|
British Columbia
|
Not Applicable
|
|
(Jurisdiction of Incorporation)
|
(I.R.S. Employer Identification No.)
|
|
Ryan J. Dzierniejko, Esq.
Skadden, Arps, Slate, Meagher & Flom LLP
222 Bay Street, Suite 1750
Toronto, Ontario, Canada M5K 1J5
(416) 777-4700
|
Andrew McLeod, Esq.
Blake, Cassels & Graydon LLP
595 Burrard Street, Suite 2600
Vancouver, British Columbia, Canada V7X 1L3
(604) 631-3300
|
|
Title of Securities To Be Registered
|
Amount To Be Registered(1)
|
Proposed Maximum Offering Price Per Share
|
Proposed Maximum Aggregate Offering Price
|
Amount of Registration Fee
|
|
Common Shares
|
3,250,000(2)
|
$2.84(3)
|
$9,230,000(3)
|
$1,006.99
|
|
Total
|
3,250,000
|
$9,230,000
|
$1,006.99
|
|
(1)
|
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 2017 Share Unit Plan.
|
|
(2)
|
The Common Shares being registered relate to share units under the Registrant’s 2017 Share Unit Plan that have not yet been granted by the Registrant, with share unit vesting
conditions determined in accordance with the provisions of the Registrant’s 2017 Share Unit Plan.
|
|
(3)
|
Estimated solely for the purpose of calculating the registration fee pursuant to paragraphs (c) and (h)(1) of Rule 457 under the Securities Act on the basis of the average of the
high and low prices for the Common Shares on the NYSE American on December 8, 2020.
|
|
Exhibit
No. |
Description
|
|
|
4.1*
|
Specimen Common Share certificate.
|
|
|
4.2*
|
Articles of Incorporation of the Registrant.
|
|
|
5.1
|
Opinion of Blake, Cassels & Graydon LLP.
|
|
|
23.1
|
Consent of Blake, Cassels & Graydon LLP (included in Exhibit 5.1 to this Registration Statement).
|
|
|
23.2
|
Consent of KPMG LLP.
|
|
|
24.1
|
Power of Attorney (included on page II-3 of this Registration Statement).
|
| * |
Incorporated by reference to the Registrant’s Registration Statement on Form S-8, filed with the Commission on September 14, 2015 (File No. 333-206945).
|
|
CRH MEDICAL CORPORATION
|
||||
|
By:
|
/s/ Richard Bear
|
|||
|
Name:
|
Richard Bear
|
|||
|
Title:
|
Chief Financial Officer
|
|||
|
Signature
|
Title
|
|
|
/s/ Tushar Ramani
|
Chief Executive Officer and Chair of the Board
|
|
|
Tushar Ramani
|
(Principal Executive Officer)
|
|
|
/s/ Richard Bear
|
Chief Financial Officer
|
|
|
Richard Bear
|
(Principal Financial and Accounting Officer)
|
|
|
/s/ Brian Griffin
|
Director
|
|
|
Brian Griffin
|
||
|
/s/ David A. Johnson
|
Director
|
|
|
David A. Johnson
|
||
|
/s/ Todd Patrick
|
Director
|
|
|
Todd Patrick
|
||
|
/s/ Ian Webb
|
Director
|
|
|
Ian Webb
|
|
CRH Medical Corporation
|
||||
|
(Authorized U.S. Representative)
|
||||
|
By:
|
/s/ Richard Bear
|
|||
|
Name:
|
Richard Bear
|
|||
|
Title:
|
Authorized Signatory
|
|||
|
Exhibit
No. |
Description
|
|
|
24.1
|
Power of Attorney (included on page II-3 of this Registration Statement).
|
| * |
Incorporated by reference to the Registrant’s Registration Statement on Form S-8, filed with the Commission on September 14, 2015 (File No. 333-206945).
|