You should read the following discussion and analysis of our financial condition
and results of operations together with our consolidated financial statements
and related notes included elsewhere in this Annual Report on Form 10-K. Some of
the information contained in this discussion and analysis or set forth elsewhere
in this Annual Report on Form 10-K, including information with respect to our
plans and strategy for our business and related financing includes
forward-looking statements that involve risks and uncertainties. Many factors,
including those factors set forth in the "Risk Factors" section of this Annual
Report on Form 10-K, may materially and adversely affect our actual results,
which may differ materially from the results described in or implied by the
forward-looking statements contained in the following discussion and analysis.

Overview



We are a clinical-stage biotechnology company dedicated to improving the lives
of patients, caregivers, and families affected by rare and common
neurodegenerative diseases by pursuing the development of disease-modifying
therapeutics to restore the vigilance of microglia. Microglia are the sentinel
immune cells of the brain and play a critical role in maintaining central
nervous system (CNS) health and responding to damage caused by disease.
Leveraging recent research implicating microglial dysfunction in
neurodegenerative diseases, we utilize a precision medicine approach to develop
a pipeline of therapeutic candidates, initially addressing genetically defined
patient subpopulations, that we believe will activate and restore microglial
function. Our first therapeutic candidates are designed to activate Triggering
Receptor Expressed on Myeloid Cells 2 (TREM2), a key microglial receptor protein
that mediates responses to environmental signals in order to maintain brain
health and whose dysfunction is linked to neurodegeneration. We have two main
programs that are designed to target TREM2. Our lead product candidate, VGL101,
is a fully human monoclonal antibody (mAb) TREM2 agonist (or activator) that is
currently being studied in a Phase 2 proof-of-concept trial in patients with
adult-onset leukoencephalopathy with axonal spheroids and pigmented glia (ALSP),
a rare and fatal neurodegenerative disease. Our second program is focused on
small molecule TREM2 agonists and is currently in investigational new drug (IND)
enabling studies. We plan to develop our small molecule TREM2 agonist candidates
for more common neurodegenerative diseases associated with microglial
dysfunction, with an initial focus on Alzheimer's disease (AD) in genetically
defined subpopulations.

We believe that each of the therapeutic candidates in our pipeline has the
potential to be developed for multiple neurodegenerative diseases. Our precision
medicine approach begins with rare, genetically defined diseases for which
microglial dysfunction is believed to be a key driver of disease pathology and
then utilizes findings from these efforts to inform expansion into larger and
more common neurodegenerative diseases. We believe our strategy has the
potential to mitigate downstream translational risk as we seek to advance our
programs through early development and into the clinic. We believe this
iterative, sequential approach is a key differentiator, potentially allowing us
to generate clinical proof-of-concept (PoC) efficiently and leverage our initial
development programs as well as research by others, in pursuing additional
neurodegenerative disease opportunities.

Recent Developments



Since our inception, we have devoted substantially all of our efforts to
organizing and staffing our company, research and development activities,
business planning, raising capital, building our intellectual property portfolio
and providing general and administrative support for these operations. To date,
we have funded our operations primarily through proceeds from our initial public
offering (IPO) of our common stock, the sale of shares of our convertible
preferred stock and a Simple Agreement for Future Equity, or SAFE. As of
December 31, 2022, we had $186.6 million of cash and cash equivalents. As of
December 31, 2022, we raised aggregate gross proceeds of $313.0 million from the
sale of equity securities as follows:


During the period from June 22, 2020 (inception) to December 31, 2021, we raised
$5.0 million gross proceeds from the SAFE which was subsequently converted to
1,963,093 shares of Series A convertible preferred stock, $45.0 million gross
proceeds from the issuance of 17,667,840 shares of Series A convertible
preferred stock at a purchase price of $2.547 per share, and $90.0 million gross
proceeds from the issuance of 25,657,096 shares of Series B convertible
preferred stock at $3.5078 per share. Costs associated with these issuances were
approximately $0.6 million.


During the twelve months ended December 31, 2022, we completed the IPO of our
common stock, in which we issued an aggregate of 7,000,000 shares of common
stock at a price of $14.00 per share, for gross cash proceeds of $98.0 million,
before underwriting discounts and commissions. We received approximately $88.0
million in net proceeds, after deducting underwriting discounts, commissions and
offering expenses. We also completed a private placement in which we issued
7,293,084 shares of common stock at a price of $7.30 per share and 2,980,889
pre-funded warrants at a purchase price of $7.2999, for gross proceeds of $75.0
million, before deducting fees to the placement agent and other offering
expenses. Based on our current operating plan, we believe that our existing cash
and cash equivalents will be sufficient to fund our planned operating expenses
and capital expenditure requirements into the first quarter of 2025.

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We have incurred significant operating losses since the commencement of our
operations. Our ability to generate product revenue sufficient to achieve
profitability will depend heavily on the successful development and eventual
commercialization of one or more of our current therapeutic candidates or any
future therapeutic candidates. Our accumulated deficit was $71.8 million at
December 31, 2021 and $140.1 million at December 31, 2022, respectively. We
expect to continue to incur significant losses for the foreseeable future as we
advance our current and future therapeutic candidates through preclinical and
clinical development, continue to build our operations and transition to
operating as a public company.

Our net losses may fluctuate significantly from period to period, depending on
the timing of expenditures on our research and development activities. Our
primary use of cash is to fund operating expenses, which consist primarily of
research and development and general and administrative expenses. The timing of
payment of these expenses has an effect on cash used to fund operating expenses,
as reflected in the change in our outstanding accounts payable and accrued
expenses.

We expect to continue to incur net operating losses for at least the next
several years, and we expect our research and development expenses, general and
administrative expenses, and capital expenditures will continue to increase. We
expect our expenses and capital requirements will increase significantly in
connection with our ongoing activities as we:

continue our ongoing and planned research and development of our VGL101 and small molecule TREM2 agonist program;

initiate preclinical studies and clinical trials for any additional therapeutic candidates that we may pursue in the future;


expand our product pipeline based on TREM2 and other microglia targets across
multiple therapeutic modalities, through internal discovery and development, or
through strategic collaborations or alliances with academic organizations,
pharmaceutical or biotechnology companies;

seek regulatory approvals for any therapeutic candidates that successfully complete clinical trials;

invest in capital equipment in order to expand our research and development activities;

attract, hire and retain additional clinical, scientific, quality control, and manufacturing management and administrative personnel;

add clinical, operational, financial and management information systems and personnel, including personnel to support our product development;

develop, maintain, expand, protect and enforce our intellectual property portfolio, including patents, trade secrets and know-how;

acquire or in-license other therapeutic candidates and technologies;

expand our operations in the United States and to other geographies;

incur additional legal, accounting, investor relations and other general and administrative expenses associated with operating as a public company; and


establish a sales, marketing and distribution infrastructure, either ourselves
or in partnership with others, to commercialize any therapeutic candidates, if
approved.

We will not generate revenue from product sales unless and until we successfully
complete clinical development and obtain regulatory approval for one or more of
our therapeutic candidates. If we obtain regulatory approval for any of our
therapeutic candidates, we expect to incur significant expenses related to
product sales, marketing and distribution to the extent that such sales,
marketing and distribution are not the responsibility of potential
collaborators. We may also require additional capital to pursue in-licenses or
acquisitions of other drug candidates. Further, we expect to incur additional
costs associated with operating as a public company.

We also expect to increase the size of our administrative function to support
the growth of our business. Our net losses may fluctuate significantly from
quarter-to-quarter and year-to-year, depending on the timing of our clinical
trials and our expenses related to other research and development activities.

As a result, we will require substantial additional funding to develop our
therapeutic candidates and support our continuing operations. Until such time
that we can generate significant revenue from product sales or other sources, we
expect to finance our operations through the sale of equity, debt financings or
other capital sources, which could include proceeds

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from potential collaborations, strategic partnerships or marketing,
distribution, licensing or other strategic arrangements with third parties. We
may be unable to raise additional funds or to enter into such agreements or
arrangements on favorable terms, or at all. Our ability to raise additional
funds may be adversely impacted by potential worsening global economic
conditions and the recent disruptions to, and volatility in, the credit and
financial markets in the United States and worldwide resulting from the ongoing
COVID-19 pandemic, the Russia/Ukraine military conflict and otherwise. If we
fail to raise capital or enter into such agreements as, and when, needed, we may
have to significantly delay, scale back or discontinue the development or
commercialization of our therapeutic candidates or grant rights to develop and
market therapeutic candidates that we would otherwise prefer to develop and
market ourselves.

Our failure to obtain sufficient funds with acceptable terms could have a
material adverse effect on our business, results of operations or financial
condition, including requiring us to have to delay, reduce or eliminate our
product development or future commercialization efforts. Because of the numerous
risks and uncertainties associated with pharmaceutical product development, we
are unable to accurately predict the amount of increased expenses or timing, or
if we will be able to achieve or maintain profitability. If we fail to become
profitable or are unable to sustain profitability on a continuing basis, then we
may be unable to continue our operations at planned levels and be forced to
reduce or terminate our operations. We cannot provide assurance that we will
ever be profitable or generate positive cash flow from operating activities. We
will not generate revenue from product sales unless and until we successfully
complete clinical development and obtain regulatory approval for one or more of
our therapeutic candidates. If we obtain regulatory approval for any of our
therapeutic candidates, we expect to incur significant expenses related to
product sales, marketing and distribution to the extent that such sales,
marketing and distribution are not the responsibility of potential
collaborators. We may also require additional capital to pursue in-licenses or
acquisitions of other drug candidates. Further, we expect to incur additional
costs associated with operating as a public company.

Impact of COVID-19 on Our Operations



We are subject to a number of risks associated with the COVID-19 global
pandemic, including potential delays associated with our ongoing preclinical
studies and clinical trials. Site initiation, patient enrollment and patient
follow-up visits may be delayed, for example, due to prioritization of hospital
resources toward the COVID-19 outbreak, travel restrictions, the inability to
access sites for initiation and monitoring, and difficulties recruiting or
retaining patients in our planned clinical trials. COVID-19 may have an adverse
impact on our operations, supply chains and distribution systems or those of our
third-party vendors and collaborators, and increase expenses, including as a
result of impacts associated with preventive and precautionary measures that are
being taken, such as restrictions on travel and border crossings, quarantine
polices and social distancing. We and our third-party vendors and collaborators
may experience disruptions in supply of items that are essential for our
research and development activities. The emergence of additional variants, as
well as reduced efficacy of vaccines over time and the possibility that a large
number of people decline to get vaccinated or receive booster shots, creates
inherent uncertainty as to the future of our business, our industry and the
economy in general in light of the pandemic. We cannot at this time predict the
specific extent, duration, or full impact that the COVID-19 outbreak will have
on our financial condition and operations. If we do not successfully
commercialize any of our therapeutic candidates, we will be unable to generate
product revenue or achieve profitability.

Exclusive License Agreement with Amgen Inc.



In July 2020, we entered into an exclusive license agreement, or the Amgen
Agreement, with Amgen Inc., or Amgen, pursuant to which we have been granted an
exclusive, royalty-bearing license to certain intellectual property rights owned
or controlled by Amgen, to commercially develop, manufacture, use, distribute
and sell therapeutic products containing compounds that bind to TREM2. In
addition, we are required to reimburse Amgen for amounts it paid to its contract
manufacturers on our behalf. See "Business Section-Exclusive License Agreement
with Amgen Inc." and Note 12 to the consolidated financial statements appearing
elsewhere in this Annual Report on Form 10-K for more information on the Amgen
Agreement.

As initial consideration for the license, we paid an upfront payment of $0.5
million and also recognized an obligation to issue shares of Series A
convertible preferred stock with an antidilution provision, or the Related Party
Antidilution Obligation. As additional consideration for the license, we are
required to pay Amgen up to $80.0 million in the aggregate upon the achievement
of specified regulatory milestones for the first mAb TREM2 agonist product and
the first small molecule TREM2 agonist product and aggregate milestone payments
of up to $350.0 million upon the achievement of specific commercial milestones
across all mAb products and small molecule products. No regulatory or commercial
milestones have been achieved to date under the Amgen Agreement. We are also
required to pay tiered royalties of low to mid single-digit percentages on
annual net sales of the products covered by the license. In the event that the
exploitation of a product is not covered by a valid

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claim within the licensed patent rights, then the royalty rate with respect to
the net sales shall be subject to a customary reduction by a certain percentage.
The royalty term will terminate on a country-by-country basis on the later of
(i) the expiration date of the last valid claim within the licensed patent
rights and (ii) the tenth (10th) anniversary of the first commercial sale of
such product in such country.

In connection with the license agreement, Amgen entered into certain stockholder
agreements related to this investment. See "Certain Relationships and Related
Party Transactions-Series A Preferred Stock Financings."

Components of Our Results of Operations

Operating Expenses

Our operating expenses since inception have consisted solely of research and development expenses and general and administrative expenses.

Research and Development



Research and development expenses consist of costs incurred for our research
activities, including our discovery efforts and the development of our programs.
These expenses include:

employee related expenses, including salaries, related benefits, and stock-based compensation expense for employees engaged in research and development functions;

expenses incurred in connection with the manufacturing and clinical development of our VGL101 program;

expenses incurred in connection with the discovery and preclinical development of our small molecule TREM2 agonist program;


expenses incurred under agreements with third parties, such as consultants,
clinical investigators, contractors and contract research organizations, or
CROs, that assist with (i) the non-clinical and clinical studies of VGL101 and
(ii) identification of additional potential therapeutic candidates in our small
molecule TREM2 agonist program;


the cost of developing and scaling our manufacturing process and manufacturing
therapeutic candidates for use in our research and preclinical studies,
including under agreements with third parties, such as consultants, contractors,
and contract manufacturing organizations, or CMOs; and

other expenses incurred as a result of research and development activities.



Research and development expenses account for a significant portion of our
operating expenses. We expense research and development costs as incurred.
Nonrefundable advance payments for goods and services that will be used in
future research and development activities are expensed when the activity has
been performed or when the goods have been received rather than when the payment
is made. When third-party service providers' billing terms do not coincide with
our period-end, we are required to make estimates of our obligations to those
third parties incurred in a given accounting period and record accruals at the
end of the period. We base these estimates on our knowledge of the research and
development programs, services performed for the period, past history for
related activities and the expected duration of the third-party service
contract, where applicable. If timelines or contracts are modified based upon
changes in the scope of work to be performed, we modify our estimates of accrued
expenses accordingly on a prospective basis. Actual results could differ from
our estimates.

Our direct research and development expenses are tracked on a program-by-program
basis and consist primarily of external costs, such as fees paid to CROs, CMOs,
central laboratories and outside consultants in connection with our research and
discovery, preclinical development, process development, manufacturing, clinical
development, regulatory and quality activities. We do not allocate employee
costs or facility expenses, including depreciation or other indirect costs, to
specific programs because these costs are deployed across multiple programs. Our
internal resources conduct our research and discovery activities and manage our
preclinical development and process development, manufacturing and clinical
development activities.

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The table below summarizes our research and development expenses incurred by
program:

                                                                  December 31,       December 31,
                                                                      2022               2021
                                                                         ($

in thousands) Direct, external research and development expenses by program: VGL101

$       17,343     $       15,407
Small molecule TREM2                                                     12,475              5,545
Unallocated research and development expenses:
External costs and other                                                  3,668              3,787
Facilities, personnel-related, and other                                 13,958              7,591
Total research and development expenses                          $       

47,444 $ 32,330





Research and development activities are central to our business model.
Therapeutic candidates in later stages of clinical development generally have
higher development costs than those in earlier stages, primarily due to the
increased size and duration of later-stage clinical trials. As a result, we
expect that our research and development expenses will increase over the next
several years as we expect to (i) advance VGL101 and our small molecule TREM2
agonist programs' initial clinical trials, (ii) develop VGL101 for other
indications, including other rare leukodystrophies, and leukoencephalopathies,
and (iii) expand our modality agnostic product pipeline to other microglia
targets beyond TREM2.

The successful development and commercialization of our therapeutic candidates
is highly uncertain. At this time, we cannot reasonably estimate or know the
nature, timing and costs of the efforts that will be necessary to complete the
preclinical and clinical development of any of our therapeutic candidates. This
uncertainty is due to the numerous risks and uncertainties associated with
product development and commercialization, including the uncertainty of:

the timing, design and successful completion of preclinical studies and clinical development activities;

the sufficiency of our financial and other resources to complete the necessary preclinical studies and clinical trials;


effective INDs or comparable foreign applications that allow commencement of our
planned clinical trials or future clinical trials for any therapeutic candidates
we may develop;


successful enrollment and completion of clinical trials, including under the
FDA's Good Clinical Practices, Good Laboratory Practices, and any additional
regulatory requirements from foreign regulatory authorities;

positive results from our future clinical trials that support a finding of safety and effectiveness and an acceptable risk-benefit profile in the intended populations;

the receipt of regulatory marketing approvals from applicable regulatory authorities;

the establishment of arrangements with third-party manufacturers for clinical supply and, where applicable, commercial manufacturing capabilities;

the establishment, maintenance, defense and enforcement of patent, trademark, trade secret and other intellectual property protection or regulatory exclusivity for any therapeutic candidates we may develop;

patient recruitment and enrollment;

commercial launch of any therapeutic candidates we may develop, if approved, whether alone or in collaboration with others;

acceptance of the benefits and use of our therapeutic candidates we may develop, including method of administration, if and when approved, by patients, the medical community and third-party payors;

our ability to compete effectively with other therapies and treatment options;

maintenance of a continued acceptable safety, tolerability and efficacy profile of any therapeutic candidates we may develop following approval;

establishment and maintenance of healthcare coverage and adequate reimbursement by payors;

our ability to establish new licensing or collaboration arrangements;

the performance of our future collaborators, if any;


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development and timely delivery of commercial-grade drug formulations that can be used in our planned clinical trials and, if approved, for commercial launch;

obtaining, maintaining, defending and enforcing patent claims and other intellectual property rights;

launching commercial sales of our therapeutic candidates, if approved, whether alone or in collaboration with others; and

maintaining a continued acceptable safety profile of the therapeutic candidates following approval.



Any changes in the outcome of any of these variables with respect to the
development of our therapeutic candidates in preclinical and clinical
development could mean a significant change in the costs and timing associated
with the development of these therapeutic candidates. For example, if the FDA or
another regulatory authority were to delay our planned start of clinical trials
or require us to conduct clinical trials or other testing beyond those that we
currently expect, or if we experience significant delays in enrollment in any of
our planned clinical trials, we could be required to expend significant
additional financial resources and time to complete clinical development of that
therapeutic candidate. We may never obtain regulatory approval for any of our
therapeutic candidates, and, even if we do, drug commercialization takes several
years and millions of dollars in development costs.

General and Administrative



General and administrative expenses consist primarily of personnel expenses,
including salaries, benefits and stock-based compensation expense, for personnel
in executive, accounting, business development, legal, human resources and
administrative functions. General and administrative expenses also include
corporate facility costs not otherwise included in research and development
expenses, depreciation and other expenses, which include direct or allocated
expenses for rent and maintenance of facilities and insurance, not otherwise
included in research and development expenses, as well as professional fees for
legal, consulting, investor and public relations, accounting and audit services.

We expect that our general and administrative expenses will increase in the
foreseeable future as we increase our headcount to support the continued
research and development of our programs and the growth of our business. We also
anticipate continuing to incur expenses associated with operating as a public
company, including increased expenses related to audit, legal, regulatory,
compliance, director and officer insurance, investor and public relations and
tax-related services associated with maintaining compliance with the rules and
regulations of the Securities and Exchange Commission, or SEC, and standards
applicable to companies listed on a national securities exchange, additional
insurance expenses, investor relations activities and other administrative and
professional services.

Other Income (Expense)

Change in Fair Value of Related Party Antidilution Obligation



Pursuant to the Amgen Agreement, we agreed to issue Amgen equity in an amount
equal to 25% of our capital stock on a fully diluted basis until such time as we
have raised an aggregate of $45.0 million in net cash proceeds from financing
activities relating to dilutive transactions including the Related Party
Antidilution Obligation. In September 2020, we completed the first closing
pursuant to the Series A Convertible Preferred Stock Purchase Agreement, and as
a result issued Amgen 6,928,566 shares of Series A convertible preferred stock
such that Amgen's ownership represented 25% of the post-closing capitalization
on a fully diluted basis. The Related Party Antidilution Obligation was
separately exercisable from the Amgen Agreement and was classified as a
liability and recorded at fair value in the consolidated balance sheet with a
corresponding charge to research and development at inception of the license
agreement in July of 2020. The Related Party Antidilution Obligation was
remeasured at fair value at each reporting period, with changes in fair value
recorded in change in fair value of Related Party Antidilution Obligation in the
consolidated statement of operations and comprehensive loss. In September 2020,
the Related Party Antidilution Obligation was partially settled through the
issuance of 6,928,566 shares of Series A convertible preferred stock with a fair
value of $17.5 million. In May 2021, we settled the remaining Related Party
Antidilution Obligation in full with the second closing pursuant to the Series A
Convertible Preferred Stock Purchase Agreement. Amgen received an additional
1,963,093 shares of Series A convertible preferred stock with a fair value of
$5.1 million.

Change in Fair Value of Series A Preferred Stock Tranche Obligation



In September 2020, we entered into the Series A Convertible Preferred Stock
Purchase Agreement and issued 9,815,467 shares of Series A convertible preferred
stock at a purchase price of $2.547 per share, for gross cash proceeds of $25.0
million. As part of the September 2020 Series A Convertible Preferred Stock
Purchase Agreement, the investors were contingently

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obligated to purchase 7,852,373 additional shares of Series A convertible
preferred stock at $2.547 per share upon the satisfaction of specified research
and development milestones, collectively, the Series A Preferred Stock Tranche
Obligation. The Series A Preferred Stock Tranche Obligation was legally
detachable and separately exercisable from the Series A convertible preferred
stock. As such, we allocated the proceeds from the September 2020 issuance
between the Series A Preferred Stock Tranche Obligation and the Series A
convertible preferred stock. As the Series A convertible preferred stock is
redeemable upon a deemed liquidation event at the election of the holder
controlled Board, and therefore outside of the control of our company, the
Series A Preferred Stock Tranche Obligation was classified as a liability and
recorded at its fair value. The Series A Preferred Stock Tranche Obligation was
remeasured at fair value at each reporting period until its settlement in May
2021, with changes in fair value recorded in change in fair value of Series A
Preferred Stock Tranche Obligation in the consolidated statement of operations
and comprehensive loss.

Interest Income, net

Interest income primarily consists of interest earned from our cash and cash
equivalents. We expect our interest income will increase slightly as we invest
the cash received from net proceeds from our IPO and our August 2022 private
placement of our common stock.

Other Expense, net

Other expense, net primarily consists of gains and losses from the remeasurement of foreign currency transactions into our functional currency.

Income Taxes



Since our inception, we have not recorded any income tax benefits for the net
losses we have incurred in each year or for our research and development tax
credits, as we believe, based upon the weight of available evidence, that it is
more likely than not that all of our net operating loss, or NOL, carryforwards
and tax credits will be realized. As of December 31, 2022, we had federal NOL
carryforwards of approximately $68.4 million and state NOL carryforwards of
approximately $67.7 million which may be available to offset future taxable
income and begin to expire in 2040. The total federal NOL of $68.4 million are
not subject to expiration. As of December 31, 2022, we also had federal and
state tax research and development credit carryforwards of approximately $3.9
million and $1.2 million, respectively, to offset future tax liabilities, which
begin to expire in 2040. We have recorded a full valuation allowance against our
net deferred tax assets at December 31, 2022. As of December 31, 2022, we had no
unrecognized tax benefits.

Results of Operations

Year Ended December 31, 2022 Compared with Year Ended December 31, 2021

The following table summarizes our results of operations for the year ended December 31, 2022 compared with year ended December 31, 2021:



                                                       December 31,       December 31,
                                                           2022               2021           Change
                                                                     ($ in thousands)
Operating expenses:
Research and development                              $       47,444     $       32,330     $  15,114
General and administrative                                    21,440             10,079        11,361
Total operating expenses                                      68,884             42,409        26,475
Loss from operations                                         (68,884 )          (42,409 )     (26,475 )
Other income (expense):
Change in fair value of the related party
antidilution obligation                                            -               (836 )         836
Change in fair value of Series A preferred stock
tranche obligation                                                 -                (28 )          28
Interest income, net                                             623                  3           620
Other expense, net                                               (44 )              (13 )         (31 )
Total other expense, net                                         579               (874 )       1,453
Net loss and comprehensive loss                       $      (68,305 )   $      (43,283 )   $ (25,022 )




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Research and Development Expenses



Research and development expenses were $47.4 million for the year ended December
31, 2022, as compared to $32.3 million for the year ended December 31, 2021. The
increase of $15.1 million consisted primarily of the following:

$6.9 million of small molecule TREM2 agonist program expenses, which is primarily driven by $5.0 million of increased preclinical costs and $1.8 million in manufacturing related costs; and

$6.3 million of facilities, personnel-related and other expenses, of which $5.7
million related to personnel-related costs, including salaries, bonuses, and
other compensation-related costs, including stock-based compensation of $1.5
million; and

$1.9 million of VGL101 program expenses, which is primarily driven by $6.5
million of clinical trial related expenses, $1.1 million in other research and
development activity including consulting, lab, and patient advocacy related
costs. These expenses are partially offset by $2.9 million decrease in VGL101
preclinical costs and $2.8 million decrease in external manufacturing expenses
due to timing of manufacturing runs of
VGL101.

General and Administrative Expenses

General and administrative expenses were $21.4 million for the year ended December 31, 2022, as compared to $10.1 million for the year ended December 31, 2021. The increase of $11.4 million consisted primarily of the following:

$5.4 million of personnel-related costs, including salaries, bonuses, and other compensation-related costs, including stock-based compensation of $1.9 million;

$3.9 million other headcount related expenses and costs associated with operating as a public company, including $2.1 million related to business insurance and $1.2 million related to facilities expenses; and

$2.1 million of professional fees, including legal, accounting and other expenses.

Change in Fair Value of Related Party Antidilution Obligation

The change in fair value of Related Party Antidilution Obligation was $0.8 million for the year ended December 31, 2021. This change in fair value was related to the re-measurement to fair value of the Related Party Antidilution Obligation associated with the Amgen Agreement. This instrument was fully settled in May 2021.

Change in Fair Value of Series A Preferred Stock Tranche Obligation



The change in fair value of Series A Preferred Stock Tranche Obligation was $28
thousand for the year ended December 31, 2021. This increase fair value related
to the remeasurement to fair value of the Series A Preferred Stock Tranche
Obligation associated with the Series A Convertible Preferred Stock Purchase
Agreement. In May 2021, we settled the Series A Tranche Obligation with the
issuance of 7,852,373 shares of our Series A Convertible Preferred Stock.

Liquidity and Capital Resources

Sources of Liquidity



Since our inception, we have not generated any revenue from product sales and
have incurred significant operating losses and negative cash flows from our
operations. We expect to incur significant expenses and operating losses for the
foreseeable future as we advance the clinical development of our therapeutic
candidates. Since our inception through December 31, 2022, we have funded our
operations primarily with net proceeds from sales of our convertible preferred
stock and common stock totaling gross proceeds of approximately $313.0 million.
As of December 31, 2022, we had cash and cash equivalents of $186.6 million.

In January 2022, we completed the initial public offering of our common stock,
in which we issued an aggregate of 7,000,000 shares of common stock, at a price
of $14.00 per share, for gross cash proceeds of $98.0 million, before
underwriting discounts and commissions. We received approximately $88.0 million
in net proceeds, after deducting underwriting discounts, commissions and
offering expenses.

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In August 2022, we also completed a private placement in which we issued
7,293,084 shares of common stock at a price of $7.30 per share and 2,980,889
pre-funded warrants at a purchase price of $7.2999, for gross proceeds of $75.0
million, before deducting fees to the placement agent and other offering
expenses. We received net proceeds of $71.3 million.

Based on our current operating plan, we expect our current cash and cash equivalents will be sufficient to fund our planned operating expenses and capital expenditure into the first quarter of 2025.

Cash Flows



The following table summarizes our sources and uses of cash for each of the
periods presented:

                                                              December 31,       December 31,
                                                                  2022               2021
                                                                     ($ in thousands)
Net cash used in operating activities                        $      (65,149 )   $      (39,347 )
Net cash used by investing activities                                  (921 )             (204 )
Net cash provided by financing activities                           161,255            107,747

Net increase in cash, cash equivalents and restricted cash $ 95,185

$       68,196




Operating Activities

During the year ended December 31, 2022, operating activities consisted
primarily of our net loss of $68.3 million and $3.3 million of changes in
operating assets and liabilities, partially offset by $5.5 million stock-based
compensation expense and $0.9 million change in operating lease expenses. The
net loss primarily consisted of $47.4 million of research and development
expenses, $21.4 million of general and administrative expenses partially offset
by $0.6 million in interest income, net.

During the year ended December 31, 2021, operating activities consisted
primarily of our net loss of $43.3 million, partially offset by (i) $0.6 million
of changes in operating assets and liabilities, (ii) $0.8 million change in
Related Party Antidilution Obligation, (iii) $2.1 million stock-based
compensation expense, and (iv) $0.3 million change in operating lease expenses.
The net loss primarily consisted of $32.3 million of research and development
expenses, $10.1 million of general and administrative expenses and a $0.8
million unfavorable change in fair value of Related Party Antidilution
Obligation.

Investing Activities

During the year ended December 31, 2022, net cash used for investing activities consisted of $0.9 million of capital expenditures.

During the year ended December 31, 2021, net cash used for investing activities consisted of $0.2 million of capital expenditures.

Financing Activities



During the year ended December 31, 2022, net cash provided from financing
activities consisted primarily of $89.9 million in net proceeds from our initial
public offering, $50.6 million in net proceeds from the August 2022 private
placement of our common stock, $20.7 million in net proceeds from the issuance
of pre-funded warrants, $0.2 million from the exercise of options. We also spent
$43 thousand in finance lease obligations.

During the year ended December 31, 2021, net cash provided by financing
activities consisted primarily of $20.0 million gross proceeds from the issuance
of 7,852,373 shares of Series A convertible preferred stock at a purchase price
of $2.547 per share, and $90.0 million gross proceeds from the issuance of
25,657,096 shares of Series B convertible preferred stock at $3.5078 per share,
offset by approximately $0.4 million of issuance costs.

Our primary uses of cash are to fund our research and development activities
related to our VGL101 and small molecule TREM2 agonist programs, hiring
personnel, raising capital and providing general and administrative support for
these operations.

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We currently have no ongoing material financing commitments that are expected to
affect our liquidity over the next five years, other than our lease obligations
and a $0.9 million standby letter of credit we entered into in September 2021,
in connection with a lease for laboratory and office space in Watertown,
Massachusetts. The standby letter of credit expires in December 2032. See
"Contractual Obligations and Commitments".

Funding Requirements



To date, we have not generated any revenue from product sales. We do not expect
to generate revenue from product sales unless and until we successfully complete
clinical development of, receive regulatory approval for, and commercialize,
VGL101, and we do not know when, or if at all, that will occur. We expect our
expenses and capital requirements to increase significantly in connection with
our ongoing activities, particularly as we continue the research and development
of and seek marketing approval for our VGL101 and small molecule TREM2 agonist
program. In addition, if we obtain regulatory approval for any of our
therapeutic candidates, we expect to incur significant expenses related to
product sales, marketing, and distribution to the extent that such sales,
marketing and distribution are not the responsibility of potential
collaborators. We may also require additional capital to pursue in-licenses or
acquisitions of other drug candidates. Further, we expect to incur additional
costs associated with operating as a public company. Accordingly, we will
require substantial additional funding to develop our therapeutic candidates and
support our continuing operations. If we are unable to raise capital when needed
or on attractive terms, we would be forced to delay, reduce or eliminate our
product development or future commercialization efforts.

Our future capital requirements will depend on many factors, including:


the initiation, scope, progress, timing, results and costs of product discovery,
preclinical studies and clinical trials for our therapeutic candidates or any
future candidates we may develop;

our ability to maintain our relationship with Amgen and any other key licensors or collaborators;

the scope, prioritization and number of our research and development programs;


the costs, timing and outcome of seeking and obtaining regulatory approvals from
the FDA and comparable foreign regulatory authorities, including the potential
for such authorities to require that we perform more preclinical studies or
clinical trials than those that we currently expect or change their requirements
on studies that had previously been agreed to;

our ability to establish and maintain collaborations on favorable terms, if at all;

the achievement of milestones or occurrence of other developments that trigger payments under any collaboration agreements we enter into;

the extent to which we are obligated to reimburse, or entitled to reimbursement of, clinical trial costs under collaboration agreements, if any;


the costs to establish, maintain, expand, enforce and defend the scope of our
intellectual property portfolio, including preparing, filing and prosecuting
patent applications, maintaining and enforcing our intellectual property rights
and defending intellectual property-related claims;

the extent to which we acquire or in-license other therapeutic candidates and technologies;

the costs of securing manufacturing arrangements for commercial production;

the costs of establishing or contracting for sales and marketing capabilities if we obtain regulatory approvals to market our therapeutic candidates; and

our need to implement additional internal systems and infrastructure, including financial and reporting systems.



Identifying potential therapeutic candidates and conducting preclinical studies
and clinical trials is a time-consuming, expensive and uncertain process that
takes years to complete, and we may never generate the necessary data or results
required to obtain regulatory approval and commercialize our therapeutic
candidates. In addition, our therapeutic candidates, if approved, may not
achieve commercial success. Our commercial revenues, if any, will be derived
from sales of products that we do not expect to be commercially available for
many years, if at all. Accordingly, we will need to continue to rely on
additional financing to achieve our business objectives. Adequate additional
financing may not be available to us on acceptable terms, or at all.

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Until such time, if ever, as we can generate significant revenue from product
sales or other sources, we expect to finance our operations through the sale of
equity, debt financings, or other capital sources, which could include proceeds
from potential collaborations, strategic partnerships or marketing,
distribution, licensing or other similar arrangements with third parties.
However, we may be unable to raise additional funds or enter into such
agreements or arrangements on favorable terms, or at all. Market volatility
resulting from the COVID-19 pandemic or other factors could also adversely
impact our ability to access capital as and when needed. To the extent that we
raise additional capital through the sale of equity or convertible debt
securities, your ownership interest will be diluted, and the terms of these
securities may include liquidation or other preferences that adversely affect
your rights as a common stockholder. Any future debt financing and preferred
equity financing, if available, may involve agreements that include covenants
limiting or restricting our ability to take specific actions, such as incurring
additional debt, selling or licensing our assets, making capital expenditures,
declaring dividends or encumbering our assets to secure future indebtedness.
Such restrictions could adversely impact our ability to conduct our operations
and execute our business plan.

If we raise funds through collaborations, strategic alliances or licensing
arrangements with third parties, we may have to relinquish valuable rights to
our technologies, future revenue streams, research programs or therapeutic
candidates or to grant licenses on terms that may not be favorable to us. If we
fail to raise capital or enter into such agreements as, and when, needed, we may
have to significantly delay, scale back or discontinue the development or
commercialization of our therapeutic candidates or grant rights to develop and
market therapeutic candidates that we would otherwise prefer to develop and
market ourselves. We expect our existing cash, and cash equivalents will enable
us to fund our operating expenses and capital expenditure requirements into the
first quarter of 2025 at which point we would need to obtain substantial
additional funding in connection with our continuing operations.

Contractual Obligations and Commitments



The following table summarizes our operating and finance lease commitments as of
December 31, 2022:

                                                Payments Due by Period
                                            Less                                 More
                                            than        1 - 3       3 - 5        than
Description                    Total       1 year       years       years       5 years
                                                   ($ in thousands)

Operating and finance leases $ 176 $ 176 $ - $ -


   $       -
Total                          $  176     $    176     $     -     $     -     $       -



In September 2021, we entered into a lease for laboratory and office space in
Watertown, Massachusetts with an initial term of ten years, and a five-year
renewal option at the end of the initial lease term. The monthly lease payment
is approximately $0.2 million with annual escalation of approximately 3%. The
lease includes a $3.7 million construction allowance. The Watertown lease
commenced in the first quarter of 2023 when the lease space was made available
for use, and as such, this lease is not included in the table above given the
commencement date. The minimum base rent payment ranges from $1.9 million
annually and increasing to $2.1 million annually over the next 5 years. From
year 6 through the term end date of the lease the rent payments are
approximately $11.4 million.

In November 2021, we entered into a statement of work with FUJIFILM for $3.8
million under our existing master services agreement for the manufacturing of
VGL101. If we terminate the statement of work before completion, we may be
required to pay fees ranging from 0% to 100%. The amount due upon an early
termination depends on the length of time prior to the commencement of specific
stages of the statement of work. As of December 31, 2022, no significant work
had begun. The statement of work is expected to be incurred over approximately 2
years.

Apart from the contracts with payment commitments noted above, we have entered
into contracts in the normal course of business with CROs, CMOs and other third
parties for preclinical research studies and testing, clinical trials and
manufacturing services. These contracts do not contain any minimum purchase
commitments and are cancelable by us upon prior notice and, as a result, are not
included in the table of contractual obligations and commitments above. Payments
due upon cancellation consist only of payments for services provided and
expenses incurred, including non-cancelable obligations of our service
providers, up to the date of cancellation.

We may in the future incur potential royalty payments under license and
collaboration agreements we have entered and will enter into with various
entities pursuant to which we have in-licensed certain intellectual property,
such as our exclusive license agreement with Amgen. Due to the uncertainty of
the achievement and timing of the events requiring payment under these
agreements, the amounts to be paid by us are not fixed or determinable at this
time.

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Critical Accounting Policies and Significant Judgements and Estimates



Our management's discussion and analysis of our financial condition and results
of operations are based on our financial statements, which have been prepared in
accordance with United States generally accepted accounting principles, or GAAP.
The preparation of our financial statements and related disclosures requires us
to make estimates and judgments that affect the reported amounts of assets,
liabilities, expenses, and the disclosure of our contingent liabilities in our
financial statements. We base our estimates on historical experience, known
trends and events and various other factors that we believe are reasonable under
the circumstances, the results of which form the basis for making judgments
about the carrying values of assets and liabilities that are not readily
apparent from other sources. We evaluate our estimates and assumptions on an
ongoing basis. Our actual results may differ from these estimates under
different assumptions or conditions.

While our significant accounting policies are described in more detail in Note 2
to our consolidated financial statements included elsewhere in this Annual
Report on Form 10-K, we believe that the following accounting policies are those
most critical to the judgments and estimates used in the preparation of our
audited financial statements.

Research and Development



As part of the process of preparing our consolidated financial statements, we
are required to estimate our accrued research and development expenses. This
process involves estimating the level of service performed and the associated
cost incurred for the service when we have not yet been invoiced or otherwise
notified of actual costs. The majority of our service providers invoice us in
arrears for services performed, on a pre-determined schedule or when contractual
milestones are met; however, some require advance payments. We make estimates of
our accrued expenses as of each balance sheet date in the consolidated financial
statements based on facts and circumstances known to us at that time. At each
period end, we corroborate the accuracy of these estimates with the service
providers and make adjustments, if necessary. Examples of estimated accrued
research and development expenses include those related to fees paid to:

vendors in connection with discovery and preclinical development activities;

CROs in connection with preclinical and clinical studies and testing; and

CMOs in connection with the process development and scale up activities and the production of materials.



We record the expense and accrual related to contract research and manufacturing
based on our estimates of the services received and efforts expended considering
a number of factors, including our knowledge of the progress towards completion
of the research, development, and manufacturing activities; invoicing to date
under contracts; communication from the CROs, CMOs, and other companies of any
actual costs incurred during the period that have not yet been invoiced; and the
costs included in the contracts and purchase orders. The financial terms of
these agreements are subject to negotiation, vary from contract to contract, and
may result in uneven payment flows. There may be instances in which payments
made to our vendors will exceed the level of services provided and result in a
prepayment of the expense. In accruing service fees, we estimate the time period
over which services will be performed and the level of effort to be expended in
each period. If the actual timing of the performance of services or the level of
effort varies from the estimate, we adjust the accrual or the amount of prepaid
expense accordingly. Although we do not expect our estimates to be materially
different from amounts actually incurred, our understanding of the status and
timing of services performed relative to the actual status and timing of
services performed may vary and may result in reporting amounts that are too
high or too low in any particular period. To date, there have not been any
material adjustments to our prior estimates of accrued research and development
expenses, however, there is no guarantee there will not be any such adjustments
in the future.

Stock Compensation

Prior to our IPO in January 2022, we had limited public market historical
information for our common stock. Prior to becoming a public company, the
estimated fair value of our common stock had been determined by our board of
directors as of the date of each option grant, with input from management,
considering our most recently available third-party valuations of common stock
and our board of directors' assessment of additional objective and subjective
factors that it believed were relevant and which may have changed from the date
of the most recent valuation through the date of the grant. These third-party
valuations were performed in accordance with the guidance outlined in the
American Institute of Certified Public Accountants' Accounting and Valuation
Guide, Valuation of Privately-Held-Company Equity Securities Issued as
Compensation.

Our common stock valuations were prepared using either an option pricing method, or OPM, or a hybrid method of OPM and probability-weighted expected return method, or PWERM. Both the OPM and hybrid method used market approaches to


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estimate our enterprise value. The OPM treats common stock and preferred stock
as call options on the total equity value of a company, with exercise prices
based on the value thresholds at which the allocation among the various holders
of a company's securities changes. Under this method, the common stock has value
only if the funds available for distribution to stockholders exceeded the value
of the preferred stock liquidation preferences at the time of the liquidity
event, such as a strategic sale or a merger.

The PWERM is a scenario-based methodology that estimates the fair value of
common stock based upon an analysis of future values for the company, assuming
various outcomes. The common stock value is based on the probability-weighted
present value of expected future investment returns considering each of the
possible outcomes available as well as the rights of each class of stock. The
future value of the common stock under each outcome is discounted back to the
valuation date at an appropriate risk-adjusted discount rate and probability
weighted to arrive at an indication of value for the common stock. A discount
for lack of marketability of the common stock is then applied to arrive at an
indication of value for the common stock.

The hybrid method is a hybrid between the PWERM and OPM, estimating the
probability-weighted value across multiple scenarios but using the OPM to
estimate the allocation of value within one or more of those scenarios. When
using the hybrid method, we assumed two scenarios: an IPO scenario and a sale
scenario. The IPO scenario estimated an equity value based on the guideline
public company method under a market approach. The guideline public companies
considered for this scenario consist of biopharmaceutical companies with
recently completed IPOs. We converted our estimated future value in an IPO to
present value using a risk-adjusted discount rate. The equity value for the sale
scenario was estimated using the price of a recently issued preferred security,
as well as a milestone-based tranche closing. We utilized an option pricing
model to quantify or attribute value to these economic rights of convertible
preferred stock as compared to the common stock, such as liquidation
preferences, dividend provisions, and participation rights after liquidation
preferences.

These third-party valuations were performed at various dates, which resulted in
valuations of our common stock of $1.89 as of September 18, 2020, $3.78 as of
May 1, 2021, $6.02 as of July 21, 2021, $9.57 as of October 14, 2021 and $11.79
as of November 19, 2021. In addition to considering the results of these
third-party valuations, our board of directors considered various objective and
subjective factors to determine the fair value of our common stock as of each
grant date, including:


the prices at which we sold shares of preferred stock and the superior rights
and preferences of the preferred stock relative to our common stock at the time
of each grant;

the progress of our research and development programs, including the status and results of preclinical studies for our therapeutic candidates;

our stage of development and our business strategy;

external market conditions affecting the biopharmaceutical industry and trends within the biopharmaceutical industry;

our financial position, including cash on hand, and our historical and forecasted performance and operating results;

the lack of an active public market for our common stock and our preferred stock;

significant changes to the key assumptions underlying the factors used could have resulted in different fair values of common stock at each valuation date;

the likelihood of achieving a liquidity event, such as an initial public offering, or IPO, or sale of our company in light of prevailing market conditions; and

the analysis of IPOs and the market performance of similar companies in the therapeutics industry.

The assumptions underlying these valuations represented management's best estimate, which involved inherent uncertainties and the application of management's judgment. As a result, if we had used significantly different assumptions or estimates, the fair value of our common stock and our stock-based compensation expense could have been materially different.



In the course of preparing for our IPO, in June 2021, we performed a
retrospective fair value assessment and concluded that (i) the fair value of our
common stock underlying restricted shares that we granted on July 8, 2020 was
$2.42 per share for accounting purposes and (ii) the fair value of our common
stock underlying stock options that we granted on November 19, 2020, November
23, 2020 and February 23, 2021 was $3.53 per share for accounting purposes.
These reassessed values were based, in part, upon third-party valuations of our
common stock prepared on a retrospective basis as of July 8, 2020 and September
18, 2020, respectively. The third-party retrospective valuations were prepared
using the OPM or the PWERM, both which used a market approach to determine our
enterprise value.

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In the course of preparing for our IPO, in September 2021, we performed a
retrospective fair value assessment and concluded that the fair value of our
common stock underlying stock options that we granted on September 1, 2021 was
$6.55 per share for accounting purposes. The reassessed value was based, in
part, upon a third-party valuation of our common stock prepared on a
retrospective basis as of September 1, 2021. The third-party retrospective
valuation was prepared using the hybrid method, which used a market approach to
determine our enterprise value.

In the course of preparing for our IPO, in November 2021, we performed a
retrospective fair value assessment and concluded that the fair value of our
common stock underlying stock options that we granted on November 4 and 16, 2021
was $11.79 per share for accounting purposes. The reassessed value was based, in
part, upon a third-party valuation of our common stock prepared on a
retrospective basis as of November 19, 2021. The third-party retrospective
valuation was prepared using the hybrid method, which used a market approach to
determine our enterprise value.

We applied the fair values of our common stock from our retrospective fair value
assessments performed in June 2021 and September 2021 to determine the fair
value of the July 2020, November 2020, February 2021 and September 2021 awards
as of each respective grant date and to calculate stock-based compensation
expense for accounting purposes for all applicable periods, from the date such
awards were granted.

As a public trading market for our common stock has been established it will no
longer be necessary for our board of directors to estimate the fair value of our
common stock in connection with our accounting for granted stock options and
other such awards we may grant, as the fair value of our common stock will be
determined based on the quoted market price of our common stock. Following the
close of our IPO in January 2022, the fair value of our common stock is
determined based on the closing price of our common stock as reported by Nasdaq
Global Select Market on the date of grant.

Valuation of Series A Preferred Stock Tranche Obligation and Related Party Antidilution Obligation



The Series A Preferred Stock Tranche Obligation was valued using a
probability-weighted present value model. The valuation model considered the
probability of closing the tranche, the estimated future value of the Series A
convertible preferred stock to be issued at each closing and the investment
required at each closing. Future values were converted to present value using a
discount rate appropriate for probability-adjusted cash flows. The Series A
Preferred Stock Tranche Obligation was settled in May 2021.

The Related Party Antidilution Obligation was valued using a
probability-weighted expected return method, which requires a variety of inputs,
including the probability of occurrence of events that would trigger the
issuance of additional shares, the expected timing of such events, the expected
value of the contingently issuable equity upon occurrence of a triggering event
and a discount rate. The fair value of the Related Party Antidilution Obligation
when it was settled in May 2021 was $5.1 million which was based on 1,963,093
shares of preferred stock issued at a price of $2.589 per share.

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Emerging Growth Company Status



The Jumpstart Our Business Startups Act of 2012, or JOBS, permits an "emerging
growth company" such as us to take advantage of an extended transition to comply
with new or revised accounting standards applicable to public companies until
those standards would otherwise apply to private companies. We have elected not
to "opt out" of such extended transition period, which means that when a
standard is issued or revised and it has different application dates for public
or private companies, we will adopt the new or revised standard at the time
private companies adopt the new or revised standard and will do so until such
time that we either (i) irrevocably elect to "opt out" of such extended
transition period or (ii) no longer qualify as an emerging growth company. There
are other exemptions and reduced reporting requirements provided by the JOBS Act
that we are currently evaluating. For example, as an "emerging growth company,"
we are exempt from Sections 14A(a) and (b) of the Securities Exchange Act of
1934, as amended, which would otherwise require us to (1) submit certain
executive compensation matters to shareholder advisory votes, such as
"say-on-pay," "say-on-frequency," and "golden parachutes;" and (2) disclose
certain executive compensation related items such as the correlation between
executive compensation and performance and comparisons of our chief executive
officer's compensation to our median employee compensation. We also intend to
rely on an exemption from the rule requiring us to provide an auditor's
attestation report on our internal controls over financial reporting pursuant to
Section 404(b) of the Sarbanes-Oxley Act. We will continue to remain an
"emerging growth company" until the earliest of the following: (1) the last day
of the fiscal year following the fifth anniversary of the date of the completion
of our IPO; (2) the last day of the fiscal year in which our total annual gross
revenue is equal to or more than $1.235 billion; (3) the date on which we have
issued more than $1 billion in nonconvertible debt during the previous three
years; or (4) the date on which we are deemed to be a large accelerated filer
under the rules of the SEC.

Recently Issued Accounting Pronouncements



A description of recently issued accounting pronouncements that may potentially
impact our financial position, results of operations and cash flows is disclosed
in Note 2 to our consolidated financial statements included elsewhere in this
Annual Report on Form 10-K.

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