could take legal or
regulatory enforcement actions against us and/or our products, including but not limited to the cessation of sales or the recall of distributed products, which
could impair our ability to produce our products in a cost-effective and timely manner in order to meet our customers’ demands. We may also be required
to bear other costs or take other actions that may have a negative impact on our future sales and our ability to generate profits. Taking corrective action may
be expensive, time-consuming and a distraction for management, and if we experience a shutdown or delay at our manufacturing facilities, we may be
unable to produce our products, which would harm our business.

Current regulations depend heavily on administrative interpretation. If the FDA does not believe that we are in compliance with applicable FDA

regulations, the agency could take legal or regulatory enforcement actions against us and/or our products. We are also subject to periodic inspections by the
FDA and other governmental regulatory agencies, as well as certain third-party regulatory groups. Future interpretations made by the FDA or other
regulatory bodies made during the course of these inspections may vary from current interpretations and may adversely affect our business and prospects.
The FDA’s and other comparable non-U.S. regulatory agencies’ statutes, regulations or policies may change, and additional government regulation or
statutes may be enacted, which could increase post-approval regulatory requirements, or delay, suspend or prevent marketing of any cleared or approved
products or necessitate the recall of distributed products. We cannot predict the likelihood, nature or extent of adverse governmental regulation that might
arise from future legislative or administrative action, either in the United States or abroad.

The medical device industry has been under heightened FDA scrutiny as the subject of government investigations and enforcement actions. If our

operations and activities are found to be in violation of any FDA laws or any other governmental regulations that apply to us, we may be subject to
penalties, including civil and criminal penalties, damages, fines and other legal and/or agency enforcement actions. Any penalties, damages, fines or
curtailment or restructuring of our operations or activities could adversely affect our ability to operate our business and our financial results. The risk of us
being found in violation of FDA laws is increased by the fact that many of these laws are broad and their provisions are open to a variety of interpretations.
Any action against us for violation of these laws, even if we successfully defend ourselves against that action and its underlying allegations, could cause us
to incur significant legal expenses and divert management’s attention from the operation of our business. Where there is a dispute with a federal or state
governmental agency that cannot be resolved to the mutual satisfaction of all relevant parties, we may determine that the costs, both real and contingent, are
not justified by the commercial returns to us from maintaining the dispute or the product.

Various claims, design features or performance characteristics of our medical devices that we may regard as permitted by the FDA without
marketing clearance or approval, may be challenged by the FDA or state or foreign regulators. The FDA or state or foreign regulatory authorities may find
that certain claims, design features or performance characteristics, in order to be made or included in the products, may have to be supported by further
studies and marketing clearances or approvals, which could be lengthy, costly and possibly unobtainable.

If any of our products cause or contribute to a death or a serious injury or malfunction in certain ways, we will be required to report under applicable
medical device reporting regulations, which can result in voluntary corrective actions or agency enforcement actions.

Under FDA medical device reporting regulations (“MDR regulations”), medical device manufacturers are required to report to the FDA information
that a device has or may have caused or contributed to a death or serious injury or has malfunctioned in a way that would likely cause or contribute to death
or serious injury if the malfunction of the device or one of our similar devices were to recur. If we fail to report events required to be reported to the FDA
within the required timeframes, or at all, the FDA could take enforcement action and impose sanctions against us. Any such adverse event involving our
products also could result in future voluntary corrective actions, such as recalls or customer notifications, or agency action, such as inspection or
enforcement action. Any corrective action, whether voluntary or involuntary, as well as

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defending ourselves in a lawsuit, would require our time and capital, distract management from operating our business and may harm our reputation and
have a material adverse effect on our business, financial condition and results of operations.

Healthcare reform initiatives and other administrative and legislative proposals may adversely affect our business, financial condition, results of
operations and cash flows in our key markets.

There have been and continue to be proposals by the federal government, state governments, regulators and third-party payors to control or manage
the increased costs of healthcare and, more generally, to reform the U.S. healthcare system. Certain of these proposals could limit the prices we are able to
charge for our products or the coverage and reimbursement available for our products and could limit the acceptance and availability of our products. The
adoption of proposals to control costs could have a material adverse effect on our business, financial condition and results of operations.

For example, in the United States, in March 2010, the Patient Protection and Affordable Care Act, as amended by the Health Care and Education

Reconciliation Act of 2010, together, the Affordable Care Act (“ACA”) was enacted. The ACA is a sweeping measure intended to expand healthcare
coverage within the United States, primarily through the imposition of health insurance mandates on employers and individuals, the provision of subsidies
to eligible individuals enrolled in plans offered on the health insurance exchanges and the expansion of the Medicaid program. The ACA has impacted
existing government healthcare programs and has resulted in the development of new programs.

Certain provisions of the ACA have been subject to judicial challenges, as well as efforts to repeal or replace them or to alter their interpretation and
implementation.  For example, since January 2017, President Trump has signed Executive Orders and other directives designed to delay the implementation
of certain provisions of the ACA or otherwise circumvent some of the requirements for health insurance mandated by the ACA. While Congress has not
passed comprehensive repeal legislation, bills affecting the implementation of certain taxes under the ACA have been signed into law, including the Tax
Cuts and Jobs Act, enacted on December 22, 2017 (“TCJA”), which includes a provision repealing, effective January 1, 2019, the tax-based shared
responsibility payment imposed by the ACA on certain individuals who fail to maintain qualifying health coverage for all or part of a year that is
commonly referred to as the “individual mandate.” Further, the BBA, among other things, amended the ACA, effective January 1, 2019, to close the
coverage gap in most Medicare drug plans, commonly referred to as the “donut hole.” In December 2018, a United States District Court Judge for the
Northern District of Texas ruled (i) that the “individual mandate” was unconstitutional as a result of the associated tax penalty being repealed by Congress
as part of the TCJA; and (ii) the individual mandate is not severable from the rest of the ACA, and as a result the entire ACA is invalid. On December 18,
2019, the U.S. Court of Appeals for the Fifth Circuit affirmed the district court’s decision that the individual mandate is unconstitutional, but remanded the
case to the district court to reconsider the severability question. It is unclear how the ultimate decision in this case, or other efforts to repeal, replace, or
invalidate the ACA or its implementing regulations, or portions thereof, will affect the ACA or our business.  

In addition, other legislative changes have been proposed and adopted since the ACA was enacted. On August 2, 2011, the Budget Control Act of

2011 was signed into law, which, among other things, includes reductions to Medicare payments to providers of, on average, 2% per fiscal year, which
went into effect on April 1, 2013 and, due to subsequent legislative amendments to the statute, including the BBA, will remain in effect through 2029
unless additional Congressional action is taken. On January 2, 2013, the American Taxpayer Relief Act of 2012 was signed into law, which, among other
things, reduced Medicare payments to several providers, including hospitals, and increased the statute of limitations period for the government to recover
overpayments to providers from three to five years.  

We cannot assure you that the ACA, as currently enacted or as amended in the future, will not harm our business and financial results, and we

cannot predict how future federal or state legislative or administrative changes relating to healthcare reform will affect our business.

There likely will continue to be legislative and regulatory proposals at the federal and state levels directed at containing or lowering the cost of
healthcare. We cannot predict the initiatives that may be adopted in the future or their full impact. The continuing efforts of the government, insurance
companies, managed care organizations and other payors of healthcare services to contain or reduce costs of healthcare may harm:

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our ability to set a price that we believe is fair for our products;

our ability to generate revenue and achieve or maintain profitability; and

the availability of capital.

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Further, recently there has been heightened governmental scrutiny over the manner in which manufacturers set prices for their marketed products,
which has resulted in several U.S. Congressional inquiries and proposed and enacted federal legislation designed to bring transparency to product pricing
and reduce the cost of products and services under government healthcare programs. While some of these measures may require additional authorization to
become effective, Congress and the Trump administration have each indicated that it will continue to seek new legislative and/or administrative measures
to control product costs. Additionally, individual states in the United States have also increasingly passed legislation and implemented regulations designed
to control product pricing, including price or patient reimbursement constraints, discounts, restrictions on certain product access and marketing cost
disclosure and transparency measures. Moreover, regional healthcare authorities and individual hospitals are increasingly using bidding procedures to
determine what products to purchase and which suppliers will be included in their healthcare programs. Adoption of price controls and other cost-
containment measures, and adoption of more restrictive policies in jurisdictions with existing controls and measures may prevent or limit our ability to
generate revenue and attain profitability.

Various new healthcare reform proposals are emerging at the federal and state level. Any new federal and state healthcare initiatives that may be

adopted could limit the amounts that federal and state governments will pay for healthcare products and services, and could have a material adverse effect
on our business, financial condition and results of operations.

Material modifications to our products may require new 510(k) clearances or pre-market approvals or may require us to recall or cease marketing our
products until clearances or approvals are obtained.

Modifications that could significantly affect the safety and effectiveness of our approved or cleared products, such as changes to the intended use or

technological characteristics of our products, will require new 510(k) clearances or PMAs or require us to recall or cease marketing the modified devices
until these clearances or approvals are obtained. Based on FDA published guidelines, the FDA requires device manufacturers to initially make and
document a determination of whether or not a modification requires a new approval, supplemental approval or clearance; however, the FDA can review a
manufacturer’s decision. Any modification to an FDA-cleared device that could significantly affect its safety or efficacy or that would constitute a major
change in its intended use would require a new 510(k) clearance or possibly a PMA. For Class III products, changes that affect safety and effectiveness will
require the submission and approval of a PMA supplement. We may not be able to obtain additional 510(k) clearances or PMAs for new products or for
modifications to, or additional indications for, our products in a timely fashion, or at all. Delays in obtaining required future clearances or approvals would
adversely affect our ability to introduce new or enhanced products in a timely manner, which in turn would harm our future growth. We have made
modifications to our products in the past and expect to make additional modifications in the future that we believe do not or will not require additional
clearances or approvals. If the FDA disagrees and requires new clearances or approvals for these modifications, we may be required to recall and to stop
selling or marketing such products as modified, which could harm our operating results and require us to redesign such products. In these circumstances,
we may be subject to significant enforcement actions.

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

We are exposed to the risk that our employees, independent contractors, consultants, commercial partners, distributors and vendors may engage in

fraudulent or illegal activity. Misconduct by these parties could include intentional, reckless and/or negligent conduct or disclosure of unauthorized
activities to us that violates: (i) the laws of the FDA and other similar foreign regulatory bodies, including those laws requiring the reporting of true,
complete and accurate information to such regulators; (ii) manufacturing standards; (iii) healthcare fraud and abuse laws in the United States and similar
foreign fraudulent misconduct laws; or (iv) laws that require the true, complete and accurate reporting of financial information or data. These laws may
impact, among other things, future sales, marketing and education programs. In particular, the promotion, sales and marketing of healthcare items and
services, as well as certain business arrangements in the healthcare industry, are subject to extensive laws designed to prevent fraud, kickbacks, self-dealing
and other abusive practices. These laws and regulations may restrict or prohibit a wide range of pricing, discounting, marketing and promotion, structuring
and commissions, certain customer incentive programs and other business arrangements generally. Activities subject to these laws also involve the
improper use of information obtained in the course of patient recruitment for clinical trials.

We have adopted a code of business conduct and ethics, but it is not always possible to identify and deter misconduct by our employees and other

third parties, and the precautions we take to detect and prevent these activities may not be effective in controlling unknown or unmanaged risks or losses or
in protecting us from governmental investigations or other actions or lawsuits stemming from a failure to be in compliance with such laws or regulations. If
any such actions are instituted against us and we are not successful in defending ourselves or asserting our rights, those actions could result in the

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imposition of significant fines or other sanctions, including the imposition of civil, criminal and administrative penalties, damages, monetary fines,
disgorgement, individual imprisonment, additional integrity reporting and oversight obligations, possible exclusion from participation in Medicare,
Medicaid and other federal healthcare programs, contractual damages, reputational harm, diminished profits and future earnings and curtailment of
operations, any of which could adversely affect our ability to operate our business and our results of operations. Whether or not we are successful in
defending against any such actions or investigations, we could incur substantial costs, including legal fees, and divert the attention of management in
defending ourselves against any of these claims or investigations, which could have a material adverse effect on our business, financial condition and
results of operations.

Environmental and health safety laws may result in liabilities, expenses and restrictions on our operations. Failure to comply with environmental laws
and regulations could subject us to significant liability.

Federal, state, local and foreign laws regarding environmental protection, hazardous substances and human health and safety may adversely affect
our business. Our research and development and manufacturing operations involve the use of hazardous substances and are subject to a variety of federal,
state, local and foreign environmental laws and regulations relating to the storage, use, discharge, disposal and remediation of, as well as human exposure
to, hazardous substances and the sale, labeling, collection, recycling, treatment and disposal of products containing hazardous substances. These operations
are permitted by regulatory authorities, and the resultant waste materials are disposed of in material compliance with environmental laws and regulations.
Using hazardous substances in our operations exposes us to the risk of accidental injury, contamination or other liability from the use, storage, importation,
handling or disposal of hazardous materials. If our or our suppliers’ operations result in the contamination of the environment or expose individuals to
hazardous substances, we could be liable for damages and fines, and any liability could significantly exceed our insurance coverage and have a material
adverse effect on our on our business, financial condition and results of operations. Liability under environmental laws and regulations can be joint and
several and without regard to fault or negligence. Compliance with environmental laws and regulations may be expensive, and non-compliance could result
in substantial liabilities, fines and penalties, personal injury and third-party property damage claims and substantial investigation and remediation costs.
Environmental laws and regulations could become more stringent over time, imposing greater compliance costs and increasing risks and penalties
associated with violations. We cannot assure you that violations of these laws and regulations will not occur in the future or have not occurred in the past as
a result of human error, accidents, equipment failure or other causes. The expense associated with environmental regulation and remediation could harm
our business, financial condition and results of operation.

We face risks related to our collection and use of data, which could result in investigations, inquiries, litigation, fines, legislative and regulatory action
and negative press about our privacy and data protection practices.

Our business processes personal data, including some data related to health. When conducting clinical trials, we face risks associated with

collecting trial participants’ data, especially health data, in a manner consistent with applicable laws and regulations, such as the Common Rule, GCP
guidelines, or FDA human subject protection regulations. We also face risks inherent in handling large volumes of data and in protecting the security of
such data. We could be subject to attacks on our systems by outside parties or fraudulent or inappropriate behavior by our service providers or employees.
Third parties may also gain access to users’ accounts using stolen or inferred credentials, computer malware, viruses, spamming, phishing attacks or other
means, and may use such access to obtain users’ personal data or prevent use of their accounts. Data breaches could result in a violation of applicable U.S.
and international privacy, data protection and other laws, and subject us to individual or consumer class action litigation and governmental investigations
and proceedings by federal, state and local regulatory entities in the United States and by international regulatory entities, resulting in exposure to material
civil and/or criminal liability. Further, our general liability insurance and corporate risk program may not cover all potential claims to which we are exposed
and may not be adequate to indemnify us for all liability that may be imposed.

This risk is enhanced in certain jurisdictions and, as we expand our operations domestically and internationally, we may be subject to additional
laws in other jurisdictions. Any failure, or perceived failure, by us to comply with privacy and data protection laws, rules and regulations could result in
proceedings or actions against us by governmental entities or others. These proceedings or actions may subject us to significant penalties and negative
publicity, require us to change our business practices, increase our costs and severely disrupt our business. For example, in the United States, California
recently adopted the CCPA, which will come into effect beginning in January 2020 and will, among other things, require new disclosures to California
consumers and afford such consumers new abilities to opt out of certain sales of personal information, in addition to severely limiting our ability to use
their information. It remains unclear how various provisions of the CCPA will be interpreted and enforced. The effects of the CCPA are potentially
significant, and may require us to modify our data processing practices and policies and to incur substantial costs and expenses in an effort to comply. In
addition, the GDPR, which became effective in May 2018, applies extraterritorially and imposes several stringent requirements for

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controllers and processors of personal data, including, for example, higher standards for obtaining consent from individuals to process their personal data,
more robust disclosures to individuals and a strengthened individual data rights regime, shortened timelines for data breach notifications, limitations on
retention of information, increased requirements pertaining to special categories of personal data and pseudonymized (i.e., key-coded) data and additional
obligations when we contract third-party processors in connection with the processing of the personal data. The GDPR provides that European Union
(“EU”) member states may make their own laws and regulations limiting the (i) processing of personal data, including special categories of data (e.g., racial
or ethnic origin, political opinions, religious or philosophical beliefs) and (ii) profiling and automated individual decision-making of individuals, which
could limit our ability to use and share personal data or other data and could cause our costs to increase, harming our business and financial condition. Non-
compliance with GDPR is subject to significant penalties, including fines of up to €20 million or 4% of total worldwide revenue. The interpretations of the
GDPR by local data protection authorities in EU member states, along with the complexity of the new data protection regime itself, will leave the
interpretation and enforcement of the law unclear in the near term, with potential inconsistencies across the EU member states. The implementation and
enforcement of the GDPR may subject us to enforcement risk and requirements to change certain of our data collection, processing and other policies and
practices. We could incur significant costs investigating and defending such claims and, if we are found liable, significant damages. If any of these events
were to occur, our business and financial results could be adversely affected. Other jurisdictions outside the EU are similarly introducing or enhancing laws
and regulations relating to privacy and data security, which enhances risks relating to compliance with such laws.

Additionally, we are subject to laws and regulations regarding cross-border transfers of personal data, including laws relating to transfer of personal

data outside of the European Economic Area (“EEA”). We rely on transfer mechanisms permitted under these laws, including EU Standard Contract
Clauses. Such mechanisms have received heightened regulatory and judicial scrutiny in recent years. If we cannot rely on existing mechanisms for
transferring personal data from the EEA, the United Kingdom or other jurisdictions, we could be prevented from transferring personal data of users or
employees in those regions. This could adversely affect the manner in which we provide our services and thus materially affect our operations and financial
results.

Legislative or regulatory reforms may make it more difficult and costly for us to obtain regulatory clearance or approval of our planned or future
products and to manufacture, market and distribute our products after clearance or approval is obtained.

From time to time, legislation is drafted and introduced in Congress that could significantly change the statutory provisions governing the
regulatory approval, manufacture and marketing of regulated products or the reimbursement thereof. In addition, FDA regulations and guidance are often
revised or reinterpreted by the FDA in ways that may significantly affect our business and our products. Any new regulations or revisions or
reinterpretations of existing regulations may impose additional costs or lengthen review times of planned or future products. It is impossible to predict
whether legislative changes will be enacted or FDA regulations, guidance or interpretations changed, and what the impact of such changes, if any, may be.

Any change in the laws or regulations that govern the clearance and approval processes relating to our current, planned and future products could

make it more difficult and costly to obtain clearance or approval for new products or to produce, market and distribute existing products. Significant delays
in receiving clearance or approval or the failure to receive clearance or approval for our new products would have an adverse effect on our ability to expand
our business.

In the EU, on May 25, 2017 the new Medical Devices Regulation (“2017/745” or “MDR”) was adopted. Following its entry into application on

May 26, 2020, the MDR will introduce substantial changes to the obligations with which medical device manufacturers must comply in the EU. High risk
medical devices will be subject to additional scrutiny during the conformity assessment procedure.

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Risks Related to Our Intellectual Property

If we are unable to obtain and maintain patent or other intellectual property protection for our products, or if the scope of the patent and other
intellectual property protection obtained is not sufficiently broad, our competitors could develop and commercialize products and technology similar or
identical to ours, and our ability to successfully commercialize any products we may develop, and our technology, may be adversely affected.

As with other medical device companies, our success depends in large part on our ability to maintain and solidify a proprietary position for our

products, which will depend upon our success in obtaining effective patent claims that cover, and other intellectual property with respect to, such products,
their manufacturing processes and their intended methods of use and enforcing those patent claims once granted as well as our other intellectual property.
In some cases, we may not be able to obtain issued claims covering our technologies which are sufficient to prevent third parties, such as our competitors,
from utilizing our technology. Any failure to obtain or maintain patent and other intellectual property protection with respect to our IVL products and
technologies or other aspects of our business could have a material adverse effect on our business, financial condition and results of operations.

Changes in either the patent laws or their interpretation in the United States and other countries may diminish our ability to protect our inventions,
obtain, maintain and enforce our intellectual property rights and, more generally, could affect the value of our intellectual property or narrow the scope of
our issued patents. Additionally, we cannot predict whether the patent applications we are currently pursuing will issue as patents in any particular
jurisdiction or whether the claims of any issued patents will provide sufficient protection from competitors or other third parties.

The patent prosecution process is expensive, time-consuming and complex, and we may not be able to file, prosecute, maintain, enforce or license
all necessary or desirable patent applications at a reasonable cost or in a timely manner. It is also possible that we will fail to identify patentable aspects of
our research and development output in time to obtain patent protection. Although we enter into non-disclosure and confidentiality agreements with parties
who have access to confidential or patentable aspects of our research and development output, such as our employees, corporate collaborators, outside
scientific collaborators, suppliers, consultants, advisors and other third parties, any of these parties may breach the agreements and disclose such output
before a patent application is filed, thereby jeopardizing our ability to seek patent protection. In addition, our ability to obtain and maintain valid and
enforceable patents depends on whether the differences between our inventions and the prior art allow our inventions to be patentable over the prior art.
Furthermore, the publication of discoveries in scientific literature often lags behind the actual discoveries, and patent applications in the United States and
other jurisdictions are typically not published until 18 months after filing, or in some cases not at all. Therefore, we cannot be certain that we were the first
to make the inventions claimed in any of our patents or pending patent applications, or that we were the first to file for patent protection of such inventions.
Moreover, in some circumstances, we may not have the right to control the preparation, filing and prosecution of patent applications, or to maintain the
patents, covering technology that we license from or license to third parties and are therefore reliant on our licensors or licensees. Therefore, these and any
of our patents and applications may not be prosecuted and enforced in a manner consistent with the best interests of our business. Defects of form in the
preparation or filing of our patents or patent applications may exist, or may arise in the future, for example, with respect to proper priority claims,
inventorship and the like, although we are unaware of any such defects that we believe are of material importance. If we or any current or future licensors
or licensees fail to establish, maintain, protect or enforce such patents and other intellectual property rights, such rights may be reduced or eliminated. If
any current or future licensors or licensees are not fully cooperative or disagree with us as to the prosecution, maintenance or enforcement of any patent
rights, such patent rights could be compromised. If there are material defects in the form, preparation or prosecution of our patents or patent applications,
such patents or applications may be invalid and unenforceable. Any of these outcomes could impair our ability to prevent competition from third parties,
which may have an adverse impact on our business.

The strength of patent rights generally, and particularly the patent position of medical device companies, involves complex legal and scientific

questions and can be uncertain, and has been the subject of much litigation in recent years. This uncertainty includes changes to the patent laws through
either legislative action to change statutory patent law or court action that may reinterpret existing law or rules in ways affecting the scope or validity of
issued patents. Our current or future patent applications may fail to result in issued patents in the United States or foreign countries with claims that cover
our products. Even if patents do successfully issue from our patent applications, third parties may challenge the validity, enforceability or scope of such
patents, which may result in such patents being narrowed, invalidated or held unenforceable. Any successful challenge to our patents could deprive us of
exclusive rights necessary for the successful commercialization of our products. Furthermore, even if they are unchallenged, our patents may not
adequately protect our products, provide exclusivity for our products or prevent others from designing around our claims. If the scope of any patent
protection we obtain is not sufficiently broad, or if we lose any of our patent protection, our ability to prevent our competitors from commercializing
similar or identical technology and products would be adversely affected. If the breadth or strength of protection provided by the patents we hold or pursue
with respect to our products is challenged, it could dissuade companies from collaborating with us to develop, or threaten our ability to commercialize, our
products.

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Patents have a limited lifespan. In the United States, the natural expiration of a utility patent is generally 20 years after its effective filing date and

the natural expiration of a design patent is generally 14 years after its issue date, unless the filing date occurred on or after May 13, 2015, in which case the
natural expiration of a design patent is generally 15 years after its issue date. Various extensions may be available; however, the life of a patent, and the
protection it affords, is limited. Without patent protection for our products and services, we may be open to competition. Further, if we encounter delays in
our development efforts, the period of time during which we could market our products and services under patent protection would be reduced and, given
the amount of time required for the development, testing and regulatory review of planned or future products, patents protecting such products might expire
before or shortly after such products are commercialized. As a result, our intellectual property may not provide us with sufficient rights to exclude others
from commercializing products similar or identical to ours.

Moreover, the coverage claimed in a patent application can be significantly reduced before the patent is issued, and its scope can be reinterpreted
after issuance. Even if patent applications we license or own, currently or in the future, issue as patents, they may not issue in a form that will provide us
with any meaningful protection, prevent competitors or other third parties from competing with us, or otherwise provide us with any competitive
advantage. Any patents that we own may be challenged, narrowed, circumvented or invalidated by third parties. Consequently, we do not know whether
our IVL products and technologies will be protectable or remain protected by valid and enforceable patents. Our competitors or other third parties may be
able to circumvent our patents by developing similar or alternative technologies or products in a non-infringing manner which could materially adversely
affect our business, financial condition and results of operations.

Some of our patents and patent applications may in the future be co-owned with third parties. If we are unable to obtain an exclusive license to any

such third party co-owners’ interest in such patents or patent applications, such co-owners may be able to license their rights to other third parties,
including our competitors, and our competitors could market competing products and technology. In addition, we may need the cooperation of any such co-
owners of our patents in order to enforce such patents against third parties, and such cooperation may not be provided to us. Any of the foregoing could
have a material adverse effect on our business, financial condition and results of operations.

Patents covering our products could be found invalid or unenforceable if challenged in court or before administrative bodies in the United States or
abroad.

The issuance of a patent is not conclusive as to its inventorship, scope, validity or enforceability, and our patents may be challenged in the courts or

patent offices in the United States and abroad. We may be subject to a third-party preissuance submission of prior art to the U.S. Patent and Trademark
Office (the “USPTO”), or become involved in opposition, derivation, revocation, reexamination, post-grant and inter partes review (“IPR”), or interference
proceedings or other similar proceedings challenging our patent rights. An adverse determination in any such submission, proceeding or litigation could
reduce the scope of, or invalidate or render unenforceable, our patent rights, allow third parties to commercialize our technology or products and compete
directly with us, without payment to us, or result in our inability to manufacture or commercialize products without infringing third-party patent rights.
Moreover, we may have to participate in interference proceedings declared by the USPTO to determine priority of invention or in post-grant challenge
proceedings, such as oppositions in a foreign patent office, that challenge our priority of invention or other features of patentability with respect to our
patents and patent applications. Such challenges may result in loss of patent rights, in loss of exclusivity or in patent claims being narrowed, invalidated or
held unenforceable, which could limit our ability to stop others from using or commercializing similar or identical technology and products, or limit the
duration of the patent protection of our technology or products. Such proceedings also may result in substantial cost and require significant time from our
scientists and management, even if the eventual outcome is favorable to us. For example, petitions for IPR of U.S. Pat. Nos. 9,642,673, 8,956,371 and
8,728,091 (the “IPR Patents”), which are three of our issued U.S. patents that relate to our current IVL Technology, were filed in December 2018 at the
USPTO’s Patent Trial and Appeal Board (the “PTAB”) by Cardiovascular Systems, Inc., one of our competitors. The PTAB has decided to institute IPR
proceedings for all three IPR Patents. We filed our responses to the petitions in November 2019 and optional oral hearings for each IPR are scheduled for
April 16, 2020. The PTAB is expected to issue a decision in each IPR by July 2020. The IPR proceedings could result in the loss or narrowing in scope of
the IPR Patents, which could limit our ability to stop others from using or commercializing products and technology similar or identical to ours. Any of the
foregoing could have a material adverse effect on our business, financial condition and results of operations.

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In addition, if we initiate legal proceedings against a third party to enforce a patent covering our products, the defendant could counterclaim that

such patent is invalid or unenforceable. In patent litigation in the United States, defendant counterclaims alleging invalidity or unenforceability are
commonplace. Grounds for a validity challenge could be an alleged failure to meet any of several statutory requirements, including lack of novelty,
obviousness or non-enablement. Grounds for an unenforceability assertion could be an allegation that someone connected with prosecution of the patent
withheld relevant information from the USPTO or made a misleading statement during prosecution. Third parties may also raise claims challenging the
validity or enforceability of our patents before administrative bodies in the United States or abroad, even outside the context of litigation, including through
re-examination, post-grant review, IPR, interference proceedings, derivation proceedings and equivalent proceedings in foreign jurisdictions (e.g.,
opposition proceedings). Such proceedings could result in the revocation of, cancellation of or amendment to our patents in such a way that they no longer
cover our products. The outcome following legal assertions of invalidity and unenforceability is unpredictable. With respect to the validity question, for
example, we cannot be certain that there is no invalidating prior art, of which we and the patent examiner were unaware during prosecution. If a third party
were to prevail on a legal assertion of invalidity or unenforceability, we would lose at least part, and perhaps all, of the patent protection on our products.
Such a loss of patent protection would have a material adverse effect on our business, financial condition and results of operations.

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

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

Periodic maintenance fees, renewal fees, annuity fees and various other government fees on patents and applications will be due to be paid to the

USPTO and various government patent agencies outside of the United States over the lifetime of our patents and applications. The USPTO and various
non-U.S. government agencies require compliance with several procedural, documentary, fee payment and other similar provisions during the patent
application process. In some cases, an inadvertent lapse can be cured by payment of a late fee or by other means in accordance with the applicable rules.
There are situations, however, in which non-compliance can result in the abandonment or lapse of the patent or patent application, resulting in a partial or
complete loss of patent rights in the relevant jurisdiction. In such an event, potential competitors might be able to enter the market with similar or identical
products or technology, which could have a material adverse effect on our business, financial condition and results of operations.

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

Third parties may attempt to commercialize competitive products or services in foreign countries where we do not have any patents or patent

applications and/or where legal recourse may be limited. This may have a significant commercial impact on our foreign business operations.

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

Many companies have encountered significant problems in protecting and defending intellectual property rights in foreign jurisdictions. The legal

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

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Many countries have compulsory licensing laws under which a patent owner may be compelled to grant licenses to third parties. In addition, many
countries limit the enforceability of patents against government agencies or government contractors. In these countries, the patent owner may have limited
remedies, which could materially diminish the value of such patent. If we are forced to grant a license to third parties with respect to any patents relevant to
our business, our competitive position may be impaired, and our business, financial condition and results of operations may be adversely affected.

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

Changes in either the patent laws or interpretation of the patent laws in the United States could increase the uncertainties and costs surrounding the

prosecution of patent applications and the enforcement or defense of issued patents. Assuming that other requirements for patentability are met, prior to
March 2013, in the United States, the first to invent the claimed invention was entitled to the patent, while outside the United States, the first to file a patent
application was entitled to the patent. After March 2013, under the Leahy-Smith America Invents Act (the “America Invents Act”), enacted in September
2011, the United States transitioned to a first inventor to file system in which, assuming that other requirements for patentability are met, the first inventor
to file a patent application will be entitled to the patent on an invention regardless of whether a third party was the first to invent the claimed invention. A
third party that files a patent application in the USPTO after March 2013, but before us could therefore be awarded a patent covering an invention of ours
even if we had made the invention before it was made by such third party. This will require us to be cognizant of the time from invention to filing of a
patent application. Since patent applications in the United States and most other countries are confidential for a period of time after filing or until issuance,
we cannot be certain that we were the first to file any patent application related to our products or invent any of the inventions claimed in our patents or
patent applications.

The America Invents Act also includes a number of significant changes that affect the way patent applications will be prosecuted and also may
affect patent litigation. These include allowing third-party submission of prior art to the USPTO during patent prosecution and additional procedures to
attack the validity of a patent by USPTO administered post-grant proceedings, including post-grant review, IPR and derivation proceedings. Because of a
lower evidentiary standard in USPTO proceedings compared to the evidentiary standard in U.S. federal courts necessary to invalidate a patent claim, a third
party could potentially provide evidence in a USPTO proceeding sufficient for the USPTO to hold a claim invalid even though the same evidence would be
insufficient to invalidate the claim if first presented in a district court action. Accordingly, a third party may attempt to use the USPTO procedures to
invalidate our patent claims that would not have been invalidated if first challenged by the third party as a defendant in a district court action. Therefore, the
America Invents Act and its implementation could increase the uncertainties and costs surrounding the prosecution of our patent applications and the
enforcement or defense of our issued patents. In addition, future actions by the U.S. Congress, the federal courts and the USPTO could cause the laws and
regulations governing patents to change in unpredictable ways. Any of the foregoing could have a material adverse effect on our business, financial
condition and results of operations.

Our reliance on third parties requires us to share our trade secrets, which increases the possibility that a competitor will discover them or that our trade
secrets will be misappropriated or disclosed. If we are unable to protect the confidentiality of our trade secrets, our business and competitive position
would be harmed.

In addition to seeking patent protection for our products, we also rely upon unpatented trade secrets, know-how and continuing technological

innovation to develop and maintain a competitive position. We seek to protect such proprietary information, in part, through confidentiality agreements
with our employees, collaborators, contractors, advisors, consultants and other third parties and invention assignment agreements with our employees. We
also have agreements with some of our consultants that require them to assign to us any inventions created as a result of their working with us. The
confidentiality agreements are designed to protect our proprietary information and, in the case of agreements or clauses containing invention assignment, to
grant us ownership of technologies that are developed through a relationship with employees or third parties.

We cannot guarantee that we have entered into such agreements with each party that has or may have had access to our trade secrets or proprietary

information. Additionally, despite these efforts, any of these parties may breach the agreements and disclose our proprietary information, including our
trade secrets, and we may not be able to obtain adequate remedies for such breaches. Enforcing a claim that a party illegally disclosed or misappropriated a
trade secret is difficult, expensive and time-consuming, and the outcome is unpredictable. In addition, some courts inside and outside the United States are
less willing or unwilling to protect trade secrets. If any of our trade secrets were to be lawfully obtained or independently developed by a competitor or
other third party, we would have no right to prevent them from using that technology or information to compete with us. If any of our trade secrets were to
be disclosed to, or independently developed by, a competitor or other third party, our competitive position would be materially and adversely harmed.
Furthermore, we expect these trade secrets, know-how and proprietary information to over time be disseminated within the industry through independent
development, the publication of journal articles describing the methodology and the movement of personnel from academic to industry scientific positions.

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We also seek to preserve the integrity and confidentiality of our data and trade secrets by maintaining physical security of our premises and physical

and electronic security of our information technology systems. While we have confidence in these individuals, organizations and systems, agreements or
security measures may be breached, and we may not have adequate remedies for any breach. In addition, our trade secrets may otherwise become known,
or be independently discovered by, competitors. To the extent that our employees, consultants, contractors or collaborators use intellectual property owned
by others in their work for us, disputes may arise as to the rights in related or resulting know-how and inventions, which could have a material adverse
effect on our business, financial condition and results of operations.

We may be subject to claims challenging the ownership or inventorship of our patents and other intellectual property and, if unsuccessful in any of
these proceedings, we may be required to obtain licenses from third parties, which may not be available on commercially reasonable terms, or at all, or
to cease the development, manufacture and commercialization of one or more of our products.

We may be subject to claims that current or former employees, collaborators or other third parties have an interest in our patents, trade secrets or

other intellectual property as an inventor or co-inventor. For example, we may have inventorship disputes arise from conflicting obligations of employees,
consultants or others who are involved in developing our products. Litigation may be necessary to defend against these and other claims challenging
inventorship of our patents, trade secrets or other intellectual property. If we fail in defending any such claims, in addition to paying monetary damages, we
may lose valuable intellectual property rights, such as exclusive ownership of, or right to use, intellectual property that is important to our products. If we
were to lose exclusive ownership of such intellectual property, other owners may be able to license their rights to other third parties, including our
competitors. We also may be required to obtain and maintain licenses from third parties, including parties involved in any such disputes. Such licenses may
not be available on commercially reasonable terms, or at all, or may be non-exclusive. If we are unable to obtain and maintain such licenses, we may need
to cease the development, manufacture and commercialization of one or more of our products. The loss of exclusivity or the narrowing of our patent claims
could limit our ability to stop others from using or commercializing similar or identical technology and products. Even if we are successful in defending
against such claims, litigation could result in substantial costs and be a distraction to management and other employees. Any of the foregoing could have a
material adverse effect on our business, financial condition and results of operations.

Third-party claims of intellectual property infringement, misappropriation or other violation against us or our collaborators may prevent or delay the
sale and marketing of our products.

The medical device industry is highly competitive and dynamic. Due to the focused research and development that is taking place by several
companies, including us and our competitors, in this field, the intellectual property landscape is in flux, and it may remain uncertain in the future. As such,
we could become subject to significant intellectual property-related litigation and proceedings relating to our or third-party intellectual property and
proprietary rights.

Our commercial success depends in part on our and any potential future collaborators’ ability to develop, manufacture, market and sell any products

that we may develop and use our proprietary technologies without infringing, misappropriating and otherwise violating the patents and other intellectual
property rights of third parties. It is uncertain whether the issuance of any third-party patent would require us or any potential collaborators to alter our
development or commercial strategies, obtain licenses or cease certain activities. The medical device industry is characterized by extensive litigation
regarding patents and other intellectual property rights, as well as administrative proceedings for challenging patents, including interference, inter partes or
post-grant review, derivation and reexamination proceedings before the USPTO or oppositions and other comparable proceedings in foreign jurisdictions.

Third parties, including our competitors, may currently have patents or obtain patents in the future and claim that the manufacture, use or sale of our

products infringes upon these patents. We have not conducted an extensive search of patents issued or assigned to other parties, including our competitors,
and no assurance can be given that patents containing claims covering our products, parts of our products, technology or methods do not exist, have not
been filed or could not be filed or issued. In addition, because patent applications can take many years to issue and because publication schedules for
pending applications vary by jurisdiction, there may be applications now pending of which we are unaware and which may result in issued patents which
our current or future products infringe. Also, because the claims of published patent applications can change between publication and patent grant, there
may be published patent applications that may ultimately issue with claims that we infringe. As the number of competitors in our market grows and the
number of patents issued in this area increases, the possibility of patent infringement claims against us escalates. Moreover, we may face claims from non-
practicing entities (“NPEs”), which have no relevant product revenue and against whom our own patent portfolio may have no deterrent effect. Third
parties, including NPEs, have claimed, and may in the future claim, that our products infringe or violate their patents or other intellectual property rights.

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In the event that any third party claims that we infringe their patents or that we are otherwise employing their proprietary technology without
authorization and initiates litigation against us, even if we believe such claims are without merit, there is no assurance that a court would find in our favor
on questions of infringement, validity, enforceability or priority. A court of competent jurisdiction could hold that these third-party patents are valid,
enforceable and infringed by our products. In order to successfully challenge the validity of any such U.S. patent in federal court, we would need to
overcome a presumption of validity. As this burden is a high one requiring us to present clear and convincing evidence as to the invalidity of any such U.S.
patent claim, there is no assurance that a court of competent jurisdiction would invalidate the claims of any such U.S. patent. If we are found to infringe
third-party patents, and we are unsuccessful in demonstrating that such patents are invalid or unenforceable, such third parties may be able to block our
ability to commercialize the applicable products or technology unless we obtain a license under the applicable patents, or until such patents expire or are
finally determined to be held invalid or unenforceable. Such a license may not be available on commercially reasonable terms, or at all. Even if we are able
to obtain a license, the license would likely obligate us to pay significant license fees and/or royalties, and the rights granted to us might be non-exclusive,
which could result in our competitors gaining access to the same technology. If we are unable to obtain a necessary license to a third-party patent on
commercially reasonable terms, or at all, we may be unable to commercialize our products, or such commercialization efforts may be significantly delayed,
which could in turn significantly harm our business.

Defense of infringement claims, regardless of their merit or outcome, would involve substantial litigation expense and would be a substantial

diversion of management and other employee resources from our business, and may impact our reputation. In the event of a successful claim of
infringement against us, we may be enjoined from further developing or commercializing the infringing products and/or have to pay substantial damages
for use of the asserted intellectual property, including treble damages and attorneys’ fees were we found to willfully infringe such intellectual property. We
also might have to redesign our infringing products or technologies, which may be impossible or require substantial time and monetary expenditure.

Engaging in litigation to defend against third-party infringement claims is very expensive, particularly for a company of our size, and time-

consuming. In addition, there could be public announcements of the results of hearings, motions or other interim proceedings or developments, and if
securities analysts or investors perceive these results to be negative, it could have a substantial adverse effect on our common stock price. Such litigation or
proceedings could substantially increase our operating losses and reduce the resources available for development activities or any future sales, marketing or
distribution activities. We may not have sufficient financial or other resources to conduct such litigation or proceedings adequately. Some of our
competitors may be able to sustain the costs of litigation or administrative proceedings more effectively than we can because of greater financial resources
and more mature and developed intellectual property portfolios. Uncertainties resulting from the initiation and continuation of patent litigation or other
proceedings against us could impair our ability to compete in the marketplace. The occurrence of any of the foregoing could have a material adverse effect
on our business, financial condition or results of operations.

We may become involved in lawsuits to protect or enforce our patents and other intellectual property rights, which could be expensive, time-consuming
and unsuccessful.

Competitors may infringe our patents, or we may be required to defend against claims of infringement. In addition, our patents also may become

involved in inventorship, priority or validity disputes. To counter or defend against such claims can be expensive and time-consuming. In an infringement
proceeding, a court may decide that a patent owned by us is invalid or unenforceable, or may refuse to stop the other party from using the technology at
issue on the grounds that our patents do not cover such technology. An adverse result in any litigation proceeding could put one or more of our patents at
risk of being invalidated or interpreted narrowly. Furthermore, because of the substantial amount of discovery required in connection with intellectual
property litigation, there is a risk that some of our confidential information could be compromised by disclosure during litigation.

Even if resolved in our favor, litigation or other legal proceedings relating to intellectual property claims may cause us to incur significant expenses

and could distract our management and other personnel from their normal responsibilities. In addition, there could be public announcements of the results
of hearings, motions or other interim proceedings or developments, and if securities analysts or investors perceive these results to be negative, it could have
a substantial adverse effect on our common stock price. Such litigation or proceedings could substantially increase our operating losses and reduce the
resources available for development activities or any future sales, marketing or distribution activities. We may not have sufficient financial or other
resources to conduct such litigation or proceedings adequately. Some of our competitors may be able to sustain the costs of such litigation or proceedings
more effectively than we can because of their greater financial resources and more mature and developed intellectual property portfolios. Uncertainties
resulting from the initiation and continuation of patent litigation or other proceedings could have a material adverse effect on our ability to compete in the
marketplace. Any of the foregoing could have a material adverse effect on our business, financial condition or results of operations.

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We may not be successful in obtaining necessary rights to any products we may develop through acquisitions and in-licenses.

Many medical device companies and academic institutions are competing with us and filing patent applications potentially relevant to our business.

We may find it necessary or prudent to obtain licenses from such third-party intellectual property holders. In addition, with respect to any patents we may
in the future co-own with third parties, we may require licenses to such co-owners’ interest to such patents. However, we may be unable to secure such
licenses or otherwise acquire or in-license any intellectual property rights from third parties that we identify as necessary for planned or future products.
The licensing or acquisition of third-party intellectual property rights is a competitive area, and more established companies may pursue strategies to
license or acquire third-party intellectual property rights that we may consider attractive or necessary. These established companies may have a competitive
advantage over us due to their size, capital resources and greater clinical development and commercialization capabilities. In addition, companies that
perceive us to be a competitor may be unwilling to assign or license rights to us. We also may be unable to license or acquire third-party intellectual
property rights on terms that would allow us to make an appropriate return on our investment or at all. If we are unable to successfully obtain rights to
required third-party intellectual property rights or maintain the existing intellectual property rights we have, we may have to abandon development of the
relevant products, which could have a material adverse effect on our business, financial condition and results of operations.

We may be subject to claims that our employees, consultants or advisors have wrongfully used or disclosed alleged trade secrets of their current or
former employers or claims asserting ownership of what we regard as our own intellectual property.

Our employees, consultants and scientific advisors may be currently or previously employed or engaged at universities or other medical device or
healthcare companies, including our competitors and potential competitors. Although we try to ensure that our employees, consultants and advisors do not
use the proprietary information or know-how of others in their work for us, we may in the future become subject to claims that we or these individuals
have, inadvertently or otherwise, used or disclosed intellectual property, including trade secrets or other proprietary information, of their current or former
employer. Litigation may be necessary to defend against these claims. If we fail in defending any such claims, in addition to paying monetary damages, we
may lose valuable intellectual property rights or personnel, which could have a material adverse effect on our business, financial condition and results of
operations. Even if we are successful in defending against such claims, litigation could result in substantial costs and be a distraction to management.

In addition, while it is our policy to require our employees and contractors who may be involved in the conception or development of intellectual

property to execute agreements assigning such intellectual property to us, we may be unsuccessful in executing such an agreement with each party who, in
fact, conceives or develops intellectual property that we regard as our own. The assignment of intellectual property rights may not be self-executing, or the
assignment agreements may be breached, and we may be forced to bring claims against third parties, or defend claims that they may bring against us, to
determine the ownership of what we regard as our intellectual property. Such claims could have a material adverse effect on our business, financial
condition and results of operations.

If our trademarks and trade names are not adequately protected, then we may not be able to build name recognition in our markets of interest and our
business may be adversely affected.

Our trademarks or trade names may be challenged, infringed, circumvented, declared generic or determined to be violating or infringing on other
marks. We may not be able to protect our rights to these trademarks and trade names, which we need to build name recognition among potential partners
and customers in our markets of interest. At times, competitors or other third parties may adopt trade names or trademarks similar to ours, thereby
impeding our ability to build brand identity and possibly leading to market confusion. In addition, there could be potential trade name or trademark
infringement or dilution claims brought by owners of other trademarks. Over the long term, if we are unable to establish name recognition based on our
trademarks and trade names, then we may not be able to compete effectively and our business may be adversely affected. Our efforts to enforce or protect
our proprietary rights related to trademarks, trade secrets, domain names or other intellectual property may be ineffective, could result in substantial costs
and diversion of resources and could adversely affect our business, financial condition and results of operations.

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Our use of “open source” software could subject our proprietary software to general release, adversely affect our ability to sell our products and subject
us to possible litigation.

A portion of the products or technologies licensed, developed and/or distributed by us incorporate so-called “open source” software and we may

incorporate open source software into other products in the future. Such open source software is generally licensed by its authors or other third parties
under open source licenses. Some open source licenses contain requirements that we disclose source code for modifications we make to the open source
software and that we license such modifications to third parties at no cost. In some circumstances, distribution of our software in connection with open
source software could require that we disclose and license some or all of our proprietary code in that software, as well as distribute our products that use
particular open source software at no cost to the user. We monitor our use of open source software in an effort to avoid uses in a manner that would require
us to disclose or grant licenses under our proprietary source code; however, there can be no assurance that such efforts will be successful. Open source
license terms are often ambiguous and such use could inadvertently occur. There is little legal precedent governing the interpretation of many of the terms
of these licenses, and the potential impact of these terms on our business may result in unanticipated obligations regarding our products and technologies.
Companies that incorporate open source software into their products have, in the past, faced claims seeking enforcement of open source license provisions
and claims asserting ownership of open source software incorporated into their product. If an author or other third party that distributes such open source
software were to allege that we had not complied with the conditions of an open source license, we could incur significant legal costs defending ourselves
against such allegations. In the event such claims were successful, we could be subject to significant damages or be enjoined from the distribution of our
products. In addition, if we combine our proprietary software with open source software in certain ways, under some open source licenses, we could be
required to release the source code of our proprietary software, which could substantially help our competitors develop products that are similar to or better
than ours and otherwise adversely affect our business. These risks could be difficult to eliminate or manage, and, if not addressed, could harm our business,
financial condition and results of operations.

Intellectual property rights do not necessarily address all potential threats.

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

not adequately protect our business or permit us to maintain our competitive advantage. For example:

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others may be able to make products that are similar to our products or utilize similar technology but that are not covered by the claims of
our patents or that incorporate certain technology in our products that is in the public domain;

we, or our future licensors or collaborators, might not have been the first to make the inventions covered by the applicable issued patent or
pending patent application that we own now or may own or license in the future;

we, or our future licensors or collaborators, might not have been the first to file patent applications covering certain of our or their
inventions;

others may independently develop similar or alternative technologies or duplicate any of our technologies without infringing our intellectual
property rights;

it is possible that our current or future pending patent applications will not lead to issued patents;

issued patents that we hold rights to may be held invalid or unenforceable, including as a result of legal challenges by our competitors or
other third parties;

our competitors or other third parties might conduct research and development activities in countries where we do not have patent rights and
then use the information learned from such activities to develop competitive products for sale in our major commercial markets;

we may not develop additional proprietary technologies that are patentable;

the patents of others may harm our business; and

we may choose not to file a patent in order to maintain certain trade secrets or know-how, and a third party may subsequently file a patent
covering such intellectual property.

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

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Risks Related to Our Reliance on Third Parties

From time to time, we engage outside parties to perform services related to certain of our clinical studies and trials. If these third parties do not
successfully carry out their contractual duties or meet expected deadlines, we may not be able to obtain regulatory approval for or commercialize our
products.

From time to time, we engage consultants to help design, monitor and analyze the results of certain of our clinical studies and trials. The consultants

we engage interact with clinical investigators to enroll patients in our clinical trials. We depend on these consultants and clinical investigators to conduct
clinical studies and trials and monitor and analyze data from these studies and trials under the investigational plan and protocol for the study or trial and in
compliance with applicable regulations and standards, such as GCP guidelines, the Common Rule, and FDA human subject protection regulations. We may
face delays in our regulatory approval process if these parties do not perform their obligations in a timely, compliant or competent manner. If these third
parties do not successfully carry out their duties or meet expected deadlines, or if the quality, completeness or accuracy of the data they obtain is
compromised due to the failure to adhere to our clinical trial protocols or for other reasons, our clinical studies or trials may be extended, delayed or
terminated or may otherwise prove to be unsuccessful, and we may have to conduct additional studies, which would significantly increase our costs, in
order to obtain the regulatory clearances or approvals that we need to commercialize our products

We may need to depend on third parties to manufacture our products. If these manufacturers fail to meet our requirements and strict regulatory
standards, we may be unable to develop, commercialize or market our products.

We may in the future need to depend upon third parties to manufacture our products. Reliance on a third-party manufacturer entails risks to which

we would not be subject if we manufactured products ourselves, including:

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reliance on the third party for regulatory compliance and quality assurance;

the possible breach of the manufacturing agreement by the third party because of factors beyond our control; and

the possibility of termination or nonrenewal of the agreement by the third party because of our breach of the manufacturing agreement or
based on its own business priorities.

Any of these factors could cause delay or suspension of clinical trials, regulatory submissions, required approvals, commercialization or marketing

of our products or cause us to incur higher costs. Furthermore, if our contract manufacturers fail to deliver the required commercial quantities of finished
products on a timely basis and at commercially reasonable prices and we are unable to find one or more replacement manufacturers capable of production
at a substantially equivalent cost, in substantially equivalent volumes and quality, and on a timely basis, we would likely be unable to meet demand for our
products and we would lose potential revenue. Any difficulties in locating and hiring third-party manufacturers, or in the ability of third-party
manufacturers to supply quantities of our products at the times and in the quantities we need, could have a material adverse effect on our business. It may
take a significant amount of time and resources (including costs) to establish an alternative source of supply for our products and to have any such new
source approved by the FDA.

We depend upon third-party suppliers, including single source suppliers, making us vulnerable to supply problems and price fluctuations.

We rely on third-party suppliers to provide us with certain components of our products. We rely on single source suppliers for certain components

of our products. In some cases, we do not have long-term supply agreements with, or guaranteed commitments from, our suppliers, including single source
suppliers. 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. These suppliers may cease producing the components we purchase from them or otherwise decide to cease doing business with us.

Any supply interruption from our suppliers or failure to obtain additional suppliers for any of the components used in our products would limit our

ability to manufacture our products and could have a material adverse effect on our business, financial condition and results of operations.

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We and our component suppliers may not meet regulatory quality standards applicable to our manufacturing processes, which could have an adverse
effect on our business, financial condition and results of operations.

As a medical device manufacturer, we must register with the FDA and non-U.S. regulatory agencies, and we are subject to periodic inspection by

the FDA and foreign regulatory agencies, for compliance with certain good manufacturing practices, including design controls, product validation and
verification, in process testing, quality control and documentation procedures. Compliance with applicable regulatory requirements is subject to continual
review and is rigorously monitored through periodic inspections by the FDA and foreign regulatory agencies. Our component suppliers are also required to
meet certain standards applicable to their manufacturing processes.

We cannot assure you that we or our component suppliers comply or can continue to comply with all regulatory requirements. The failure by us or
one of our component suppliers to achieve or maintain compliance with these requirements or quality standards may disrupt our ability to supply products
sufficient to meet demand until compliance is achieved or, with a component supplier, until a new supplier has been identified and evaluated. Our or any of
our component supplier’s failure to comply with applicable regulations could cause sanctions to be imposed on us, including warning letters, fines,
injunctions, civil penalties, failure of regulatory authorities to grant marketing approval of our products, delays, suspension or withdrawal of approvals or
clearances, license revocation, seizures or recalls of products, operating restrictions and criminal prosecutions, which could harm our business. We cannot
assure you that if we need to engage new suppliers to satisfy our business requirements, we can locate new suppliers in compliance with regulatory
requirements at a reasonable cost and in an acceptable timeframe. Our failure to do so could have a material adverse effect on our business, financial
condition and results of operations.

In the EU, we must maintain certain International Organization for Standardization (“ISO”) certifications to sell our products and must undergo

periodic inspections by notified bodies, including the BSI, to obtain and maintain these certifications. If we fail these inspections or fail to meet these
regulatory standards, it could have a material adverse effect on our business, financial condition and results of operations.

We may seek strategic alliances or enter into licensing arrangements in the future and may not be successful in doing so, and even if we are, we may
not realize the benefits or costs of such relationships.

We may form or seek strategic alliances, create joint ventures or collaborations or enter into additional licensing arrangements with third parties that

we believe will complement or augment our sales and marketing efforts with respect to our products and any planned or future products that we may
develop. For example, in December 2018, we entered into a collaboration with Abiomed pursuant to which we are working with Abiomed to integrate our
products into Abiomed’s physician training and education programs. We may not be successful in our efforts to establish such collaborations for our
products. Any of these relationships may require us to incur non-recurring and other charges, increase our near and long-term expenditures, issue securities
that dilute our existing stockholders or disrupt our management and business. In addition, we face significant competition in seeking appropriate strategic
partners and the negotiation process is time-consuming and complex. Moreover, we may not be successful in our efforts to establish a strategic partnership
or other alternative arrangements for our products. If we license products or businesses, we may not be able to realize the benefit of such transactions if we
are unable to successfully integrate them with our existing operations and company culture. We cannot be certain that, following a strategic transaction or
license, we will achieve the revenue or specific net income that justifies such transaction. Any delays in entering into new strategic partnership agreements
related to our products could delay the commercialization of our products in certain geographies for certain indications, which would harm our business
prospects, financial condition and results of operations.

In addition, any potential future collaborations may be terminable by our strategic partners, and we may not be able to adequately protect our rights

under these agreements. Furthermore, strategic partners may negotiate for certain rights to control decisions regarding the development and
commercialization of our products, if approved, and may not conduct those activities in the same manner as we do. Any termination of collaborations we
enter into in the future, or any delay in entering into collaborations related to our products, could delay the development and commercialization of our
products and reduce their competitiveness if they reach the market, which could have a material adverse effect on our business, financial condition and
results of operations.

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Risks Related to Ownership of Our Common Stock

The market price of our common stock has been and may continue to be highly volatile.

The trading price of our common stock has been and may continue to be highly volatile and could be subject to wide fluctuations in price in
response to various factors, many of which are beyond our control. Since our initial public offering which occurred in March 2019 through March 5, 2020,
the closing price of our common stock has ranged from $29.40 per share to $66.02 per share. The market price for our common stock may be influenced by
many factors, including:

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the sales level for our products;

the failure by our customers to obtain coverage and adequate reimbursements or reimbursement levels that would be sufficient to support
product sales to our customers;

unanticipated serious safety concerns related to the use of our products;

introduction of new products or services offered by us or our competitors;

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

announcements of technological or medical innovations for the treatment of vascular disease;

our ability to effectively manage our growth;

the size and growth of our target markets;

actual or anticipated quarterly variations in our or our competitors’ results of operations;

failure to meet estimates or recommendations by securities analysts who cover our stock;

failure to meet our own financial estimates;

accusations that we have violated a law or regulation;

recalls of our products;

disputes or other developments relating to proprietary rights, including patents, litigation matters and our ability to obtain, maintain, protect
and enforce patent protection and other intellectual property rights for our technologies and products;

significant litigation, including stockholder litigation or litigation related to intellectual property;

our cash position;

any delay in any regulatory filings for our planned or future products and any adverse development or perceived adverse development with
respect to the applicable regulatory authority’s review of such products;

adverse regulatory decisions, including failure to receive regulatory approval or clearance of our planned and future products or maintain
regulatory approval or clearance for our existing products;

changes in laws or regulations applicable to our products;

adverse developments concerning our suppliers or distributors;

our inability to obtain adequate supplies and components for our products or inability to do so at acceptable prices;

our inability to establish and maintain collaborations if needed;

changes in the market valuations of similar companies;

overall performance of the equity markets;

sales of large blocks of our common stock, including sales by our executive officers, directors and significant stockholders;

trading volume of our common stock;

additions or departures of key scientific or management personnel;

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changes in accounting principles;

ineffectiveness of our internal controls;

actual or anticipated changes in healthcare policy and reimbursement levels;

general market conditions and other factors, including factors unrelated to our operating performance or the operating performance of our
competitors; and

other events or factors, many of which are beyond our control.

In addition, the stock market in general and the market for medical device companies in particular have experienced extreme price and volume

fluctuations that have often been unrelated or disproportionate to the operating performance of those companies. These broad market and industry factors
may seriously harm the market price of our common stock, regardless of our operating performance. In the past, following periods of volatility in the
market, securities class action litigation has often been instituted against companies. Such litigation, if instituted against us, could result in substantial costs
and diversion of management’s attention and resources, which could materially adversely affect our business, financial condition and results of operations.

An active trading market for our common stock may not be sustained.

Our common stock is currently listed on the Nasdaq Global Select Market under the symbol “SWAV” and trades on that market. We cannot assure
you that an active trading market for our common stock will be sustained. Accordingly, we cannot assure you of the liquidity of any trading market, your
ability to sell your shares of our common stock when desired, or the prices that you may obtain for your shares.

We do not intend to pay dividends on our common stock, so any returns will be limited to increases, if any, in our stock’s value. Your ability to achieve a
return on your investment will depend on appreciation, if any, in the price of our common stock.

We currently anticipate that we will retain future earnings for the development, operation and expansion of our business and do not anticipate
declaring or paying any cash dividends for the foreseeable future. Any future determination to declare dividends will be made at the discretion of our board
of directors and will depend on, among other factors, our financial condition, operating results, capital requirements, general business conditions and other
factors that our board of directors may deem relevant. Any return to stockholders will therefore be limited to the appreciation in the value of their stock, if
any.

Our ability to utilize our net operating loss carryforwards and certain other tax attributes may be limited.

As of December 31, 2019, we had net operating loss (“NOL”) carryforwards of approximately $180.3 million for federal income tax purposes, and
$40.4 million for California and $153.5 million for other state income tax purposes. These federal NOLs (generated prior to 2018) begin expiring in 2030,
the California NOLs begin expiring in 2031 and other state NOL carryforwards begin expiring in 2029. Utilization of these NOLs depends on many
factors, including our future income, which cannot be assured. Some of these NOLs could expire unused and be unavailable to offset our future income tax
liabilities. In addition, under Section 382 of the Internal Revenue Code of 1986, as amended (the “Code”), and corresponding provisions of state law, if a
corporation undergoes an “ownership change,” which is generally defined as a greater than 50% change, by value, in its equity ownership by 5%
stockholders over a three-year period, the corporation’s ability to use its pre-change NOLs and other pre-change tax attributes to offset its post-change
income may be limited. We have not determined if we have experienced Section 382 ownership changes in the past and if a portion of our NOLs is subject
to an annual limitation under Section 382. In addition, we may experience ownership changes in the future as a result of subsequent changes in our stock
ownership, some of which may be outside of our control. If we determine that an ownership change has occurred and our ability to use our historical NOLs
is materially limited, it could harm our future operating results by effectively increasing our future tax obligations. In addition, under the TCJA, federal
NOLs incurred in 2018 and in future years may be carried forward indefinitely but generally may not be carried back and the deductibility of such NOLs is
limited to 80% of taxable income.

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Changes in tax laws or regulations that are applied adversely to us or our customers may have a material adverse effect on our business, cash flow,
financial condition or results of operations.

The TCJA enacted many significant changes to the U.S. tax laws, and we are still awaiting guidance from the IRS and other tax authorities on some
of the TCJA changes that may affect us. Changes in corporate tax rates, the realization of net deferred tax assets relating to our U.S. operations, the taxation
of foreign earnings and the deductibility of expenses contained in the TCJA or future tax reform legislation could have a material impact on the value of
our deferred tax assets, could result in significant one-time charges in the current or future taxable years and could increase our future U.S. tax expense.
The foregoing items, as well as any future changes in tax laws, could have a material adverse effect on our business, cash flow, financial condition or
results of operations. In addition, it is uncertain if and to what extent various states will conform to the TCJA or any newly enacted federal tax legislation.

Our principal stockholders and management own a significant percentage of our stock and will be able to exercise significant influence over matters
subject to stockholder approval.

As of December 31, 2019, our executive officers, directors and 5% stockholders beneficially owned approximately 56.9% of the outstanding shares
of capital stock. As of December 31, 2019, we had 31,446,787 shares of common stock outstanding. Of these shares, the 9,409,048 shares of common stock
sold in our IPO and Follow-On Offering are freely tradeable.

As of December 31, 2019, our executive officers and directors held options to purchase an aggregate of 2,158,122 shares of our common stock at a

weighted-average exercise price of $4.88 per share and 29,000 shares of common stock underlying outstanding restricted stock units (“RSUs”). We have
registered all of the shares of common stock issuable upon the exercise of outstanding options, upon the vesting of outstanding restricted stock and upon
exercise or settlement of any other equity incentives we may grant in the future, for public resale under the Securities Act. Accordingly, these shares may
be freely sold in the public market upon issuance as permitted by any applicable vesting requirements. Furthermore, as of December 31, 2019, holders of
approximately 5,395,605 shares of our common stock have certain rights with respect to the registration of such shares under the Securities Act.

We are an emerging growth company, and we cannot be certain if the reduced reporting requirements applicable to emerging growth companies will
make our common stock less attractive to investors.

We are an emerging growth company, as defined in the Jumpstart Our Business Startups Act of 2012 (the “JOBS Act”). For as long as we continue

to be an emerging growth company, we may take advantage of exemptions from various reporting requirements that are applicable to other public
companies that are not emerging growth companies, including not being required to comply with the auditor attestation requirements of Section 404 of the
Sarbanes-Oxley Act, reduced disclosure obligations regarding executive compensation and our periodic reports and proxy statements and exemptions from
the requirements of holding nonbinding advisory votes on executive compensation and stockholder approval of any golden parachute payments not
previously approved. We could be an emerging growth company for up to five years following the year in which we completed our initial public offering,
although circumstances could cause us to lose that status earlier. We will remain an emerging growth company until the earlier of (i) the last day of the
fiscal year (a) following the fifth anniversary of the completion of our initial public offering, (b) in which we have total annual gross revenue of at least
$1.07 billion or (c) in which we are deemed to be a large accelerated filer, which requires the market value of our common stock that is held by non-
affiliates to exceed $700.0 million as of the prior June 30th, and (ii) the date on which we have issued more than $1.0 billion in non-convertible debt during
the prior three-year period.

We will incur significant costs as a result of operating as a public company, and our management will be required to devote substantial time to new
compliance initiatives.

As a public company, we have incurred and will incur significant legal, accounting and other expenses. We are subject to the reporting requirements
of the Securities Exchange Act of 1934, as amended (the “Exchange Act”), which requires, among other things, that we file with the SEC, annual, quarterly
and current reports with respect to our business and financial condition. In addition, the Sarbanes-Oxley Act of 2002, as amended (the “Sarbanes-Oxley
Act”), as well as rules subsequently adopted by the SEC and the Nasdaq Global Select Market to implement provisions of the Sarbanes-Oxley Act, impose
significant requirements on public companies, including requiring that we evaluate and determine the effectiveness of our internal control over financial
reporting, beginning with our annual report for the year ending December 31, 2020, which must be attested to by our independent registered public
accounting firm to the extent we are no longer an “emerging growth company,” as defined by the JOBS Act, or a smaller reporting company under the
Securities Act. Further, in July 2010, the Dodd-Frank Wall Street Reform and Consumer Protection Act (the “Dodd-Frank Act”), was enacted. There are
significant corporate governance and executive compensation related provisions in the Dodd-Frank Act that require the SEC to adopt

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additional rules and regulations in these areas such as “say on pay” and proxy access. Emerging growth companies are permitted to implement many of
these requirements over a longer period and up until March 6, 2024, which is five years from the pricing of our initial public offering. We intend to take
advantage of this legislation but cannot guarantee that we will not be required to implement these requirements sooner than anticipated or planned and
thereby incur unexpected expenses. Stockholder activism, the current political environment and the current high level of government intervention and
regulatory reform may lead to substantial new regulations and disclosure obligations, which may lead to additional compliance costs and impact the
manner in which we operate our business in ways we cannot currently anticipate.

Compliance with the rules and regulations applicable to public companies can be more time-consuming and costly. If these requirements divert the

attention of our management and personnel from other business concerns, they could have a material adverse effect on our business, financial condition and
results of operations. For example, we expect these rules and regulations to make it more difficult and more expensive for us to obtain director and officer
liability insurance, and we may be required to incur substantial costs to maintain the same or similar coverage. We cannot predict or estimate the amount or
timing of additional costs we may incur to respond to these requirements. The impact of these requirements could also make it more difficult for us to
attract and retain qualified persons to serve on our board of directors, our board committees or as executive officers.

If we have material weaknesses in our internal control over financial reporting, we may not detect errors on a timely basis and our consolidated
financial statements may be materially misstated. We are in the process of designing and implementing our internal control over financial reporting in
which the process will be time-consuming, costly and complicated. Until such time as we are no longer an “emerging growth company,” our auditors will
not be required to attest as to our internal control over financial reporting. If we identify material weaknesses in our internal control over financial
reporting, if we are unable to comply with the requirements of Section 404 of the Sarbanes-Oxley Act in a timely manner, if we are unable to assert that our
internal control over financial reporting is effective or, once required, if our independent registered public accounting firm is unable to attest that our
internal control over financial reporting is effective, investors may lose confidence in the accuracy and completeness of our financial reports and the market
price of our common stock could decrease. We could also become subject to stockholder or other third-party litigation, as well as investigations by the
stock exchange on which our securities are listed, the SEC or other regulatory authorities, which could require additional financial and management
resources and could result in fines, trading suspensions or other remedies.

We are at risk of securities class action litigation.

In the past, securities class action litigation has often been brought against a company following a decline in the market price of its securities. This

risk is especially relevant for us because medical device companies have experienced significant stock price volatility in recent years. If we face such
litigation, it could result in substantial costs and a diversion of management’s attention and resources, which could harm our business.

If securities or industry analysts do not publish research or publish inaccurate or unfavorable research about our business, our stock price and trading
volume could decline.

Our stock price and trading volume is heavily influenced by the way analysts and investors interpret our financial information and other disclosures.

If securities or industry analysts do not publish research or reports about our business, delay publishing reports about our business or publish negative
reports about our business, regardless of accuracy, our stock price and trading volume could decline.

The trading market for our common stock depends, in part, on the research and reports that securities or industry analysts publish about us or our

business. We do not have any control over these analysts. A limited number of analysts are currently covering our company. If the number of analysts that
cover us declines, demand for our common stock could decrease and our common stock price and trading volume may decline.

Even if our common stock is actively covered by analysts, we do not have any control over the analysts or the measures that analysts or investors

may rely upon to forecast our future results. Over-reliance by analysts or investors on any particular metric to forecast our future results may result in
forecasts that differ significantly from our own.

Regardless of accuracy, unfavorable interpretations of our financial information and other public disclosures could have a negative impact on our

stock price. If our financial performance fails to meet analyst estimates, for any of the reasons discussed above or otherwise, or one or more of the analysts
who cover us downgrade our common stock or change their opinion of our common stock, our stock price would likely decline.

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Our restated certificate of incorporation, our amended and restated bylaws and Delaware law contain provisions that could discourage another
company from acquiring us and may prevent attempts by our stockholders to replace or remove our current management.

Provisions of Delaware law (where we are incorporated), our restated certificate of incorporation and amended and restated bylaws may discourage,
delay or prevent a merger or acquisition that stockholders may consider favorable, including transactions in which you might otherwise receive a premium
for your shares. In addition, these provisions may frustrate or prevent any attempts by our stockholders to replace or remove our current management by
making it more difficult for stockholders to replace or remove our board of directors. These provisions include:

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authorizing the issuance of “blank check” preferred stock without any need for action by stockholders;

requiring supermajority stockholder voting to effect certain amendments to our restated certificate of incorporation and amended and
restated bylaws;

eliminating the ability of stockholders to call and bring business before special meetings of stockholders;

prohibiting stockholder action by written consent;

establishing advance notice requirements for nominations for election to the board of directors or for proposing matters that can be acted on
by stockholders at stockholder meetings;

dividing our board of directors into three classes so that only one third of our directors will be up for election in any given year; and

providing that our directors may be removed by our stockholders only for cause.

In addition, we are subject to Section 203 of the Delaware General Corporation Law, which may have an anti-takeover effect with respect to

transactions not approved in advance by our board of directors, including discouraging takeover attempts that could have resulted in a premium over the
market price for shares of our common stock.

These provisions apply even if a takeover offer may be considered beneficial by some stockholders and could delay or prevent an acquisition that
our board of directors determines is not in our and our stockholders’ best interests and could also affect the price that some investors are willing to pay for
our common stock. See the section titled “Description of Capital Stock.”

Our restated certificate of incorporation provides that the Court of Chancery of the State of Delaware will be the exclusive forum for substantially all
disputes between us and our stockholders, which could limit our stockholders’ ability to obtain a favorable judicial forum for disputes with us or our
directors, officers or employees.

Our restated certificate of incorporation provides that the Court of Chancery of the State of Delaware is the exclusive forum for: any derivative

action or proceeding brought on our behalf; any action asserting a breach of fiduciary duty; any action asserting a claim against us arising pursuant to the
Delaware General Corporation Law, our restated certificate of incorporation or our amended and restated bylaws; or any action asserting a claim against us
that is governed by the internal affairs doctrine. The choice of forum provision may limit a stockholder’s ability to bring a claim in a judicial forum that it
finds favorable for disputes with us or our directors, officers or other employees, which may discourage such lawsuits against us and our directors, officers
and other employees. If a court were to find the choice of forum provision contained in our restated certificate of incorporation to be inapplicable or
unenforceable in an action, we may incur additional costs associated with resolving such action in other jurisdictions, which could harm our business and
financial condition. This exclusive forum provision will not apply to suits brought to enforce a duty or liability created by the Securities Act or the
Exchange Act or any other claim for which the federal courts have exclusive jurisdiction.

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Item 1B. Unresolved Staff Comments.

None.

Item 2. Properties.

We completed the move of our production of our IVL catheters from our prior Fremont, California facility to our facilities in Santa Clara, California

in the second half of 2019. We produce all of our IVL catheters in-house at our facilities in Santa Clara, California, which, together with our research and
development, controlled environment room and office space, currently totals 35,000 square feet.

In December 2019, we entered into a lease for office and laboratory space in two buildings located in Santa Clara, California. The purpose and

effect of the lease agreement is to extend the existing Santa Clara office and laboratory premises of 35,000 square feet to approximately 85,200 square feet
of rentable space.

We believe that the above Santa Clara facilities meets our current and future anticipated needs.

Item 3. Legal Proceedings.

Petitions for inter partes review (“IPR”) of U.S. Pat. Nos. 9,642,673, 8,956,371 and 8,728,091 (the “IPR Patents”), which are three of our issued

U.S. patents that relate to our current IVL Technology, were filed in December 2018 at the USPTO’s Patent Trial and Appeal Board (the “PTAB”) by
Cardiovascular Systems, Inc., one of our competitors. The PTAB has decided to institute IPR proceedings for all three IPR Patents. We filed our responses
to the petitions in November 2019 and optional oral hearings for each IPR are scheduled for April 16, 2020. The PTAB is expected to issue a decision in
each IPR by July 2020. The IPR proceedings could result in the loss or narrowing in scope of the IPR Patents, which could limit our ability to stop others
from using or commercializing products and technology similar or identical to ours.    For more information regarding the risks presented by such
proceedings, please see the section titled “Risk Factors—Risks Related to Our Intellectual Property.”

We may be subject to other legal proceedings and claims in the ordinary course of business. We have received, and may from time to time receive,

letters from third parties alleging patent infringement, violation of employment practices or trademark infringement, and we may in the future participate in
litigation to defend ourselves. We cannot predict the results of any such disputes, and despite the potential outcomes, the existence thereof may have an
adverse material impact on us due to diversion of management time and attention as well as the financial costs related to resolving such disputes.

Item 4. Mine Safety Disclosures.

Not applicable.

65

PART II

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

Market Information for Common Stock

Our common stock is traded on the Nasdaq Global Select Market under the symbol SWAV. Public trading of our common stock began on March 7,
2019. Prior to that, there was no public market for our common stock. The following table sets forth for the periods indicated the high and low sales prices
per share of our common stock on the Nasdaq Global Select Market:

Fiscal year ending December 31, 2019
First quarter (beginning March 7, 2019)
Second quarter
Third quarter
Fourth quarter

Low

High

  $

24.58    $
28.80   
28.93   
28.31   

43.39 
68.39 
59.72 
45.57

Dividend Policy

We have never declared or paid, and do not anticipate declaring or paying in the foreseeable future, any cash dividends on our capital stock. Any

future determination as to the declaration and payment of dividends, if any, will be at the discretion of our board of directors, subject to applicable laws and
will depend on then existing conditions, including our financial condition, operating results, contractual restrictions, capital requirements, business
prospects, and other factors our board of directors may deem relevant.

Stockholders

As of March 5, 2020, there were 35 holders of record of our common stock, including The Depository Trust Company, which holds shares of our

common stock on behalf of an indeterminate number of beneficial owners.

Stock Performance Graph

The following shall not be deemed “filed” for purposes of Section 18 of the Exchange Act, or incorporated by reference into any of our other filings

under the Exchange Act or the Securities Act of 1933, as amended, except to the extent we specifically incorporate it by reference into such filing.

66

 
 
 
   
 
 
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
This chart compares the cumulative total return on our common stock with that of the NASDAQ Composite Index and the NASDAQ

Biotechnology Index. The graph assumes $100 was invested in each of the Company’s common stock, the NASDAQ Composite Index and the NASDAQ
Biotechnology Index, and assumes reinvestment of any dividends. Note that historic stock price performance is not necessarily indicative of future stock
price performance.

67

 
 
Item 6. Selected Financial Data.

The consolidated statements of operations data for the fiscal years ended December 31, 2019, 2018, and 2017, and the selected consolidated balance
sheets data as of December 31, 2019 and 2018, are derived from our audited consolidated financial statements included elsewhere in this Annual Report on
Form 10-K.

The selected consolidated balance sheet data as of December 31, 2017 is derived from our audited consolidated financial statements which are not

included in this Annual Report on Form 10-K.

The information set forth below is not necessarily indicative of results of future operations, and should be read in conjunction with Item 7,
“Management’s Discussion and Analysis of Financial Condition and Results of Operations” and the Consolidated Financial Statements and related notes
included in Part II, Item 8, “Consolidated Financial Statements and Supplementary Data” in this Annual Report on Form 10-K.

Consolidated Statement of Operations Data:

Revenue:

Product revenue

Operating expenses:

Cost of product revenue
Research and development
Sales and marketing
General and administrative

Total operating expenses

Loss from operations
Interest expense
Change in fair value of warrant liability
Other income, net
Net loss before taxes
Income tax provision
Net loss

Net loss per share attributable to common shareholders:
Net loss per share, basic and diluted

Shares used in computing net loss per share, basic and diluted

Consolidated Balance Sheet Data:

Cash, cash equivalents and short-term investments
Working capital
Total assets
Long-term debt, current and non-current
Convertible preferred stock warrant liability
Convertible preferred stock
Accumulated deficit
Total stockholders' equity (deficit)

68

Year Ended December 31,
(in thousands, except share and per share data)
2017
2018
2019

  $

42,927    $

12,263    $

1,719 

17,159   
32,853   
30,620   
14,134   
94,766   
(51,839)  
(944)  
(609)  
2,345   
(51,047)  
62   
(51,109)   $

7,250   
22,698   
17,536   
5,979   
53,463   
(41,200)  
(401)  
(52)  
589   
(41,064)  
38   
(41,102)   $

2,836 
17,963 
6,363 
5,422 
32,584 
(30,865)
(58)
(32)
366 
(30,589)
26 
(30,615)

(2.14)   $

(23.39)   $

23,904,828   

1,757,102   

(19.71)

1,553,365 

2019

As of December 31,
2018

2017

195,349    $
192,689 
231,938   
13,819   
—   
—   
(177,974)  
192,653 

39,643    $
39,365 
53,421   
15,050   
313   
152,806   
(126,865)  
(122,588)

53,729 
53,318 
59,304 
— 
577 
137,469 
(85,763)
(83,292)

  $

  $

  $

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

You should read the following discussion and analysis of our financial condition and results of operations together with our consolidated financial

statements and the related notes included in Part II, Item 8 of this Annual Report on Form 10-K.

This Annual Report on Form 10-K contains forward-looking statements within the meaning of Section 27A of the Securities Exchange Act of 1933,

as amended, or the Securities Act, and Section 21E of the Securities Exchange Act of 1934, as amended (“the Exchange Act”). Forward-looking statements
are identified by words such as “believe,” “will,” “may,” “estimate,” “continue,” “anticipate,” “intend,” “should,” “plan,” “expect,” “predict,”
“could,” “potentially” or the negative of these terms or similar expressions. You should read these statements carefully because they discuss future
expectations, contain projections of future results of operations or financial condition, or state other “forward-looking” information. These statements
relate to our future plans, objectives, expectations, intentions and financial performance and the assumptions that underlie these statements. These
forward-looking statements are subject to certain risks and uncertainties that could cause actual results to differ materially from those anticipated in the
forward-looking statements. Factors that might cause such a difference include, but are not limited to, those discussed in this report in Part I, Item 1A —
“Risk Factors,” and elsewhere in this report. Forward-looking statements are based on our management’s beliefs and assumptions and on information
currently available to our management. These statements, like all statements in this report, speak only as of their date, and we undertake no obligation to
update or revise these statements in light of future developments. We caution investors that our business and financial performance are subject to
substantial risks and uncertainties.

Company Overview

We are a medical device company focused on developing and commercializing products intended to transform the way calcified cardiovascular

disease is treated. We aim to establish a new standard of care for medical device treatment of atherosclerotic cardiovascular disease through our
differentiated and proprietary local delivery of sonic pressure waves for the treatment of calcified plaque, which we refer to as intravascular lithotripsy
(“IVL”). Our IVL system (our “IVL System”), which leverages our IVL technology (our “IVL Technology”), is a minimally invasive, easy-to-use and safe
way to significantly improve patient outcomes. Our Shockwave M5 IVL catheter (“M5 catheter”) was CE-Marked in April 2018 and cleared by the U.S.
Food and Drug Administration (“FDA”) in July 2018 for use in our IVL System for the treatment of peripheral artery disease (“PAD”). Our Shockwave C2
IVL catheter (“C2 catheter”), which we are currently marketing in Europe, was CE-Marked in June 2018 for use in our IVL System for the treatment of
coronary artery disease (“CAD”). In August 2019, we received the Breakthrough Device Designation from the FDA for our C2 catheters using our IVL
System for the treatment of CAD. The second version of our Shockwave S4 IVL catheter (“S4 catheter”) was cleared by the FDA in August 2019. We also
have ongoing clinical programs across several products and indications, which, if successful, will allow us to expand commercialization of our products
into new geographies and indications. Importantly, we are undertaking ongoing clinical trials of our C2 catheter intended to support a pre-market
application (“PMA”) in the United States and a Shonin submission in Japan for the treatment of CAD. In October 2018, we received staged investigational
drug exemption (“IDE”) approval for our DISRUPT CAD III global study, which began enrollment in 2019. This study is designed to support U.S. PMA
approval for our C2 catheters. We anticipate having final data from these ongoing clinical trials intended to support a U.S. launch of our C2 catheter in the
first half of 2021 and a Japan launch in 2022.

The first two indications we are targeting with our IVL System are PAD, the narrowing or blockage of vessels that carry blood from the heart to the
extremities, and CAD, the narrowing or blockage of the arteries that supply blood to the heart. In the future, we see significant opportunity in the potential
treatment of aortic stenosis (“AS”), a condition where the heart’s aortic valve becomes increasingly calcified with age, causing it to narrow and obstruct
blood flow from the heart.

We have adapted the use of lithotripsy to the cardiovascular field with the aim of creating what we believe can become the safest, most effective

means of addressing the growing challenge of cardiovascular calcification. Lithotripsy has been used to successfully treat kidney stones (deposits of
hardened calcium) for over 30 years. By integrating lithotripsy into a device that resembles a standard balloon catheter, physicians can prepare, deliver and
treat calcified lesions using a familiar form factor, without disruption to their standard procedural workflow. Our differentiated IVL System works by
delivering shockwaves through the entire depth of the artery wall, modifying calcium in the medial layer of the artery, not just at the superficial most
intimal layer. The shockwaves crack this calcium and enable the stenotic artery to expand at low pressures, thereby minimizing complications inherent to
traditional balloon dilations, such as dissections or tears. Preparing the vessel with IVL facilitates optimal outcomes with other therapies, including stents
and drug-eluting technologies. Using IVL also avoids complications associated with atherectomy devices such as dissection, perforation and embolism.
When followed by an anti-proliferative therapy such as a drug-coated balloons or drug-eluting stents, the micro-fractures may enable better drug
penetration into the arterial wall and improve drug uptake, thereby improving the effectiveness of the combination treatment.

69

We market our products to hospitals whose interventional cardiologists, vascular surgeons and interventional radiologists treat patients with PAD

and CAD. We have dedicated meaningful resources to establish a direct sales capability in the United States, Germany, Austria and Switzerland, which we
have complemented with distributors in more than 35 countries. We are actively expanding our international field presence through new distributors,
additional sales and clinical personnel and are adding new U.S. sales territories.

For the years ended December 31, 2019, 2018 and 2017, we generated product revenue of $42.9 million, $12.3 million and $1.7 million,
respectively, and a $51.8 million, $41.2 million and $30.9 million loss from operations for the years ended December 31, 2019, 2018 and 2017,
respectively. For the years ended December 31, 2019, 2018 and 2017, 47%, 43% and 44%, respectively, of our product revenue was generated from
customers located outside of the United States. Our sales outside of the United States are denominated principally in Euros. As a result, we have foreign
exchange exposure. We have not entered into any material foreign currency hedging contracts, although we may do so in the future.

Since inception, we have incurred significant net losses and expect to continue to incur net losses for the foreseeable future. To date, our principal

sources of liquidity have been the net proceeds we received through the sale of our common stock in our initial public offering, private sales of equity
securities and payments received from customers using our products. As of December 31, 2019, we had $195.3 million in cash, cash equivalents and short-
term investments and an accumulated deficit of $178.0 million.

Public Offerings of Common Stock

On March 11, 2019, we closed on our initial public offering ("IPO") of 6,555,000 shares of common stock at an offering price of $17.00 per share,

which included the full exercise of the underwriters’ over-allotment option to purchase 855,000 additional shares of our common stock. We raised a total of
$111.4 million in gross proceeds from the IPO, or approximately $99.9 million in net proceeds after deducting underwriters’ discounts and commissions of
$7.1 million and offering costs of $4.4 million. Concurrent with the IPO, we issued 588,235 shares of common stock in a private placement (the “Private
Placement”) for net proceeds of $10.0 million.

On November 15, 2019, we completed an underwritten public offering (“Follow-On Offering) of 2,854,048 shares of our common stock, including

372,267 shares sold pursuant to the underwriters’ exercise of their option to purchase additional shares at a public offering price of $36.25 per share. We
raised a total of $103.5 million in gross proceeds from the Follow-On Offering, or approximately $96.7 million in net proceeds after deducting
underwriters’ discounts and commissions of $6.2 million and offering costs of $0.6 million.    

New Lease

In December 2019, we entered into a lease for office and laboratory space in two buildings located in Santa Clara, California. The purpose and

effect of the lease agreement is to extend the existing Santa Clara office and laboratory premises of 35,000 square foot to approximately 85,200 square feet
of rentable space.

Factors Affecting Our Business

There are a number of factors that have impacted, and we believe will continue to impact, our results of operations and growth. These factors

include:

•

•

Market acceptance. The growth of our business depends on our ability to gain broader acceptance of our current products by continuing to
make physicians and other hospital staff aware of the benefits of our products to generate increased demand and frequency of use, and thus
increase sales to our hospital customers. Our ability to grow our business will also depend on our ability to expand our customer base in
existing or new target end markets. Although we are attempting to increase the number of patients treated with procedures that use our
products through our established relationships and focused sales efforts, we cannot provide assurance that our efforts will increase the use of
our products.

Regulatory approvals/clearances and timing and efficiency of new product introductions. We must successfully obtain timely approvals or
clearances and introduce new products that gain acceptance with physicians, ensuring adequate supply while avoiding excess inventory of
older products and resulting inventory write-downs or write-offs. For our sales to grow, we will also need to receive FDA approval for the
use of our C 2  catheters in our IVL System for the treatment of CAD in the United States, and will need to obtain regulatory clearance or
approval of our other pipeline products in the United States and in international markets. In addition, as we introduce new products, we
expect to build our inventory of components and finished goods in advance of sales, which may cause quarterly fluctuations in our results of
operations.

70

 
 
 
 
•

•

•

•

•

•

Sales force size and effectiveness. The rate at which we grow our sales force and the speed at which newly hired salespeople become
effective can impact our revenue growth or our costs incurred in anticipation of such growth. We intend to continue to make significant
investments in our sales and marketing organization by increasing the number of U.S. sales representatives and expanding our international
marketing programs to help facilitate further adoption among existing hospital accounts as well as broaden awareness of our products to new
hospital accounts.

Competition. Our industry is intensely competitive and, in particular, we compete with a number of large, well-capitalized companies. We
must continue to successfully compete in light of our competitors’ existing and future products and related pricing and their resources to
successfully market to the physicians who use our products.

Reimbursement. The level of reimbursement from third-party payors for procedures performed using our products could have a substantial
impact on the prices we are able to charge for our products and how widely our products are accepted. The level at which reimbursement is
set for procedures using our products, and any increase in reimbursement for procedures using our products, will depend substantially on our
ability to generate clinical evidence, to gain advocacy in the respective physician societies and to work with the Centers for Medicare &
Medicaid Services and payors.

Clinical results. Publications of clinical results by us, our competitors and other third parties can have a significant influence on whether,
and the degree to which, our products are used by physicians and the procedures and treatments those physicians choose to administer for a
given condition.

Product and Geographic Mix; Timing. Our financial results, including our gross margins, may fluctuate from period to period based on the
timing of customer orders or medical procedures, the number of available selling days in a particular period, which can be impacted by a
number of factors, such as holidays or days of severe inclement weather in a particular geography, the mix of products sold and the
geographic mix of where products are sold. In particular, our distributors for international sales receive a distribution margin on sales of our
IVL catheters, which affects our gross margin.

Seasonality. We expect to experience a seasonal slowing of demand for our products in our fourth quarters due to year-end clinical treatment
patterns, such as the postponement of elective surgeries around the winter holidays. In addition, we have experienced some seasonality
during summer months, which we believe is attributable to the postponement of elective surgeries for summer vacation plans of physicians
and patients. We expect these seasonal factors to become more pronounced in the future as our business grows.

In addition, we have experienced and expect to continue to experience meaningful variability in our quarterly revenue and gross profit/loss as a

result of a number of factors, including, but not limited to: inventory write-offs and write-downs; costs, benefits and timing of new product introductions;
the availability and cost of components and raw materials; and fluctuations in foreign currency exchange rates. Additionally, we experience quarters in
which operating expenses, in particular research and development expenses, fluctuate depending on the stage and timing of product development.

While these factors may present significant opportunities for us, they also pose significant risks and challenges that we must address.

Components of Our Results of Operations

Product revenue

Product revenue is primarily from the sale of our IVL catheters.

We sell our products to hospitals, primarily through direct sales representatives, as well as through distributors in selected international markets. For

products sold through direct sales representatives, control is transferred upon delivery to customers. For products sold to distributors internationally and
certain customers that purchase stocking orders in the United States, control is transferred upon shipment or delivery to the customer’s named location,
based on the contractual shipping terms. Additionally, a significant portion of our revenue is generated through a consignment model under which
inventory is maintained at hospitals. For consignment inventory, control is transferred at the time the catheters are consumed in a procedure.

71

 
 
 
 
 
 
 
 
 
 
 
 
 
Cost of product revenue

Cost of product revenue consists primarily of costs of components for use in our products, the materials and labor that are used to produce our
products, the manufacturing overhead that directly supports production and the depreciation relating to the equipment used in our IVL System that we loan
to our hospital customers without charge to facilitate the use of our IVL catheters in their procedures. We depreciate equipment over a three-year period.
We expect cost of product revenue to increase in absolute terms as our revenue grows.

Our gross margin has been and will continue to be affected by a variety of factors, primarily production volumes, the cost of direct materials,

product mix, geographic mix, discounting practices, manufacturing costs, product yields, headcount and cost-reduction strategies. We expect our gross
margin percentage to increase over the long term to the extent we are successful in increasing our sales volume and are therefore able to leverage our fixed
costs. We intend to use our design, engineering and manufacturing capabilities to further advance and improve the efficiency of our manufacturing
processes, which, if successful, we believe will reduce costs and enable us to increase our gross margin percentage. While we expect gross margin
percentage to increase over the long term, it will likely fluctuate from quarter to quarter as we continue to introduce new products and adopt new
manufacturing processes and technologies.

Research and development expenses

Research and development (“R&D”) expenses consist of applicable personnel, consulting, materials and clinical trial expenses. R&D expenses

include:

•

•

•

•

•

certain personnel-related expenses, including salaries, benefits, bonus, travel and stock-based compensation;

cost of clinical studies to support new products and product enhancements, including expenses for clinical research organizations (“CROs”)
and site payments;

materials and supplies used for internal R&D and clinical activities;

allocated overhead including facilities and information technology expenses; and

cost of outside consultants who assist with technology development, regulatory affairs, clinical affairs and quality assurance.

R&D costs are expensed as incurred. In the future, we expect R&D expenses to increase in absolute dollars as we continue to develop new

products, enhance existing products and technologies and perform activities related to obtaining additional regulatory approval.

Sales and marketing expenses

Sales and marketing expenses consist of personnel-related expenses, including salaries, benefits, sales commissions, travel and stock-based
compensation. Other sales and marketing expenses include marketing and promotional activities, including trade shows and market research, and cost of
outside consultants. We expect to continue to grow our sales force and increase marketing efforts as we continue commercializing products based on our
IVL Technology.

General and administrative expenses

General and administrative expenses consist of personnel-related expenses, including salaries, benefits, bonus, travel and stock-based

compensation. Other general and administrative expenses include professional services fees, including legal, audit and tax fees, insurance costs, cost of
outside consultants and employee recruiting and training costs. Moreover, we expect to incur additional expenses associated with operating as a public
company, including legal, accounting, insurance, exchange listing and SEC compliance and investor relations.

Interest expense

Interest expense consists of interest on our debt and amortization of associated debt discount. In February 2018, we entered into a Loan and

Security Agreement with Silicon Valley Bank for a term loan and a revolving line of credit, as described in Note 7 to our audited consolidated financial
statements appearing elsewhere in this Annual Report on Form 10-K (the “Loan and Security Agreement”). In June 2018 and December 2018, we drew an
aggregate of $15.0 million in borrowings under the term loan facility. As of December 31, 2019, we had $13.3 million outstanding under the term loan and
no amounts outstanding under the revolving line of credit.

72

 
 
 
 
 
As described in Note 13 to our audited consolidated financial statements elsewhere in this Annual Report on Form 10-K, on February 11, 2020, the
Company entered into the First Amendment (the “Amended Credit Facility”) to the Loan and Security Agreement, to refinance the existing term loan. The
Amendment provided us with a supplemental term loan in the amount of $16.5 million. The Company used $13.2 million of the proceeds from the
supplemental term loan to repay in full all amounts due under the existing term loan and to pay related expenses. In addition, the Amendment terminated
the Company’s revolving line of credit.

Change in fair value of warrant liability

We accounted for our freestanding warrants to purchase shares of our convertible preferred stock prior to the initial public offering as liabilities at
fair value primarily because the shares underlying the warrants contained contingent redemption features outside our control. The warrants were subject
to re-measurement at each balance sheet date with gains and losses reported through our consolidated statements of operations and comprehensive loss. On
the completion of the initial public offering, all of our outstanding preferred stock warrants were converted into 54,903 common stock warrants, which
resulted in the reclassification of the convertible preferred stock warrant liability to additional paid-in capital.

Other income, net

Other income consists primarily of interest earned on our cash equivalents and short-term investments.

Income tax provision

Income tax provision consists primarily of income taxes in certain foreign jurisdictions in which we conduct business. We have a full valuation

allowance for deferred tax assets, including net operating loss carryforwards and tax credits related primarily to R&D.

Results of Operations

Comparison of the Years Ended December 31, 2019 and 2018:

Revenue:

Product revenue

Operating expenses:

Cost of product revenue
Research and development
Sales and marketing
General and administrative

Total operating expenses

Loss from operations
Interest expense
Change in fair value of warrant liability
Other income, net
Net loss before taxes
Income tax provision
Net loss

  Year Ended December 31,        

2019

2018

Change
$

Change
%

(in thousands, except percentages)

  $

42,927    $

12,263    $

30,664     

250%

17,159     
32,853     
30,620     
14,134     
94,766     
(51,839)    
(944)    
(609)    
2,345     
(51,047)    
62     
(51,109)   $

7,250     
22,698     
17,536     
5,979     
53,463     
(41,200)    
(401)    
(52)    
589     
(41,064)    
38     
(41,102)   $

9,909     
10,155     
13,084     
8,155     
41,303     
(10,639)    
(543)    
(557)    
1,756     
(9,983)    
24     
(10,007)    

137%
45%
75%
136%
77%
26%
135%
1,071%
298%
24%
63%
24%

  $

73

 
 
       
 
 
 
   
   
   
 
 
 
 
   
      
      
      
  
   
      
      
      
  
   
   
   
   
   
   
   
   
   
   
   
 
Product revenue.  Product revenue increased by $30.7 million, or 250%, from $12.3 million in 2018 to $42.9 million in 2019. The change was

due to an increase in the number of customers and an increase in the purchase volume of our products both within the United States and internationally.

Product revenue consisted primarily of the sale of our IVL catheters. Product revenue, classified by the major geographic areas in which our

products are shipped, was $22.7 million within the United States and $20.2 million for all other countries in 2019 compared to $7.0 million within the
United States and $5.3 million for all other countries in 2018.

Cost of product revenue and gross margin percentage.  Cost of product revenue increased by $9.9 million, or 137%, from $7.3 million in
2018 to $17.2 million in 2019. The increase was primarily due to growth in sales volume. Gross margin percentage improved to 60.0% in 2019, compared
to 40.9% in 2018. This change in gross margin percentage was primarily due to lower fixed costs per unit from increased production volume of our IVL
catheters and increased efficiencies from improvements to operations and production.

Research and development expenses.  The following table summarizes our R&D expenses incurred during the periods presented:

  Year Ended December 31,      

2019

2018

Change
$

Change
%

Compensation and personnel-related costs
Clinical-related costs
Material and supplies
Facilities and other allocated costs
Outside consultants
Other research and development costs

Total research and development
   expenses

  $

(in thousands, except percentages)
2,722     
7,307     
(447)    
692     
89     
(208)    

10,580    $
5,626     
2,541     
1,560     
1,360     
1,031     

13,302    $
12,933     
2,094     
2,252     
1,449     
823     

26%
130%
(18)%
44%
7%
(20)%

  $

32,853    $

22,698    $

10,155     

45%

R&D expenses increased by $10.2 million, or 45%, from $22.7 million in 2018 to $32.9 million in 2019. The increase was primarily due to a $7.3
million increase in clinical-related costs and a $2.7 million increase in compensation and personnel-related costs to support clinical trials. Clinical-related
costs in 2019 were primarily related to the CAD II, CAD III CAD IV and PAD III clinical trials. There was also a $0.7 million increase in facilities and
other allocated costs due to increased rent and building expenditures. These increases were partially offset by a $0.4 million decrease in materials and
supplies for R&D.

Sales and marketing expenses.  Sales and marketing expenses increased by $13.1 million, or 75%, from $17.5 million in 2018 to $30.6

million in 2019. The increase was primarily due to a $10.4 million increase in compensation and personnel-related costs, which included a $4.0 million
increase in commission expense, as a result of a higher headcount and increased sales of our products. Marketing and promotional expenses increased by
$1.6 million to support the commercialization of our products.

General and administrative expenses. General and administrative expenses increased by $8.2 million, or 136%, from $6.0 million in 2018 to

$14.1 million in 2019. The change was primarily due to a $2.6 million increase in professional services and general corporate expenses incurred in
connection with our operations as a public company, a $2.8 million increase in compensation and personnel-related costs, a $2.0 million increase in legal
fees, and a $0.8 million increase in costs associated with outside consultants.

Interest expense. Interest expense increased by $0.5 million, or 135%, from $0.4 million in 2018 to $0.9 million in 2019. The increase in interest
expense was attributable to incurring a full year of interest expense in 2019 compared to us incurring only a partial year’s worth of interest expense in 2018
due to the Loan and Security Agreement being funded in June 2018 and December 2018.

74

 
 
 
     
 
 
 
 
   
   
   
 
 
 
 
   
   
   
   
   
 
Change in fair value of warrant liability. The change in fair value of warrant liability of $0.6 million in 2019 from $0.1 million in 2018 was due to

the fair value of our convertible warrant liability increasing by $0.5 million in 2019 up to the final measurement on the date of our initial public offering.

Other income, net. Other income, net increased by $1.8 million, or 298%, to $2.3 million in 2019 from $0.6 million in 2018. The increase was
primarily due to a $1.7 million increase in interest income from increased investment balances and a $0.1 million increase in other income primarily due to
net foreign currency gains.

Income tax provision. The income tax provision increased by $24,000, or 63%, to $62,000 in 2019 from $38,000 in 2018. This increase was

primarily due to an increase in foreign income tax expense.

Years Ended December 31, 2018 and 2017

Revenue:

Product revenue

Operating expenses:

Cost of product revenue
Research and development
Sales and marketing
General and administrative

Total operating expenses

Loss from operations
Interest expense
Change in fair value of warrant liability
Other income, net
Net loss before taxes
Income tax provision
Net loss

  Year Ended December 31,        

2018

2017

Change
$

Change
%

(in thousands, except percentages)

  $

12,263    $

1,719    $

10,544     

613%

7,250     
22,698     
17,536     
5,979     
53,463     
(41,200)    
(401)    
(52)    
589     
(41,064)    
38     
(41,102)   $

2,836     
17,963     
6,363     
5,422     
32,584     
(30,865)    
(58)    
(32)    
366     
(30,589)    
26     
(30,615)   $

4,414     
4,735     
11,173     
557     
20,879     
(10,335)    
(343)    
(20)    
223     
(10,475)    
12     
(10,487)    

  $

156%
26%
176%
10%
64%
33%
591%
63%
61%
34%
46%
34%

Comparison of the Years Ended December 31, 2018 and 2017

Product revenue. Product revenue increased by $10.5 million, or 613%, from $1.7 million in 2017 to $12.3 million in 2018. The increase was

primarily due to an increase in the number of customers and an increase in purchase volume of our products per customer both within the United States and
internationally.

Product revenue consisted primarily of the sale of our IVL catheters. Product revenue, classified by the major geographic areas in which our

products are shipped, was $1.0 million within the United States and $0.7 million for all other countries in 2017 and $7.0 million within the United States
and $5.3 million for all other countries in 2018.

Cost of product revenue and gross margin percentage. Cost of product revenue increased by $4.4 million, or 156%, from $2.8 million in

2017 to $7.3 million in 2018. The increase was primarily due to growth in sales volume. Gross margin percentage was negative 65% for the year ended
December 31, 2017. Gross margin percentage improved to 41% for the year ended December 31, 2018. This change in gross margin percentage was
primarily due to increased sales volume of our catheters.

75

 
 
 
       
 
 
 
   
   
   
 
 
 
 
   
      
      
      
  
   
      
      
      
  
   
   
   
   
   
   
   
   
   
   
   
 
Research and development expenses. The following table summarizes our R&D expenses incurred during the periods presented:

  Year Ended December 31,      

2018

2017

Change
$

Change
%

Compensation and personnel-related costs
Clinical-related costs
Material and supplies
Facilities and other allocated costs
Outside consultants
Other research and development costs

Total research and development
   expenses

  $

(in thousands, except percentages)
317     
2,268     
736     
407     
572     
435     

10,263    $
3,358     
1,805     
1,153     
788     
596     

10,580    $
5,626     
2,541     
1,560     
1,360     
1,031     

  $

22,698    $

17,963    $

4,735     

3%
68%
41%
35%
73%
73%

26%

R&D expenses increased by $4.7 million, or 26%, from $18.0 million in 2017 to $22.7 million in 2018. The increase was primarily due to a

$2.3 million increase in clinical-related costs and a $0.6 million increase in costs associated with outside consultants to support clinical trials. There was
also a $0.7 million increase in materials and supplies for R&D and a $0.4 million increase in facilities and other allocated costs due to higher rent and
building expenditures.

Sales and marketing expenses.  Sales and marketing expenses increased by $11.2 million, or 176%, from $6.4 million in 2017 to
$17.5 million in 2018. The increase was primarily due to a $9.5 million increase in compensation and personnel-related costs, which includes a
$3.1 million increase in commission expense, as a result of increased headcount and increased business development related activities to expand the
domestic and international customer base. Marketing and promotional expenses increased by $0.8 million to support the commercialization of our products.

General and administrative expenses. General and administrative expenses increased by $0.6 million, or 10%, from $5.4 million in 2017 to

$6.0 million in 2018. The increase was primarily due to a $0.8 million increase in professional services and general corporate expenses incurred in
connection with our preparation to become a public company, partially offset by a $0.3 million decrease in recruiting and training expenses.

Interest expense. Interest expense increased by $0.3 million, or 591%, from $0.1 million in 2017 to $0.4 million in 2018. The increase in interest

expense was attributable to us entering into the Loan and Security Agreement and drawing down on the first tranche of the term loan in June 2018 of
$10.0 million and the second tranche of the term loan in December 2018 of $5.0 million.

Change in fair value of warrant liability. The change in fair value of warrant liability was $32,000 in 2017 and $0.1 million in 2018,

reflecting an increase in the convertible preferred stock warrant liability of $0.2 million from changes to the Black-Scholes option pricing model
assumptions used to value the warrant liability, partially offset by a decrease in the convertible preferred stock warrant liability of $0.1 million related to the
expiration of 46,102 of our Series A-1 convertible preferred stock warrants in 2018.

Other income, net. Other income, net increased by $0.2 million, or 61%, from $0.4 million in 2017 to $0.6 million in 2018. The increase was
primarily due to a $0.3 million increase in interest income on our cash, cash equivalents and short-term investments due to increases in interest rates on
balances held in interest-earning instruments, partially offset by a $0.1 million increase in other expenses.

Income tax provision. Income tax provision increased by $12,000, or 46%, from $26,000 in 2017 to $38,000 in 2018. This increase was

primarily due to an increase in foreign income tax expense.

76

 
 
 
     
 
 
 
 
   
   
   
 
 
 
 
   
   
   
   
   
 
Quarterly Results of Operations

The following tables presenting our quarterly results of operations should be read in conjunction with the consolidated financial statements and

related notes included in Part II, Item 8 of this Annual Report on Form 10-K. We have prepared the unaudited information on the same basis as our audited
consolidated financial statements. Our operating results for any quarter are not necessarily indicative of results for any future quarters or for a full year.

The following table presents our unaudited quarterly results of operations for the eight quarters ended December 31, 2019. This table includes all
adjustments, consisting only of normal recurring adjustments, that we consider necessary for a fair presentation of our consolidated financial position and
operating results for the quarters presented.

2019

Revenue
Loss from operations
Net loss
Net loss per share, basic and diluted

2018

Revenue
Loss from operations
Net loss
Net loss per share, basic and diluted

Liquidity and Capital Resources

Sources of liquidity

Three Months Ended,

  December 31,    September 30,     June 30,

    March 31,  

(in thousands, except per share data)

  $

  $

14,312    $
(15,363)    
(14,745)    
(0.49)    

5,062    $
(11,128)    
(11,223)    
(6.23)    

11,333    $
(13,065)    
(12,957)    
(0.46)    

10,012    $
(11,253)    
(10,608)    
(0.38)    

7,269 
(12,159)
(12,792)
(1.37)

3,600    $
(10,076)    
(10,178)    
(5.73)    

2,279    $
(10,194)    
(10,107)    
(5.79)    

1,322 
(9,802)
(9,594)
(5.63)

To date, our principal sources of liquidity have been the net proceeds we received through the sales of our common stock in our public offerings,
private sales of our equity securities, payments received from customers using our products and to a lesser extent proceeds from our debt financings. On
March 11, 2019, we completed our initial public offering, including the underwriters’ full exercise of their over-allotment option, selling 6,555,000 shares
of our common stock at $17.00 per share. Upon completion of our initial public offering, we received net proceeds of $99.9 million, after deducting
underwriting discounts and commissions and offering expenses. Concurrent with the initial public offering, we issued 588,235 shares of common stock in
our Private Placement for net proceeds of $10.0 million. On November 15, 2019, we completed a Follow-On Offering of 2,854,048 shares of our common
stock, including 372,267 shares sold pursuant to the underwriters’ exercise of their option to purchase additional shares at a public offering price of $36.25
per share. Upon completion of our Follow-On Offering, we received net proceeds of $96.7 million, after deducting underwriting discounts and
commissions and offering expenses.

We have a number of ongoing clinical trials, and expect to continue to make substantial investments in these trials and in additional clinical trials

that are designed to provide clinical evidence of the safety and efficacy of our products. We intend to continue to make significant investments in our sales
and marketing organization by increasing the number of U.S. sales representatives and expanding our international marketing programs to help facilitate
further adoption among existing hospital accounts and physicians as well as broaden awareness of our products to new hospitals. We also expect to
continue to make investments in R&D, regulatory affairs and clinical studies to develop future generations of products based on our IVL Technology,
support regulatory submissions and demonstrate the clinical efficacy of our products. Moreover, we expect to incur additional expenses associated with
operating as a public company, including legal, accounting, insurance, exchange listing and SEC compliance, investor relations and other expenses.
Because of these and other factors, we expect to continue to incur substantial net losses and negative cash flows from operations for the foreseeable future.

77

 
 
 
 
 
 
 
 
   
      
      
      
  
   
   
   
   
      
      
      
  
   
   
   
 
Our future capital requirements will depend on many factors, including:

•

•

•

•

•

•

•

•

the cost, timing and results of our clinical trials and regulatory reviews;

the cost and timing of establishing sales, marketing and distribution capabilities;

the terms and timing of any other collaborative, licensing and other arrangements that we may establish including any contract
manufacturing arrangements;

the timing, receipt and amount of sales from our current and potential products;

the degree of success we experience in commercializing our products;

the emergence of competing or complementary technologies;

the cost of preparing, filing, prosecuting, maintaining, defending and enforcing any patent claims and other intellectual property rights; and

the extent to which we acquire or invest in businesses, products or technologies, although we currently have no commitments or agreements
relating to any of these types of transactions.

We believe that our cash, cash equivalents and short-term investments as of December 31, 2019 will be sufficient to fund our operations for at least
the next 12 months from the date the audited consolidated financial statements are filed with the SEC. As of December 31, 2019, we had $195.3 million in
cash, cash equivalents and short-term investments and an accumulated deficit of $178.0 million.

Debt obligations

Loan and Security Agreement. In February 2018, we entered into our Loan and Security Agreement with Silicon Valley Bank (“the Loan and
Security Agreement”). The terms of the Loan and Security Agreement included a term loan of $15.0 million and a revolving line of credit of $2.0 million.
The term loan is available in two tranches, of which the first tranche of $10.0 million was drawn down in June 2018 and the second tranche of $5.0 million
was drawn down in December 2018. In connection with the execution of the Loan and Security Agreement, we issued Silicon Valley Bank a warrant to
purchase 34,440 shares of our common stock, with a term of ten years. In April 2019, all of these common stock warrants were net exercised into 29,887
shares of common stock.

On February 11, 2020, we entered into the Amended Credit Facility to the Loan and Security Agreement, to refinance our existing term loan. The

Amended Credit Facility provided us with a supplemental term loan in the amount of $16.5 million. We used $13.2 million of the proceeds from the
supplemental term loan to repay in full all amounts due under the existing term loan and to pay related expenses. In addition, the Amended Credit Facility
terminated the Company’s revolving line of credit.

The principal amount outstanding under the supplemental term loan accrues interest, payable monthly in arrears, at a floating per annum rate equal

to the greater of (A) the Wall Street Journal prime rate minus 1.25% and (B) 3.50%. No principal payments are due on the supplemental term loan until
June 30, 2021; provided that such interest only period shall be extended to December 31, 2021 if we achieve specified revenue milestones and shall be
extended further to June 30, 2022 if we achieve specified revenue and regulatory milestones (the date that such interest only period ends, the “Amortization
Date”). Following the Amortization Date, the principal amount of the supplemental term loan shall be due in equal monthly installments through the
maturity date, December 1, 2023. There is also a final payment equal to 9.5% of the original principal amount of the supplemental term loan, or $1.6
million, due at maturity (or any earlier date of optional pre-payment or acceleration of principal due to an event of default). We may, at our option, prepay
the supplemental term loan in full, subject to an additional prepayment fee ranging between 0% and 3% of the original principal amount of the
supplemental term loan. The prepayment fee would also be due and payable in the event of an acceleration of the principal amount of the supplemental
term loan due to an event of default.

The supplemental term loan is secured by all of the Company’s assets, excluding intellectual property and certain other assets. The supplemental
term loan is subject to customary affirmative and restrictive covenants, including with respect to our ability to enter into fundamental transactions, incur
additional indebtedness, grant liens, pay any dividend or make any distributions to stockholders, make investments and merge or consolidate with any other
person or engage in transactions with affiliates, but is not subject to any financial covenants.

78

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Cash Flows

The following table summarizes our cash flows for the periods indicated:

2019

Year Ended December 31,
2018
(in thousands)

2017

Cash used in operating activities
Cash used in investing activities
Cash provided by financing activities

Net increase (decrease) in cash, cash
   equivalents and restricted cash

  $

(48,107)   $
(59,543)    
208,052     

(41,465)   $
(174)    
29,809     

(30,347)
(2,232)
33,687 

$

100,402 

$

(11,830)   $

1,108

Operating activities

In 2019, cash used in operating activities was $48.1 million, attributable to a net loss of $51.1 million and a net change in our net operating assets

and liabilities of $3.5 million, partially offset by non-cash charges of $6.5 million. Non-cash charges primarily consisted of $3.6 million in stock-based
compensation, $1.3 million in depreciation and amortization, $0.9 million in amortization of right-of-use assets, $0.6 million in the change in fair value of
our warrant liability, $0.4 million in amortization of debt issuance costs and $0.1 million of a loss due to the write down of fixed assets, partially offset by
$0.5 million in accretion of discount on available-for-sale securities. The change in our net operating assets and liabilities was primarily due to a $6.8
million increase in inventory and $4.5 million increase in accounts receivable due to an increase in sales, a $0.8 million increase in prepaid expenses and
other current assets and a $1.0 million decrease in lease liabilities. These changes were partially offset by a $9.6 million increase in accrued and other
current liabilities and accounts payable resulting primarily from the expansion in our operating activities and accrued bonuses and commissions.

In 2018, cash used in operating activities was $41.5 million, attributable to a net loss of $41.1 million and a net change in our net operating assets

and liabilities of $2.6 million, partially offset by non-cash charges of $2.3 million. Non-cash charges primarily consisted of $1.3 million in stock-based
compensation, $0.7 million in depreciation and amortization and $0.2 million in amortization of debt issuance costs. The change in our net operating assets
and liabilities was primarily due to a $2.6 million increase in inventory and $2.2 million increase in accounts receivable due to an increase in sales, and a
$0.9 million increase in other assets from deferred offering costs. These changes were partially offset by a $3.1 million increase in accrued and other
current liabilities and accounts payable resulting primarily from increases in our operating activities and accrued professional services fees.

In 2017, cash used in operating activities was $30.3 million, attributable to a net loss of $30.6 million and a net change in our net operating assets

and liabilities of $1.3 million, partially offset by non-cash charges of $1.5 million. Non-cash charges primarily consisted of $1.0 million in stock-based
compensation and $0.5 million in depreciation. The change in our net operating assets and liabilities was primarily due to a $1.9 million increase in
inventory for anticipated growth in our business, a $0.6 million increase in accounts receivable due to increase in sales, and a $0.4 million increase in
prepaid expenses and other current assets. These changes were partially offset by a $1.6 million increase in accrued and other current liabilities and
accounts payable resulting primarily from increases in our operating activities.

Investing activities

In 2019, cash used in investing activities was $59.5 million, attributable to the purchase of available-for-sale securities of $119.5 million and the

purchase of property and equipment of $3.8 million, partially offset by proceeds from the maturity of available-for-sale investments of $63.8 million.

In 2018, cash used in investing activities was $0.2 million, attributable to the purchase of property and equipment of $2.0 million, partially offset by

the maturity of available-for-sale investments of $1.8 million.

In 2017, cash used in investing activities was $2.2 million, attributable to purchases of investments of $17.7 million and purchase of property and

equipment of $0.4 million, partially offset by maturity of available-for-sale investments of $15.9 million.

79

 
 
 
 
 
 
   
   
 
 
 
 
   
   
 
 
 
 
Financing activities

In 2019, cash provided by financing activities was $208.1 million, attributable to net proceeds of $100.5 million received in the IPO in March 2019,

net proceeds of $96.9 million from our Follow-On Offering in November 2019, net proceeds of $10.0 million from the concurrent Private Placement in
March 2019, and proceeds of $2.2 million from stock option exercises and $0.1 million from warrant exercises. These changes were offset by payments of
our term loan of $1.7 million.

In 2018, cash provided by financing activities was $29.8 million, attributable to proceeds of $15.0 million from borrowings on the Loan and
Security Agreement, net proceeds of $14.9 million from the issuance of our Series D convertible preferred stock and proceeds from stock option exercises
and warrant exercises of $0.5 million, partially offset by deferred offering cost payments of $0.6 million.

In 2017, cash provided by financing activities was $33.7 million, attributable to net proceeds of $34.9 million from the issuance of our Series C

convertible preferred stock and proceeds from stock option exercises and warrant exercises of $0.3 million, partially offset by the principal payment of our
term loan of $1.6 million.

Contractual Obligations and Commitments

The following table summarizes our contractual obligations and commitments as of December 31, 2019:

Payments Due by Period

    Less than          

Total

1 Year

1-3 Years
(in thousands)

    More than

3-5 Years

5 Years

  $  

  $  

18,998    $  
14,789       
33,787    $  

1,292    $  
7,000       
8,292    $  

4,349    $  
7,789     
12,138    $  

5,166    $  
—     
5,166    $  

8,191 
— 
8,191

Operating lease obligations(1)
Debt, principal and interest(2)

Total

(1)

(2)

In December 2019, we entered into a lease for office and laboratory space in two buildings located in Santa Clara, California. The lease term for the first building began in
December 2019 and the lease term for the second building will begin in September 2022. Operating lease obligations in the above table includes lease expense for both buildings.
In June 2018 and December 2018, we borrowed $10.0 and $5.0 million, respectively, pursuant to a term loan under the Loan and Security Agreement. The term loan matures in
December 2021. Principal payments associated with the term loan are included in the above table. Interest expense incurred on the term loan is included in the above table based
on obligations outstanding and rates effective as of December 31, 2019, including a final one-time payment of $1.0 million in December 2021. In February 2020, we refinanced
the term loan that provides us with a supplemental term loan in the amount of $16.5 million. We used $13.2 million of the proceeds from our new supplemental term loan to repay
in full all amounts due under the existing term loan and to pay related expenses. Refer to Note 13 for details on our refinancing.

Off-Balance Sheet Arrangements

During the periods presented, we did not have, nor do we currently have, any off-balance sheet arrangements as defined in the rules and regulations

of the SEC.

Critical Accounting Policies and Estimates

Management’s 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 U.S. generally accepted accounting principles (“GAAP”). The preparation of these consolidated financial
statements requires us to make estimates and assumptions for the reported amounts of assets, liabilities, revenue, expenses and related disclosures. Our
estimates are based on our historical experience and on various other factors that we believe are reasonable under the circumstances, the results of which
form the basis for making judgments about the carrying value of assets and liabilities that are not readily apparent from other sources. Actual results may
differ from these estimates under different assumptions or conditions and any such differences may be material.

While our significant accounting policies are more fully described in the Note 2 to our audited consolidated financial statements appearing
elsewhere in this Annual Report on Form 10-K, we believe the following discussion addresses our most critical accounting policies, which are those that
are most important to our financial condition and results of operations and require our most difficult, subjective and complex judgments.

80

 
 
 
 
 
       
         
 
 
 
   
   
   
   
 
 
 
 
     
 
 
 
 
Revenue recognition

We adopted Accounting Standards Codification (“ASC”) 606, Revenue from Contracts with Customers, effective January 1, 2018 using the

modified retrospective method. The adoption of ASC 606 did not have a material effect on our revenue recognition.

We sell our products to hospitals, primarily through direct sales representatives, as well as through distributors in selected international markets. For

products sold through direct sales representatives, control is transferred upon delivery to customers. For products sold to distributors internationally and
certain customers that purchase stocking orders in the United States, control is transferred upon shipment or delivery to the customer’s named location,
based on the contractual shipping terms. Additionally, a significant portion of our revenue is generated through a consignment model under which
inventory is maintained at hospitals. For consignment inventory, control is transferred at the time the catheters are consumed in a procedure.

Under agreements with our customers, we generally provide for the use of an IVL generator and connector cable at no charge to facilitate the use of
our IVL catheters. These agreements do not contain contractually enforceable minimum commitments and are generally cancellable by either party with 30
days’ notice.

Accrued research and development costs

We accrue liabilities for estimated costs of R&D activities conducted by our third-party service providers, which include the conduct of preclinical

and clinical studies. We record the estimated costs of R&D activities based upon the estimated amount of services provided but not yet invoiced, and
include these costs in accrued liabilities on the consolidated balance sheet and within R&D expense on the consolidated statements of operations and
comprehensive loss.

We accrue for these costs based on factors, such as estimates of the work completed and budget provided and in accordance with agreements
established with our third-party service providers. We make significant judgments and estimates in determining the accrued liabilities balance in each
reporting period. As actual costs become known, we adjust our accrued liabilities. We have not experienced any material differences between accrued costs
and actual costs incurred since our inception.

Recent Accounting Pronouncements

Please refer to Note 2 to our consolidated financial statements appearing under Part 2, Item 8 for a discussion of new accounting standards updates

that may impact us.

Item 7A. Quantitative and Qualitative Disclosures About Market Risk.

Interest rate risk

Our cash, cash equivalents and short-term investments as of December 31, 2019 consist of $195.3 million in bank deposits and money market
funds. Such interest-earning instruments carry a degree of interest rate risk. The goals of our investment policy are liquidity and capital preservation; we do
not enter into investments for trading or speculative purposes and have not used any derivative financial instruments to manage our interest rate exposure.
We believe that we do not have any material exposure to changes in the fair value of these assets as a result of changes in interest rates due to the short-term
nature of our cash, cash equivalents and short-term investments.

As of December 31, 2019, we had $13.8 million in variable rate debt outstanding. In February 2020, we refinanced the term loan that provides us

with a supplemental term loan in the amount of $16.5 million. We used $13.2 million of the proceeds from our new supplemental term loan to repay in full
all amounts due under the existing term loan and to pay related expenses. The supplemental term loan requires monthly repayments of principal starting as
early as June 2021, subject to a contingent deferral if certain milestones are met. The supplemental term loan matures on December 1, 2023 and accrues
interest at a floating per annum rate equal to the greater of the Prime Rate minus 1.25% and 3.5%. Interest rate was 3.50% as of the date of the amendment.

81

Foreign currency exchange risk

As we expand internationally, our results of operations and cash flows may become increasingly subject to fluctuations due to changes in foreign

currency exchange rates. Our revenue is denominated primarily in U.S. dollars and Euros. For the years ended December 31, 2019 and 2018,
approximately 27% and 26% of our product revenue, respectively, was denominated in Euros. Our expenses are generally denominated in the currencies in
which our operations are located, which is primarily in the United States. A 10% change in exchange rates could result in a change in fair value of $1.2
million and $0.2 million in foreign currency cash and accounts receivable as of December 31, 2019 and 2018, respectively. As our operations in countries
outside of the United States grow, our results of operations and cash flows may be subject to fluctuations due to changes in foreign currency exchange
rates, which could harm our business in the future. To date, we have not entered into any material foreign currency hedging contracts, although we may do
so in the future.

82

 
 
INDEX TO CONSOLIDATED FINANCIAL STATEMENTS

Report of Independent Registered Public Accounting Firm

Consolidated Balance Sheets

Consolidated Statements of Operations and Comprehensive Loss

Consolidated Statements of Convertible Preferred Stock and Stockholders’ Equity (Deficit)

Consolidated Statements of Cash Flows

Notes to Consolidated Financial Statements

83

84

85

86

87

88

89

 
 
 
 
 
 
 
 
 
 
 
 
 
Report of Independent Registered Public Accounting Firm

To the Stockholders and the Board of Directors of ShockWave Medical, Inc.

Opinion on the Financial Statements

We have audited the accompanying consolidated balance sheets of ShockWave Medical, Inc. (the Company) as of December 31, 2019 and 2018, the related
consolidated statements of operations and comprehensive loss, stockholders’ equity (deficit) and cash flows for each of the three years in the period ended
December 31, 2019, and the related notes (collectively referred to as the “consolidated financial statements”). In our opinion, the consolidated financial
statements present fairly, in all material respects, the financial position of the Company at December 31, 2019 and 2018, and the results of its operations
and its cash flows for each of the three years in the period ended December 31, 2019, in conformity with U.S. generally accepted accounting principles.

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
consolidated financial statements based on our audits. We are a public accounting firm registered with the Public Company Accounting Oversight Board
(United  States)  (PCAOB)  and  are  required  to  be  independent  with  respect  to  the  Company  in  accordance  with  the  U.S.  federal  securities  laws  and  the
applicable rules and regulations of the Securities and Exchange Commission and the PCAOB.

We conducted our audits in accordance with the standards of the PCAOB. Those standards require that we plan and perform the audits to obtain reasonable
assurance  about  whether  the  consolidated  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.

/s/ Ernst & Young LLP

We have served as the Company’s auditor since 2016.

San Jose, California
March 12, 2020

84

 
 
 
 
 
 
 
 
 
 
 
 
SHOCKWAVE MEDICAL, INC.
Consolidated Balance Sheets
(in thousands, except share and per share data)

December 31,
2019

December 31,
2018

ASSETS
CURRENT ASSETS:

Cash and cash equivalents
Short-term investments
Accounts receivable, net
Inventory
Prepaid expenses and other current assets

Total current assets

Operating lease right-of-use assets
Property and equipment, net
Other assets
TOTAL ASSETS

LIABILITIES, CONVERTIBLE PREFERRED STOCK AND
   STOCKHOLDERS’ EQUITY (DEFICIT)
CURRENT LIABILITIES:

Accounts payable
Term notes, current portion
Accrued liabilities
Lease liability, current portion
Total current liabilities
Lease liability, noncurrent portion
Term notes, noncurrent portion
Convertible preferred stock warrant liability
Other liabilities
TOTAL LIABILITIES
Commitments and contingencies (Note 6)
Convertible preferred stock, $0.001 par value; 5,000,000 and 229,098,987 shares
   authorized as of December 31, 2019 and 2018; nil and 18,670,328 shares
   issued and outstanding as of December 31, 2019 and 2018
STOCKHOLDERS’ EQUITY (DEFICIT):
Preferred stock
Common stock, $0.001 par value; 281,274,838 and 325,000,000 shares authorized as of
   December 31, 2019 and 2018; 31,446,787 and 1,824,852 shares as of
   December 31, 2019 and 2018 issued and outstanding
Additional paid-in capital
Accumulated other comprehensive income
Accumulated deficit
TOTAL STOCKHOLDERS’ EQUITY (DEFICIT)
TOTAL LIABILITIES, CONVERTIBLE PREFERRED STOCK AND
   STOCKHOLDERS’ EQUITY (DEFICIT)

  $

  $

  $

139,045    $
56,304   
7,377   
12,074   
1,897   
216,697   
8,825   
4,910   
1,506   
231,938    $

2,790    $
6,667   
13,777   
774   
24,008   
8,125   
7,152   
—   
—   
39,285   

—   

—   

31   
370,561   
35   
(177,974)  
192,653   

39,643 
— 
2,850 
5,131 
1,112 
48,736 
— 
2,619 
2,066 
53,421 

1,487 
1,667 
6,217 
— 
9,371 
— 
13,383 
313 
136 
23,203 

152,806 

— 

2 
4,275 
— 
(126,865)
(122,588)

  $

231,938    $

53,421

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

85

 
 
 
   
 
 
 
    
 
  
 
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
 
  
 
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
 
  
 
 
 
 
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
SHOCKWAVE MEDICAL, INC.
Consolidated Statements of Operations and Comprehensive Loss
(in thousands, except share and per share data)

Revenue:

Product revenue

Operating expenses:

Cost of product revenue
Research and development
Sales and marketing
General and administrative

Total operating expenses

Loss from operations
Interest expense
Change in fair value of warrant liability
Other income, net
Net loss before taxes
Income tax provision
Net loss

Unrealized gain (loss) on available-for-sale securities
Total comprehensive loss

Net loss per share, basic and diluted

2019

Year Ended December 31,
2018

2017

  $

42,927    $

12,263    $

1,719 

17,159   
32,853   
30,620   
14,134   
94,766   
(51,839)  
(944)  
(609)  
2,345   
(51,047)  
62   
(51,109)   $
35   
(51,074)   $

(2.14)   $

7,250   
22,698   
17,536   
5,979   
53,463   
(41,200)  
(401)  
(52)  
589   
(41,064)  
38   
(41,102)   $

1   

(41,101)   $

(23.39)   $

2,836 
17,963 
6,363 
5,422 
32,584 
(30,865)
(58)
(32)
366 
(30,589)
26 
(30,615)
(1)
(30,616)

(19.71)

  $

  $

  $

Shares used in computing net loss per share, basic and diluted

23,904,828   

1,757,102   

1,553,365

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

86

 
 
 
 
 
 
   
   
 
 
 
    
 
    
   
 
 
 
    
 
    
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
SHOCKWAVE MEDICAL, INC.
Consolidated Statements of Convertible Preferred Stock and Stockholders’ Equity (Deficit)
(in thousands, except share data)

Balance—December 31, 2016

Issuance of Series C convertible preferred stock, net of
   issuance costs of $93
Exercise of Series A-1 warrants
Exercise of stock options
Unrealized loss on available-for-sale securities
Vesting of early exercised options
Stock-based compensation
Net loss

Balance—December 31, 2017

Issuance of Series D convertible preferred stock, net of
   issuance costs of $80
Exercise of Series A-1 warrants
Issuance of common stock warrants
Exercise of stock options
Unrealized gain on available-for-sale securities
Vesting of early exercised options
Stock-based compensation
Net loss

Balance — December 31, 2018

Exercise of common stock warrants for cash
Issuance of common stock upon net exercise of
   warrants
Conversion of preferred stock to common stock upon
   initial public offering
Conversion of Series A-1 warrants to common stock
   warrants upon initial public offering
Issuance of common stock in connection with initial
   public offering, net of issuance costs of
   $11.5 million
Issuance of common stock in connection with private
   placement
Issuance of common stock in connection with
   public offering, net of issuance costs of $6.8 million
Exercise of stock options
Vesting of early exercised options
Stock-based compensation
Adjustment for fractional shares resulting from
   reverse stock split
Unrealized gain on available-for-sale securities
Net loss

Balance — December 31, 2019

Convertible Preferred
Stock

Common Stock

Additional

Paid-In  

Shares
  14,605,589 

  Amount
  $

102,180 

Shares
1,555,510 

  Amount
  $

2 

  Capital
  $

1,315 

Accumulated
Other
Comprehensive 
  Income (Loss)  
— 
  $

  Accumulated 
Deficit

Total
Stockholders'
Equity
(Deficit)

  $

(55,148)   $

(53,831)

2,840,504 
63,952 
—  
—  
—  
—  
—  
  17,510,045 

1,090,608 
69,675 
—  
—  
—  
—  
—  
—  
  18,670,328 
—  

34,907 
382 
— 
— 
— 
— 
— 
137,469 

14,920 
417 
— 
— 
— 
— 
— 
— 
152,806 
— 

— 
— 
71,522 
— 
— 
— 
— 
1,627,032 

— 
— 
— 
197,820 
— 
— 
— 
— 
1,824,852 
50,331 

—  

— 

180,952 

  (18,670,328)  

(152,806)  

    18,670,328 

—  

—  

—  

—  
—  
—  
—  

—  
—  
—  
—  

  $

— 

— 

— 

— 
— 
— 
— 

— 
— 
— 
— 

— 

6,555,000 

588,235 

2,854,048 
723,155 
— 
— 

(114)  
— 
— 
    31,446,787 

  $

— 
— 
— 
— 
— 
— 
— 
2 

— 
— 
— 
— 
— 
— 
— 
— 
2 
— 

— 

18 

— 

7 

1 

3 
— 
— 
— 

— 
— 
— 
31 

— 
— 
139 
— 
51  
965 
— 
2,470 

— 
— 
104 
326 
— 
78  
1,297 
— 
4,275 
110 

133 

152,788 

789 

99,917 

9,999 

96,674 
2,206 
27  
3,646 

(3)  
— 
— 
370,561 

  $

  $

— 
— 
— 
— 
— 
— 

(30,615)  
(85,763)  

— 
— 
— 
— 
— 
— 
— 

(41,102)  
(126,865)  

— 

— 

— 

— 

— 

— 

— 
— 
— 
— 

— 
— 

— 
— 
— 
(1)  
— 
— 
— 
(1)  

— 
— 
— 
— 
1 
— 
— 
— 
— 
— 

— 

— 

— 

— 

— 

— 
— 
— 
— 

— 
35  
— 
35  

(51,109)  
(177,974)   $

  $

— 
— 
139 
(1)
51 
965 
(30,615)
(83,292)

— 
— 
104 
326 
1 
78 
1,297 
(41,102)
(122,588)
110 

133 

152,806 

789 

99,924 

10,000 

96,677 
2,206 
27 
3,646 

(3)
35 
(51,109)
192,653  

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

87

 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
SHOCKWAVE MEDICAL, INC.
Consolidated Statements of Cash Flows
(in thousands)

CASH FLOWS FROM OPERATING ACTIVITIES:
Net loss
Adjustments to reconcile net loss to net cash used in operating activities:

Depreciation and amortization
Stock-based compensation
Amortization of right-of-use assets
Accretion of discount on available-for-sale securities
Loss on write down of fixed assets
Change in fair value of warrant liability
Amortization of debt issuance costs
Changes in operating assets and liabilities:

Accounts receivable
Inventory
Prepaid expenses and other current assets
Other assets
Accounts payable
Accrued and other current liabilities
Lease liabilities
Other liabilities

Net cash used in operating activities

CASH FLOWS FROM INVESTING ACTIVITIES:
Purchase of available-for-sale securities
Proceeds from maturities of available-for-sale securities
Purchase of property and equipment

CASH FLOWS FROM FINANCING ACTIVITIES:

Net cash used in investing activities

Proceeds from issuance of common stock upon initial public
   offering, net of issuance costs paid
Proceeds from issuance of convertible preferred stock, net of issuance costs
Proceeds from issuance of common stock in private placement
Issuance of common stock in public offering, net of issuance costs
Proceeds from term loans
Payment of deferred offering costs
Proceeds from stock option exercises
Proceeds from warrant exercises
Principal payment of term loan

Net cash provided by financing activities

Net increase (decrease) in cash, cash equivalents and restricted cash
Cash, cash equivalents and restricted cash at beginning of period
Cash, cash equivalents and restricted cash equivalents at end of period
SUPPLEMENTAL DISCLOSURES OF CASH FLOW INFORMATION:

Interest paid
Income tax paid

NON-CASH INVESTING AND FINANCING ACTIVITIES:

Common stock issued on conversion of convertible preferred stock
Issuance of Series A-1 convertible preferred stock on net exercise of warrants
Deferred offering cost included in account payable and accrued liabilities
Offering cost included in account payable and accrued liabilities
Common stock warrants issued on conversion of preferred stock
   warrants and the reclassification of the warrant liability
Right-of-use asset obtained in exchange for lease liability
Property and equipment purchases included in accounts payable and
   accrued liabilities
Issuance of common stock warrants in connection with debt financing
Transfer of fixed assets to inventory

2019

Year Ended December 31,
2018

2017

  $

(51,109)   $

(41,102)

 $

(30,615)

1,337 
3,646 
944 
(543)  
67 
609 
436 

(4,527)  
(6,824)  
(785)  
41 
1,272 
8,339 
(1,010)  
— 

(48,107)  

(119,476)  
63,750 
(3,817)  
(59,543)  

100,547 
— 
10,000 
96,856 
— 
— 
2,206 
110 
(1,667)  

208,052 
100,402 
40,093 
140,495 

  $

534 
120 

  $
  $

152,806 
— 
— 
179 

  $
  $
  $
  $

789 
6,948 

  $
  $

52 
— 
119 

  $
  $
  $

700 
1,297 
— 
— 
31 
52 
206 

(2,211)
(2,608)
(144)
(917)
360 
2,773 
— 
98 
(41,465)

— 
1,807 
(1,981)
(174)

— 
14,920 
— 
— 
14,988 
(626)
426 
101 
— 
29,809 
(11,830)
51,923 
40,093 

156 
5 

— 
316 
893 
— 

— 
— 

55 
104 
— 

 $

 $
 $

 $
 $
 $
 $

 $
 $

 $
 $
 $

468 
965 
— 
— 
38 
32 
18 

(594)
(1,863)
(373)
— 
249 
1,328 
— 
— 
(30,347)

(17,707)
15,900 
(425)
(2,232)

— 
34,907 
— 
— 
— 
— 
139 
198 
(1,557)
33,687 
1,108 
50,815 
51,923 

40 
— 

— 
— 
— 
— 

— 
— 

58 
— 
—  

  $

  $
  $

  $
  $
  $
  $

  $
  $

  $
  $
  $

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

88

 
 
 
 
 
 
 
 
 
 
 
 
   
  
 
 
  
  
  
   
  
 
 
  
  
  
   
 
 
  
   
 
 
  
   
 
 
  
   
 
  
   
 
 
  
   
 
 
  
   
 
 
  
   
  
 
 
  
  
  
   
 
  
   
 
  
   
 
  
   
 
 
  
   
 
 
  
   
 
 
  
   
 
  
   
 
 
  
   
 
  
   
  
 
 
  
  
  
   
 
  
   
 
 
  
   
 
  
   
 
  
   
  
 
 
  
  
  
   
 
 
  
   
 
 
  
   
 
 
  
   
 
 
  
   
 
 
  
   
 
 
  
   
 
 
  
   
 
 
  
   
 
  
   
 
 
  
   
 
 
  
   
 
 
  
   
  
 
 
  
  
  
   
  
 
 
  
  
  
 
 
ShockWave Medical, Inc.
Notes to Consolidated Financial Statements

1. Organization and Basis of Presentation

ShockWave Medical, Inc. (the “Company”) was incorporated on June 17, 2009. The Company is primarily engaged in the development of
Intravascular Lithotripsy (“IVL”) Technology for the treatment of calcified plaque in patients with peripheral vascular, coronary vascular and heart valve
disease. Built on a balloon catheter platform, the IVL technology uses lithotripsy to disrupt both superficial and deep vascular calcium, while minimizing
soft tissue injury, and an integrated angioplasty balloon to dilate blockages at low pressures, restoring blood flow.

In 2016, the Company began commercial and manufacturing operations, and began selling catheters based on the IVL Technology. The Company’s

headquarters are in Santa Clara, California. The Company is located and operates primarily in the United States and has a subsidiary in Germany.

Initial Public Offering

On March 11, 2019, the Company completed an initial public offering (“IPO”) of its common stock. As part of the IPO, the Company issued and
sold 6,555,000 shares of its common stock, which included 855,000 shares sold pursuant to the exercise of the underwriters’ over-allotment option, at a
public offering price of $17.00 per share. The Company received net proceeds of approximately $99.9 million from the IPO, after deducting underwriters’
discounts and commissions. Prior to the completion of the IPO, all shares of Series A, A-1, B, C and D convertible preferred stock then outstanding were
converted into 18,670,259 shares of common stock on a one-to-one basis.

In addition, on the completion of the IPO, all the Company’s outstanding preferred stock warrants were converted into 54,903 common stock
warrants, which resulted in the reclassification of the convertible preferred stock warrant liability to additional paid-in capital. Furthermore, 101,744 shares
of common stock were issued upon net exercise of warrants at the time of the IPO.

Concurrent with the IPO, the Company issued 588,235 shares of its common stock in a private placement for net proceeds of $10.0 million.

Public Offering

On November 15, 2019, the Company completed an underwritten public offering (“Follow-On Offering”) of  2,854,048 shares of its common stock,

including 372,267 shares sold pursuant to the underwriters’ exercise of their option to purchase additional shares at a public offering price of $36.25 per
share. The Company received net proceeds of $96.7 million from the Follow-On Offering after deducting underwriters’ discounts and commissions.    

Reverse Stock Split

In February 2019, the Company’s board of directors approved an amended and restated certificate of incorporation to effect a reverse split of shares
of the Company’s common stock and convertible preferred stock on a 12.2-for-one basis (the “Reverse Stock Split”). The par values of the common stock
and convertible preferred stock were not adjusted as a result of the Reverse Stock Split. All references to common stock, convertible preferred stock,
warrants to purchase common stock, warrants to purchase convertible preferred stock, options to purchase common stock, early exercised options, share
data, per share data and related information contained in the consolidated financial statements have been retrospectively adjusted to reflect the effect of the
Reverse Stock Split for all periods presented. The number of shares of the Company’s common stock contained in the consolidated financial statements
includes fractional shares resulting from the Reverse Stock Split, aggregating to 45 whole shares of common stock and 69 whole shares of preferred stock
as of December 31, 2018, which fractional shares were settled in cash in fiscal 2019.

Liquidity    

As of December 31, 2019, the Company had cash, cash equivalents and short-term investments of $195.3 million, which are available to fund future

operations. The Company believes that its cash, cash equivalents and short-term investments as of December 31, 2019, will be sufficient for the Company
to continue as a going concern for at least 12 months from the date the consolidated financial statements are filed with the Securities and Exchange
Commission (“SEC”).

89

 
2. Summary of Significant Accounting Policies

Principles of Consolidation

The accompanying consolidated financial statements include the accounts of the Company and its wholly owned subsidiary. All intercompany

balances and transactions have been eliminated in consolidation.

Use of Estimates

The preparation of consolidated financial statements in conformity with accounting principles generally accepted in the United States of America

(“U.S. GAAP”) requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of
contingent assets and liabilities at the date of the consolidated financial statements and the reported amounts of expenses during the reporting period.
Significant estimates and assumptions made in the accompanying consolidated financial statements include, but are not limited to the valuation of
inventory, the fair value of common stock, the fair value of preferred stock warrant liabilities, the fair value of stock options, recoverability of the
Company’s net deferred tax assets, and related valuation allowance and certain accruals. The Company evaluates its estimates and assumptions on an
ongoing basis using historical experience and other factors and adjusts those estimates and assumptions when facts and circumstances dictate. Actual
results could materially differ from those estimates.

Cash, Cash Equivalents and Restricted Cash

The Company considers all highly liquid investments purchased with original maturities of three months or less from the purchase date to be cash

equivalents. Cash equivalents consist primarily of amounts invested in money market accounts.

The following table provides a reconciliation of cash, cash equivalents and restricted cash reported within the consolidated balance sheets that sum

to the total of the same amounts shown in the consolidated statements of cash flows:

Cash and cash equivalents
Restricted cash

Total cash, cash equivalents, and restricted cash

December 31,
2019

December 31,
2018

  $

  $

(in thousands)

139,045    $
1,450     
140,495    $

39,643 
450 
40,093

Restricted cash as of December 31, 2019 and 2018 relates to letters of credit established for leases entered into in May 2018 and December 2019

and is recorded as other assets on the consolidated balance sheets.

Short-Term Investments

Short-term investments have been classified as available-for-sale and are carried at estimated fair value as determined based upon quoted market
prices or pricing models for similar securities. The Company determines the appropriate classification of its investments in debt securities at the time of
purchase. Available-for-sale securities with original maturities beyond three months at the date of purchase are classified as current based on their
availability for use in current operations.

Unrealized gains and losses are excluded from earnings and are reported as a component of comprehensive loss. The Company periodically
evaluates whether declines in fair values of its marketable securities below their book value are other-than-temporary. This evaluation consists of several
qualitative and quantitative factors regarding the severity and duration of the unrealized loss as well as the Company’s ability and intent to hold the
marketable security until a forecasted recovery occurs. Additionally, the Company assesses whether it has plans to sell the security or it is more likely than
not it will be required to sell any marketable securities before recovery of its amortized cost basis. Realized gains and losses and declines in fair value
judged to be other than temporary, if any, on marketable securities are included in other income, net. The cost of investments sold is based on the specific-
identification method. Interest on marketable securities is included in other income, net.

90

 
 
 
 
   
 
 
 
 
   
 
 
Concentration of Credit Risk

Financial instruments that potentially subject the Company to significant concentrations of credit risk consist primarily of cash, cash equivalents,

restricted cash, investments and trade receivables. Risks associated with cash, cash equivalents and restricted cash are mitigated by banking with
creditworthy institutions and the Company’s investments have investment grade ratings when purchased. The Company performs ongoing evaluations of its
customers and generally does not require collateral.

Concentration of Customers

For the years ended December 31, 2019 and 2018, no customer accounted for 10% of the Company’s revenue. There was one customer which

accounted for 11% of the Company’s accounts receivable as of December 31, 2019. There were no customers which accounted for more than 10% of the
Company’s accounts receivable as of December 31, 2018.

Fair Value of Financial Instruments

The Company’s cash and cash equivalents, restricted cash, short-term investments, accounts receivable, accounts payable and accrued liabilities

approximate their fair value due to their short maturities. Management believes that its term notes bear interest at the prevailing market rates for
instruments with similar characteristics; accordingly, the carrying value of this instrument approximates its fair value.

The Company utilizes valuation techniques that maximize the use of observable inputs and minimize the use of unobservable inputs to the extent

possible. The Company determines the fair value of its financial instruments based on assumptions that market participants would use in pricing an asset or
liability in the principal or most advantageous market. When considering market participant assumptions in fair value measurements, the following fair
value hierarchy distinguishes between observable and unobservable inputs, which are categorized in one of the following levels:

Level 1 – Inputs are unadjusted, quoted prices in active markets for identical assets or liabilities at the measurement date;

Level 2 – Inputs are observable, unadjusted quoted prices in active markets for similar assets or liabilities, unadjusted 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 for
substantially the full term of the related assets or liabilities; and

Level 3 – Unobservable inputs that are significant to the measurement of the fair value of the assets or liabilities that are supported by little or no
market data.

Accounts Receivable and Allowance for Doubtful Accounts

Accounts receivable are recorded at invoice value, net of any allowance for doubtful accounts. Estimates of the allowance for doubtful accounts are

determined based on existing contractual payment terms, historical payment patterns of customers and individual customer circumstances. The allowance
for doubtful accounts was $194,000 as of December 31, 2019 and the Company recognized accounts receivable write-offs in the amount of $3,400 for the
year ended December 31, 2019. The allowance for doubtful accounts was $76,000 as of December 31, 2018 and the Company recognized accounts
receivable write-offs in the amount of $1,000 for the year ended December 31, 2018.

Inventory

Inventory is stated at the lower of standard cost (which approximates actual cost on a first-in, first-out basis) and net realizable value. Inventory

costs include direct materials, direct labor and normal manufacturing overhead. Prior to achieving normal capacity, excess capacity costs are expensed in
cost of product revenue as period costs. Finished goods that are used for research and development are expensed as consumed. Provisions for slow-moving,
excess or obsolete inventories are recorded when required to reduce inventory values to their estimated net realizable values based on product life cycle,
development plans, product expiration or quality issues.

91

 
Property and Equipment

Property and equipment are stated at cost, net of accumulated depreciation and amortization. Depreciation and amortization is computed using the
straight-line method over the estimated useful lives of the respective assets, generally three to five years. Leasehold improvements are amortized over the
lesser of their useful life or the remaining life of the lease. When assets are retired or otherwise disposed of, the cost and related accumulated depreciation
and amortization are removed from the balance sheet and any resulting gain or loss is reflected in operations in the period realized. Maintenance and repairs
are charged to operations as incurred.

Impairment of Long-Lived Assets

The Company reviews long-lived assets for impairment whenever events or changes in circumstances indicate that the carrying amount of an asset

may not be recoverable. Recoverability is measured by comparing the carrying amount to the future net undiscounted cash flows which the assets are
expected to generate. If such assets are considered to be impaired, the impairment to be recognized is measured by the amount by which the carrying
amount of the assets exceeds the projected discounted future net cash flows arising from the asset. The Company has not identified any such impairment
losses to date.

Convertible Preferred Stock Warrant Liability

The Company has accounted for its freestanding warrants to purchase shares of the Company’s convertible preferred stock as liabilities at fair value

upon issuance primarily because the shares underlying the warrants contain contingent redemption features outside the control of the Company. The
warrants are subject to re-measurement at each balance sheet date and any change in fair value is recognized as the change in fair value of warrant liability.
The carrying value of the warrants will continue to be adjusted until such time as these instruments are exercised, expire or convert into warrants to
purchase shares of the Company’s common stock upon the completion of a liquidation event, including the completion of the IPO, which occurred on
March 11, 2019. At that time, the preferred stock warrant liability was reclassified to additional paid-in capital, a component of stockholders’ equity
(deficit).

Revenue

The Company adopted Accounting Standards Codification (“ASC”) 606, Revenue from Contracts with Customers, effective January 1, 2018 using
the modified retrospective method. Results for reporting periods beginning after January 1, 2018 are presented under ASC 606, while prior period amounts
are not adjusted and continue to be reported in accordance with our historic accounting under ASC 605, Revenue Recognition. The adoption of this
standard did not have a cumulative effect on opening accumulated deficit as of January 1, 2018, as the timing and measurement of revenue recognition is
materially the same under ASC 606 as it was under the prior guidance.

The Company records product revenue primarily from the sale of its IVL catheters. The Company sells its products to hospitals, primarily through

direct sales representatives, as well as through distributors in selected international markets. Additionally, a significant portion of the Company’s revenue is
generated through a consignment model under which inventory is maintained at hospitals.

Under ASC 606, revenue is recognized when a customer obtains control of promised goods or services, in an amount that reflects the consideration

which the entity expects to receive in exchange for those goods or services. To determine revenue recognition for arrangements that an entity determines
are within the scope of ASC 606, the Company performs the following five steps: (i) identify the contract(s) with a customer; (ii) identify the performance
obligations in the contract; (iii) determine the transaction price; (iv) allocate the transaction price to the performance obligations in the contract; and
(v) recognize revenue when (or as) the entity satisfies a performance obligation.

For products sold through direct sales representatives, control is transferred upon delivery to customers. For products sold to distributors
internationally and certain customers that purchase stocking orders in the United States, control is transferred upon shipment or delivery to the customer’s
named location, based on the contractual shipping terms. For consignment inventory, control is transferred at the time the catheters are consumed in a
procedure.

The Company generally provides for the use of an IVL generator and connector cable under an agreement to customers at no charge to facilitate use
of the IVL catheters. These agreements do not contain contractually enforceable minimum commitments and are generally cancellable by either party with
30 days’ notice.

92

 
Research and Development Costs

Research and development costs, including new product development, regulatory compliance, and clinical research are expensed as incurred.

Accrued Research and Development Costs

The Company accrues liabilities for estimated costs of research and development activities conducted by its third-party service providers, which
include the conduct of preclinical and clinical studies. The estimated costs of research and development activities are recorded based upon the estimated
amount of services provided but not yet invoiced, and these costs are included in accrued liabilities on the consolidated balance sheets and within research
and development expense on the consolidated statements of operations and comprehensive loss.

These costs are accrued for based on factors such as estimates of the work completed and budget provided and in accordance with agreements
established with third-party service providers. Significant judgments and estimates are made in determining the accrued liabilities balance in each reporting
period. Accrued liabilities are adjusted as actual costs become known. There have not been any material differences between accrued costs and actual costs
incurred since the Company’s inception.

Stock-Based Compensation

The Company accounts for share-based payments at fair value. The fair value of stock options is measured using the Black-Scholes option-pricing
model. For share-based awards that vest subject to the satisfaction of a service requirement, the fair value measurement date for stock-based compensation
awards is the date of grant and the expense is recognized on a straight-line basis, over the vesting period. The Company accounts for forfeitures as they
occur.

Leases

The Company adopted ASU No. 2016-02, Leases (Topic 842) using the modified retrospective approach with a cumulative-effect adjustment as of
January 1, 2019. Results for reporting periods beginning after January 1, 2019 are presented under Topic 842. Prior period amounts have not been adjusted
and continue to be reported in accordance with the Company’s historical accounting under previous lease guidance, ASC 840: Leases (Topic 840). 

For its long-term operating lease, the Company recognized a right-of-use asset and a lease liability on its consolidated balance sheet. The lease
liability is determined as the present value of future lease payments using an estimated rate of interest that the Company would have to pay to borrow
equivalent funds on a collateralized basis at the lease commencement date. The right-of-use asset is based on the liability adjusted for any prepaid or
deferred rent. The lease term at the commencement date is determined by considering whether renewal options and termination options are reasonably
assured of exercise.

Rent expense for the operating lease is recognized on a straight-line basis over the lease term and is included in operating expenses on the

consolidated statements of operations and comprehensive loss. Variable lease payments include lease operating expenses.

The Company elected to exclude from its balance sheets recognition of leases having a term of 12 months or less (short-term leases) and elected to

not separate lease components and non-lease components for its long-term real estate leases.

Defined Contribution Plan

The Company has a defined contribution retirement savings plan under Section 401(k) of the Internal Revenue Code. This plan allows eligible
employees to defer a portion of their annual compensation on a pre-tax basis. The Company is authorized to make matching contributions but has not made
such contributions for the years ended December 31, 2019 and 2018.

Comprehensive Loss

Comprehensive loss is comprised of net loss and changes in unrealized gains and losses on the Company’s available-for-sale investments.

93

 
 
Foreign Currency

The functional currency of the Company’s foreign subsidiary is the U.S. Dollar. Accordingly, all monetary assets and liabilities of the subsidiary are

remeasured at the current exchange rate at the end of the period, nonmonetary assets and liabilities are remeasured at historical rates, and revenue and
expenses are remeasured at average exchange rates during the period. There were net foreign currency transaction gains of $56,000 for the year ended
December 31, 2019 and net foreign currency transaction losses of $46,000 for the year ended December 31, 2018.

Net Loss Per Share

Basic net loss per share is calculated by dividing net loss by the weighted-average number of shares of common stock outstanding for the period,

without consideration of potential dilutive shares of common stock. The unvested portion of early exercised stock options are excluded from the
computation of weighted-average shares as the continuing vesting of such shares is contingent on the holders’ continued service to the Company. Since the
Company was in a loss position for the period presented, basic net loss per share is the same as diluted net loss per share since the effects of potentially
dilutive securities are antidilutive.

Income Taxes

The Company uses the asset and liability method of accounting for income taxes. Under this method, deferred tax assets and liabilities are
determined based on the differences between the financial reporting and the tax bases of assets and liabilities and are measured using the enacted tax rates
and laws that will be in effect when the differences are expected to reverse. Management makes an assessment of the likelihood that the resulting deferred
tax assets will be realized. A valuation allowance is provided when it is more likely than not that some portion or all of a deferred tax asset will not be
realized. Due to the Company’s historical operating performance and the recorded cumulative net losses in prior fiscal periods, the net deferred tax assets
have been fully offset by a valuation allowance.

The Company recognizes uncertain income tax positions at the largest amount that is more likely than not to be sustained upon audit by the relevant
taxing authority. An uncertain income tax position will not be recognized if it has less than a 50% likelihood of being sustained. Changes in recognition or
measurement are reflected in the period in which judgment occurs. The Company’s policy is to recognize interest and penalties related to the underpayment
of income taxes as a component of provision for income taxes.

Segment Reporting

Operating segments are defined as components of an entity for which separate financial information is available and that is regularly reviewed by

the Chief Operating Decision Maker (“CODM”) in deciding how to allocate resources to an individual segment and in assessing performance. The
Company’s CODM is its Chief Executive Officer. The Company has determined that it operates in one segment.

Recently Adopted Accounting Pronouncements

In February 2016, the FASB issued ASU No. 2016-02, Leases. This new standard requires lessees to apply a dual approach, classifying leases as

either finance or operating leases based on the principle of whether or not the lease is effectively a financed purchase by the lessee. This classification will
determine whether lease expense is recognized based on an effective interest method or on a straight-line basis over the term of the lease. A lessee is also
required to record a right-of-use asset and a lease liability for all leases with a term of greater than 12 months regardless of their classification. Leases with
a term of 12 months or less will be accounted for similar to existing guidance for operating leases.

Upon adoption of Topic 842, on January 1, 2019, the Company recorded operating right-of-use assets of $2.9 million and operating lease liabilities
of $3.0 million and derecognized the deferred rent liability of $0.1 million. Results for the year ended December 31, 2019 are presented under Topic 842.
Prior period amounts have not been adjusted and continue to be reported in accordance with the Company’s historical accounting under previous lease
guidance, ASC 840: Leases (Topic 840).

94

 
Recent Accounting Pronouncements

In June 2016, the FASB issued ASU No. 2016-13, Financial Instruments-Credit Losses (Topic 326): Measurement of Credit Losses on Financial

Instruments, which amends the incurred loss impairment methodology in current GAAP with a methodology requires measurement and recognition of
expected credit losses for most financial assets and certain other instruments, including but not limited to available-for-sale debt securities. Credit losses
relating to available-for-sale debt securities will be recorded through an allowance for credit losses rather than as a direct write-down to the security. ASU
2016-13 is effective for annual reporting periods, and interim periods within those years, beginning after December 15, 2019, and requires a cumulative
effect adjustment to the balance sheet as of the beginning of the first reporting period in which the guidance is effective. In November 2019, the FASB
issued ASU No. 2019-10, Financial Instruments—Credit Losses (Topic 326), Derivatives and Hedging (Topic 815) and Leases (Topic 842): Effective
Dates, which defers the effective date of this ASU to fiscal years beginning after December 15, 2022 for all entities except SEC reporting companies that
are not smaller reporting companies. The Company will adopt Topic 326 on January 1, 2020. The adoption of this guidance is not expected to have a
material impact on the Company’s consolidated financial statements.

In November 2019, the FASB issued ASU No. 2019-12, Income Taxes (Topic 740), which simplifies the accounting for income taxes, primarily by
eliminating certain exceptions to the guidance in ASC 740.  This ASU is effective for fiscal periods beginning after December 15, 2020.  The Company is
currently evaluating this guidance and the impact it may have on the Company’s consolidated financial statements.

3. Financial Instruments and Fair Value Measurements

The following tables summarize the Company’s financial assets and liabilities measured at fair value on a recurring basis by level within the fair

value hierarchy:

Assets:

U.S. Treasury securities
Money market funds
Reverse repurchase agreements
Commercial paper
Corporate bonds
Total assets

Assets:

Money market funds
Total assets

Liabilities:

Convertible preferred stock warrant liability

Total liabilities

December 31, 2019

Level 1

Level 2

Level 3

Total

(in thousands)

43,245    $
29,386     
—     
—     
—     
72,631    $

—    $
—     
10,000     
6,958     
8,096     
25,054    $

—    $
—     
—     
—     
—     
—    $

43,245 
29,386 
10,000 
6,958 
8,096 
97,685

December 31, 2018

Level 1

Level 2

Level 3

Total

(in thousands)

21,680    $
21,680    $

—    $
—    $

—    $
—    $

—    $
—    $

—    $
—    $

21,680 
21,680 

313    $
313    $

313 
313

  $

  $

  $
  $

  $
  $

95

 
 
 
 
 
 
 
   
   
   
 
 
 
 
   
      
      
      
  
   
   
   
   
 
 
 
 
 
 
 
   
   
   
 
 
 
 
   
      
      
      
  
   
      
      
      
  
 
 
The change in the fair value of the warrant liability is summarized below:

Beginning Balance

Expiration of warrants, included in change in fair
   value of warrant liability
Net exercise of warrants
Exercise of warrants
Change in fair value of warrant liability
Conversion of Series A preferred stock warrants to
   common stock warrants upon the closing of the IPO

Balance at December 31, 2019

  $

2019

Year Ended December 31,
2018
(in thousands)

2017

  $

313    $

577    $

—     
(133)    
—     
609     

(789)    
—    $

(133)    
— 
(316)    
185     

—     
313    $

729 

— 
— 
(184)
32 

— 
577

The valuation of the Company’s convertible preferred stock warrant liability contains unobservable inputs that reflect the Company’s own
assumptions for which there is little, if any, market activity for at the measurement date. Accordingly, the Company’s convertible preferred stock warrant
liability is measured at fair value on a recurring basis using unobservable inputs and are classified as Level 3 inputs, and any change in fair value is
recognized as change in fair value of warrant liability in the consolidated statements of operations and comprehensive loss.

The fair value of the warrants, which were converted to common stock warrants upon the closing of the IPO in March 2019, was determined using

the Black-Scholes option pricing model and the following assumptions:

Expected term (in years)
Expected volatility
Risk-free interest rate
Expected dividend yield

December 31,

2019
5.3
43.9%
2.5%
0%

2018
5.5
42.8%
2.9%
0%

There were no transfers between Levels 1, 2 or 3 for the periods presented.

4. Cash Equivalents and Short-Term Investments

The following is a summary of the Company’s cash equivalents and short-term investments:

U.S. Treasury securities
Money market funds
Reverse repurchase agreements
Commercial paper
Corporate bonds
Total

Reported as:
Cash equivalents
Short-term investments
Total

December 31, 2019

Amortized
Cost Basis    

Unrealized
Gains

Unrealized
Losses

    Fair Value  

  $

  $

43,219    $
29,386     
10,000     
6,958     
8,087     
97,650    $

(in thousands)
27    $
—     
—     
—     
9     
36    $

(1)   $
—     
—     
—     
—     
(1)   $

     $

     $

43,245 
29,386 
10,000 
6,958 
8,096 
97,685 

41,381 
56,304 
97,685

96

 
 
 
 
 
 
 
   
   
 
 
 
 
   
   
  
   
   
   
 
 
 
 
 
 
 
 
 
   
 
 
 
   
 
 
   
 
 
   
 
 
   
 
 
 
 
 
 
 
 
   
 
 
 
   
   
   
   
   
      
      
      
  
   
      
      
   
      
      
      
   
      
      
 
Money market funds
Total

Reported as:
Cash equivalents

Total

December 31, 2018

Amortized
Cost Basis    

Unrealized
Gains

Unrealized
Losses

    Fair Value  

  $
  $

21,680    $
21,680    $

(in thousands)
—    $
—    $

—    $
—    $

     $

     $

21,680 
21,680 

21,680 

21,680

At December 31, 2019, the remaining contractual maturities for available-for-sale securities were less than one year. For the years ended

December 31, 2019 and 2018, the Company recognized no material realized gains or losses on cash equivalents and short-term investments.

5. Balance Sheet Components

Inventory

Inventory consists of the following:

Raw material
Work in progress
Finished goods
Consigned inventory
Total inventory

Property and Equipment, Net

Property and equipment, net consists of the following:

Equipment
Equipment on loan to customers
Office furniture
Software
Leasehold improvements
Construction in progress

Property and equipment, gross

Less accumulated depreciation and amortization
Total property and equipment, net

December 31,

2019

2018

(in thousands)
2,501    $
1,364     
6,642     
1,567     
12,074    $

1,084   
634   
2,313   
1,100   
5,131

  $

  $

December 31,

2019

2018

(in thousands)
3,759    $
1,495   
76   
97   
1,329   
553   
7,309   
(2,399)  
4,910    $

2,321 
786 
90 
76 
764 
236 
4,273 
(1,654)
2,619

  $

  $

Depreciation and amortization expense amounted to $1.3 million, $0.7 million and $0.5 million for the years ended December 31, 2019, 2018 and

2017, respectively.

97

 
 
 
 
 
 
 
   
 
 
 
   
      
      
      
  
   
      
      
   
      
      
 
 
 
 
 
   
 
 
   
   
 
 
   
   
   
   
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Other Assets

Other assets consist of the following:

Deferred offering costs
Restricted cash
Other

Total other assets

Accrued Liabilities

Accrued liabilities consist of the following:

Accrued employee compensation
Accrued research and development costs
Accrued professional services
Other

Total accrued liabilities

6. Commitments and Contingencies

Operating Leases

December 31,

2019

2018

(in thousands)
—    $

1,450   
56   
1,506    $

1,519 
450 
97 
2,066

December 31,

2019

2018

(in thousands)
8,139    $
3,090   
804   
1,744   
13,777    $

3,135 
1,115 
1,391 
576 
6,217

  $

  $

  $

  $

The Company’s lease for office space located in Fremont, California expired on September 30, 2019.

In May 2018, the Company entered into a new lease agreement for office and laboratory space which consists of approximately 35,000 square feet

located in Santa Clara, California. The lease term commenced in September 2018 and ends in August 2022. In connection with the lease, the Company
maintains a letter of credit for the benefit of the landlord in the amount of $0.5 million, which is secured by restricted cash recorded as other assets on the
consolidated balance sheets. In connection with the lease, the Company has an operating lease right-of-use asset of $1.9 million as of December 31, 2019
and an aggregate lease liability of $2.1 million on its consolidated balance sheet. The remaining lease term is two years and eight months.

In December 2019, the Company entered into a lease for office and laboratory space in two buildings located in Santa Clara, California (the “Betsy

Ross Lease”). The purpose and effect of the lease agreement is to extend the existing Santa Clara office and laboratory premises of 35,000 square foot to
approximately 85,200 square feet of rentable space. The Santa Clara lease entered in May 2018 will continue in its existing terms (and with no changes to
its terms, including its base rent) until its expiration on August 31, 2022, at which point the leased space under the May 2018 lease will become subject to
the terms of the Betsy Ross Lease. The initial term of the first building in the Betsy Ross Lease began in December 2019 and is for 96 months, with an
option by the Company to extend for an additional five years on one or both of the buildings. The base rent of part of the premises for the first building
shall be abated for the first 19 months, and the second floor of the same premises shall be abated for the first four months. The landlord provided the
Company with a tenant improvement allowance of up to $1.8 million. In connection with the Betsy Ross Lease, the Company provided an initial security
deposit of $1.0 million in the form of a letter of credit, which is secured by restricted cash recorded as other assets on the consolidated balance sheets.
While this amount will increase to $1.5 million on September 1, 2022 when the office and laboratory space of the lease entered into in May 2018 is added
to the Betsy Ross Lease, the letter of credit will be reduced annually from and after September 1, 2022 until the Betsy Ross Lease’s expiration. In
connection with the first building lease, the Company has recorded an operating lease right-of-use asset of $6.8 million as of December 31, 2019 and an
aggregate lease liability of $6.7 million on its consolidated balance sheet. The remaining lease term is seven years and eleven months.

98

 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The Company also leases vehicles for use by employees. In connection with the vehicle leases, the Company has an operating lease right-of-use

asset of $115,000 as of December 31, 2019 and an aggregate lease liability of $115,000 on its consolidated balance sheet. The weighted average remaining
lease term is two years and four months.

The weighted average incremental borrowing rate used to measure the operating lease liability is 6.97%.

Short-term leases are leases having a term of 12 months or less. The Company recognizes short-term leases on a straight-line basis and does not

record a related lease asset or liability for such leases.

The following are minimum future rental payments owed under these agreements which commenced as of December 31, 2019:

2020
2021
2022
2023
2024
Thereafter
Total minimum lease payments
Less: imputed interest
Total lease liability

(in thousands)  
1,292 
$
1,941 
2,063 
1,498 
1,546 
4,826 
13,166 
(4,267)
8,899  

$

$

The following are minimum future rental payments owed for the second building under the Betsy Ross Lease which has not yet commenced as of

December 31, 2019:

2020
2021
2022
2023
2024
Thereafter
Total minimum lease payments

(in thousands)  
— 
$
— 
345 
1,044 
1,078 
3,365 
5,832  

$

Operating lease cost for the year ended December 31, 2019 was $1.2 million. Rent expense for the years ended December 31, 2018 and 2017 was

$0.9 million and $0.4 million, respectively.

7. Term Notes

2014 Loan and Security Agreement

In June 2014, the Company entered into a Loan and Security Agreement with Silicon Valley Bank (the “2014 Loan and Security Agreement”),

under which a total of $4.0 million was borrowed. The Company made monthly payments of principal and interest through the maturity date of October 1,
2017, and a one-time payment of $0.2 million on the maturity date of the loan. All the borrowings under the 2014 Loan and Security Agreement were fully
repaid as of December 31, 2017.

In connection with the 2014 Loan and Security Agreement, the Company issued warrants to purchase shares of the Company’s Series A-1

convertible preferred stock. Upon issuance, the fair value of the warrants was recorded as a debt discount. The debt discount was amortized to interest
expense, net over the repayment period of the loan. During the year ended December 31, 2017, amortization of debt discount was $0.1 million.

99

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Loan and Security Agreement

In February 2018, the Company entered into a Loan and Security Agreement with Silicon Valley Bank (the “Loan and Security Agreement”). The

terms of the Loan and Security Agreement included a term loan of $15.0 million and a revolving line of credit of $2.0 million. The term loan was available
in two tranches, of which the first tranche of $10.0 million was funded in June 2018 and the second tranche of $5.0 million was funded in December 2018.
The Company has not drawn down on its revolving line of credit as of December 31, 2019.

The term loan matures in December 2021, with interest-only monthly payments until September 2019. The interest-only period will extend through

December 2019 if certain financing milestones are met. The term loan accrues interest at a floating per annum rate equal to the greater of the Wall Street
Journal prime rate minus 1.75% and 2.75% (5.87% as of December 31, 2019). There is a final payment equal to 6.75% of the original aggregate principal
amount, or $1.0 million, of the term loan advances, which will be accrued over the term of the loan using the effective-interest method.

The line of credit matures in February 2021 and accrues interest at the Wall Street Journal prime rate.

In connection with the execution of the Loan and Security Agreement, the Company issued warrants to purchase 34,440 shares of the Company’s

common stock. Upon issuance, the fair value of the warrants of $0.1 million was recorded as a debt issuance cost. The debt issuance cost will be amortized
to interest expense, net over the repayment period of the loan.

During the years ended December 31, 2019 and 2018, the Company recorded interest expense related to the Loan and Security Agreement of

$0.5 million and $0.2 million, respectively. Debt discount amortized as interest expense was $0.4 million and $0.2 million for the years ended December
31, 2019 and 2018, respectively.  

The term loan is secured by all of the Company’s assets, excluding intellectual property and certain other assets. The loan contains customary
affirmative and restrictive covenants, including with respect to the Company’s ability to enter into fundamental transactions, incur additional indebtedness,
grant liens, pay any dividend or make any distributions to its holders, make investments, merge or consolidate with any other person or engage in
transactions with the Company’s affiliates, but does not include any financial covenants.

Long-term debt and net premium balances are as follows:

Principal amount of term note
Net premium associated with accretion of final
   payment, issuance of common stock warrants,
   and other debt issuance costs

Term note, current and noncurrent

Less term note, current portion

Term note, noncurrent portion

  $

December 31,

2019

2018

(in thousands)
13,334    $

15,000 

  $

485     
13,819     
(6,667)    
7,152    $

50 
15,050 
(1,667)
13,383

Future minimum payments of principal and estimated payments of interest on the Company’s outstanding variable rate borrowings as of

December 31, 2019 are as follows:

Year ending December 31:
2020
2021

Total future payments
Less amounts representing interest
Less final payment

Total principal amount of term note payments

  (in thousands)  
7,000 
  $
7,789 
14,789 
(442)
(1,013)
13,334

  $

See Note 13 for the Company’s amendment to the Loan and Security Agreement.

100

 
 
 
 
 
 
 
   
 
 
 
 
   
   
   
 
 
 
   
   
   
   
 
 
 
8. Convertible Preferred Stock and Stockholders’ Equity (Deficit)

Convertible Preferred Stock

Immediately prior to the closing of the Company’s IPO, 18,670,259 shares of outstanding convertible preferred stock converted

into 18,670,259 shares of common stock. As discussed in Note 1, the fractional shares resulting from the Reverse Stock Split, aggregating to 45 whole
shares of common stock and 69 whole shares of convertible preferred stock were settled in cash in fiscal 2019.

Preferred Stock

The Company’s amended and restated certificate of incorporation, which became effective upon the completion of the IPO, authorizes 5,000,000

shares of preferred stock, of which no shares were issued or outstanding as of December 31, 2019.

The convertible preferred stock as of December 31, 2018 consisted of the following:

December 31, 2018

Shares
Issued
and

Shares

Authorized    

Outstanding    

Net
Carrying
Value

Aggregate
Liquidation
Preference  

1,580,387    $
    19,280,722     
4,197,138     
    51,874,893     
5,309,617     
    64,777,331     
6,492,578     
    79,209,457     
    13,956,584     
1,090,608     
    229,098,987      18,670,328    $

(in thousands, except share amounts)
4,226    $
14,054     
39,877     
79,729     
14,920     
152,806    $

4,473 
12,996 
40,000 
80,000 
15,000 
152,469

Series A
Series A-1
Series B
Series C
Series D

Preferred Stock Warrants

Upon the closing of the IPO, all of the outstanding convertible preferred stock warrants were converted into 54,903 common stock warrants, which

resulted in the reclassification of the convertible preferred stock warrant liability of $0.8 million to additional paid-in capital. In April 2019, all of these
common stock warrants were net exercised into 49,321 shares of common stock.

Common Stock Warrants

Upon the IPO, 91,446 common stock warrants held by related parties were net exercised based on the IPO price of $17.00 per share into 79,632

shares of common stock.

In February 2018, in connection with the execution of a Loan and Security Agreement with Silicon Valley Bank for a term loan and revolving line

of credit, the Company issued warrants to purchase shares of the Company’s common stock. In April 2019, all of these common stock warrants were net
exercised into 29,887 shares of common stock.

The key terms of the outstanding common stock warrants are summarized in the following table:

Related party common stock warrants
Common stock warrants issued in connection with
   the Loan and Security Agreement
Total common stock warrants

—     

—     
—     

101

Warrants
Outstanding
December 31,
2019

Warrants
Outstanding
December 31,
2018

    Exercise Price    Expiration
2.196    May 2025

 $

141,778 

34,440 
176,218 

 $

4.026    February 2028

 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
   
   
   
   
  
    
 
 
 
9. Stock-Based Compensation

Total stock-based compensation was as follows:

Cost of product revenue
Research and development
Sales and marketing
General and administrative

Total stock-based compensation

Determination of Fair Value

2019

Year Ended December 31,
2018
(in thousands)

2017

  $

  $

268    $
943     
972     
1,463     
3,646    $

67    $
235     
294     
701     
1,297    $

46 
185 
130 
604 
965

The estimated grant-date fair value of all the Company’s stock-based awards was calculated using the Black-Scholes option pricing model, based on

the following assumptions:

Expected term (in years)
Expected volatility
Risk-free interest rate
Expected dividend yield

Year Ended December 31,
2018
6.08

2019
6.08

2017
6.08
45.6%

  42.4%-42.9%     40.8%-41.9%    
2.5%-3.1%    

2.4%-2.6%    

0%

0%

1.9%-2.2%  

0%

The fair value of each stock option grant was determined by the Company using the methods and assumptions discussed below. Each of these inputs

is subjective and generally requires significant judgment and estimation by management.

Expected Term—The expected term represents the period that stock-based awards are expected to be outstanding. The Company’s historical share

option exercise information is limited due to a lack of sufficient data points, and did not provide a reasonable basis upon which to estimate an expected
term. The expected term for option grants is therefore determined using the simplified method. The simplified method deems the expected term to be the
midpoint between the vesting date and the contractual life of the stock-based awards.

Expected Volatility—Since the Company has limited trading history for its common stock due to its short trading history, the expected volatility was

estimated based on the average volatility for comparable publicly traded biotechnology companies over a period equal to the expected term of the stock
option grants. The comparable companies were chosen based on their similar size, stage in the life cycle or area of specialty.

Risk-Free Interest Rate—The risk-free interest rate is based on the U.S. Treasury yield curve in effect at the date of grant for zero-coupon U.S.

Treasury notes with maturities approximately equal to the stock-based awards’ expected term.

Expected Dividend Yield—The expected dividend yield is zero as the Company has not paid nor does it anticipate paying any dividends on its

common stock in the foreseeable future.

The Company has elected to recognize forfeitures of share-based payment awards as they occur.

2009 Equity Incentive Plan and 2019 Equity Incentive Plan

On June 17, 2009, the Company adopted the 2009 Equity Incentive Plan (the “Plan”) under which the Board may issue stock options to employees,

directors and consultants.

102

 
 
 
 
 
 
 
   
   
 
 
 
 
   
   
   
 
 
 
 
 
 
 
 
   
   
 
 
   
   
 
 
 
 
   
   
 
 
In February 2019, the Company adopted the 2019 Stock Option and Incentive Plan (the “2019 Plan”), which became effective in connection with

the IPO. As a result, effective as of March 6, 2019, the Company may not grant any additional awards under the 2009 Plan. The 2009 Plan will continue to
govern outstanding equity awards granted thereunder. The Company has initially reserved 2,000,430 shares of common stock for the issuance of a variety
of awards under the 2019 Plan, including stock options, stock appreciation rights, awards of restricted stock and awards of restricted stock units. In
addition, the number of shares of common stock reserved for issuance under the 2019 Plan will automatically increase on the first day of January for a
period of up to ten years, commencing on January 1, 2020, in an amount equal to 3% of the total number of shares of the Company’s capital stock
outstanding on the last day of the preceding year, or a lesser number of shares determined by the Company’s board of directors. 

The Board has the authority to determine to whom options will be granted, the number of shares, the term and the exercise price. If an individual

owns stock representing 10% or more of the outstanding shares, the price of each share shall be at least 110% of the fair market value, as determined by the
Board. Options granted under the Plan have a term of up to 10 years and generally vest over a 4 year period with a straight-line vesting and a 25% one year
cliff. As of December 31, 2019, the Company had reserved 1,421,674 shares of common stock for issuance under the 2019 Plan.

Stock Options

Activity under the 2009 Plan and 2019 Plan is set forth below:

Shares
Available
for Grant

Number
of Shares

Weighted-
Average
Exercise
Price Per
Share

Balance, December 31, 2016

Awards authorized
Options granted
Options exercised
Options cancelled

Balance, December 31, 2017

Awards authorized
Options granted
Options exercised
Options cancelled

Balance, December 31, 2018

Awards authorized
Options expired
Options granted
Options exercised
Options cancelled

Balance, December 31, 2019

Vested and exercisable, December 31, 2019

Vested and expected to vest, December 31, 2019

887,885 
1,352,677 
(1,974,589)   

— 
160,397 
426,370 
691,503 
(1,015,963)   

— 
290,389 
392,299 
2,000,430 
(287,600)   
(442,858)   

— 
41,973 
1,704,244 

 $

1,365,934 
— 
1,974,589 

(71,522)   
(160,397)   
3,108,604 
 $
— 
1,015,963 
(197,820)   
(290,389)   
3,636,358 
 $
— 
— 
442,858 
(722,242)   
(41,973)   
 $

3,315,001 

1,741,614 

 $

3,315,001    $

Weighted-
Average
Remaining

Term    

(in years)

Aggregate
Intrinsic
Value
    (in thousands) 
2,011 

 $

 $

8.03 

 $

3,647 

 $

7.79 

 $

11,267 

1.95 

3.42 
1.95 
2.44 
2.81 

5.25 
2.20 
3.42 
3.54 

14.69 
3.10 
3.85 
5.08 

3.31 

 $

 $

5.08    $

7.28 

6.41 

7.28 

 $

 $

 $

128,744 

70,721 

128,744

The weighted-average grant date fair value of options granted during the years ended December 31, 2019, 2018 and 2017 was $6.58, $2.56, and

$1.59 per share, respectively. The total grant date fair value of options vested was $1.9 million, $1.6 million and $0.9 million for the years ended
December 31, 2019, 2018 and 2017, respectively.

As of December 31, 2019, total unrecognized stock-based compensation related to unvested stock options was $4.6 million, which the Company

expects to recognize over a remaining weighted-average period of 2.1 years.

103

 
 
 
 
   
   
   
 
 
     
     
 
     
 
   
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
   
      
 
 
Restricted Stock Units

Restricted stock units (“RSUs”) are share awards that entitle the holder to receive freely tradable shares of the Company’s common stock upon

vesting. The RSUs cannot be transferred and the awards are subject to forfeiture if the holder’s employment terminates prior to the release of the
vesting restrictions. The RSUs generally vest over a four-year period with straight-line vesting and a 25% one year cliff or over a three year period in
equal amounts on a semi-annual basis, provided the employee remains continuously employed with the Company. The fair value of the RSUs is equal
to the closing price of the Company’s common stock on the grant date.

RSU activity under the 2019 Plan is set forth below:

Balance, December 31, 2018

RSUs granted
RSUs forfeited
RSUs vested

Balance, December 31, 2019

Weighted-
Average
Grant Date
Fair Value
Per Share

— 
38.28 
40.01 
59.79 
38.12

Number
of Shares

—    $
288,170     
(5,600)    
(1,666)    
280,904    $

The total grant date fair value of RSUs vested for the year ended December 31, 2019 was $0.1 million. There were no RSUs granted prior to 2019.

As of December 31, 2019, there was $9.5 million of unrecognized stock-based compensation expense related to RSUs to be recognized over a weighted-
average period of 3.5 years.

Employee Share Purchase Plan (ESPP)

In February 2019, the Company adopted the 2019 Employee Stock Purchase Plan (“ESPP”), which became effective as of March 6, 2019. The

Company has initially reserved 300,650 shares of common stock for purchase under the ESPP. Each offering to the employees to purchase stock under the
ESPP will begin on each September 1 and March 1 and will end on the following February 28 or 29 and August 30, respectively. The first offering period
began on September 1, 2019 and will end on February 29, 2020. On each purchase date, which falls on the last date of each offering period, ESPP
participants will purchase shares of common stock at a price per share equal to 85% of the lesser of (1) the fair market value per share of the common stock
on the offering date or (2) the fair market value of the common stock on the purchase date. The occurrence and duration of offering periods under the ESPP
are subject to the determinations of the Company’s Compensation Committee, in its sole discretion.

The fair value of the ESPP shares is estimated using the Black-Scholes option pricing model. The Company recorded $255,000 of stock-based

compensation expense related to the ESPP for the year ended December 31, 2019.

Expected term (in years)
Expected volatility
Risk-free interest rate
Expected dividend yield

104

Year Ended
December 31,
2019
0.5
76.93%
1.89%
0%

 
 
 
 
   
 
   
   
   
   
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
10. Income Taxes

The following table presents income (loss) before income taxes for the periods presented:

Domestic
Foreign

Total loss before income taxes

Current income tax provision consists of the following:

Domestic
Foreign

Total current income tax provision

The components of the deferred tax assets are as follows:

Deferred tax assets:
Net operating loss carryovers
Fixed and intangible assets
Accruals and reserves
Stock-based compensation
Research and development credits
Contributions
Lease liability

Total deferred tax assets

Less valuation allowance

Gross deferred tax assets

Deferred tax liabilities:
Right-of-use-assets

Gross deferred tax liabilities
Total net deferred tax assets

105

2019

December 31,
2018
(in thousands)

2017

  $

  $

(51,179)   $
132     
(51,047)   $

(41,145)   $
81     
(41,064)   $

(30,654)
65 
(30,589)

2019

December 31,
2018
(in thousands)

2017

  $

  $

—    $
62     
62    $

3    $
35     
38    $

1 
25 
26

December 31,

2019

2018

(in thousands)

  $

49,862    $
450   
1,619   
780   
2,336   
20   
2,135   
57,202   
(55,085)  
2,117   

(2,117)  
(2,117)  

  $

—    $

28,834 
837 
761 
132 
1,716 
14 
— 
32,294 
(32,294)
— 

— 
— 
—

 
 
 
 
 
 
 
   
   
 
 
 
 
   
 
 
 
 
 
 
 
   
   
 
 
 
 
   
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
    
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
    
 
  
 
 
 
 
 
 
 
 
Reconciliation of the statutory federal income tax to the Company’s effective tax is as follows:

Income tax benefit at federal statutory rate
State and local income taxes net of federal tax benefit
Foreign tax rate differential
Change in valuation allowance
Stock-based compensation
R&D tax credits
Other
Federal rate change (pursuant to the Tax Cuts and
   Jobs Act of 2017)

Total current income tax provision

2019

December 31,
2018
(in thousands)

2017

  $

(10,720)   $
(9)    
35     
14,470     
(3,403)    
(354)    
43     

  $

—     
62    $

(8,624)   $
3     
11     
8,497     
123     
(313)    
341     

—     
38    $

(10,404)
1 
(3)
(522)
309 
(222)
109 

10,758 
26

Due to the uncertainties surrounding the realization of deferred assets through future taxable income, the Company has provided a full valuation

allowance and, therefore, no benefit has been recognized for the net operating loss and other deferred tax assets. The valuation allowance increased by
$22.8 million, $10.0 million and $0.6 million during the years ended December 31, 2019, 2018 and 2017, respectively.

As of December 31, 2019, the Company had net operating loss carryforwards available to reduce future federal, California and other state income

of $180.3 million, $40.4 million and $153.5 million, respectively. The federal net operating loss carryforwards of $80.7 million and $99.6 million begin
expiring in 2030 and never expire respectively, the California net operating loss carryforwards begin expiring in 2031 and other state net operating loss
carryforwards begin expiring in various years, starting in 2029.

As of December 31, 2019, the Company had research and development credit carryforwards of $2.8 million for federal income tax purposes and

$2.4 million for California state income tax purposes available to reduce future taxable income, if any. The federal research and development credit
carryforwards expire beginning 2032 and California credits can be carried forward indefinitely.

Utilization of the net operating loss carryforward may be subject to an annual limitation due to the ownership change provided by the Internal

Revenue Code of 1986, as amended, and similar state provisions. The annual limitation may result in the expiration of the net operating loss before
utilization.

Legislation enacted in 2017, informally known as the Tax Cuts and Jobs Act (“TCJA”), reduces the top U.S. federal corporate tax rate from 35% to

21%, requires companies to pay a one-time transition tax on earnings of certain foreign subsidiaries that were previously tax deferred, changes the rules
related to uses and limitations of net operating loss carryforwards created in tax years beginning after December 31, 2017, allows for immediate expensing
of fixed asset additions beginning after September 27, 2017, and creates new taxes on certain foreign sourced earnings. In 2017, the Company was not
subject to a one-time transition tax as no foreign accumulated earnings and profits existed. As a result of the signing of the TCJA, the Company recorded a
$10.1 million reduction as of December 31, 2017, due to remeasurement of its deferred tax assets along with a corresponding reduction of its valuation
allowance.

Subsequent to the enactment of the TCJA, the SEC staff issued Staff Accounting Bulletin No. 118 (“SAB 118”), which allowed companies to
record provisional amounts related to the effects of the TCJA during a measurement period not to extend beyond one year of the enactment date. The
accounting for the tax effects of the TCJA has been completed as of December 31, 2018 and was not material to income tax expense for the year then
ended.

The Company has adopted the approach of recording the consequences of the global intangible low-taxed income (“GILTI”) provisions of the TCJA

as period costs when incurred effective for periods beginning after December 31, 2017.

106

 
 
 
 
 
 
 
   
   
 
 
 
 
   
   
   
   
   
   
   
 
 
Uncertain Tax Positions

The activity related to the gross amount of unrecognized tax benefits is as follows:

Beginning balance
Additions based on tax positions related to prior years
Additions based on tax positions related to current years
Balance at end of year

2019

December 31,
2018
(in thousands)

2017

  $

  $

1,896    $
—     
690     
2,586    $

893    $
394     
609     
1,896    $

688 
— 
205 
893

If recognized, gross unrecognized tax benefits would not have an impact on the Company’s effective tax rate due to the Company’s full valuation
allowance position. While it is often difficult to predict the final outcome of any particular uncertain tax position, the Company does not believe that the
amount of gross unrecognized tax benefits will change significantly in the next twelve months. The Company is subject to taxation in the United States and
in Germany. The Company files federal, California, and various other state income tax returns. The Company is not currently under examination by any
income tax authorities. The federal and California statute of limitations remains open for three and four years, respectively, from the date of utilization of
any net operating loss or credits.

It is the Company’s policy to include penalties and interest expense related to income taxes as a component of the income tax provision as

necessary. The Company determined that no accrual for interest and penalties was required as of December 31, 2019.

11. Net Loss Per Share

The following outstanding potentially dilutive common stock equivalents have been excluded from the calculation of diluted net loss per share for

the period presented due to their anti-dilutive effect:

Convertible preferred stock on an as-converted basis
Common stock options issued and outstanding
Restricted stock units
Early exercised options subject to future vesting
Convertible preferred stock warrants
Common stock warrants

Total

2019

December 31,
2018
(in thousands)

2017

—     
3,315,001     
280,904     
—     
—     
—     
3,595,905     

18,670,328     
3,636,358     
—     
13,422     
54,903     
176,218     
22,551,229     

17,510,045 
3,108,604 
— 
11,603 
183,162 
141,778 
20,955,192

12. Segment and Geographic Information

The following table represents the Company’s product revenue based on the location to which the product is shipped:

United States
Germany
Rest of Europe
All other countries

Product revenue

2019

Year Ended December 31,
2018
(in thousands)

2017

  $

  $

22,699    $
3,402     
14,097     
2,729     
42,927    $

7,022    $
1,393     
3,516     
332     
12,263    $

969 
597 
143 
10 
1,719

As of December 31, 2019, the Company’s long-lived assets are all held in the United States.

107

 
 
 
 
 
 
 
   
   
 
 
 
 
   
   
 
 
 
 
 
 
 
 
   
   
 
 
 
 
   
   
   
   
   
   
   
 
 
 
 
 
 
 
 
   
   
 
 
 
 
   
   
   
 
 
 
13. Subsequent Events

In February 2020, the Company entered into a First Amendment to its Loan and Security Agreement (the “Amended Credit Facility”) to refinance
its existing term loan. Under the Amended Credit Facility, the existing revolving line of credit of $2.0 million was terminated and the $20,000 termination
fee was waived. The Amended Credit Facility provides the Company with a supplemental term loan in the amount of $16.5 million. The Company used
$13.2 million of the proceeds from the supplemental term loan to repay in full all amounts due under the existing term loan and to pay related expenses.
The principal amount outstanding under the supplemental term loan accrues interest at a floating per annum rate equal to the greater of the Prime Rate
minus 1.25% and 3.5%. The supplemental term loan matures on December 1, 2023. The Amended Credit Facility provides an interest-only payments
period through either (a) June 30, 2021, if the Company does not achieve a certain financial performance target on or before June 30, 2021 (“Performance
Milestone One”), or (b) December 31, 2021, if the Company achieves Performance Milestone One but does not achieve both of a certain regulatory
milestone and a certain financial performance target on or before December 31, 2021 (“Performance Milestone Two”) or (c) until June 30, 2022, if the
Company achieves both Performance Milestones. The additional final payment for the Amended Credit Facility is $1.6 million.

108

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

None.

Item 9A. Controls and Procedures.

Evaluation of disclosure controls and procedures.

Our management, with the participation and supervision of our Chief Executive Officer and our Chief Financial Officer, have evaluated our
disclosure controls and procedures (as defined in Rules 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934, as amended, or the Exchange
Act) as of the end of the period covered by this Annual Report on Form 10-K. Based on that evaluation, our Chief Executive Officer and Chief Financial
Officer have concluded that, as of the end of the period covered by this Annual Report on Form 10-K, our disclosure controls and procedures are effective
to provide reasonable assurance that information we are required to disclose in reports that we file or submit under the Exchange Act is recorded,
processed, summarized, and reported within the time periods specified in SEC rules and forms, and that such information is accumulated and
communicated to our management, including our Chief Executive Officer and Chief Financial Officer, as appropriate, to allow timely decisions regarding
required disclosure.

Changes in internal control over financial reporting.

There was no change in our internal control over financial reporting identified in connection with the evaluation required by Rule 13a-15(d) and

15d-15(d) of the Exchange Act that occurred during the period covered by this Annual Report on Form 10-K that has materially affected, or is reasonably
likely to materially affect, our internal control over financial reporting.

Inherent limitation on the effectiveness of internal control.

Our management, including our Chief Executive Officer and Chief Financial Officer, does not expect that our disclosure controls or our internal

control over financial reporting will prevent all errors and all fraud. A control system, no matter how well designed and operated, can provide only
reasonable, not absolute, assurance that the objectives of the control system are met. Further, the design of a control system must reflect the fact that there
are resource constraints, and the benefits of controls must be considered relative to their costs. Because of the inherent limitations in all control systems, no
evaluation of controls can provide absolute assurance that all control issues and instances of fraud, if any, have been detected. These inherent limitations
include the realities that judgments in decision-making can be faulty, and that breakdowns can occur because of a simple error or mistake. Additionally,
controls can be circumvented by the individual acts of some persons, by collusion of two or more people or by management override of the controls. The
design of any system of controls is also based in part upon certain assumptions about the likelihood of future events, and there can be no assurance that any
design will succeed in achieving its stated goals under all potential future conditions; over time, controls may become inadequate because of changes in
conditions, or the degree of compliance with policies or procedures may deteriorate. Because of the inherent limitations in a cost-effective control system,
misstatements due to error or fraud may occur and not be detected.

Management’s Report on Internal Control over Financial Reporting

The Annual Report on Form 10-K does not include a report of management’s assessment regarding internal control over financial reporting or an

attestation report of our independent registered public accounting firm due to a transition period established by the rules of the SEC for newly public
companies.

Limitations on Effectiveness of Controls and Procedures

In designing and evaluating the disclosure controls and procedures, management recognizes that any controls and procedures, no matter how well

designed and operated, can provide only reasonable assurance of achieving the desired control objectives. In addition, the design of disclosure controls and
procedures must reflect the fact that there are resource constraints and that management is required to apply judgment in evaluating the benefits of possible
controls and procedures relative to their costs.

Attestation Report of Registered Public Accounting Firm

This Annual Report on Form 10-K does not include an attestation report of our registered public accounting firm regarding internal control over

financial reporting due to an exemption established by the JOBS Act for “emerging growth companies.”

Item 9B. Other Information.

None.

109

 
 
Item 10. Directors, Executive Officers and Corporate Governance.

PART III

The information required by this item is incorporated by reference from our definitive Proxy Statement to be filed with the SEC in connection with

our 2020 Annual Meeting of Stockholders within 120 days after the end of the fiscal year ended December 31, 2019 (the “Proxy Statement”).

Item 11. Executive Compensation.

The information required by this item will be included in the Proxy Statement and is incorporated herein by reference.

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

The information required by this item will be included in the Proxy Statement and is incorporated herein by reference.

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

The information required by this item will be included in the Proxy Statement and is incorporated herein by reference.

Item 14. Principal Accounting Fees and Services.

The information required by this item will be included in the Proxy Statement and is incorporated herein by reference.

110

 
 
Item 15. Exhibits, Financial Statement Schedules.

We have filed the following documents as part of this Annual Report on Form 10-K:

PART IV

1. Financial Statements: The financial statements included in “Index to Consolidated Financial Statements” in Part II, Item 8 are filed as part of this
Annual Report on Form 10-K

2. Exhibits: The exhibits listed in the accompanying index to exhibits are filed or incorporated by reference as part of this Annual Report on Form
10-K.

Item 16. Form 10-K Summary

None.

Exhibit Index

Exhibit
Number
3.1

3.2

4.1

4.2

4.3*

10.1

10.2*

10.3†

Restated Certificate of Incorporation

Description

Amended and Restated Bylaws

Specimen Common Stock Certificate

Amended and Restated Investors’ Rights Agreement, between the Registrant
and the investors listed on Exhibit A thereto

Description of Securities Registered Pursuant to Section 12 of the Securities
Exchange Act of 1934

Sublease Agreement by and between the Registrant and Benvenue Medical, Inc.
for facilities at 5403 Betsy Ross Drive, Santa Clara, California, dated May 7,
2018

Lease Agreement by and between the Registrant and Betsy Ross Property, LLC
for facilities at 5403 and 5353 Betsy Ross Drive, Santa Clara, California, dated
December 13, 2019

2009 Equity Incentive Plan, and forms of Stock Option Agreement and Early
Exercise Stock Option Agreement

Incorporation by Reference

Form  
8-K

File No.
001-38829

8-K

S-1

S-1

001-38829

333-229590

333-229590

  Exhibit(s)

3.3

3.4

4.1

4.2

S-1

333-229590

10.1

S-1

333-229590

10.4†

2019 Equity Incentive Plan and form of Stock Option Agreement

S-1/A

333-229590

10.5†

Form of Restricted Stock Unit Agreement

10-Q

001-38829

10.6†

Employee Stock Purchase Plan

10.7†

Form of Indemnification Agreement by and between the Registrant and each of
its directors and executive officers

10.8†

Offer Letter with Douglas Godshall

S-1/A

333-229590

S-1

S-1

333-229590

333-229590

10.9†

Separation Pay Agreement with Douglas Godshall

10-Q

001-38829

10.10†

Offer Letter with Dan Puckett

10.11†

Offer Letter with Isaac Zacharias

S-1

S-1

333-229590

333-229590

111

Filing Date
March 12,
2019

March 12,
2019

February 8,
2019

February 8,
2019

February 8,
2019

February 8,
2019

February
25, 2019

August 6,
2019

February
25, 2019

February 8,
2019

February 8,
2019

November
8, 2019

February 8,
2019

February 8,
2019

10.3

10.4

10.1

10.5

10.6

10.7

10.1

10.8

10.9

 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
November
8, 2019

February
25, 2019

February 8,
2019

10.12†

Form of Separation Pay Agreement for Executive Officers (other than CEO)

10-Q

001-38829

10.2

  S-1/A  

333-229590

S-1

333-229590

10.11

10.10

10.13† 

Non-Employee Director Compensation Policy

10.14

Loan and Security Agreement by and between the Registrant and Silicon Valley
Bank, dated February 26, 2018

10.15*

  First Amendment to Loan and Security Agreement

21.1*

23.1*

24.1*

31.1*

31.2*

32.1*

32.2*

  Subsidiaries of the Registrant

  Consent of Ernst & Young LLP

  Power of Attorney (included on signature page)

Certification of Principal Executive Officer required under Rule 13a-14(a) and
15d-14(a) of the Securities Exchange Act of 1934, as amended.

Certification of Principal Financial Officer required under Rule 13a-14(a) and
15d-14(a) of the Securities Exchange Act of 1934, as amended.

Certification of Principal Executive Officer required under Rule 13a-14(b) of
the Securities Exchange Act of 1934, as amended, and 18 U.S.C. §1350.

Certification of Principal Financial Officer required under Rule 13a-14(b) of the
Securities Exchange Act of 1934, as amended, and 18 U.S.C. §1350.

101.INS   XBRL Instance Document

101.SCH   XBRL Taxonomy Extension Schema Document

101.CAL   XBRL Taxonomy Extension Calculation Linkbase Document

101.DEF   XBRL Taxonomy Extension Definition Linkbase Document

101.LAB   XBRL Taxonomy Extension Label Linkbase Document

101.PRE   XBRL Taxonomy Extension Presentation Linkbase Document

* Filed herewith

† Indicates a management contract or compensatory plan or arrangement.

112

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

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

SIGNATURES

  ShockWave Medical, Inc.

Date: March 12, 2020

  By:  

/s/ Douglas Godshall
Douglas Godshall
President, Chief Executive Officer & Director
(principal executive officer)

POWER OF ATTORNEY AND SIGNATURES

KNOW ALL MEN BY THESE PRESENTS, that each person whose signature appears below constitutes and appoints Douglas Godshall and Dan
Puckett, and each of them, his or her true and lawful attorneys-in-fact and agents, with full power of substitution and resubstitution, for him or her and in
his or her name, place and stead, in any and all capacities, to sign any and all amendments to this Annual Report on Form 10-K, and to file the same, with
all exhibits thereto, and all other documents in connection therewith, with the Securities and Exchange Commission, granting unto each said attorney-in-
fact and agents full power and authority to do and perform each and every act in person, hereby ratifying and confirming all that said attorneys-in-
fact and agents or either of them 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 Act of 1934, this registration statement has been signed by the following persons in the capacities and

on the dates indicated.

Name

Title

Date

/s/ Douglas Godshall
Douglas Godshall

  President, Chief Executive Officer & Director
  (principal executive officer)

/s/ Dan Puckett
Dan Puckett

  Chief Financial Officer
  (principal financial and accounting officer)

  March 12, 2020

  March 12, 2020

/s/ C. Raymond Larkin, Jr.
C. Raymond Larkin, Jr.

/s/ F.T. “Jay” Watkins
F.T. Watkins

/s/ Antoine Papiernik
Antoine Papiernik

/s/ Colin Cahill
Colin Cahill

/s/ Frederic Moll, M.D.
Frederic Moll

/s/ Laura Francis
Laura Francis

  Chairman & Director

  March 12, 2020

  Director

  Director

  Director

  Director

  Director

113

  March 12, 2020

  March 12, 2020

  March 12, 2020

  March 12, 2020

  March 12, 2020

 
 
 
 
   
   
 
   
 
 
   
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
   
 
 
 
 
 
   
   
 
 
 
 
 
   
   
 
 
 
 
 
   
   
 
 
 
 
 
   
   
 
 
 
 
 
   
   
 
 
 
 
 
   
   
 
 
 
 
 
 
 
DESCRIPTION OF CAPITAL STOCK

Exhibit 4.3

The following descriptions are summaries of the material terms of our restated certificate of incorporation, amended and restated bylaws, the

amended and restated investors’ rights agreement to which we and certain of our stockholders are parties and of the Delaware General Corporation Law.
Because the following is only a summary, it does not contain all of the information that may be important to you. For a complete description, you should
refer to our restated certificate of incorporation, amended and restated bylaws and amended and restated investors’ rights agreement, copies of which are
incorporated herein by reference.

General

Our authorized capital stock consists of 281,274,838 shares of common stock, par value $0.001 per share, and 5,000,000 shares of undesignated

preferred stock, par value $0.001 per share.

Common Stock

Common stock. As of December 31, 2019, there were 31,444,844 shares of our common stock issued and outstanding, held by 38 stockholders of

record, and no shares of preferred stock issued or outstanding. All outstanding shares of common stock are fully paid and non-assessable.

Voting rights. The holders of common stock are entitled to one vote per share on all matters to be voted upon by the stockholders.

Dividend rights. Subject to preferences that may be applicable to any outstanding preferred stock, the holders of common stock are entitled to

receive ratably such dividends, if any, as may be declared from time to time by our board of directors, out of funds legally available therefor.

Rights upon liquidation. In the event of liquidation, dissolution or winding up of the company, the holders of common stock are entitled to share

ratably in all assets remaining after payment of liabilities, subject to prior distribution rights of preferred stock, if any, then outstanding.

Other rights. The holders of our common stock have no preemptive or conversion rights or other subscription rights. There are no redemption or

sinking fund provisions applicable to the common stock.

Preferred Stock

As of December 31, 2019, no shares of preferred stock are outstanding. Under our restated certificate of incorporation, our board of directors has

the authority to issue undesignated preferred stock in one or more series and to fix the rights, preferences, privileges and restrictions thereof, including
dividend rights, dividend rates, conversion rights, voting rights, terms of redemption, redemption prices, liquidation preferences and the number of shares
constituting any series or the designation of such series, without further vote or action by the stockholders.

The issuance of preferred stock may have the effect of delaying, deferring or preventing a change in control of the company without further action

by the stockholders and may adversely affect the voting and other rights of the holders of common stock. At present, we have no plans to issue any of the
preferred stock following consummation of this offering.

Common Stock Options

As of December 31, 2019, we had outstanding options to purchase an aggregate of 3,315,001 shares of our common stock, with a weighted-

average exercise price of $5.08 per share, under our 2009 Plan and 2019 Plan.

 
 
Restricted Stock Units

As of December 31, 2019, we had outstanding RSUs that may be settled for an aggregate of 280,904 shares of our common stock granted pursuant

to our 2019 Plan.

Registration Rights

Certain holders of our common stock are entitled to rights with respect to the registration of their shares under the Securities Act of 1933, as

amended (the “Securities Act”) pursuant to our Investors’ Rights Agreement as described in additional detail below (“registrable securities”). In an
underwritten offering, the managing underwriter, if any, has the right, subject to specified conditions, to limit the number of shares such holders may
include.

Demand Registration Rights

The holders of approximately 4,304,997 shares of our common stock as of December 31, 2019 are entitled to certain demand registration rights.
The holders of at least 40% of the registrable securities have the right to require us, on not more than two occasions, to file a registration statement under
the Securities Act in order to register the resale of their shares of common stock, provided that such registration of shares would result in aggregate
proceeds (after deducting the estimated underwriting discounts and commissions) of at least $10.0 million. We may, in certain circumstances, defer such
registrations and the underwriters have the right, subject to certain limitations, to limit the number of shares included in such registrations.

Piggyback Registration Rights

If we propose to register the offer and sale of any of our securities under the Securities Act, in connection with the public offering of such

securities the holders of approximately 4,304,997 shares of our common stock as of December 31, 2019 are entitled to certain “piggyback” registration
rights, allowing the holders to include their shares in such registration, subject to certain limitations. If our proposed registration involves an underwriting,
the managing underwriter of such offering will have the right to limit the number of shares to be underwritten for reasons related to the marketing of the
shares.

S-3 Registration Rights

We are required to use commercially reasonable efforts to qualify for registration on Form S-3. After we are qualified for registration on Form S-
3, the holders of approximately 4,304,997 shares of our common stock as of December 31, 2019 may make a written request that we register the offer and
sale of their shares on Form S-3, provided that such registration of shares would result in an aggregate price to the public of not less than $2,000,000 and
we have not effected two such registrations in the last 12 months. We may, in certain circumstances, defer such registrations and the underwriters have the
right, subject to certain limitations, to limit the number of shares included in such registrations.

Expenses

Subject to specified conditions and limitations, we are required to pay all expenses, other than underwriting discounts and commissions and stock

transfer taxes, incurred in connection with any exercise of these registration rights.

Indemnification

Our Investors’ Rights Agreement contains customary cross-indemnification provisions, pursuant to which we are obligated to indemnify the

selling holders of registrable securities in the event of either material misstatements or omissions in the applicable registration statement attributable to us
or our violation of the Securities Act, and the selling stockholders are obligated to indemnify us for material misstatements or omissions in the registration
statement attributable to them, subject to certain limitations.

2

 
 
Termination

The registration rights terminate upon the earliest of: (i) such date on which all shares of registrable securities may be sold during any 90 day

period pursuant to Rule 144 of the Securities Act, (ii) the fifth anniversary of the completion of our initial public offering, (iii) the occurrence of a deemed
liquidation event or (iv) the date that no registrable securities remain outstanding that have not previously been sold to the public pursuant to a registration
or in reliance on Rule 144 of the Securities Act.

Anti-Takeover Effects of our Certificate of Incorporation and our Bylaws

Election and Removal of Directors

Our board of directors consists of seven directors. The exact number of directors will be fixed from time to time by resolution of the board. No
director may be removed except for cause, and directors may be removed for cause by an affirmative vote of shares representing a majority of the shares
then entitled to vote at an election of directors. Any vacancy occurring on the board of directors and any newly created directorship may be filled only by a
majority of the remaining directors in office.

Staggered Board

Our board of directors is divided into three classes serving staggered three-year terms. Class I, Class II and Class III directors will serve until our

annual meetings of stockholders in 2020, 2021 and 2022, respectively. At each annual meeting of stockholders, directors will be elected to succeed the
class of directors whose terms have expired. This classification of our board of directors could have the effect of increasing the length of time necessary to
change the composition of a majority of the board of directors. In general, at least two annual meetings of stockholders will be necessary for stockholders
to effect a change in a majority of the members of the board of directors.

Limits on Written Consents

Our restated certificate of incorporation and our amended and restated bylaws provide that holders of our common stock will not be able to act by

written consent without a meeting, unless such consent is unanimous.

Stockholder Meetings

Our restated certificate of incorporation and our amended and restated bylaws provide that special meetings of our stockholders may be called
only by the chairman of our board of directors or a majority of the directors. Our restated certificate of incorporation and bylaws specifically deny any
power of any other person to call a special meeting.

Amendment of Certificate of Incorporation

The provisions of our restated certificate of incorporation described under “Election and Removal of Directors,” “Stockholder Meetings” and
“Limits on Written Consents” may be amended only by the affirmative vote of holders of at least 75% of the voting power of our outstanding shares of
voting stock, voting together as a single class. The affirmative vote of holders of at least a majority of the voting power of our outstanding shares of stock
are generally required to amend other provisions of our restated certificate of incorporation.

3

 
Amendment of Bylaws

Our amended and restated bylaws may generally be altered, amended or repealed, and new bylaws may be adopted, with:

•

the affirmative vote of a majority of directors present at any regular or special meeting of the board of directors called for that
purpose, provided that any alteration, amendment or repeal of, or adoption of any bylaw inconsistent with, specified provisions of the
bylaws, including those related to special and annual meetings of stockholders, action of stockholders by written consent,
classification of the board of directors, nomination of directors, special meetings of directors, removal of directors, committees of the
board of directors and indemnification of directors and officers, requires the affirmative vote of at least 75% of all directors in office
at a meeting called for that purpose; or

•

the affirmative vote of holders of 75% of the voting power of our outstanding shares of voting stock, voting together as a single class.

Other Limitations on Stockholder Actions

Our amended and restated bylaws also impose some procedural requirements on stockholders who wish to:

•

•

•

•

make nominations in the election of directors;

propose that a director be removed;

propose any repeal or change in our bylaws; or

propose any other business to be brought before an annual or special meeting of stockholders.

Under these procedural requirements, in order to bring a proposal before a meeting of stockholders, a stockholder must deliver timely notice of a

proposal pertaining to a proper subject for presentation at the meeting to our corporate secretary along with the following:

•

•

•

•

•

a description of the business or nomination to be brought before the meeting and the reasons for conducting such business at the
meeting;

the stockholder’s name and address;

any material interest of the stockholder in the proposal;

the number of shares beneficially owned by the stockholder and evidence of such ownership; and

the names and addresses of all persons with whom the stockholder is acting in concert and a description of all arrangements and
understandings with those persons, and the number of shares such persons beneficially own.

To be timely, a stockholder must generally deliver notice:

•

in connection with an annual meeting of stockholders, not less than 120 nor more than 180 days prior to the date on which the annual
meeting of stockholders was held in the immediately preceding year, but in the event that the date of the annual meeting is more than
30 days before or more than 60 days after the anniversary date of the preceding annual meeting of stockholders, a stockholder notice
will be timely if received by us not later than the close of business on the later of (1) the 120th day prior to the annual meeting and (2)
the 10th day following the day on which we first publicly announce the date of the annual meeting; or

4

 
 
 
 
 
 
 
 
 
 
 
 
 
 
•

in connection with the election of a director at a special meeting of stockholders, not less than 40 nor more than 60 days prior to the
date of the special meeting, but in the event that less than 55 days’ notice or prior public disclosure of the date of the special meeting
of the stockholders is given or made to the stockholders, a stockholder notice will be timely if received by us not later than the close
of business on the 10th day following the day on which a notice of the date of the special meeting was mailed to the stockholders or
the public disclosure of that date was made.

In order to submit a nomination for our board of directors, a stockholder must also submit any information with respect to the nominee that we

would be required to include in a proxy statement, as well as some other information. If a stockholder fails to follow the required procedures, the
stockholder’s proposal or nominee will be ineligible and will not be voted on by our stockholders.

Limitation of Liability of Directors and Officers

Our restated certificate of incorporation provides that we may indemnify our directors and officers, in each case to the fullest extent permitted by

Delaware law.

Forum Selection

The Court of Chancery of the State of Delaware is the sole and exclusive forum for (i) any derivative action or proceeding brought on behalf of the

company, (ii) any action asserting a claim of breach of fiduciary duty owed by any director, officer or other employee of the company to the company or
the company’s stockholders, (iii) any action asserting a claim arising pursuant to any provision of the Delaware General Corporation Law or (iv) any action
asserting a claim governed by the internal affairs doctrine. Any person or entity purchasing or otherwise acquiring any interest in shares of capital stock of
the company shall be deemed to have notice of and consented to the foregoing forum selection provisions. The provision would not apply to suits brought
to enforce a duty or liability created by the Securities Act and the Securities Exchange Act of 1934, as amended. In addition, our amended and restated
bylaws provides that unless we consent in writing to the selection of an alternative forum, the federal district courts of the United States shall be the
exclusive forum for the resolution of any complaint asserting a cause of action arising under the Securities Act.

Delaware Business Combination Statute

We have elected to be subject to Section 203 of the Delaware General Corporation Law, which regulates corporate acquisitions. Section 203

prevents an “interested stockholder,” which is defined generally as a person owning 15% or more of a corporation’s voting stock, or any affiliate or
associate of that person, from engaging in a broad range of “business combinations” with the corporation for three years after becoming an interested
stockholder unless:

•

•

•

the board of directors of the corporation had previously approved either the business combination or the transaction that resulted in
the stockholder’s becoming an interested stockholder;

upon completion of the transaction that resulted in the stockholder’s becoming an interested stockholder, that person owned at least
85% of the voting stock of the corporation outstanding at the time the transaction commenced, other than statutorily excluded shares;
o

following the transaction in which that person became an interested stockholder, the business combination is approved by the board of
directors of the corporation and holders of at least two-thirds of the outstanding voting stock not owned by the interested stockholder.

5

 
 
 
 
 
Under Section 203, the restrictions described above also do not apply to specific business combinations proposed by an interested stockholder

following the announcement or notification of designated extraordinary transactions involving the corporation and a person who had not been an interested
stockholder during the previous three years or who became an interested stockholder with the approval of a majority of the corporation’s directors, if such
extraordinary transaction is approved or not opposed by a majority of the directors who were directors prior to any person becoming an interested
stockholder during the previous three years or were recommended for election or elected to succeed such directors by a majority of such directors.

Section 203 may make it more difficult for a person who would be an interested stockholder to effect various business combinations with a

corporation for a three-year period. Section 203 also may have the effect of preventing changes in our management and could make it more difficult to
accomplish transactions that our stockholders may otherwise deem to be in their best interests.

Anti-Takeover Effects of Some Provisions

Some provisions of our restated certificate of incorporation and bylaws could make the following more difficult:

•

•

acquisition of control of us by means of a proxy contest or otherwise, or

removal of our incumbent officers and directors.

These provisions, as well as our ability to issue preferred stock, are designed to discourage coercive takeover practices and inadequate takeover

bids. These provisions are also designed to encourage persons seeking to acquire control of us to first negotiate with our board of directors. We believe that
the benefits of increased protection give us the potential ability to negotiate with the proponent of an unfriendly or unsolicited proposal to acquire or
restructure us, and that the benefits of this increased protection outweigh the disadvantages of discouraging those proposals, because negotiation of those
proposals could result in an improvement of their terms.

Listing

Our common stock is listed on the Nasdaq Global Select Market under the symbol “SWAV.”

Transfer Agent and Registrar

The transfer agent and registrar for the common stock is Computershare Trust Company, N.A. The transfer agent and registrar’s address is 250

Royall St., Canton, Massachusetts 02021.

6

 
 
 
 
 
 
Exhibit 10.2

Execution Version

OFFICE LEASE (NET)

BETWEEN

BETSY ROSS PROPERTY, LLC,

a Delaware limited liability company,

AS LANDLORD,

AND

SHOCKWAVE MEDICAL, INC.,

a Delaware corporation,

AS TENANT,

FOR

GREAT AMERICA TECH CENTER

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
TABLE OF CONTENTS

ARTICLE 1 LEASE OF PREMISES

ARTICLE 2 DEFINITIONS

ARTICLE 3 PREMISES AND DELIVERY OF POSSESSION

ARTICLE 4 RENT

ARTICLE 5 OPTION TO EXTEND THE LEASE TERM

ARTICLE 6 USE

ARTICLE 7 HAZARDOUS MATERIALS

ARTICLE 8 SERVICES AND UTILITIES

ARTICLE 9 CONDITION OF THE PREMISES

ARTICLE 10 REPAIRS AND MAINTENANCE

ARTICLE 11 ALTERATIONS AND ADDITIONS

ARTICLE 12 CERTAIN RIGHTS RESERVED BY LANDLORD

ARTICLE 13 RULES AND REGULATIONS

ARTICLE 14 TRANSFERS

ARTICLE 15 DESTRUCTION OR DAMAGE

ARTICLE 16 EMINENT DOMAIN

ARTICLE 17 INDEMNIFICATION, WAIVER, RELEASE AND LIMITATION OF LIABILITY

ARTICLE 18 INSURANCE

ARTICLE 19 DEFAULT

ARTICLE 20 LANDLORD REMEDIES AND DAMAGES

ARTICLE 21 BANKRUPTCY

ARTICLE 22 INTENTIONALLY OMITTED

ARTICLE 23 HOLDING OVER

ARTICLE 24 SURRENDER OF PREMISES

ARTICLE 25 BROKERAGE FEES

ARTICLE 26 NOTICES

ARTICLE 27 INTENTIONALLY OMITTED

ARTICLE 28 SIGNAGE

ARTICLE 29 LENDER PROVISIONS

ARTICLE 30 MISCELLANEOUS

i

Page
1

1

8

8

10

12

14

15

17

18

20

23

24

24

28

29

30

30

32

33

35

36

36

37

37

37

38

38

39

41

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
SUMMARY OF BASIC LEASE INFORMATION

This Summary of Basic Lease Information (the “Lease Summary”) is hereby incorporated into and made a part of the attached
Office  Lease  (Net)  (this  Lease  Summary  and  the  Office  Lease  (Net)  to  be  known  collectively  as  the  “Lease”).  In  the  event  of  a  conflict
between the terms of this Lease Summary and the Office Lease (Net), the terms of the Office Lease (Net) shall prevail. Any capitalized terms
used herein and not otherwise defined herein shall have the meaning as set forth in the Office Lease (Net).

1. Date:

  December 13, 2019.

2.

Landlord:

  BETSY ROSS PROPERTY, LLC, a Delaware limited liability company

3. Address of Landlord:

  c/o Alhouse Deaton

  230 South California Avenue, Suite 212
  Palo Alto, CA 94306
  Attention: Mya Smith
  Phone: 650-857-1793
  Email: myasmith@alhousedeaton.com

4.

Tenant:

  SHOCKWAVE MEDICAL, INC., a Delaware corporation

5. Address of Tenant:

  5403 Betsy Ross Drive,
  Santa Clara, California 95054
  Attention: General Counsel
  Email: legal@shockwavemedical.com

6. Guarantor(s):

  None.

7.

Phase 1:

8.

Phase 2:

9.

Premises:

10. Property:

  The building located at 5353 Betsy Ross Drive, Santa Clara,  California,  as  shown  on
Exhibit B-1 (the “5353 Building”) comprised of Fifty Thousand Two Hundred (50,200)
rentable square  feet. The 5353 Building includes two floors (each, a  “Floor”):  (a)  the
first  (1st)  floor  is  comprised  of  Twenty-Four  Thousand  One  Hundred  Thirty-Five
(24,135)  rentable  square  feet  (the  “5353  First  Floor”);  and  the  second  (2nd)  floor  is
comprised of Twenty-Six Thousand Sixty-Five (26,065) rentable  square  feet (the “5353
Second Floor”).

  The building  located  at  5403 Betsy  Ross  Drive,  Santa  Clara,  California,  as  shown  on
Exhibit B-2 (the “5403 Building”, collectively with the 5353 Building, the “Buildings”
and  each,  a  “Building”)  and  which  the  parties  agree  contains  thirty-five  thousand
(35,000)  rentable  square  feet  subject  to  remeasurement  set  forth  in  Section  2.31.3.
Notwithstanding  the  foregoing,  until  the Phase  2  Commencement  Date,  all  references
to the “Building” or “Buildings” shall mean solely the 5353 Building.

  Until the Phase 2 Commencement Date, the Premises shall mean Phase 1. From and after
the  Phase  2  Commencement  Date,  the  Premises  shall  mean  collectively  Phase  1  and
Phase 2.

  The Buildings are located on the real property described on Exhibit C (the “Property”).
The Buildings are part of the three (3) building project known as “Great America Tech
Center”  (the  “Project”)  The  parties  agree  that  the  Project  contains  120,200
rentable square feet as of the date hereof.

Lease Summary Page 1

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
11. Term:

(a)  Initial Lease Term:

  Approximately  ninety-six 
Commencement Date.

(96)  complete  calendar  months 

from  Phase  1

(b)    Phase1  Commencement
Date:

  December 13, 2019

(c)    Phase2  Commencement
Date:

  September  1,  2022 (except as provided in Section 30.35 below  in  the event  of

certain terminations of the Sublease).

(d)  Expiration Date:

  December 12, 2027

(e)  Option Term:

  One (1) term of sixty (60) months

(f)  Option Term Notice Period   No  earlier  than twenty-seven (27)  months  nor  later  than  eighteen  (18)  months

prior to the Expiration Date.

12. Base Rent:

Rent Period
12/13/19 - 8/31/20
9/1/20 – 8/31/21
9/1/21 – 8/31/22
9/1/22 – 8/31/23
9/1/23 – 8/31/24
9/1/24 – 8/31/25
9/1/25 – 8/31/26
9/1/26 – 12/12/27

Months of Initial Lease
Term
1-9
10-21
22-33
34-45
46-57
58-69
70-81
82-96

Monthly Base Rent per Rentable Square Foot
of the Premises
$2.25
$2.32
$2.39
$2.46
$2.54
$2.62
$2.70
$2.78

Notwithstanding the foregoing, during the applicable  Abatement  Period  (as  defined  below)  for  each  Floor  of Phase  1,  the
Base Rent attributable to such Floor shall be abated (the “Abated Base Rent”).  If Landlord  terminates this Leases as a result
of a Default by Tenant beyond applicable notice and cure periods, then,  without  limiting  any other  rights  and  remedies  of
Landlord, (1) any remaining portion of the Abatement  Period  as  of  the  date  of  such  Lease  termination  shall  automatically
be  extinguished  and  (2)  the  then  unamortized Abated Base Rent to the date of such termination (amortized over the initial
96 months of the  Initial  Lease  Term),  shall  immediately  become  due  and  payable.  For  the  purposes  of  this  Lease,  the
“Abatement  Period”  applicable  to  the  5353  First  Floor  shall  be  the  first  nineteen  (19)  months  after  the  Phase  1
Commencement Date and the “Abatement Period” applicable to the 5353 Second Floor shall  be  the  first  four  (4)  months
after the Phase 1 Commencement Date.

Lease Summary Page 2

 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
13. Additional Rent:

Tenant’s Proportionate Share of
Project Operating Costs:

14. Construction:

(a) Allowance:

(b) Landlord Supervision Fee:

15.

Initial Payments:

(a) LC Amount:

  Prior  to  the  Phase  2  Commencement  Date,  Tenant’s  Proportionate  Share  of
Project Operating Costs shall be the quotient of the  rentable square footage  of
the 5353 Building divided by the  total  rentable  square  footage  of  the  Project.
From and after the Phase 2  Commencement Date, Tenant’s Proportionate Share
of Project  Operating Costs shall be the quotient of the rentable  square  footage
of both the 5353 Building and the 5403 Building divided  by the  total  rentable
square footage of the Project.

  The  Allowance  is  calculated  based  on  the  rentable  square  footage  of  the  two

Floors of Phase 1 and Phase 2 and is as follows:

  Phase  1:  Twenty-Five  Dollars  ($25.00)  per  rentable  square  foot  for  the  5353
First Floor (the “5353 First Floor Allowance”) and Thirty Dollars ($30.00) per
rentable  square  foot  for  the  5353  Second  Floor  (the  “5353  Second  Floor
Allowance”).

  Phase 2: Twelve and 50/100 Dollars ($12.50) per rentable square foot for Phase

2 (the “5403 Allowance”).

  Three percent (3%) of the Total Construction Costs with respect to the first One
Million  Dollars  ($1,000,000)  of  Total  Construction  Costs,  and  one  and  five-
tenths percent (1.5%) of the Total Construction Costs with respect to  the  Total
Construction  Costs  in  excess  of  One  Million  Dollars  ($1,000,000),  which
Landlord Supervision Fee shall be deducted from the Allowance.

  $1,000,000.00  prior  to  the  Phase  2  Commencement  Date,  and  an  additional
$500,000.00 on the Phase 2 Commencement Date (for a total of $1,500,000.00
on  the  Phase  2  Commencement  Date).  The  LC  Amount  shall  be  subject  to
reduction as set forth in Addendum 1.

(b) Prepaid Rent:

  $112,950

16. Permitted Use:

17. Parking:

  General office, research and development, light manufacturing,  machine shop
and lab uses (including, but not limited to, surgical equipment, electronic and
wet labs) and other ancillary uses directly related thereto permitted under
applicable zoning.

  Non-reserved Parking Spaces: Four (4) non-reserved parking spaces per 1,000

rentable square feet of each Phase upon the applicable Commencement Date for
such Phase.

Lease Summary Page 3

 
 
   
 
 
   
 
 
 
   
   
 
 
   
 
 
 
   
 
 
 
 
   
 
 
 
 
   
 
 
 
   
   
 
 
   
 
 
 
   
 
 
 
   
 
 
   
 
 
   
18. Brokers:

(a) Tenant’s Broker:

  Transwestern

19. Addenda and Exhibits:

Lease.

  The  addenda  and  exhibits  listed  below  are  incorporated  by  reference  in  this

Addendum #1— Letter of Credit
Exhibit A
Exhibit B
Exhibit C
Exhibit D
Exhibit E
Exhibit E-1
Exhibit E-2
Exhibit F
Exhibit G
Exhibit H
Exhibit I
Exhibit J
Exhibit J-1
Exhibit K

Intentionally Omitted
Site Plan of Project
Legal Description
Term Certification
Construction
Tenant Improvement Work
Construction Rules and Regulations
Building Services
Rules and Regulations
Parking Agreement
Environmental Disclosures
Example Permitted Materials Index
Example Hazardous Materials Procedures
Form 
Attornment Agreement

of  Subordination,  Non-Disturbance  And

Lease Summary Page 4

 
   
 
 
   
 
 
 
   
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Landlord and Tenant hereby agree to the foregoing terms of this Lease Summary.

LANDLORD:

TENANT:

BETSY ROSS PROPERTY, LLC,
a Delaware limited liability company

By:

  /s/ Shaoyuan Wang

Printed Name:

Shaoyuan Wang

Title:

  President

Date:

  December 13, 2019

SHOCKWAVE MEDICAL, INC.,
a Delaware corporation

By:

  s/ Douglas E. Godshall

Printed Name:

Douglas E. Godshall

Title:

  CEO

Date:

  December 13, 2019

Taxpayer ID No.

27 - 0494101

Lease Summary Page 5

 
 
 
 
 
 
 
 
   
 
 
 
 
 
   
 
 
 
 
 
   
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
   
 
 
 
 
 
   
 
 
 
 
 
   
 
 
 
 
 
   
 
 
 
 
 
OFFICE LEASE (NET)

THIS OFFICE LEASE (NET) (the “Lease”) is made effective as of December 13, 2019 by and between  BETSY ROSS PROPERTY, LLC, a
Delaware  limited  liability  company  (“Landlord”),  and  SHOCKWAVE  MEDICAL,  INC.,  a  Delaware  corporation  (“Tenant”),  with
reference to  the  following  facts and circumstances:

A.

B.

Landlord is the owner of the Project, as defined herein.

The Premises covered by this Lease are defined on the Lease Summary and are comprised of Phase 1 located in the 5353

Building and Phase 2 located in the 5403 Building, as such terms are defined on the Lease Summary.

C.

The parties desire to enter into this Lease, all on the terms and conditions set forth herein.

NOW,  THEREFORE,  in  consideration  of  the  foregoing  facts  and  circumstances,  the  mutual  covenants  and  promises  contained
herein and after good and valuable consideration, the receipt and sufficiency of which are acknowledged by each of the parties, the parties do
hereby agree to the following:

ARTICLE 1
LEASE OF PREMISES

In  consideration  of  the  Rent  and  the  provisions  of  this  Lease,  Landlord  leases  to  Tenant  and  Tenant  leases  from  Landlord  the
Premises. In addition, Tenant shall have the non-exclusive right (unless otherwise provided herein) in common with Landlord, other tenants,
subtenants, and invitees to use the Common Areas.

ARTICLE 2
DEFINITIONS

Except as otherwise defined in this Lease, capitalized terms shall have the meanings set forth on the Lease Summary. As used in

this Lease, the following terms shall have the following definitions:

2.1

Additional  Rent.  All  amounts,  costs  and  expenses  that  Tenant  assumes,  agrees  or  is  otherwise  obligated  to  pay  to

Landlord under this Lease other than Base Rent.

2.2

Affiliate. An entity that is controlled by, controls, or is under common control with a party. “Control” shall mean the
ownership,  directly  or  indirectly,  of  at  least  fifty-one  percent  (51%)  of  the  voting  securities  of,  or  possession  of  the  right  to  vote,  in  the
ordinary direction of its affairs, of at least fifty-one percent (51%) of the voting interest in any entity.

2.3

2.4

2.5

Bankruptcy Code. Title 11 of the United States Code, as amended from time to time.

Base Rent. As set forth on the Lease Summary.

Building Services. As set forth in Exhibit F.

2.6

Building Systems. Any plant, machinery, transformers, duct work, cable, wires, and other equipment and facilities, and
any systems designed to supply heat, ventilation, air conditioning and humidity or any other services or utilities, or comprising or serving as
any component or portion of the electrical, gas, steam, plumbing, sprinkler,  communications,  alarm,  security,  or  fire/life  safety  systems  or
equipment,  any  Telecommunications  System  serving  each  Building  and  any  other  mechanical,  electrical,  electronic,  computer  or  other
systems or equipment that serves each Building in whole or in part.

2.7

Business  Days.  Days  other  than  Saturdays,  Sundays  and  Holidays.  If  any  item  must  be  accomplished  or  delivered

hereunder on a day that is not a Business Day, it shall be timely to accomplish or deliver the same on the next following Business Day.

-1-

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
2.8

Business Hours. Not applicable.

2.9

Claims. Actions, causes of action, charges, claims, contribution costs, damages, demands, expenses (including, without
limitation,  attorneys’  fees  and  fees  and  costs  of  consultants  and  other  professionals),  fines,  liabilities,  liens,  losses,  obligations,  penalties,
proceedings, response costs, or suits. All references in this Lease to Landlord’s “attorneys’ fees” shall mean and refer to all of Landlord’s
fees and costs for attorneys, including in-house attorneys.

2.10

Commencement Date. Each of Phase 1 Commencement Date and Phase 2 Commencement Date set forth on the Lease

Summary with respect to Phase 1 and Phase 2, as applicable.

2.11

Common Areas. The unrestricted parking areas, driveways and walkways, terraces and landscaped areas in and around

each Building, and other public or common areas in the Project designated as such by Landlord.

2.12

Environmental  Laws.  All  Laws  regulating  or  controlling  Hazardous  Materials,  including,  without  limitation,  the
Carpenter-Presley-Tanner  Hazardous  Substance  Account  Act,  California  Health  and  Safety  Code  Sections  25300-25395.15,  the  California
Safe  Drinking  Water  and  Toxic  Enforcement  Act  (Proposition  65)  California  Health  and  Safety  Code  Section  25249.5  et  seq.  and  the
Hazardous Waste Control Law, California Health and Safety Code Sections 25100-25250.25, the Comprehensive Environmental Response,
Compensation, and Liability Act of 1980, as amended, 42 U.S.C. 9601, et seq.; the Hazardous Material Transportation Act, 49 U.S.C. 1801 et
seq.; and the Resource Conservation and Recovery Act, 42 U.S.C. 6901 et seq.

2.13
provisions of this Lease.

Expiration  Date.  As  set  forth  on  the  Lease  Summary,  unless  otherwise  sooner  terminated  in  accordance  with  the

2.14

Force  Majeure.  Strikes,  labor  disputes,  lockouts,  inability  to  obtain  labor,  materials,  equipment,  or  reasonable
substitutes  therefor,  acts  of  God,  governmental  restrictions,  regulations,  or  controls,  judicial  orders,  enemy  or  hostile  government  actions,
civil commotion, war, terrorism (foreign or domestic), fire, accident, explosion, falling objects or other casualty, or other causes beyond the
reasonable control of the party obligated to perform hereunder.

2.15

Intentionally deleted.

2.16

Hazardous Materials. Any hazardous waste or hazardous substance as defined in any Laws applicable to the Project,
including, without limitation, the Environmental Laws. “Hazardous Materials” shall also include asbestos or asbestos-containing materials,
radon gas, petroleum or petroleum fractions, urea formaldehyde foam insulation, transformers containing levels of polychlorinated biphenyls
greater than 50 parts per million, medical waste, biological materials (including without limitation blood and blood  products),  electromagnetic
fields,  mold  and  chemicals  known  to  cause  cancer  or  reproductive  toxicity,  whether  or  not  defined  as  a  hazardous  waste  or  hazardous
substance  in  any  statute,  ordinance,  rule  or  regulation.

2.17

Holidays. All federally observed holidays, including New Year’s Day, Martin Luther King, Jr. Day, President’s Day,

Memorial Day, Independence Day, Labor Day, Veteran’s Day, Thanksgiving Day and Christmas Day.

2.18

Insurance.  All  costs  incurred  by  Landlord  for  insurance  with  respect  to  the  Project,  including  but  not  limited  to  the

insurance required under Section 18.1 below.

2.19

Interest Rate. The average prime loan rate published by the board of governors of the Federal Reserve System of the
United States, as the same may change from time to time, plus three percent (3%) per annum, but not in excess of the maximum rate, if any,
allowed by Law for the transaction on which interest is being calculated.

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2.20

Landlord  Related  Parties.  Landlord,  Landlord’s  Affiliates,  and  the  members,  principals,  beneficiaries,  partners,
trustees, shareholders, directors, officers, employees, mortgagees, investment managers, property managers, brokers, contractors, attorneys,
and agents of Landlord and Landlord’s Affiliates, and the successors of such parties.

2.21

Law  or  Laws.  All  federal,  state,  county  and  local  governmental  and  municipal  laws,  statutes,  ordinances,  rules,
regulations, requirements, codes, decrees, orders, and decisions by courts and cases, when the decisions are considered binding precedent in
the State, and decisions of federal courts applying the Law of the State; including but not limited to The Americans With Disabilities Act of
1990 (42 U.S.C. § 12101 et seq.), the California Building Standards Law, Health and Safety Code Sections 18901-18949.1, Title 24 of the
California  Code  of  Regulations,  and  all  seismic  retrofit  or  other  earthquake  protection  requirements,  and  any  regulations  and  guidelines
promulgated thereunder, as all of the same may be amended and supplemented from time to time.

2.22

Lease  Year.  Each  twelve  (12)  month  period  or  portion  thereof  during  the  Term,  commencing  with  the  Phase  1
Commencement Date, without regard to calendar years; provided, however, if the Phase 1 Commencement Date is not the first day of the
month, then the first (1st) Lease Year shall commence on the first day of the first calendar month after the Phase 1 Commencement Date and
be deemed to include the partial month at the beginning of the Term.

2.23

Mortgagee. The lessor under any present and future ground or underlying lease of the Property and the holder of any

mortgage, deed to secure debt or trust deed now or hereafter in force against the Property or any Building.

2.24

Operating Costs. All costs reasonably incurred by Landlord or its agents in the ownership, management, maintenance,
repair, replacement, improvement, alteration and operation of the Project, which may include, without limitation, any or all of the following:
(a)  utilities;  (b)  supplies,  tools,  equipment  and  materials  used  in  the  operation,  repair  and  maintenance  of  the  Project;  (c)  landscaping;(d)
parking  area  repair,  restoration,  and  maintenance,  including,  but  not  limited  to,  resurfacing,  repainting,  re-striping,  and  cleaning;  (e)
intentionally omitted; (f) fees, charges and other costs, including, without limitation, reasonable consulting fees, legal fees and accounting
fees, of all contractors engaged by Landlord or otherwise reasonably incurred by Landlord in connection with the management, operation,
maintenance and repair of the Project; (g) compensation (including, without limitation, employment taxes and fringe benefits) of all persons
who  perform  duties  in  connection  with  the  operation,  maintenance,  repair,  or  overhaul  of  the  Project,  and  equipment,  improvements,  and
facilities located within the Project; (h) operation and maintenance of a room for delivery and distribution of mail to tenants of the Project as
required by the U. S. Postal Service, along with any space Landlord provides for non-exclusive use by tenants, such as conference centers,
exercise facilities and other project amenities (including, without limitation, an amount equal to the fair market rental value of the space used
for such purposes); (i) payments under any easement, license, operating agreement, declaration, restrictive  covenant,  underlying  or  ground
lease  (excluding  rent),  or  instrument  pertaining  to  the  sharing  of  costs  by  the  Project;  (j)  operation,  repair  and  maintenance,  but  not
replacement,  of  the  Common Areas,  the  maintenance  and  repair,  but  not  replacement, of the non-structural elements of each Building’s
roof (including the roof membrane), and the  maintenance, but not repair and replacement, of each Building’s structure; (k) janitorial service,
alarm and  security  service,  trash  removal  for  the  Common  Areas;  (1)  intentionally  omitted;  (m)  maintenance  and  replacement  of  curbs
and walkways;  (n)  intentionally omitted;  (o)  intentionally omitted;  (p)  management  of the Project, whether by Landlord or an independent
contractor (including, without limitation, an amount  equal to the fair market value of any manager’s office;  provided,  that  if  such  manager’s
office is located  off-site, the fair market value of such office shall  be  equitably allocated among all  buildings  managed  by  such office); (q)
rental expenses for (or a reasonable depreciation allowance on) personal property used in  maintenance, operation or repair  of  the  Project;  (r)
licenses,  certificates,  permits  and  inspections  and  the  cost  of  contesting the  validity or  applicability of  any  governmental  enactments  that
may affect  Operating  Costs;  (s)  intentionally  omitted;  (t)  the  costs  incurred  in  connection  with  the  implementation  and  operation  of  any
transportation  system  management  program  or  similar  program;  (u)  any  non-capital  costs,  expenditures,  or  charges  required  by  any
governmental or quasi-governmental authority; and (v) amortization of capital expenses (including, without limitation, financing costs) (A) that
are intended as  a

-3-

 
 
 
 
 
 
labor  saving  device  or  to  effect  other  economies  in  the  operation  or  maintenance  of  the  Project,  or  any  portion  thereof,  (B)  that  are
required under any Law, or (C) that are in  Landlord’s  opinion  necessary  to  maintain the Project, or any portion thereof, in good condition
and  repair;  provided  that  such  cost  shall  be  amortized  (including  interest  on  the  unamortized  cost)  over  its  useful  life  as  reasonably
determined  by  Landlord  in  accordance  with  accounting  practices  generally  consistent  with  generally  accepted  accounting  principles
consistently  applied  (“GAAP”)  and/or  conforming  to  sound  real  estate  management  principles  to  the  extent  inconsistent  with  GAAP.
Notwithstanding anything to the contrary in  this  Lease,  “Project  Operating Costs” shall not include all or any portion of the following:

decorating or redecorating rentable space for other tenants or vacant rentable space;

2.24.1

Costs  (including  permit,  license  and  inspection  costs)  incurred  in  renovating  or  otherwise  improving,

through any operating cost reimbursement provision similar to the provisions  set forth in this Lease);

2.24.2

Utilities or services sold to Tenant or others for which Landlord is entitled to reimbursement (other  than

Costs  of  alterations  to  the  Project  that  are  considered  capital  expenditures,  capital  improvements  or
replacements  of  such  capital  improvements  under  sound  real  estate  management  principles,  except  to  the  extent  amortized  as  set  forth  in
subsection (v) above;

2.24.3

2.24.4

Depreciation  and  amortization,  except  on  materials,  small  tools  and  supplies  purchased  by  Landlord  to
enable Landlord to supply services Landlord might otherwise contract for with a third party, where such depreciation and amortization would
otherwise have been included in the charge for such third party services, all as determined in accordance with sound real estate management
principles;

but which are provided to other tenants of the Project;

2.24.5

Costs attributable to services, improvements or other benefits that are not provided by Landlord to Tenant,

Overhead or any profit increment paid to Landlord or to subsidiaries or affiliates of Landlord for services
in or in connection with the Project to the extent the same exceeds the cost of such services that could be obtained from equally qualified
third parties on a competitive basis or at market rates;

2.24.6

mortgages, other charges, costs and expenses payable under any mortgage, if any, and costs for financing and refinancing the Project;

2.24.7

Except as otherwise specifically provided in subsection (v) above, interest on debt or amortization on any

2.24.8

Ground rents;

concession operated by Landlord;

2.24.9

Compensation  and  employee  benefits  paid  to  clerks,  attendants  or  other  persons  in  any  commercial

Rentals and other related expenses incurred in leasing equipment, the cost of which would otherwise be
excluded  capital  expenses  hereunder,  except  equipment  used  (a)  in  performing  repairs  and  replacements  and/or  in  providing  janitorial  or
similar services and which is not affixed to the Project, or (b) in case of emergency;

2.24.10

electrical service company, utility company or other service provider;

2.24.11

Electrical  power,  or  any  other  utility  or  service  for  which  Tenant  directly  contracts  with  and  pays  an

2.24.12

Marketing costs, including leasing commissions, attorneys’ fees in connection with the negotiation and
preparation of letters, deal memos, letters of intent, leases, subleases and/or assignments, space planning costs, and other costs and expenses
incurred in connection with lease, sublease or assignment negotiations and transactions with present or prospective tenants or other occupants
of the Project, including attorneys’ fees and other costs and expenditures incurred in connection with disputes with present or prospective
tenants or other occupants of the Project and costs arising from the violation by Landlord or any other occupant of the Project of the terms
and conditions of any lease (including this Lease) or other agreement;

-4-

 
 
 
 
 
 
 
 
 
 
 
 
 
2.24.13

Costs covered by insurance maintained or required to be maintained by Landlord under this Lease;

2.24.14

Costs covered by warranties;

2.24.15

Any service provided directly to and paid directly by any tenant, including Tenant;

Wages and benefits of any employee who does not devote substantially all of his or her employed time to
the Project unless such wages and benefits are prorated to reflect time spent on operating and managing the Project vis-à-vis time spent on
matters unrelated to operating and managing the Project;

2.24.16

or their respective agents, employees or contractors;

2.24.17

Penalties or fines occasioned by the violation of any Law by Landlord, any other occupant of the Project,

Project or any part thereof, except as specifically permitted in Section 2.24(j), above;

2.24.18

Costs  of  structural  repairs  and  replacements  (including  structural  roof  repairs  and  replacements)  to  the

2.24.19

Costs incurred in connection with the presence of any Hazardous Material;

2.24.20

Except  for  Landlord’s  commercially  reasonable  deductible  amounts  (which  shall  not  exceed  $25,000
(other  than  with  respect  to  the  earthquake  deductible)),  costs  occasioned  by  casualties  or  condemnation,  except  that  any  commercially
reasonable  deductible  in  connection  with  an  earthquake  shall  be  amortized  over  the  remainder  of  the  useful  life  of  the  items  repaired  or
reconstructed with such deductible and only the amortized portion of such deductible applicable to a given calendar year shall be included
within Operating Costs for such calendar year;

or patent), or costs to comply with any Law first applicable to the Project prior to the Phase 1 Commencement Date;

2.24.21

Costs to correct any currently existing construction defect in the Premises or the Project (whether latent

2.24.23

2.24.22
Expense reserves.

Increases  in  insurance  costs  caused  by  the  activities  of  any  occupant  of  the  Project;  and

2.25

Permitted Use. As set forth on the Lease Summary.

2.26

Permitted Transfer. “Permitted Transfer” shall mean an assignment or subletting of all or a portion of the Premises to
(1)  an  Affiliate  of  Tenant,  (2)  any  corporation  or  other  business  entity  that  succeeds  to  the  business  of  Tenant  as  a  result  of  a  merger,
consolidation or other business reorganization, or (3) any corporation or other business entity which acquires all or substantially all of the
assets  or  ownership  interests  of  Tenant,  where  (with  respect  to  any  party  set  forth  in  subsections  (1)  through  (3)),  (a)  the  transferee  or
successor  (as  applicable)  assumes,  in  full,  the  obligations  of  Tenant  under  this  Lease;  (b)  to  the  extent  Tenant  continues  to  exist,  Tenant
remains fully liable under this Lease; (c) the use of the Premises falls within the Permitted Use; (d) after such transaction is effected, the
tangible net worth of the tenant hereunder is equal to or greater than the tangible net worth of Tenant as of the date immediately prior to the
transaction; (e) Landlord shall have received an executed copy of all documentation effecting such transfer promptly after its effective date;
and (f) the same is not a subterfuge by Tenant to avoid its obligations under this Lease.

Additionally,  “Permitted  Transfer”  shall  also  include  any  Change  of  Control,  where  (a)  Tenant  remains  fully  liable  under  this
Lease; (b) the use of the Premises falls within the Permitted Use; (c) after such transaction is effected, the tangible net worth of the tenant
hereunder is equal to or greater than the tangible net worth of Tenant as of the date immediately prior to the Change of Control; (d) Landlord
shall have received reasonable notice and documentation evidencing that such Change of Control satisfies the conditions in (a) through (d) of
this  paragraph  on  or  before  its  effective  date  (except  where  prohibited  by  Law  or  commercially  reasonable  confidentiality  restrictions
appurtenant to the Change of Control transaction, in which case the same shall be provided promptly after such prohibition expires); and (e)
the same is not a subterfuge by Tenant to avoid its obligations under this Lease.

-5-

 
 
 
 
 
 
 
 
 
 
 
 
 
 
2.27

2.28

2.29

2.30

Permitted Transferee. The Transferee pursuant to a Permitted Transfer.

Project. The Property, the Buildings and any other improvements on the Property.

Project Operating Costs. Operating Costs, Taxes and Insurance.

Rent. Base Rent and Additional Rent.

2.31

Rentable Area; Measurement. Rentable Area shall be the measurement of rentable area or rentable square feet as set
forth in the Lease Summary. No representation or warranty of any kind, express or implied, is given to Tenant with respect to the Rentable
Area of either Floor, Phase, Building or any other portion of the Project. Landlord shall have no liability to Tenant if the approximate square
footages described in this Lease differs from the actual square footages.

2.32

2.33

Rules and Regulations. As set forth in Exhibit G.

State. The state in which the Project is located.

2.34

Taxes.  All  taxes  and  assessments  (whether  special  or  general,  ad  valorem  or  non-ad  valorem,  voluntary  or  non-
voluntary, and regardless of whether the same are deductible for Landlord’s income tax purposes), water and sewer charges, and other similar
government charges levied on or attributable to any Building or the Project or their operation, including, without limitation (a) real property
taxes  or  assessments  levied  or  assessed  against  any  Building  or  the  Project;  (b)  assessments  or  charges  levied  or  assessed  against  any
Building or the Project by any redevelopment agency, municipality or governmental or quasi-governmental agency, including but not limited
to any assessments or the Project’s contribution towards a governmental or private cost-sharing agreement for the purpose of augmenting or
improving  the  quality  of  services  and  amenities  normally  provided  by  governmental  agencies,  any  assessments  resulting  from  Landlord’s
participation in a “PACE” program, and any taxes or assessments levied by a Community Facilities District; (c) any tax, assessment, levy,
license  fee  or  charge  measured  by  or  based,  in  whole  or  in  part,  by  Rent  received  from  the  leasing  of  the  Premises,  any  Building,  or  the
Project, or any portions thereof; (d) general or special, ad valorem, non-ad valorem or specific, excise, capital levy, or other tax, assessment,
levy, or charge directly on the Rent received under this Lease or on the rent received under any other leases of space in any Building or the
Project; (e) any transfer, transaction, or similar tax, assessment, levy, or charge based directly or indirectly upon the transaction represented
by this Lease or other leases in the Project; (f) any franchise or margin tax imposed by any governmental entity; (g) any possessory interest,
occupancy, use, per capita, or other tax, assessment, levy, or charge based directly or indirectly upon the use or occupancy of the Premises or
other premises within any Building or the Project; (h) interest on installments as charged by the taxing authority; and (i) the reasonable costs
and  expenses  of  any  reasonable  contest  or  protest  of  Taxes  prosecuted  by  Landlord,  including,  without  limitation,  any  appraisal  fees  and
attorneys’ fees. Taxes and Project Operating Costs shall not include (i) any net income, capital stock, gift, transfer, estate or inheritance taxes
imposed by the State or Federal Government or their agencies, branches, or departments; (ii) tax penalties, interest or late charges incurred as
a result of Landlord’s failure to make timely payment of Taxes; and (iii) any taxes or assessments imposed on land and improvements other
than  the  Project.  Notwithstanding  the  foregoing,  if  at  any  time  during  the  Term,  the  present  method  of  taxation  or  assessment  shall  be  so
changed that the whole or any part of the taxes, assessments, levies, impositions or charges now levied, assessed or imposed on the Project
shall be discontinued or reduced and as a substitute therefor, or in lieu of or in addition thereto, taxes, assessments, levies, impositions or
charges shall be levied, assessed or imposed, wholly or partially, as a capital levy or otherwise (a “Substitute Tax”), then such Substitute Tax
shall be included within the definition of Taxes. Tenant hereby waives, and assigns, transfers and conveys to Landlord, any and all rights to
contest or protest any Taxes For purposes of determining Taxes, Landlord shall be deemed to have paid assessments in installments over the
longest period of time permitted by the applicable jurisdiction. Taxes with respect to any building in the Project other than Phase 1 and Phase
2 shall not be allocated to Tenant in any manner and shall be charged solely to such other buildings.

-6-

 
 
 
 
 
 
 
 
 
 
2.35

Telecommunications Systems. All telecommunications systems including but not limited to voice, video, data, and any
other telecommunications services provided over wire, fiber optic, microwave, wireless, satellite and any other transmission systems, for part
or all of any telecommunications within the Buildings or from the Buildings to any other location.

2.36

Tenant  Related  Parties.  Tenant,  its  Affiliates,  agents,  contractors,  subcontractors,  employees,  invitees  (while  in  the

Premises only), subtenants, transferees, and any other party claiming by, through or under Tenant.

2.37

Tenant’s Cost Allocation. The sum of the following: (a) Tenant’s Proportionate Share of Operating Costs for the year
in question; (b) Tenant’s Proportionate Share of Taxes for the year in question; and (c) Tenant’s Proportionate Share of Insurance for the year
in question. If at any time during the Term Operating Costs, Taxes and/or Insurance are not based on a completed and fully assessed Project
having at least ninety-five percent (95%) of the Rentable Area occupied, then Operating Costs, Taxes and/or Insurance shall be adjusted by
Landlord in order reasonably to approximate the variable components of Operating Costs, Taxes and/or Insurance for such year or applicable
portion thereof, employing sound accounting and management principles, that would have been payable if the Project were completed, fully
assessed and at least ninety-five percent (95%) occupied.

2.38

Tenant’s  Property.  All  movable  partitions,  business  and  trade  fixtures,  machinery  and  equipment,  communications
equipment, office equipment and other personal property located in the Premises and acquired by or for the account of Tenant, where the cost
therefor was neither paid for or reimbursed by Landlord, that can be removed without structural damage to any Building, and all furniture,
furnishings, records, files and other articles of movable personal property owned by Tenant and located in the Premises; however, in no event
shall  Tenant’s  Property  include  any  equipment  or  other  property  that  Landlord  reasonably  determines  is  a  leasehold  improvement  (e.g.,
rooftop or supplemental air conditioning units).

2.39

Tenant’s Proportionate Share. As set forth on the Lease Summary. Such share is a fraction, the numerator of which is
the Rentable Area of the Premises, and the denominator of which shall be the Rentable Area of the Project, it being acknowledged and agreed
that, notwithstanding anything to the contrary contained in this Lease, for purposes of determining Tenant’s Cost Allocation, Landlord may,
in  its  reasonable  discretion  but  in  accordance  with  sound  accounting  and  management  practices  consistently  applied,  calculate  all  or  any
portion  of  Operating  Costs,  Taxes  and  Insurance  for  each  Building  separately  from  the  Project,  if  and  to  the  extent  that  the  same  solely
benefit  any  Building,  in  which  event  Tenant’s  Proportionate  Share  shall  be  one  hundred  percent  (100%)  with  respect  to  such  items.  In
addition, Landlord shall not include in Tenant’s Cost Allocation costs relating solely to other building(s) in the Project except the Buildings.
Tenant’s  Proportionate  Share  is  subject  to  recalculation  in  accordance  with  changes  in  the  Rentable  Area  of  the  Premises  or  the  Project
resulting from a change in the physical size of the footprint of the Premises or the footprint of any other building in the Project. Landlord
reserves  the  right  to  create  pools  of  similarly  situated  tenants  for  the  purpose  of  allocating  certain  Operating  Costs  that  benefit  only  the
tenants  in  such  pool  (“Specialized  Operating  Costs”).  For  the  purpose  of  allocating  Specialized  Operating  Costs  for  any  pool  of  which
Tenant is a member, Tenant’s Proportionate Share shall be a fraction, the numerator of which shall be the Rentable Area of the Premises, and
the denominator of which shall be the Rentable Area of the premises of all tenants in such pool.

2.40

Term. As set forth on the Lease Summary, as the same may be extended from time to time.

2.41

Transfer.  An  assignment,  mortgage,  pledge,  hypothecation,  encumbrance,  lien  or  other  transfer  of  this  Lease  or  any
interest hereunder, a transfer by operation of law, a sublease or license of the Premises or any part thereof, or the use of the Premises by any
party other than Tenant and its employees (including any assignment, mortgage, pledge, hypothecation, encumbrance, lien or other transfer of
this Lease or any interest hereunder or a sublease of the Premises or any part thereof by Tenant’s heirs and/or executors). Except in the case
of  a  Permitted  Transfer  as  provided  in  Section  2.26  above,  “Transfer”  shall  also  include  (a)  if  Tenant  is  a  partnership,  limited  liability
company or any other non-corporate entity, the withdrawal or change, voluntary, involuntary or by operation of law, of forty percent (40%) or
more  of  the  partners,  members  or  owners,  or  transfer  of  forty  percent  (40%)  or  more  of  partnership,  membership  or  ownership  interests,
within a twelve (12)-month period, or the

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dissolution of the partnership or company without immediate reconstitution thereof and (b) if Tenant is a corporation, the dissolution, merger,
consolidation  or  other  reorganization  of  Tenant,  the  sale  or  other  transfer  of  more  than  an  aggregate  of  forty  percent  (40%)  of  the  voting
shares of Tenant (other than to immediate family members by reason of gift or death), within a twelve (12)-month period (each, under (a) and
(b), above a “Change of Control”). Notwithstanding the foregoing or anything in this Lease to the contrary, the sale, issuance or transfer of
Tenant’s  capital  stock  or  other  equity  interests,  or  the  issuance  of  debt,  any  of  which  occur  in  connection  with  an  equity  financing,  debt
financing or through the “over the counter” market or any recognized national or international securities exchange, including transfers and
issuances  as  part  of  an  initial  public  offering  of  Tenant’s  stock,  shall  not  be  included  in  determining  whether  a  Change  of  Control  has
occurred and shall not be a Transfer.

2.42

Transferee. Any person or entity to whom or which any Transfer is made.

ARTICLE 3
PREMISES AND DELIVERY OF POSSESSION

3.1

Delivery of Possession. Landlord and Tenant acknowledge and agree that Tenant currently occupies, and as of the date
immediately preceding the Phase 2 Commencement Date, will occupy Phase 2 pursuant to a sublease between Tenant and the current tenant
of  Phase  2  (the  “Sublease”);  consequently,  Landlord  shall  have  no  obligation  to  deliver  physical  possession  of  Phase  2  to  Tenant  on  the
Phase 2 Commencement Date, and, except for Landlord’s express obligations and warranties set forth in this Lease, Tenant hereby waives
any and all Claims Tenant may have with respect to the condition of the Premises as of the applicable Commencement Date.

3.2

Commencement Date. If either Commencement Date is not fixed on the Lease Summary, once such Commencement
Date is fixed, within ten (10) days following request by Landlord, Tenant will execute and deliver to Landlord a certificate substantially in
the form of Exhibit D attached hereto and made a part hereof, indicating thereon any exceptions thereto that may exist at that time. Failure of
Tenant to execute and deliver such certificate within ten (10) days following its request by Landlord shall constitute binding and conclusive
acceptance of the Premises and acknowledgment by Tenant that the statements included in Exhibit D, as prepared by Landlord, are true and
correct.

ARTICLE 4
RENT

Tenant agrees to pay to Landlord all Rent payable hereunder, without set-off or deduction, in lawful money of the United States of

America. Tenant shall pay the Rent as follows:

4.1

Base  Rent.  Tenant  shall  pay  to  Landlord  the  Base  Rent  without  notice,  demand  or  offset,  in  installments  due  and
payable in advance on the first (1st) day of each calendar month during the Term. Along with and in addition to each monthly Base Rent
payment under the Lease, Tenant shall pay to Landlord any sales or privilege tax required under applicable Law. In the event of any fractional
calendar month, Tenant shall pay a prorated amount of Base Rent for each day in such partial month based on the actual number of days in
the month. Concurrent with Tenant’s execution of this Lease, Tenant will deliver to Landlord the prepaid rent set forth in Section 13 of the
Lease Summary, which Landlord shall apply to the first (1st) month’s Base Rent and Tenant’s Cost Allocation.

4.2

Tenant’s Cost Allocation. In addition to the Base Rent and all other payments due under this Lease, Tenant shall pay

Tenant’s Cost Allocation, as follows:

4.2.1

Estimated Payments. Tenant shall pay Landlord’s reasonable estimate of Tenant’s Cost Allocation for each
calendar year of the Term (the “Estimated Payment”) in advance, in monthly installments, commencing on the first (1st) day of the month
following the month in which Landlord notifies Tenant of the amount it is to pay hereunder and continuing until the first (1st) day of the
month following the month in which Landlord notifies Tenant of any revised Estimated Payment, provided Tenant shall not be required to
make such payments or adjustments thereto on less than thirty (30) days’ notice. Landlord shall estimate from time to time the amount of
Tenant’s Cost Allocation for each calendar year of the Term, make an adjustment to the Estimated

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Payment due for such calendar year and notify Tenant of the revised Estimated Payment in writing. Within thirty (30) days after Tenant’s
receipt  of  notice  of  such  adjustment  and  the  revised  Estimated  Payment,  Tenant  shall  pay  Landlord  a  fraction  of  such  revised  Estimated
Payment for such calendar year (reduced by any amounts paid pursuant to the first sentence of this Section 4.2.1). Such fraction shall have as
its numerator the number of months which have elapsed in such calendar year to the date of such payment, both months inclusive, and shall
have twelve (12) as its denominator. All subsequent payments by Tenant for such calendar year shall be based upon such adjustment and the
revised Estimated Payment.  In  the event  of  any fractional  calendar  month, Tenant  shall  pay a  prorated Estimated  Payment for each day in
such partial month based on the actual number of days in such month.

4.2.2

Reconciliation.  Within  a  reasonable  period  after  the  end  of  each  calendar  year,  Landlord  shall  deliver  to
Tenant a statement (the “Statement”) setting forth Tenant’s Cost Allocation for such year. If Tenant’s Cost Allocation for such year exceeds
the total of the Estimated Payment made by Tenant for such year, Tenant shall pay Landlord the amount of the deficiency within thirty (30)
days of the receipt of the Statement. At the end of the Term, any amount payable by Tenant that would not otherwise be due until after the
termination of this Lease, shall, if the exact amount is uncertain at the time that this Lease terminates, be paid by Tenant to Landlord upon
such termination in an amount to be estimated by Landlord with an adjustment to be made once the exact amount is known. If the Estimated
Payment made by Tenant exceeds Tenant’s Cost Allocation for such year, then Landlord shall credit against Tenant’s next ensuing Estimated
Payment(s)  an  amount  equal  to  the  difference  until  the  credit  is  exhausted.  If  a  credit  is  due  from  Landlord  after  the  Expiration  Date,
Landlord shall pay Tenant the amount of the credit after deducting therefrom any amounts then owed by Tenant to Landlord within thirty (30)
days of the date of the Statement indicating the credit due to Tenant. The obligations of Tenant and Landlord to make payments required
under  this  Section  shall  survive  the  expiration  or  termination  of  this  Lease,  and  Landlord’s  failure  to  deliver  the  Statement  shall  not  be
deemed  a  waiver  of  Landlord’s  right  to  collect  additional  amounts  from  Tenant  as  set  forth  herein  unless  Landlord  has  not  delivered  the
Statement within eighteen (18) months after the expiration of any calendar year; provided, however, Landlord shall have the right to amend
any  Statement  after  Landlord’s  delivery  thereof,  regardless  of  such  eighteen  (18)  month  period,  if  Landlord  receives  additional  tax  bills
relating to such calendar year after Landlord’s delivery of the Statement, provided Landlord amends the Statement within three (3) months of
Landlord’s receipt of the additional tax bill.

4.3

Landlord’s  Records.  Landlord  shall  maintain  records  respecting  Project  Operating  Costs  and  determine  the  same  in
accordance  with  sound  accounting  and  management  practices,  consistently  applied.  Tenant  or  its  authorized  representative  experienced  in
auditing  such  records  (which  may  not  be  an  accountant  or  other  consultant  compensated  on  a  contingency  basis)  shall  have  the  right  to
examine  such  records  (which  shall  in  no  event  include  any  other  tenants’  leases  or  Landlord’s  tax  returns  or  financial  statements)  upon
reasonable prior notice (except that no such examination may occur during the months of December or April or during Landlord’s fiscal year
end,  if  other  than  December  31)  by  specifying  the  category  of  Project  Operating  Costs  which  records  Tenant  desires  to  examine,  during
normal business hours at a time mutually agreed upon by Landlord and Tenant and at the place or places where such records are normally
kept, by sending such notice no later than sixty (60) days following the furnishing of the Statement. Notwithstanding the foregoing, Tenant
shall only have the right to review Landlord’s records one (1) time during any twelve (12) month period and may audit Landlord’s records
with respect to any given calendar year only once. Tenant may take exception to matters included in Project Operating Costs or Landlord’s
computation of Tenant’s Proportionate Share by sending notice specifying such exception and the reasons therefor to Landlord (including any
reports prepared by Tenant’s representative and any accompanying data) no later than forty-five (45) days after Landlord makes such records
available for examination. If Tenant takes exception to any matter contained in the Statement as provided herein, Landlord shall refer the
matter to an independent certified public accountant of Landlord’s choice, subject to Tenant’s reasonable approval, whose certification as to
the proper amount shall be final and conclusive as between Landlord and Tenant. If such certification determines that Project Operating Costs
were  overstated  by  less  than  five  percent  (5%)  for  the  applicable  year,  Tenant  shall  promptly  pay  the  cost  of  such  certification.  If  such
certification  determines  that  Project  Operating  Costs  were  overstated  by  five  percent  (5%)  or  more  for  the  applicable  year,  then  Landlord
shall  pay  the  cost  of  such  certification.  Pending  resolution  of  any  such  exceptions  in  the  foregoing  manner,  Tenant  shall  continue  paying
Tenant’s  Cost  Allocation  in  the  amounts  determined  by  Landlord,  subject  to  adjustment  after  any  such  exceptions  are  so  resolved.  Tenant
acknowledges that any information gathered through an audit is strictly

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confidential and shall not disclose such confidential information to any person or entity other than Tenant’s financial and legal consultants, or
in connection with any proceeding contemplated by this Lease, or in accordance with Law. The Statement shall be considered final, except as
to matters to which exception is taken in the manner and within the times specified herein.

4.4

Other  Taxes  Payable  by  Tenant.  In  addition  to  the  Base  Rent  and  any  other  charges  to  be  paid  by  Tenant  hereunder,
Tenant  shall,  as  an  element  of  Rent,  reimburse  Landlord  upon  demand  for  any  and  all  taxes  payable  by  Landlord,  where  such  taxes  are
assessed upon the cost or value of Tenant’s equipment, furniture, fixtures, and other personal property located at the Premises, or the cost or
value of any leasehold improvements made in or to the Premises by or for Tenant, regardless of whether title to such improvements is held by
Tenant or Landlord. If it becomes unlawful for Tenant to reimburse Landlord for any taxes or other charges as required under this Lease, the
Base Rent shall be revised to net Landlord the same net Rent after imposition of any tax or other charge upon Landlord as would have been
payable to Landlord but for the reimbursement being unlawful.

4.5

Place of Payment. All Rent shall be paid at the address Landlord may from time to time designate in writing and in no
event  shall  Landlord’s  acceptance  of  Rent  from  any  party  other  than  the  Tenant  named  in  the  Lease  Summary  create  a  tenancy  between
Landlord and such party.

4.6

Interest and Late Charges. If Tenant fails to pay any Rent within five (5) days from when due, the unpaid amounts shall
bear interest at the Interest Rate. Tenant acknowledges that the late payment of any Rent will cause Landlord to incur costs and expenses not
contemplated under this Lease, including, without limitation, administrative and collection costs and processing and accounting expenses, the
exact amount of which is extremely difficult to ascertain. Therefore, in addition to interest, if any such payment is not received by Landlord
within five (5) days from when due, Tenant shall pay Landlord a late charge equal to five percent (5%) of such payment; provided, however,
that Tenant shall be entitled to written notice of non-payment prior to the commencement of the foregoing five (5) day grace period and the
application of such late charge and interest charge, on the first (1st) occasion in any consecutive twelve (12) month period on which Rent is
not  timely  paid.  Landlord  and  Tenant  agree  that  this  late  charge  represents  a  reasonable  estimate  of  such  costs  and  expenses  and  is  fair
compensation to Landlord for loss resulting from Tenant’s nonpayment. The late charge shall be deemed Additional Rent and the right to
require  it  shall  be  in  addition  to  all  of  Landlord’s  other  rights  and  remedies  hereunder  or  at  law  and  shall  not  be  construed  as  liquidated
damages for any default of Tenant or as limiting Landlord’s remedies in any manner. In addition, any check returned by the bank for any
reason  will  be  considered  late  and  will  be  subject  to  all  late  charges,  plus  a  Fifty  Dollar  ($50.00)  fee.  Nothing  contained  herein  shall  be
construed  as  to  compel  Landlord  to  accept  any  payment  of  Rent  in  arrears  or  late  charges  should  Landlord  elect  to  apply  its  rights  and
remedies available under this Lease or at law or in equity in the event of a Default.

ARTICLE 5
OPTION TO EXTEND THE LEASE TERM

5.1

Grant and Exercise of Option. Landlord grants to Tenant, subject to the terms and conditions set forth in this Article one
(1) option (the “Option”) to extend the Term as to Phase 1, Phase 2 or both for an additional term of sixty (60) months (“Option Term”) and
shall be exercised, if at all, by written notice (“Option Notice”) to Landlord no earlier than twenty-seven (27) months prior to the date the
Term would expire but for such exercise but no later than eighteen (18) months prior to the date the Term would expire but for such exercise,
time being of the essence for the giving of such notice. If Tenant exercises the Option, all of the terms, covenants and conditions of this Lease
shall  apply  except  for  the  grant  of  any  additional  Option  pursuant  to  this  Article  5  and  except  for  tenant  improvements,  improvement
allowances  or  relocation  allowances,  free  rent  or  other  leasing  concessions  and  inducements,  and  provided  that  (x)  the  Premises  shall  be
deemed to exclude either Phase 1 or Phase 2 for which the Option is not exercised, and (y) Base Rent for the Premises payable by Tenant
during  the  Option  Term  shall  be  the  greater  of  (i)  the  Base  Rent  applicable  to  the  period  immediately  prior  to  the  commencement  of  the
Option Term (without regard to temporary reductions or abatements or reductions then in effect), or (ii) ninety-five percent (95%) of the Fair
Market  Rental  as  hereinafter  defined.  Notwithstanding  anything  herein  to  the  contrary,  if  Tenant  is  in  monetary  or  material  non-monetary
Default under any of the terms, covenants or conditions of this Lease either at the time Tenant exercises the Option or at any time thereafter
prior to the commencement date of Option

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Term, then Landlord shall have, in addition to all of Landlord’s other rights and remedies provided in this Lease, the right to terminate the
Option upon notice to Tenant, in which event the Lease Term shall not be extended pursuant to this Section 5.1. As used herein, the term
“Fair Market Rental” is defined as the rental and all other monetary payments, including three percent (3%) annual escalations in years two
(2) through five (5) of the Option Term that Landlord could obtain during the Option Term from a third party desiring to lease the Premises,
based  upon  the  Permitted  Use,  as  determined  by  the  rents  then  obtainable  for  direct,  non-equity  leases  of  comparable  length  for  space
comparable  in  size,  age  and  quality  to  the  Premises  in  the  Santa  Clara  submarket.  In  setting  Fair  Market  Rental,  the  appraisers  shall  be
instructed to take into account that there will be no: (i) brokerage commissions, and (ii) rent abatements.

5.2

Determination of Fair Market Rental. If Tenant exercises the Option, Landlord shall send Tenant a notice setting forth
the Fair Market Rental for the Option Term within thirty (30) days following the date of exercise. If Tenant disputes Landlord’s determination
of Fair Market Rental for the Option Term, Tenant shall, within thirty (30) days after delivery to Tenant of Landlord’s notice setting forth Fair
Market Rental for the Option Term, send to Landlord a notice stating that Tenant either elects to terminate its exercise of the Option, in which
event the Option shall lapse and this Lease shall terminate on the Expiration Date, or that Tenant disagrees with Landlord’s determination of
Fair Market Rental for the Option Term and elects to resolve the disagreement as provided in Section 5.3 below. If Tenant does not timely
send  Landlord  a  notice  as  provided  in  the  previous  sentence,  Landlord’s  determination  of  Fair  Market  Rental  shall  be  deemed  the  agreed
upon Fair Market Rental amount to be used in computing Base Rent payable by Tenant during the Option Term. If Tenant elects to resolve
the disagreement as provided in Section 5.3 below and such procedures are not concluded prior to the commencement date of the Option
Term, Tenant shall pay to Landlord as Base Rent the greater of (i) the Base Rent in effect immediately before the start of the Option Term
(without  regard  to  temporary  reductions  or  abatements  then  in  effect,  or  (ii)  ninety  five  percent  (95%)  of  the  Fair  Market  Rental  as
determined by Landlord in the manner provided above. If the Fair Market Rental as finally determined pursuant to Section 5.3 is greater than
Landlord’s determination, Tenant shall pay Landlord the difference between the amount paid by Tenant and the actual Base Rent due as so
determined in this Article 5 within thirty (30) days after such determination. If the Fair Market Rental as finally determined in Section 5.3 is
less  than  Landlord’s  determination,  the  difference  between  the  amount  paid  by  Tenant  and  the  actual  Base  Rent  due  as  so  determined
pursuant to this Article 5 shall be credited against the next installments of Base Rent due from Tenant to Landlord hereunder.

5.3

Resolution  of  a  Disagreement  over  the  Fair  Market  Rental.  Any  disagreement  regarding  Fair  Market  Rental  shall  be
resolved as follows: within thirty (30) days after Tenant’s response to Landlord’s notice setting forth the Fair Market Rental, Landlord and
Tenant shall meet at a mutually agreeable time and place, in an attempt to resolve the disagreement. If within the 30-day consultation period
referred to above, Landlord and Tenant cannot reach agreement as to Fair Market Rental, each party shall select one appraiser to determine
Fair Market Rental. Each such appraiser shall arrive at a determination of Fair Market Rental and submit their conclusions to Landlord and
Tenant within thirty (30) days after the expiration of the 30-day consultation period described above. If only one appraisal is submitted within
the requisite time period, it shall be deemed as Fair Market Rental. If both appraisals are submitted within such time period and the two (2)
appraisals so submitted differ by less than ten percent (10%) of the higher appraisal, the average of the two shall be deemed as Fair Market
Rental. If the two (2) appraisals differ by ten percent (10%) or more of the higher appraisal, the appraisers shall immediately select a third
appraiser  who  shall,  within  thirty  (30)  days  after  this  selection,  make  and  submit  to  Landlord  and  Tenant  a  determination  of  Fair  Market
Rental. This third appraisal will then be averaged with the closer of the two (2) previous appraisals and the result shall be Fair Market Rental,
or if it is exactly in the middle of the two (2) previous appraisals  (i.e. not any closer to one than it is to the other) the third appraisal shall be the
Fair  Market  Rental.  All  appraisers  specified  pursuant  to  this  Section  5.3  shall  be  members  of  the  American  Institute  of  Real  Estate
Appraisers  with  not  less  than  ten  (10)  years’  experience  appraising  office  and  industrial  properties in the Santa  Clara  submarket.  Each
party shall pay the cost of the appraiser selected  by such party and one-half of the cost of the third appraiser.

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5.4

Personal to Tenant. The Option provided to Tenant in this Article 5 are not exercisable by any other person or entity
whether or not a Transfer has occurred unless Landlord consents to permit exercise of any Option by any assignee or subtenant in Landlord’s
sole  and  absolute  discretion;  provided,  however,  that  Tenant  may  include  such  Option  in  a  Transfer  to  an  assignee  of  the  Tenant’s  entire
interest in this Lease approved by Landlord pursuant to Article 14 of this Lease or to a Permitted Transferee, and, in such case the Option
would  be  exercisable  by  such  assignee  or  Permitted  Transferee.  All  Options  provided  to  Tenant  in  this  Lease  shall  terminate  upon  the
expiration or sooner termination of this Lease and shall not apply during any holdover period.

5.5

Upset Right.  Landlord  and  Tenant  acknowledge  and  agree  that  Landlord  has  the  right  to  pursue  modification  of  the
entitlements of the Project to permit the redevelopment thereof (“Redevelopment Entitlements”). In the event Landlord has secured final,
non-appealable Redevelopment Entitlements and Tenant has delivered the Option Notice, on or prior to the date that is the later of eighteen
(18) months prior to the commencement of the Option Term or sixty (60) days after Tenant has delivered the Option Notice, Landlord shall
have the right, exercisable by delivering written notice to Tenant, to deem the Option Notice rescinded and the Option null and void, and the
Term shall expire upon the initial Expiration Date as if no Option had been exercised.

ARTICLE 6
USE

6.1

Permitted Use. Tenant may use the Premises solely for the Permitted Use as shown on the Lease Summary, and for no
other purpose without Landlord’s consent (which consent may be withheld in Landlord’s reasonable discretion). Tenant shall comply with all
recorded covenants, conditions, and restrictions, and the provisions of all ground or underlying leases, now or, so long as the same do not
materially  interfere  with  Tenant’s  use  of  the  Premises  or  parking  or  materially  increase  Tenant’s  obligations  under  this  Lease,  hereafter
affecting the Project. Tenant shall, at Tenant’s expense, comply with all insurance company and/or Mortgagee requirements pertaining to the
use of the Premises. Tenant shall not (a) do or permit anything to be done in or about the Premises that would in any way obstruct or interfere
with the rights of other tenants or occupants of any Building or the Project or violate any restrictions or exclusive uses set forth in any other
tenants’ leases; (b) injure, or unreasonably interfere with the business of any other tenants or occupants of the Project or any of their invitees;
(c) cause, maintain or permit any nuisance arising out of Tenant’s use or occupancy of the Premises; or (d) commit any waste in or upon the
Premises, any Building or the Project. Tenant acknowledges that each Building and/or Project has, or in the future may seek, a USGBC or
other “green agency” rating and, as a result, such Building and/or Project will be operated pursuant to Landlord’s sustainable practices (as the
same may be modified by Landlord from time to time) and, in connection therewith and so long as the same do not materially interfere with
the operation of Tenant’s business in the Premises, materially increase Tenant’s obligations under this Lease or materially decrease Tenant’s
rights  under  this  Lease,  Tenant  (i)  shall  comply  with  such  practices,  and  (ii)  shall  not  do  or  permit  anything  to  be  done  in  or  about  the
Premises that would in any way jeopardize any such rating.

6.2

Compliance with Law. Tenant acknowledges and agrees that, except as may otherwise be specifically provided in this
Lease, Landlord has made no representation or warranty as to whether the Premises, the Buildings or the Project conform to the requirements
of Law. Tenant shall be responsible for the cost of any alterations (including structural alterations) in the Premises and/or any alterations to
other portions of the Project to comply with Laws necessitated by any Alterations, Tenant Improvements or any change in the Permitted Use
after the Phase 1 Commencement Date, provided that such obligations shall also apply to alterations necessitated by any Alterations, Tenant
Improvements  or  change  in  the  Permitted  Use  arising  during  the  term  of  the  Sublease.  Tenant  shall  not  use  or  occupy  the  Premises  in
violation  of  any  Law  or  the  certificate  of  occupancy  issued  for  each  Building  or  the  Project  and  shall,  upon  notice  from  Landlord,
immediately discontinue any use of the Premises that is declared by any governmental authority having jurisdiction to be a violation of Law
or the certificate of occupancy. A judgment of any court of competent jurisdiction or the admission by Tenant in any action or proceeding
against Tenant that Tenant has violated any such Laws in the use of the Premises shall be deemed to be a conclusive determination of that fact
as  between  Landlord  and  Tenant.  Should  any  obligation  be  imposed  by  Law,  then  Tenant  agrees,  at  its  sole  cost  and  expense,  to  comply
promptly with such obligations to the extent the same relate to the Premises or Tenant’s use of the Premises, the Buildings or the Project;
however, Tenant shall not be required to make alterations in connection with any such compliance except as set forth above. As of the date of
this Lease, the Premises and the Project have not been inspected by a Certified Access Specialist.

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Except as otherwise expressly set forth in this Section 6.2 and Exhibit E, to the extent that compliance is required under applicable
Law  (including  the  ADA),  Landlord  shall  be  responsible  for  all  costs  and  expenses  of  making  any  and  all  changes,  alterations  or
improvements necessary in order to put the Project in compliance with applicable Laws, subject to inclusion in Operating Costs.

6.3

Effect on Landlord’s Insurance. Tenant shall not do or permit to be done anything that will invalidate or increase the
cost  of  any  property  coverage,  or  other  insurance  policy  covering  any  Building,  the  Project  or  any  property  located  therein.  Tenant  shall
promptly,  upon  demand,  reimburse  Landlord  for  any  additional  premium  charged  for  such  policy  by  reason  of  Tenant’s  failure  to  comply
with the provisions of this Section.

6.4

Construction Related Accessibility Standards Notice. In accordance with California Civil Code Section 1938, Landlord
hereby notifies Tenant that, except to the extent known by or previously disclosed to Tenant, as of the date hereof Landlord has no actual
knowledge  of  the  Premises  having  been  inspected  by  a  Certified  Access  Specialist  (CASp).  The  following  notice  is  also  hereby  inserted
pursuant to California Civil Code Section 1938(e): “A Certified Access Specialist (CASp) can inspect the subject premises and determine
whether the subject premises comply with all of the applicable construction-related accessibility standards under state law. Although state
law  does  not  require  a  CASp  inspection  of  the  subject  premises,  the  commercial  property  owner  or  lessor  may  not  prohibit  the  lessee  or
tenant  from  obtaining  a  CASp  inspection  of  the  subject  premises  for  the  occupancy  or  potential  occupancy  of  the  lessee  or  tenant,  if
requested by the lessee or tenant. The parties shall mutually agree on the arrangements for the time and manner of the CASp inspection, the
payment  of  the  fee  for  the  CASp  inspection,  and  the  cost  of  making  any  repairs  necessary  to  correct  violations  of  construction-related
accessibility  standards  within  the  premises.”  The  notice  set  forth  in  the  prior  sentence  is  not  intended  to  modify  Landlord’s  or  Tenant’s
respective obligations expressly set forth in this Lease. As used in this Lease, a “Certified access specialist” or “CASp” means any person
who has been certified by the State of California as such pursuant to applicable California law (including without limitation Section 4459.5 of
the California Government Code).

Notwithstanding this Section 6.4 above and/or anything to the contrary contained in this Lease, Landlord and Tenant hereby agree

and acknowledge that, if Tenant desires to obtain a CASp inspection, it shall be limited to an inspection of the Premises, and in addition:

6.4.1

Tenant shall provide Landlord with written notice of its desire to conduct such CASp inspection (“Tenant’s
CASp Inspection”), identifying the CASp that will conduct the inspection and providing evidence reasonably satisfactory to Landlord that
the  CASp  is  licensed  and  certified  as  a  Certified  Access  Specialist  in  accordance  with  applicable  Laws.  Landlord  shall  have  the  right  to,
among other things, (i) select the date and time at which such inspection shall occur, and (ii) have one (1) or more Landlord representatives
present  during  such  inspection.  Subject  to  the  foregoing,  Tenant  shall  coordinate  Tenant’s  CASp  Inspection  with  Landlord  before  the
inspection is conducted.

6.4.2

Tenant  shall  (x)  provide  Landlord  with  a  copy  of  any  and  all  findings,  reports  and/or  other  materials
provided by the CASp performing Tenant’s CASp Inspection (collectively, “Tenant’s CASp Report”) not later than two (2) business days
following Tenant’s receipt thereof, (y) at all times maintain (and cause to be maintained) Tenant’s CASp Report and its findings (and any and
all other materials related thereto) confidential and (z) pay for Tenant’s CASp Inspection and Tenant’s CASp Report prior to delinquency at
Tenant’s sole cost and expense. If Tenant receives a disability access inspection certificate, as described in subdivision (e) of California Civil
Code Section 55.53, in connection with or following Tenant’s CASp Inspection, then Tenant shall cause such certificate to be provided to
Landlord not later than two (2) business days after received by Tenant.

6.4.3

If  Tenant’s  CASp  Report  identifies  any  violation(s)  of  applicable  construction-related  accessibility
standards (“CASp Violation(s)”),  then  not  later  than  two  (2)  business  days  after  Tenant’s  receipt  of  Tenant’s  CASp  Report,  Tenant  shall
provide  written  notice  to  Landlord  of  any  and  all  such  CASp  Violation(s).  In  such  event,  Tenant  shall,  at  Tenant’s  sole  cost  and  expense,
perform, or cause to be performed, all repairs, modifications and/or other work necessary to correct such CASp Violation(s) (such repairs,
modifications and/or other work being collectively referred to herein as “Tenant’s CASp Work”, and Tenant’s CASp Work also constituting
Alterations (defined in Section 8) under this Lease). Tenant shall work diligently to prepare all plans

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and specifications required for Tenant’s CASp Work, to obtain Landlord’s approval of Tenant’s CASp Work and to obtain all permits required
for Tenant’s CASp Work, and to thereafter commence (or cause the commencement of) Tenant’s CASp Work in accordance with the terms
and conditions set forth in this Lease relating to Tenant’s Alterations. Tenant shall diligently prosecute (or cause to be diligently prosecuted)
to  completion  all  of  Tenant’s  CASp  Work  in  a  lien  free,  good  and  workmanlike  manner,  and,  promptly  following  completion,  obtain  and
deliver  to  Landlord  an  updated  CASp  Report  (“Tenant’s  Updated  CASp  Report”)  showing  that  the  Premises  then  comply  with  all
applicable construction-related accessibility standards. Any and all costs and expenses associated with Tenant’s CASp Work and/or Tenant’s
Updated CASp Report shall be at Tenant’s sole cost and expense. The preceding to the contrary notwithstanding, if Tenant’s CASp Report
identifies  any  CASp  Violation(s),  Landlord  may,  at  Landlord’s  option,  perform,  or  cause  to  be  performed  by  any  of  Landlord’s  agents,
employees, contractors or consultants, the Tenant’s CASp Work necessary to correct such CASp Violation(s) at Tenant’s expense the entire
cost of which shall be paid by Tenant to Landlord not later than ten (10) business days following Tenant’s receipt of a written invoice from
Landlord.

6.4.4

Without  limiting  the  generality  of  the  foregoing,  Tenant  hereby  agrees  and  acknowledges  that:  Tenant
assumes all risk of, and agrees that Landlord shall not be liable for, any and all loss, cost, damage, expense and liability (including, without
limitation,  court  costs  and  reasonable  attorneys’  fees)  sustained  as  a  result  of  the  Premises  not  having  been  inspected  by  a  CASp.  To  the
fullest  extent  permitted  by  law,  Tenant  hereby  (A)  waives  and  disclaims  any  objection  to,  cause  of  action  based  upon,  or  claim  that  its
obligations  hereunder  should  be  reduced  or  limited  as  a  result  of,  the  lack  of  any  CASp  inspection  of  the  Premises,  and  (B)  agrees  and
acknowledges that the lack of such inspection shall in no event diminish or reduce Tenant’s obligations under this Lease.

6.5

Use of Common Areas.  Use  of  all  Common  Areas  by  any  Tenant  Related  Parties  shall  at  all  times  be  subject  to  the

Rules and Regulations and the exclusive control and management of Landlord.

ARTICLE 7
HAZARDOUS MATERIALS

7.1

Indemnity. Tenant shall indemnify, defend and hold harmless all Landlord Related Parties from and against all Claims
directly or indirectly arising out of the existence, use generation, migration, storage, transportation, release, threatened release, or disposal of
Hazardous Materials (including, without limitation, the Permitted Materials (hereinafter defined)) in, on, or under the Premises, any Building
or the Project or in the groundwater under the Project and the migration or transportation of Hazardous Materials to or from the Premises, any
Building or the Project or the groundwater underlying the Project, to the extent that any of the foregoing is caused, or alleged to be caused, by
any Tenant Related Parties. This indemnity extends to the costs incurred by any Landlord Related Party to investigate, remediate, monitor,
treat,  repair,  clean-up,  dispose  of,  or  remove  such  Hazardous  Materials  in  order  to  comply  with  the  Environmental  Laws;  provided  that
Landlord  shall  give  Tenant  not  less  than  thirty  (30)  days’  advance  notice  of  Landlord’s  intention  to  incur  such  costs.  Notwithstanding
anything to the contrary in this Lease under no circumstance shall Tenant be liable for any Claims directly or indirectly arising out of the
existence  of  any  Hazardous  Materials  present  in,  on,  or  under  the  Premises,  any  Building  or  the  Project  or  in  the  groundwater  under  the
Project as of the Phase 1 Commencement Date (“Pre-Existing Hazardous Materials”), except to the extent due to the release or emission of
any Hazardous Material by Tenant or its agents or employees in violation of applicable Environmental Laws.

7.2

Restriction on Hazardous Materials. Tenant shall not permit any Tenant Related Parties to use, generate, manufacture,
store,  transport,  release,  threaten  release,  or  dispose  of  Hazardous  Materials  in,  on,  or  about  the  Premises,  any  Building  or  the  Project  or
transport  Hazardous  Materials  from  the  Premises,  any  Building  or  the  Project  unless  Tenant  shall  have  received  Landlord’s  prior  consent
therefor, and shall not cause or permit the release or disposal of Hazardous Materials from the Premises, any Building or the Project except in
compliance with applicable Environmental Laws; provided, however, Tenant shall be permitted to use, store and dispose of (in accordance
with applicable Laws and permits held by Tenant) at the Premises customary office and cleaning supplies and those materials contemplated
by the Permitted Use (such as, but not limited to, isopropyl alcohol, acetone, cutting oil and the materials listed in Exhibit J), so long as the
same are used in quantities contemplated by the Permitted Use and in compliance with applicable Environmental Laws and are listed in a
Hazardous Materials Management Plan that is periodically updated as required by Law and provided to Landlord at least once

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per year (the “Permitted Materials”). As part of the Hazardous Material Management Plan, Tenant shall maintain on the Premises a master
list of the Permitted Materials, other than customary office and cleaning supplies, stored in the Premises (the “Permitted Materials Index,”
an example of which is attached hereto as Exhibit J) which shall include (a) the name of the substance containing such Hazardous Materials
(including  the  Permitted  Materials),  (b)  the  amount  of  such  substance  typically  stored  therein,  and  (c)  a  reference  to  the  location  of  any
MSDS forms associated with such substance as is required to be kept by Law. In addition, Tenant shall maintain and update, to the extent
doing  so  would  be  prudent  and  customary  for  tenants  Tenant’s  business,  written  procedures  for  the  safe  storage,  handling  and  disposal  of
such  Hazardous  Materials  (including  the  Permitted  Materials),  and  an  example  of  Tenant’s  current  Hazardous  Materials  management
procedures is attached hereto as Exhibit J-1. Tenant shall promptly deliver notice to Landlord if Tenant obtains knowledge that Hazardous
Materials are located on the Premises, any Building or the Project that are not in compliance with applicable Environmental Laws or if any
third  party,  including  without  limitation,  any  governmental  agency,  claims  a  significant  disposal  of  Hazardous  Materials  occurred  on  the
Premises,  any  Building  or  the  Project  or  is  being  or  has  been  released  from  the  Premises,  any  Building  or  the  Project.  Tenant  shall  post
placards  related  to  Hazardous  Materials  as  required  by  Law,  subject  to  Landlord’s  prior  approval  (not  to  be  unreasonably  withheld,
conditioned or delayed) of the location and specifications of such placards.

7.3

Investigation  of  Contamination.  Upon  reasonable  written  request  of  Landlord,  Tenant,  through  its  appropriately
qualified and licensed professional engineers, and at Tenant’s cost, shall thoroughly investigate suspected Hazardous Materials contamination
of the Premises, any Building or the Project that would come within the scope of Tenant’s indemnification and hold harmless obligations as
set forth above. Tenant, using duly licensed and insured contractors approved by Landlord, shall promptly commence and diligently complete
the  removal,  repair,  clean-up,  and  detoxification  of  any  Hazardous  Materials  from  the  Premises,  any  Building  and  the  Project  as  may  be
required  by  applicable  Environmental  Laws  that  comes  within  the  scope  of  Tenant’s  indemnification  and  hold  harmless  obligations  as  set
forth above. The provisions of this Article shall survive the expiration or earlier termination of this Lease.

7.4

Chemical Storage Equipment. Subject to the terms and conditions in this Article 7 and Landlord’s reasonable approval,
Tenant may install certain above ground chemical storage equipment on or adjacent to the Premises, provided that Tenant shall maintain such
equipment and the location thereof in compliance with all applicable Laws.

ARTICLE 8
SERVICES AND UTILITIES

8.1

Furnishing  of  Building  Services.  Landlord  agrees  to  furnish  the  Building  Services  as  set  forth  on  Exhibit  F.
Additionally,  Tenant  shall  obtain  and  pay  for  all  water,  gas,  electricity,  heat,  telephone,  sewer,  sprinkler  charges  and  other  utilities  and
services  used  at  the  Premises  and  separately  metered  to  the  Premises,  including  janitorial  services,  together  with  all  taxes,  penalties,
surcharges, and maintenance charges pertaining thereto. All Common Area utilities shall be included in Operating Costs pursuant to Article 4
of this Lease. By executing this Lease, Tenant hereby authorizes Landlord, if required in connection with Landlord’s energy usage disclosure
obligations  under  applicable  Laws,  to  obtain  information  regarding  Tenant’s  utility  and  energy  usage  at  the  Premises  directly  from  the
applicable utility providers and Tenant shall execute, within thirty (30) days of Landlord’s request, any additional documentation reasonably
required by any applicable utility provider evidencing such authorization. Further, within thirty (30) days of Landlord’s request, if required in
connection  with  Landlord’s  energy  usage  disclosure  obligations  under  applicable  Laws,  Tenant  shall  provide  to  Landlord  all  reasonably
requested information regarding Tenant’s utility and energy usage at the Premises (which may include copies of Tenant’s utility bills).

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8.2

Interruption in Services. Landlord shall not be in default hereunder nor be liable for any damages directly or indirectly
resulting from, nor shall the Rent be abated (except as provided herein), for any interruption of or diminution in the quality or quantity of
Building  Services,  including,  without  limitation,  when  the  same  is  occasioned,  in  whole  or  in  part,  by  (a)  repairs,  replacements,  or
improvements; (b) by inability to secure or limitation, curtailment, or rationing of, or restrictions on, use of electricity, gas, water, or other
form of energy serving the Premises, any Building or the Project; (c) by any accident or casualty; (d) by act or Default by Tenant or other
parties;  or  (e)  by  Force  Majeure.  No  failure,  delay  or  diminution  in  Building  Services  shall  ever  be  deemed  to  constitute  an  eviction  or
disturbance of Tenant’s use and possession of the Premises or relieve Tenant from paying Rent (except as provided herein) or performing any
of its obligations under this Lease. Furthermore, Landlord shall not be liable under any circumstances for loss of, or injury to, property or for
injury to, or interference with, Tenant’s business, including, without limitation, loss of profits, however occurring, through or in connection
with or incidental to a failure, delay or diminution of any Building Services.

Additionally,  an  “Abatement Event”  shall  be  defined  as  an  event  that  prevents  Tenant  from  using  the  Premises  or  any  portion
thereof, as a result of any failure to provide Building Services to the Premises, where (i) Tenant does not actually use the Premises or such
portion thereof, and (ii) such event is caused by (A) the negligence or willful misconduct of Landlord, its agents, employees or contractors, or
(B) Landlord’s exercise of its rights, or the performance of its obligations, under this Lease. Tenant shall give Landlord notice (“Abatement
Notice”)  of  any  such  Abatement  Event,  and  if  such  Abatement  Event  continues  beyond  the  “Eligibility  Period”  (as  that  term  is  defined
below),  then  the  Base  Rent  and  Tenant’s  Cost  Allocation  shall  be  abated  entirely  or  reduced,  as  the  case  may  be,  after  expiration  of  the
Eligibility Period for such time that Tenant continues to be so prevented from using, and does not use, the Premises or a portion thereof, in
the proportion that the Rentable Area of the portion of the Premises that Tenant is prevented from using, and does not use, bears to the total
Rentable  Area  of  the  Premises;  provided,  however,  in  the  event  that  Tenant  is  prevented  from  using,  and  does  not  use,  a  portion  of  the
Premises for a period of time in excess of the Eligibility Period and the remaining portion of the Premises is not sufficient to allow Tenant to
effectively conduct its business therein, and if Tenant does not conduct its business from such remaining portion, then for such time after
expiration of the Eligibility Period during which Tenant is so prevented from effectively conducting its business therein, the Base Rent and
Tenant’s Cost Allocation for the entire Premises shall be abated entirely for such time as Tenant continues to be so prevented from using, and
does not use, the Premises. If, however, Tenant reoccupies any portion of the Premises during such period, the Base Rent and Tenant’s Cost
Allocation allocable to such reoccupied portion, based on the proportion that the Rentable Area of such reoccupied portion of the Premises
bears to the total Rentable Area of the Premises, shall be payable by Tenant from the date Tenant reoccupies such portion of the Premises.
Notwithstanding anything to the contrary contained herein, if Landlord is diligently pursuing the restoration of such Building Services and
Landlord provides substitute services reasonably suitable for Tenant’s purposes, for example bringing in portable air conditioning or heating
equipment, then there shall be no abatement of Base Rent or Tenant’s Cost Allocation. The term “Eligibility Period” shall mean a period of
three (3) consecutive calendar days after Landlord’s receipt of the applicable Abatement Notice. Such right to abate Base Rent and Tenant’s
Cost Allocation shall be Tenant’s sole remedy for an Abatement Event. This paragraph shall not apply in case of damage to, or destruction of,
the Premises or the Property, or any eminent domain proceedings which shall be governed by separate provisions of this Lease.

8.3

8.4

8.5

Intentionally Omitted.

Intentionally Omitted.

Intentionally Omitted.

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8.6

Safety  and  Security  Devices  Services,  and  Programs.  The  parties  acknowledge  that  safety  and  security  devices,
services, and programs provided by Landlord, if any, while intended to deter crime and ensure safety, may not in given instances prevent theft
or other criminal acts or ensure safety of persons or property. The risk that any safety or security device, service, or program may not be
effective, or may malfunction, or be circumvented by a criminal, is assumed by Tenant with respect to Tenant’s property and interests; and
Tenant shall obtain insurance coverage to the extent Tenant desires protection against such criminal acts and other losses. Tenant agrees to
cooperate in any reasonable safety or security program developed by Landlord or required by Law.

8.7

Utility Deregulation. If permitted by applicable Law at any time in the future, Landlord shall have the right at any time
and from time to time during the Term to contract for electricity service from different companies providing electricity service so long as
such  companies  provide  Tenant  with  commercially  reasonable  rates  (each  such  company  shall  hereinafter  be  referred  to  as  an  “Alternate
Service Provider”); provided, however, that Tenant shall not, under any circumstances, pay for any costs associated with Landlord’s election
to change providers. Tenant agrees to reasonably cooperate with Landlord and any Alternate Service Provider at all times and, as reasonably
necessary,  to  provide  reasonable  access  to  any  electric  facilities  within  the  Premises.  Tenant  may  not  elect  to  use  any  electricity  service
provider other than the one designated by Landlord for each Building without the prior consent of Landlord, which consent may be withheld
in Landlord’s sole discretion.

8.8

Government Energy or Utility Controls.  In  the  event  of  imposition  of  any  government  controls,  rules,  regulations,  or
restrictions on the use or consumption of energy or other utilities during the Term, both Landlord and Tenant shall be bound thereby, and the
same shall not constitute a constructive eviction of Tenant. In the event of a difference in interpretation by Landlord and Tenant of any such
controls, Landlord’s reasonable, good faith interpretation shall prevail, and Landlord shall have the right to enforce compliance therewith,
including, without limitation, the right of entry into the Premises to effect compliance.

8.9

Telecommunications. Tenant and Tenant’s telecommunications companies, including but not limited to local exchange
telecommunications companies and alternative access vendor services companies (“Telecommunications Companies”), shall have no right
of access to or within the Project (other than the Premises) for the installation and operation of Tenant’s Telecommunications System without
Landlord’s  prior  consent,  which  consent  is  not  to  be  unreasonably  withheld  or  delayed.  All  work  with  respect  to  Tenant’s
Telecommunications System shall be subject to the terms of Article 11 of this Lease and such work shall be deemed to be an Alteration.

ARTICLE 9
CONDITION OF THE PREMISES

Except as expressly provided in this Lease, Tenant acknowledges that Tenant is leasing the Premises on an “AS IS, WHERE IS”
basis.  Subject  to  Landlord’s  express  warranties  elsewhere  in  this  Lease,  (a)  Tenant’s  possession  of  Phase  2  pursuant  to  the  Sublease
immediately  preceding  the  applicable  Commencement  Date,  and  (b)  Tenant’s  acceptance  of  possession  of  Phase  1  as  of  the  Phase  1
Commencement Date, shall be deemed conclusive evidence that, as of the applicable Commencement Date, the Premises were in good order
and satisfactory condition. No promise of Landlord to alter, remodel, repair, or improve the Premises, the Buildings or the Project, and no
representation, express or implied, respecting any matter or thing relating to the Premises, the Buildings, the Project or this Lease (including,
without limitation, the condition thereof) have been made to Tenant by Landlord or its broker or sales agent, other than as may be expressly
contained  in  this  Lease.  Following  the  full  execution  and  delivery  of  this  Lease,  Tenant  shall  have  the  right,  but  not  the  obligation,  to
construct the initial tenant improvements in the Premises as described in Exhibits E and E-1.

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ARTICLE 10
REPAIRS AND MAINTENANCE

10.1

Landlord’s Obligations. This Lease is intended to be a net lease; accordingly, Landlord’s maintenance obligations are
limited to the repair and maintenance of each Building’s structure (i.e., each Building’s roof, foundation and exterior walls) and the Common
Areas and as otherwise expressly set forth herein. Each Building’s structure does not include skylights, windows, glass or plate glass, doors,
special fronts, or office entries, mechanical systems, fire prevention systems, electrical systems, or plumbing systems, all of which shall be
maintained  by  Tenant.  Tenant  shall  give  Landlord  prompt  notice  of  Tenant’s  knowledge  of  any  damage  or  condition  that  Landlord  is
obligated to repair. Tenant hereby waives and relinquishes any right Tenant may have under any applicable Law now or hereafter in effect to
make any repairs at Landlord’s expense including, without limitation, under California Civil Code Sections 1941 and 1942, as the same may
be amended or re-codified, or any similar or successor Law.

10.2

Tenant’s  Obligations.  Except  as  provided  in  Section  10.1  above,  Tenant,  at  Tenant’s  sole  expense,  shall  maintain,
repair and replace all non-structural portions of each Building and Premises, including the entire interior and exterior and all improvements
now  or  hereafter  located  on  the  Premises,  and  keep  same  and  all  parts  thereof  in  good  condition  order  and  repair,  including  without
limitation,  the  following:  (a)  all  HVAC,  plumbing,  electrical,  sewerage  and  mechanical  systems  exclusively  serving  the  Premises;  (b)  all
fixtures,  interior  walls,  floors  (excluding  subfloors  and  foundations),  carpets,  draperies,  window  coverings,  and  ceilings;  (c)  all  windows,
doors,  entrances,  and  plate  glass;  (d)  interior  and  exterior  lighting;  (e)  any  fire  detection  or  extinguisher  equipment;  (f)  interior  walls,  (f)
public  and  private  utility  connections  exclusively  serving  the  Premises  from  the  point  of  connection  to  the  Premises,  (j)  pipes  and  mains
exclusively serving the Premises from the point of connection to the Premises; and (k) all other fixtures, machinery, apparatus, equipment
and appurtenances now or hereafter belonging to, connected with or used in conjunction with the Premises. Tenant’s obligations shall include
all necessary repairs and replacements. All such repairs and replacements shall be of reasonably similar quality as the item so replaced and
sufficient for the proper maintenance and operation of the Premises. Tenant shall not permit anything to be done upon the Premises (and shall
perform all maintenance and repairs thereto so as not) to invalidate, in whole or in part any warranties, or prevent the procurement of any
insurance policies that may, at any time, be required under the provisions of this Lease. Tenant shall not obstruct or permit the obstruction of
any adjoining street or sidewalk. Notwithstanding anything to the contrary herein, Landlord shall perform and construct, and Tenant shall
have no responsibility to perform or construct, any repair, maintenance or improvements necessitated by the acts or omissions of Landlord or
any other occupant of the Project, or their respective agents, employees or contractors.

Without limiting the generality of the foregoing, Tenant agrees as follows:

10.2.1

Tenant  shall  enter  into  a  maintenance  contract  or  contracts,  in  form  and  substance  and  with  a  firm
reasonably  satisfactory  to  Landlord  and  with  Landlord’s  prior  consent,  for  the  maintenance  and  regular  repair  of  the  mechanical  systems,
including but not limited to the heating, ventilating and air conditioning systems (the “HVAC”), including exhaust fans. Said maintenance
contract(s) shall provide, at a minimum, for quarterly inspections, service and cleaning of said units and systems and shall include (but not be
limited  to)  those  requirements  appearing  on  Exhibit  I  attached  hereto  and  made  a  part  hereof.  Tenant’s  maintenance  obligation  shall
specifically include such adjustments and servicing as each such inspection discloses to be required, and all repairs, testing and servicing as
shall be necessary or reasonably required by Landlord or Landlord’s insurance underwriter. If replacement of the HVAC and any equipment,
fixtures, units, systems and appurtenances thereto are necessary, Tenant shall replace the same with equipment, fixtures, units, systems and
appurtenances of the same quality, and repair all damage done in or by such replacement. Tenant shall provide Landlord with a current copy
of such maintenance contract and the scope of work to be performed thereunder. Landlord, at its election, may enter into such contract in
place of Tenant and charge Tenant for the cost thereof. Further, at Landlord’s option, Landlord may perform routine filter changes and other
preventative maintenance required to be performed by Tenant hereunder and in such case, Tenant shall reimburse Landlord the costs therefor.

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Further  notwithstanding  anything  to  the  contrary  herein,  if  any  other  replacements  for  which  Tenant  is  responsible  under  this
Section 10.2 would be considered capital expenditures under GAAP (which for the avoidance of doubt shall not include the HVAC and any
other replacements made by Tenant pursuant to Exhibit E and E-1 with respect to Tenant’s initial Tenant Improvements), then Tenant shall
not be obligated to make such replacement and such replacement shall be the sole responsibility of Landlord, in which case the entire cost of
such  replacement  shall  be  amortized  over  the  useful  life  of  such  replacement  (as  Landlord  shall  reasonably  determine  in  accordance  with
generally  accepted  accounting  practices)  and  Landlord  and  Tenant  shall  proportionately  share  the  cost  of  such  replacement,  with  Tenant’s
share  (1)  based  on  the  proportion  that  the  number  of  months  left  in  the  Term  bears  to  the  number  of  months  in  the  useful  life  of  such
replacement, and (2) paid within thirty (30) days of Tenant’s receipt of Landlord’s invoice therefor; however, any such calculation shall not
include any available extension terms, unless Tenant validly exercises any available extension option, in which case Tenant’s share shall be
recalculated upon Tenant’s exercise of any such option (or, if Tenant does not have any available extension terms and this Lease is renewed
or extended by mutual agreement of the parties, upon Landlord and Tenant agreeing in writing to an extension of this Lease beyond the then-
current  Term)  and  Tenant  shall  pay  to  Landlord  the  difference  between  Tenant’s  share  as  recalculated  and  Tenant’s  share  as  originally
calculated (“Landlord’s Capital Replacement Obligation”).

Tenant shall be responsible for the maintenance and upkeep of the entire fire sprinkler system, including
but not limited to microbiologically influenced corrosion testing and remediation. Tenant shall conduct quarterly flow checks on the sprinkler
system. In addition, Tenant shall be responsible for fire pump inspection and testing on an annual basis.

10.2.2

10.2.3

Tenant shall keep and maintain written reports of the maintenance and repair to the mechanical systems,
and the fire sprinkler system and forward copies of each inspection report to Landlord within ten (10) days of each inspection. Tenant shall
also provide information and backup for major repairs to any Building systems, including any warranties on the work, that occurred at any
time during the Term.

Tenant shall maintain the lighting in the Premises (including replacement of bulbs and batteries). Tenant
shall conduct quarterly tests on emergency lighting and provide Landlord a copy of each such test. Bulbs, ballasts and light fixtures shall be
replaced whenever they fail.

10.2.4

10.3

Damage by Tenant. Except for ordinary wear and tear and subject to the provisions of Section 18.7 below, Tenant shall
promptly  reimburse  Landlord  for  any  costs  that  Landlord  may  incur  in  making  repairs  and  alterations  in  and  to  the  Project  or  facilities,
systems or equipment of the Project, where the need for such repairs or alterations is caused by any of the following: (a) Tenant’s use or
occupancy  of  the  Premises  in  a  fashion  that  contravenes  any  provision  of  this  Lease;  (b)  the  installation,  removal,  use,  or  operation  of
Tenant’s Property; (c) the moving of Tenant’s Property into or out of any Building; or (d) any misuse, tortious act, omission, or negligence of
any Tenant Related Parties.

10.4

Load and Equipment Limits. Tenant shall not without Landlord’s consent place a load upon the Premises that exceeds
the  load  per  square  foot  that  the  structural  portions  of  the  Premises  were  designed  to  carry,  as  determined  by  Landlord  or  Landlord’s
structural  engineer,  which  load  is  200  pounds  per  square  foot;  provided,  however,  Landlord  shall  not  withhold  its  consent  if  (A)  in  the
opinion of a qualified structural engineer (selected by Tenant, but reasonably approved by Landlord), the placement and arrangement of the
proposed  load  is  within  the  load  capacity  of  any  Building,  and  (B)  Landlord’s  structural  engineer  reasonably  concurs  with  such  opinion.
Landlord hereby approves of ATM Engineering as structural engineer to determine the placement and arrangement of Tenant’s fixtures and
equipment. Upon demand Tenant shall pay the reasonable cost of any such determination for items other than the equipment, library, files,
and furniture originally approved by Landlord or by Landlord’s structural engineer.

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ARTICLE 11
ALTERATIONS AND ADDITIONS

11.1

Tenant’s  Alterations.  Tenant  shall  not  make  any  additions,  alterations,  or  improvements  (the  “Alterations”)  to  the
Premises  without  the  prior  consent  of  Landlord,  which  consent  shall  be  requested  by  Tenant  at  least  thirty  (30)  days  prior  to  the
commencement of any work and such request for consent shall include (A) Tenant’s proposed plans and specifications for the Alterations,
(B)  a  detailed  critical  path  construction  schedule  containing  the  major  components  of  the  Alterations  and  the  time  required  for  each,
including the scheduled construction commencement date, milestone dates and the estimated completion date, (C) an itemized statement of
estimated  construction  costs,  including  fees  for  permits  and  architectural  and  engineering  fees,  (D)  for  Alterations  anticipated  to  cost  in
excess of $50,000, evidence satisfactory to Landlord of Tenant’s ability to pay the cost of the Alterations, (E) the names and addresses of
Tenant’s contractors (and said contractors’ subcontractors) and materialmen providing specialty materials to be engaged by Tenant for the
Alterations (individually, a “Tenant Contractor,” and collectively, “Tenant’s Contractors”); however, Landlord may designate a list of pre-
approved contractors for any portions of the Alterations involving any Building’s structure or the Building Systems, and (F) certificates of
insurance, evidencing the insurance required under this Article 11. Landlord’s consent to the Alterations (and Landlord’s approval of Tenant’s
plans  and  specifications  therefor)  shall  not  be  unreasonably  withheld,  conditioned  or  delayed  and  any  changes  or  modifications  to  the
Alterations  or  such  plans  or  specifications  thereafter  shall  require  Landlord’s  approval  (which  shall  not  be  unreasonably  withheld).
Landlord’s  review  and  approval  of  the  plans  and  specifications  for  the  Alterations  shall  create  no  responsibility  or  liability  on  the  part  of
Landlord for their completeness, design sufficiency, or compliance with all Laws. Notwithstanding the foregoing, Tenant shall have the right
during the Term to make cosmetic alterations as Tenant may reasonably deem desirable or necessary (the “Cosmetic Alterations”), without
Landlord’s consent, provided that such Alterations (i) are not visible from outside of the Premises; (ii) do not adversely affect any Building’s
structure  or  any  Building  System;  (iii)  do  not  trigger  any  legal  requirement  which  would  require  any  alteration  or  improvements  to  any
Building  or  Project;  (iv)  do  not,  in  the  aggregate,  exceed  $50,000  (for  Alterations  other  than  floor  and  wall  covering)  in  any  twelve  (12)
month period; and (v) do not require any license, permit or approval under applicable Law and do not result in the voiding of Landlord’s
insurance, the increasing of Landlord’s insurance risk or the disallowance of sprinkler credits. Tenant shall give Landlord at least ten (10)
days  prior  written  notice  of  such  Cosmetic  Alterations,  which  notice  shall  be  accompanied  by  reasonably  adequate  evidence  that  such
changes  meet  the  foregoing  criteria.  Except  as  otherwise  provided,  the  term  “Alterations”  shall  include  Cosmetic  Alterations.  In  addition,
Tenant’s repairs, modifications and replacement of the HVAC systems in accordance with Exhibit E and Exhibit E-1 with respect to Tenant’s
initial Tenant Improvements shall not require Landlord’s consent except as otherwise provided in Exhibit E and Exhibit E-1.

11.2

Construction  Requirements.  All  Alterations  shall  be  (a)  performed  under  a  valid  permit  when  required,  a  copy  of
which shall be furnished to Landlord before commencement of construction, (b) performed in a good and workmanlike manner using only
new, first class materials and Tenant shall obtain contractors’ warranties for a period of at least one (1) year against defects in materials and
workmanship;  (c)  performed  in  compliance  with  all  applicable  Laws,  all  applicable  standards  of  the  American  Insurance  Association
(formerly, the National Board of Fire Underwriters), the National Electrical Code, manufacturer’s specifications and Landlord’s construction
rules and regulations attached hereto as Exhibit E-2 (the “Construction Rules”); (d) intentionally omitted; (e) performed in such manner as
not to unreasonably obstruct access to the Project or the Common Areas or the conduct of business by Landlord or other tenants in the Project
and coordinated with any other work in the Project by Landlord or its tenants in order to minimize interference with such work; (f) diligently
prosecuted  to  completion;  (g)  if  applicable,  performed  in  a  manner  that  will  not  adversely  affect  any  Building’s  and  or  Project’s  “LEED”
certification,  Energy  Star  rating  or  other  “green  agency”  rating,  and  (i)  performed  (A)  in  compliance  with  USGBC  indoor  air  quality
standards and waste management specifications, and (B) if to the extent applicable, utilizing plumbing fixtures that comply with the EPA’s
“Water  Sense”  program  and  Energy  Star  compliant  equipment,  and  (h)  as  to  Alterations  other  than  Cosmetic  Alterations,  performed  by
Tenant’s  Contractors  that  are  approved  by  Landlord  and,  at  Landlord’s  election,  Landlord  shall  have  the  right  to  have  at  least  one  (1)
additional contractor selected by Landlord (“Landlord’s Contractors”), submit a bid for the Alterations (other than Alterations that involve
the installation of Tenant’s specialty equipment) and Landlord shall notify Tenant of any Landlord’s Contractors it elects to have submit a bid
for the Alterations at the time Landlord approves Tenant’s Contractors. If Landlord elects to have any Landlord’s Contractors submit a bid for
the Alterations, then promptly

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after Tenant receives all bids, and based upon the bids submitted by Tenant’s Contractors and Landlord’s Contractor(s), Tenant shall notify
Landlord in writing of its recommendation for the contractor to perform the Alterations, which notice shall include copies of all bids (the
“Bid Package”). If Tenant’s recommendation for a contractor for the Alterations is not a Landlord’s Contractor, then within five (5) Business
Days  after  Landlord’s  receipt  of  the  Bid  Package,  Landlord  shall  either  (A)  allow  Tenant  to  use  its  recommended  contractor  for  the
Alterations, or (B) require Tenant to use a Landlord’s Contractor for the Alterations. If Landlord elects to proceed under subsection (B) and
the bid of the required Landlord’s Contractor for the Alterations exceeds one hundred percent (100%) of the bid of Tenant’s recommended
contractor for the Alterations, then Landlord shall reimburse Tenant for the cost of the work performed by Landlord’s Contractor (excluding
costs incurred for any change orders) in excess of one hundred percent (100%) of the bid of Tenant’s recommended contractor within thirty
(30) days of Tenant’s completion of the Alterations and Landlord’s receipt of unconditional lien releases therefor.

Tenant  agrees  to  (1)  carry  (or  cause  its  general  contractor  to  carry)  Causes  of  Loss-Special  Form  Builder’s  Risk  or  Installation
Floater  insurance  with  a  limit  of  not  less  than  the  total  cost  of  the  Alterations,  in  such  form  and  including  such  terms,  conditions  and
deductibles as are acceptable to Landlord in its sole but reasonable discretion, covering the construction of such Alterations, and (2) cause all
of Tenant’s Contractors to agree, in their construction contracts with Tenant, to meet all of the insurance requirements applicable to Tenant
pursuant to Article 18 (including providing the certificates of insurance required thereunder). For Alterations other than Cosmetic Alterations
performed after the initial Tenant Improvements, Tenant shall pay to Landlord a percentage of the cost of the Alterations (such percentage,
which shall vary depending upon whether or not Tenant orders the work directly from Landlord, to be established by Landlord on a uniform
basis  for  the  Project;  however,  in  no  event  shall  such  percentage  exceed  five  percent  (5%)),  sufficient  to  compensate  Landlord  for  all
overhead, general conditions, fees and other costs and expenses arising from Landlord’s supervision of or involvement with the Alterations.
For Alterations estimated to cost in excess of $250,000, Landlord may require, at Landlord’s sole option, that Tenant provide to Landlord
such security as reasonably determined by Landlord to protect Landlord against any liability in connection with the Alterations, including but
not limited to a lien and completion bond naming Landlord as a co-obligee (however, Landlord and Tenant agree that the provisions of this
sentence shall not apply to the initial Tenant Improvements, such that Tenant shall have no obligation to provide any security (other than the
Excess Costs Deposit, if applicable) in connection with the initial Tenant Improvements). Promptly after completion of any Alterations (other
than  Cosmetic  Alterations),  Tenant  shall  deliver  to  Landlord  “as-built”  plans  and  specifications  (including  all  working  drawings)  for  the
Alterations.

Landlord shall have the right to inspect the construction of the Alterations; however, Landlord’s failure to inspect any portion of the
Alterations  shall  in  no  event  constitute  a  waiver  of  any  of  Landlord’s  rights  under  this  Article  11,  nor  shall  Landlord’s  inspection  of  any
portion of the Alterations constitute Landlord’s approval thereof. If, as a result of Landlord’s inspection, Landlord disapproves of any portion
of the construction of the Alterations, Landlord shall notify Tenant in writing of such disapproval and shall specify the items disapproved. In
the event Landlord disapproves of any matter that might adversely affect any Building System, the structure or exterior appearance of any
Building or any other tenant, Landlord may take such action as Landlord deems necessary, at Tenant’s expense and without incurring any
liability on Landlord’s part, to correct any such matter, including, without limitation, causing the cessation of the applicable work.

11.3

Landlord’s Property; Removal. All fixtures, equipment, leasehold improvements (including the Tenant Improvements
and any Alterations), and appurtenances attached to or built into the Premises from and after the date of this Lease by or on behalf of Tenant,
whether or not by or at the expense of Tenant, other than Tenant’s Property, shall be and remain a part of the Premises, shall be the property
of Landlord, and shall not be removed by Tenant, unless: (i) such removal is necessary to ensure that the Premises and any Building comply
with applicable code at the time of surrender, including but not limited to removal of wires located in risers and plenums without raceways or
conduits; or (ii) if Tenant, as part of its request for Landlord’s consent to any Alterations or its notice of Cosmetic Alterations, as applicable,
requested  Landlord’s  determination  as  to  whether  Landlord  will  require  Tenant  to  remove  such  Alterations  upon  the  expiration  or  earlier
termination of this Lease and, in response to such request, Landlord required removal of such Alterations at the time of Landlord’s consent
or,  in  the  case  of  Cosmetic  Alterations,  within  fifteen  (15)  days  of  receipt  of  such  request;  or  (iii)  if  Tenant  does  not  request  Landlord’s
designation as to whether Landlord will require Tenant to remove such Alterations upon the expiration or earlier termination of this Lease as
part of its request for Landlord’s consent to any Alterations or its notice of Cosmetic Alterations, as applicable, and Landlord notified Tenant
in writing that removal would be required at

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least ninety (90) days prior to the Expiration Date (however, if this Lease terminates prior to the Expiration Date, such ninety (90) day period
shall  not  apply).  In  each  of  the  foregoing  circumstances,  Tenant  shall  perform  such  removal  and  repair  any  damage  caused  thereby  at
Tenant’s sole cost and expense prior to the expiration or earlier termination of this Lease.

11.4

Notwithstanding the foregoing, (1) Tenant shall have no obligation to remove any of the improvements existing in the
Premises  as  of  the  date  of  this  Lease,  and  (2)  Landlord  may  only  require  Tenant  to  remove  improvements  that  are  not  customary  general
office improvements (which shall include, without limitation, private bathrooms and/or showers, fitness center, all equipment in any server
room  (including,  without  limitation,  raised  flooring,  racking,  wiring  and  cabling),  fish  tanks,  supplemental  HVAC  units,  vaults,  internal
stairwells,  rolling  file  systems,  space  converted  to  lab  space  or  other  non-office  uses,  overhead  roll-up  doors  and/or  additional  single  or
double-door exterior entrances (to the extent removal of an exterior door is required hereunder, Tenant shall restore the wall affected by such
removal to the prior condition)). With respect to any of the foregoing included in the Tenant Improvements, Landlord shall notify Tenant as
to whether or not Landlord will require any such removal and restoration at least ninety (90) days prior to the Expiration Date (however, if
this Lease terminates prior to the Expiration Date, such ninety (90) day period shall not apply). Except with respect to the restoration of any
walls  in  connection  with  the  removal  of  exterior  doors,  as  indicated  above,  Tenant  shall  only  be  required  to  remove  the  improvements  as
requested by Landlord in accordance with this Section and repair damages caused by such removal. Both Landlord and Tenant acknowledge
that all interior walls (including electrical, telephone cabling, and other lines therein, but excluding Telecom Wiring install by or on behalf of
Tenant  (which  shall  be  removed  as  set  forth  in  Article  24)),  interior  doors,  wall  and  floor  finishes  and  trim,  and  general  duct-work  (as
opposed to duct-work related to Tenant’s special systems) installed or modified by Tenant as depicted in the Final Space Plan and approved
in the Approved Working Drawings constitute (without limitation) general office improvements.

11.5

Lien  Free  Completion.  Tenant  shall  cause  each  of  Tenant’s  contractors  to  agree,  in  their  construction  contracts  with
Tenant,  to  satisfy  and  release  (by  bond  or  otherwise)  any  mechanic’s  or  materialman’s  liens  filed  against  the  Project  by  any  of  the
subcontractors  engaged  by  such  contractor  within  ten  (10)  days  of  such  filing.  Upon  completion  of  the  Alterations,  (other  than  Cosmetic
Alterations), Tenant shall furnish Landlord with full and final waivers of liens and contractors’ affidavits and statements, in such form as may
be required by Landlord, Landlord’s title insurance company and any Mortgagee, from all parties performing labor or supplying materials or
services  in  connection  with  the  Alterations  showing  that  all  of  said  parties  have  been  compensated  in  full.  Before  commencement  of  the
Alterations, Tenant shall notify Landlord of the proposed date of commencement of the Alterations, and shall prepare and deliver to Landlord
for  Landlord’s  signature  a  notice  of  non-responsibility  and  allow  Landlord  no  less  than  seven  (7)  days  to  record  and  post  the  same.
Additionally, if Tenant fails to make any payment relating to the Alterations, Landlord, at its option, may complete the Alterations and/or
make such payment and Tenant shall reimburse Landlord for all costs incurred therefor within five (5) days of Landlord’s demand.

11.6

Notices and Liens. Tenant agrees not to suffer or permit any lien of any mechanic or materialman to be placed or filed
against the Premises, any Building or the Project due to work performed by or on behalf of Tenant. In case any such lien shall be filed, Tenant
shall satisfy and release such lien of record within twenty (20) days (or such shorter period as may be required by any Mortgagee) after the
earlier to occur of (a) receipt of notice thereof from Landlord; or (b) Tenant’s actual knowledge or notice of such lien filing. If Tenant shall
fail to have such lien satisfied and released of record as provided herein, Landlord may, on behalf of Tenant, without being responsible for
making  any  investigation  as  to  the  validity  of  such  lien  and  without  limiting  or  affecting  any  other  remedies  Landlord  may  have,  pay  the
same  and  Tenant  shall  reimburse  Landlord  on  demand  for  such  amount  together  with  any  other  reasonable  costs  of  Landlord,  including,
without  limitation,  reasonable  attorneys’  fees  and/or  Landlord  shall  have  the  right  to  deduct  such  costs  from  the  Allowance  (if  any).
Notwithstanding the foregoing, Tenant shall have the right to contest any such lien claim diligently and in good faith, and during such contest
shall not be obligated to pay such lien claim, provided that Tenant, at its sole cost and expense, bonds the lien, or transfers the lien from the
Property to a bond, thereby freeing the Property from any claim of lien. Notwithstanding any such contest or title insurance, Tenant shall pay
any  such  claim  in  full  within  five  (5)  days  following  the  entry  of  an  unstayed  judgment  or  order  of  sale.  All  materialmen,  contractors,
artisans, mechanics, laborers and any other person now or thereafter furnishing any labor, services, materials, supplies or equipment to Tenant
with respect to Premises or any portion thereof, are hereby charged with notice that they must look

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exclusively  to  Tenant  to  obtain  payment  for  the  same.  Notice  is  hereby  given  that  Landlord  shall  not  be  liable  for  any  labor,  services,
materials, supplies, skill, machinery, fixtures or equipment furnished to or to be furnished to Tenant upon credit and that no mechanic’s lien
or  any  other  lien  for  any  such  labor,  services,  materials,  supplies,  machinery,  fixtures  or  equipment  shall  attach  to  or  affect  the  estate  or
interest of Landlord in and to the Premises or the Project, or any portion thereof. Before the actual commencement of any work for which a
claim or lien may be filed, Tenant shall give Landlord notice of the intended commencement date a sufficient time before that date to enable
Landlord to post notices of nonresponsibility or any other notices that Landlord deems necessary for the protection of Landlord’s interest in
the Premises, any Building or the Project, and Landlord shall have the right to enter the Premises and post such notices at any reasonable
time.

The provisions of this Article 11 do not apply to the initial Tenant Improvements, which are governed by the terms of Exhibit E

and Exhibit E-1 attached hereto.

ARTICLE 12
CERTAIN RIGHTS RESERVED BY LANDLORD

Landlord  reserves  the  following  rights,  exercisable  without  liability  to  Tenant  for  (a)  damage  or  injury  to  property,  person,  or
business; (b) causing an actual or constructive eviction from the Premises; or (c) disturbing Tenant’s use, possession, or beneficial and quiet
enjoyment of the Premises:

12.1

Name. To change the name or street address of any Building or the Project; however, Landlord shall not change the

address of any Building unless required by any governmental authority.

12.2

12.3

Signage. To install and maintain signs on the exterior of the Project, but not on any Building.

Keys. To have passkeys to the Premises and all doors within the Premises, excluding Tenant’s vaults and safes.

12.4

Inspection and Entry. Landlord may enter the Premises on reasonable prior notice, of not less than one (1) Business
Day, to Tenant (except in the event of an emergency, in which case no notice shall be required) (a) to inspect the Premises; (b) to show the
Premises to any prospective purchaser or Mortgagee of the Project, or to others having an interest in the Project or Landlord; (c) during the
existence of a Default; (d) during the last six (6) months of the Term, to show the Premises to prospective tenants; (e) to make inspections,
repairs,  alterations,  additions,  or  improvements  to  the  Premises  or  any  Building  (including,  without  limitation,  checking,  calibrating,
adjusting, or balancing controls and other parts of the heating, ventilation and air-conditioning system); and (f) to take all steps as may be
necessary or desirable for the safety, protection, maintenance, or preservation of the Premises or any Building or Landlord’s interest therein,
or as may be necessary or desirable for the operation or improvement of any Building or in order to comply with Laws. Notwithstanding
anything to the contrary in this Lease, any entry by Landlord and Landlord’s agents shall be subject to the following restrictions: (x) for entry
into the Premises generally, except in the case of an emergency, any entry shall be in accordance with Tenant’s keycode procedures; (y) for
entry into areas designated by Tenant for use as a machine shop or other manufacturing areas, any entry shall be in accordance with Tenant’s
safety  and  security  procedures  surrounding  the  operation  of  machinery  and  manufacture  of  Tenant’s  products  while  such  machinery  is  in
operation; and (z) for entry into any areas used by Tenant for the storage, use or testing of biological materials (such as the surgical suite) or
any  room  subject  to  HIPAA  compliance  requirements,  access  at  any  time  shall  only  be  provided  in  accordance  with  Tenant’s  safety  and
security procedures for such areas.

12.5

Renovations. Landlord may during the Term renovate, improve, alter, or modify (collectively, the “Renovations”) any
Building, the Premises, or the Project, including without limitation, Common Areas, Building Systems, roof, and structural portions of any
Building,  so  long  as  such  Renovations  do  not,  on  a  permanent  basis,  materially  and  adversely  interfere  with  the  use  of  or  access  to  the
Premises or parking areas utilized by Tenant, unless such Renovations are required to comply with applicable Law. Renovations may include,
without  limitation,  (a)  modifying  the  Common  Areas  and  tenant  spaces  to  comply  with  applicable  Laws,  including,  without  limitation,
regulations relating to the physically disabled, seismic conditions, and building safety and security; and (b) installing new carpeting, lighting,
and wall coverings in the Common Areas. In connection with such Renovations,

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Landlord may, among other things, erect scaffolding or other necessary structures in any Building, limit or eliminate access to portions of any
Building or the Project, including, without limitation, portions of the Common Areas, or perform work in any Building that may create noise,
dust or leave debris. Tenant hereby agrees that such Renovations and Landlord’s actions in connection with such Renovations shall in no way
constitute a constructive eviction of Tenant nor entitle Tenant to any abatement of Rent, except as provided in Section 12.7 below. Landlord
shall have no responsibility or for any reason be liable to Tenant for any direct or indirect injury to or interference with Tenant’s business
arising from the Renovations, nor shall Tenant be entitled to any compensation or damages from Landlord for inconvenience, annoyance or
loss of the use of any part of the Premises or of Tenant’s Property resulting from the Renovations.

12.6

Common Areas. So long as the same do not, on a permanent basis, materially and adversely interfere with the use of or
access to the Premises or parking areas utilized by Tenant, unless the same are required to comply with applicable Law. Landlord shall have
the right to eliminate or change the size, location and arrangement of the Common Areas; to enter into, modify and terminate easements and
other agreements pertaining to the use and maintenance of the Common Areas; to close all or any portion of the Common Areas as may be
necessary to prevent a dedication thereof or the accrual of any rights to any person or to the public therein; to close temporarily any or all
portions  of  the  Common  Areas;  and  to  do  and  perform  such  other  acts  in  and  to  the  Common  Areas  as  Landlord  shall  determine  to  be
advisable for the convenience and use thereof by owners, occupants, tenants and invitees of the Project.

12.7

Minimize Interference. In the exercise of the rights set forth in this Article 12, including Section 12.4 above, including
any entry in the Premises pursuant to Section 12.4, Landlord shall (except in an emergency) take commercially reasonable steps to minimize
any  interference  with  Tenant’s  business.  Notwithstanding  anything  to  the  contrary  contained  in  Sections  12.5  and/or  12.6  above,  if  any
Renovations or changes to the Common Area pursuant to Section 12.6 materially and adversely affect Tenant’s ability to operate its business
from the Premises (and Tenant does not in fact operate its business from the Premises) for more than two (2) Business Days, then, after the
expiration  of  such  two  (2)  Business  Day  period,  the  Base  Rent  shall  be  abated  entirely  until  such  time  as  Tenant’s  ability  to  operate  its
business  from  the  Premises  is  no  longer  materially  and  adversely  affected.  Such  right  to  abate  Base  Rent  shall  be  Tenant’s  sole  remedy
therefor.  The  foregoing  shall  not  apply  in  case  of  damage  to,  or  destruction  of,  the  Premises  or  the  Project,  or  any  eminent  domain
proceedings which shall be governed by separate provisions of this Lease.

ARTICLE 13
RULES AND REGULATIONS

Tenant shall comply with (and cause all Tenant Related Parties to comply with) the Rules and Regulations. Landlord shall not be
responsible for any violation of the Rules and Regulations by other tenants or occupants of the Project. All Rules and Regulations, whether
now existing or hereafter adopted by Landlord, shall be nondiscriminatory in nature. Notwithstanding anything to the contrary in this Lease,
Tenant shall not be required to comply with any new Rule or Regulation that would unreasonably interfere with Tenant’s use of the Premises
or parking areas or that would materially increase the obligations, or materially decrease the rights, of Tenant under this Lease.

ARTICLE 14
TRANSFERS

Except as provided in this Article, Tenant shall not, without the prior consent of Landlord, make any Transfer.

14.1

Notice.  Tenant  shall  notify  Landlord  of  any  proposed  Transfer  (a  “Transfer  Notice”).  The  date  of  the  proposed
Transfer must be not less than thirty (30) days or more than one hundred eighty (180) days after the date of the Transfer Notice. The Transfer
Notice  shall  include  (a)  the  proposed  effective  date  of  the  Transfer;  (b)  a  description  of  the  portion  of  the  Premises  to  be  transferred  (the
“Subject Space”); (c) all of the terms of the

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proposed Transfer and the consideration therefor, including, without limitation, a calculation of the Transfer Premium (as defined below); (d)
the name and address of the Transferee; (e) current financial statements of the Transferee certified by an officer, partner or owner thereof; (f)
any  other  reasonable  information  that  will  enable  Landlord  to  determine  the  financial  responsibility,  character,  and  reputation  of  the
Transferee  and  the  nature  of  such  Transferee’s  business;  and  (g)  the  proposed  use  of  the  Subject  Space.  Landlord  shall  respond  to  any
properly delivered Transfer Notice within thirty (30) days.

14.2

Fees.  Whether  or  not  Landlord  shall  grant  consent,  Tenant  shall  pay  Landlord,  concurrently  with  any  request  for
consent a $1,000 administrative review and processing fee, and Tenant shall reimburse Landlord, within thirty (30) days after written request
by Landlord for any legal fees incurred by Landlord in connection with any request for consent (which legal fees shall not exceed $1,000 per
request for consent).

14.3

Consent.  Notwithstanding  anything  to  the  contrary  in  this  Lease,  Landlord’s  consent  shall  not  be  required  for  any
Permitted Transfer, nor shall Sections 14.2, 14.4, 14.5 or 14.6 of this Lease apply to Permitted Transferees. Landlord shall not unreasonably
withhold  or  delay  its  consent  to  any  other  proposed  Transfer.  It  shall  be  reasonable  under  this  Lease  and  under  any  applicable  Law  for
Landlord to withhold consent to any proposed Transfer where one or more of the following apply, without limitation as to other reasonable
grounds for withholding consent:

quality of the tenants in the Project at the time such Transfer is proposed.

14.3.1

The  Transferee  is  of  a  character  or  reputation  or  engaged  in  a  business  that  is  not  consistent  with  the

14.3.2

The Transferee intends to use the Subject Space for purposes that are not permitted under this Lease.

14.3.3

The Transferee is either a governmental agency or instrumentality thereof.

Subject Space.

14.3.4

The  Transfer  will  result  in  more  than  a  reasonable  and  safe  number  of  occupants  per  floor  within  the

responsibilities involved under the Lease (or sublease, as applicable) on the date consent is requested, as determined by Landlord.

14.3.5

The  Transferee  is  not  a  party  of  acceptable  financial  worth  or  financial  stability  in  light  of  the

14.3.6

The Transfer would cause a violation of another lease or any agreement to which Landlord is a party, or

would give an occupant of the Project a right to cancel its lease.

14.3.7

Intentionally Omitted.

14.3.8

Either the Transferee or an Affiliate of the Transferee (a) occupies space in the Project at the time of the
request for consent and Landlord has space available to accommodate the proposed Transferee’s needs that is substantially similar in layout
and  size  as  the  Subject  Space;  or  (b)  commenced  negotiations  with  Landlord  to  lease  space  in  the  Project  prior  to  any  negotiations  with
Tenant.

14.4

Completion  of  Transfer.  If  Landlord  consents  to  any  Transfer  (and  does  not  exercise  any  recapture  rights  Landlord
may have under this Lease), Tenant may within six (6) months after Landlord’s consent, enter into the approved Transfer, upon substantially
the same terms and conditions as are set forth in the Transfer Notice. If there are any material changes in the terms and conditions from those
specified in the Transfer Notice (a) such that Landlord would initially have been entitled to refuse its consent to such Transfer; or (b) that
would cause the proposed Transfer to be more favorable to the Transferee than the terms set forth in the Transfer Notice, Tenant shall again
submit the Transfer to Landlord for its approval and other action under this Article (including, without limitation, exercise any of recapture
rights Landlord may have under this Lease).

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14.5

Transfer Premium. If Landlord consents to a Transfer, Tenant shall pay to Landlord fifty percent (50%) of any Transfer
Premium received by Tenant. “Transfer Premium” shall mean (a) all rent, additional rent or other consideration payable by such Transferee
in excess of the Rent payable by Tenant under this Lease on a per rentable square foot basis; (b) all key money and bonus money paid by
Transferee;  and  (c)  any  payment  in  excess  of  fair  market  value  for  services  or  furniture  rental  rendered  by  Tenant  to  Transferee.  The
“Transfer Premium” shall (i) be reduced by all out-of-pocket expenses incurred by Tenant in connection with the Transfer, such as customary
brokerage commissions and reasonable attorneys’ fees and the cost of any alterations made by Tenant as consideration for such Transfer; and
(ii) shall not include any compensation for the fair market value of Tenant’s Property nor reasonable compensation for the sale of Tenant’s
business that is not attributable to the value of Tenant’s leasehold interest hereunder. Such reductions and exclusions in clauses (i) and (ii) are
referred  to  hereafter  as  (“Transfer  Premium  Reductions”).  Tenant  shall  pay  the  Transfer  Premium  to  Landlord  within  five  (5)  days
following receipt by Tenant. Tenant shall furnish upon Landlord’s request a complete statement setting forth in detail the computation of any
Transfer Premium. Within ninety (90) days following the date of the Transfer, Landlord shall have the right at all reasonable times to audit
the  books,  records  and  papers  of  Tenant  relating  to  any  Transfer  as  necessary  to  confirm  the  calculation  of  the  Transfer  Premium.  If  the
Transfer Premium shall be found understated, Tenant shall, within thirty (30) days after demand, pay the deficiency, together with interest
thereon at the Interest Rate and, if understated by more than five percent (5%), Landlord’s costs of such audit. Notwithstanding the foregoing,
Tenant shall not be required to pay any Transfer Premium (a) in connection with any Permitted Transfer or Space Share, and (b) with respect
to any sublease of all or any portion of the 5353 First Floor, the Transfer Premium shall not include any Transfer Premium for the sublease of
the  5353  First  Floor  (and  no  Transfer  Premium  Reduction  equitably  attributable  to  the  5353  First  Floor  shall  be  applied  to  the  Transfer
Premium payable by Tenant in connection with such Transfer).

14.6

Recapture.  Notwithstanding  anything  to  the  contrary  contained  in  this  Article,  Landlord  shall  have  the  option,  by
giving notice to Tenant within twenty (20) days after receipt of any Transfer Notice, to recapture the Subject Space; provided, however, in the
case of a subletting, Landlord may not exercise such recapture right unless the Subject Space is comprised of all of the applicable Building.
Such recapture notice shall cancel and terminate this Lease with respect to the Subject Space as of the effective date of the proposed Transfer.
In the event of a recapture by Landlord, if this Lease shall be canceled with respect to less than the entire Premises, the Rent reserved herein
shall be prorated on the basis of the Rentable Area retained by Tenant in proportion to the Rentable Area of the Premises, and this Lease as so
amended shall continue thereafter in full force and effect. Notwithstanding anything to the contrary in this Section 14.6, Landlord shall not
have  the  right  to  recapture  the  Premises  with  respect  to  any  Permitted  Transfer,  Space  Share,  or  sublease  of  the  5353  First  Floor.  Upon
request of either party, the parties shall execute written confirmation of the foregoing.

Notwithstanding the foregoing, if Landlord elects to recapture the Subject Space, Tenant may, within ten (10) days after Tenant’s
receipt  of  Landlord’s  notice  thereof,  deliver  written  notice  to  Landlord  indicating  that  Tenant  is  rescinding  its  request  for  consent  to  the
proposed Transfer, in which case such Transfer shall not be consummated and this Lease shall remain in full force and effect as to the portion
of the Premises that was the subject of the Transfer. Tenant’s failure to so notify Landlord in writing within said ten (10) day period shall be
deemed to constitute Tenant’s election to allow Landlord to recapture the Subject Space.

14.7

Effect of Transfer. If Landlord consents to a Transfer, (a) no terms or conditions of this Lease shall be deemed to have
been  waived  or  modified;  (b)  such  consent  shall  not  be  deemed  consent  to  any  further  Transfer;  (c)  no  Transfer  shall  be  valid,  and  no
Transferee  shall  take  possession  of  the  Premises,  until  an  executed  counterpart  of  all  documentation  pertaining  to  the  Transfer  has  been
delivered to Landlord; and (d) no Transfer shall relieve Tenant or any Guarantor from primary liability under this Lease. The acceptance of
Rent  by  Landlord  from  any  party  shall  not  be  deemed  to  be  a  waiver  of  Landlord  of  any  provision  hereof.  In  the  event  of  Default  by  a
Transferee in the performance of any of the terms hereof, Landlord may proceed directly against Tenant without the necessity of exhausting
remedies  against  such  Transferee.  Landlord  may  consent  to  subsequent  assignments  of  the  Lease  or  sublettings  or  amendments  or
modifications to the Lease by Transferees without notifying Tenant, and without obtaining its consent thereto, and any such actions shall not
relieve  Tenant  of  liability  under  this  Lease  and  Tenant  hereby  consents  to  all  or  any  of  the  foregoing.  Any  Transfer  for  which  Landlord’s
consent is required but not obtained pursuant hereto shall constitute a Default under this Lease (i.e., beyond any applicable notice and cure
period) and shall be void.

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14.8

Tenant Remedy for Landlord Refusal to Consent. Landlord and Tenant expressly agree that if the arbitrator (pursuant
to  the  arbitration  provision  below)  determines  that  Landlord  unreasonably  withheld  consent  to  a  proposed  Transfer,  Tenant’s  sole  and
exclusive  remedies  therefor  shall  be  (A)  the  consummation  of  such  proposed  Transfer  (subject  to  the  parties’  execution  of  a  consent
agreement in a form and substance reasonably acceptable to the parties), and/or (B) seeking compensatory (but not consequential) monetary
damages. Except as provided in the immediately preceding sentence, Tenant hereby waives, relinquishes and releases any and all rights to
damages of any kind (other than attorneys’ fees to which Tenant is entitled under Section 30.6 below), or the right to terminate this Lease
under Section 1995.310 of the California Civil Code, and under all similar Laws now or hereafter in effect.

If Tenant disputes the reasonableness of Landlord’s withholding of consent to any Transfer, then, Tenant may, as the sole method
for resolving such dispute, submit such dispute to the American Arbitration Association (“AAA”) for resolution in Santa Clara, California in
accordance with the Commercial Arbitration Rules (Expedited Procedures) of the AAA (except that the terms of this Article shall supersede
any  conflicting  or  otherwise  inconsistent  rules)  within  fifteen  (15)  days  after  Tenant’s  receipt  of  Landlord’s  notice  of  its  withholding  of
consent to the Transfer in question. If Tenant does not submit such dispute to arbitration within such fifteen (15) day period, Tenant shall be
deemed to have accepted Landlord’s withholding of consent to the Transfer in question as reasonable. Provided the rules and regulations of
the AAA so permit the following time periods shall apply (and if such rules and regulations do not so permit, the applicable time period set
forth in such rules and regulations shall apply): (A) the AAA shall, within two (2) Business Days after such submission or application, select
a single arbitrator having at least ten (10) years’ experience in leasing and management of commercial properties similar to the Buildings; (B)
the  arbitration  shall  commence  two  (2)  Business  Days  thereafter  and  shall  be  limited  to  a  total  of  seven  (7)  hours  on  the  date  of
commencement until completion, with each party having no more than a total of two (2) hours to present its case and to cross-examine or
interrogate persons supplying information or documentation on behalf of the other party; and (C) the arbitrator shall make a determination
within three (3) Business Days after the conclusion of the presentation of Landlord’s and Tenant’s cases, which determination shall be limited
solely to a decision as to whether or not Landlord acted reasonably in withholding its consent to the Transfer in question. The arbitrator’s
determination shall be final and binding upon the parties, whether or not a judgment shall be entered in any court. All actions necessary to
implement such decision shall be undertaken as soon as possible, but in no event later than ten (10) Business Days after the rendering of such
decision. The arbitrator’s determination may be entered by either party in any court having jurisdiction thereof. All fees payable to the AAA
for  services  rendered  in  connection  with  the  resolution  of  the  dispute  shall  be  paid  by  the  unsuccessful  party.  Tenant  hereby  expressly
acknowledges  and  agrees  that  (i)  arbitration  under  this  paragraph  shall  apply  only  to  the  issue  of  whether  or  not  Landlord  reasonably
withheld consent to a Transfer, and (ii) in no event shall any other issue or dispute under this Lease, including without limitation, a Default,
be subject to resolution by arbitration pursuant to this paragraph.

14.9

Space Sharing. Tenant shall have the right to allow up to twenty percent (20%) of each of Phase 1 and Phase 2 to be
used by third parties with whom Tenant has a bona fide business relationship (each, a “Permitted User”). Notwithstanding anything to the
contrary set forth in this Article 14, each Permitted User shall be allowed such use (“Space Share”), without Landlord’s consent, upon at
least three (3) days’ prior written notice to Landlord, subject to the following conditions: (i) the Permitted User shall not be entitled, directly
or indirectly, to diplomatic or sovereign immunity and shall be subject to service of process in and subject to the jurisdiction of; the courts of
the State; (ii) there will be no separate entrances or demising walls for any Permitted User; (iii) the Permitted User shall operate in a manner
consistent  with  the  character  of  the  Buildings  as  a  first-class  office  project  and  in  compliance  with  all  applicable  Laws,  including  zoning
ordinances, to which the Buildings are subject; (iv) concurrent with Tenant’s delivery of its notice of a Permitted User, Tenant shall supply
Landlord with a certificate of insurance from the Permitted User evidencing that the Permitted User carries the liability insurance required of
Tenant under this Lease; (v) no such occupancy by a Permitted User shall be deemed to be a tenancy or subtenancy hereunder and any such
occupancy shall be pursuant to a license which shall be automatically revoked upon the expiration or sooner termination of the Term of this
Lease; and (vi) any Permitted User shall be considered a Tenant Related Party for all purposes under this Lease. The provisions of Sections
14.5 and 14.6 shall not apply to any Space Share.

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ARTICLE 15
DESTRUCTION OR DAMAGE

15.1

Landlord  Termination  Rights.  If  the  Premises  or  any  portion  of  the  Project  necessary  for  Tenant’s  occupancy  is
damaged by fire, earthquake, terrorism, act of war, act of God, the elements or other casualty, then Landlord may terminate this Lease upon
notice  given  to  Tenant  within  sixty  (60)  days  after  the  date  of  such  casualty,  effective  as  of  the  date  of  the  casualty  if  (a)  in  Landlord’s
opinion,  repairs  cannot  be  completed  within  one  hundred  eighty  (180)  days;  (b)  the  Premises  or  any  portion  of  the  Project  necessary  for
Tenant’s  occupancy  is  damaged  during  the  final  twelve  (12)  months  of  the  Term  to  the  extent  that,  in  Landlord’s  opinion,  repair  thereof
cannot  be  completed  within  sixty  (60)  days,  unless  Tenant  shall  exercise  its  next  available  extension  option  (if  any)  within  ten  (10)  days
following  receipt  of  Landlord’s  termination  notice  and  Landlord  does  not  elect  to  terminate  this  Lease  pursuant  to  one  of  the  other
subsections herein within ten (10) days of such exercise; (c) the insurance proceeds available to Landlord (with any deductibles thereunder
considered “available”) are not sufficient to complete repair or restoration; or (d) Tenant is in Default under this Lease. Notwithstanding the
foregoing, Landlord shall not have the right to terminate the Lease pursuant to subsection (c) above if the cost to repair the damage to the
Premises would be more than the amount of the available insurance proceeds plus $300,000.

15.2

Repairs. If this Lease is not terminated as provided above, it shall continue in full force and effect, and Landlord shall
promptly  and  diligently,  subject  to  reasonable  delays  for  insurance  adjustment,  and  subject  to  all  other  terms  of  this  Article,  restore  the
Premises, the Common Areas and the portions of the Project serving the Premises and Tenant shall assign to Landlord all insurance proceeds
payable  to  Tenant  as  to  the  Tenant  Improvements  and  any  Alterations  to  be  used  solely  for  restoring  such  Tenant  Improvements  and
Alterations  (and  not  the  Buildings  or  Project  in  general);  provided  that  if  the  cost  of  the  restoration  of  the  Tenant  Improvements  and  any
Alterations by Landlord exceeds the amount of Tenant’s insurance proceeds therefor, as assigned by Tenant to Landlord, such excess shall be
paid by Tenant (“Tenant’s Contribution”) to Landlord prior to Landlord’s restoration thereof. Notwithstanding the foregoing, Tenant may
elect  to  modify  or  otherwise  reduce  the  scope  of  such  Tenant  Improvements  or  Alterations  so  as  to  minimize  any  Tenant’s  Contribution.
Subject  to  the  foregoing,  such  restoration  shall  be  to  substantially  the  same  condition  of  such  items  as  prior  to  the  casualty,  except  for
modifications (a) required by Law; or (b) to the Common Areas reasonably deemed desirable by Landlord, and which are consistent with the
character of the Project. No such modifications shall materially impair use of or access to the Premises and any Common Areas serving the
Premises. Tenant shall be responsible, at its sole cost and expense, for the repair, restoration, and replacement of Tenant’s Property. Landlord
shall not be liable for any loss of business, inconvenience, or annoyance arising from any casualty or any repair or restoration of any portion
of the Premises or the Project as a result of any damage from any casualty. All work by Tenant shall be subject to the terms and conditions of
Article 11.

15.3

Tenant’s  Termination  Rights.  If  Landlord  does  not  elect  to  terminate  this  Lease  pursuant  to  Landlord’s  termination
right  as  provided  above,  and  the  repairs  cannot  be  completed  within  one  hundred  eighty  (180)  days  after  being  commenced  (the  “Repair
Period”) as determined by an architect or contractor designated by Landlord, Tenant may elect, no earlier than sixty (60) days after the date
of the casualty and not later than ninety (90) days after the date of such casualty, to terminate this Lease by notice to Landlord, effective as of
the date specified in the notice, which date shall not be less than thirty (30) days nor more than sixty (60) days after such notice. In addition,
in the event that the Premises is destroyed or damaged to any substantial extent during the last twelve (12) months of the Term, then Tenant
shall  have  the  option  to  terminate  this  Lease  by  giving  notice  to  Landlord  within  thirty  (30)  days  after  such  casualty,  in  which  event  this
Lease shall cease and terminate as of the date of such notice. Tenant shall also have the right to terminate this Lease if Landlord does not
complete repairs within the Repair Period by thirty (30) days’ notice to Landlord after the expiration of the Repair Period; provided however,
if Landlord completes repair within such thirty (30) day period, such termination shall be nullified and this Lease shall continue in full force
and effect. If this Lease is terminated pursuant to Section 15.1 above or this Section 15.3, Tenant shall have no obligation to pay for any
repairs or insurance deductibles nor shall Tenant have any obligation to restore any portion of the Premises.

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15.4

Apportionment  of  Rent.  Upon  any  termination  of  this  Lease  pursuant  to  this  Article,  Tenant  shall  pay  the  Rent,
properly apportioned up to such date of termination, and both parties hereto shall thereafter be freed and discharged of all further obligations
hereunder, except as provided for in provisions of this Lease that by their terms survive the expiration or earlier termination of this Lease.

15.5

Abatement.  The  Rent  shall  abate  on  an  equitable  basis  to  the  extent  Tenant’s  use  of  the  Premises  is  impaired,
commencing with the date of the casualty and continuing until completion of the repairs required of Landlord; provided that if the damage is
due to the gross negligence or willful misconduct of any Tenant Related Party, Rent shall only abate to the extent the same is covered by rent
loss insurance, if any, carried by Landlord.

15.6

Express  Agreement.  This  Lease  shall  be  considered  an  express  agreement  governing  any  case  of  damage  to  or
destruction of the Premises, any Building, or the Project by fire or other casualty; and any present or future Law that purports to govern the
rights of Landlord and Tenant in such circumstances in the absence of express agreement is hereby waived by the parties and shall have no
application.  As  a  material  inducement  to  Landlord’s  entering  into  this  Lease,  Tenant  irrevocably  waives  and  releases  the  provisions  of
California  Civil  Code  Sections  1932(2)  or  1933(4),  as  the  same  may  be  amended  or  re-codified  or  any  similar  or  successor  Law  now  or
hereafter  in  effect,  that  would  permit  termination  or  automatically  terminate  this  Lease  or  otherwise  be  contrary  to  the  provisions  of  this
Article in the event of any damage or destruction.

ARTICLE 16
EMINENT DOMAIN

16.1

Entire Premises. If the whole of the Premises is lawfully taken by condemnation or in any other manner for any public
or quasi-public purpose, this Lease shall terminate as of the earlier of the date of the date title vests or the date possession is given, and Rent
shall be prorated to such date.

16.2

Partial Condemnation. If less than the whole of the Premises is so taken, this Lease shall be unaffected by such taking,
except that (a) Landlord and Tenant shall each have the right to terminate this Lease by notice to the other given within ninety (90) days after
the date of such taking if twenty-five percent (25%) or more of the Premises is taken and the remaining area of the Premises is not reasonably
sufficient for Tenant to continue operation of its business; and (b) Landlord shall have the right to terminate this Lease by notice to Tenant
given within ninety (90) days after the date of such taking if such taking renders the remainder of the Project unusable as a multi-tenant office
park.  If  either  Landlord  or  Tenant  so  elects  to  terminate  this  Lease,  this  Lease  shall  terminate  on  the  thirtieth  (30th)  day  after  either  such
notice. Rent shall be prorated to the date of such termination. If this Lease continues in force upon such partial taking, the Base Rent and
Tenant’s  Proportionate  Share  shall  be  equitably  adjusted  according  to  the  remaining  Rentable  Area  of  the  Premises  and  the  Project.  This
Lease shall be considered an express agreement governing any condemnation of the Premises, any Building or the Project, and Tenant agrees
that its rights to terminate this Lease are governed by this Article. Tenant hereby waives, releases and relinquishes all rights it may have to
terminate this Lease following a condemnation under Section 1265.130 of the California Code of Civil Procedure, or any similar Laws now
or hereafter in effect.

16.3

Proceeds  of  Award.  In  the  event  of  any  taking,  partial  or  whole,  all  of  the  proceeds  of  any  award,  judgment,  or
settlement  payable  by  the  condemning  authority  shall  be  the  exclusive  property  of  Landlord,  whether  awarded  as  compensation  for  the
damages  to  Landlord’s  or  Tenant’s  interest  in  the  Premises  and  whether  or  not  awarded  as  compensation  for  diminution  in  value  of  the
leasehold or to the fee of the Premises, and Tenant hereby assigns to Landlord all of its right, title, and interest in any award, judgment, or
settlement  from  the  condemning  authority.  Tenant,  however,  shall  have  the  right,  to  the  extent  that  Landlord’s  award  is  not  reduced  or
prejudiced, to claim from the condemning authority (but not from Landlord) such compensation as may be recoverable by Tenant in its own
right for relocation expenses and damage to Tenant’s Property.

16.4

Repairs. In the event of a partial taking of the Premises that does not result in a termination of this Lease, Landlord
shall restore the remaining portion of the Premises as nearly as practicable to its condition prior to the condemnation or taking. Tenant shall
be responsible at its sole cost and expense for the repair, restoration, and replacement of Tenant’s Property.

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ARTICLE 17
INDEMNIFICATION, WAIVER, RELEASE AND LIMITATION OF LIABILITY

17.1

Tenant’s Indemnity. Except for any injury or damage to persons or property on the Premises that is proximately caused
by  or  results  proximately  from  negligence  or  willful  misconduct  of  Landlord,  Tenant  will  and  does  hereby  indemnify,  defend  and  hold
harmless  the  Landlord  Related  Parties  against  and  from  any  and  all  Claims  that  may  be  imposed  upon,  incurred  by,  or  asserted  against
Landlord or any of the Landlord Related Parties and arising, directly or indirectly, out of or in connection with: (a) any occurrence in the
Premises; (b) any failure on the part of Tenant to perform or comply with any of the covenants, agreements, terms or conditions contained in
this Lease; and (c) the negligence or willful misconduct of any Tenant Related Party. At Landlord’s request, Tenant shall, at Tenant’s expense
and by counsel selected by Landlord, defend Landlord in any action or proceeding arising from any such Claim and shall indemnify Landlord
against all costs, reasonable attorneys’ fees, expert witness fees, and any other expenses incurred in such action or proceeding.

17.2

Assumption of Risk. Tenant hereby assumes all risk of damage or injury to any person or property in, on, or about the
Premises from any cause other than the negligence or willful misconduct of Landlord. Tenant agrees that no Landlord Related Parties will be
liable for any loss, injury, death, or damage to persons or property resulting from any of the following, except to the extent the same is due to
the  negligence  or  willful  misconduct  of  any  Landlord  Related  Party:  (a)  theft;  (b)  Force  Majeure;  (c)  any  accident  or  occurrence  in  the
Premises or any other portion of the Project caused by the Premises or any other portion of the Project being or becoming out of repair or by
the obstruction, breakage or defect in or failure of equipment, pipes, sprinklers, wiring, plumbing, heating, ventilation and air-conditioning or
lighting fixtures of any Building or the Project or by broken glass or by the backing up of drains, or by gas, water, steam, electricity or oil
leaking,  escaping  or  flowing  into  or  out  of  the  Premises;  (d)  construction,  repair  or  alteration  of  any  other  premises  in  the  Project  or  the
Premises; (e) business interruption or loss of use of the Premises; (f) any diminution or shutting off of light, air or view by any structure
erected on the Land or any land adjacent to the Project, even if Landlord is the adjacent land owner; (g) mold or indoor air quality; or (h) any
acts or omissions of any other tenant, occupant or visitor of the Project. In no event shall Landlord be liable for indirect, consequential, or
punitive damages, including, without limitation, any damages based on lost profits. None of the foregoing shall be considered a constructive
eviction of Tenant, nor shall the same entitle Tenant to an abatement of Rent.

17.3

Limitation of Landlord Liability. No Landlord Related Party shall have any personal liability with respect to any of the
provisions of the Lease, or the Premises. If Landlord is in breach or default with respect to Landlord’s obligations under the Lease, Tenant
shall look solely to the amount of the equity interest of Landlord in the Project, including rent, insurance, condemnation and sales proceeds,
for the satisfaction of Tenant’s remedies or judgments. No other real, personal, or mixed property of any Landlord Related Parties, wherever
situated, shall be subject to levy to satisfy such judgment. Upon any Transfer of Landlord’s interest in this Lease or in the Project, and the
written assumption of such transfer of Landlord’s obligations hereunder by the transferee, the transferring Landlord shall have no liability or
obligation for matters arising under this Lease from and after the date of such Transfer.

ARTICLE 18
INSURANCE

18.1

Landlord  Required  Coverage.  Landlord  shall  procure  and  maintain  during  the  Term,  (i)  a  policy  or  policies  of  “all
risk” property insurance covering the Project in the amount of the full replacement value thereof (excluding portions of the Project Tenant is
required to insure under Section 18.2.2), (ii) commercial general liability insurance, (iii) business income/rental value insurance, and (iv) any
other insurance deemed appropriate by Landlord or its Mortgagee. Such insurance shall be in such amounts, from such companies, and on
such  terms  and  conditions  as  Landlord  or  its  Mortgagee  may  deem  appropriate  from  time  to  time,  so  long  as  such  amounts,  terms  and
conditions shall be generally consistent with the amounts, terms and conditions carried by other institutional landlords of projects similar to
the Project in the greater Santa Clara area. All insurance maintained by Landlord shall be in addition to, and not in lieu of, the insurance
required to be maintained by Tenant hereunder. Landlord shall cause its respective insurance policy(ies) to be endorsed, if necessary, to waive
subrogation.

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18.2

Tenant Required Coverage. Tenant shall maintain the following coverages in the following  amounts.

18.2.1

Commercial  General  Liability  Insurance  covering  Tenant  against  any  claims  or  suits  arising  out  of
bodily  injury,  death,  personal  injury  or  property  damage  arising  out  of  Tenant’s  operations, assumed liabilities or use of the Premises,
for  limits  of  liability  not  less  than  Two  Million  and  No/100  Dollars  ($2,000,000.00)  per  occurrence  and  Five  Million  and  No/100
Dollars  ($5,000,000.00)  annual general aggregate (these limits may be achieved by a combination of a primary policy and a “follow  form”
excess or umbrella liability policy).

18.2.2

Commercial  Property  Insurance  covering  (a)  Tenant’s  Property,  and  (b)  any 

improvements  and
Alterations, including the Tenant Improvements, made by Tenant or at Tenant’s request.  Such insurance shall include a waiver of subrogation
endorsement in favor of Landlord and shall be written  on a “Causes of Loss — Special Form” basis (or its equivalent), for the full replacement
cost (as reasonably  approved by Landlord) without deduction for  depreciation,  and  shall  include  coverage  for  theft,  vandalism,  malicious
mischief and sprinkler leakage. Such policy shall have a deductible not greater than Thirty Five  Thousand and No/100 Dollars ($35,000.00).
The proceeds of such insurance may  be  used  for  the  repair  or  replacement  of  the  property  so  insured.  Upon  termination  of  this  Lease
following a casualty as set forth  herein any proceeds under (a) shall be  paid  to  Tenant  and  any  proceeds  under  (b) in  excess  of  Tenant’s
unamortized cost associated therewith shall be paid by Tenant to  Landlord.  Tenant  shall  have  no  obligation  to  carry  earthquake  insurance
covering  Tenant’s  Property  or  any  improvements  and  Alterations,  including 
the  Tenant  Improvements,  made  by  Tenant  or  at  Tenant’s
request.

18.2.3

Business  Income  and  Extra  Expense  insurance  (or  its  equivalent)  in  such  amounts  as  will  reimburse
Tenant  for  direct  or  indirect  loss  of  earnings  attributable  to  all  perils  commonly  insured  against  by  prudent  tenants  or  attributable  to
prevention of access to the Premises or to the  Project  as  a  result  of  such  perils,  for  a  period  of  not  less  than  twelve  (12)  months.  Such
insurance shall include a waiver of  subrogation endorsement in favor of Landlord.

Statutory  worker’s  compensation  (which  policy  shall  include  a  waiver  of  subrogation  endorsement  in
favor  of  Landlord.  Tenant  shall  provide  Landlord  with  a  copy  of  such  endorsement  concurrent  with  providing  its  evidence  of
insurance  required  under  Section  18.4  below),  together with employer’s liability/employer’s indemnity coverage at limits of:

18.2.4

$1,000,000 Each Accident
$1,000,000 Each Employee by Disease
$1,000,000 Policy Limit by Disease

18.3

Form  of  Policies.  The  insurance  required  by  Section  18.2.1  above  shall  (a)  name  Landlord,  Landlord’s  property
management  agent,  and  at  Landlord’s  request,  any  Mortgagee,  each  as  an  additional  insured by endorsement(s) reasonably  acceptable  to
Landlord; (b) cover, to the extent insurable, Tenant’s  indemnity obligations under this Lease; (c) be issued by an insurance company having
an A.M. Best rating  of  not  less  than  A-  VII  or  that  is  otherwise  reasonably  acceptable  to  Landlord;  (d) be  primary,  not  contributing
with, and not in excess of, coverage that Landlord may carry; and (e) contain  a separation of insureds provision and no insured vs. insured
exclusion or limitation. Tenant agrees that it shall (x) cause  such policies to be endorsed to provide thirty (30)  days’  prior written notice  by
the insurer(s) to Landlord  in the event said insurance is cancelled (ten (10) days’ prior written notice in the event  of cancellation for  non-
payment of premium), and (y) provide thirty (30) days’ prior written notice to Landlord in the  event  said insurance shall be canceled, non-
renewed or coverage reduced.

18.4

Evidence of Insurance. Tenant shall deliver a certificate of insurance, together with additional insured and waiver of
subrogation endorsements, all of which shall be reasonably acceptable to Landlord, evidencing the existence and amount of each insurance
policy  required  hereunder  on  or  before  the  Phase  1  Commencement  Date.  Tenant  shall  furnish  Landlord  with  renewals,  certificates,  or
“binders”  at  least  ten  (10)  days  prior  to  the  expiration  thereof.  Tenant  agrees  that,  if  Tenant  does  not  obtain  and  maintain  such  insurance,
Landlord

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may (but shall not be required to) after five (5) Business Days’ notice to Tenant during which time Tenant does not supply Landlord evidence
of the required insurance, at Landlord’s option, procure said insurance on Tenant’s behalf and charge Tenant the premiums therefor, payable
upon  demand.  Tenant  shall  have  the  right  to  provide  the  insurance  required  hereunder  pursuant  to  blanket  policies  obtained  by  Tenant,
provided such blanket policies afford coverage as required by this Lease.

18.5

18.6

Intentionally Omitted.

Independent  Obligations. Tenant  acknowledges  and  agrees  that  Tenant’s  insurance  obligations under this Lease are

independent of Tenant’s indemnity obligations, liabilities and duties under  this Lease.

18.7

Waiver of Subrogation. Anything in  this  Lease  to  the  contrary  notwithstanding,  Landlord  and  Tenant  each  hereby
waives any and all rights of recovery, claim, action or cause of action against the  other for any loss or damage to any property of Landlord
or  Tenant,  arising  from  any  cause  that  (a)  would  be  insured  against  under  the  terms  of  any  property  insurance  or  business  interruption
insurance  required  to  be  carried  hereunder;  or  (b)  is  insured  against  under  the  terms  of  any  property  insurance  or  business
interruption insurance actually carried, regardless of whether the same is required hereunder. The foregoing  waiver shall apply regardless of
the cause or origin of such claim, including but not  limited  to  the  negligence  of  a  party,  or  such  party’s  agents,  officers,  employees  or
contractors.  The  foregoing  waiver  shall  not  apply  if  it  would  have  the  effect,  but  only  to  the  extent  of  such  effect,  of  invalidating  any
insurance coverage of  Landlord or Tenant. The foregoing waiver shall also apply to any deductible and/or self-insured retention,  as if the
same were a part of the insurance recovery.

ARTICLE 19
DEFAULT

19.1

Tenant’s  Default.  A  “Default”  shall  mean  the  occurrence  of  any  one  or  more  of  the  following events:

19.1.1

Tenant’s  failure  to  pay  any  Rent  when  due,  where  such  failure  shall  continue  for  a  period  of  three  (3)
Business Days after notice thereof from Landlord to Tenant. In the event that Landlord serves  Tenant  with  a  Notice  to  Pay  Rent  or  Quit
pursuant  to  applicable  Unlawful  Detainer  statutes,  such  Notice  to  Pay  Rent  or  Quit  shall  also  constitute  the  notice  required  by  this
subsection.

when made.

19.1.2

If any representation or warranty made by Tenant to Landlord in this Lease is false  in  any  material  respect

Tenant fails to deliver any estoppel  certificates  or  subordination  agreements  within  five  (5)  days  after
Tenant’s receipt of written notice that Tenant failed to deliver such estoppel certificates  or subordination agreements within the periods set
forth in this Lease.

19.1.3

19.1.4

The levy of a writ of attachment or execution on this Lease.

adjustment with its creditors.

19.1.5

Tenant’s  general  assignment  for  the  benefit  of  creditors  or  arrangement,  composition,  extension,  or

19.1.6

Tenant becomes insolvent or bankrupt or admits in writing its inability to pay its  debts as they mature.

property are filed by or against Tenant and, if filed against Tenant involuntarily,  are not dismissed within sixty (60) days of filing.

19.1.7

Proceedings for the appointment of a trustee, custodian or receiver of Tenant or for  all or  a  part  of  Tenant’s

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instituted by or against Tenant, and, if instituted against Tenant involuntarily, are not  dismissed within sixty (60) days of filing.

19.1.8

Proceedings  in  bankruptcy,  or  other  proceedings  for  relief  under  any  law  for  the  relief  of  debtors,  are

19.1.9

Intentionally Omitted.

19.1.10

Tenant fails to perform any other covenant, condition or agreement contained in  this Lease not covered
by  the  preceding  subsections,  where  such  failure  continues  for  thirty  (30)  days  after  notice  thereof  from  Landlord  to  Tenant,  or  such
additional  period  as  is  reasonably  necessary  to  effect  cure,  provided  Tenant  commences  cure  within  such  thirty  (30)  day  period  and
diligently pursues the same  to  completion.

Tenant shall  repeatedly  fail  to  pay  Rent  when  due,  whether  or  not  Tenant  shall  timely cure any such
payment default. For the purposes of this subsection, the failure of Tenant to pay Rent  when due three (3) times during any Lease Year shall
constitute a repeated default.

19.1.11

Any notice periods provided for under this Section shall run concurrently with any statutory notice  periods  and  any  notice  given

hereunder may be given simultaneously with or incorporated into any such  statutory notice.

19.2

Landlord’s Default. Tenant shall promptly notify Landlord of the need for any repairs or  action with respect to  other
matters  that  are  Landlord’s  obligation  under  this  Lease.  If  Landlord  fails  to  perform any covenant, condition, or agreement contained  in
this Lease within thirty (30) days after receipt  of notice from Tenant, or if such default cannot reasonably be cured within thirty (30) days, and
if Landlord  fails  to  commence  to  cure  within  such  thirty  (30)  day  period  or  to  diligently  prosecute  the  same  to  completion,  then
subject to the other limitations set forth elsewhere in this Lease, Landlord shall be liable  to Tenant for any damages sustained by Tenant as a
result of Landlord’s breach; provided that in no event  shall (a) Landlord be liable for indirect, consequential or punitive  damages,  including
without  limitation,  any  damages  based  on  lost  profits;  or  (b) Tenant  have  the  right  to  terminate  this  Lease  on  account  of  a  Landlord
default.  Tenant  shall  have  the  right  to  withhold,  reduce  or  offset  any  amount  resulting  from  Landlord’s default against any  payments  of
Rent  or  any  other  charges  due  and  payable  under  this  Lease  only  after  Tenant  has  obtained  a  final,  non-appealable  judgment  against
Landlord for the amount due.

In addition, if  Landlord  has  not  timely paid  to Tenant  all  or  any portion  of  the  Allowance  as  and  when  required  under  Exhibit E
and any such amounts remain unpaid thirty (30) days after such amounts  were due, then provided Tenant has given Landlord at least ten (10)
days prior written notice of the failure to timely pay such amounts, Tenant shall have the right to offset such unpaid amounts  against  Tenant’s
Base Rent and Tenant’s Cost Allocation obligations accruing under this  Lease (or as  provided in Landlord’s  consent  to  Tenant’s  obligations
under  the  Sublease,  if  applicable)  until  the  entire  Allowance  payable  to  Tenant  has  been  fully  received  by  Tenant  (either  by  way  of
payment  from  Landlord  or  credited  against  Tenant’s Base Rent and Tenant’s Cost Allocation or Tenant’s obligations under the Sublease, if
applicable).

ARTICLE 20
LANDLORD REMEDIES AND DAMAGES

20.1

Remedies. In the event of a Default, then in addition to any other rights or remedies Landlord may have at law or in
equity, Landlord shall have the right, at Landlord’s option, without further notice or demand of any kind, to do any or all of the following
without prejudice to any other remedy that Landlord may have:

20.1.1

Terminate this Lease and Tenant’s right to possession of the Premises by giving notice to Tenant. Tenant
shall immediately surrender the Premises to Landlord, and if Tenant fails to do so, Landlord may re-enter the Premises and take possession
thereof and expel or remove Tenant and any other party who may be occupying the Premises, or any part, thereof, whereupon Tenant shall
have no further claim to the Premises or under this Lease.

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20.1.2

Landlord shall have the remedy described in California Civil Code Section 1951.4 (lessor may continue
lease in effect after lessee’s breach and abandonment and recover rent as it becomes due, if lessee has the right to sublet or assign, subject
only  to  reasonable  limitations).  Accordingly,  if  Landlord  does  not  elect  to  terminate  this  Lease  on  account  of  any  Default,  Landlord  may,
from time to time, without terminating this Lease, enforce all of its rights and remedies under this Lease, including the right to recover all
Rent as it becomes due.

20.1.3

Without any further notice or demand, Landlord may enter upon the Premises, if necessary, without being
liable for prosecution or claim for damages therefor, and do whatever Tenant is obligated to do under the terms of the Lease. Tenant agrees to
reimburse Landlord on demand for any reasonable expenses that Landlord may incur in effecting compliance with Tenant’s obligations under
the Lease. Tenant further agrees that Landlord shall not be liable for any damages resulting to Tenant from such action, unless caused by the
gross  negligence  or  willful  misconduct  of  Landlord  (but  subject  to  the  other  limitations  on  Landlord’s  liability  set  forth  in  this  Lease).
Notwithstanding anything herein to the contrary, Landlord will have no obligation to cure any Default of Tenant.

Landlord shall at all times have the right, without prior demand or notice except as required by Law, to
seek any declaratory, injunctive or other equitable relief, and specifically enforce this Lease, or restrain or enjoin a violation or breach of any
provision hereof, without the necessity of proving the inadequacy of any legal remedy or irreparable harm.

20.1.4

To  the  extent  permitted  by  applicable  Law,  Landlord  shall  have  the  right,  without  notice  to  Tenant,  to
change or re-key all locks to entrances to the Premises, and Landlord shall have no obligation to give Tenant notice thereof or to provide
Tenant with a key to the Premises.

20.1.5

other rights or remedies that Landlord may have under this Lease and under applicable Laws or in equity.

20.1.6

The rights given to Landlord in this Article are cumulative and shall be in addition and supplemental to all

20.2

Damages. Should Landlord elect to terminate this Lease or Tenant’s right to possession under the provisions above,

Landlord may recover the following damages from Tenant:

termination; plus

20.2.1

Past Rent.  The  worth  at  the  time  of  the  award  of  any  unpaid  Rent  that  had  been  earned  at  the  time  of

Rent Prior to Award. The worth at the time of the award of the amount by which unpaid Rent that would
have  been  earned  after  termination  until  the  time  of  the  award  exceeds  the  amount  of  the  rental  loss  that  Tenant  proves  could  have  been
reasonably avoided; plus

20.2.2

Rent  After  Award.  The  worth  at  the  time  of  the  award  of  the  amount  by  which  the  unpaid  Rent  for  the
balance of the Term after the time of award exceeds the amount of the rental loss that Tenant proves could have been reasonably avoided, if
any; plus

20.2.3

20.2.4

Proximately  Caused  Damages.  Any  other  amount  necessary  to  compensate  Landlord  for  all  detriment
proximately caused by Tenant’s failure to perform its obligations under this Lease or that in the ordinary course of things would be likely to
result therefrom, including, but not limited to, any costs or expenses (including, without limitation, reasonable attorneys’ fees), incurred by
Landlord in (a) retaking possession of the Premises; (b) maintaining the Premises after Default; (c) preparing the Premises or any portion
thereof for reletting to a new tenant, including, without limitation, any repairs or alterations, whether for the same or a different use; and (d)
reletting the Premises, including but not limited to, advertising expenses, brokers’ commissions and fees, but only to the extent allocable to
the remaining Term of this Lease).

may be permitted from time to time by Law.

20.2.5

Other Damages. At Landlord’s election, such other amounts in addition to or in lieu of the foregoing as

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As used in Sections 20.2.1 and 20.2.2, the phrase “worth at the time of the award” shall be computed by adding interest on all such
sums from the date when originally due at the Interest Rate. As used in Section 20.2.3, the phrase “worth at the time of the award” shall be
computed by discounting the sum in question at the Federal Reserve rate promulgated by the Federal Reserve office for the district in which
the Project is located, plus one percent (1%).

20.3

Intentionally Omitted.

20.4

No Termination. A termination of this Lease by Landlord or the recovery of possession of the Premises by Landlord or
any voluntary or other surrender of this Lease by Tenant or a mutual cancellation thereof, shall not work a merger and shall at the option of
Landlord, terminate all or any existing franchises or concessions, licenses, permits, subleases, subtenancies or the like between Tenant and
any third party with respect to the Premises, or may, at the option of Landlord, operate as an assignment to Landlord of Tenant’s interest in
same.  Following  a  Default,  Landlord  shall  have  the  right  to  require  any  subtenants  to  pay  all  sums  due  under  their  subleases  directly  to
Landlord.

20.5

Waiver of Demand and Notice. All demands for Rent and all other demands, notices and entries, whether provided for
under  common  law  or  otherwise,  that  are  not  expressly  required  by  the  terms  hereof,  are  hereby  waived  by  Tenant.  Notwithstanding  the
foregoing waiver of notices, Landlord may elect to serve such notices (including statutory notices) and combine such notices with any notices
required under the provisions of this Lease.

20.6

Waiver  of  Redemption.  Tenant  hereby  waives,  relinquishes  and  releases  for  itself  and  for  all  those  claiming  under
Tenant any right of occupancy of the Premises following termination of this Lease as a result of Tenant’s Default, and any right to redeem or
reinstate  this  Lease  by  order  or  judgment  of  any  court  or  by  any  legal  process  or  writ  under  present  or  future  Laws,  including  without
limitation, California Code of Civil Procedure Sections 473 and 1179, and California Civil Code Section 3275.

20.7

Deficiency. If it is necessary for Landlord to bring suit in order to collect any deficiency, Landlord shall have the right
to allow such deficiencies to accumulate and to bring an action on several or all of the accrued deficiencies at one time. Any such suit shall
not prejudice in any way the right of Landlord to bring a similar action for any subsequent deficiency or deficiencies.

20.8

Counterclaim.  Tenant  hereby  waives  any  right  to  plead  any  non-mandatory  counterclaim,  non-mandatory  offset  or
non-mandatory affirmative defense in any action or proceedings brought by Landlord against Tenant for the recovery of possession based
upon the non-payment of Rent or any other Default. The foregoing shall not, however, be construed as a waiver of Tenant’s right to assert any
claim in a separate action brought by Tenant against Landlord.

ARTICLE 21
BANKRUPTCY

21.1

In  the  event  a  petition  is  filed  by  or  against  Tenant  under  the  Bankruptcy  Code,  Tenant,  as  debtor  and  debtor  in

possession,  and  any  trustee  who  may  be  appointed  agree  to  adequately  protect  Landlord as follows:

occupancy of the Premises an amount equal to all Rent due pursuant to this Lease;

21.1.1

to  pay  monthly  in  advance  on  the  first  day  of  each  month  as  reasonable  compensation  for  use  and

rejected or assumed by order of a court of competent jurisdiction;

21.1.2

to perform  each  and  every  obligation of Tenant under  this  Lease  until  such  time  as  this  Lease  is  either

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reject this Lease;

21.1.3

to determine within one hundred twenty (120) days after the filing of such petition whether to assume or

parties, of any proceeding relating to any assumption of this Lease;

21.1.4

to give Landlord at least thirty (30) days’ prior notice, unless a shorter period is agreed to in writing by the

vacation or abandonment to be deemed a rejection of this Lease; and

21.1.5

to give at  least  thirty  (30) days’ prior notice of  any  vacation  or  abandonment  of  the  Premises,  any  such

be deemed rejected in the event of the failure to comply with any of the above.

21.1.6

to do all other things to benefit Landlord otherwise required under the Bankruptcy  Code. This Lease shall

21.2

In order to provide Landlord with the assurance contemplated by the Bankruptcy Code,  the  following  obligations  must
be fulfilled, in addition to any other  reasonable  obligations  that  Landlord  may  require,  before  any  assumption  of  this  Lease  is  effective:  (a)
all monetary  Defaults  under  this  Lease  must  be  cured  within  ten  (10)  days  after  the  date  of  assumption;  (b) all  other  Defaults  (other  than
those  arising solely on account of the bankruptcy filing) must be cured within fifteen (15) days after the date  of  assumption;  (c)  all  actual
monetary losses incurred by Landlord (including, but not  limited to, reasonable  attorneys’ fees) must be paid to Landlord within ten (10) days
after the date of assumption; and (d) Landlord  must receive within ten (10) days  after  the  date  of  assumption  a  security deposit  in  the  amount
of six (6)  months’ Base Rent and an advance prepayment of three (3) months’ Base Rent.

21.3

In the event this Lease is assumed in accordance with the requirements of the  Bankruptcy  Code  and this  Lease, and is
subsequently assigned, then, in addition to any other reasonable obligations that  Landlord may require and in order to provide Landlord with the
assurances contemplated by the Bankruptcy  Code,  Landlord  must  be  provided  with  (a)  a  financial  statement  of  the  proposed  assignee
prepared  in  accordance  with  generally  accepted  accounting  principles  consistently  applied,  though  on  a  cash  basis,  which  reveals  a  net
worth  in  an  amount  sufficient,  in  Landlord’s  reasonable  judgment,  to  assure  the  future  performance  by  the  proposed  assignee  of  Tenant’s
obligations  under  this  Lease;  or  (b)  a  written  guaranty  by  one  or  more  guarantors  with  financial  ability  sufficient  to  assure  the  future
performance  of  Tenant’s  obligations  under  this  Lease,  such  guaranty  to  be  in  form  and  content  satisfactory  to  Landlord  and  to  cover 
the
performance of all of Tenant’s obligations under the Lease.

21.4

Neither Tenant nor any trustee who may be appointed in the event of the filing of a petition  under the Bankruptcy Code

shall conduct or permit the conduct of any “fire,” “bankruptcy,” “going out of  business” or auction sale in or from the Premises.

ARTICLE 22
INTENTIONALLY OMITTED

ARTICLE 23
HOLDING OVER

If, after expiration of the Term, Tenant remains in possession of the Premises, Landlord may, at its  option, serve notice upon Tenant
that such hold over constitutes either: (a) a month-to-month tenancy upon  all the provisions of this Lease (except as to Term and Base Rent); or
(b) a tenancy at sufferance. If Landlord  does not give said notice, Tenant’s hold over shall create a tenancy at sufferance, subjecting Tenant  to
all  the  covenants  and  obligations  of  this  Lease.  In  either  event,  the  monthly  installments  of  Base  Rent  shall  be  increased  to  one  hundred
twenty-five percent (125%) of the monthly installments of Base Rent in effect at  the expiration of  the Term and, if  such hold over continues
past the date that  is three (3)  months  after  the  expiration of the Term, the monthly installments of Base Rent shall be increased to one hundred
fifty percent  (150%)  of  the  Base  Rent  in  effect  at  the  expiration  of  the  Term.  If  a  month-to-month  tenancy  is  created,  either  party  may
terminate such tenancy by giving the  other  party at  least  thirty (30)  days  advance notice  of  the  date  of  termination.  Additionally,  if  Tenant
shall  hold  over  without  the  consent  of  Landlord,  then  Tenant  shall  also  protect,  defend,  indemnify  and  hold  Landlord  harmless  from  all
Claims resulting from  retention of possession by Tenant, including, without limiting

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the generality of the  foregoing, any Claims  made  by  any  succeeding  tenant  founded  upon  such  failure  to  surrender  and  any  lost  rents  and
profits to  Landlord resulting therefrom. The provisions of this Article shall  not  constitute  a  waiver  by  Landlord  of  any  right  of  re-entry  as
otherwise  available  to  Landlord,  nor  shall  receipt  of  any  rent  or  any  other  act  appearing  to  affirm  the  tenancy  operate  as  a  waiver  of  the
right to terminate this Lease for a breach by  Tenant hereof.

ARTICLE 24
SURRENDER OF PREMISES

Upon  the  expiration  or  earlier  termination  of  this  Lease,  Tenant  shall  peaceably  surrender  the  Premises  to  Landlord  broom-
clean  and  in  the  same  condition  as  on  the  date  Tenant  took  possession  (a)  except for reasonable wear and tear, loss by fire or other
casualty and loss by condemnation, the presence  of  Hazardous  Materials  (other  than  those  released  or  emitted  by  Tenant  or  any  Tenant
Related  Party)  and  repairs  for  which  Tenant  is  not  responsible  under  this  Lease;  and  (b)  with  all  removal,  restoration  and/or  repairs
required pursuant to Section 11.3 above and this Article 24 completed. Tenant’s Property shall be  and  shall  remain  the  property  of  Tenant
and  may  be  removed  by  Tenant  at  any  time  during  the  Term;  provided  that,  if  any  of  Tenant’s  Property  is  removed,  Tenant  shall
promptly repair any damage  to  the  Premises or to any Building resulting from such removal. If Tenant abandons or surrenders the Premises
or  is  dispossessed by process  of  law or otherwise, any of Tenant’s Property left on  the  Premises  shall  be  stored  and/or  disposed  of  in
accordance  with  Section  1980  et  seq.  of  the  California  Civil  Code,  or  any  similar  Laws now or hereafter in effect. If Landlord elects  to
remove all or any part of such Tenant’s Property, the  reasonable  cost  of  removal,  storage  and  disposal  of  Tenant’s  Property,  including,
without  limitation,  repairing any damage to the Premises or any Building caused by such removal, shall be paid by Tenant. On the Expiration
Date, Tenant shall surrender all keys, parking cards and other means of entry to the Premises,  the Buildings and the Project, and shall inform
Landlord of the combinations and access codes for any locks  and  safes  located  in  the  Premises.  It  is  specifically  agreed  that  any  and  all
telephonic, coaxial, ethernet, or  other  computer,  word  processing,  facsimile,  or  electronic  wiring  (“Telecom  Wiring”)  and  any  other
components of Tenant’s Telecommunications System shall be removed at Tenant’s cost  at  the  expiration  of  the  Term,  unless  Landlord  has
specifically  requested  in  writing  that  the  Telecom  Wiring  shall  remain,  whereupon  the  Telecom  Wiring  shall  be  surrendered  with  the
Premises as Landlord’s property.

ARTICLE 25
BROKERAGE FEES

Tenant  warrants  and  represents  that  it  has  not  dealt  with  any  real  estate  broker  or  agent  in  connection  with  this  Lease  or
its  negotiation  except  as  set  forth  on  the  Lease  Summary.  Tenant  shall  indemnify, defend and hold Landlord harmless from any Claims
for any compensation, commission, or fees  claimed by any other real estate broker or agent claiming to represent Tenant in connection with
this Lease  (including but not limited to any expansions of the Premises and extensions) or its negotiation.

ARTICLE 26
NOTICES

Any notice, demand, request, consent, covenant, approval or other communication to be given by  one party to the other must be in
writing and (except for statements and invoices to be given in the ordinary  course hereunder, which  may  be  sent  by  regular  U.S.  Mail)  (a)
delivered personally; (b) mailed by certified  United States mail, postage prepaid, return receipt requested (except for statements and invoices
to be given  in  the  ordinary  course  hereunder,  which  may  be  sent  by  regular  U.S.  Mail);  or  (c) sent  by  nationally  recognized overnight
courier. The effective date of notice shall be (i) for any notice delivered in person, the  date  of  delivery;  (ii)  for  any  notice  by  U.S.  mail,
three  (3)  Business  Days  after  the  date  of  certification  thereof; and (iii) for any notice by overnight courier,  the  next  Business  Day  after
deposit  with  the  courier.  All  notices  shall  be  delivered  or  addressed  to  the  parties  at  their  respective  addresses  set  forth  on  the  Lease
Summary. Either party may change the address at which it desires to receive notice upon giving notice of  such request to the other party in
the manner provided herein. When this Lease requires service of a notice,  that notice shall replace rather than supplement any equivalent or
similar statutory notice, including, without  limitation, any notices required under Section 1161 of the California

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Code of Civil Procedure, or any similar  Laws now or hereafter in effect. When a statute requires service of a notice in a particular manner,
service  of that notice (or the replacement notice required by this Lease) as provided in this Article shall replace and  satisfy,  to  the  maximum
extent  permitted  by  law,  the  statutory  service  procedures,  including,  without  limitation, those  set  forth in Section 1162  of the  California
Code of Civil Procedure, or any similar Laws  now or hereafter in effect.

ARTICLE 27
INTENTIONALLY OMITTED

ARTICLE 28
SIGNAGE

28.1

Subject to this Section 28.1, Tenant shall be entitled to install, at its sole cost and expense,  one  (1)  sign  on  the  exterior
of  the  5353  Building  identifying  the  name  of  Tenant  (the  “Signage”)  in  a  location to be mutually agreed upon by Landlord and Tenant.
The  graphics,  materials,  size,  color,  design,  lettering,  lighting  (if  any)  and  specifications  of  the  Signage  (collectively,  the  “Signage
Specifications”)  shall  be  subject  to  the  prior  written  approval  of  Landlord,  which  approval  shall  not  be  unreasonably  withheld. In
addition, the Signage and all Signage Specifications therefor shall be subject to Tenant’s receipt  of  all  required  governmental  permits  and
approvals, shall be subject to all applicable governmental laws  and ordinances, and  all  covenants, conditions  and restrictions  affecting the
Project. Tenant hereby  acknowledges that, notwithstanding Landlord’s approval of the Signage and/or the Signage Specifications  therefor,
Landlord has made no representations or warranty to Tenant with respect to the  probability  of  obtaining  such  approvals  and  permits.  In
the  event  Tenant  does  not  receive  the  necessary  permits  and  approvals for the Signage, Tenant’s  and  Landlord’s  rights  and  obligations
under the remaining provisions  of this Lease shall not be affected. The cost of installation of the Signage, as well as all costs of design and
construction of such Signage and all other costs associated with such Signage, including, without limitation,  permits, maintenance and repair,
shall be the sole responsibility of Tenant. The rights to the Signage shall  be personal to the Named Tenant, any Permitted Transferee, any
assignee approved by Landlord pursuant  to Article 14 above and/or any subtenant leasing  the  entire  Premises  (or  all  of  Phase  1  or  Phase
2)approved  by Landlord pursuant to Article  14 above, and may not be otherwise transferred. Should the Signage require  maintenance  or
repairs as determined in Landlord’s reasonable judgment, Landlord shall have the right  to  provide  written  notice  thereof  to  Tenant  and
Tenant  shall  cause  such  repairs  and/or  maintenance  to  be  performed  within  thirty  (30)  days  after  receipt  of  such  notice  from  Landlord
at  Tenant’s  sole  cost  and  expense.  Should  Tenant  fail  to  perform  such  maintenance  and  repairs  within  the  period  described  in  the
immediately preceding sentence, Landlord shall have the right to cause such work to be performed and to  charge Tenant for the cost of such
work.

Should the name of the Named Tenant change or  should the Signage be transferred as set forth  above, then the Signage may be
modified at Tenant’s sole cost and expense to reflect the new name or the  name  of  such  Permitted  Transferee,  provided  that  such  name  is
reasonably  acceptable  to  Landlord,  and  without  limiting  other  reasonable  grounds  for  which  Landlord  may  disapprove  such  name,
Landlord  may  disapprove  such  name  if  it  (i)  relates  to  an  entity  that  is  of  a  character  or  reputation,  or  associated  with  a  political
orientation  or  a  faction,  that  is  inconsistent  with  the  quality  of  the  Project  or  would  otherwise  reasonably  offend  an  institutional
landlord  of  an  office  project  comparable  to  the  Project,  taking  into  consideration the level  and visibility of  such  signage  or  (ii)  causes
Landlord to be in default under any lease  or license with another tenant of the Project.

28.2

Subject to this Section 28.2, Tenant shall be entitled, at Tenant’s sole cost and expense,  install a sign panel on any of
the Buildings’ monument sign (the “Monument Sign”) identifying the name  of  Tenant  (the  “Sign  Panel”).  The  graphics,  materials,  size,
color,  design,  lettering,  lighting  (if  any),  specifications of the Sign Panel (collectively, the “Sign Panel Specifications”) shall be subject to
the prior  written  approval  of  Landlord,  which  approval  shall  not  be  unreasonably  withheld.  In  addition,  the  Sign  Panel  and  all  Sign
Panel  Specifications  therefor  shall  be  subject  to  Tenant’s  receipt  of  all  required  governmental permits and approvals, shall be subject
to  all  applicable  Laws,  and  all  covenants,  conditions  and  restrictions  affecting  the  Project.  Tenant  hereby  acknowledges  that,
notwithstanding  Landlord’s  approval  of  the  Sign  Panel  and/or  the  Sign  Panel  Specifications  therefor,  Landlord  has  made  no
representations  or  warranty  to  Tenant  with  respect  to  the

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probability  of  obtaining  such  approvals  and  permits.  In  the  event  Tenant  does  not  receive  the  necessary  permits  and  approvals  for  the
Sign  Panel,  Tenant’s and Landlord’s rights and obligations under the remaining provisions of this Lease shall  not  be  affected. The cost  of
installation of the Sign Panel, as well as all costs of design  and construction  of  such  Sign  Panel  and  all  other  costs  associated  with  such
Sign  Panel,  including,  without  limitation,  permits,  maintenance  and  repair,  shall  be  the  sole  responsibility  of  Tenant.  The  rights  to  the
Sign Panel shall  be  personal to the Named Tenant, any Permitted Transferee, any assignee approved by Landlord pursuant to  Article 14
above  and/or  any  subtenant  leasing  the  entire  Premises  approved  by  Landlord  pursuant  to  Article  14  above,  and  may  not  be
otherwise  transferred.  Should  the  Monument  Sign  or  the  Sign  Panel  require  maintenance  or  repairs  as  determined  in  Landlord’s
reasonable judgment, Landlord shall  have the  right to provide written notice thereof to Tenant and  Tenant  shall  cause  such  repairs  and/or
maintenance to  be performed within thirty (30) days after receipt of such notice from Landlord  at  Tenant’s  sole  cost  and  expense.  Should
Tenant  fail  to  perform  such  maintenance  and  repairs  within  the  period  described  in  the  immediately  preceding  sentence,  Landlord  shall
have  the  right  to  cause  such  work  to  be  performed  and  to  charge  Tenant  for  the  cost  of  such  work.  Notwithstanding  the  foregoing,
Landlord hereby approves the  existing Sign Panel of Tenant on the 5403 Building’s Monument Sign as it appears on the Effective Date.

Should the name of the Named Tenant change or should the Sign Panel be transferred as set forth  above, then the Sign Panel may
be modified at Tenant’s sole cost and expense to reflect the new name or  the name of such Permitted Transferee, provided that such name is
reasonably acceptable to Landlord, and  without limiting other reasonable grounds for which Landlord may disapprove such name,  Landlord
may  disapprove such name if  it  (i) relates  to  an  entity  that  is  of  a  character  or  reputation,  or  associated  with  a  political  orientation  or  a
faction,  that  is  inconsistent with  the  quality  of  the  Project  or  would  otherwise  reasonably  offend  an  institutional  landlord  of  an  office
project  comparable  to  the  Project,  taking  into  consideration the level and visibility of such Sign Panel  or  (ii)  causes  Landlord  to  be  in
default under any  lease or license with another tenant of the Project.

28.3

No  other  signage  shall  be  permitted  without  the  prior  consent  of  Landlord,  which  consent  may  be  withheld  in
Landlord’s reasonable discretion. If Landlord  grants  such  consent,  the  signage  will  be  at  Tenant’s  expense.  Tenant  shall  not  affix,  paint,
erect, or inscribe any sign, projection,  awning,  signal,  or  advertisement  of  any  kind  to  any  part  of  the  Premises,  any  Building  or  the
Project,  including,  without  limitation, the inside or outside of windows or doors, without the consent of Landlord, which consent may  be
withheld in Landlord’s reasonable discretion. Landlord shall have the right to remove any signs or other  matter  installed  without  Landlord’s
permission without being liable to Tenant by reason of such removal  and to charge the reasonable cost of removal to Tenant, payable within
ten (10) days of written demand by  Landlord.

28.4

Any  damage  to  any  portion  of  the  Project  upon  installation,  maintenance,  or  removal  of  Tenant  signage  shall  be
Tenant’s  sole  responsibility.  Upon  removal  of  Tenant’s  signage,  the  area  affected  thereby  shall  be  repaired  and  restored  pursuant  to
Landlord’s  specifications  to  a  condition  acceptable  to  Landlord,  at  Tenant’s  sole  expense.  Upon  the  expiration  or  earlier  termination  of
this Lease, Tenant will  remove all of its signage. More specifically, with respect to the Signage and the Sign Panel (at such time as  the same
are  removed),  Tenant  shall  repair  and/or  replace,  in  a  manner  satisfactory  to  Landlord,  the  portion  of  any  Building  (and  the  building
materials)  affected  by the  applicable  sign  and  its  removal,  so  that  such  areas and materials are restored to a condition consistent with the
remainder of the exterior of such Building.

ARTICLE 29
LENDER PROVISIONS

29.1

Subordination.  This  Lease  is  subject  and  subordinate  to  all  present  and  future  ground  or  underlying  leases  of  the
Property and  to  the  lien  of  any mortgages,  deeds  to  secure  debt  or  trust  deeds,  now  or  hereafter  in  force  against  the  Property  or  any
Building, if  any,  and  to  all  renewals,  extensions,  modifications,  consolidations  and  replacements  thereof  (collectively,  “Mortgages”),
and  to  all  advances  made or hereafter to be made upon the security of such Mortgages. In the event any proceedings are brought  for  the
foreclosure of any mortgage, deed to secure debt or trust deed, or if any ground or underlying lease  is terminated, Tenant  shall attorn to the
purchaser upon any such foreclosure sale, or to the lessor of such  ground or underlying lease, as the case

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may be (the “Purchaser”), and recognize the Purchaser as the lessor  under this Lease, which attornment  shall  be effective as  of the date that
the Purchaser acquires title to the  Property, and provided that Purchaser assumes all the obligations of  Landlord under  this Lease; however,
the Purchaser shall have the right to accept or reject such attornment upon written notice to Tenant and in  no event shall such attornment be
negated by a foreclosure. In no event shall Tenant have a right of offset  against amounts due any Purchaser  on account of any defaults by
Landlord under  this Lease that pre-date  the  time  the  Purchaser  becomes  the  lessor  hereunder  (other  than  those  offset  rights  expressly
permitted  under, or expressly set forth in, this Lease, including Section 19.2 above), nor shall any Purchaser be liable for any such defaults
by Landlord (other than non-monetary defaults of a continuing nature). Tenant shall,  within ten (10) Business Days of request by Landlord or
the Purchaser (as applicable), execute such further  instruments or assurances as Landlord may reasonably  deem  necessary  to  evidence  or
confirm  the  subordination or superiority of this Lease to any Mortgages  or  Tenant’s  attornment  to  the  Purchaser  (as  applicable).  Tenant
waives  the  provisions  of  any  current  or  future  statute,  rule  or  law  that  may  give  or  purport  to  give  Tenant  any  right  or  election  to
terminate or otherwise adversely affect this Lease  and  the  obligations  of  Tenant  hereunder  in  the  event  of  any  foreclosure  proceeding  or
sale.  Notwithstanding  the  provisions  hereof,  should  any  Mortgagee  require  that  this  Lease  be  prior  rather  than  subordinate  to  its
Mortgage, or require that Tenant attorn to any Purchaser, then in such event, this Lease shall become prior  and  superior  to  such  Mortgage,
or  Tenant  shall  so  attorn under the same  conditions  stated  above,  upon  notice to that effect to Tenant from such Mortgagee. The aforesaid
superiority of this Lease to any Mortgage  shall be self-operative upon the giving of such notice and no further documentation other than such
notice  shall  be  required  to  effectuate  such  superiority  or  attornment.  In  the  event  Landlord  or  such  Mortgagee  desires  confirmation  of
such superiority or attornment, Tenant shall, promptly upon request therefor  by  Landlord or such Mortgagee, and without charge therefor,
execute a document acknowledging such priority  or attornment obligation to the Mortgagee as Landlord in the event of foreclosure or deed in
lieu thereof or  termination of a ground lease. Notwithstanding anything herein to the contrary, Tenant’s subordination to  any future holder
of a Mortgage on the Project shall be subject to and conditioned upon such future holder  executing  and  delivering  a  subordination,  non-
disturbance and attornment  agreement  in  a  commercially  reasonable form. Within sixty (60) days after execution of this Lease, Landlord
shall provide Tenant with  a subordination, non-disturbance and attornment agreement from its current Mortgagee in a form attached  hereto
as Exhibit K.

29.2

Estoppel  Certificates.  Within  ten  (10)  days  after  written  request  from Landlord, Tenant  shall execute and deliver  to
Landlord, or Landlord’s designee, a written statement certifying (a) that this  Lease  is  unmodified  and  in  full  force  and  effect  or  is  in  full
force and effect as modified and stating the  modifications; (b) the amount of Base Rent and the date to which Base Rent and Additional Rent
have been  paid  in  advance;  (c)  the  amount  of  any  security  deposit  with  Landlord;  (d)  whether  to  Tenant’s  current  actual  knowledge
Landlord is not in default hereunder and, if Landlord is claimed to be in default, stating  the  nature  of  any  claimed  default;  and  (e) such
other  matters  as  may  be  requested.  Landlord  and,  any  purchaser, assignee or Mortgagee may rely upon any such statement. Tenant’s failure
to execute and deliver  such statement within the time required shall be conclusive against Tenant (1) that this Lease is in full force  and  effect
and  has  not  been  modified  except  as  represented  by  Landlord;  (2)  that  there  are  no  uncured  defaults  in  Landlord’s  performance  and
that  Tenant  has  no  right  of  offset,  counterclaim,  or  deduction  against  Rent;  (3)  not  more  than  one  (1)  month’s  Rent  has  been  paid  in
advance; and (4) as to the truth and  accuracy of any other matters set forth in the statement as submitted to Tenant.

29.3

Notice and Cure Rights. Tenant agrees to notify any Mortgagee whose address has  been  furnished to Tenant, of any
notice  of  default  served  by  Tenant  on  Landlord.  If  Landlord  fails  to  cure  such  default  within  the  time  provided  for  in  this  Lease,  such
Mortgagee shall have an additional thirty (30) days  to  cure  such  default;  provided  that,  if  such  default  cannot  reasonably  be  cured  within
that  thirty  (30)  day  period, then such Mortgagee shall have such additional time to cure the default as is reasonably  necessary  under  the
circumstances.

29.4

Changes Requested by Mortgagee. Tenant shall not unreasonably withhold its  consent  to  changes or amendments to
this Lease requested by a Mortgagee, so long as such changes do not alter this  Article, the basic  business  terms  of  this  Lease  or  otherwise
materially  diminish  any  rights  or  materially 
increase  any  obligations  of  Tenant  or  materially  interfere  with  Tenant’s  occupancy  of  the
Premises.

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ARTICLE 30
MISCELLANEOUS

30.1

Parking. Tenant shall be permitted to park automobiles as set forth in Exhibit H. In addition  to the provisions of  Exhibit
H,  Tenant  shall  comply  with  all  parking  rules  and  regulations  established  by  Landlord  for  the  Project,  as the  same  may be  revised  from
time  to  time;  provided,  however,  Tenant  shall  not  be  required  to  comply  with  any  new  rule  or  regulation  unless  the  same  does  not
unreasonably interfere  with Tenant’ use of the Premises or the parking areas and does not materially increase  the obligations, or  materially
decrease the rights, of Tenant under this Lease.

30.2

Quiet Enjoyment. Tenant, upon paying the Rent and performing all of its obligations under  this  Lease,  shall  peaceably
and quietly enjoy the  Premises,  subject  to  the  terms  of  this  Lease  and  to  any  mortgage, deed of trust, lease, or other agreement to which
this Lease may be subordinated.

30.3

No Air Rights. This Lease does not grant Tenant any rights to any view or to light  or  air  over  any property, whether
belonging to Landlord or  any other person.  If  at  any  time  any  windows  of  the  Premises  are  temporarily  darkened  or  the  light  or  view
therefrom  is  obstructed  by  reason  of  any  repairs,  improvements,  maintenance  or  cleaning  in  or  about  the  Project„  the  same  shall  be
without  liability  to  Landlord and without any reduction or diminution of Tenant’s obligations under this Lease.

30.4

Force Majeure. Any prevention, delay, or  stoppage  of  work  to  be  performed  by  Landlord  or Tenant that is  due  to
Force Majeure shall excuse performance of the work by that party for a period equal  to  the  duration of that  prevention,  delay, or  stoppage.
Nothing in this Section shall excuse or delay Tenant’s  obligation  to  pay  Rent  or  other  charges  under  this  Lease  or,  except  as  set  forth  in
Section 3.1, delay any of  Tenant’s express termination or Rent abatement rights.

30.5

Accord  and  Satisfaction;  Allocation  of  Payment.  No  payment  by  Tenant  or  receipt  by  Landlord  of  a  lesser
amount  than  the  Rent  provided  for  in  this  Lease  shall  be  deemed  to  be  other  than  on  account  of  the  earliest  due  Rent;  nor  shall  any
endorsement  or  statement  on  any  check  or  letter  accompanying  any  check  or  payment  as  Rent  be  deemed  an  accord  and  satisfaction.
Landlord may accept  such check or payment  without  prejudice to Landlord’s  right  to recover  the balance  of the  Rent  or  pursue  any  other
remedy  provided  for  in  this  Lease.  In  connection  with  the  foregoing,  Landlord  shall  have  the  absolute  right  in  its  sole  discretion  to
apply any payment received from Tenant to any account or other  payment of Tenant then not current and due or delinquent. Pursuant to the
requirements of California Code  of Civil Procedure Section 1161.1(c), as the same may be amended or re-codified or any similar or successor
Law,  Tenant  is  hereby  placed  on  actual  notice  that  Landlord’s  acceptance  of  rent  shall  not  constitute  a  waiver  by  Landlord  of  (a)  any
preceding breach by  Tenant  of  any  provision  of  this  Lease,  other  than  the  failure  of  Tenant  to  pay the particular  rent  so  accepted;  or  (b)
any of Landlord’s rights, including but not  limited to any rights Landlord may have to recover possession of the Premises or to sue for any
remaining  rent owed by Tenant.

30.6

Attorneys’ and Other Fees. Should either party institute any action or proceeding to enforce  or interpret this Lease  or
any provision hereof, for damages by reason of any alleged breach of this Lease  or of any provision hereof, or for a declaration of rights
hereunder, the prevailing party in any such action  or  proceeding shall  be  awarded from the  other  party all  costs  and  expenses,  including,
without limitation,  attorneys’ and other fees, reasonably incurred in good faith  by  the  prevailing  party  in  connection  with  such  action  or
proceeding. The term “attorneys’ and other fees” shall mean and include reasonable  attorneys’  fees,  accountants  fees,  expert  witness  fees
and any and all consultants and other similar fees incurred in  connection with the action or proceeding and preparations therefor. The term
“action or proceeding” shall  mean and include actions, proceedings, suits, arbitrations, appeals and other similar proceedings.

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30.7

Construction. Headings at the beginning of each Article, Section and subsection are solely  for the convenience of the
parties  only  and  in  no  way  define,  limit,  or  enlarge  the  scope  or  meaning  of  this  Lease.  Except  as  otherwise  provided in this  Lease,  all
exhibits referred to herein are attached hereto and are  incorporated herein by  this  reference.  This  Lease  shall  not  be  construed  as  if  either
Landlord  or  Tenant  had  prepared  it,  but  rather  as  if  both  Landlord  and  Tenant  had  prepared  it  and  Tenant  hereby  waives  the
provisions of California Civil Code Section 1654, as the same may be amended or re-codified or any similar  or successor Law now or hereafter
in effect. Any deletion of language from this Lease prior to its execution  by  Landlord  and  Tenant  shall  not  be  construed  to  raise  any
presumption,  canon  of  construction  or  implication,  including,  without  limitation,  any  implication  that  the  parties  intended  thereby  to
state  the  converse of the deleted language.

30.8

30.9

Intentionally Deleted.

Governing  Law.  This  Lease  shall  be  governed  by,  interpreted  under,  and  construed  and  enforced  in  accordance

with the Laws of the State applicable to agreements made and  to be performed  wholly within the State.

30.10

Consent. Unless otherwise expressly set forth  herein,  all  consents  and  decisions  required  or permitted of Landlord
hereunder shall be granted, withheld and made in Landlord’s reasonable  discretion. Except for consent to a Transfer, which shall be governed
by the provisions of Article 14 above,  all  consents  and  approvals  required  from  Landlord  hereunder  or  any  request  by  Tenant  which
causes  Landlord  to  actually  incur  attorneys’  and/or  consultants’  fees  shall  be  subject  to  the  requirement  that  Landlord  be  reimbursed
within thirty (30) days of Landlord’s written demand for attorneys’ and  consultants’  fees  and  costs  incurred  in  connection  therewith,  not
to  exceed  $1,500.00  in  each  instance.  Except for consent to a Transfer, which shall be governed by Article 14 above, Tenant shall have no
claim  and hereby waives  the  right  to  any  claim  against  Landlord  for  money  damages  by  reason  of  any  refusal,  withholding, or delaying
by Landlord of any consent, approval, statement, or satisfaction that Landlord has  agreed shall be subject to a standard of reasonableness. In
such event, Tenant’s only remedy therefor shall  be  an  action  for  specific  performance,  injunction,  or  declaratory  judgment  to  enforce  any
right  to  such  consent, approval, statement, or satisfaction.

30.11

Authority. Tenant hereby represents and warrants to Landlord that the individual(s)  executing this Lease on Tenant’s

behalf are authorized to execute this Lease on Tenant’s behalf

30.12

Duplicate Originals; Counterparts;  Fax/Email  Signatures. This  Lease may be  executed in  any number  of  duplicate
originals, all of which shall be of equal legal force and effect. Additionally, this  Lease  may  be  executed  in  counterparts,  but  shall  become
effective  only  after  each  party  has  executed  a  counterpart  hereof;  all  said  counterparts,  when  taken  together,  shall  constitute  the  entire
single agreement  between the parties. This  Lease  may be executed by  a  party’s  signature  transmitted  by  facsimile  (“fax”)  or  email,  and
copies of this Lease executed and delivered  by  means  of  faxed  or  emailed  copies  of  signatures  shall  have  the  same  force  and  effect  as
copies hereof executed and delivered with original wet signatures.  All  parties  hereto  may  rely  upon  faxed  or  emailed  signatures  as  if
such  signatures  were  original  wet  signatures.  Any  party  executing  and  delivering  this  Lease  by  fax  or  email  shall  promptly  thereafter
deliver  a counterpart signature page of this Lease containing said party’s original signature. All parties hereto agree  that a faxed or emailed
signature page may be introduced into evidence in any proceeding arising out of or  related to this Lease as if it were an original wet signature
page.

30.13

Offer. The submission and negotiation of this Lease shall not be deemed an offer to enter  the  same  by  Landlord  but
the solicitation of such an offer by Tenant. Tenant  agrees  that  its  execution  of  this  Lease  constitutes  a  firm  offer  to  enter  the  same  which
may not be withdrawn for a period of five (5)  Business Days after delivery to Landlord (or such other period as may be expressly provided
in any other agreement  signed  by  the  parties).  During  such  period  and  in  reliance  on  the  foregoing,  Landlord  may,  at  Landlord’s option,
proceed  with  any  plans,  specifications,  alterations,  or  improvements,  and  permit  Tenant  to  enter  the  Premises;  but  such  acts  shall  not  be
deemed an acceptance of Tenant’s offer to enter this Lease,  and such acceptance shall be evidenced only by Landlord’s signing and delivering
this Lease to Tenant.

-42-

 
 
 
 
 
 
 
 
30.14

Further  Assurances.  Landlord  and  Tenant  each  agree  to  execute  any  and  all  other  documents  and  to  take  any

further actions reasonably necessary to consummate  the transactions  contemplated hereby.

30.15

Financial  Statements.  In  order  to  induce  Landlord  to  enter  into  this  Lease,  Tenant  agrees  that  it  shall  promptly
furnish Landlord, from time to time (but no more than once per calendar year), upon  Landlord’s  written  request,  with  Tenant’s  most  recent
financial  statements  reflecting  Tenant’s  financial  condition.  Tenant  represents  and  warrants  that  all  financial  statements,  records,  and
information furnished  by Tenant to Landlord in connection with this Lease are true, correct, and complete in all material respects.  Landlord
shall keep any financial statements provided to Landlord under this Section 30.15 confidential  and  shall  not  disclose  the  same,  other  than
to  (i) Landlord’s legal  and  accounting  consultants,  Landlord’s  property and asset managers or any prospective purchasers or lenders of  the
Project (and Landlord shall use  commercially  reasonable  efforts  to  cause  such  parties  to  keep  such  financial  statements  confidential),  or
(ii) as required by Law or as may reasonably be required in the course of any judicial or  governmental  proceeding (including in response
to a subpoena).  Notwithstanding anything to the contrary herein, so long  as Tenant or its direct or indirect parent company is a publicly traded
corporation on a nationally recognized  stock exchange, the foregoing obligation to deliver the statements shall be waived.

30.16

Recording. Tenant shall not record this Lease without the prior consent of Landlord, which  consent may be withheld

in Landlord’s sole discretion.

30.17

Right to Lease. Landlord reserves the absolute right  to  create  such  other  tenancies  in  the  Project as Landlord shall
determine to best promote the interests of the Project. Tenant does not rely on the  fact, nor does Landlord  represent,  that  any  specific  tenant
or type or number of tenants shall, during the  Term, occupy any space in the Project.

30.18

Severability.  In  the  event  any  portion  of  this  Lease  shall  be  declared  by  any  court  of  competent  jurisdiction to
be invalid, illegal or unenforceable, such portion shall be deemed severed from  this Lease, and the remaining parts hereof  shall  remain  in
full force and effect, as fully as though such  invalid, illegal or unenforceable portion had never been part of this Lease.

30.19

Survival.  All  indemnity  and  other  unsatisfied  obligations  set  forth  in  this  Lease  shall  survive the termination or

expiration hereof.

30.20

WAIVER OF TRIAL BY JURY. TO THE EXTENT PERMITTED BY APPLICABLE  LAW,  THE  PARTIES
HEREBY IRREVOCABLY WAIVE ANY AND ALL RIGHT TO TRIAL BY  JURY IN ANY LEGAL PROCEEDING ARISING OUT
OF OR RELATING TO THIS LEASE, OR  THE  TRANSACTIONS  OR  MATTERS  RELATED  HERETO  OR  CONTEMPLATED
HEREBY.  THE PARTIES FURTHER HEREBY WAIVE THE  RIGHT  TO  CONSOLIDATE  ANY  ACTION  IN  WHICH  A  JURY
HAS BEEN WAIVED WITH ANY OTHER ACTION IN WHICH A JURY  TRIAL HAS NOT BEEN WAIVED.

30.21

Successors and Assigns. Subject  to  the  terms  and  conditions  of  Article 14  of  this  Lease,  this Lease shall apply to

and bind the heirs, personal representatives, and permitted successors and assigns  of the parties.

30.22

Integration of Other Agreements; Amendments. This Lease sets forth the entire agreement  and  understanding  of  the
parties  with  respect  to  the  matters  set  forth  herein  and  supersedes  all  previous  written  or  oral  understandings,  agreements,  contracts,
correspondence  and  documentation  with  respect  thereto. Any oral representations or modifications concerning this  Lease  shall  be  of  no
force or effect. No  provisions  of  this  Lease  may  be  amended  or  added  to  except  by  an  agreement  in  writing  signed  by  the  parties  or
their respective successors in interest.

30.23

TIME OF  THE  ESSENCE.  TIME  IS  OF  THE  ESSENCE  OF  THIS  LEASE  AND  EACH  AND  EVERY  TERM

AND PROVISION HEREOF.

-43-

 
 
 
 
 
 
 
 
 
 
30.24

Waiver. The waiver by a party of any breach of any term, covenant, or condition of  this  Lease shall not be deemed
a waiver of such term, covenant, or condition or of any subsequent breach of the  same or any other term, covenant, or condition. No delay or
omission in the exercise of any right or remedy  of a party shall impair such right or remedy or be construed as a waiver of any default  of the
other party.  Consent to or approval of any act by a party requiring consent or approval of the other party shall  not  be  deemed  to  waive  or
render  unnecessary  such  consent  to  or  approval  of  any  subsequent  act.  Any  waiver  must be  in  writing  and  shall  not  be  a  waiver  of  any
other matter concerning the same or any other provision  of this Lease.

30.25

No Surrender. No act or conduct of Landlord, including, without limitation, the acceptance  of  keys  to the  Premises,
shall  constitute  an  acceptance  of  the  surrender  of  the  Premises  by Tenant  before  the  expiration  of  the  Term.  Only  a  written  notice  from
Landlord to Tenant shall constitute acceptance of  the surrender of the Premises and accomplish a termination of the Lease.

30.26

Number and Gender. As  used  in  this  Lease,  the  neuter  includes  masculine  and  feminine,  the singular includes the

plural and use of the word “including” shall mean “including without limitation.”

30.27

Days.  The  term  “days,”  as  used  herein,  unless  otherwise  specifically  noted,  shall  mean  actual  days  occurring,

including Saturdays, Sundays and Holidays.

30.28

Joint  and  Several  Liability.  If  Tenant  consists  of  two  (2)  or  more  parties,  each  of  such  parties shall be liable for
Tenant’s obligations under this Lease, and all documents executed in connection  herewith, and the liability of such parties shall be joint and
several. Additionally, the act or signature of; or  notice from or to, any one or more of such parties with respect to this Lease shall be binding
upon each and  all  of  the  parties  executing this  Lease  as  Tenant  with the  same  force  and  effect  as if  each and  all  of  them  had so acted or
signed, or given or received such notice and, in the event more than one (1) entity comprising  Tenant so acts, signs or gives or receives such
notice, Landlord shall be entitled to rely on the first such act,  signature, or giving or receiving of notice and any subsequent act, signature or
giving or receiving of notice  by any additional Tenant entity(ies) shall be null and void.

30.29

No  Third  Party  Beneficiaries.  Except  as  otherwise  provided  herein,  no  person  or  entity  shall be  deemed  to  be  a
third party beneficiary hereof, including but not limited to any brokers, and nothing  in  this  Lease  (either  expressed  or  implied)  is  intended
to  confer  upon  any  person  or  entity,  other  than  Landlord  and  Tenant  (and  their  respective  nominees,  successors  and  assigns),  any
rights,  remedies,  obligations or liabilities under or by reason of this Lease.

30.30

No Other Inducements. It is expressly warranted by each of the undersigned parties that  no  promise  or  inducement
has been offered except  as  herein set forth and that this Lease is executed  without  reliance  upon  any  statement  or  representation  of  any
person or party or its representatives concerning the  nature and extent of damages, costs and/or legal liability therefor.

30.31

Independent  Covenants.  This  Lease  shall  be  construed  as  though  the  covenants  herein  between  Landlord  and
Tenant  are  independent  and  not  dependent.  Tenant  hereby  expressly  waives  the  benefit  of  any  Laws  to  the  contrary  and  agrees  that  if
Landlord  fails  to  perform  any  of  its  obligations  set  forth  herein,  Tenant  shall  not  be  entitled  to  make  any  repairs  or  perform  any  acts
hereunder at Landlord’s  expense or to any setoff of Rent, except as otherwise expressly set forth herein.

30.32

30.33

Intentionally Omitted.

OFAC Compliance.

30.33.1

As  used  herein  “Blocked  Party”  shall  mean  any  party  or  nation  that  (a)  is  listed  on  the  Specially
Designated  Nationals  and  Blocked  Persons  List  maintained  by  the  Office  of  Foreign  Asset  Control,  Department  of  the  U.S.  Treasury
(“OFAC”) pursuant to Executive Order No. 13224, 66 Fed. Reg.  49079 (Sept. 25, 2001) or other similar requirements contained in the  rules
and regulations of OFAC (the  “Order”)  or  in  any enabling legislation  or  other  Executive  Orders  in  respect  thereof  (the  Order  and  such
other rules, regulations,

-44-

 
 
 
 
 
 
 
 
 
 
 
 
legislation, or orders are collectively called  the  “Orders”)  or  on  any other  list  of  terrorists  or  terrorist  organizations  maintained  pursuant
to  any  of  the  rules  and  regulations  of  OFAC  or  pursuant  to  any  other  applicable  Orders  (such  lists  are  collectively  referred  to  as  the
“Lists”); or (b) has  been determined by competent authority to be subject to the prohibitions contained in the Orders.

30.33.2

As  a  material  inducement  for  Landlord  entering  into  this  Lease,  Tenant  warrants  and represents that
none of Tenant, any Affiliate of Tenant, or, to Tenant’s knowledge, any beneficial owner  of Tenant or any Affiliate of Tenant, other than owners
of Tenant’s publicly available stock who purchased  such  stock  on  open  market  (collectively,  a  “Tenant  Owner”):  (a) is  a  Blocked  Party;
(b) is  owned  or  controlled by, or is acting, directly or indirectly, for or on behalf of, any Blocked Party; or (c)  has instigated,  negotiated,
facilitated, executed or otherwise engaged in this Lease, directly or indirectly,  on  behalf  of  any  Blocked  Party.  Tenant  shall  immediately
notify Landlord if any of the foregoing warranties and  representations becomes untrue during the Term.

Party; or (b) make a Transfer to any Blocked Party.

30.33.3

Tenant  shall  not  knowingly:  (a) transfer  any  interest  in  Tenant  or  any  Tenant  Owner to any Blocked

30.33.4

If at any time during the Term (a) Tenant or any Tenant Owner becomes a Blocked Party or is convicted,
pleads  nolo  contendere,  or  is  indicted,  arraigned,  or  custodially  detained  on  charges  involving  money  laundering  or  predicate  crimes  to
money  laundering;  (b)  any  of  the  representations  or  warranties  set  forth  in  this  Section  become  untrue;  or  (c)  Tenant  breaches  any  of  the
covenants set forth in this Section, the same shall constitute a Default. In addition to any other remedies to which Landlord may be entitled
on account of such Default, Landlord may immediately terminate this Lease and refuse to pay any Allowance or other disbursements due to
Tenant under this Lease.

30.34

Landlord’s  Disclosure  Regarding  Hazardous  Materials.  By  signing  this  Lease,  Tenant  represents that Tenant has
read and understood the statutorily required disclosures, if any, of Landlord set  forth in Exhibit I to this Lease, which disclosures relate to
certain hazardous substances, including without  limitation Hazardous Materials, known or suspected  to exist  at  the  Premises, any Building
or the Project.  Landlord represents and warrants to Tenant that, to Landlord’s actual knowledge (without investigation) as  of the date  of  this
Lease,  Landlord  has  not  received  any  written  notice  that  the  Premises  is  currently  in  violation  of  any  applicable  Environmental  Laws.
Additionally,  if  and  to  the  extent  required  by  applicable  Environmental  Laws,  Landlord  shall  be  responsible  for  the  removal  or
remediation  of  any  Hazardous  Materials on the Property in violation of any applicable Environmental Laws, except where such removal
or remediation is Tenant’s responsibility pursuant to Article 7.

30.35

Existing Sublease.  Landlord agrees that  if  the  Master  Lease  (as  defined  in  the  Sublease)  is  terminated prior to its
expiration for any reason other than a casualty or condemnation or a default by Tenant  under the Sublease, then the Phase 2 Commencement
Date shall occur concurrently with the occurrence of  such  termination. If  the  Master  Lease  (as  defined  in  the  Sublease)  is  terminated  due
to  a  casualty  or  condemnation, then the provisions of this Lease shall be deemed to apply as between Landlord and Tenant  with respect to
such casualty or condemnation as if both the Phase 1 Commencement Date and the Phase 2  Commencement  Date  had  occurred  as  of  the
date of such casualty or condemnation (e.g., Landlord and  Tenant will have the same restoration obligations and termination rights as to the
entire Premises upon the  occurrence of such casualty or condemnation affecting Phase 2).

[SIGNATURE PAGE FOLLOWS]

-45-

 
 
 
 
 
 
 
 
 
 
Witness:

Date:

Witness:

Date:

IN WITNESS WHEREOF the panics have executed this Lease, under seal, as of the date first• above written.

  LANDLORD:

  BETSY ROSS PROPERTY, LLC,

a Delaware limited liability company

  By:

  /s/ Shaoyuan Wang

  Printed Name:

Shaoyuan Wang

  Title:

 President

  Date:

 December 13, 2019

  TENANT:

  SHOCKWAVE MEDICAL, INC.,
  a Delaware corporation

  By:

  /s/ Douglas E. Godshall

  Printed Name:

Douglas E. Godshall

  Title:

 CEO

  Date:

 December 13, 2019

  Taxpayer ID No.:

27-0494101

-1-

 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
   
 
 
 
 
 
 
  
 
 
 
 
 
 
  
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
   
 
 
 
 
 
   
 
 
 
 
 
 
  
 
 
 
 
 
 
 
  
 
 
 
 
 
 
  
 
 
 
 
 
ADDENDUM #1

LETTER OF CREDIT

A.

Upon execution of this Lease, Tenant shall deliver to Landlord a letter of credit which provides by its terms that it may
be drawn in Santa Clara, California, in the amount of $1,000,000 (the “Initial LC Amount”), issued by a bank approved by Landlord. On or
prior to the Phase 2 Commencement Date, Tenant shall deliver to Landlord another letter of credit (or an amendment to the original letter of
credit)  which  provides  by  its  terms  that  it  may  be  drawn  in  Santa  Clara,  California,  in  the  amount  of  $500,000  (the  “Additional  LC
Amount”, together with the Initial LC Amount, the “LC Amount”, which for the avoidance of doubt, shall mean the Initial LC Amount prior
to  the  Phase  2  Commencement  Date  and  shall  mean  collectively,  the  Initial  LC  Amount  and  the  Additional  LC  Amount  on  and  after  the
Phase 2 Commencement Date). Landlord hereby approves of Silicon Valley Bank as the issuing bank. Such letters of credit, together with
any additional letters of credit required herein, and any renewals or replacements thereof (collectively, the “Letter of Credit”) shall be clean,
unconditional, transferable, irrevocable, contain “evergreen provisions” requiring annual automatic renewal with a final expiration date not
earlier than forty-five (45) days after the end of the Term and otherwise in the form attached as Appendix 1, and, in any event, subject to
Landlord’s prior written approval (as determined in Landlord’s reasonable discretion).

B.

Tenant shall keep the Letter of Credit in full force and effect at all times during the Term, as the same may be extended
(and during any holding over by Tenant after the Term) and for not less than forty-five (45) days after the end of the Term (and any hold-over
period). The Letter of Credit shall have an initial expiration date not sooner than twelve (12) months from the issuance thereof. The Letter of
Credit must by its express terms automatically renew on an annual basis for additional terms of twelve (12) months with a final expiration
date not earlier than forty-five (45) days after the end of the Term. If, at any time prior to the end of the Term, (i) the Letter of Credit then
held by Landlord would by its terms expire, or (ii) the issuer shall notify Landlord that the Letter of Credit then held by Landlord will not be
renewed,  Tenant  shall  deliver  a  replacement  letter  of  credit  to  Landlord  in  form  and  content  identical  to  the  Letter  of  Credit  except  as  to
expiration  and  renewal  dates  not  later  than  thirty  (30)  days  prior  to  the  expiration  of  the  then  current  Letter  of  Credit.  Tenant  shall  be
responsible for obtaining such replacement Letter of Credit at its sole expense. If Tenant shall fail to deliver a replacement letter of credit in
strict  accordance  with  the  foregoing  requirements,  Landlord  shall  thereupon  be  authorized,  without  notice  to  Tenant  or  providing  any
opportunity to cure to Tenant, each and all of which are hereby irrevocably waived, to immediately draw the entire amount then remaining
available under the Letter of Credit.

C.

The Letter of Credit shall be issued by a commercial bank acceptable to Landlord (1) that is chartered under the laws of
the  United  States,  any  State  thereof  or  the  District  of  Columbia,  and  which  maintains  deposits  insured  by  the  Federal  Deposit  Insurance
Corporation; and (2) whose long-term, unsecured and unsubordinated debt obligations are rated “investment grade” by Moody’s Investors
Service, Inc. (Moody’s) or Standard & Poor’s Ratings Services (S&P) or their respective successors (the “Rating Agencies”) (which shall
mean  Baa3  or  higher  by  Moody’s  and  BBB-  or  higher  by  Standard  &  Poor’s),  or,  if  not  rated  by  the  Rating  Agencies,  having  a
BauerFinancial, Inc. rating of at least four (4) stars (collectively, the “LC Issuer Requirements”). If at any time the LC Issuer Requirements
are  not  met,  Tenant  shall,  within  ten  (10)  Business  Days  after  transmittal  of  written  notice  by  Landlord  to  Tenant,  deliver  to  Landlord  a
replacement  Letter  of  Credit  in  form  and  content  identical  to  the  Letter  of  Credit  issued  by  a  bank  that  then  satisfies  the  LC  Issuer
Requirements (and Tenant’s failure to do so shall entitle Landlord to draw upon the Letter of Credit). In addition to and not in limitation or
derogation  of  all  rights  and  remedies  accorded  to  Landlord  upon  the  occurrence  of  a  Default  under  this  Lease  and/or  by  applicable  Law,
Landlord shall thereupon be authorized, without notice to Tenant or providing any opportunity to cure to Tenant, each and all of which are
hereby irrevocably waived, to immediately draw the entire amount then remaining available under the Letter of Credit.

Addendum #1—1-

 
 
 
 
 
 
D.

If the issuer of any letter of credit held by Landlord is insolvent or is placed into receivership or conservatorship by the
Federal Deposit Insurance Corporation, or any successor or similar entity, or if a trustee, receiver or liquidator is appointed for the issuer,
then, effective as of the date of such occurrence, said Letter of Credit shall be deemed to not satisfy the LC Issuer Requirements, and Tenant
shall, within ten (10) Business Days after transmittal of written notice by Landlord to Tenant, (i) deposit with Landlord in an amount equal to
the LC Amount or (ii) deliver to Landlord a replacement Letter of Credit in form and content identical to the Letter of Credit issued by a bank
that then satisfies the LC Issuer Requirements (and Tenant’s failure to do so shall, notwithstanding anything in this Lease to the contrary,
constitute  a  Default  for  which  there  shall  be  no  notice  or  grace  or  cure  periods  being  applicable  thereto  other  than  the  aforesaid  ten  (10)
Business Day period).

E.

In  the  event  of  a  transfer  of  Landlord’s  interest  in  the  Premises,  Landlord  shall  transfer  the  Letter  of  Credit  to  the
transferee and, provided the transferee assumes in writing all of Landlord’s obligations hereunder, Landlord shall thereupon and without any
further agreement between the parties, be forever released by Tenant from all liability therefor, and it is agreed that the provisions hereof shall
apply to every transfer of said Letter of Credit to a new landlord.

F.

In the event of the occurrence of a Default, in addition to and not in limitation or derogation of any or all of its other
remedies contained in this Lease and/or applicable Law, Landlord shall have the right (but not the obligation) to immediately draw all or any
part of the amount then remaining available under the Letter of Credit. In the event of any such draw, Tenant shall forthwith provide Landlord
with an additional letter of credit in an amount sufficient to restore the aggregate amounts of the Letter(s) of Credit and LC Proceeds (if any)
held by Landlord to the LC Amount.

G.

Landlord may use or apply the whole or any part of the amounts drawn on the Letter of Credit (the “LC Proceeds”) for
the payment of Tenant’s obligations under this Lease. At Landlord’s election, any LC Proceeds not otherwise applied to amounts then due
Landlord shall be held to secure the prompt, full, and faithful payment and performance by Tenant of each and all of the obligations of Tenant
under this Lease. Tenant’s obligation to furnish the Letter of Credit and any use, application or retention by Landlord of all or any part of the
LC Proceeds shall not be deemed in any way to constitute liquidated damages for any default by Tenant, or to limit the remedies to which
Landlord is otherwise entitled under the terms of this Lease and/or applicable Law. In the event the LC Proceeds are reduced below the LC
Amount by any such use or application, Tenant shall deposit with Landlord, within ten (10) days after notice, an amount sufficient to restore
the amount of the LC Proceeds to the LC Amount. Landlord shall not be required to keep the LC Proceeds separate from Landlord’s general
funds or pay interest on the LC Proceeds. Provided Tenant has performed all of its obligations under this Lease, any remaining portion of the
LC  Proceeds  shall  be  returned  to  Tenant  within  thirty  (30)  days  subsequent  to  the  Expiration  Date.  No  trust  or  fiduciary  relationship  is
created  herein  between  Landlord  and  Tenant  with  respect  to  the  LC  Proceeds.  If  Landlord  transfers  the  Premises  during  the  Term  of  this
Lease,  Landlord  shall  pay  the  LC  Proceeds  to  Landlord’s  successor-in-interest,  in  which  event  the  transferring  Landlord  shall  be  released
from all liability for the return of the LC Proceeds.

H.

Landlord shall return the Letter of Credit to Tenant within forty-five (45) days following the expiration of the Term.

Addendum #1—2-

 
 
 
 
 
 
I.
as follows:

Notwithstanding the foregoing, provided that no Default then exists, Tenant shall have the right to reduce the LC Amount

Date
12/13/2019 – 8/31/2022
9/1/2022 – 8/31/2023
9/1/2023 – 8/31/2024
9/1/2024 – 8/31/2025
9/1/2025 – 8/31/2026
9/1/2026 – 8/31/2027
9/1/2027 – 12/12/2027

1st LOC
$1,000,000.00
$1,000,000.00
$887,542.40
$775,084.80
$662,627.20
$550,169.60
$437,712.00

2nd LOC
$0.00
$500,000.00
$400,000.00
$300,000.00
$200,000.00
$100,000.00
$0.00

Total
$1,000,000.00
$1,500,000.00
$1,287,542.40
$1,075,084.80
$862,627.20
$650,169.60
$437,712.00

Any  such  reduction  of  the  LC  Amount  may  be  accomplished  by  Tenant’s  delivery  to  Landlord  of  a  new  Letter  of  Credit  or  an
amendment to the existing Letter of Credit. If Tenant elects to deliver a new Letter of Credit as aforesaid, then Landlord will promptly return
to Tenant the original Letter of Credit and will use commercially reasonable efforts to coopete with Tenant in effecting the termination of
such original Letter of Credit. Landlord shall also reasonably cooperate with Tenant and the issuing bank to execute any further documents
required to accommodate the foregoing reductions in the LC Amount.

Addendum #1—3-

 
 
 
 
IRREVOCABLE STANDBY LETTER OF CREDIT NUMBER                                              

APPENDIX 1

ISSUE DATE:                                              

ISSUING BANK:
SILICON VALLEY BANK
3003 TASMAN DRIVE
2ND FLOOR, MAIL SORT HF210
SANTA CLARA, CALIFORNIA 95054

BENEFICIARY:
BETSY ROSS PROPERTYS, LLC
C/O ALHOUSE DEATON
230 SOUTH CALIFORNIA AVENUE, SUITE 212
PALO ALTO, CA 94306

APPLICANT:
SHOCKWAVE MEDICAL, INC.
5403 BETSY ROSS DRIVE
SANTA CLARA, CA 95054

AMOUNT:

  US$[1,000,000.00(ONE MILLION AND 00/100 U.S. DOLLARS)]

EXPIRATION DATE:

  SVB WILL PUT A SPECIFIC DATE HERE THAT’S 1 YEAR ISSUANCE HERE

PLACE OF EXPIRATION:

-SANTA CLARA, CALIFORNIA

DEAR SIR/MADAM:

WE  HEREBY  ESTABLISH  IN  YOUR  FAVOR  OUR  IRREVOCABLE  LETTER  OF  CREDIT  NO.                                    IN  THE
MAXIMUM  AGGREGATE  AMOUNT  OF  [ONE  MILLION  AND  00/100  US  DOLLARS  ($1,000,000.00)]  FOR  THE  ACCOUNT  OF
SHOCKWAVE  MEDICAL,  INC.  (TENANT).  DEMANDS  FOR  PAYMENT  UP  TO  THE  MAXIMUM  AGGREGATE  AMOUNT
AVAILABLE UNDER THIS LETTER OF CREDIT UPON PRESENTATION OF BENEFICIARY’S ONE OR MORE DRAFTS IN THE
FORM OF ANNEX A ATTACHED HERETO SIGNED BY YOUR BENEFICIARY’S OFFICER OR IF THIS LETTER OF CREDIT IS
TRANSFERRED, BY AN OFFICER OF ANY TRANSFEREE BENEFICIARY.

EACH  DRAFT  DRAWN  HEREON  SHALL  BE  ADDRESSED  TO  US,  REFERENCE  THIS  LETTER  OF  CREDIT  NO.
               , SPECIFY THE AMOUNT OF SUCH DRAFT AND OTHERWISE BE IN THE FORM OF ANNEX A ATTACHED HERETO
AND BE PRESENTED TOGETHER WITH THE FOLLOWING STATEMENT (WITH THE AMOUNT OF THE PAYMENT REQUEST
AND WIRE TRANSFER INSTRUCTIONS COMPLETED):

Addendum #1—1-

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
“BENEFICIARY HEREBY DRAWS ON LETTER OF CREDIT NO.                   IN THE AMOUNT OF FUNDS IN RESPECT
OF THIS DRAWING SHALL BE TRANSMITTED BY WIRE TRANSFER TO                  ROUTING NO.                    , ACCOUNT NO.
FOR CREDIT TO THE ACCOUNT OF                        (INSERT BENEFICIARY OR TRANSFEREE) .”

NO FURTHER INFORMATION SHALL BE REQUIRED FOR ANY SUCH PAYMENT DEMAND HEREON.

PARTIAL AND MULTIPLE DRAWS ARE PERMITTED.

PAYMENT AGAINST CONFORMING PRESENTATIONS HEREUNDER PRIOR TO 10:00 A.M. CALIFORNIA TIME, ON A
BUSINESS DAY SHALL BE MADE BY BANK DURING NORMAL BUSINESS HOURS OF THE BANK’S OFFICE ON THE NEXT
SUCCEEDING  BUSINESS  DAY.  PAYMENT  AGAINST  CONFORMING  PRESENTATIONS  HEREUNDER  AFTER  10:00  A.M.
CALIFORNIA  TIME,  ON  A  BUSINESS  DAY  SHALL  BE  MADE  BY  BANK  DURING  NORMAL  BUSINESS  HOURS  OF  THE
BANK’S OFFICE ON THE SECOND SUCCEEDING BUSINESS DAY.

AS  USED  HEREIN,  THE  PERM  “BUSINESS  DAY”  MEANS  A  DAY  ON  WHICH  WE  ARE  OPEN  AT  OUR  ABOVE
ADDRESS  IN  SANTA  CLARA,  CALIFORNIA  TO  CONDUCT  OUR  LETTER  OF  CREDIT  BUSINESS  AND  “BUSINESS  DAY”
MEANS ANY DAY ON WHICH BANKS IN SANTA CLARA, CA ARE NOT AUTHORIZED OR REQUIRED BY LAW TO CLOSE.

THIS  LETTER  OF  CREDIT  SHALL  INITIALLY  EXPIRE  ON                            ,  20            SUCH  EXPIRATION  DATE  SHALL  BE
AUTOMATICALLY  EXTENDED  WITHOUT  NOTICE  OR  AMENDMENT  FOR  PERIODS  OF  ONE  (1)  YEAR,  BUT  IN  NO
EVENT  LATER THAN                    20     , UNLESS AT LEAST SIXTY (60) DAYS BEFORE ANY EXPIRATION DATE, WE NOTIFY
YOU  BY  REGISTERED  MAIL  OR  OVERNIGHT  COURIER  SERVICE  AT  YOUR  ADDRESS  ABOVE,  THAT  THIS  LETTER  OF
CREDIT WILL NOT BE EXTENDED BEYOND THE THEN-CURRENT EXPIRATION DATE. UPON RECEIPT BY YOU OF SUCH
NOTIFICATION, YOU MAY DRAW ON THIS LETTER OF CREDIT AS SET FORTH ABOVE, PROVIDED THAT THE AMOUNT OF
YOUR DRAW SHALL NOT EXCEED THE TOTAL AMOUNT THEN AVAILABLE FOR PAYMENT HEREUNDER.

DRAW  REQUESTS  MAY  BE  SUBMITTED  IN  PERSON,  BY  COURIER,  OR  BY  MAIL  TO  OUR  ADDRESS  STATED

ABOVE.

THIS LETTER OF CREDIT IS TRANSFERABLE ONE OR MORE TIMES, BUT IN EACH INSTANCE ONLY TO A SINGLE
BENEFICIARY  AS  TRANSFEREE  AND  ONLY  UP  TO  THE  THEN  AVAILABLE  AMOUNT,  ASSUMING  SUCH  TRANSFER  TO
SUCH  TRANSFEREE  WOULD  BE  IN  COMPLIANCE  WITH  THEN  APPLICABLE  LAW  AND  REGULATION,  INCLUDING  BUT
NOT LIMITED TO THE REGULATIONS OF THE U. S. DEPARTMENT OF TREASURY AND U. S. DEPARTMENT OF COMMERCE.
AT  THE  TIME  OF  TRANSFER,  THE  ORIGINAL  LETTER  OF  CREDIT  AND  ORIGINAL  AMENDMENT(S),  IF  ANY,  MUST  BE
SURRENDERED  TO  US  AT  OUR  ADDRESS  INDICATED  IN  THIS  LETTER  OF  CREDIT  TOGETHER  WITH  OUR  TRANSFER
FORM ATTACHED HERETO AS ANNEX “B” DULY EXECUTED. APPLICANT SHALL PAY OUR TRANSFER FEE OF ‘A OF ¼ OF
1% OF THE TRANSFER AMOUNT (MINIMUM US$250.00) UNDER THIS LETTER OF CREDIT.

IF ANY INSTRUCTIONS ACCOMPANYING A DRAWING UNDER THIS LETTER OF CREDIT  REQUEST THAT PAYMENT  IS  TO
BE MADE BY TRANSFER TO YOUR ACCOUNT WITH  ANOTHER BANK, WE WILL ONLY EFFECT SUCH  PAYMENT  BY  FED
WIRE  TO  A  U.S.  REGULATED  BANK,  AND  WE  AND/OR  SUCH  OTHER  BANK  MAY  RELY  ON  AN  ACCOUNT  NUMBER
SPECIFIED  IN  SUCH  INSTRUCTIONS  EVEN  IF  THE  NUMBER  IDENTIFIES  A  PERSON  OR  ENTITY  DIFFERENT  FROM  THE
INTENDED PAYEE.

Addendum #1—2-

 
 
 
 
 
 
 
 
 
THIS LETTER OF CREDIT IS SUBJECT TO THE INTERNATIONAL STANDBY PRACTICES  (ISP98), INTERNATIONAL CHAMBER
OF COMMERCE, PUBLICATION NO. 590.

AUTHORIZED SIGNATURE

AUTHORIZED SIGNATURE

Addendum #1—3-

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
ANNEX A

Form of
SIGHT  DRAFT

REF. NO.:

DATE:

AT SIGHT

PAY TO THE ORDER
OF                                                                 

  US$  

“DRAWN UNDER
NUMBER NO.

TO:

,
DATED

IRREVOCABLE STANDBY LETTER OF CREDIT
,200

 ’’

(INSERT NAME OF BENEFICIARY)

  AUTHORIZED SIGNATURE

Addendum #1—4-

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
   
   
 
 
 
 
   
 
 
   
   
 
 
   
 
 
 
   
 
 
   
 
 
 
   
 
 
   
 
 
 
 
 
 
   
 
DATE:

TO: SILICON VALLEY BANK
3003 TASMAN DRIVE
SANTA CLARA, CA 95054
ATTN:INTERNATIONAL DIVISION.
STANDBY LETTERS OF CREDIT

GENTLEMEN:

ANNEX “B”
TRANSFER FORM

  RE: IRREVOCABLE STANDBY LETTER OF CREDIT
  NO.  

ISSUED BY

SILICON VALLEY BANK, SANTA CLARA
L/C AMOUNT:

FOR VALUE RECEIVED, THE UNDERSIGNED BENEFICIARY HEREBY IRREVOCABLY TRANSFERS TO:

(NAME OF TRANSFEREE)

(ADDRESS)

ALL  RIGHTS  OF  THE  UNDERSIGNED  BENEFICIARY  TO  DRAW  UNDER  THE  ABOVE  LETTER  OF  CREDIT  UP  TO  ITS
AVAILABLE AMOUNT AS SHOWN ABOVE AS OF THE DATE OF THIS TRANSFER.

BY  THIS  TRANSFER,  ALL  RIGHTS  OF  THE  UNDERSIGNED  BENEFICIARY  IN  SUCH  LETTER  OF  CREDIT  ARE
TRANSFERRED  TO  THE  TRANSFEREE.  TRANSFEREE  SHALL  HAVE  THE  SOLE  RIGHTS  AS  BENEFICIARY  THEREOF,
INCLUDING  SOLE  RIGHTS  RELATING  TO  ANY  AMENDMENTS,  WHETHER  INCREASES  OR  EXTENSIONS  OR  OTHER
AMENDMENTS,  AND  WHETHER  NOW  EXISTING  OR  HEREAFTER  MADE.  ALL  AMENDMENTS  ARE  TO  BE  ADVISED
DIRECTLY  TO  THE  TRANSFEREE  WITHOUT  NECESSITY  OF  ANY  CONSENT  OF  OR  NOTICE  TO  THE  UNDERSIGNED
BENEFICIARY.

THE  ORIGINAL  OF  SUCH  LETTER  OF  CREDIT  IS  RETURNED  HEREWITH,  AND  WE  ASK  YOU  TO  ENDORSE  THE
TRANSFER  ON  THE  REVERSE  THEREOF,  AND  FORWARD  IT  DIRECTLY  TO  THE  TRANSFEREE  WITH  YOUR
CUSTOMARY NOTICE OF TRANSFER.

SIGNATURE  AUTHENTICATED

The names(s), title(s), and signature(s) conform to that/those
on file with us for the company and the signature(s) is/are
authorized to execute this instrument.

(BENEFICIARY’S NAME)

(Name of Bank)

(Address of Bank)

(City, State, Zip Code)

(Print Authorized Name and Title)

(Authorized Signature)

(Telephone Number)

By:

Printed Name:

Title:

Addendum #1—5-

 
 
 
   
 
 
 
   
 
   
 
 
 
 
 
 
   
 
   
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
EXHIBIT B—SITE PLAN OF PROJECT

Exhibit B, Page 1

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
EXHIBIT C — LEGAL DESCRIPTION

Legal Description of Property

Real property in the City of Santa Clara, County of Santa Clara, State of California, described as follows:

PARCEL ONE:

ALL  OF  PARCEL  105  AS  SHOWN  UPON  THAT  CERTAIN  MAP  ENTITLED,  “PARCEL  MAP  MARRIOTT  BUSINESS
PARK  UNIT  NO.  2  IMPROVEMENT  PROJECT  NO.  174  BEING  PORTIONS  OF  THE  -RANCHO  PASTORIA  DE  LAS  BORREGAS
AND  THE  RANCHO  ULISTAC  AND  IN  SECTIONS  16,  T6S.  R1  W,  M.D.M.”,  WHICH  MAP  WAS  I-11,ED  FOR  RECORD  IN  THE
OFFICE OF THE RECORDER OF THE COUNTY OF SANTA CLARA, STATE OF CALIFORNIA ON FEBRUARY 17, 1978 IN BOOK
413

OF MAPS, AT PAGES 13, 14 AND 15.

PARCEL TWO:

ALL  OF  PARCEL  106  AS  SHOWN  UPON  THAT  CERTAIN  MAP  ENTITLED,  “PARCEL  MAP  MARRIOTT  BUSINESS
PARK  UNIT  NO.  2  IMPROVEMENT  PROJECT  NO.  174  BEING  PORTIONS  OF  THE  RANCHO  PASTORIA  DE  LAS  BORREGAS
AND  THE  RANCHO  ULISTAC  AND  IN  SECTIONS  16,  T6S.  R1W,  ADM.”,  WHICH  MAP  WAS  FILED  FOR  RECORD  IN  THE
OFFICE OF THE RECORDER OF TIM COUNTY OF SANTA CLARA, STATE OF CALIFORNIA ON FEBRUARY 17, 1978 IN BOOK
413 OF MAPS, AT PAGES 13, 14 AND 15.

APN: 104-49019

Exhibit C, Page 1

 
 
 
 
 
 
 
 
 
 
 
The undersigned, as Tenant, under that certain lease dated [                       ] (the “Lease”), with  [                       ], as Landlord, hereby

EXHIBIT D - TERM CERTIFICATION

certifies as follows:

1.

2.

That the undersigned has entered into occupancy of the Premises described in the Lease.

That  the  Lease  is  in  full  force  and  effect  and  has  not  been  assigned,  modified,  supplemented  or  amended  in  any  way,

except as follows:                                     .

3.

4.

That the Lease represents the entire agreement between the parties as to said leasing.

That the Commencement Date for Phase         of the Lease is:               . The Lease expires on                                  .

5.

That, to Tenant’s current actual knowledge, all improvements to have been constructed or completed by Landlord have
been  substantially  completed  in  a  satisfactory  manner  and  all  conditions  of  the  Lease  to  be  performed  by  Landlord  and  necessary  to  the
enforceability of the Lease have been satisfied.

6.

7.

8.

That, to Tenant’s current actual knowledge, there are no defaults by either Tenant or Landlord under the Lease.

That no rents have been prepaid, other than as provided in the Lease.

That, to Tenant’s current actual knowledge, on this date there are no existing defenses or offsets, which the undersigned

has against the enforcement of the Lease by Landlord.

9.

That the undersigned has received set(s) of keys to Phase              on this date.

EXECUTED this            day of                                , 20      .

]

TENANT:

[
a [                                ]

By:
Printed Name:
Title:

Exhibit D, Page 1

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  
 
   
 
 
 
 
This Exhibit sets forth the terms and conditions relating to construction of the initial tenant improvements in each Construction Phase (as
defined below). All references in this Exhibit to capitalized terms or “this Lease” shall mean the relevant portion of the lease to which this
Exhibit is attached and of which this Exhibit forms a part.

EXHIBIT E — CONSTRUCTION

1.

Definitions.

“Allowance” shall  mean  each  of  the  three  (3)  one-time  tenant  improvement  allowances  applicable  to  each
Construction Phase in the amounts set forth on the Lease Summary,  namely, the 5353 First Floor Allowance, 5353 Second Floor Allowance,
and 5403 Allowance.

a.

b.

 “Approved Working Drawings” shall have the meaning set forth in Exhibit E-1.

c.

“Construction  Phase”  means  the  Tenant  Improvements  applicable  to  each  of  the  5353  Second  Floor  (the
“5353  2nd Floor  Construction  Phase”),  Phase  2  (the  “Phase  2  Construction  Phase”),  and  the  5353  First  Floor  (the  “5353  1st  Floor
Construction Phase”; each  of the 5353 2nd Floor Construction Phase, the Phase 2 Construction Phase Construction Phase and  the 5353 1st
Floor Construction Phase, a “Construction Phase”).

Construction Phase in excess of the applicable Allowance for  such Construction Phase.

d.

“Excess  Costs”  shall  mean  with  respect  to  each  Construction  Phase,  the  Total  Construction  Costs  for  such

in accordance with Exhibit E-1.

e.

“Tenant  Improvements”  shall  mean  the  improvements  to  each  Construction Phase as approved by Landlord

f.

“Total  Construction  Costs”  shall  mean  with  respect  to  each  Construction  Phase,  the  entire  cost  of
constructing  the  Tenant  Improvements  for  such  Construction  Phase,  including space planning and preparation of the  Approved  Working
trash
Drawings,  permit  costs,  labor  and  materials,  electrical  and  other  utility  usage  during  construction,  additional  janitorial  services, 
removal, general tenant signage, related taxes and insurance costs, the fees of any  construction managers and the Landlord Supervision Fee
set  forth  in  the  Lease  Summary,  as  the  same  may  increase  as  a  result  of  any  change  orders.  Tenant  acknowledges  and  agrees  that  the
costs to purchase and install any of Tenant’s Property, including without limitation the portable  clean rooms and machine shop, shall be not
included in Total Construction Costs.

2.

Allowances.

a.

Tenant must request the applicable Allowance for each Construction Phase and satisfy all conditions set forth in
Section 2(d) below for such Allowance before the date (i) that is thirty-six (36) months after the Phase 1 Commencement Date with respect to
the 5353 First Floor Allowance and the 5353 Second Floor Allowance, and (ii) that is thirty-six (36) months after the Phase 2 Commencement
Date  with  respect  to  the  5403  Allowance,  or  such  Allowance  shall  be  deemed  forfeited  with  no  further  obligation  by  Landlord  with  respect
thereto. All Tenant Improvements for which the Allowance has been made available shall be deemed Landlord’s property. Tenant shall not be
entitled  to  use  any  portion  of  the  applicable  Allowance  for  a  Construction  Phase  for  anything  other  than  Total  Construction  Costs  for  such
Construction Phase.

b.

In no event shall Landlord be obligated to make disbursements with respect  to  the  Tenant  Improvements  for  a
Construction  Phase  in  an  amount  that  exceeds  the  Allowance  applicable  to  such  Construction  Phase,  and  in  no  event  shall  Tenant  be
entitled  to  any  excess,  credit, deduction or offset against Rent for any unused portion of the applicable Allowance. The  Allowance shall  not
be disbursed to Tenant, but shall be applied by Landlord to the payment  of  the  Total  Construction  Costs,  if,  as,  and  when  the  cost  of  the
Tenant  Improvements  is  actually  incurred as set forth below.

c.

Intentionally deleted.

Exhibit E, Page 1

 
 
 
 
 
 
 
 
 
 
 
 
 
d.

Landlord  shall  disburse  the  applicable  Allowance  proceeds  upon  Tenant’s  written  application  in  two
installments  for  each  Construction  Phase,  as  follows:  one-half  (1/2)  within  thirty  (30)  days  of  written  certification  by  Landlord’s
construction manager that the work  for such Construction  Phase  is  fifty  percent  (50%)  complete,  and  the  balance  within  thirty  (30)  days
of receipt by Landlord of lien waivers and a final certificate of occupancy for the applicable  portion of the Premises  for  such  Construction
Phase; provided, that Landlord shall not be required  to disburse proceeds of the 5353 Allowances prior to the date that is twelve (12) months
after the  Phase 1 Commencement Date.  It shall be a condition to the obligation of Landlord to make such  disbursements  that  Tenant  shall
have  provided  Landlord  with  appropriate  requests  for  payment, 
invoices,  contractors’  affidavits  and  sworn  statements,  contractors’  and
subcontractors’ lien  waivers,  and  other  documents  as  may  be  reasonably  required  by  Landlord  to  demonstrate  the  correctness  of  the
amount requested by Tenant.

3.

Amenity Space. Tenant may perform certain additions, alterations, or improvements (“Amenity Space Improvements”)
to certain portions of the Common Area directly between the Buildings as approved by Landlord (“Amenity Space”). Each of Landlord and
Tenant shall contribute one-half (1/2) of the total cost of such Amenity Space Improvements (“Amenity Space Cost”) up to the first Fifty
Thousand Dollars ($50,000) of such costs; provided that in the event the Amenity Space Cost exceeds $50,000, Tenant shall pay the excess
from the Allowance or Tenant’s other funds. Such Amenity Space Improvements shall constitute Tenant Improvements for all purposes under
this  Lease,  including  Landlord’s  approval  rights  pursuant  to  this  Exhibit  and  Tenant’s  surrender  obligations,  except  that  Landlord  shall
maintain such Amenity Space Improvements as portions of the Common Area and as otherwise provide in this Paragraph 3.

4.

5353 Building. As part of the Tenant Improvements for the 5353 Building, Tenant, at its cost and expense, shall have the
right to (and shall be required to the extent required by applicable Law): (i) update or expand the existing restrooms in the 5353 Building to
meet Tenant’s intended occupancy of the Premises and to meet ADA handicapped accessibility, (ii) provide Title 24 upgrades as required by
Law, (iii) provide a point-of-connection to the 5353 Building’s life-safety system to have sufficient capacity for Tenant’s life-safety devices
installed in accordance with normal office occupancy requirements, and (iv) replace the HVAC system in the 5353 Building. The scope and
cost of the work shall be subject to Landlord’s approval under this Exhibit.

5.

Miscellaneous.

Unless otherwise indicated, all references herein to a “number of days” shall  mean and refer to calendar days.  If
any item requiring approval is timely disapproved by Landlord,  the  procedure  for  preparation  of  the  document  and  approval  thereof  shall
be  repeated  until  Landlord approves the document.

a.

6.

Compliance  with  Laws.  Tenant  shall  construct  the  Tenant  Improvements  in  compliance  with  all  applicable  Laws
(including the ADA and Title 24), including (except as provided in Section 7 of Exhibit E-1) performing any alterations to other portions of
any Building or Project necessitated by the Tenant Improvements, and all costs incurred for such compliance work shall be included in the
Total Construction Costs

Exhibit E, Page 2

 
 
 
 
 
 
 
 
EXHIBIT E-1 — TENANT IMPROVEMENT WORK

1.

Approval of Tenant Improvements; Preparation of Working Drawings.

a.

Tenant shall retain an architect/space planner approved by Landlord (“Architect”) to prepare the construction
drawings  for  the  Tenant  Improvements  for  each  Construction  Phase.  Tenant  shall  retain  the  engineering  consultant  approved  by  Landlord
(“Engineer”) to prepare all plans and engineering working drawings related to the structural, mechanical, electrical, plumbing, HVAC, life
safety, and sprinkler work to the extent necessary for such Tenant Improvements. The plans and drawings to be prepared by Architect and the
Engineer hereunder shall be known collectively as the “Working Drawings.” All Working Drawings shall comply with the drawing format
and specifications as determined by Landlord. It shall be the responsibility of Tenant and Architect to verify, in the field, the dimensions and
conditions  as  shown  on  the  relevant  portions  of  the  base  Building  plans.  Notwithstanding  the  foregoing,  Landlord  hereby  approves  the
following vendors, contractors and design professionals (including the Engineer and Architect) with respect the Tenant Improvements:

HVAC/Process Plumbing (also approved as an Engineer): Deharo Mechanical
280 Cochrane Cir, Morgan Hill, CA 95037

Electrical (also approved as an Engineer): Silver Creek Electric
280 Cochrane Cir B, Morgan Hill, CA 95037

Flooring:
East Bay Flooring
2215 National Ave, Hayward, CA 94545

Architect
Kobza2
2083 Old Middlefield Way Mountain View, CA 94043

b.

Tenant,  the  Architect  and  the  Engineers  shall  complete  the  architectural  and  engineering  drawings  for  such
Construction Phase, and the final architectural working drawings in a form that is sufficient to allow contractors to bid on the work and to
obtain  all  applicable  permits  (collectively,  “Final  Working  Drawings”)  and  shall  submit  the  same  to  Landlord  for  Landlord’s  approval.
Landlord shall notify Tenant whether it approves or disapproves of the submitted Final Working Drawings within five (5) Business Days after
Landlord’s receipt thereof. If Landlord disapproves of such Final Working Drawings, then Landlord shall notify Tenant thereof specifying in
reasonable  detail  the  reasons  for  such  disapproval  and  the  changes  required  to  obtain  Landlord’s  approval.  Tenant  shall  revise  such  Final
Working Drawings to address Landlord’s objections and submit the revised Final Working Drawings to Landlord for its review and approval.
Landlord shall notify Tenant in writing whether it approves or disapproves of the revised Final Working Drawings within five (5) Business
Days  after  its  receipt  thereof.  If  Landlord  again  disapproves  of  such  Final  Working  Drawings,  then  Landlord  shall  notify  Tenant  thereof
specifying in reasonable detail the reasons for such disapproval and the foregoing revision process shall be repeated until Landlord approves
the revised Final Working Drawings. If Landlord fails to approve or disapprove of any Final Working Drawings within such five (5) Business
Day period, Landlord shall be deemed to have approved such Final Working Drawings.

Exhibit E-1, Page 1

 
 
 
 
 
 
 
 
 
c.

Landlord  must  have  approved  the  Final  Working  Drawings  (“Approved  Working  Drawings”)  for  such
Construction  phase  prior  to  the  commencement  of  the  construction  of  the  Tenant  Improvements  for  such  Construction  Phase.  Tenant  shall
reimburse Landlord for its reasonable out-of-pocket cost and expense, if any, of third-party experts Landlord may require to review any and all
the Working Drawings.

2.

Permits. Upon receipt of Landlord’s approval of the Approved Working Drawings for a Construction Phase, Tenant shall
submit  such  Approved  Working  Drawings  to  the  appropriate  municipal  authorities  for  all  applicable  building  permits  necessary  for  the
Tenant  Improvements  in  such  Construction  Phase  (“Permits”).  Neither  Landlord  nor  Landlord’s  consultants  shall  be  responsible  for
obtaining  any  building  permit  or  certificate  of  occupancy  for  the  Construction  Phase  or  Building  and  the  obtaining  of  the  same  shall  be
Tenant’s  responsibility;  provided,  however,  that  Landlord  shall,  in  any  event,  cooperate  with  Tenant  in  executing  permit  applications  and
performing other ministerial acts reasonably necessary to enable Tenant to obtain any Permits.

3.

Intentionally deleted.

4.

Construction.  Tenant  shall  retain  contractors,  on  behalf  of  Tenant,  to  construct  the  Tenant  Improvements  in  each
Construction  Phase  in  accordance  with  the  Approved  Working  Drawings  for  such  Construction  Phase.  Tenant  shall  notify  Landlord  upon
completion of the Tenant Improvements, and shall, at its expense, obtain and deliver to Landlord a certificate of occupancy or other final
governmental sign-off of the Tenant Improvements from the appropriate governmental authority for the Premises.

5.

Time Deadlines. Tenant and Landlord shall meet upon reasonable request to discuss Tenant’s progress in connection with

the construction of the Tenant Improvements and Landlord’s progress in connection with the Landlord’s Work set forth in Section 7 below.

6.

Landlord Delay. The term “Landlord Delay” shall mean (i) the failure of Landlord to provide any responses required of
Landlord within the time periods set forth in this Exhibit E-1 or (ii) any actual delay in Tenant’s ability to occupy the applicable portion of
the Premises following completion of the applicable Construction Phase (including delays in the issuance of a certificate of occupancy or
other governmental issued permit required for occupancy or completion of the applicable Construction Phase) caused by Landlord’s failure to
diligently perform the Landlord’s Work set forth in Section 7 below (excluding delays caused by Force Majeure); provided, however, (1) a
Landlord Delay shall not include any of the foregoing delays to the extent caused by the acts, omissions, or misconduct of Tenant or any
Tenant Related Party, and (2) no Landlord Delay shall be deemed to have occurred unless Tenant has given Landlord written notice that an
act  or  omission  on  the  part  of  Landlord  is  about  to  occur  or  has  occurred  which  will  cause  a  delay  in  the  completion  of  the  Tenant
Improvements and Landlord has failed to cure such delay within one (1) Business Day after Landlord’s receipt of such notice, in which case
the  number  of  days  of  delay  after  such  notice  shall  be  a  Landlord  Delay.  Tenant  shall  be  entitled  to  one  (1)  day  of  Base  Rent  abatement
applicable to the portion of the Premises that includes the affected Construction Phase, for each day of Landlord Delay.

7.

Landlord’s  Work.  Landlord  shall  construct  promptly  following  the  Phase  1  Commencement  Date  and  no  later  than
Tenant’s completion of the Tenant Improvements, and, except as provided below to the contrary, pay for the entire cost of constructing the
following  work  (“Landlord’s  Work”),  at  Landlord’s  sole  cost  and  expense,  to  Landlord's  Building  standard  condition,  using  Building
standard procedures, methods, materials, colors and finishes: (i) with respect to the Project, (A) maintain and deliver the parking lots, exterior
lighting, landscaping, wayfinding signage, irrigation, utilities, sidewalks, and driveways in good condition, and (B) complete, maintain and
update  the  ADA  path  of  travel  from  the  parking  lots  to  the  Buildings  as  required  by  applicable  Laws,  (ii)  with  respect  to  the  Buildings,
maintain and deliver the roof, exterior walls, foundation and structure of the Buildings in good condition and leak-free, and (iii) with respect
to the 5353 Building, deliver the Premises broom-clean and free of prior tenant’s furniture, fixtures, equipment and possession, and provide
telephone closets free of the prior tenant’s cabling. In the event that any Pre-Existing Hazardous Materials (as defined in Section 7.1 of the
Lease) (other than any asbestos-containing materials (“ACMs”)) are required to be remediated under Environmental Law in connection with
or as a result of the performance of the Tenant Improvements, Landlord shall perform any such

Exhibit E-1, Page 2

 
 
 
 
 
 
 
 
remediation required by applicable Environmental Law at its sole cost and expense, and, any actual delay in the completion of the Tenant
Improvements or Tenant’s ability to legally occupy the Premises due to such remediation shall be deemed to be a Landlord Delay; provided
that  (i)  if  ACMs  are  likely  to  be  disturbed  in  the  course  of  the  Tenant  Improvements,  Tenant  shall  encapsulate  or  remove  the  ACMs  in
accordance with an approved asbestos-removal plan and otherwise in accordance with all applicable Environmental Laws, including giving
all notices required by California Health and Safety Code Sections 25915-25919.7 and (ii) if AMCs are likely to be disturbed in the course of
Landlord’s Work, Landlord shall encapsulate or remove such AMCs in accordance with all applicable Environmental Laws, including giving
all notices required by California Health and Safety Code Sections 25915-25919.7.

8.

Additional Provisions Regarding the Performance of the Tenant Improvements.

a.

Concurrently  with  Tenant’s  submittal  of  the  Working  Drawings,  Tenant  shall  submit  (A)  the  names  and
addresses of Tenant’s proposed contractors (and said contractors’ subcontractors) and materialmen providing specialty materials to be engaged
by Tenant for the Tenant Improvements (individually, a “Tenant Contractor,” and collectively, “Tenant’s Contractors”); and (B) certificates of
insurance, evidencing the insurance required under this Exhibit E-1. Landlord’s review and approval of any plans and specifications for the
Tenant  Improvements  shall  create  no  responsibility  or  liability  on  the  part  of  Landlord  for  their  completeness,  design  sufficiency,  or
compliance with all Laws.

b.

All Tenant Improvements shall be (a) performed under a valid permit when required, a copy of which shall be
furnished to Landlord before commencement of construction, (b) performed in a good and workmanlike manner using only new, first class
materials and Tenant shall obtain standard contractors’ warranties against defects in materials and workmanship; (c) performed in compliance
with all applicable Laws, all applicable standards of the American Insurance Association (formerly, the National Board of Fire Underwriters),
the National Electrical Code, manufacturer’s specifications and Landlord’s construction rules and regulations attached hereto as Exhibit E-2
(the “Construction Rules”); (d) performed in such manner as not to unreasonably obstruct access to the Project or the Common Areas or the
conduct  of  business  by  Landlord  or  other  tenants  in  the  Project;  (e)  diligently  prosecuted  to  completion;  (f)  performed  in  compliance  with
USGBC indoor air quality standards and waste management specifications, and (g) performed by Tenant’s Contractors that are approved by
Landlord.

Tenant  agrees  to  (1)  carry  (or  cause  its  general  contractor  to  carry)  Causes  of  Loss-Special  Form  Builder’s  Risk  or  Installation  Floater
insurance  with  a  limit  of  not  less  than  the  total  cost  of  the  Tenant  Improvements,  in  such  form  and  including  such  terms,  conditions  and
deductibles as are acceptable to Landlord in its sole but reasonable discretion, covering the construction of such Tenant Improvements, and
(2) cause all of Tenant’s Contractors to agree, in their construction contracts with Tenant, to meet all of the insurance requirements applicable
to  Tenant  pursuant  to  Article  18  of  the  Lease  (including  providing  the  certificates  of  insurance  required  thereunder).  Promptly  after
completion of the Tenant Improvements, Tenant shall deliver to Landlord “as-built” plans and specifications (including all working drawings)
for the Tenant Improvements.

Landlord shall have the right to inspect the construction of the Tenant Improvements; however, Landlord’s failure to inspect any portion of
the  Tenant  Improvements  shall  in  no  event  constitute  a  waiver  of  any  of  Landlord’s  rights  under  this  Exhibit  E-1,  nor  shall  Landlord’s
inspection  of  any  portion  of  the  Tenant  Improvements  constitute  Landlord’s  approval  thereof.  If,  as  a  result  of  Landlord’s  inspection,
Landlord  determines  any  portion  of  the  construction  of  the  Tenant  Improvements  has  been  performed  in  violation  of  this  Exhibit  E-1,
Landlord shall notify Tenant in writing of such disapproval and shall specify the items disapproved.

c.

The  Tenant  Improvements  shall  be  and  remain  a  part  of  the  Premises,  shall  be  the  property  of  Landlord,  and
shall not be removed by Tenant, unless: (i) such removal is necessary to ensure that the Premises and any Building comply with applicable
code at the time of surrender, including but not limited to removal of wires located in risers and plenums without raceways or conduits; (ii) if
Tenant,  as  part  of  its  request  for  Landlord’s  approval  of  the  Working  Drawings  or  Final  Working  Drawings  with  respect  to  any  Tenant
Improvement  (“TI  Approval  Request”);  requested  Landlord’s  determination  as  to  whether  Landlord  will  require  Tenant  to  remove  such
Tenant Improvement upon the expiration or earlier termination of this Lease and, in response to such request, Landlord required removal of
such Tenant Improvement at the time of Landlord’s approval; or (iii) if Tenant does not request Landlord’s designation as to whether Landlord
will require Tenant to remove such Tenant Improvement

Exhibit E-1, Page 3

 
 
 
 
 
 
 
upon the expiration or earlier termination of this Lease as part of its TI Approval Request, and Landlord notified Tenant in writing that removal
would be required at least ninety (90) days prior to the Expiration Date (however, if this Lease terminates prior to the Expiration Date, such
ninety (90) day period shall not apply). In each of the foregoing circumstances, Tenant shall perform such removal and repair any damage
caused thereby at Tenant’s sole cost and expense prior to the expiration or earlier termination of this Lease.

d.

Notwithstanding the foregoing, (1) Tenant shall have no obligation to remove any of the improvements existing
in the Premises as of the date of this Lease, and (2) Landlord may only require Tenant to remove Tenant Improvements that are not customary
general office improvements (which shall include, without limitation, private bathrooms and/or showers, fitness center, all equipment in any
server room (including, without limitation, raised flooring, racking, wiring and cabling), fish tanks, supplemental HVAC units, vaults, internal
stairwells, rolling file systems, space converted to lab space or other non-office uses, overhead roll-up doors and/or additional single or double-
door exterior entrances (to the extent removal of an exterior door is required hereunder, Tenant shall restore the wall affected by such removal
to the prior condition)). Except with respect to the restoration of any walls in connection with the removal of exterior doors, as indicated above,
Tenant  shall  only  be  required  to  remove  the  improvements  as  requested  by  Landlord  in  accordance  with  this  Section  and  repair  damages
caused by such removal. Both Landlord and Tenant acknowledge that all interior walls (including electrical, telephone cabling, and other lines
therein, but excluding Telecom Wiring install by or on behalf of Tenant (which shall be removed as set forth in Article 24)), interior doors, wall
and  floor  finishes  and  trim,  and  general  duct-work  (as  opposed  to  duct-work  related  to  Tenant’s  special  systems)  installed  or  modified  by
Tenant as depicted in the Approved Working Drawings constitute (without limitation) general office improvements.

e.

Tenant shall cause each of Tenant’s contractors to agree, in their construction contracts with Tenant, to satisfy
and release (by bond or otherwise) any mechanic’s or materialman’s liens filed against the Project by any of the subcontractors engaged by
such contractor within ten (10) days of such filing. Upon completion of the Tenant Improvements, Tenant shall furnish Landlord with full and
final  waivers  of  liens  and  contractors’  affidavits  and  statements,  in  such  form  as  may  be  required  by  Landlord,  Landlord’s  title  insurance
company and any Mortgagee, from all parties performing labor or supplying materials or services in connection with the Tenant Improvements
showing  that  all  of  said  parties  have  been  compensated  in  full.  Before  commencement  of  the  Tenant  Improvements,  Tenant  shall  notify
Landlord  of  the  proposed  date  of  commencement  of  the  Tenant  Improvements,  and  shall  prepare  and  deliver  to  Landlord  for  Landlord’s
signature a notice of non-responsibility and allow Landlord no less than seven (7) days to record and post the same. Additionally, if Tenant
fails to make any payment relating to the Tenant Improvements, Landlord, at its option, may complete the Tenant Improvements and/or make
such payment and Tenant shall reimburse Landlord for all costs incurred therefor within five
(5) days of Landlord’s demand.

f.

Tenant agrees not to suffer or permit any lien of any mechanic or materialman to be placed or filed against the
Premises, any Building or the Project due to work performed by or on behalf of Tenant. In case any such lien shall be filed, Tenant shall satisfy
and release such lien of record within twenty (20) days (or such shorter period as may be required by any Mortgagee) after the earlier to occur
of (a) receipt of notice thereof from Landlord; or (b) Tenant’s actual knowledge or notice of such lien filing. If Tenant shall fail to have such
lien  satisfied  and  released  of  record  as  provided  herein,  Landlord  may,  on  behalf  of  Tenant,  without  being  responsible  for  making  any
investigation as to the validity of such lien and without limiting or affecting any other remedies Landlord may have, pay the same and Tenant
shall  reimburse  Landlord  on  demand  for  such  amount  together  with  any  other  reasonable  costs  of  Landlord,  including,  without  limitation,
reasonable  attorneys’  fees  and/or  Landlord  shall  have  the  right  to  deduct  such  costs  from  the  Allowance.  Notwithstanding  the  foregoing,
Tenant shall have the right to contest any such lien claim diligently and in good faith, and during such contest shall not be obligated to pay
such lien claim, provided that Tenant, at its sole cost and expense, bonds the lien, or transfers the lien from the Property to a bond, thereby
freeing the Property from any claim of lien. Notwithstanding any such contest or title insurance, Tenant shall pay any such claim in full within
five (5) days following the entry of an unstayed judgment or order of sale. All materialmen, contractors, artisans, mechanics, laborers and any
other  person  now  or  thereafter  furnishing  any  labor,  services,  materials,  supplies  or  equipment  to  Tenant  with  respect  to  Premises  or  any
portion thereof, are hereby charged with notice that they must look exclusively to Tenant to obtain payment for the same.

Exhibit E-1, Page 4

 
 
 
 
Notice  is  hereby  given  that  Landlord  shall  not  be  liable  for  any  labor,  services,  materials,  supplies,  skill,  machinery,  fixtures  or  equipment
furnished  to  or  to  be  furnished  to  Tenant  upon  credit  and  that  no  mechanic’s  lien  or  any  other  lien  for  any  such  labor,  services,  materials,
supplies, machinery, fixtures or equipment shall attach to or affect the estate or interest of Landlord in and to the Premises or the Project, or
any portion thereof. Before the actual commencement of any work for which a claim or lien may be filed, Tenant shall give Landlord notice of
the intended commencement date a sufficient time before that date to enable Landlord to post notices of nonresponsibility or any other notices
that Landlord deems necessary for the protection of Landlord’s interest in the Premises, any Building or the Project, and Landlord shall have
the right to enter the Premises and post such notices at any reasonable time.

Exhibit E-1, Page 5

 
 
EXHIBIT E-2 CONSTRUCTION RULES AND REGULATIONS

1.

All  contractors,  subcontractors,  and  materialmen  (“Contractor  Parties”)  will  check  in  and  out  with  Project

management.

2.

All Contractor Parties will be appropriately dressed to work in an office environment: shirts with sleeves (T-shirts with
company  name  are  acceptable),  pants  (no  shorts),  work  shoes  with  socks,  and  whatever  other  clothing  as  may  be  appropriate.  No  torn  or
worn-out clothing is permitted. Contractor Parties will display a courteous demeanor towards tenants, customers, visitors and general public.
No Contractor Parties shall remain in the Project after work hours.

3.

All Contractor Parties shall clean the job site after meals are eaten. Alcoholic beverages and drugs are not to be brought
into, or consumed in the Project. Personnel appearing to be under the influence of either alcoholic beverages or drugs will not be allowed into
the Project.

4.

Parking for all personnel must be arranged prior to commencement of work, and will be provided in designated areas
only. Vehicles in unapproved areas will be subject to citation and towing without notice. Any parking charges are the sole responsibility of
the Contractor Parties.

5.

6.

7.

8.

Intentionally Omitted.

Intentionally Omitted.

All Contractor Parties shall maintain the condition of docks, elevators and corridors used.

All materials are to be stored at the job site or in designated storage areas. No materials are to be stored in corridors or in

public areas. Landlord may provide minimum secured storage for materials with prior arrangement.

9.

10.

Contractor Parties must arrange access to areas other than job site at least 24 hours in advance.

All work areas are to be visually and materially protected from the tenants and general public. If required by Landlord,

the job site shall be sealed off from the balance of the adjoining space so as to minimize the disbursement of dirt, debris and noise.

11.

12.

Radios or other excessive noise are not permitted.

The use of toxic materials or odor-causing liquids must be scheduled with Landlord in advance and prior notice must be

given to the tenants adjacent to the job site.

13.

All non-job site areas are to be kept clean and dust free. No material residue shall be tracked through corridors or public

areas.

Contractor Parties shall ensure the job site is left clean and secure at the completion of each work day. Trash and excess materials shall (a) not
remain on, in, or at the job site; (b) be disposed of in bins or by truck promptly; (c) not be staged in storage at the job site in any public or
adjacent areas; and (d) shall not be disposed of in the Project’s trash receptacles.

Exhibit E-2, Page 1

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Subject to all Laws applicable thereto and the Rules and Regulations, Landlord agrees to furnish the following services in a manner

that such services are customarily furnished to comparable projects in the area:

EXHIBIT F - BUILDING SERVICES

1.

2.

3.

Electrical power for the Permitted Use, as determined by Landlord.

City water from the regular Building outlets for drinking, lavatory and toilet purposes and the Permitted Use.

Maintenance of the Common Areas.

4.

Landlord  may,  from  time  to  time,  provide  such  on-premises  courtesy  personnel  (who  will  not  necessarily  have  any
responsibilities for any security), the cost of which shall be an Operating Cost hereunder; but Landlord makes no representation or warranty,
written or oral, express or implied, that any security will be provided to the Project, or if provided, what the level of that security may be.
Landlord does not guarantee any level of security and is released from any responsibility for any Claims based upon assertions that Landlord
failed to provide adequate security to the Project, the Premises, or otherwise.

5.

Trash pick-up and sewer services.

Tenant shall have access to the Premises twenty-four (24) hours per day, seven (7) days per week, subject to Landlord’s reasonable

security requirements, Force Majeure, repairs and other de-minimus interruptions.

Exhibit F, Page 1

 
 
 
 
 
 
 
 
 
EXHIBIT G - RULES AND REGULATIONS

1.

The Common Areas shall not be obstructed by any of the tenants or used by them for any purpose other than for ingress
to and egress from their respective premises. The Common Areas are not for the general public, and Landlord shall in all cases retain the
right  to  control  and  prevent  access  thereto  of  all  persons  whose  presence  in  the  judgment  of  Landlord  would  be  prejudicial  to  the  safety,
character, reputation, and interest of the Project and its tenants; provided that nothing herein contained shall be construed to prevent such
access  to  persons  with  whom  any  tenant  normally  deals  in  the  ordinary  course  of  its  business,  unless  such  persons  are  engaged  in  illegal
activities.

2.

The  Premises  shall  not  be  used  for  the  storage  of  merchandise  held  for  sale  to  the  general  public  or  for  lodging.  No
cooking shall be done or permitted on the Premises except that private use by Tenant of approved microwave ovens, equipment for brewing
coffee, tea, hot chocolate, and similar beverages shall be permitted, provided that such use is in accordance with all Laws.

3.

Intentionally Omitted.

4.

Landlord will furnish each tenant free of charge with two (2) keys to each door provided in the premises by Landlord.
Landlord may make a reasonable charge for additional keys. No tenant shall have any such keys copied. No tenant shall alter any lock or
install a new or additional lock or any bolt on any door of its premises, subject to the below requirements. Each tenant upon the termination
of its lease shall deliver to Landlord all keys to doors in the Buildings. Tenant may install a security system in the lobby of each Building that
may  be  unlocked  using  a  magnetic  keycard,  provided  that  Tenant  shall  provide  Landlord  with  a  magnetic  keycard  that  provides  access  to
such  Building.  Should  Tenant  install  a  locking  system  that  requires  a  code,  such  code  shall  be  provided  to  Landlord  in  writing,  and  all
subsequent changes to the code will be provided in writing twenty-four (24) hours prior to such change taking place.

5.

Landlord shall designate appropriate entrances for deliveries or other movement to or from the premises of equipment,
materials, supplies, furniture, or other property, and Tenant shall not use any other entrances for such purposes. Landlord must have approved
all means or methods used to move equipment, materials, supplies, furniture, or other property in or out of any Building prior to any such
movement. Landlord will not be responsible for loss of or damage to any such property from any cause, and all damage done to any Building
by moving or maintaining such property shall be repaired at the expense of Tenant. Tenant shall move all freight, supplies, furniture, fixtures,
and other personal property only at such times as Landlord may designate. Unattended vehicles will be towed at the vehicle owner’s expense.

6.

7.

Intentionally Omitted.

No animals (except for service animals) shall be brought or kept in the Premises or any Building.

8.

Landlord  shall  in  no  case  be  liable  for  damages  for  any  error  with  regard  to  the  admission  to  or  exclusion  from  the
Project  of  any  person  in  the  case  of  invasion,  mob,  riot,  public  excitement,  or  other  circumstances  rendering  such  action  advisable  in
Landlord’s  opinion.  Landlord  reserves  the  right  to  prevent  access  to  the  Project  during  the  continuance  of  the  same  by  such  action  as
Landlord may deem appropriate, including closing doors.

9.

Except  in  any  clean  room,  surgical  room  or  prototype  area,  as  designated  by  Tenant  from  time  to  time,  no  curtains,
draperies, blinds, shutters, shades, screens, or other coverings, hangings, or decorations shall be attached to, hung, or placed in, or used in
connection with, any window of any Building. Such items shall be installed on the office side of Landlord’s standard window covering and
shall in no way be visible from the exterior of any Building. Tenant shall keep window coverings closed when the effect of sunlight (or the
lack thereof) would impose unnecessary loads on any Building’s heating or air condition systems.

Exhibit G, Page 1

 
 
 
 
 
 
 
 
 
 
 
10.

Tenant shall ensure that the doors of the Premises are closed and locked and that all water faucets, water apparatus, and
utilities  are  shut  off  before  Tenant  or  Tenant’s  employees  leave  the  Premises  so  as  to  prevent  waste  or  damage,  and  for  any  default  or
carelessness in this regard, Tenant shall make good all injuries sustained by other tenants or occupants of the Project or Landlord.

11.

The toilet rooms, toilets, urinals, wash bowls, and other apparatus shall not be used for any purpose other than that for
which they are constructed, no foreign substance of any kind whatsoever shall be thrown therein, and the expense of any breakage, stoppage,
or damage resulting from the violation of this rule shall be borne by the tenants who, or whose employees or invitee, shall have caused it.

12.

No  tenant  shall  sell  at  retail  newspapers,  magazines,  periodicals,  theater  or  travel  tickets,  or  any  other  goods  or
merchandise to the general public in or on the Premises, nor shall any tenant carry on or permit any employee or other person to carry on the
business  of  stenography,  typewriting,  printing,  or  photocopying  or  any  similar  business  in  or  from  the  Premises  for  the  service  or
accommodation of occupants of any other portion of the Project; nor shall the premises of any tenant be used for manufacturing of any kind,
or any business or activity other than that specifically provided for in such tenant’s lease.

13.

No tenant shall install any radio or television antenna, loudspeaker, or other device on the roof or exterior walls of any
Building, except as approved in connection with Tenant’s construction of the Tenant Improvements or modifications or changes thereto. No
TV or radio or recorder shall be played in such a manner as to cause a nuisance to any other tenant.

14.

15.

Intentionally Omitted.

Each tenant shall store all its trash and garbage within its premises or in exterior trash enclosures provided by a trash

disposal company. Each tenant shall comply with any and all Laws regarding recycling.

16.

Canvassing, soliciting, distribution of handbills, or any other written material and peddling in the Project are prohibited,

and each tenant shall cooperate to prevent the same.

17.

Except in a case of emergency, the requirements of tenants will be attended to only upon application in writing at the
office of the Project or by facsimile transmitted to the office of the Project manager. Employees of Landlord shall not perform any work or do
anything outside of their regular duties unless under special instructions from Landlord.

18.

Tenant  shall  not  occupy  any  Building  or  permit  any  portion  of  any  Building  to  be  occupied  for  the  manufacture,
distribution, or direct sale of liquor, narcotics, or tobacco in any form, or as a medical office, barber shop, manicure shop, music or dance
studio, or employment agency. Tenant shall not conduct in or about any Building any auction, public or private, without the prior written
approval of Landlord, which consent may be withheld in Landlord’s sole discretion.

19.

20.

21.

22.

23.

24.

times.

Intentionally Omitted.

Intentionally. Omitted.

Intentionally Omitted.

Intentionally Omitted.

Tenant  will  keep  all  doors  opening  to  the  exterior  of  each  Building,  all  fire  doors,  and  all  smoke  doors  closed  at  all

Intentionally Omitted.

Exhibit G, Page 2

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
25.

If Tenant uses the Premises after regular business hours or on non-business days Tenant shall lock any entrance doors to

each Building or to the Premises used by Tenant immediately after using such doors.

26.

Tenant shall not use any portion of the Premises for lodging.

27.

Landlord  reserves  the  right  to  exclude  or  expel  from  the  Project  any  person  who,  in  the  judgment  of  Landlord  is
intoxicated  or  under  the  influence  of  liquor  or  drugs,  or  who  shall  in  any  manner  do  any  act  in  violation  of  any  of  these  Rules  and
Regulations.

28.

Tenant  shall  not  park  or  attach  any  bicycle  or  motor  driven  cycle  on  or  to  any  part  of  the  Premises  or  any  Building,

provided that Tenant may bring non-motorized bicycles into each Building.

29.

Tenant shall not install any artwork that could give an artist or any other party a right under applicable Law to prevent

removal of the same.

30.

This is a non-smoking facility. Smoking is prohibited within the confines of each Building in all public areas, which

includes interior common area hallways and restrooms.

31.

Provided Landlord acts in good faith pursuant to sound operating procedures, Landlord may waive any one or more of
these Rules and Regulations for the benefit of any particular tenant or tenants, but no such waiver by Landlord shall be construed as a waiver
of such Rules and Regulations in favor of any other tenant or tenants, nor prevent Landlord from thereafter enforcing any such Rules and
Regulations against any or all of the tenants of the Project.

32.

These Rules and Regulations are in addition to, and shall not be construed to in any way modify or amend, in whole or

in part, the agreements, covenants, conditions, and provisions of any lease of premises in the Project.

33.

Landlord reserves the right to modify the foregoing and promulgate such other rules and regulations as Landlord may
from time to time decide are needed for the safety, care, or cleanliness of the Project, for the preservation of good order therein, or as changed
conditions or particular circumstances may require.

Exhibit G, Page 3

 
 
 
 
 
 
 
 
 
 
 
 
EXHIBIT H - PARKING AGREEMENT

Tenant shall be provided, at no additional cost, the number of non-reserved parking spaces as set forth on the Lease Summary, in
such  areas  or  spaces  as  Landlord  shall  determine  from  time  to  time  (the  “Non-exclusive Parking”).  The  Non-exclusive  Parking  shall  be
available for use by Tenant on a “non-reserved” and “space available” basis; however, Landlord shall not allow parking in the Project in a
manner that would result in overparking on a regular basis.

During  the  Term,  the  monthly  rate  per  vehicle  for  any  parking  spaces  granted  Tenant  shall  be  the  then  prevailing  rate  generally
charged for such parking, which shall be free of charge during the initial Term. The parking rates charged by Landlord for Tenant’s parking
passes shall be exclusive of any parking tax or other charges imposed by governmental authorities in connection with the use of such parking,
which  taxes  and/or  charges  shall  be  paid  directly  by  Tenant  or  the  parking  users,  or,  if  directly  imposed  against  Landlord,  Tenant  shall
reimburse Landlord for all such taxes and/or charges concurrent with its payment of the parking rates described herein.

Tenant’s use of the parking areas serving the Project shall be subject to the following:

1.

Parking shall not be permitted for Tenant or its employees in the Project over and above the number of spaces designated

on the Lease Summary and any parking by Tenant or its employees in excess of such number of spaces shall be a Default under this Lease.

2.

All parking areas shall be under the control of Landlord, and Tenant agrees that all Tenant Related Parties shall conform
to such reasonable written parking regulations, conditions and provisions as may from time to time be prescribed by Landlord, provided the
same do not increase Tenant’s obligations or decrease Tenant’s rights.

3.

If Tenant is not permitted to utilize any parking space in the parking areas at any time through no direct intentional act of
Landlord, then so long as Tenant is not able to utilize any such parking space (for reasons other than as a result of the negligence of any
Tenant  Related  Party)  and  Landlord  does  not  provide  reasonable  alternate  parking,  Tenant’s  obligation  to  pay  rental  for  any  such  parking
space that is not provided shall be abated for so long as Tenant does not have the use of such parking space. Such abatement shall constitute
full settlement of all Claims that Tenant might otherwise have against Landlord by reason of such failure or inability to provide Tenant with
such parking space. Landlord agrees to use reasonable efforts to provide alternate parking for use by Tenant in reasonable proximity to the
Project. Landlord shall not be responsible for enforcing Tenant’s parking rights against any third parties.

4.

Restricted and unrestricted parking areas shall include only those areas designated by Landlord as such.

5.

Landlord will be entitled to utilize whatever access device Landlord deems necessary (including but not limited to the
issuance of parking stickers or access cards) to assure that only those persons contracting for the use of spaces in the parking areas are using
the parking spaces therein. In the event any Tenant Related Parties wrongfully park in any parking spaces, Landlord will be entitled and is
hereby authorized to impose upon Tenant a charge of $25.00 for each such occurrence. Tenant hereby agrees to pay all amounts becoming
due hereunder as Additional Rent upon demand therefor, and the failure to pay any such amount will additionally be deemed a Default.

6.

All  vehicles  are  to  be  currently  licensed,  in  good  operating  condition,  parked  for  business  purposes  having  to  do  with
Tenant’s  business  operated  in  the  Premises,  parked  within  designated  parking  spaces,  one  (1)  vehicle  to  each  space.  No  vehicle  shall  be
parked as a “billboard” vehicle in the parking lot.

Any vehicle parked improperly may be towed away. Any Tenant Related Parties who do not operate or park their vehicles as required shall
subject the vehicle to being towed at the expense of the owner or driver. Landlord may place a “boot” on the vehicle to immobilize it and
may levy a charge of $50.00 to remove the “boot.” Tenant shall indemnify, hold and save harmless Landlord of any Claims arising from the
towing or booting of any unauthorized vehicles.

Exhibit H, Page 1

 
 
 
 
 
 
 
 
 
 
 
 
 
7.

Tenant acknowledges and agrees that, so long as the same does not materially interfere with Tenant’s use of the Premises
or parking areas, Landlord may, without incurring any liability to Tenant and without any abatement of Rent under this Lease, from time to
time, close-off or restrict access to the parking area, or relocate Tenant’s parking spaces to other parking areas within a reasonable distance of
the Premises, for purposes of permitting or facilitating any such construction, alteration or improvements with respect to the parking area or
to  accommodate  or  facilitate  renovation,  alteration,  construction  or  other  modification  of  other  improvements  or  structures  located  on  the
Property.

8.

Landlord may delegate its responsibilities hereunder or lease the parking facilities to a parking operator in which case
such parking operator shall have all the rights of control attributed hereby to Landlord but Landlord shall not be responsible or liable for the
acts or omissions of such parking operator.

Exhibit H, Page 2

 
 
 
 
 
 
 
EXHIBIT I - ENVIRONMENTAL DISCLOSURES

Landlord hereby discloses to Tenant that chemicals listed under the California Safe Drinking Water and Toxic Enforcement Act
(Proposition 65), are used in building materials, and in products used to maintain the Property, and are emitted as a result of the activities of
tenants and guests. In addition, other listed chemicals are present in some of the building materials, in products used to maintain the Property,
and are emitted as a result of the activities of tenants and guests. In accordance with Proposition 65, the following warning is provided:

WARNING

THIS BUILDING CONTAINS CHEMICALS KNOWN TO THE STATE OF CALIFORNIA TO CAUSE CANCER, AND BIRTH
DEFECTS AND OTHER REPRODUCTIVE HARM. THESE CHEMICALS ARE CONTAINED IN SOME BUILDING MATERIALS, IN
SOME  OF  THE  PRODUCTS  AND  MATERIALS  USED  TO  MAINTAIN  THE  PROPERTY,  AND  IN  EMISSIONS,  FUMES,  AND
SMOKE  FROM  TENANT  AND  GUEST  ACTIVITIES.  DISTURBANCE  OF  OR  DAMAGE  TO  INTERIOR  SURFACES  OF  THE
BUILDING MAY INCREASE THE POTENTIAL FOR EXPOSURE TO THESE SUBSTANCES.

(CALIFORNIA HEALTH AND SAFETY CODE §25249.5 ET SEQ.)

Tenant  acknowledges  that  Landlord  has  advised  Tenant  that  each  Building  contains  or,  because  of  its  age,  is  likely  to  contain
ACMs. If ACMs are likely to be disturbed in the course of any Alterations including Tenant Improvements, as permitted by Article 11 of the
Lease, Tenant shall, in addition to complying with the requirements of Article 11, encapsulate or remove the ACMs in accordance with an
approved asbestos-removal plan and otherwise in accordance with all applicable Environmental Laws, including giving all notices required
by California Health and Safety Code Sections 25915-25919.7.

Exhibit I, Page 1

 
 
 
 
 
 
 
 
 
 
EXHIBIT J – EXAMPLE PERMITTED MATERIALS INDEX

Chemical Inventory Shockwave Medical Inc.

Product/Chemical Name (as on container)

Solid, Liquid, or Gas

Typical Qty,

Lead Solder
Ethanol
Loctite AA3526
Loctite AA3922
Loctite AA3972
Loctite AA3936
Loctite 4011
Loctite 3979
Loctite 4310
Loctite 3311

Solid
Liquid
Liquid
Liquid
Liquid
Liquid
Liquid
Liquid
Liquid
Liquid

26
4
10
10
10
10
10
10
10
10

Typical Container Size
100g
1 Gallon
2 Gram
2 Gram
2 Gram
2 Gram
2 Gram
2 Gram
2 Gram
2 Gram

Container Type

Reference

Plastic Spool
Glass Bottle
Tube
Tube
Tube
Tube
Tube
Tube
Tube
Tube

MSDS Binder - Onsite
MSDS Binder - Onsite
MSDS Binder - Onsite
MSDS Binder - Onsite
MSDS Binder - Onsite
MSDS Binder - Onsite
MSDS Binder - Onsite
MSDS Binder - Onsite
MSDS Binder - Onsite
MSDS Binder - Onsite

Exhibit J, Page 1

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
EXHIBIT J-1 — EXAMPLE HAZARDOUS MATERIALS PROCEDURES SHOCKWAVE MEDICAL

NO.: SOP/WI 101
TITLE: INJURY ILLNESS PREVENTION PLAN
CLASS: STANDARD OPERATING PROCEDURE, WORK INSTRUCTION

REV.01

PAGE 1 OF 16

1.

Purpose

In  order  to  maintain  a  safe  and  healthy  work  environment,  Shockwave  Medical  Inc,  has  developed  this  Injury  and  Illness
Prevention Program (IIPP) for all employees.

Background

Awareness  and  use  of  safety  measures  is  known  to  reduce  accidents.  Shockwave  is  committed  to  providing  a  safe  and  healthy
workplace for all employees. Communication and employee participation are vital to this effort.

Shockwave  has  prepared  this  Injury  and  Illness  Prevention  Plan  (IIPP)  describing  measures  for  protecting  employees  from
occupational risks of injury or illness.

This  program  meets  requirements  of  the  California  Code  of  Regulations  (CCR),  Title  8,  §3203  of  the  General  Industry  Safety
Orders (GISO).

All Shockwave employees are urged to actively participate in this program.

Note: Talk to your supervisor about activities or situations you think may be unsafe. If everyone participates, we can avoid work-
place_injury and illness.

2.

Scope

Shockwave is committed to providing a safe and healthy environment for all employees. Employee safety is extremely important.
To support this commitment, Shockwave has developed this IIPP.

This program complies with Senate Bill 198, as codified in the California Code of Regulations, Title 8, and Section 3203 of the
General Industry Safety Orders. Included is identification and evaluation of hazards, injury and illness investigation, correction of
unsafe and unhealthy work conditions and practices, training, responsibility, communication and record keeping.

3.

References

XXXXXXXX

Accident Incident Report

XXXXXXXX

Report Hazardous or Unsafe Conditions

XXXXXXXX

Hazard Correction Report

4.

Responsibilities

4.1

4.2

Shockwave will assume responsibility for the operation of an effective Injury and Illness Prevention Program. The Safety
Officer is approved by the CEO of Company. The Safety Officer will be responsible for implementing the program and
initiating  appropriate  remedial  action  when  necessary  to  correct  safety  hazards.  Shockwave  may  elect  to  delegate
authority of certain elements of this program to managers or supervisors, but may not delegate the responsibility for the
plan’s implementation.

Managers/supervisors  are  responsible  for  developing  the  proper  attitudes  toward  safety  and  health  for  all  employees.
They  have  primary  responsibility  for  actually  establishing  and  maintaining  programs  to  ensure  compliance  with  the
Injury and Illness Prevention Program, especially as it relates directly to the workplace. They are responsible for being
familiar with safety and health hazards to which employees are exposed, how to recognize them, the potential effects of
these hazards and rules and procedures for maintaining a safe workplace.

Confidential – This document is property of Shockwave Medical, Inc.

Exhibit J-1, Page 1

 
 
 
 
 
 
 
 
 
NO.: SOP/WI 101
TITLE: INJURY ILLNESS PREVENTION PLAN
CLASS: STANDARD OPERATING PROCEDURE, WORK INSTRUCTION

REV.01

PAGE 2 OF 16

4.3

It is Shockwave employees’ responsibilities to comply with the following:

4.3.1.

4.3.2.

4.3.3.

Read the OSHA/Cal OSHA poster at your job-site.

Comply with any applicable OSHA/Cal OSHA Standards.

Follow all your employer's safety and health standards and rules.

4.3.4. Wear or use personal protective equipment (PPE) as required.

4.3.5.

4.3.6.

4.3.7.

Report any hazardous or unsafe conditions to your supervisor and/or the Safety Officer.

Report any job-related injuries or illnesses to your employer and seek treatment promptly.

Cooperate  with  the  OSHA/Cal  OSHA  compliance  officer  conducting  an  inspection  if  he  enquires  about
conditions at your job-site.

5.

Definitions

Term

Definition

Physical Hazard

Includes heavy lifting, falls, punctures, cuts, noise, electrical and thermal injuries

Ergonomic Hazard

Chemical or Biological
Hazard

Includes posture and repetitive motion injuries
Includes using reagents, solvents, corrosives, and contact with Human tissue or blood. The main portals of
entry into the human body are; inhalation, ingestion, injection, skin or mucous membrane contact and skin
permeation

6.

General Policy

6.1

Shockwave Employees have the following rights:

6.1.1.

6.1.2.

6.1.3.

6.1.4.

6.1.5.

You may obtain a copy of the OSHA/Cal OSHA Standards and other rules, regulations and requirements.

Request information from your employer on safety and health hazards in your work area, precautions you need
to take and what you must do if involved in an accident or exposed to toxic substances.

Have your name withheld from your employer, upon request to OSHA/Cal OSHA, if you file a complaint.

Be advised of OSHA/Cal OSHA actions regarding your complaint, and have an informal review, if you request
it, of any decision, not to inspect.

File  a  complaint  to  OSHA/Cal  OSHA  within  30  days  if  you  believe  you  have  been  discriminated  against
because  you  asserted  a  right  under  the  California  Occupational  Safety  and  Health  Act  and  be  notified  by
OSHA/Cal OSHA of its decision within 90 days of your filing.

6.1.6.

Be  notified  by  your  employer  if  he  applies  for  variance  (waiver)  from  any  OSHA/Cal  OSHA
standard, testify at a variance hearing and appeal the final decision.

Confidential – This document is property of Shockwave Medical, Inc.

Exhibit J-1, Page 2

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
NO.: SOP/WI 101
TITLE: INJURY ILLNESS PREVENTION PLAN
CLASS: STANDARD OPERATING PROCEDURE, WORK INSTRUCTION

REV.01

PAGE 3 OF 16

7.

Compliance

7.1

7.2

7.3

7.4

7.5

All  Shockwave  personnel  have  the  responsibility  for  complying  with  company  and  Cal  OSHA  safe  and  healthy  work
practices, including applicable regulations, company policy, code of safe practices and departmental safety procedures.

Overall performance and maintenance of a safe and healthy work environment should be recognized by the department
manager and noted in performance evaluations.

Employees will not be discriminated against for work-related injuries, and injuries will not be included in performance
evaluations, unless the injuries were a result of an unsafe act or failure, on the part of the employee, to comply with safe
and healthy work practices.

Progressive  measures  in  accordance  with  the  following  “Disciplinary  Procedures”  will  result  when  employees  fail  to
comply  with  applicable  regulations,  company  policy,  programs  or  safety  procedures.  Persons  not  employed  by
Shockwave will be disciplined for unsafe practices in accordance with the policy of their agency or may be released from
performing services at Shockwave. All personnel will be given instruction and an opportunity to correct unsafe behavior.
Repeated  failure  to  comply  or  willful  and  intentional  non-compliance  may  result  in  disciplinary  measures  up  to  and
including termination.

Disciplinary measures are required by Cal OSHA. Any employee found to be in willful violation of safety policy will be
subject to disciplinary action.

General guidelines for administration of disciplinary actions are as follows:

7.5.1

7.5.2.

7.5.3.

7.5.4.

7.6

First Violation -verbal warning.

Second Violation – written reprimand recorded in personnel file and considered in appraisals.

Third Violation – strong written reprimand, recorded in personnel file, and is accountable for job evaluation.

Fourth Violation – dismissal.

These  are  only  guidelines,  as  some  infractions  may  be  severe  enough  to  justify  termination  with  a  single
occurrence.

8.

COMMUNICATION

8.1

Company  shall  communicate  with  employees  in  a  form  readily  understandable  by  all  affected  employees  on  matters
related to occupational safety and health, including provisions designed to encourage employees to inform the employer
of hazards at the worksite without fear of reprisal.

Confidential – This document is property of Shockwave Medical, Inc.

Exhibit J-1, Page 3

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
NO.: SOP/WI 101
TITLE: INJURY ILLNESS PREVENTION PLAN
CLASS: STANDARD OPERATING PROCEDURE, WORK INSTRUCTION

REV.01

PAGE 4 OF 16

8.2

Company uses various communication systems to relay information to all employees on matters relating to occupational
safety and health, which include:

8.2.1.

8.2.2.

8.2.3.

8.2.4.

A labor/management Health and Safety Committee, which will meet at least monthly. The Health and Safety
committee prepares written records of the meetings, reviews results of the periodic safety inspections, reviews
investigations of accidents or exposures (except for confidential medical information) and makes suggestions
to  management  for  the  prevention  of  future  incidents,  reviews  alleged  hazardous  conditions  and  submits
recommendations to assist in the evaluation of employee safety suggestions.

Safety Presentations – Films, slides or videos on safety topics may be presented periodically.

Safety Postings – These are placed in the lunchroom, labs, and other common areas.

Anonymous and confidential hazard reporting

8.2.4.1. Employees are encouraged to communicate safety concerns to their Manager/Supervisor or the safety

officer without fear of reprisal.

8.2.4.2. Report  of  hazardous  or  unsafe  conditions  form  is  available  for  confidential  hazard  reporting.  It  is
located on the server. Any employee may use this form anonymously, or confidentially, to report a
hazard or share a health and safety concern.

8.2.4.3.

If a hazard is identified, the appropriate resources will be taken to correct the problem. If the problem
cannot  be  corrected,  then  employees  will  be  instructed  to  vacate  the  area  until  the  hazard  can  be
corrected.

8.2.5.

Safety Suggestion Box – The Suggestion Box is in the lunchroom.

The  Suggestion  Box,  located  near  Safety  Bulletin  Board,  may  encourage  employees  to  make  suggestions
anonymously (if desired) without fear of reprisal.

If anonymity is not an issue, emails regarding safety may be sent to the plan navigator/Human Resources.

The Safety Officer and managers review all suggestions and recognize good ideas that can be put into action,
with credit and rewards to the creator. Identification and Evaluation of Workplace Hazards

8.2.6.

A Safety Bulletin Board – Located in the lunchroom. The Safety Bulletin board will contain:

8.2.6.1. Cal/OSHA prescribed materials such as Employee Rights under OSHA/Cal OSHA.

8.2.6.2. Safety Committee meeting minutes, safety posters, and actions on safety suggestions.

8.2.6.3. Other safety related items (i.e., safety forms, safety tips, etc.)

9.

THE HEALTH AND SAFETY COMMITTEE

9. 1 The  function  of  the  Health  and  Safety  Committee  is  to  promote  communication  and  to  establish  employee  interest  in
workplace  safety  and  health.  The  Committee's  membership  includes  representatives  from  both  management  and  non-
management positions. The Health and Safety Committee shall:

Confidential – This document is property of Shockwave Medical, Inc.

Exhibit J-1, Page 4

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
NO.: SOP/WI 101
TITLE: INJURY ILLNESS PREVENTION PLAN
CLASS: STANDARD OPERATING PROCEDURE, WORK INSTRUCTION

REV.01

PAGE 5 OF 16

9.1.1. Meet at least monthly.

9.1.2.

9.1.3.

9.1.4.

9.1.5.

9.1.6.

Document  meeting  activities  using  the  safety  meeting  minutes  and  make  this  information  available  to
employees  by  posting  the  minutes.  These  records  will  be  maintained  by  the  safety  officer  for  at  least  three
years.

Review  investigation  reports  of  occupational  injuries,  occupational  illnesses,  and  exposure  to  hazardous
substances.  Where  appropriate,  the  committee  will  submit  recommendations  to  management  regarding
prevention of future incidents.

Review  employee  safety  suggestions  discuss  employee  experiences  in  work  areas  and  investigate  reports  of
unsafe work practices and hazardous conditions.

Review results of safety inspections to ensure that identified hazards have been corrected. The committee also
has the authority to conduct its own inspection and investigation, when necessary.

Verify abatement action taken by Company if the California Division of Safety and Health issues a citation and
Cal/ OSHA makes such a request.

10.

SAFETY MEETINGS

10.1

10.2

Safety meetings provide an opportunity to increase safety awareness, provide training and address pertinent safety issues.
Employees will be encouraged to participate and voice their safety concerns during safety meetings.

Safety Meeting minutes will be used to document safety meetings. Records will be maintained by the Safety Officer or
designee.

11.

HAZARD IDENTIFICATION AND ASSESSMENT

Company  works  to  recognize  all  potential  and  actual  hazards  through  periodic  inspections  and  to  evaluate  these  through
appropriate materials and activities studies.

11.1

Scheduled Safety Inspections

11.1.1. At a minimum, annual inspections of all office areas will be conducted to detect and eliminate any hazardous

conditions that may exist.

11.1.2. At  a  minimum,  monthly  inspections  of  all  potentially  hazardous  areas  (warehouse,  docks,  etc.)  will  be

conducted to detect and eliminate any hazardous conditions that may exist.

11.1.3.

Laboratories will be inspected at least monthly or at the Laboratory Director's discretion.

11.1.4.

Eyewash stations are checked weekly and safety showers are checked monthly for applicable expiration dates
and to ensure proper function.

11.1.5.

Fire extinguishers are checked monthly and serviced annually.

11.1.6. Weekly inspection of hazardous waste storage areas to ensure integrity of storage vessels.

Confidential – This document is property of Shockwave Medical, Inc.

Exhibit J-1, Page 5

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
NO.: SOP/WI 101
TITLE: INJURY ILLNESS PREVENTION PLAN
CLASS: STANDARD OPERATING PROCEDURE, WORK INSTRUCTION

REV.01

PAGE 6 OF 16

11.2

Hazard Evaluation

11.2.1. Company conducts inspections to identify hazards at a point where they can be easily eliminated and before
they  result  in  injury.  Hazard  evaluations  report  the  status  of  periodic  safety  inspections  and  any  unusual
hazards  that  are  discovered.  The  Safety  Committee  may  request  more  frequent  inspections  in  areas  that  are
found to be more hazardous or where problematic trends have been identified. To evaluate hazards:

11.2.1.1.   Determine materials handled and obtain their SDS and toxicity information.

11.2. l.2.   Determine the frequency of use and personnel involved.

11.2.l.3.    Determine the conditions of the area.

11.2.1.4.      Determine  personnel  exposure  through  visual  observations  and  environmental  monitoring,  if

required.

11.2.1.5.   Evaluate required control devices and any potential improvements.

11.2.l.6.    Document all above findings, recommendations and actions.

12.

HAZARDS

12.1

12.2

The best control is avoiding exposure through engineering devices that minimize the release of contaminants to the work
environment or through filters or barriers such as respirators, gloves, safety glasses and lab coats, which prevent chemical
contact.

Follow recommendations on the manufacturers Safety Data Sheet (SDS). MSDS are located on the shared drive and with
the Safety Officer.

12.3

Employees should adhere to the following:

12.3.1. Review the SDS for health risks and safe handling of the chemical substance.

12.3.2. Do not work alone with toxic substances.

12.3.3. Confine  all  work  with  toxic  chemicals  to  suitable  laboratory/controlled  areas  (equipped  with  fume  hoods  if

necessary). Adjust the sash to the level indicated on the hood for optimal face velocity.

12.3.4. Wear personal protective equipment, including eye protection, to avoid harmful exposure to the material. Be

sure to remove protective equipment before leaving the laboratory area.

12.3.5. Wash hands immediately after working with chemicals or biological material.

12.3.6.

Smoking, eating and drinking or storing foods and beverages are never permitted in the labs or in areas where
chemicals and biological materials are used or stored.

12.3.7. Know where the spill kits and fire extinguishers are located.

12.3.8. Chemical/Biological (hazardous) waste must be disposed of properly.

Dumping it down the drain or evaporating it in the fume hood is not acceptable.

12.3.9. Before work begins, employees must inspect the work area for any dangerous conditions. Inform a supervisor
of  anything  significant.  Merely  identifying  the  problem  is  not  sufficient.  A  Report  of  Hazard  or  Unsafe
Condition form must be completed.

Confidential – This document is property of Shockwave Medical, Inc.

Exhibit J-1, Page 6

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
NO.: SOP/WI 101
TITLE: INJURY ILLNESS PREVENTION PLAN
CLASS: STANDARD OPERATING PROCEDURE, WORK INSTRUCTION

REV.01

PAGE 7 OF 16

12.3.10.

Latex  products  are  not  used  in  this  laboratory  and  if  a  worker  is  diagnosed  with  an  exposure  allergy  the
laboratory will take the necessary steps as practical to the work environment to provide alternative products
or re-assign the employee to a different but equivalent work responsibility.

13.

INCIDENT AND ACCIDENT INVESTIGATION

13.1

13.2

13.3

Management is responsible for investigating and documenting all accidents, incidents and near misses, even those that do
not result in injury or significant damage to equipment or property. The early identification and correction of problems
leading  to  minor  incidents  may  prevent  future  injuries  and  property  damage.  Appropriate  repairs  and/or  procedural
changes will be implemented promptly to mitigate the hazards implicated in these events.

When an accident occurs, the Manager/Supervisor must assist the injured employee in completing an Accident Incident
Report form or company designated insurance form within 24 hours (injury permitting or as soon as possible afterwards).

Serious accidents will also be investigated by the safety officer, appropriate management, and/or the Health and Safety
Committee.

14.

HAZARD CORRECTION

14.1

It is the intent of Company to correct any unsafe or unhealthful condition as soon as it is observed or discovered. The
immediate  corrective  action  may  be  an  expedient  temporary  measure,  until  a  permanent  corrective  measure  can  be
implemented.

15.

TRAINING

15.1

15.2

Safety training and information is provided to all employees under the Company IIPP.

Company will provide safety training:

15.2. 1.

When the IIPP is first established and when significant changes occur.

15.2.2.

To all new employees at commencement of work assignments.

15.2.3.

To all employees given new assignments for which training has not been previously received.

15.2.4. Whenever substances, processes or equipment represent a new hazard.

15.2.5. When the Company becomes aware of a new or previously unrecognized hazard.

15.3

General safety to all new employees includes:

15.3.1.

Injury & Illness Prevention Program

15.3.2.

Emergency Evacuation & Fire Prevention Program, and Earthquake Emergency Procedure.

15.3.3.

Information on Company’s health and safety policies and practices

15.3.4.

Employee health and safety rights and responsibilities

15.3.5.

Provisions for medical and first aid

15.3.6.

Emergency procedures

15.3.7.

General electrical safety

Confidential – This document is property of Shockwave Medical, Inc.

Exhibit J-1, Page 7

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
NO.: SOP/WI 101
TITLE: INJURY ILLNESS PREVENTION PLAN
CLASS: STANDARD OPERATING PROCEDURE, WORK INSTRUCTION

REV.01

PAGE 8 OF 16

15.4

Additional health & safety training, based on job function, includes (but not limited to):

15.4.l.

Hazard Communications

15.4.2.

Hazardous Waste Management

15.4.3.

Chemical Hygiene Plan and Personal Protective Equipment

15.4.4.

Blood-borne Pathogens and Exposure Control

15.5

Many Cal/OSHA, EPA, and DOT regulations require safety training of employees if they perform certain functions, or
work  in  certain  environments.  It  is  the  responsibility  of  managers  to  identify  the  types  of  job  specific  safety  training
required for each of their employees and to see that this training is provided.

16.

RETRAINING AND RE-CERTIFICATION

16.1

16.2

Regulations  and  policy  may  require  periodic  retraining  and  re-certification.  Examples  are  blood-borne  pathogens,
emergency procedures and hazardous waste management.

Company can teach safety, but only employees can practice safety. Safety education requires employee participation and
compliance. Remember, the following general rules apply in all situations:

16.2.1.

16.2.2.

16.2.3.

16.2.4.

16.2.5.

16.2.6.

16.2.7.

No employee should undertake a job that appears to be unsafe.

No employee is expected to undertake a job until he/she has received adequate safety instructions.

No employee should use chemicals without fully understanding their hazards and properties.

Mechanical safeguards must be kept in place.

Employees must report any unsafe conditions as specified in this program.

Any  work-related  injury  or  illness  must  be  reported  to  Human  Resources,  the  Safety  Officer  or  the
Manager/Supervisor.

Personal  protective  equipment  must  be  used  when  and  where  required.  All  such  equipment  must  be
properly maintained.

17.

DOCUMENTATION

17.1 Many  standards  and  regulations  of  Cal/OSHA  contain  requirements  for  the  maintenance  and  retention  of  records  for
occupational injuries and illnesses, medical surveillance, exposure monitoring, inspections, and other activities relevant to
occupational health and safety. The following records will be kept on file for at least the length of time indicated below:

17.1.l.

Copies of all Safety Inspection Forms. Retain 3 years.

17.1.2. Copies of all Hazard Identification Forms. Retain 3 years.

17.1.3. Copies of all Accident Investigation Forms. Retain 5 years.

17.1.4. Copies of all Safety Postings and Safety Meeting Agendas. Retain 3 years.

18.

RECORD RETENTION

18.1

Copies of training documents are retained for 3 years.

Confidential – This document is property of Shockwave Medical, Inc.

Exhibit J-1, Page 8

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
NO.: SOP/WI 101
TITLE: INJURY ILLNESS PREVENTION PLAN
CLASS: STANDARD OPERATING PROCEDURE, WORK INSTRUCTION

REV.01

PAGE 9 OF 16

18.2

18.3

Copies  of  employee  exposure  records,  or  other  required  employee  medical  records  are  retained  for  50  years  after
employee  leaves  the  company.  Access  to  employee  medical  records  will  be  limited,  in  accordance  with  Cal/OSHA,
HIPAA, regulations and Shockwave policies.

Human Resources or designee will ensure that these records are kept and present them to Cal/OSHA or other regulatory
agency  representatives  if  requested.  Review  of  these  records  may  be  necessary  during  routine  inspections  to  measure
compliance with the Program.

19.

Physical Hazards

19.1

Traumatic  Hazards  involve  activities  that  could  result  in  an  immediate  injury  such  as  punctures,  scrapes,  cuts,  falls,
being hit by, or against, objects, caught in-between objects, and other such occurrences.

19.2

Safety engineers suggest the following precautions:

19.2.1.

Falls

19.2.1.1.   Fall account for more than 30% of all injuries

19.2.1.2.   Most often caused by losing balance, tripping or slipping, falls can result in scrapes, bruises,

cuts, strains, sprains, dislocations, even fractures or fatalities.

19.2.l.3.      Falls  can  occur  on  the  same  level  or  from  a  higher  level  to  a  lower  one;  obviously,  height

intensifies the severity of injury. To minimize injury:

Walking surfaces:  must  be  firm,  free  from  obstructions,  holes,  debris,  tripping  hazards  (pipes,
wires, ropes, cables) and spills. If the surface is a steep ramp or incline, safety/nonslip soled shoes
should be worn to prevent slipping. Hand/support rails should be installed where possible.

Footwear: sturdy, comfortable shoes that fully hug the foot, with slip- resistant soles and heels
that will not become lodged in floor crevices. Steel-toed shoes must be worn where falling objects
could crush or penetrate the foot. Appropriate foot protection is required in areas with electrical
hazards or abnormal wetness

Ladders:  must  conform  to  Cal  OSHA  specifications;  must  be  inspected  before  each  use  for
sturdiness and be in working order. All ladders must be nonconductive.

19.2.2. Bruises, cuts etc.

19.2.2.1.    Can occur through contact of fast moving objects or mechanical parts with the human body.
These are either "hitting by" or "hitting against", based on whether the impact is caused by an
exterior agent (flying objects, piece of equipment) or by the person (putting a hand in the wrong
place, running into something).

Confidential – This document is property of Shockwave Medical, Inc.

Exhibit J-1, Page 9

 
 
 
 
 
 
 
 
 
 
NO.: SOP/WI 101
TITLE: INJURY ILLNESS PREVENTION PLAN
CLASS: STANDARD OPERATING PROCEDURE, WORK INSTRUCTION

REV.01

PAGE 10 OF 16

19.2.2.2.      Depending  on  the  force  of  contact,  resulting  injuries  could  be  bruises,  cuts,  punctures,  or

scrapes.

19.2.2.3.     Very  strong  impacts  may  develop  into  stunning  (and  sometimes  deadly)  concussion,  bruises,
bone  fractures,  amputations,  dismemberments,  extensive  internal  injuries,  life-threatening
bleeding, etc.

19.2.2.4.    To minimize hazards:

•

•

•

•

Be  aware  of  moving  objects  or  parts  in  the  work  area.  Unless  working  on  them  with  proper
lock– out/tag-out procedures in place, do not get to close to moving parts. Guards, bollards, signs,
etc., are in place to regulate contact.

Prevent rushing motions that could force any part of the body into contact with fast moving hard,
sharp objects.

Cover  your  body  and  skin  if  there  is  a  possibility  of  being  hit  by  flying  fragments  or  rough
surfaces. Safety glasses with solid side shields, gloves, steel – toed shoes or other equipment may
be required for protection.

Eyes  must  always  be  protected  from  flying  particles,  filings,  dusts,  grit  or  grindings,  by  safety
glasses with solid side shields, goggles and/or a face shield.

• When using band tools, avoid pointing the tool toward any part of the body.  Sharp  points  or
edges should be held away from the body. Tool extensions, tongs, etc., may be used to keep body
surfaces away from hazard zones.

19.2.3. Caught-by Hazards

19.2.3.1.

These  include  not  only  a  hand  being  caught  in  a  gear  or  pinch  point,  but  also  extends  to
inextricable (difficult to get out of) situations, confined spaces, limited footing, infirm flooring,
etc.

19.2.3.2.

To minimize injury:

•

•

•

Be aware of conditions in your work area; avoid infirm footing and unusually narrow
passages or access points. If necessary, have someone stand by to facilitate•escape.

Make  sure  moving  machinery  with  "pinch  points"  is  guarded  and/or  shielded  to
prevent unsafe access. Machine controls must be equipped with switches or brakes to
stop them before hazardous pinching can occur. Operators of machinery should always
know where the Emergency Stop is located

Avoid  loose  and  hanging  garments,  hairstyles,  jewelry  or  swinging  apparel  that
could get caught and drag the operator into a pinch point.

19.2.4. Non-ionizing Radiation Hazards

Confidential – This document is property of Shockwave Medical, Inc.

Exhibit J-1, Page 10

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
NO.: SOP/WI 101
TITLE: INJURY ILLNESS PREVENTION PLAN
CLASS: STANDARD OPERATING PROCEDURE, WORK INSTRUCTION

REV.01

PAGE 11 OF 16

19.2.4.1.

These include X-Rays, magnetic fields, ultraviolet light, noise and vibrations, radio frequency, or
microwave energies. A sign or notice at or near the hazard, as to the type and amount of energy
released  must  identify  these  hazards.  Filters,  controlled  areas,  shields  or  barriers  must  be
provided to prevent over exposures to personnel.

19.2.4.2.

To minimize over-exposure:

•

•

•

All  non-ionizing  radiation  sources  must  be  labeled,  shielded  and  their  output
monitored periodically.

Monitoring is conducted in areas likely to receive non-ionizing radiation.

Estimates  of  personnel  exposure  are  made  frequently  to  confirm  effectiveness  of
controls.

19.2.5. Electrical Hazards

19.2.5.1. These arise when electrical energy over 15 volts is used.

19.2.5.2. As  voltage  increases,  the  penetrating  power  of  electric  fields  and  currents  into  the  human  body
increases. When the current is strong enough to move through body tissues, it can cause shocks and
electrical burns. If the flow crosses the heart muscle, arrhythmia and cardiac fibrillation may lead to
death.

19.2.5.3. To prevent injury:

•

•

Never touch live wires. Check with appropriate personnel before using  any  electrical
device. Report any electrical shock immediately.

Do not attempt repairs or adjustments on live circuits. Qualified service personnel
must un-plug, turn off or lockout the switch before any work is done. Electrical work in
progress must be roped off and posted appropriately.

Electrical equipment must be internally grounded (and labeled) or have a grounding wire
in the system.

o Use three-hole receptacles

o Don't force plugs

o Never cut off the grounding prongs in power cables.

All electrical cables and cords must be whole, and free from cracks, frays or bare scuffs.
A licensed electrician must do any splicing.

Avoid overloading circuits, moist or wet cables, tight metal clasping or mishandling electrical
equipment.

In case of electrical shock or electrocution, follow these procedures:

1. If possible, and if it is safe to do so turn off electrical supply immediately. Get assistance
to contact closest First Aid Responder.

•

•

•

•

•

2.

Call 911 immediately

Confidential – This document is property of Shockwave Medical, Inc.

Exhibit J-1, Page 11

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
NO.: SOP/WI 101
TITLE: INJURY ILLNESS PREVENTION PLAN
CLASS: STANDARD OPERATING PROCEDURE, WORK INSTRUCTION

REV.01

PAGE 12 OF 16

3.

4.

5.

6.

7.

8.

Never touch a person who has been in contact with electrical current until current is shut
off at plug, circuit breaker or fuse box.

Use a dry nonconductive stick (wood/plastic) to move wires or downed power lines away
from victim.

Do not approach if ground is wet.

Check breathing. If trained, administer CPR AED Treatment if necessary.

Keep the victim warm and lying down.

Give victim nothing by mouth.

19.2.6. Thermal Hazards

19.2.6.1.

These result from exposures to extreme heat that could cause heat cramps, heat exhaustion or heat
stroke,  or  from  contact  with  very  hot  (or  very  cold)  surfaces,  fluids,  gases  or  actual  flames  that
destroy surface tissues of skin.

19.2.6.2. To prevent injury:

19.2.6.2.1.

19.2.6.2.2.

19.2.6.2.3.

19.2.6.2.4.

Working  in  a  hot  environment  (indoor  or  outdoor)  raises  the  pulse   rate.  If  you  become
aware of any significant increase in your pulse rate, stop work and move to a cooler area.

Continuous  work  in  a  hot  environment  requires  periodic  (every  half  hour)  cooling/rest
periods. Increased air movement and increased fluid intake help to prevent heat illness.

Very hot (or very cold) surfaces must be shielded and labeled to help prevent accidental
contact.

Burns can be avoided by not touching hot/cold surfaces. Protective gloves should be used
wherever hot/cold surfaces must be handled.

19.2.6.2.5.

Extension tools/tongs also help.

19.2.6.2.6.

Upon  getting  a  burn  (hot  or  cold),  seek  immediate  first  aid  treatment.  Do  not  wait.
Infection  and/or  additional  inflammation  could  occur  and  increase  the  extent  of  the
injury.

20.

Chemical-Hazards

20. l

20.2

These result from contact between chemical substances and the body.

All types of matter may react with body systems.

20.2.1. Matter:

•

•

•

•

Solids

liquids

gases,

either naturally occurring or man-made

20.2.2. Body systems:

Confidential – This document is property of Shockwave Medical, Inc.

Exhibit J-1, Page 12

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
NO.: SOP/WI 101
TITLE: INJURY ILLNESS PREVENTION PLAN
CLASS: STANDARD OPERATING PROCEDURE, WORK INSTRUCTION

REV.01

PAGE 13 OF 16

•

•

•

Skin • mucous membranes

Respiratory tract • digestive system

eyes • circulatory • nervous •immune, etc.

20.2.3.

To cause immediate or delayed injury or disease.

20.2.4.

The main routes of entry into the human body are:

20.2.4.1.

20.2.4.2.

Inhalation  (of  dusts,  fumes,  mists,  vapors,  gases)  into  the  respiratory  system  with  potential  for
transfer into the circulatory system.

Ingestion (of contaminated food, drink or saliva) into the digestive system and potential damage to
the liver and/or kidneys.

20.2.4.3.

Absorption through skin and potential transfer to underlying tissues or blood vessels.

20.2.4.4.

Injection into the body via needle or sticks or skin puncture with a contaminated sharp.

20.2.5.

The best control is avoidance; using devices to minimize the release of contaminants, or using filters or barriers
(gloves, safety glasses) and appropriate techniques to prevent inhalation, ingestion, absorption or injection.

20.3

Monitoring and Surveillance

20.3.1. At Shockwave, there are only a few substances that may require occasional monitoring or surveillance.

20.3.2.

The Safety Officer reviews all SDS for chemicals with published:

•

•

•

•

•

Permissible Exposure Limits (PELs)

Time Weighted Averages (TWAs- concentrations that must not be exceeded during any 8-hour work
shift)

Short Term Exposure Limits (STELs

-

concentration of a substance

measured over a 15 minute period that must not be exceeded

These exposure limits may not be exceeded.

20.3.3.

The Safety Officer provides a list of substances with exposure limits to management who will determine if air
monitoring is necessary to assure employees are not being over exposed.

20.3.4.

Employees must observe these general rules when working with hazardous materials:

20.3.4. 1.

20.3.4.2.

20.3.4.3.

Review SDS to become familiar with the nature, health risks and safe handling of any toxic
substances you work with, or near.

Never work alone when using toxic materials. Make sure someone is nearby or checks on you
regularly.

Confine all work with toxic chemicals. If working with a chemical with exposure limits, make sure
this work is done inside a hood that is functioning and at required performance.

Confidential – This document is property of Shockwave Medical, Inc.

Exhibit J-1, Page 13

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
NO.: SOP/WI 101
TITLE: INJURY ILLNESS PREVENTION PLAN
CLASS: STANDARD OPERATING PROCEDURE, WORK INSTRUCTION

REV.01

PAGE 14 OF 16

20.3.4.4.

Wear protective eyewear and gloves (PPE) to avoid harmful exposure to toxic materials. Be sure to
remove PPE before leaving lab area.

20.3.4.5.

Wash hands immediately after working with toxic materials.

20.3.4.6.

20.3.4.7.

20.3.4.8.

No smoking, eating, drinking, applying cosmetics or lip balm and storing foods or beverages in
areas where toxic materials are used or stored.

Know where spill kits and fire extinguishers are located, how to use them and how to summon
help.

Chemical wastes, including debris like gloves, wipes and bench protectors must be disposed of
properly. Putting contaminated materials in the regular trash, liquids down the drains or air
evaporation of liquid residues is not permitted.

21.

Biohazards

21.I

21.2

Certain  viruses  and  micro-organisms  used  in  research  programs  are  classified  as  biohazards  or  infectious
agents. The U.S. Public Health Service classifies biohazards into five classes in its publication Classification
of Etiologic Agents on the Basis of Hazard. Biosafety relies on a set of standard safety practices and special
procedures,  equipment  and  laboratory  installations  that  provide  physical  barriers  according  to  the  estimated
risk involved in handling biohazards.

The  primary  hazards  to  personnel  working  with  infectious  agents  include:  accidental  self-inoculation,
ingestion,  and  skin  or  mucous  membrane  exposure  to  infectious  materials.  Shockwave  has  policies  and
procedures for controlling biohazards; this IIPP does not cover these issues. Affected personnel should consult
the Biosafety Officer and Shockwave’s Exposure Control Plan.

22.

Ergonomics Program

22.1

Ergonomic  hazards  refer  to  existing  workplace  conditions  that  create  a  risk  of  injury  to  the  musculoskeletal
system.

22.2

Examples of musculoskeletal injuries include:

•

•

Tennis elbow (an inflammation of a tendon in the elbow)

Carpal tunnel syndrome (a condition affecting the hand and wrist).

22.3

Ergonomic hazards include:

•

•

•

•

•

Repetitive and forceful movements

Vibration

Temperature extremes

Awkward postures arising from improper work methods

Improperly designed workstations, tools, and equipment.

22.4

Imbalances can be caused by:

•

Sudden exertions

Confidential – This document is property of Shockwave Medical, Inc.

Exhibit J-1, Page 14

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
NO.: SOP/WI 101
TITLE: INJURY ILLNESS PREVENTION PLAN
CLASS: STANDARD OPERATING PROCEDURE, WORK INSTRUCTION

REV.01

PAGE 15 OF 16

•

•

•

•

Strenuous action

Torsions

Awkward positions

Strenuous and/or repetitive visual adjustments

22.5

For ergonomic related issues, please notify HR to schedule an ergonomics assessment. Ergonomic-related issues will be addressed on a case-by-case
basis.

22.6

How to lift:

22.6.1. Plan ahead before lifting. Clear a path, and if lifting something with another person, make sure both

agree on the plan.

22.6.2. Lift close to your body. Be sure to have a firm grip on the object you are lifting, and keep it balanced

close to your body.

22.6.3. Feet shoulder width apart. Keep the feet about shoulder width apart and take short steps.

22.6.4. Bend  knees  and  keep  back  straight.  Focus  on  keeping  the  spine  straight--raise  and  lower  by

bending your knees.

22.6.5. Tighten your stomach muscles: Tightening your abdominal muscles will hold your back in a good

lifting position and will help prevent excessive force on- the spine.

22.6.6. Lift with your legs. Your legs are stronger than your back muscles--let strength work in your favor.
Lower  to  the  ground  by  bending  your  knees,  not  your  back.  Keeping  your  eyes  focused  upwards
helps to keep your back straight.

22.6.7.

If you’re straining, get help. If an object is too heavy, or awkward in shape, have someone help you.

22.7 Working  posture  must  be  relaxed,  not  forced.  When  sitting,  neither  slump  nor  stretch.  Seats  with  lumbar

support, at a comfortable distance from the work are recommended.

22.8

22.9

Have adequate lighting for the job. Avoid strong lights shining in your visual field or undue reflections from
surrounding area. If necessary, wear protective glasses or shields.

Perform  required  job  evaluations.  This  involves  formal  examination  of  the  range  of  motion,  determining
potential ergonomic impact; and redesigning the task if repetitive motions are required.

22.10

Provide  suitable  aids  (e.g.,  seats,  supports,  rest  breaks,  etc.).  These  must  be  provided,  and  are  designed  to
minimize ergonomic hazards.

23.

TUBERCULOSIS (TB) EXPOSURE

23.1

Shockwave Medical, Inc. is not a health care facility and employees have no patient contact; as such employees are
considered to have no risk for TB exposure.

Confidential – This document is property of Shockwave Medical, Inc.

Exhibit J-1, Page 15

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
NO.: SOP/WI 101
TITLE: INJURY ILLNESS PREVENTION PLAN
CLASS: STANDARD OPERATING PROCEDURE, WORK INSTRUCTION

REV.01

PAGE 16 OF 16

24.

HISTORY BLOCK

Rev

Release
Date
X/XX/XXX
X

DCO#

XXXX
X

Initial release.

Reason for Revision

Doc Owner

Confidential – This document is property of Shockwave Medical, Inc.

Exhibit J-1, Page 16

 
 
 
 
 
 
 
 
 
FORM OF SUBORDINATION, NON-DISTURBANCE AND ATTORNMENT AGREEMENT

EXHIBIT K

(See attached.)

Exhibit K

 
 
 
 
 
RECORDING REQUESTED BY AND WHEN RECORDED RETURN TO:

PREFERRED BANK
600 California Street, Suite 550
San Francisco, California 94108
Attention: Alice Huang

5353, 5403 Betsy Ross Drive, Santa Clara, CA
APN # 104-49-019

SUBORDINATION, NON-DISTURBANCE
AND ATTORNMENT AGREEMENT

THIS

SUBORDINATION,NON-DISTURBANCEANDATTORNMENT

AGREEMENT  (this  “Agreement”)  is  entered  into  by  and  among  SHOCKWAVE  MEDICAL,  INC.,  a  Delaware  corporation  (“Tenant”),
BETSY ROSS PROPERTY, LLC, a Delaware limited liability company (“Borrower”), and PREFERRED BANK (“Lender”).

RECITALS:

A.

Borrower  is  the  owner  in  fee  simple  of  the  real  property  described  in  Exhibit  “A”  attached  hereto,  together  with  the

improvements thereon (the “Property”).

B.

Borrower and Tenant are parties to that certain Office Lease (Net), dated December    , 2019 (as the same may have been
or  may  hereafter  be  amended,  modified,  renewed,  extended  or  replaced,  the  “Lease”)  leasing  to  Tenant  a  portion  of  the  Property  (the
“Premises”), as more particularly defined in the Lease.

C.

Lender made a loan to Borrower (the “Loan”), which is evidenced by a Promissory Note (the “Note”) and secured by,
among  other  things,  a  Deed  of  Trust,  Assignment  of  Rents  and  Leases,  Security  Agreement  and  Fixture  Filing  (the  “Deed  of  Trust”)  and
certain Assignments of Lessor’s Interest in Rents and Leases (the “Assignment of Rents”) encumbering the Property;

D.

Lender, Borrower and Tenant desire to confirm their understanding with respect to the Lease and the Loan and the rights

of Tenant and Lender thereunder.

AGREEMENT

NOW, THEREFORE, in consideration of the mutual covenants and agreements contained herein and for other good and valuable

consideration, the receipt and sufficiency of which are hereby acknowledged, the parties hereto agree as follows:

1.

Subordination. The Lease and the leasehold estate created thereof, are hereby subordinated and subject to the Deed of
Trust and the liens thereof and all advances and rights of Lender thereunder and to any and all renewals, modifications, consolidations and
extensions  thereof,  as  fully  and  as  if  the  Deed  of  Trust  and  all  of  its  renewals,  modifications,  consolidations  and  extensions  had  been
executed, delivered and recorded prior to execution of the Lease. Without affecting the foregoing subordination, Lender may, from time to
time: (a) extend, in whole or in part, by renewal or otherwise, the terms of payment or performance of any obligation secured by the Deed of
Trust; (b) release, surrender, exchange or modify any obligation secured by the Deed of Trust, or any security for such obligation; or (c) settle
or compromise any claim with respect to any obligation secured by the Deed of Trust or against any person who has given security for any
such  obligation.  Notwithstanding  the  foregoing  subordination,  the  provisions  of  the  Lease  concerning  alterations  and  assignment  and
subletting shall prevail over any contrary or inconsistent provisions contained in the Deed of

-20-

 
 
 
 
 
 
 
 
 
 
 
 
 
 
Trust. In the event the consent of Lender is required before Tenant may take an action that it is otherwise permitted to take under the Lease,
such consent of Lender shall not be unreasonably withheld or delayed.

2.

Non-Disturbance. So long as the Lease is in effect and Tenant is not in default beyond applicable notice and cure periods
under the Lease, Lender agrees for itself and its successors in interest and for any purchaser of the Property upon a foreclosure of the Deed of
Trust or the sale of the Property, the Lease shall not be terminated and Tenant shall not be named as a party therein unless such joinder shall
be required by law, provided, however, such joinder shall not result in the termination of the Lease or disturb the Tenant’s possession, quiet
enjoyment  or  use  of  the  premises  demised  thereunder,  and  the  sale  of  the  Property  in  any  such  action  or  proceeding  and  the  exercise  by
Lender of any of its other rights under the Deed of Trust shall be made subject to all rights of Tenant under the Lease. For purposes of this
Agreement, a “foreclosure” shall include (but not be limited to) a sale under the power of sale contained in the Deed of Trust.

3.

Attornment.  After  its  receipt  of  notice  from  Lender  or  any  person  or  entity  which  acquires  the  Property  through  a
foreclosure (an “Acquiring Party”) of the completion of a foreclosure under the Deed of Trust or that Lender or Acquiring Party has received
a conveyance of the Property in lieu of foreclosure or otherwise obtained the right to possession of the Property, Tenant will be considered to
have  attorned  to  and  recognized  Lender  or  Acquiring  Party  as  its  substitute  landlord  under  the  Lease,  and  Tenant’s  possession,  quiet
enjoyment and use of the Property will not be disturbed. The foregoing provision will be self-operative, and will not require the execution of
any further instrument or agreement by Tenant to effectuate the attornment and recognition. The attornment and recognition of a substitute
landlord will be upon all of the terms set forth in the Lease. Notwithstanding anything to the contrary herein, if Lender or any Acquiring
Party shall fail to obtain possession of the Letter of Credit (as such term is defined in the Lease) provided by Tenant to Landlord under the
Lease (or any proceeds thereof), Tenant shall not be required to provide Lender or any Acquiring Party with a new or replacement Letter of
Credit  under  the  Lease  unless  and  until  any  existing  Letter  of  Credit  provided  by  Tenant  under  the  Lease  is  returned  to  Tenant  and
extinguished.

4.

No Liability. Lender and Tenant agree that if Lender or any Acquiring Party shall become the owner of the Property by
reason of the foreclosure of the Deed of Trust or the acceptance of a deed or assignment in lieu of foreclosure or otherwise, the Lease shall
not be terminated or affected thereby but shall continue in full force and effect as a direct lease between Lender or any Acquiring Party and
Tenant upon all of the terms, covenants and conditions set forth in the Lease, provided, however, that Lender or Acquiring Party shall not be:

(a)

liable  for  the  acts  or  omissions  of  a  prior  landlord  (including  Borrower),  except  for  defaults  of  a  continuing
nature (such as ongoing maintenance and repair obligations). Tenant shall have no right to assert the same or claim for any damages
arising  therefrom  as  an  offset  defense  or  deficiency  against  Lender,  Acquiring  Party  or  their  successors  or  assigns  provided  that
Tenant shall not be deemed to waive any claim on account of any continuing violation of the Lease occurring after such date; or

(b)

bound by any rent or additional rent which is payable on a monthly basis and which Tenant might have paid for
more than one (1) month in advance to any prior landlord (including Borrower), unless such prepayment is required under the Lease;
or

(c)

bound by any amendment or modification of the Lease which would change the term of the Lease or the fixed
rent  specified  therein  made  without  Lender’s  prior  written  consent,  excluding  any  termination  of  the  Lease  due  to  casualty,
condemnation, Landlord default or Landlord insolvency or bankruptcy; or

(d)

(e)

subject to any offsets or defenses that Tenant might have against any prior landlord (including Borrower); or

bound to any representation or warranty relating to the tenant improvements or any construction or delays in

construction of the tenant improvements.

-21-

 
 
 
 
 
 
 
 
 
Notwithstanding  the  foregoing,  if  Lender  or  any  Acquiring  Party  shall  become  the  owner  of  the  Property  by  reason  of  the
foreclosure of the Deed of Trust or the acceptance of a deed or assignment in lieu of foreclosure or otherwise, Lender or such Acquiring Party
shall be bound by the terms of the Lease relating to (i) funding of the Allowance, (ii) payment of Landlord’s share of the Amenity Space
Cost, (iii) payment and performance of Landlord’s Work, (iv) Landlord Delay and (v) Tenant’s offset rights as set forth in Section 19.2 of the
Lease.

5.

Borrower’s Default.  Tenant  shall  provide  Lender  with  copies  of  all  written  notices  of  any  default  by  Borrower  sent  to
Borrower pursuant to the Lease simultaneously with the transmission of such notices to the Borrower. Lender shall have the right but not the
obligation  to  remedy  any  Borrower  default  under  the  Lease,  or  to  cause  any  default  of  Borrower  under  the  Lease  to  be  remedied  for  the
greater of (i) the same time period a Borrower as set forth in the Lease, or (ii) 15 days after Lender’s receipt of written notice of default.
Tenant shall accept performance by Lender of any term, covenant, condition or agreement to be performed by Borrower under the Lease with
the same force and effect as though performed by Borrower.

6.

Rent.  Tenant  hereby  agrees  to  and  with  Lender  that  upon  receipt  from  Lender  of  a  demand  by  Lender  under  the
Assignment of Rents, Tenant will pay to Lender directly all rents, additional rents, and other sums due under the Lease. In the event of the
foregoing, Borrower hereby authorizes Tenant to pay to Lender directly all rents, additional rents, and other sums due under the Lease and
Borrower  hereby  agrees  that  any  such  rents  paid  to  Lender  shall  be  deemed  to  be  payment  made  to  Borrower  in  satisfaction  of  Tenant’s
obligations  under  the  Lease..  In  addition,  Borrower  hereby  indemnifies  and  holds  Tenant  harmless  from  and  against  any  and  all  claims,
causes of actions, demands, liabilities and losses of any kind or nature, including but not limited to attorney’s fees and expenses, sustained by
Tenant as a result of its payment of the Rent, additional rents, and other sums due under the Lease directly to Lender in accordance with the
terms and conditions hereof.

7.

Limitation  of  Liability.  Lender  shall  not,  solely  by  virtue  of  the  Deed  of  Trust,  the  Assignment  of  Rents  or  this
Agreement, be or become a mortgagee-in-possession. Lender shall not be subject to any liability or obligation under the Lease until Lender
shall have acquired the interest of Borrower in the Premises or the Property, by foreclosure or otherwise. In addition, upon such acquisition,
Lender  shall  have  no  obligation,  nor  incur  any  liability,  beyond  Lender’s  then  equity  interest,  if  any,  in  the  Property  (including  any  rent,
income, condemnation and sales proceeds), and Tenant shall look solely to such interest of Acquiring Party or Lender in the Property and not
to any other assets of Acquiring Party or Lender.

8.

Notice. All notices or other written communications hereunder shall be deemed to have been properly given if given in

accordance with the provisions of the Lease and addressed as follows:

If to Borrower:

If to Tenant:

If to Lender:

BETSY ROSS PROPERTY, LLC
c/o 230 California Avenue, Ste. 212
Palo Alto‚ California 94306
Attention: Property Manager

SHOCKWAVE MEDICAL, INC.
5403 Betsy Ross Drive
Santa Clara, CA 95054
Attention: General Counsel

PREFERRED BANK
600 California Street, Suite 550
San Francisco, California 94108
Attention: Ms. Alice Huang
Facsimile: (415) 230-3280

-22-

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
or to such other address in the United States as such party from may from time to time designate by written notice to the other parties.

9.

Insurance  and  Condemnation  Proceeds.  Notwithstanding  anything  to  the  contrary  in  the  Dede  of  Trust,  Lender  shall
make  all  insurance  proceeds  and  condemnation  awards  received  by  it  available  for  repair  and  restoration  of  the  Premises  to  the  extent
necessary for Landlord and Tenant to fulfill their repair and restoration obligations under the Lease.

10.

Miscellaneous.

(a)
provisions of this Agreement shall govern.

In  the  event  of  any  conflict  or  inconsistency  between  the  provisions  of  this  Agreement  and  the  Lease,  the

(b)

(c)

This Agreement shall inure to the benefit of the parties hereto and their respective successors and assigns.

The captions appearing under the paragraph number designations of this Agreement are for convenience only

and are not a part of this Agreement and do not in any way limit or amplify the terms and provisions of this Agreement.

If  any  portion  or  portions  of  this  Agreement  shall  be  held  invalid  or  inoperative,  then  all  of  the  remaining
portions  shall  remain  in  full  force  and  effect  and,  so  far  as  is  reasonable  and  possible,  effect  shall  be  given  to  the  intent  manifested  by  the
portion or portions held to be invalid or inoperative.

(d)

(e)

(f)

This Agreement shall be governed by and construed in accordance with the laws of the State of California.

This Agreement may be executed in any number of separate counterparts, each of which shall be deemed an

original, but all of which, collectively and separately, shall constitute one and the same agreement.

by all the parties hereto, or if the Note is paid in full, this Agreement shall automatically terminate.

(g)

This Agreement may not be modified in any manner or terminated except by an instrument in writing executed

This Agreement cannot be altered, modified, amended, waived, extended, changed, discharged or terminated
orally  or  by  any  act  on  the  part  of  Tenant,  Borrower  or  Lender,  but  only  by  an  agreement  in  writing  signed  by  the  party  against  whom
enforcement of any alteration, modification, amendment, waiver, extension, change, discharge or termination is sought.

(h)

-23-

 
 
 
 
 
 
 
 
 
 
 
IN WITNESS WHEREOF, the parties have executed this Agreement as of the dates set forth adjacent to their signatures below to

be effective as of the date of the Deed of Trust.

“TENANT”:
SHOCKWAVE MEDICAL, INC.,
a Delaware corporation

By

Its

“BORROWER”:
BETSY ROSS PROPERTY, LLC,
a Delaware limited liability company

By TG USA Development Corp.
its Member

By

Its

“LENDER”:
PREFERRED BANK

  By    

Its

-24-

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
   
 
 
   
   
 
   
 
 
 
 
 
    
 
 
 
 
 
 
 
 
ACKNOWLEDGEMENT

A  notary  public  or  other  officer  completing  this  certificate
verifies  only  the  identity  of  the  individual  who  signed  the
document  to  which  this  certificate  is  attached,  and  not  the
truthfulness, accuracy, or validity of that document.

State of California

County of

)
) ss.
)

On                  ,  20      ,  before  me,                                                                                                                                            ,  a  Notary  Public,  personally  appeared
                                                     , who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed
to  the  within  instrument  and  acknowledged  to  me  that  he/she/they  executed  the  same  in  his/her/their  authorized  capacity(ies),  and  that  by
his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.

I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.

[Affix seal here]

WITNESS my hand and official seal.

Signature of Notary Public

-25-

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
ACKNOWLEDGEMENT

A  notary  public  or  other  officer  completing  this  certificate
verifies  only  the  identity  of  the  individual  who  signed  the
document  to  which  this  certificate  is  attached,  and  not  the
truthfulness, accuracy, or validity of that document.

State of California

County of

)
) ss.
)

On                  , 20    , before me,                                                      , a Notary Public, personally appeared                                                     ,
who  proved  to  me  on  the  basis  of  satisfactory  evidence  to  be  the  person(s)  whose  name(s)  is/are  subscribed  to  the  within  instrument  and
acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the
instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.

I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.

[Affix seal here]

WITNESS my hand and official seal.

Signature of Notary Public

-26-

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
A notary public or other officer completing this  certificate verifies only the identity of the individual  who signed the document to which this certificate
is  attached, and not the truthfulness, accuracy, or validity  of that document.

ACKNOWLEDGEMENT

State of California

County of

)
) ss.
)

On         , 20        , before me,                                             , a Notary Public, personally appeared                                         , who proved to me
on the basis of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me
that  he/she/they  executed  the  same  in  his/her/their  authorized  capacity(ies),  and  that  by  his/her/their  signature(s)  on  the  instrument  the
person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.

I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct.

[Affix seal here]

WITNESS my hand and official seal.

Signature of Notary Public

-27-

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
EXHIBIT A

Description of Property

For APN/Parcel ID(s): 104-49-019

THE  LAND  REFERRED  TO  HEREIN  BELOW  IS  SITUATED  IN  THE  CITY  OF  SANTA  CLARA,  COUNTY  OF  SANTA  CLARA,
STATE OF CALIFORNIA AND IS DESCRIBED AS FOLLOWS:

PARCEL ONE:

ALL OF PARCEL 105 AS SHOWN UPON THAT CERTAIN MAP ENTITLED, “PARCEL MAP MARRIOTT BUSINESS PARK UNIT
NO.  2  IMPROVEMENT  PROJECT  NO.  174  BEING  PORTIONS  OF  THE  RANCHO  PASTORIA  DE  LAS  BORREGAS  AND  THE
RANCHO  ULISTAC  AND  IN  SECTIONS  16,  T6S.  R1W,  M.D.M.’’,  WHICH  MAP  WAS  FILED  FOR  RECORD  IN  THE  OFFICE  OF
THE  RECORDER  OF  THE  COUNTY  OF  SANTA  CLARA,  STATE  OF  CALIFORNIA  ON  FEBRUARY  17,  1978  IN  BOOK  413  OF
MAPS, AT PAGES 13, 14 AND 15.

PARCEL TWO:

ALL OF PARCEL 106 AS SHOWN UPON THAT CERTAIN MAP ENTITLED, “PARCEL MAP MARRIOTT BUSINESS PARK UNIT
NO.  2  IMPROVEMENT  PROJECT  NO.  174  BEING  PORTIONS  OF  THE  RANCHO  PASTORIA  DE  LAS  BORREGAS  AND  THE
RANCHO ULISTAC AND IN SECTIONS 16, T6S. R1W, M.D.M.”, WHICH MAP WAS FILED FOR RECORD IN THE OFFICE OF THE
RECORDER OF THE COUNTY OF SANTA CLARA, STATE OF CALIFORNIA ON FEBRUARY 17, 1978 IN BOOK 413 OF MAPS, AT
PAGES 13, 14 AND 15.

-28-

 
 
 
 
 
 
 
 
 
 
 
FIRST AMENDMENT
TO
LOAN AND SECURITY AGREEMENT

Exhibit 10.15

THIS  FIRST  AMENDMENT  TO  LOAN  AND  SECURITY  AGREEMENT  (this “Amendment”) is entered into
  day  of  February,  2020,  by  and  between  SILICON  VALLEY  BANK,  a  California  corporation  (“Bank”),  and

this  11th
SHOCKWAVE MEDICAL, INC., a Delaware corporation (“Borrower”).

RECITALS

A.

Bank  and  Borrower  have  entered  into  that  certain  Loan  and  Security  Agreement  dated  as  of  February  26,
2018 (the “Existing Loan Agreement”; the Existing Loan Agreement, as amended by this Amendment, and (as the same may
from time to time be further amended, modified, supplemented or restated on or after the date hereof, the “Loan Agreement”).

B.

C.

Bank has extended credit to Borrower for the purposes permitted in the Loan Agreement.

Borrower  desires  (i)  for  Bank  to  make  a  supplemental  term  loan  to  Borrower  to  refinance  the  Term  Loan

Advances, and (ii) to make certain other revisions to the Existing Loan Agreement as more fully set forth herein.

D.

Bank and Borrower have agreed to so amend certain provisions of the Existing Loan Agreement, but only to

the extent, in accordance with the terms, and in reliance upon the representations and warranties set forth below.

AGREEMENT

NOW, THEREFORE, in  consideration  of  the  foregoing  recitals  and  other  good  and  valuable  consideration,  the  receipt

and adequacy of which is hereby acknowledged, and intending to be legally bound, the parties hereto agree as follows:

1.
in the Loan Agreement.

Definitions. Capitalized terms used but not defined in this Amendment shall have the meanings given to them

2.

Amendments to Loan Agreement.

2.1

Section  2.2  (Revolving  Line).  Bank  and  Borrower  hereby  agree  that  (a)  the  Revolving  Line  is
terminated, (b) Bank shall have no further obligation to make Advances thereunder, (c) Borrower shall have no further
Obligations to Bank thereunder; provided, however, any Warrant and those obligations, liabilities, covenants, and terms
that  are  expressly  specified  in  any  Loan  Document  as  surviving  that  respective  agreement’s  termination,  including
without  limitation,  Borrower’s  indemnity  obligations  set  forth  in  the  Loan  Agreement,  shall  continue  to  survive
notwithstanding the foregoing, and (d) Bank hereby waives the Termination Fee.

1

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
2.2

Section 2.3 (Term Loan).  Section 2.3 of the Existing Loan Agreement is amended by adding the

following after Section 2.3 as Section 2.3.1:

2.3.1

Supplemental Term Loan

(a)        Availability. Subject to the terms and conditions of this Agreement, upon Borrower’s
request, Bank shall make a supplemental term loan to Borrower on or about the First Amendment Closing
Date in the original principal amount of Sixteen Million Five Hundred Thousand Dollars ($16,500,000) (the
“Supplemental  Term  Loan  Advance”).  After  repayment,  the  Supplemental  Term  Loan  Advance  (or  any
portion  thereof)  may  not  be  reborrowed.  Borrower  shall  use  a  portion  of  the  Supplemental  Term  Loan
Advance to repay in full in cash all of the Term Loan Advances in accordance with Section 2.3(d) (it being
understood, however, that (x) Bank is waiving, and Borrower shall not be required to pay, the Prepayment
Fee in connection with such prepayment but (y) Borrower shall be required to pay the Final Payment due in
connection  therewith).  Upon  such  prepayment,  all  of  the  Obligations  owing  to  Bank  under  the  Term  Loan
Advances shall be deemed to be satisfied and discharged in full.

(b)                Interest  Payments.  With  respect  to  the  Supplemental  Term  Loan  Advance,
commencing on the first Payment Date following the Funding Date of the Supplemental Term Loan Advance
and  continuing  on  the  Payment  Date  of  each  month  thereafter,  Borrower  shall  make  monthly  payments  of
interest, in arrears, on the principal amount of the Supplemental Term Loan Advance at the rate set forth in
Section 2.5(a)(iii).

(c)        Repayment. Commencing on the Supplemental Term Loan Amortization Date and
continuing on each Payment Date thereafter, Borrower shall repay the Supplemental Term Loan Advance in
(i) the Supplemental Applicable Number of equal monthly installments of principal, which interest shall be
calculated at the rate set forth in Section 2.5(a)(iii), plus (ii) monthly payments of accrued interest at the rate
set  forth  in  Section  2.5(a)(iii).  All  outstanding  principal  and  accrued  and  unpaid  interest  under  the
Supplemental  Term  Loan  Advance,  and  all  other  outstanding  Obligations  with  respect  to  the  Supplemental
Term Loan Advance, are due and payable in full on the Supplemental Term Loan Maturity Date.

(d)        Permitted Prepayment.  Borrower  shall  have  the  option  to  prepay  all,  but  not  less
than all, of the Supplemental Term Loan Advance, provided Borrower (i) delivers written notice to Bank of
its election to prepay the Supplemental Term Loan Advance at least ten (10) days prior to such prepayment,
and (ii) pays, on the date of such prepayment (1) the outstanding principal plus accrued and unpaid interest
with  respect  to  the  Supplemental  Term  Loan  Advance,  (2)  the  Supplemental  Prepayment  Fee,  (3)  the
Supplemental  Final  Payment,  and  (4)  all  other  sums,  if  any,  that  shall  have  become  due  and  payable  with
respect to the Supplemental Term Loan Advance, including interest at the Default Rate with respect to any
past due amounts.

2

 
 
 
 
 
 
 
 
(e)                Mandatory  Prepayment  Upon  an  Acceleration.  If  the  Supplemental  Term  Loan
Advance is accelerated by Bank following the occurrence and during the continuance of an Event of Default,
Borrower  shall  immediately  pay  to  Bank  an  amount  equal  to  the  sum  of  (i)  all  outstanding  principal  plus
accrued  and  unpaid  interest  with  respect  to  the  Supplemental  Term  Loan  Advance,  (ii)  the  Supplemental
Prepayment Fee, (iii) the Supplemental Final Payment, and (iv) all other sums, if any, that shall have become
due and payable with respect to the Supplemental Term Loan Advance, including interest at the Default Rate
with respect to any past due amounts.

2.3

Section 2.5 (Payment of Interest on the Credit Extensions). Section 2.5(a) of the Existing Loan

Agreement is amended by adding the following after subclause (ii) as subclause (iii):

(iii)

Supplemental  Term  Loan  Advance.  Subject  to  Section  2.5(b),  the  principal  amount
outstanding  under  the  Supplemental  Term  Loan  Advance  shall  accrue  interest  at  a  floating  per  annum  rate
equal to the greater of (A) the Prime Rate minus one and one quarter of one percent (1.25%) and (B) three
and  one  half  of  one  percent  (3.50%),  which  interest  shall  be  payable  monthly  in  accordance  with  Section
2.5(d) below.

2.4

Section 2.6 (Fees). Section 2.6 of the Existing Loan Agreement is hereby amended by adding the

following immediately after clause (h) as clauses (i) and (j):

and

(i)

(j)

Supplemental  Prepayment  Fee.  The  Supplemental  Prepayment  Fee,  when  due  hereunder;

Supplemental Final Payment.  The Supplemental Final Payment, when due hereunder.

2.5

Section  3.2  (Conditions  Precedent  to  all  Credit  Extensions).  Section  3.2  of  the  Existing  Loan

Agreement is hereby amended by deleting clause (a)(ii) thereof and replacing it with the following:

(ii)

with  respect  to  the  request  for  the  Supplemental  Term  Loan  Advance,  an  executed

Payment/Advance Form and any materials and documents required by Section 3.4;

2.6

Section 3.4 (Procedures for Borrowing).  Section  3.4  of  the  Existing  Loan  Agreement  is  hereby

amended by deleting clause (b) thereof and replacing it with the following:

(b)

Supplemental Term Loan Advance. Subject to the prior satisfaction of all other applicable
conditions to the making of the Supplemental Term Loan Advance set forth in this Agreement, to obtain the
Supplemental Term Loan Advance, Borrower (via an individual duly authorized by an Administrator) shall
notify Bank (which notice shall be irrevocable) by electronic mail by 12:00 noon Pacific time on the Funding
Date of the Supplemental Term Loan Advance. Such

3

 
 
 
 
 
 
 
 
 
 
 
notice shall be made by Borrower through Bank’s online banking program, provided, however, if Borrower is
not utilizing Bank’s online banking program, then such notice shall be in a written format acceptable to Bank
that is executed by an Authorized Signer. Bank shall have received satisfactory evidence that the Board has
approved  that  such  Authorized  Signer  may  provide  such  notices  and  request  the  Supplemental  Term  Loan
Advance. In connection with such notification, Borrower must promptly deliver to Bank by electronic mail or
through  Bank’s  online  banking  program  a  completed  Payment/Advance  Form  executed  by  an  Authorized
Signer  together  with  such  other  reports  and  information,  as  Bank  may  request  in  its  sole  discretion.  Bank
shall credit proceeds of the Supplemental Term Loan Advance to the Designated Deposit Account. Bank may
make the Supplemental Term Loan Advance under this Agreement based on instructions from an Authorized
Signer  or  without  instructions  if  the  Supplemental  Term  Loan  Advance  is  necessary  to  meet  Obligations
which have become due.

2.7

Section  5.1  (Due  Organization,  Authorization;  Power  and  Authority).  Section  5.1  of  the
Existing Loan Agreement is hereby amended by deleting the parenthetical at the end thereof and replacing it with the
following:

(it being understood and agreed that Borrower (i) has delivered an updated Perfection Certificate in
connection  with  the  Supplemental  Term  Loan  Advance  and  (ii)  may  otherwise  from  time  to  time  update
certain  information  in  the  Perfection  Certificate  after  the  Effective  Date  to  the  extent  permitted  by  one  or
more specific provisions in this Agreement);

2.8

Section  5.3  (Accounts  Receivable).  Section  5.3  of  the  Existing  Loan  Agreement  is  hereby

amended by deleting it in its entirety and replacing it with the following:

5.3

[Reserved].

2.9

Section 6.2 (Financial Statements, Reports).

(a)
in their entirety and replacing them with the following:

Section 6.2 of the Existing Loan Agreement is amended by deleting clauses (a) through (f) thereof

(a)

(b)

[Reserved];

[Reserved];

(c)

as soon as available, but no later than forty-five (45) days after the final day of the first
three fiscal quarters of each fiscal year, a company prepared consolidated balance sheet and income statement
covering  Borrower’s  consolidated  operations  for  such  fiscal  quarter  in  a  form  acceptable  to  Bank  (the
“Quarterly Financial Statements”); provided that the timely filing of a 10-Q with the SEC by such date will
be deemed to satisfy the requirement to provide the Quarterly Financial Statements;

4

 
 
 
 
 
 
 
 
 
 
 
 
(d)

together with the Quarterly Financial Statements, a duly completed Compliance Statement,

substantially in the form of Exhibit B;

(e)

contemporaneously with any updates or amendments thereto, within thirty (30) days after
the end of each fiscal year of Borrower, (1) annual operating budgets (including income statements, balance
sheets  and  cash  flow  statements,  by  month)  for  the  upcoming  fiscal  year  of  Borrower,  and  (2)  annual
financial  projections  for  the  following  fiscal  year  (on  a  quarterly  basis),  in  each  case  as  approved  by  the
Board,  together  with  any  related  business  forecasts  used  in  the  preparation  of  such  annual  financial
projections;

(f)

as soon as available and in any event within one hundred eighty (180) days following the
end of Borrower’s fiscal year, audited consolidated financial statements prepared under GAAP, consistently
applied,  together  with  an  unqualified  opinion  (provided  that  such  opinion  may  contain  a  going  concern
qualification typical for venture backed companies similar to Borrower) on the financial statements from an
independent certified public accounting firm; provided that the timely filing of a 10-K with the SEC by such
date will be deemed to satisfy the requirement to provide the annual financial statements;

(b)

Section 6.2 of the Existing Loan Agreement is further amended by adding the following

after clause (j) as clause (k):

(k)

prompt  written  notice  of  any  changes  to  the  beneficial  ownership  information  set  out  in
items 2(d) through (g) of the Perfection Certificate. Borrower understands and acknowledges that Bank relies
on such true, accurate and up-to-date beneficial ownership information to meet Bank’s regulatory obligations
to obtain, verify and record information about the beneficial owners of its legal entity customers.

2.10

Section 6.3 (Accounts Receivable). Section 6.3 of the Existing Loan Agreement is amended by

deleting it in its entirety and replacing it with the following:

6.3

[Reserved].

2.11

Section 6.8 (Accounts). Subsection (a) of Section 6.8 of the Existing Loan Agreement is hereby

deleted in its entirety and replaced with the following:

(a)

Borrower shall, and shall cause any Subsidiary of Borrower and any Guarantor to maintain
an  aggregate  account  balance  in  accounts  at  or  through  Bank  equal  to  at  least  fifty  percent  (50%)  of  all
deposit account balances (excluding, for the avoidance of doubt, any investment, securities or commodities
account balances) of Borrower, such Subsidiary and such Guarantor at any financial institution in the United
States. Borrower, or any Subsidiary of Borrower or any Guarantor, shall maintain at least one business credit
card with Bank.

5

 
 
 
 
 
 
 
 
 
 
 
2.12

Section 6.12 (Online Banking). Section 6.12 of the Existing Loan Agreement is hereby amended

by deleting clause (b) thereof in its entirety and replacing it with the following:

(b)

Comply  with  the  terms  of  Bank’s  Online  Banking  Agreement  as  in  effect  from  time  to
time and ensure that all persons utilizing Bank’s online banking platform are duly authorized to do so by an
Administrator.  Bank  shall  be  entitled  to  assume  the  authenticity,  accuracy  and  completeness  on  any
information, instruction or request for a Credit Extension submitted via Bank’s online banking platform and
to further assume that any submissions or requests made via Bank’s online banking platform have been duly
authorized by an Administrator.

2.13

Section  6.13  (Formation  or  Acquisition  of  Subsidiaries).  Section  6.13  of  the  Existing  Loan
Agreement  is  hereby  amended  by  deleting  the  first  sentence  leading  up  to  (a)  clause  therein  of  such  Section,  and
replacing it with the following:

“Notwithstanding  and  without  limiting  the  negative  covenants  contained  in  Sections  7.3  and  7.7
hereof,  promptly  following  the  date  that  Borrower  forms  any  direct  or  indirect  Subsidiary  or  acquires  any  direct  or
indirect Subsidiary after the Effective Date (including, without limitation, pursuant to a Division), if Bank requests in
its sole discretion, Borrower shall”

2.14

Section  7.1  (Dispositions).  Section  7.1  of  the  Existing  Loan  Agreement  is  hereby  amended  by

deleting the first sentence leading up to clause (a) therein of such Section, and replacing it with the following:

“Convey, sell, lease, transfer, assign, or otherwise dispose of (including, without limitation, pursuant
to a Division) (collectively, “Transfer”), or permit any of its Subsidiaries to Transfer, all or any part of its business or
property, except for Transfers”

2.15

Section  7.3  (Mergers  or  Acquisitions).  Section  7.3  of  the  Existing  Loan  Agreement  is  hereby

amended by deleting the first sentence of such Section and replacing it with the following:

“Merge  or  consolidate,  or  permit  any  of  its  Subsidiaries  to  merge  or  consolidate,  with  any  other
Person, or acquire, or permit any of its Subsidiaries to acquire, all or substantially all of the capital stock or property of
another Person (including, without limitation, by the formation of any Subsidiary or pursuant to a Division).”

2.16

Section 8.1 (Payment Default). Section 8.1 of the Existing Loan Agreement is hereby amended

by deleting clause (b) thereof and replacing it with the following:

pay any other Obligations within three (3) Business Days after such Obligations are due
and payable (which three (3) Business Day cure period shall not apply to payments due on the Revolving Line Maturity
Date, the Term Loan Maturity Date or the Supplemental Term Loan Maturity Date).

(b)

6

 
 
 
 
 
 
 
 
 
 
 
 
2.17

Section  8.3  (Investor  Abandonment).  Section  8.3  of  the  Existing  Loan  Agreement  is  hereby

amended by deleting it in its entirety and replacing it with the following:

8.3       Material Adverse Change. A Material Adverse Change occurs;

2.18

Section  12.1  (Termination  Prior  to    Maturity    Date;    Survival).  Section  12.1  of  the  Existing

Loan Agreement is hereby amended by adding the following after the reference to “Term Loan Maturity Date”:

“and the Supplemental Term Loan Maturity Date”

2.19

Section 13 (Definitions).

Existing Loan Agreement are amended in their entirety and replaced with the following:

(a)

The  following  terms  and  their  respective  definitions  set  forth  in  Section  13.1  of  the

“Administrator” is an individual that is named:

as an “Administrator” in the “SVB Online Services” form completed by Borrower with the
authority  to  determine  who  will  be  authorized  to  use  SVB  Online  Services  (as  defined  in  Bank’s  Online  Banking
Agreement as in effect from time to time) on behalf of Borrower; and

(a)

the  Board.
“Credit  Extension”  is  any  Advance,  any  Overadvance,  Term  Loan Advance, Supplemental Term Loan Advance
or any other extension of credit by Bank for Borrower’s benefit.

an  Authorized  Signer  of  Borrower 

approval  by 

an 

(b)

as 

in 

“Obligations” are Borrower’s obligations to pay when due any debts, principal, interest, fees, Bank
Expenses,  the  Termination  Fee,  the  Prepayment  Fee,  the  Anniversary  Fees,  the  Final  Payment,  the  Supplemental
Prepayment Fee, the Supplemental Final Payment and other amounts Borrower owes Bank now or later, whether under
this  Agreement,  the  other  Loan  Documents  (other  than  the  Warrant),  or  otherwise,  including,  without  limitation,  all
obligations relating to Bank Services and interest accruing after Insolvency Proceedings begin and debts, liabilities, or
obligations of Borrower assigned to Bank, and to perform Borrower’s duties under the Loan Documents (other than the
Warrant or any other warrant to purchase issued to Bank by Borrower).

“Payment  Date”  is  (a)  with  respect  to  Term  Loan  Advances  and  the  Supplemental  Term  Loan
Advance,  the  first  (1st)  calendar  day  of  each  month  and  (b)  with  respect  to  Advances,  the  last  calendar  day  of  each
month.

(or updates to the Perfection Certificate) contemplated or permitted hereby.

“Perfection Certificate”  is  defined  in  Section  5.1  and  includes  any  updated  Perfection  Certificate

7

 
 
 
 
 
 
 
 
 
 
 
 
 
“Revolving Line” is an aggregate principal amount equal to Zero Dollars ($0).

Agreement in their entirety: “Investor Support” and “Monthly Financial Statements”.

b)

The  following  defined  terms  are  hereby  deleted  from  Section  13.1  of  the  Existing  Loan

to Section 13.1 of the Existing Loan Agreement as follows:

(c)

The following terms and their respective definitions are hereby added in alphabetical order

“Division” means, in reference to any Person which is an entity, the division of such Person into two
(2)  or  more  separate  Persons,  with  the  dividing  Person  either  continuing  or  terminating  its  existence  as  part  of  such
division,  including,  without  limitation,  as  contemplated  under  Section  18-217  of  the  Delaware  Limited  Liability
Company Act for limited liability companies formed under Delaware law, or any analogous action taken pursuant to
any other applicable law with respect to any corporation, limited liability company, partnership or other entity.

“First Amendment Closing Date” is February 11, 2020.

“Performance Milestone One” means Bank’s receipt of evidence reasonably satisfactory to Bank,
on  or  before  June  30,  2021,  that  Borrower’s  trailing  twelve  (12)  month  revenue  for  the  trailing  twelve  (12)  month
period  ending  on  June  30,  2021,  is  at  least  seventy-five  percent  (75%)  of  the  revenue  projected  for  such  period  in
Borrower’s  financial  projections  approved  by  the  Board;  provided  such  projections  must  demonstrate  year  over  year
growth.

“Performance Milestone Two” means Bank’s receipt of evidence reasonably satisfactory to Bank,
on or before December 31, 2021, that (i) Borrower has received Premarket Approval from the United States Food and
Drug Administration of Borrower’s C2 Catheter and (ii) Borrower’s trailing twelve (12) month revenue for the trailing
twelve (12) month period ending on December 31, 2021, is at least seventy-five percent (75%) of the revenue projected
for such period in Borrower’s financial projections approved by the Board; provided such projections must demonstrate
year over year growth.

“Quarterly 

6.2(c).
Statements” 
“Supplemental  Applicable  Number”  means  (a)  thirty  (30)  if  the Supplemental Interest-Only Period ends on June
30, 2021, (b) twenty-four (24) if the Supplemental Interest-Only Period ends on December 31, 2021, and (c) eighteen
(18) if the Supplemental Interest-Only Period ends on June 30, 2022.

Financial 

Section 

defined 

in 

is 

“Supplemental Final Payment” is a payment (in addition to and not a substitution for the regular
monthly payments of principal plus accrued interest) due on the earliest to occur of (a) the Supplemental Term Loan
Maturity  Date,  or  (b)  the  acceleration  of  the  Supplemental  Term  Loan  Advance,  or  (c)  the  prepayment  of  the
Supplemental Term Loan Advance in full pursuant to Section 2.3.1(d) or 2.3.1(e), equal to One Million Five Hundred
Sixty-Seven Thousand Five Hundred Dollars ($1,567,500).

8

 
 
 
 
 
 
 
 
 
 
“Supplemental Interest-Only Period” means, for the Supplemental Term Loan Advance, the period
beginning on the Funding Date of the Supplemental Term Loan Advance and ending on (i) June 30, 2021 if Borrower
does  not  achieve  Performance  Milestone  One,  (ii)  December  31,  2021  if  Borrower  achieves  Performance  Milestone
One  but  not  Performance  Milestone  Two,  and  (iii)  June  30,  2022  if  Borrower  achieves  both  Performance  Milestone
One and Performance Milestone Two.

“Supplemental Prepayment Fee”  shall  be  an  additional  fee,  payable  to  Bank,  with  respect  to  the
Supplemental Term Loan Advance, in an amount equal to(a) three percent (3%) of the outstanding principal balance of
the Supplemental Term Loan Advance if the prepayment is made before the date that is twelve (12) months after the
First Amendment Closing Date, (b) two percent (2%) of the outstanding principal balance of the Supplemental Term
Loan  Advance  if  the  prepayment  is  made  on  or  after  the  date  that  is  twelve  (12)  months  after  the  First  Amendment
Closing  Date  but  before  the  date  that  is  twenty  four  (24)  months  after  the  First  Amendment  Closing  Date,  (c)  one
percent (1%) of the outstanding principal balance of the Supplemental Term Loan Advance if the prepayment is made
on or after the date that is twenty four (24) months after the First Amendment Closing Date but before the date that is
thirty six (36) months after the First Amendment Closing Date and (d) zero percent (0%) of the outstanding principal
balance of the Supplemental Term Loan Advance if the prepayment is made on or after the date that is thirty six (36)
months after the First Amendment Closing Date.

“Supplemental Term Loan Advance” is defined in Section 2.3.1 of this Agreement.

first (1st) calendar day of the first (1st) month following the end of the Supplemental Interest-Only Period.

“Supplemental Term Loan Amortization Date” is, for the Supplemental Term Loan Advance, the

December 1, 2023.

“Supplemental  Term  Loan  Maturity  Date”  is,  for  the  Supplemental  Term  Loan  Advance,

2.20

Exhibit  B  (Compliance  Statement).  The  Compliance  Statement  attached  to  the  Existing  Loan
Agreement as Exhibit B is replaced in its entirety with the Compliance Statement attached hereto as Exhibit B.  From
and after the date hereof, all references in the Loan Agreement to the Compliance Statement shall be deemed to refer to
the Compliance Statement in the form attached hereto as Exhibit B.

3.

Limitation of Amendments.

3.1

The amendments set forth in Section 2, above, are effective for the purposes set forth herein and
shall  be  limited  precisely  as  written  and  shall  not  be  deemed  to  (a)  be  a  consent  to  any  amendment,  waiver  or
modification  of  any  other  term  or  condition  of  any  Loan  Document,  or  (b)  otherwise  prejudice  any  right  or  remedy
which Bank may now have or may have in the future under or in connection with any Loan Document.

9

 
 
 
 
 
 
 
 
 
 
3.2

This Amendment shall be construed in connection with and as part of the Loan Documents and all
terms,  conditions,  representations,  warranties,  covenants  and  agreements  set  forth  in  the  Loan  Documents,  except  as
herein amended, are hereby ratified and confirmed and shall remain in full force and effect.

4.

Representations and Warranties. To induce Bank to enter into this Amendment, Borrower hereby represents

and warrants to Bank as follows:

4.1

Immediately after giving effect to this Amendment (a) the representations and warranties contained
in  the  Loan  Documents  are  true,  accurate  and  complete  in  all  material  respects  as  of  the  date  hereof  (except  to  the
extent such representations and warranties relate to an earlier date, in which case they are true and correct as of such
date), and (b) no Event of Default has occurred and is continuing;

4.2

Borrower has the power  and  authority  to  execute  and  deliver  this  Amendment and to perform its

obligations under the Loan Agreement;

4.3

The organizational documents of Borrower delivered to Bank on or prior to the date hereof remain
true, accurate and complete and have not been amended, supplemented or restated and are and continue to be in full
force and effect;

4.4

The execution and delivery by Borrower of this Amendment and the performance by Borrower of

its obligations under the Loan Agreement have been duly authorized;

4.5

The execution and delivery by Borrower of this Amendment and the performance by Borrower of
its  obligations  under  the  Loan  Agreement  do  not  and  will  not  contravene  (a)  any  law  or  regulation  binding  on  or
affecting Borrower, (b) any material contractual restriction with a Person binding on Borrower, (c) any order, judgment
or decree of any court or other governmental or public body or authority, or subdivision thereof, binding on Borrower,
or (d) the organizational documents of Borrower;

4.6

The execution and delivery by Borrower of this Amendment and the performance by Borrower of
its obligations under the Loan Agreement, as amended by this Amendment, do not require any order, consent, approval,
license, authorization or validation of, or filing, recording or registration with, or exemption by any governmental or
public body or authority, or subdivision thereof, binding on Borrower, except as already has been obtained or made;
and

4.7

This Amendment has been duly executed and delivered by Borrower and is the binding obligation
of Borrower, enforceable against Borrower in accordance with its terms, except as such enforceability may be limited
by  bankruptcy,  insolvency,  reorganization,  liquidation,  moratorium  or  other  similar  laws  of  general  application  and
equitable principles relating to or affecting creditors’ rights.

10

 
 
 
 
 
 
 
 
 
 
5.

Integration.  This  Amendment  and  the  Loan  Documents  represent  the  entire  agreement  about  this  subject
matter  and  supersede  prior  negotiations  or  agreements.  All  prior  agreements,  understandings,  representations,  warranties,  and
negotiations  between  the  parties  about  the  subject  matter  of  this  Amendment  and  the  Loan  Documents  merge  into  this
Amendment and the Loan Documents.

6.

Counterparts. This Amendment may be executed in any number of counterparts and all of such counterparts

taken together shall be deemed to constitute one and the same instrument.

7.

Effectiveness. This Amendment shall be deemed effective upon (a) the due execution and delivery to Bank of
this  Amendment  by  each  party  hereto,  and  (b)  Borrower’s  payment  of  Bank’s  legal  fees  and  expenses  in  connection  with  the
negotiation and preparation of this Amendment.

[Signature page follows.]

11

 
 
 
 
 
 
 
IN  WITNESS  WHEREOF, the parties hereto have caused this Amendment to be duly executed and delivered as of the

date first written above.

BANK
Silicon Valley Bank

By:
Name:
Title:

/s/ Robert Mingrone
Robert Mingrone
Director

  BORROWER
  Shockwave Medical, Inc.

/s/ Dan Puckett

  By:
  Name: Dan Puckett
  Title:

CFO

[Signature Page to First Amendment to Loan and Security Agreement]

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
EXHIBIT B

COMPLIANCE STATEMENT

TO:
FROM:

SILICON VALLEY BANK
SHOCKWAVE MEDICAL, INC.

Date:                                               

Under the terms and conditions of the Loan and Security Agreement between Borrower and Bank (the “Agreement”),
Borrower is in complete compliance for the period ending
,with all required covenants except as noted below. Attached are
the required documents evidencing such compliance, setting forth calculations prepared in accordance with GAAP consistently
applied  from  one  period  to  the  next  except  (i)  as  explained  in  an  accompanying  letter  or  footnotes  and  (ii)  with  respect  to
unaudited financial statements, for the absence of footnotes and subject to year-end adjustments. Capitalized terms used but not
otherwise defined herein shall have the meanings given them in the Agreement.

Please indicate compliance status by circling Yes/No under “Complies” column.

Reporting Covenants

Required

Quarterly financial statements with Compliance
Statement
Annual audited financial statements (CPA Audited)
10-Q, 10-K and 8-K
Annual financial projections

Quarterly within 45 days for 1st three fiscal
quarters
FYE within 180 days
Within 5 days after filing with SEC
FYE within 30 days, and as
amended/updated

Complies

Yes  No

Yes  No
Yes  No
Yes  No

The following are the exceptions with respect to the statements above:  (If no exceptions exist, state “No exceptions to

note.”)

------------------------------------------------------------------------------------------------------------------------------------------------------------
--------------------------------------------------------------

B-1

 
 
 
 
 
 
 
 
 
 
 
 
 
 
The following is a list of subsidiaries of the Company as of December 31, 2019:

SHOCKWAVE MEDICAL, INC.

Name

Shockwave Medical GmbH

Jurisdiction of Incorporation

  Germany

Exhibit 21.1

 
 
 
Consent of Independent Registered Public Accounting Firm

We  consent  to  the  incorporation  by  reference  in  the  Registration  Statement  on  Form  S-8  (No.  333-230113)  pertaining  to  the  ShockWave
Medical, Inc. 2019 Equity Incentive Plan, the ShockWave Medical, Inc. Employee Stock Purchase Plan, and the ShockWave Medical, Inc.
2009 Equity Incentive Plan, of our report dated March 12, 2020, with respect to the consolidated financial statements of ShockWave Medical,
Inc. included in this Annual Report (Form 10-K) for the year ended December 31, 2019.

Exhibit 23.1

/s/ Ernst & Young LLP

San Jose, California

March 12, 2020

Exhibit 31.1

CERTIFICATION PURSUANT TO
RULES 13a-14(a) AND 15d-14(a) UNDER THE SECURITIES EXCHANGE ACT OF 1934,
AS ADOPTED PURSUANT TO SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002

I, Douglas Godshall, certify that:

1.

2.

3.

4.

I have reviewed this Annual Report on Form 10-K of ShockWave Medical, Inc.;

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;

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;

The registrant's other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in
Exchange Act Rules 13a-15(e) and 15d-15(e)) for the registrant and have:

(a)

(b)

(c)

(d)

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;

Reserved;

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

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 an 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(s) 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)

(b)

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

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.

Date: March 12, 2020

By:

/s/ Douglas Godshall
Douglas Godshall
President and Chief Executive Officer

 
 
 
 
 
 
 
 
 
 
 
Exhibit 31.2

CERTIFICATION PURSUANT TO
RULES 13a-14(a) AND 15d-14(a) UNDER THE SECURITIES EXCHANGE ACT OF 1934,
AS ADOPTED PURSUANT TO SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002

I, Dan Puckett, certify that:

1.

2.

3.

4.

I have reviewed this Annual Report on Form 10-K of ShockWave Medical, Inc.;

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;

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;

The registrant's other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in
Exchange Act Rules 13a-15(e) and 15d-15(e)) for the registrant and have:

(a)

(b)

(c)

(d)

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;

Reserved;

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

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 an 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(s) 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)

(b)

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

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.

Date: March 12, 2020

By:

/s/ Dan Puckett
Dan Puckett
Chief Financial Officer

 
 
 
 
 
 
 
 
 
 
 
CERTIFICATION 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 of ShockWave Medical, Inc. (the “Company”) on Form 10-K for the period ending December 31, 2019 as
filed with the Securities and Exchange Commission on the date hereof (the “Report”), I certify, pursuant to 18 U.S.C. § 1350, as adopted pursuant to § 906
of the Sarbanes-Oxley Act of 2002, that:

(1)

(2)

The Report fully complies with the requirements of section 13(a) or 15(d) of the Securities Exchange Act of 1934; and

The  information  contained  in  the  Report  fairly  presents,  in  all  material  respects,  the  financial  condition  and  result  of  operations  of  the
Company.

Date: March 12, 2020

By: /s/ Douglas Godshall
Douglas Godshall
President and Chief Executive Officer

 
 
 
 
 
 
 
 
 
CERTIFICATION 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 of ShockWave Medical, Inc. (the “Company”) on Form 10-K for the period ending December 31, 2019 as
filed with the Securities and Exchange Commission on the date hereof (the “Report”), I certify, pursuant to 18 U.S.C. § 1350, as adopted pursuant to § 906
of the Sarbanes-Oxley Act of 2002, that:

(1)

(2)

The Report fully complies with the requirements of section 13(a) or 15(d) of the Securities Exchange Act of 1934; and

The  information  contained  in  the  Report  fairly  presents,  in  all  material  respects,  the  financial  condition  and  result  of  operations  of  the
Company.

Date: March 12, 2020

By: /s/ Dan Puckett
Dan Puckett
Chief Financial Officer