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As filed with the Securities and Exchange Commission on September 14, 2015
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Registration No. 333-
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British Columbia
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Not Applicable
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(Jurisdiction of Incorporation)
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(I.R.S. Employer Identification No.)
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Riccardo Leofanti, Esq.
Skadden, Arps, Slate, Meagher & Flom LLP
222 Bay Street, Suite 1750, P.O. Box 258
Toronto, Ontario, Canada M5K 1J5
(416) 777-4700
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Andrew McLeod, Esq.
Blake, Cassels & Graydon LLP
595 Burrard Street, Suite 2600, Three Bentall Centre
P.O. Box 49314
Vancouver, British Columbia, Canada V7X 1L3
(604) 631-3399
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Large Accelerated Filer [ ]
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Accelerated Filer [ ]
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Non-Accelerated Filer [X]
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Smaller Reporting Company [ ]
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Title of Securities To Be Registered
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Amount To Be
Registered (1)
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Proposed Maximum
Offering Price Per Share
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Proposed Maximum
Aggregate Offering Price
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Amount of
Registration Fee
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Common Shares
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450,000 (2)
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$0.53 (3)
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$238,500.00 (3)
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$27.71
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649,687 (2)
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$0.42 (3)
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$272,868.54 (3)
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$31.71
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192,187 (2)
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$0.45 (3)
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$86,484.15 (3)
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$10.05
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50,000 (2)
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$0.90 (3)
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$45,000.00 (3)
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$5.23
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198,437 (2)
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$0.21 (3)
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$41,671.77 (3)
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$4.84
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| 50,000 (2) | $1.04 (3) | $52,000.00 (3) | $6.04 | |
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Total
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1,590,311
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$736,524.46
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$85.58
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(1)
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Pursuant to Rule 416 under the U.S. Securities Act of 1933, as amended (the “Securities Act”), the number of Common Shares being registered hereby shall be adjusted to include any additional Common Shares that may become issuable as a result of stock splits, stock dividends, recapitalization or any other similar transactions effected without the receipt of consideration that results in an increase in the number of the Registrant’s outstanding Common Shares in accordance with the provisions of the Registrant's Amended and Restated 2009 Stock Option Plan.
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(2)
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The Common Shares being registered relate to stock options granted under the Registrant's Amended and Restated 2009 Stock Option Plan that have not yet been exercised.
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(3)
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In accordance with paragraph (h)(1) of Rule 457 under the Securities Act, the maximum offering price per Common Share is the option exercise price converted into U.S. dollars using an exchange rate of C$1.00 = US$0.7532, the Bank of Canada daily noon exchange rate on September 11, 2015.
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Item 3.
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Incorporation of Documents by Reference
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(a)
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The registration statement on Form 40-F of the Registrant, filed with the Commission on August 17, 2015; and
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(b)
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The description of the Registrant's common shares included in the registration statement on Form 40-F of the Registrant, filed with the Commission on August 17, 2015.
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Item 4.
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Description of Securities
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Item 5.
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Interests of Named Experts and Counsel
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Item 6.
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Indemnification of Directors and Officers
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(a)
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at the time the agreement to give indemnity or pay expenses was made the corporation was prohibited from agreeing to grant it or pay them by its memorandum or articles;
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(b)
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at the time the indemnity is made or paid the corporation is prohibited from giving the indemnity or paying the expenses by its memorandum or articles;
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(c)
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if, in relation to the subject matter of the proceeding, the eligible party did not act honestly and in good faith with a view to the best interests of the corporation or associated corporation; or
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(d)
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in the case of a criminal or administrative action or proceeding that is enforced by a monetary penalty, the eligible party did not have reasonable grounds for believing his or her conduct was lawful.
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(a)
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order a corporation to indemnify an eligible party against any liability incurred in respect of an eligible proceeding;
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(b)
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order a corporation to pay some or all of the expenses incurred by an eligible party in respect of an eligible proceeding;
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(c)
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order the enforcement of, or a payment under, an agreement of indemnity;
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(d)
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order payment of some or all expenses incurred by any eligible person in obtaining a court order under Section 164 of the BCBCA; or
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(e)
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make any other order that the court deems appropriate.
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Item 7.
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Exemption From Registration Claimed
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Item 8.
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Exhibits
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Exhibit No.
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Description
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4.1
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Specimen Common Share certificate.
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4.2
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Articles of Incorporation of the Registrant.
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5.1
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Opinion of Blake, Cassels & Graydon LLP.
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23.1
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Consent of Blake, Cassels & Graydon LLP (included in Exhibit 5.1 to this Registration Statement).
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23.2
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Consent of KPMG LLP.
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24.1
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Power of Attorney (included on page 7 of this Registration Statement).
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Item 9.
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Undertakings
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(a)
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The undersigned Registrant hereby undertakes:
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(i)
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To file, during any period in which offers or sales are being made, a post-effective amendment to this registration statement to include any material information with respect to the plan of distribution not previously disclosed in the registration statement or any material change to such information in the registration statement;
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(ii)
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That, for the purpose of determining any liability under the Securities Act, each such post-effective amendment shall be deemed to be a new registration statement relating to the securities offered therein, and the offering of such securities at that time shall be deemed to be the initial bona fide offering thereof; and
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(iii)
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To remove from registration by means of a post-effective amendment any of the securities being registered which remain unsold at the termination of the offering.
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(b)
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The undersigned Registrant hereby undertakes that, for purposes of determining any liability under the Securities Act, each filing of the Registrant's annual report pursuant to Section 13(a) or Section 15(d) of the Exchange Act (and, where applicable, each filing of an employee benefit plan's annual report pursuant to Section 15(d) of the Exchange Act) that is incorporated by reference in the registration statement shall be deemed to be a new registration statement relating to the securities offered therein, and the offering of such securities at that time shall be deemed to be the initial bona fide offering thereof.
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(h)
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Insofar as indemnification for liabilities arising under the Securities Act may be permitted to directors, officers and controlling persons of the Registrant pursuant to the foregoing provisions, or otherwise, the Registrant has been advised that in the opinion of the Commission such indemnification is against public policy as expressed in the Securities Act and is, therefore, unenforceable. In the event that a claim for indemnification against such liabilities (other than the payment by the Registrant of expenses incurred or paid by a director, officer or controlling person of the Registrant in the successful defense of any action, suit or proceeding) is asserted by such director, officer or controlling person in connection with the securities being registered, the Registrant will, unless in the opinion of its counsel the matter has been settled by controlling precedent, submit to a court of appropriate jurisdiction the question whether such indemnification by it is against public policy as expressed in the Securities Act and will be governed by the final adjudication of such issue.
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CRH MEDICAL CORPORATION
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By:
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/s/ Edward Wright
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Name:
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Edward Wright
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Title:
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Chief Executive Officer
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Signature
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Title
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/s/ Edward Wright
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Chief Executive Officer
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Edward Wright
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/s/ Richard Bear
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Chief Financial Officer
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Richard Bear
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/s/ Anthony F. Holler
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Chairman of the Board of Directors
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Anthony F. Holler
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/s/ David A. Johnson
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Director
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David A. Johnson
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/s/ Bergein F. Overholt
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Director
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Bergein F. Overholt
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/s/ Todd Patrick
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Director
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Todd Patrick
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/s/ Ian Webb
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Director
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Ian Webb
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CRH Medical Corporation
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(Authorized U.S. Representative)
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By:
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/s/ Richard Bear | |||
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Name:
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Richard Bear | |||
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Title:
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Authorized Signatory
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Exhibit No.
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Description
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4.1
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Specimen Common Share certificate.
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4.2
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Articles of Incorporation of the Registrant.
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5.1
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Opinion of Blake, Cassels & Graydon LLP.
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23.1
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Consent of Blake, Cassels & Graydon LLP (included in Exhibit 5.1 to this Registration Statement).
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23.2
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Consent of KPMG LLP.
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24.1
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Power of Attorney (included on page 7 of this Registration Statement).
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