Item 1.01 Entry into a Material Definitive Agreement.






Exchange Agreements


In accordance with the terms of (i) a letter agreement (the "Deerfield Letter Agreement") entered into on July 11, 2021 by and between Acutus Medical, Inc., a Delaware corporation (the "Company"), Deerfield Private Design Fund III, L.P. ("DPD III") and Deerfield Partners, L.P. ("DP" and, together with DPD III, the "Deerfield Funds" and each a "Deerfield Fund") and (ii) a letter agreement (the "OrbiMed Letter Agreement") entered into on July 11, 2021 by and between the Company, OrbiMed Private Investments IV, LP ("OrbiMed PI IV") and OrbiMed Royalty Opportunities II, LP ("OrbiMed RO II" and, together with OrbiMed PI IV, the "OrbiMed Funds" and each an "OrbiMed Fund"), on August 23, 2021, the Company entered into an Exchange Agreement (each, an "Exchange Agreement") with each of the Deerfield Funds and the OrbiMed Funds, pursuant to which, on the date thereof:

· DPD III exchanged 1,816,446 shares of the Company's Common Stock, par value

$0.001 per share ("Common Stock"), held by it for 1,816.4460 shares of a new
   series of non-voting convertible preferred stock of the Company designated as
   "Series A Common Equivalent Preferred Stock," par value $0.001 per share
   ("Series A Preferred Stock");



· DP exchanged 948,395 shares of the Company's Common Stock held by it for


   948.3950 shares of Series A Preferred Stock;



· OrbiMed PI IV exchanged 2,795,886 shares of the Company's Common Stock held by


   it for 2,795.8860 shares of Series A Preferred Stock; and



· OrbiMed RO II exchanged 1,105,114 shares of the Company's Common Stock held by


   it for 1,105.1140 shares of Series A Preferred Stock (collectively with the
   exchanges by DPD III, DPD IV and OrbiMed PI IV, the "Exchanges").



Series A Certificate of Designations

In connection with the issuance of Series A Preferred Stock pursuant to the Exchanges, on August 23, 2021, the Company filed a Certificate of Designation of Preferences, Rights and Limitations of the Series A Common Equivalent Preferred Stock, par value $0.001 per share, of the Company (the "Series A Certificate of Designation") with the Secretary of State of the State of Delaware.

The Series A Preferred Stock ranks senior to the Common Stock with respect to rights on the distribution of assets on any voluntary or involuntary liquidation, dissolution or winding up of the affairs of the Company, having a liquidation preference equal to its par value of $0.001 per share. The Series A Preferred Stock will participate equally and ratably on an as-converted basis with the holders of Common Stock in all cash dividends paid on the Common Stock. The Series A Preferred Stock is non-voting.

The holder thereof may convert each share of Series A Preferred Stock into 1,000 shares of Common Stock (subject to certain anti-dilution adjustments) at its election, except to the extent that, following such conversion, the number of shares of Common Stock held by such holder, its affiliates and any other persons whose beneficial ownership of Common Stock would be aggregated with such holder's for purposes of Section 13(d) of the Securities Exchange Act of 1934, as amended, including shares held by any "group" (as defined in Section 13(d) of the Exchange Act and applicable regulations of the Securities and Exchange Commission) of which such holder is a member, but excluding shares beneficially owned by virtue of the ownership of securities or rights to acquire securities that have limitations on the right to convert, exercise or purchase similar to the limitation set forth in the Series A Certificate of Designation, exceeds 4.9% (or, at the election of a holder that is neither a Deerfield Fund nor an affiliate of a Deerfield Fund, made by delivering at least 61 days advance written notice to the Company of its intention to increase the beneficial ownership cap applicable to such Holder, 9.9%) of the total number of shares of Common Stock then issued and outstanding.

The foregoing summary of the Series A Certificate of Designation is qualified in its entirety by the full text thereof, which is filed as Exhibit 3.1 hereto and incorporated herein by reference.

The foregoing summary of the Exchange Agreements is qualified in its entirety by the full text thereof, which are filed as Exhibit 10.1 and Exhibit 10.2 hereto and incorporated herein by reference.

Item 3.02 Unregistered Sale of Equity Securities.

The Series A Preferred Stock issued pursuant to the Exchange Agreements, as described in Item 1.01 of this report, which description is incorporated by reference into this Item 3.02, consists of unregistered shares of Series A Preferred Stock.

The Company did not receive any cash proceeds as a result of the Exchanges, and the shares of Common Stock exchanged in the Exchanges have been retired and cancelled. The issuance of shares of Series A Preferred Stock was made by the Company pursuant to the exemption from the registration requirements of the Securities Act of 1933, as amended, contained in Section 3(a)(9) of such act on the basis that these offers constituted an exchange with existing holders of the Company's securities, and no commission or other remuneration was paid to any party for soliciting such Exchanges.

Item 9.01 Financial Statements and Exhibits.






(d) Exhibits.


Exhibit
Number    Description

3.1         Certificate of Designation of Preferences, Rights and Limitations of
          the Series A Common Equivalent Preferred Stock, par value $0.001 per
          share, of the Company.
10.1        Exchange Agreement, dated as of August 23, 2021, by and among the
          Company, Deerfield Private Design Fund III, L.P. and Deerfield Partners,
          L.P.
10.2        Exchange Agreement, dated as of August 23, 2021, by and among the
          Company, OrbiMed Private Investments IV, LP and OrbiMed Royalty
          Opportunities II, LP.
104       Cover Page Interactive Data File (embedded within the Inline XBRL
          document).

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