SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 6-K
REPORT OF FOREIGN PRIVATE ISSUER
PURSUANT TO RULE 13a-16 OR 15d-16
UNDER THE SECURITIES EXCHANGE ACT OF 1934
For the month of November 2020
Alterity Therapeutics Limited
(Name of Registrant)
Level 3, 460 Bourke Street, Melbourne, VIC 3000, Australia
(Address of Principal Executive Office)
Indicate by check mark whether the registrant files or will file annual reports under cover of Form 20-F or Form 40-F.
Form 20-F ☒ Form 40-F ☐
Indicate by check mark if the registrant is submitting the Form 6-K in paper as permitted by Regulation S-T Rule 101(b)(1): __
Indicate by check mark if the registrant is submitting the Form 6-K in paper as permitted by Regulation S-T Rule 101(b)(7): __
Indicate by check mark whether by furnishing the information contained in this Form, the registrant is also thereby furnishing the information to the Commission pursuant to Rule 12g3-2(b) under the Securities Exchange Act of 1934.
Yes ☐ No ☒
If “Yes” is marked, indicate below the file number assigned to the registrant in connection with Rule 12g3-2(b): 82- _____
This Form 6-K is being incorporated by reference into our Registration Statement on Form S-8 (Files No. 333-248980 and 333-228671) and our Registration Statements on Form F-3 (Files No. 333-249311, 333-231417 and 333-250076).
Alterity Therapeutics Limited
6-K | Items | |
99.1 | Appendix 3G |
1
SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.
ALTERITY THERAPEUTICS LIMITED | ||
(Registrant) | ||
By: | /s/ Geoffrey Kempler | |
Geoffrey Kempler, | ||
Executive Chairman |
November 24, 2020
2
Exhibit 99.1
|
+Rule 3.10.3A, 3.10.3B, 3.10.3C |
Appendix 3G
Notification of issue, conversion or payment up of equity +securities
Information or documents not available now must be given to ASX as soon as available. Information and documents given to ASX become ASX’s property and may be made public.
If you are an entity incorporated outside Australia and you are issuing a new class of +securities other than CDIs, you will need to obtain and provide an International Securities Identification Number (ISIN) for that class. Further information on the requirement for the notification of an ISIN is available from the Create Online Forms page. ASX is unable to create the new ISIN for non-Australian issuers.
*Denotes minimum information required for first lodgement of this form, with exceptions provided in specific notes for certain questions. The balance of the information, where applicable, must be provided as soon as reasonably practicable by the entity.
Part 1 – Entity and announcement details
Question no |
Question | Answer |
1.1 |
*Name of entity We (the entity here named) give notice of the issue, conversion or payment up of the following unquoted +securities. |
Alterity Therapeutics Limited |
1.2 |
*Registration type and number Please supply your ABN, ARSN, ARBN, ACN or another registration type and number (if you supply another registration type, please specify both the type of registration and the registration number). |
ABN 37 080 699 065 |
1.3 | *ASX issuer code | ATH |
1.4 |
*This announcement is Tick whichever is applicable. |
☒ A new announcement ☐ An update/amendment to a previous announcement ☐ A cancellation of a previous announcement |
1.4a |
*Reason for update Mandatory only if “Update” ticked in Q1.4 above. A reason must be provided for an update. |
N/A |
1.4b |
*Date of previous announcement to this update Mandatory only if “Update” ticked in Q1.4 above. |
N/A |
1.4c |
*Reason for cancellation Mandatory only if “Cancellation” ticked in Q1.4 above. |
N/A |
1.4d |
*Date of previous announcement to this cancellation Mandatory only if “Cancellation” ticked in Q1.4 above. |
N/A |
1.5 | *Date of this announcement | 24 November 2020 |
+ See chapter 19 for defined terms | |
31 January 2020 | Page 1 |
This appendix is not available as an online form Please fill in and submit as a PDF announcement |
Appendix 3G Notification of issue, conversion or |
payment up of equity +securities |
Part 2 – Type of issue
Question No. |
Question | Answer |
2.1 |
*The +securities the subject of this notification are: Select whichever item is applicable. If you wish to notify ASX of different types of issues of securities, please complete a separate Appendix 3G for each type of issue. |
☐ +Securities issued as a result of options being exercised or other +convertible +securities being converted and that are not to be quoted on ASX ☐ Partly paid +securities that have been fully paid up and that are not to be quoted on ASX ☐ +Securities issued under an +employee incentive scheme that are not being immediately quoted on ASX ☒ Other [please specify] If you have selected ‘other’ please provide the circumstances of the issue here: Free attaching options
|
2.2a.1 |
Please state the number and type of options that were exercised or other +convertible securities that were converted (including their ASX security code if available)? Answer this question if your response to Q2.1 is “securities issued as a result of options being exercised or other convertible securities being converted and that are not to be quoted on ASX”. |
N/A |
2.2a.2 |
And the date the options were exercised or other +convertible securities were converted: Answer this question if your response to Q2.1 is “securities issued as a result of options being exercised or other convertible securities being converted and that are not to be quoted on ASX”. Note: If this occurred over a range of dates, enter the date the last of the options was exercised or convertible securities was converted. |
N/A |
2.2b.1 |
Please state the number and type of partly paid +securities that were fully paid up (including their ASX security code if available)? Answer this question if your response to Q2.1 is “partly paid securities that have been paid up and that are not to be quoted on ASX”. |
N/A |
2.2b.2 |
And the date the +securities were fully paid up: Answer this question if your response to Q2.1 is “partly paid securities that have been paid up and that are not to be quoted on ASX”. Note: If this occurred over a range of dates, enter the date the last of the securities was fully paid up. |
N/A |
+ See chapter 19 for defined terms | |
31 January 2020 | Page 2 |
This appendix is not available as an online form Please fill in and submit as a PDF announcement |
Appendix 3G Notification of issue, conversion or |
payment up of equity +securities |
2.2c.1 |
Please state the number and type of +securities (including their ASX security code) issued under an +employee incentive scheme that are not being immediately quoted on ASX Answer this question if your response to Q2.1 is “securities issued under an employee incentive scheme that are not being immediately quoted on ASX”. |
N/A |
2.2c.2 |
*Please attach a document or provide details of a URL link for a document lodged with ASX detailing the terms of the +employee incentive scheme or a summary of the terms. Answer this question if your response to Q2.1 is “securities issued under an employee incentive scheme that are not being immediately quoted on ASX”. |
N/A |
2.2c.3 |
*Are any of these +securities being issued to +key management personnel (KMP) or an +associate Answer this question if your response to Q2.1 is “securities issued under an employee incentive scheme that are not being immediately quoted on ASX”. |
Yes or No |
2.2c.3.a |
*Provide details of the recipients and the number of +securities issued to each of them. Answer this question if your response to Q2.1 is “securities issued under an employee incentive scheme that are not being immediately quoted on ASX” and your response to Q2.2c.3 is “Yes”. Repeat the detail in the table below for each KMP involved in the issue. If the securities are being issued to the KMP, repeat the name of the KMP or insert “Same” in “Name of registered holder”. If the securities are being issued to an associate of a KMP, insert the name of the associate in “Name of registered holder”.
|
Name of KMP | Name of registered holder | Number of +securities | |||
2.2d.1 |
*The purpose(s) for which the entity is issuing the +securities is: Answer this question if your response to Q2.1 is “Other”. You may select one or more of the items in the list. |
☐ To raise additional working capital ☐ To fund the retirement of debt ☐ To pay for the acquisition of an asset [provide details below] ☐ To pay for services rendered [provide details below] ☒ Other [provide details below] Additional details: Free attaching options
|
2.2d.2 |
Please provide any further information needed to understand the circumstances in which you are notifying the issue of these +securities to ASX, including (if applicable) why the issue of the +securities has not been previously announced to the market in an Appendix 3B You must answer this question if your response to Q2.1 is “Other”. If there is no other information to provide, please answer “Not applicable” or “N/A”. |
N/A |
+ See chapter 19 for defined terms | |
31 January 2020 | Page 3 |
This appendix is not available as an online form Please fill in and submit as a PDF announcement |
Appendix 3G Notification of issue, conversion or |
payment up of equity +securities |
2.3 |
*The +securities being issued are: Tick whichever is applicable |
☐ Additional +securities in an existing unquoted class that is already recorded by ASX (“existing class”) ☒ New +securities in an unquoted class that is not yet recorded by ASX (“new class”) |
Part 3A – number and type of +securities being issued (existing class)
Answer the questions in this part if your response to Q2.3 is “existing class”.
Question No. |
Question | Answer |
3A.1 | *ASX security code & description | N/A |
3A.2 | *Number of +securities being issued | N/A |
3A.3a | *Will the +securities being issued rank equally in all respects from their issue date with the existing issued +securities in that class? | Yes or No |
3A.3b |
*Is the actual date from which the +securities will rank equally (non-ranking end date) known? Answer this question if your response to Q3A.3a is “No”. |
Yes or No |
3A.3c |
*Provide the actual non-ranking end date Answer this question if your response to Q3A.3a is “No” and your response to Q3A.3b is “Yes”. |
N/A |
3A.3d |
*Provide the estimated non-ranking end period Answer this question if your response to Q3A.3a is “No” and your response to Q3A.3b is “No”. |
N/A |
3A.3e |
*Please state the extent to which the +securities do not rank equally: · in relation to the next dividend, distribution or interest payment; or · for any other reason Answer this question if your response to Q3A.3a is “No”. For example, the securities may not rank at all, or may rank proportionately based on the percentage of the period in question they have been on issue, for the next dividend, distribution or interest payment; or they may not be entitled to participate in some other event, such as an entitlement issue. |
N/A |
+ See chapter 19 for defined terms | |
31 January 2020 | Page 4 |
This appendix is not available as an online form Please fill in and submit as a PDF announcement |
Appendix 3G Notification of issue, conversion or |
payment up of equity +securities |
Part 3B – number and type of +securities being issued (new class)
Answer the questions in this part if your response to Q2.3 is “new class”.
+ See chapter 19 for defined terms | |
31 January 2020 | Page 5 |
This appendix is not available as an online form Please fill in and submit as a PDF announcement |
Appendix 3G Notification of issue, conversion or |
payment up of equity +securities |
3B.7 |
*Have you received confirmation from ASX that the terms of the +securities are appropriate and equitable under listing rule 6.1? Answer this question only if you are an ASX Listing. (ASX Foreign Exempt Listings and ASX Debt Listings do not have to answer this question). If your response is “No” and the securities have any unusual terms, you should approach ASX as soon as possible for confirmation under listing rule 6.1 that the terms are appropriate and equitable. |
No |
3B.8a |
Ordinary fully or partly paid shares/units details Answer the questions in this section if you selected this security type in your response to Question 3B.2. |
|
*+Security currency This is the currency in which the face amount of an issue is denominated. It will also typically be the currency in which distributions are declared. |
N/A | |
*Will there be CDIs issued over the +securities? | Yes or No | |
*CDI ratio Answer this question if you answered “Yes” to the previous question. This is the ratio at which CDIs can be transmuted into the underlying security (e.g. 4:1 means 4 CDIs represent 1 underlying security whereas 1:4 means 1 CDI represents 4 underlying securities). |
X:Y | |
*Is it a partly paid class of +security? | Yes or No | |
*Paid up amount: unpaid amount Answer this question if answered “Yes” to the previous question. The paid up amount represents the amount of application money and/or calls which have been paid on any security considered ‘partly paid’ The unpaid amount represents the unpaid or yet to be called amount on any security considered ‘partly paid’. The amounts should be provided per the security currency (e.g. if the security currency is AUD, then the paid up and unpaid amount per security in AUD). |
X:Y | |
*Is it a stapled +security? This is a security class that comprises a number of ordinary shares and/or ordinary units issued by separate entities that are stapled together for the purposes of trading. |
Yes or No | |
3B.8b |
Option details Answer the questions in this section if you selected this security type in your response to Question 3B.2. |
|
*+Security currency This is the currency in which the exercise price is payable. |
AUD | |
*Exercise price The price at which each option can be exercised and convert into the underlying security. If there is no exercise price please answer as $0.00. The exercise price should be provided per the security currency (i.e. if the security currency is AUD, the exercise price should be expressed in AUD). |
AUD 0.07 | |
*Expiry date The date on which the options expire or terminate. |
23 November 2023 |
+ See chapter 19 for defined terms | |
31 January 2020 | Page 6 |
This appendix is not available as an online form Please fill in and submit as a PDF announcement |
Appendix 3G Notification of issue, conversion or |
payment up of equity +securities |
+ See chapter 19 for defined terms | |
31 January 2020 | Page 7 |
This appendix is not available as an online form Please fill in and submit as a PDF announcement |
Appendix 3G Notification of issue, conversion or |
payment up of equity +securities |
*Is the interest rate per annum estimated at this time? Answer this question if the interest rate type is fixed. |
Yes or No | |
If the interest rate per annum is estimated, then what is the date for this information to be announced to the market (if known) Answer this question if the interest rate type is fixed and your response to the previous question is “Yes”. Answer “Unknown” if the date is not known at this time. |
N/A | |
*Does the interest rate include a reference rate, base rate or market rate (e.g. BBSW or CPI)? Answer this question if the interest rate type is floating or indexed |
Yes or No | |
*What is the reference rate, base rate or market rate? Answer this question if the interest rate type is floating or indexed and your response to the previous question is “Yes”. |
N/A | |
*Does the interest rate include a margin above the reference rate, base rate or market rate? Answer this question if the interest rate type is floating or indexed. |
Yes or No | |
*What is the margin above the reference rate, base rate or market rate (expressed as a percent per annum) Answer this question if the interest rate type is floating or indexed and your response to the previous question is “Yes”. |
% p.a. | |
*S128F of the Income Tax Assessment Act status applicable to the +security Select one item from the list For financial products which are likely to give rise to a payment to which s128F of the Income Tax Assessment Act applies, ASX requests issuers to confirm the s128F status of the security: · “s128F exempt” means interest payments are not taxable to non-residents; · “Not s128F exempt” means interest payments are taxable to non-residents; · “s128F exemption status unknown” means the issuer is unable to advise the status; · “Not applicable” means s128F is not applicable to this security |
☐ s128F exempt ☐ Not s128F exempt ☐ s128F exemption status unknown ☐ Not applicable
|
|
*Is the +security perpetual (i.e. no maturity date)? | Yes or No | |
*Maturity date Answer this question if the security is not perpetual |
N/A |
+ See chapter 19 for defined terms | |
31 January 2020 | Page 8 |
This appendix is not available as an online form Please fill in and submit as a PDF announcement |
Appendix 3G Notification of issue, conversion or |
payment up of equity +securities |
*Select other features applicable to the +security Up to 4 features can be selected. Further information is available in the Guide to the Naming Conventions and Security Descriptions for ASX Quoted Debt and Hybrid Securities. |
☐ Simple ☐ Subordinated ☐ Secured ☐ Converting ☐ Convertible ☐ Transformable ☐ Exchangeable ☐ Cumulative ☐ Non-Cumulative ☐ Redeemable ☐ Extendable ☐ Reset ☐ Step-Down ☐ Step-Up ☐ Stapled ☐ None of the above |
|
*Is there a first trigger date on which a right of conversion, redemption, call or put can be exercised (whichever is first)? | Yes or No | |
*If yes, what is the first trigger date Answer this question if your response to the previous question is “Yes”. |
N/A | |
Details of the number and type of +security (including its ASX security code if the +security is quoted on ASX) that will be issued if the securities to be quoted are converted, transformed or exchanged Answer this question if the security features include “converting”, “convertible”, “transformable” or “exchangeable”. For example, if the security can be converted into 1,000 fully paid ordinary shares with ASX security code ABC, please insert “1,000 fully paid ordinary shares (ASX:ABC)”. |
N/A |
Part 4 – Issue details
Question No. |
Question | Answer |
4.1 | *Have the +securities been issued yet? | Yes |
4.1a |
*What was their date of issue? Answer this question if your response to Q4.1 is “Yes”. |
24 November 2020 |
4.1b |
*What is their proposed date of issue? Answer this question if your response to Q4.1 is “No”. |
N/A |
4.2 |
*Are the +securities being issued for a cash consideration? If the securities are being issued for nil cash consideration, answer this question “No”. |
No |
+ See chapter 19 for defined terms | |
31 January 2020 | Page 9 |
This appendix is not available as an online form Please fill in and submit as a PDF announcement |
Appendix 3G Notification of issue, conversion or |
payment up of equity +securities |
4.2a |
*In what currency is the cash consideration being paid For example, if the consideration is being paid in Australian Dollars, state AUD. Answer this question if your response to Q4.2 is “Yes”. |
N/A |
4.2b |
*What is the issue price per +security Answer this question if your response to Q4.2 is “Yes” and by reference to the issue currency provided in your response to Q4.2a. Note: you cannot enter a nil amount here. If the securities are being issued for nil cash consideration, answer Q4.2 as “No” and complete Q4.2c. |
N/A |
4.2c |
Please describe the consideration being provided for the +securities Answer this question if your response to Q4.2 is “No”. |
Free attaching options alongside with 674,694,939 ordinary shares as announced on 16 October 2020 |
4.3 | Any other information the entity wishes to provide about the issue | N/A |
Part 5 – Unquoted +securities on issue
+ See chapter 19 for defined terms | |
31 January 2020 | Page 10 |
This appendix is not available as an online form Please fill in and submit as a PDF announcement |
Appendix 3G Notification of issue, conversion or |
payment up of equity +securities |
Part 6 – Other Listing Rule requirements
The questions in this Part should only be answered if you are an ASX Listing (ASX Foreign Exempt Listings and ASX Debt Listings do not need to complete this Part) and:
- | your response to Q2.1 is “+securities issued under an +employee incentive scheme that are not being immediately quoted on ASX”; or |
- | your response to Q2.1 is “Other” |
Question No. |
Question | Answer |
6.1 |
*Are the securities being issued under Listing Rule 7.2 exception 131 and therefore the issue does not need any security holder approval under Listing Rule 7.1? Answer this question if your response to Q2.1 is “securities issued under an employee incentive scheme that are not being immediately quoted on ASX”. |
N/A |
6.2 |
*Has the entity obtained, or is it obtaining, +security holder approval for the issue under listing rule 7.1? Answer this question if the response to Q6.1 is “No”. |
Yes |
6.2a |
*Date of meeting or proposed meeting to approve the issue under listing rule 7.1 Answer this question if the response to Q6.1 is “No” and the response to Q6.2 is “Yes”. |
18 November 2020 |
6.2b |
*Are any of the +securities being issued without +security holder approval using the entity’s 15% placement capacity under listing rule 7.1? Answer this question if the response to Q6.1 is “No” and the response to Q6.2 is “No”. |
No |
1 Exception 13 An issue of securities under an employee incentive scheme if within 3 years before the issue date:
(a) | in the case of a scheme established before the entity was listed – a summary of the terms of the scheme and the maximum number of equity securities proposed to be issued under the scheme were set out in the prospectus, PDS or information memorandum lodged with ASX under rule 1.1 condition 3; or |
(b) | the holders of the entity’s ordinary securities have approved the issue of equity securities under the scheme as an exception to this rule. The notice of meeting must have included: |
· | a summary of the terms of the scheme. |
· | the number of securities issued under the scheme since the entity was listed or the date of the last approval under this rule; |
· | the maximum number of +equity securities proposed to be issued under the scheme following the approval; and |
· | a voting exclusion statement. |
Exception 13 is only available if and to the extent that the number of +equity securities issued under the scheme does not exceed the maximum number set out in the entity’s prospectus, PDS or information memorandum (in the case of (a) above) or in the notice of meeting (in the case of (b) above).
Exception 13 ceases to be available if there is a material change to the terms of the scheme from those set out in the entity’s prospectus, PDS or information memorandum (in the case of (a) above) or in the notice of meeting (in the case of (b) above).
+ See chapter 19 for defined terms | |
31 January 2020 | Page 11 |
This appendix is not available as an online form Please fill in and submit as a PDF announcement |
Appendix 3G Notification of issue, conversion or |
payment up of equity +securities |
6.2b.1 |
*How many +securities are being issued without +security holder approval using the entity’s 15% placement capacity under listing rule 7.1? Answer this question if the response to Q6.1 is “No”, the response to Q6.2 is “No” and the response to Q6.2b is “Yes”. Please complete and separately send by email to your ASX listings adviser a work sheet in the form of Annexure B to Guidance Note 21 confirming the entity has the available capacity under listing rule 7.1 to issue that number of securities. |
N/A |
6.2c |
*Are any of the +securities being issued without +security holder approval using the entity’s additional 10% placement capacity under listing rule 7.1A (if applicable)? Answer this question if the response to Q6.1 is “No” and the response to Q6.2 is “No”. |
N/A |
6.2c.1 |
*How many +securities are being issued without +security holder approval using the entity’s additional 10% placement capacity under listing rule 7.1A? Answer this question if the response to Q6.1 is “No”, the response to Q6.2 is “No” and the response to Q6.2c is “Yes”. Please complete and separately send by email to your ASX listings adviser a work sheet in the form of Annexure C to Guidance Note 21 confirming the entity has the available capacity under listing rule 7.1A to issue that number of securities. |
N/A |
Introduced 01/12/19; amended 31/01/20
+ See chapter 19 for defined terms | |
31 January 2020 | Page 12 |