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Karessa Pharma Holding AB (publ) Company Description for listing on Nasdaq Stockholm First North February 2015 Karessa Pharma Holding AB (publ) Company Description for listing on Nasdaq Stockholm First North Table of contents Important information Background and motives Message from the CEO Market overview Karessa's unique technology Description of operations Financial overview Share capital and ownership structure Board of Directors and management Legal matters and supplementary information Risk factors Taxation issues in Sweden Articles of Association Glossary 3 4 5 6 10 12 18 22 23 25 28 31 33 34 Important information about First North First North is an alternative market place operated by the stock exchanges included in Nasdaq. It does not have the same legal status as a regulated market. Companies listed on First North are governed by First North's rules and not by the legal requirements for trading on a regulated market. An investment in a company that is traded on First North therefore higher risk than an investment in a company that is traded on a regulated market. All companies whose shares are admitted to trading on First North have a certified adviser to monitor compliance with the rules. NASDAQ OMX Stockholm AB approves the application for admission to trading on First North. 2 Karessa Pharma Holding AB (publ) Company Description for listing on Nasdaq Stockholm First North Important information Definitions "Karessa", or "the Company" refers to the Group consisting of Karessa Pharma Holding AB (publ) (CIN 556942-1596) and its subsidiaries. "First North" refers to Nasdaq Stockholm First North. "Company description" refers to this Company Description drawn up prior to Karessa's listing on First North. "Euroclear Sweden" refers to Euroclear Sweden AB (CIN 556585-8074). "Remium" refers to Remium Nordic AB (CIN 556101-9174). In the conversion of currencies, the following exchange rates have been used: 1 USD = [x] SEK, GBP 1 = [x] SEK and EUR 1 = [x] SEK. FIRST DAY OF TRADING ON FIRST NORTH: 10 February 2015 SHARE INFORMATION FOR KARESSA Short name: KARE ISIN code: SE0005506193 DATES FOR FINANCIAL INFORMATION Important information to investors Each investor should carefully weigh up the information provided in this company description, in particular, the factors mentioned in the section on Risk factors, which describes some of the risks associated with an investment in Karessa. The Company Description has been prepared in view of this listing of the Company's shares on First North. No new shares will be issued in connection with the listing, and no prospectus will be registered with the Swedish Financial Supervisory Authority (Finansinspektionen) by reason of this listing. The Company Description does not constitute an offer to acquire, subscribe to or otherwise trade in shares or other securities in Karessa. Future-focused information The Company Description contains future-oriented statements and assumptions about future market conditions, operations and results. These statements are found in multiple sections and include statements regarding the Company's current intentions, assessments and expectations. Words such as "believes", "intends", "assesses", "expects", "anticipates", "plans" or similar expressions indicate some of these statements. Other statements of this kind are identifiable based on their contexts. Actual events and profit outcomes may differ significantly from what is shown in such statements as a result of risks and other factors that the Company's operations are affected by. Third-party information The Company Description contains historical and future-oriented information. Where the information has been retrieved from a third party, the Company is responsible for the information having been correctly reported correctly. As far as the Company knows, no information has been omitted in a way that could make the information incorrect or misleading in relation to the original sources. The Company has not, however, verified figures, market data or other information obtained from third parties, and consequently the Board of Directors does not assume any responsibility for the completeness or accuracy of such information as is presented in the Company Description. Such information ought to be read with this in mind. 3 Year-end report 2014 27 February 2015 Annual General Meeting 27 May 2015 Interim Report, first quarter 2015 29 May 2015 Karessa Pharma Holding AB (publ) Company Description for listing on Nasdaq Stockholm First North Background and motives Erectile Dysfunction (ED) is a large and growing global health problem. Its prevalence among men aged 40 years is estimated at around 40 per cent and it then increases in pace with increasing age. Only about 10 percent of men who suffer from ED receive adequate treatment. Karessa intends to supply this market with new products that have faster and more reliable effects than today's leading treatments. Since the first effective drugs were introduced in the late 1990s, the market has grown significantly. By 2012, the global market was valued at SEK 35 billion. Demand is expected to continue to rise. The main drivers include a proportionally increasingly older population, increased awareness of the possibility of effective treatment, less of a social stigma and the increasing prevalence of underlying diseases and public health problems such as diabetes and obesity. There is much to indicate that, on several large and established markets, drugs to treat erectile dysfunction will begin to be sold over the counter, which is likely to drive demand even further. Today, the market is dominated by three players: Pfizer Inc (Viagra), Eli Lilly & Co (Cialis) and Bayer AG (Levitra/Staxyn). The patents behind the respective drugs supplied by these market players are now successively expiring, which opens the way for new players who, through innovation and new product formats, can offer new concepts with major patient benefits. facturing partners during 2015. As far as possible, registration as a medicinal product will be carried out by the company, while sales to end customers will be carried out either by means of project licensing or product sales to selected partners or within our own organisation. Listing on Nasdaq Stockholm First North The listing of Karessa on Nasdaq Stockholm First North is a natural part of the Company's aim to create a world-leading company in the growing market for drugs for erectile dysfunction. The listing is also anticipated to constitute a stamp of quality in relation to customers and potential partners in cooperation and in the recruitment of staff, as well as contribute to an increased interest in the Company among new groups of investors, the media and other stakeholders. Board assurance statement The Board of Directors of Karessa is responsible for the information in this Company Description, which has been drawn up in respect of the Company's application for listing of the Company's shares on First North. The Board hereby certifies that, as far as the Board is aware, the data in this Company Description is correct and in accordance with actual circumstances, and that nothing has been omitted that could affect its substance. Unique patient benefits Karessa's business concept is to develop and commercialise innovative products with clear competitive advantages related to rapid and reliable effect in the therapeutic area of erectile dysfunction. Great benefit is generated for both patients and the company as a result of combining the company's patented drug delivery-film with clinically tested and proven substances. For the individual patient, the goal is to offer a drug with faster and more reliable effect than today's preparations. For Karessa as a company, this combination means a shorter time to market, lower development costs and significantly reduced risk with regard to clinical studies. Karessa is currently working with two projects in the therapeutic area of erectile dysfunction. Both projects, which are in the pre-clinical phase, concern the Company's drug delivery platform in combination with the active substances Sildenafil and Tadalafil, respectively. The focus for 2014-2016 will be on product development and conducting the necessary studies prior to the forthcoming registration with the competent authorities. The objective is for it to be possible for a first production batch to be manufactured at contracted manu- Stockholm, February 5, 2015 Karessa Pharma Holding AB (publ) Board of Directors 4 Karessa Pharma Holding AB (publ) Company Description for listing on Nasdaq Stockholm First North Message from the CEO Our goal is to revolutionise the market for drugs that treat erectile dysfunction. Through innovation and patented technology, we want to help men to regain their sexual potency – without the need to plan far in advance. products means that we can cut out several development stages. This gives us a shorter time to market, lower development costs and significantly reduced risk with regard to clinical studies. We are currently engaged in two different projects: one with the film in combination with Sildenafil; and one with the film in combination with Tadalafil. The focus for the next two years will be on the one hand on continued product development, and on the other hand conducting the necessary studies for final registration with the relevant authorities. There is no doubt but all that the market exists. Estimates suggest that only about 10 per cent of all those affected get the help they need. Undertreatment is therefore significant and there is much to indicate that demand will continue to grow. The main drivers included an increasingly ageing population, increased awareness of the possibility of effective treatment, the increasing prevalence of underlying diseases, and a diminishing social stigma. In many countries, there are also processes which aim to make it possible to sell the drugs over-the-counter. In New Zealand in October 2014, a decision was made to reclassify Sildenafil, which now makes it possible for specially trained pharmacy staff to sell the drug without prescription. If this were also to be the case in other markets, it would likely drive demand further. When Pfizer introduced Viagra at the end of the 1990s, they broke completely new ground. They offered a medicinal product that resulted in millions of men – and their partners – regaining the ability to have a functional sex life. Thus, they were responsible for injecting new life, lust and vitality in relationships afflicted by erectile dysfunction. The market for drugs for ED has since grown considerably. In 2012, net sales for the three leading drugs of today – Viagra, Cialis and Levitra/Staxyn – amounted to around SEK 35 billion Planning and time margin Today's medicinal products for treating erectile dysfunction are fantastic in many ways. They are safe, effective and have helped millions of men to regain their sexual self-confidence. What they lack is the possibility of spontaneity when desire well asserts itself. All of today's big sellers take a relatively long time before they achieve their intended effect. For them to function fully, planning and a time margin are required – which is of course not always possible when it counts. Our business concept is to develop and commercialise the next generation of innovative products in the therapeutic area of erectile dysfunction. We aim to do this by combining our patented drug delivery-film with clinically tested and proven substances. We already know that the film works as a delivery system for substances. We also know that the active substances produce the desired effect. By combining them, we can create a medicinal product with completely unique properties: a drug that makes it possible to eliminate the need for planning and instead embracing desire and spontaneity. A clear quality stamp Our vision is to establish Karessa as a leading, innovative company in the area of erectile dysfunction. In support of this, we have a clear objective, a strong concept, a well thought-out strategy and a competent organisation. The listing of the company's share on Nasdaq Stockholm First North is an important step on this journey. We hope and believe that it will constitute a quality stamp in relation to customers and partners in cooperation, as well as contribute to a general increase in interest in us and our operations. Benefits for the patient ... For the individual patient, the combination means access to a drug with faster and more reliable effect than today's preparations. Since the drug is delivered directly into the bloodstream, and does not need to pass the stomach, the time to effect can be shortened very tangibly, with a reduced need for planning as a result. This also means that the time to effect cannot either be affected by the contemporaneous intake of food and drink. Stockholm, February 2015 ... and for us as a company For us as a company, the combination also entails major benefits: The fact that the substances are proven and already approved as medicinal Torbjörn Kemper CEO 5 Karessa Pharma Holding AB (publ) Company Description for listing on Nasdaq Stockholm First North Market Overview 1 The market for drugs for erectile dysfunction is on the brink of major changes. The patents behind the medicinal products that dominate the market today (Viagra, Cialis and Levitra) are now successively expiring. This opens the way for new players who, through generics and innovation, can offer new concepts with improved patient benefits. The market is also continuing to grow. Its main drivers include an increasingly ageing population, the increased prevalence of underlying diseases such as diabetes, and an increased awareness of effective treatment methods. 1 Source unless otherwise specified: Transparency Market Research: ”Erectile Dysfunction Drugs Market”. Geographical market In terms of sales, North America constitutes the biggest separate geographical market, followed by Europe and Asia. Common to all these markets is that since the introduction of Viagra, they have remained in a state of strong growth, in terms of both sales and the number of doses. Demand is expected to continue to rise in the future, with Northern Europe continuing to be the biggest separate market. In terms of growth rate, however, countries such as China, India, Brazil and Russia are expected to be responsible for the bulk of the increase. Erectile dysfunction refers to men's inability to obtain and sustain a sufficient erection to be able to successfully complete intercourse. The reasons may be physical, mental, or a combination of both. The biggest underlying factors include age, other medications and lifestyle. Its prevalence among men aged 40 years is estimated at around 40 per cent, and it then increases in pace with increased age Feldman et al 1994, The Massachusetts Male Aging Study (MMAS). In spite of the fact that the problem of ED has received a great deal of attention in recent years, undertreatment is substantial. Only about 10 per cent of all men with ED have received the right treatment. There is still a large group of patients who need medication for erectile dysfunction, but who, for various reasons, have not yet got help. Players and the patent situation The market for drugs for erectile dysfunction is well consolidated and is dominated today by three players: Pfizer Inc, Eli Lilly & Co, and Bayer AG, which together represent 99 per cent of revenues from preparations sold. The distribution between these can be seen in the figure on page 8. The ED medicinal products that these three players market are based on PDE5 inhibitors. By basing their preparations on different types of substances distinctive properties are achieved – Sildenafil and Vardenafil have a faster effect, but are relatively short-acting. With Tadalafil, it takes a little longer before its full effect is achieved, but on the other hand it is longer-acting. In spite of the fact that the active substances differ, however, the principle for all the preparations in this class are the same: they act by making it easier for the arteries of penis to dilate during sexual arousal. This increased blood flow in turn naturally aids erection. These preparations have no effect without sexual arousal, that is, that the individual himself feels sexual desire. The preparations are taken orally in good time before intercourse. Consuming food and drink in some cases can influence the time to effect. The side effects of these preparations are generally mild and decline with time. The most common are headache, nasal congestion and muscular aches and pains. No long-term adverse effects have been identified. On large established markets, thus far a prescription by a doctor is required. The size of the market Since Viagra was introduced in 1998, the market for drugs for erectile dysfunction has grown substantially. By 2012, the global market was valued at SEK 35 billion. As the patents behind today's most frequently used drugs successively expire in the coming years, the price of today's treatments is expected to gradually decline as they become exposed to price competition from generics. However, this development may come to be avoided through continued product development and the addition of value-adding factors. The actual demand measured in number of doses, however, is expected to continue to rise. The main drivers include a proportionally increasingly older population, increased awareness of the possibility of effective treatment, less of a social stigma and the increasing prevalence of underlying diseases and public health problems such as diabetes and obesity. There is much to indicate that, on several large and established markets, drugs to treat erectile dysfunction will begin to be sold over the counter, which is likely to increase volumes further. 6 Karessa Pharma Holding AB (publ) Company Description for listing on Nasdaq Stockholm First North Market drivers An ageing population The single biggest factor underlying erectile dysfunction is age. Its prevalence among men aged 40 years is estimated at around 40 per cent, and it then increases in pace with increased age. Among men aged 70, it is estimated that 70 per cent are affected. In terms of size, relative as well as actual, this group is Increased prevalence of contributing diseases increasing in size. Even if there are large geo- The drivers behind erectile dysfunction also include an increased graphical differences the trend is the same: in incidence of diseases such as diabetes, high blood pressure terms of the population as a whole, we are getting and cardiovascular disease. Even if these diseases do older. In 1950-1955, the average life expectancy in the world was not usually per se affect the ability to achieve an 47 years. By 2005-2010 it had increased to 69 years. For the erection, the medication for them does. These period 2045-2050 it is estimated by the United Nations to reach drugs may thus achieve their intended effect, but at 76 years. The background to this development is generally better the same time cause a hormonal imbalance or affect health care and improved social welfare in combination with the the nerves and blood circulation in a way that results in positive long-term effects of a reduction in tobacco smoking and erectile dysfunction. a generally healthier lifestyle. All in all, this means that the potential risk group will most likely to continue to grow in size. From prescription medication to over-the-counter medication Prescribed medications for erectile dysfunction have now been Increased awareness used successfully for many years. Their side-effects and associated The possibility of treating erectile dysfunction with drugs is still a risks have proven to be fairly limited. In several markets, relatively new phenomenon. Despite strong growth, the problem there is debate on relaxing the requirement for pre- is both underdiagnosed and greatly undertreated. scription by a doctor. There is much to indicate that As knowledge of effective treatments increases, in the future these medicinal products will be sold the demand for drugs is also anticipated to con- without prescription in many markets. This would tinue to rise. Estimates from Transparency Mar- likely result in greatly increased volumes, since a visit ket Research point to the fact that only 10 per to the doctor for many constitutes a high barrier. cent of men with erectile dysfunction are being treated. Even if patient groups who, for various reasons, should not take medicinal products based on PDE5-inhibitors are Choice of lifestyle excluded, undertreatment is therefore significant. Closely related The significant risk factors also include obesity, alco- to this is also a declining social stigma, a greater knowledge of holism, smoking and a sedentary lifestyle – factors how the drugs actually work, and the conditions under which they that all contribute to a reduction in blood flow and provide the best effect. All in all, this will contribute to a rise in thereby increase the risk of erectile dysfunction. demand. 7 Karessa Pharma Holding AB (publ) Company Description for listing on Nasdaq Stockholm First North Pfizer Pfizer's trademark Viagra broke new ground when it was launched on the market in 1998. The drug, which was in fact developed to treat cardiovascular disease and high blood pressure, achieved a very rapid breakthrough and came to be one of the world's best-selling drugs. The active substance is Sildenafil. This preparation is taken orally approximately one hour before sexual intercourse. The effect persists for 4-8 hours. Viagra's patent protection differs between its geographical markets. In the majority of countries within the EU and in Switzerland, the patent expired in June 2013. That same year, the patented was declared invalid also in Canada. In the USA, the biggest single market, the patent expires in 2019. Sales of Viagra in 2012 amounted to SEK 16,1 billion. intercourse. Compared with both Viagra and Levitra/Staxyn, however, the effect lasts for a longer period of time – up to 36 hours. This is probably one of the reasons why in recent years Cialis has taken market share from Viagra in particular. The expiry of Eli Lilly's patent for Cialis in 2017 is anticipated to have a dramatic effect on sales, which in 2012 amounted to SEK 15 billion. Expiry of patents As the patents held by the leading players and on which their medicinal products are based successively run out, the market will open up to new players and a trend towards generics. Usually this involves a combination of a sharp fall in prices and increased sales volumes. When downward pressure on prices has had its full impact, normally the price of generics falls to approximately 10 per cent of the original price of the patented medicinal product. In the case of erectile dysfunction, however, Karessa's assesses that the reduction in prices can be countered by new and existing preparations being further developed to provide a more rapid and stable effect. It is the Company's belief that a substantial share of the market is prepared to pay a price premium for the benefits that the Company's technology enable. Karessa also assesses that the difference in pricing between different brands will increase in line with a higher degree of specialisation and functionality. Bayer Bayer's drug for treating erectile dysfunction, Levitra/Staxyn, was developed as a response to Pfizer's success with Viagra. In 2003, Levitra was launched in Europe and by 2010 Staxyn was approved for sale in the USA. These preparations are based on the same active ingredient, Vardenafil. This preparation is taken orally approximately one hour before sexual intercourse. The effect persists for 4-8 hours. Both of these drugs are patent-protected. In the USA, Canada, UK, Germany, Spain, Italy, France and China the patent expires in 2018. In Japan, it expires in 2020. In 2012, sales of Levitra/Straxyn amounted to SEK 2,5 billion. Sales have fallen in recent years, as a consequence of increased market share for Viagra and Cialis. Eli Lilly Since 2003, the US pharmaceutical company Eli Lilly & Co offers the drug Cialis for the treatment of erectile dysfunction. The active substance is Tadalafil. The preparation is taken orally in good time before Bayer AG Brand: Levitra/Staxyn Market share: 7% Active substance: Vardenalfil Eli Lilly & Co Brand: Cialis Market share: 45% Active substance: Tadalafil Market share 2012 Others Market share: 1% Pfizer Brand: Viagra Market share: 47% Active substance: Sildenafil 8 Karessa Pharma Holding AB (publ) Company Description for listing on Nasdaq Stockholm First North Competition As the patents expire, new players will begin the marketing and sales of generics. In Europe, Canada, Asia and Latin America, a number of new brands have been registered and launched. More are under development. It is worth noting, however, that these projects, existing or under development, all focus on medicinal products in tablet form. As far as the Company is aware, there is currently no project which is based on any new form of delivery, similar to that of Karessa. intercourse and they are affected to different degrees by the patient's consumption of food and alcohol. The side effects of these preparations are generally mild and decline with time. These include headache, nasal congestion and muscular aches and pains. No long-term adverse effects have been identified. Local therapy For patients who, for various reasons, cannot tolerate PDE5 inhibitors, local therapy in the form of potency-raising injections of Caverject (Alprostadil), which has significant vasodilating properties, can be an option. The injections act in the form of a rapid erection regardless of sexual arousal. The dose is set individually and varies depending on the problems of each respective patient. Erection is achieved normally after 10 or 15 minutes and is maintained for around 60 minutes. The most common side effects are pain and small haemorrhages during the erection. The Company believes that this therapy will continue to be rather limited in use. Treatment forms Below is a brief description of the main treatment forms that are provided today. In addition to these, there are a number of treatments that are considered irrelevant. These include, for example, herbal remedies, implants and vacuum pumps. PDE5 inhibitors The absolute foremost treatment form comprises medicinal products based on PDE5-inhibitors. Examples of active substances are Sildenafil (Viagra), Tadalafil (Cialis), Vardenafil (Levitra/Staxyn), Avanafil (Stendra/Spedra) and Udenfafil (Zydena). All the preparations in this class work in a similar way: they act by making it easier for the arteries of the penis to dilate during sexual arousal. The increased blood flow leads naturally to erection. These preparations have no effect without sexual arousal, that is, that the individual himself feels sexual desire. The preparations are taken orally in good time before Testosterone treatment This treatment form addresses patients when abnormally low levels of testosterone have been found. The preparations are generally in the form of gel or patches and are often used in conjunction with PDE5-inhibitors. The Company also believes that this therapy will be a relatively small niche and that it will be possible to combine it with the products that the Company develops. A changed patent situation Actual and forecast sales trends (USD million) Medicinal products Brand 3,000 2,500 2,000 1,500 1,000 500 0 2010 2011 Viagra 2012 2013E 2014E 2015E 2016E 2017E 2018E 2019E Staxyn/Levitra Cialis 9 Patent expiry 2013 2014 Sildenafil Viagra EU US Tadalafil Cialis EU US & Japan Vardenafil Levitra EU US 2015 2016 2017 2018 2019 2020 Karessa Pharma Holding AB (publ) Company Description for listing on Nasdaq Stockholm First North A drug delivery platform with unique competitive advantages Karessa's business concept is to develop and commercialise innovative products with clear competitive advantages in the therapeutic area of erectile dysfunction. By combining the Company's patented drug delivery platform with clinically tested and proven substances (such as Sildenafil and Tadalafil) the foundation is laid for a unique concept with great competitive advantages. From the patient perspective, a medicinal product with significantly faster effect is enabled – and thus reduces the need for planning. From the owner and investor perspectives, the concept entails a lower risk and shorter time to market, as compared with what is usual for drug development. Fast, stable and reliable From a medical perspective, this provides the possibility of fast, stable and reliable delivery. For the individual patient, the combination means a faster and more stable effect than today's preparations. Since the drug goes straight out into the blood, the time to effect is very tangibly reduced, which reduces the need for planning and a time margin. The effect is not either affect by the contemporaneous consumption of food and drink. The foundation of Karessa's operations is a patented drug delivery platform in the form of an alignate-based polymer film. The film, which can be likened to a postage stamp, is applied discreetly to the oral mucosa and through it the drug is then rapidly delivered out into the bloodstream. The film then dissolves without leaving any residues in the mouth. The goal of Karessa's medicinal product Faster and more reliable effect compared with oral tablets. More effective. That the drug is delivered via the mucous mem- Drugs and other substances that are delivered into the blood- brane in the mouth also avoids contact with the metabolic stream via the oral mucosa are taken up considerably faster (and enzymes in the lower gastrointestinal tract and the liver, which thus provide a faster effect) than is the case for delivery via tab- otherwise reduce or completely eliminate the effect of a significant lets or capsules that are swallowed. It also offers a more reliable proportion of medicinal products that are delivered via oral tablets and discreet form of delivery than tablets and other delivery sys- or capsules. tems such as nasal sprays and orally dissolving tablets. No impact from food or drink. Since the drug is delivered straight out into the bloodstream, and does not need to pass stomach, the time to uptake is not either affected by the contemporaneous consumption of food and alcohol or other beverages – which otherwise can make a large difference. 1 1 Combining Karessa's patented drug delivery platform in the form of a film with proven, safe and known substances generates significant benefits for the patient. 10 2 2 Karessa Pharma Holding AB (publ) Company Description for listing on Nasdaq Stockholm First North For Karessa as a company, the combination means a shorter time to market, lower development costs and reduced risk compared with traditional drug development. Because the molecules and their effects are well known to the world's medicinal products authorities, only limited studies are required in order to show how much of the active substance is delivered within a certain time interval. The film's technical characteristics also enable large-scale and cost-effective production. Karessa currently works with two pharmaceutical manufacturing facilities which are specialised in film manufacture: one in the USA and one in Germany. History and milestones of the drug delivery platform 2004 • Fredrik Hübinette, the inventor behind Karessa’s now patented drug delivery platform, begins tests of hundreds of potential film-forming polymers • Over 1200 empirical tests with potential polymers are carried out Uniqueness Today there are only a few orally dissolving drug delivery films on the market and in addition, a handful of drug delivery films under development that are known to the Company. Most of these films dissolve much faster than Karessa's. When a film dissolves to rapidly, absorption through the oral mucosa suffers. What is unique about Karessa's technology lies in the combination of a film that attaches well to the oral mucosa and, at the same time has a dissolving rate that enables as rapid and complete transport as possible of the active substance directly into the bloodstream. 2005 Exclusive license The technology behind Karessa’s drug delivery film is patented. The patent (Swedish patent no. 0502900-4) is owned by Uppsalagruppen Medical AB, and is exclusive for the remainder of the period of validity of the patent, and is licensed without restrictions to the Company with regard to critical molecules in the area of sexual dysfunction. The Company will pay no royalties or any type of future milestone payment for the license, but must pay the costs related to maintaining the patent. The basic patent on the film along with the unique product profile constitute protection on major markets, which makes Karessa an interesting partner in cooperation for a variety of established pharmaceutical companies. Read more about the patent on page 26. 2009 • Verification of p atentability • Ensuring that all ingredients are of medicinal product standard 2006 – 2007 • Patent Application (PCT) - “the Film patent” (A total of 42 countries; the patent granted is different depending on the country, and some are pending) • Formulation and development of different variants of products • Evaluation of potential pharmaceutical factories in the USA, EU and Asia • Started tech-transfer to two pharmaceutical facilities: one in the USA and one in Germany 2010 • Preparation for clinical pharmaceutical studies for the two variants • Large-scale production of the basic film, without active substance, verified 2014 • Karessa is formed • Access to the technology behind the drug delivery platform in respect of critical molecules in the area of sexual dysfunction licensed from Uppsalagruppen Medical AB • Completion of a new share issue in the amount of SEK 80 million and the setting up of the new Group structure 11 Karessa Pharma Holding AB (publ) Company Description for listing on Nasdaq Stockholm First North Description of operations Vision Karessa's vision is to establish itself as a leading company in the therapeutic area of erectile dysfunction. The drugs to treat erectile dysfunction that dominate the market today are safe, effective and have helped millions of men – and their partners – to enjoy a functional sex life. The weaknesses and shortcomings of the tablets, however, include the need for a time margin and planning; they generally take a relatively long time before they achieve their intended effect and their time to effect in some cases can be considerably affected by the contemporaneous consumption of food and/or alcohol. Karessa's operations are based on a desire to be able to take sexual desire into account – directly when it is felt. Great benefit is generated for both patients and the company as a result of combining the company's patented drug delivery-film with clinically tested and proven substances (such as Sildenafil and Tadalafil). For the individual patient, the goal is to provide access to a new medicinal product with a faster and more reliable effect than today's preparations. Since the drug is delivered directly into the bloodstream, and does not need to pass the stomach, the time to effect is shortened very tangibly, with a reduced need for planning as a result. The time to effect is not either affected by the contemporaneous consumption of food and drink. For Karessa as a company, this combination means a shorter time to market, lower development costs and significantly reduced risk with regard to clinical studies. Business concept Karessa's business concept is to develop and commercialise innovative, fast-acting products in the therapeutic area of erectile dysfunction. A unique concept Benefits for the patient: • Faster and more reliable effect • Reduced the need for planning • No impact from food or drink 12 Benefits for Karessa: • Shorter time to market • Lower development costs • Reduced risk Karessa Pharma Holding AB (publ) Company Description for listing on Nasdaq Stockholm First North Business model Karessa develops products for a global market. This business model Sales via licensed partners will be adapted according to specific local market conditions. The In markets with specific requirements for costly, locally adapted overall objective is to optimise the value of the Company's product studies for medicinal product approval, Karessa will sign license and project portfolio, and to minimise risk in its operations. agreements with local pharmaceutical companies covering clinical As far as possible, the Company will be responsible for develop- studies, registration, sales and – if necessary – also manufacture. ment, registration and manufacturing, while sales to end custom- The licensing income in this case will consist of compensation in ers will be effected through project licensing, through product sales connection with milestones being reached and royalties based on to selected partners, or by the Company itself. the licensee's actual sales. The Company's revenue streams will therefore mainly consist of license revenues from partners as well as product sales to selected Product sales to distributors distributors. In both cases, the Company is seeking fully integrated In markets without special requirements for locally adapted stud- business partners with the capacity to manage and support the ies, Karessa intends to manage all stages right up to the delivery of products in their local markets. the finished product. Sales to end users will then take place Decisions concerning the business model are based on revenue through selected distributors. The price to partner companies will potential, regulatory complexity and the costs for any local studies be agreed taking into account the retail sale price, anticipated vol- required. umes, and exclusivity where applicable. Sales via licensed partners Product development Clinical studies Registration Sales Licence agreement Product sales to distributor Product development Clinical studies Registration Sales Distribution agreements Patent protection "delivery film" New formulation-specific patent applications Objectives Karessa's ambition is to become a profitable and growing pharmaceutical company in the therapeutic area of erectile dysfunction. Its operational objectives for the period 2015-2017 include: • Submission in Europe for medicinal product approval for at least one of the ongoing development projects • Entering into local distribution and licensing agreements on the first markets • Ensuring a competitive organisation • Establishing Karessa as a long-term and credible global partner within the therapeutic area of erectile dysfunction • Completing the work of formulating the films/products, as well as beginning dosage studies for the ongoing development projects K-01 Sildenafil and K-02 Tadalafil. • Assuring GMP manufacturing in the manufacturing facility prior to pharmacokinetics studies (PK studies) and produce study materials • Assuring GMP manufacturing for the future deliveries to market • Starting pharmacokinetics studies prior to medicinal product registration for the development projects K-01 Sildenafil and K-02Tadalafil. 13 Karessa Pharma Holding AB (publ) Company Description for listing on Nasdaq Stockholm First North Strategy Product development with a focus on proven substances Karessa's overall strategy is to combine the Company's unique and patented drug delivery-film with proven substances, in order to thus achieve faster and more reliable medicinal products within the therapeutic area of erectile dysfunction. Compared with traditional drug development, this model means both shorter time to market and lower development costs. Because the active substances are already on the market, and are well-proven in terms of both efficacy and safety, the number of studies that need to be conducted, as well as the risks associated with these studies, are limited. The studies that need to be done are dosage studies and PK studies, which entail significantly lower risk and costs compared with traditional drug development. Full control over the manufacturing process The medicinal products will be manufactured by contracted partners in the USA and Germany. Where a licensee wants to set up their own production due to local requirements, Karessa will assist in ensuring that the production is quality-assured GMP production. Repeatability of the work involved in registration and marketing authorisation Most of Karessa's relevant geographical markets, such as the USA and Canada accept data from clinical testing on which registration as a medicinal product in Europe is based. The Company will therefore adapt the study as far as possible so that the results can be used for registration in other countries all over the world. This means that special emphasis will be placed on the study design, the size and the methods of analysis – in order to achieve maximum flexibility in terms of how the study can be used. Product sales and/or project licensing The Company's go-to-market strategy will be adapted according to the conditions on each respective geographical market. The overall objective is to optimise the value of the Company's product and project portfolio. Karessa's business model therefore includes both product sales of the finished product to local distributors, and a licensing arrangement where we enter into cooperation with partners already in the clinical development phase. The licensing arrangement is intended to apply primarily in markets where special requirements concerning the locally adapted studies exist. Karessa's organisation is characterised by flexibility, efficiency and competence. Karessa aim is to build a small cost-effective organisation with a high level of internal competence and capacity. In order to create the maximum flexibility and efficiency, external resources within, among other things, medicine and regulatory processes will be contracted on a specific needs basis. Medicinal product development based on new substances Product development Preclinical development Clinical phase 1. Clinical phase 2. Clinical phase 3. Registration Development time approx.12–13 years Karessa's model Product development Dose-finding study PK study Registration Development time approx. 3 years 14 Karessa Pharma Holding AB (publ) Company Description for listing on Nasdaq Stockholm First North Product development and clinical testing Karessa works with substances that have already been approved for use as medicinal products in previous products. Since the development is based on a proven substance, previous documentation can be used, which results in a significantly shorter time to market, lower costs and reduced development risks. The Company is currently working with two projects in the therapeutic area of erectile dysfunction. Both projects, which are in the pre-clinical phase, concern the Company's drug delivery platform in combination with the active substances Sildenafil and Tadalafil, respectively. The focus for 2015-2016 will be on product development and conducting the necessary studies for the forthcoming registration and with the competent authorities. The product development that is now in progress is anticipated to be completed during Q2 2015. This product development is based on the delivery film formulations which to date have been carried out and which, in internally conducted pre-clinical testing, demonstrate a better product profile than the existing tablet treatments offered on the market. The data shows a much faster uptake in the blood than today's tablet treatments. The objective is for it to be possible for a first production batch to be manufactured at the manufacturing facility in the USA or Germany during 2015. Organisation The big focus in 2015 will be on continuing to build up a skilled and flexible internal organisation. The areas of competence/skills and focus that the Company has identified in connection with building up the organisation are: • Product development and film formulation skills, which will assure competence and capacity for the production of the finished product based on Karessa's drug delivery film and the selected active molecules, Sildenafil and Tadalafil • Assure high efficiency in the regulatory process • Assure the production at and technology transfer to the contract manufacturing partners • Involve and engage distributors and partners at an early stage to assure a commercial focus The number of employees at Karessa at the beginning of January 2015 was four, including the CEO. At the Swedish headquarters, all employees work with product development, finance, and assurance of the regulatory strategy moving forward. The company's employees have experience from several of relevant areas for the business: the development of medicinal products, regulatory compliance, business development/commercialisation, financing and management. The employees' experience comes from previous involvement and leading positions in the pharmaceutical industries. In addition, the inventor of the patented film, Fredrik Hübinette, will act as Senior technical advisor in finalising the formulation of the delivery film, as well as technology transfer to the manufacturing facility. In addition, consultants are hired for IT, legal matters and regulatory issues. Planned studies • Dose-finding study It is estimated that the dose-finding study will commence in Q2 2015. The purpose of this study is to determine the dose that gives the best effect – actual, and in relation to any side effects. This study will then form the basis for continued clinical studies. • Clinical studies Karessa will carry out its own PK studies to verify pre-clinical findings for the two planned substances Sildenafil and Tadalafil in combination with the delivery film. The studies will be used as the basis for the submission of documentation for product approval by the local authorities in all markets where this is possible. As a result of more comprehensive regulatory frameworks in Asia, which include requirements for local studies, the work there will be conducted in conjunction with local partners. Scientific advisers Stefan Arver and Scott Boyer the members of the board and direct, evaluate and assure the scientific strategy within the Company. Stefan Arver is an Associate Professor in Endocrinology and Director of the Centre for Andrology and Sexual Medicine at Karolinska Institute in Stockholm. Scott Boyer has a great deal of experience from various senior positions with Astra Zeneca and Pfizer within research and development including Global Head, Molecular Toxicology and Chief Scientist. 15 Karessa Pharma Holding AB (publ) Company Description for listing on Nasdaq Stockholm First North Manufacturing and purchasing In terms of production, the focus in 2015 will continue to be on technology transfer prior to start-up of the manufacturing process, as well as upscaling of the production prior to clinical studies. Production for the studies, as well as the first commercial product series will be done with contracted partners in the USA and Germany (GMP-rated). These partner companies already have extensive experience of Karessa's drug delivery platform as a result of ongoing cooperation with Nicoccino Holding AB, whose nicotine-based product is based on the same patented drug-delivery platform as Karessa's. All the ingredients are classed as medicinal products and purchased from external suppliers. The manufacturing process, referred to as coating, is a relatively standardised form of production. During 2015, the means of GMP manufacture of the film formulations will be assured through technology transfer and upscaling of the production. During 2015, Karessa will also assure the production of prior to clinical study. In a longer perspective, the choice of production arrangement will be made based on legal requirements or what is considered to be the most advantageous for the Company. However, as a result of the complex manufacturing process and the large initial investments in technology transfer and know-how Karessa will most likely continue to be responsible for the production irrespective of the licensing or distribution arrangements. USA and Canada In the USA and Canada too, Karessa intends to irresponsible for the medicinal product registration of the planned products. Asia-Pacific, Africa and emerging markets In markets where a local study is required to obtain MA, local partners will be responsible for clinical studies, as well as the process required for medicinal product registration. For example, local registration will be handled locally in the Asia-Pacific region, Africa and in some emerging markets. Sales and distribution Karessa develops products for a global market. Where the Company is able to, sales will be conducted under our own steam, but the focus will be on building a global network of distributors and partners who are responsible for marketing and sales in their respective markets. The Company's unique patent situation means excellent conditions for being an attractive partner for many pharmaceutical companies all over the world. OTC Karessa operates in the therapeutic area of erectile dysfunction with a focus on prescription products. Today, except in New Zealand, none of the leading substances within erectile dysfunction are approved as over-the-counter medications, but the authorities in several countries are currently reviewing whether some substances can become non-prescription drugs. Karessa is closely monitoring this development. If substances in this therapeutic area are approved for OTC Karessa will have a product available in this area too. Such an approval is expected to increase the number of users and doses considerably, since access to ED medicinal products will then no longer be dependent on a prescription from a doctor. Regulatory planning In order to obtain marketing authorisation, an application for registration will be submitted to the relevant medicinal products authorities such as the FDA (USA), EMA (EU), and the Swedish Medical Products Agency (Sweden). The application for registration will be less extensive for proven substances because the available documentation relating to the substances can be invoked. Europe In Europe, Karessa intends to submit its own application to the European regulatory authorities in accordance with the decentralised procedure (DCP) process. In somewhat simplified terms, an approved application in a Member State in accordance with this principle automatically gives approval also in other Member States. From start to end, this process usually takes about 1–1.5 years, including local approvals for such things as translations and pricing. 16 Karessa Pharma Holding AB (publ) Company Description for listing on Nasdaq Stockholm First North and without restrictions, is licensed to the Company with regard to critical molecules in the area of sexual dysfunction in which erectile dysfunction is included. The Company will pay no royalties or any type of future milestone payment for the license, but must pay the costs related to maintaining the patent. Patent and intellectual property rights The basis for Karessa’s business model consists of the Company’s rights to the Film patent (see more below) in respect of critical molecules in the area of sexual dysfunction. The Film patent’s validity lasts until 2026 and has been approved on a number of major markets, setting the stage for global distribution. In addition to the patent protection, there are also other major barriers to setting up production of similar products. These include the fact that today only a few manufacturing facilities in the world have the capacity and knowhow to produce this type of film. Based on the delivery film patent, the Company intends to develop new patents for each substance, which will create additional and longer patent protection. Application for the delivery film patent The PCT application (PCT/SE2006/050626) was made in 2006. The subsequent national phase comprises a total of 42 countries, including the EU. The patent application has so far been approved in Sweden, the USA (Notice of Allowance), China, Russia, Japan, Australia, New Zealand, South Africa and Israel. The license for the invention applies to the whole world. The scope of the protection for the invention is governed by the patent application and patent approval in each country. In the countries in which the patent has been approved, protection until 2026 or in some cases longer is obtained. The delivery film patent This purpose of the Film patent (Swedish patent no. 0502900-4) is to protect our capacity to produce an orally dissolving film that clings to the oral mucosa and can effectively deliver an active substance. The Film patent is owned by Uppsalagruppen Medical AB and is exclusive for the remainder of the period of validity of the patent, Potential new patent applications Karessa will periodically submit additional patent applications concerning the delivery film in combination with different active substances. Patent families (Uppsalagruppen Medical AB) Country Appl. No. Appl. Date Patent No. Grant date Status Australia 2006327277 22/12/2006 2006327277 25/03/2013 Granted Brazil PI0620403-1 22/12/2006 EPC* 06844046.0 22/12/2006 Canada 2633878 22/12/2006 ** China 200680048866.3 22/12/2006 ZL200680048866.3 27/03/2013 Hong Kong 09101443.2 22/12/2006 Sweden 0502900-4 23/12/2005 0502900-4 18/03/2008 India 5142/DELNP/2008 22/12/2006 Israel 191994 22/12/2006 191994 31/12/2013 Granted Japan 2008-547188 22/12/2006 5425471 06/12/2013 Granted Mexico MX/a/2008/007839 22/12/2006 Norway 20083226 22/12/2006 New Zealand 569261 22/12/2006 South Korea 10-2008-7018096 22/12/2006 Russian Federation 2008130391 South Africa USA Pending Pending Pending Granted Pending Granted Pending Pending Pending 569261 11/12/2012 Granted 22/12/2006 2445977 27/03/2012 Granted 2008/05287 22/12/2006 2008/05287 25/11/2009 Granted 12/158472 22/12/2006 US 8,759,282 B2 24-06-2014 Granted Pending * Countries included: AL, AT, BA, BE, BG, CH, CY, CZ, DE, DK, EE, ES, FI, FR, GB, GR, HR, HU, IE, IS, IT, ** Canadian Intellectual Property Office communicated ”Notice of allowance” 15-07-2014 17 Karessa Pharma Holding AB (publ) Company Description for listing on Nasdaq Stockholm First North Financial overview The Group’s parent company is Karessa Pharma Holding AB. The Group was formed as a result of Uppsalagruppen Medical AB, which owns the Film patent (see page 17), spinning off a license for the right to critical molecules in the area of sexual dysfunction to a separate company, Karessa Pharma AB. In conjunction with this spinoff, Karessa Pharma Holding AB carried out a new share issue of SEK 80 million (3,200,000 shares at the issue price of SEK 25) and then acquired Karessa AB’s parent company Pertubatio AB through a non-cash issue. The Group thus consists of three companies: Karessa Pharma Holding AB (the parent company), Pertubatio AB (subsidiary) and Karessa Pharma AB (subsidiary of the subsidiary). Pertubatio AB and Karessa Pharma AB will be merged. Financial resources The Board’s opinion is that Karessa’s current working capital and liquidity are sufficient for the Company’s activities for the next twelve-month period from the time of drawing up this Company Description. This opinion is based on the Company’s short-term financial resources, which mainly consist of available cash and cash equivalents and which, as per the day of signing of this Company Description, amount to approximately SEK 70,7 million. All companies in the Karessa Group are newly formed companies and have not issued any annual reports. Below is a pro forma statement of accounts for the Group as at 31 December 2014. To date, the Group’s activities have not generated any income. The costs have mainly consisted of the acquisition of the license for the Film patent for the area of sexual dysfunction from Uppsalagruppen Medical AB, as well as research and development. The accounting principles used are set out on page 26 below. 18 Karessa Pharma Holding AB (publ) Company Description for listing on Nasdaq Stockholm First North Profit And Loss Account Consolidated statements Karessa Pharma Holding AB 12 Aug–31 Dec 2014 Pro Forma (tkr) Net sales 0 Other operating income 0 Total earnings 0 Raw materials and consumables 0 Gross profit 0 Other external costs –2,552 Personnel costs –507 Depreciation 0 Total operating expenses –3,059 Operating profit/loss –3,059 Financial income 333 Financial expenses 0 Total net financial income/expenses 333 Profit/loss after financial items –2,726 Tax 0 NET INCOME –2,726 19 Karessa Pharma Holding AB (publ) Company Description for listing on Nasdaq Stockholm First North Balance Sheet Consolidated statements Karessa Pharma Holding AB 31-12-2014 Pro Forma (tkr) Goodwill/intellectual property rights 170,245 Long-term investments 40,300 Total fixed assets 210,545 Stock 74 Other short-term receivables 1,106 Prepaid expenses and accrued income 187 Total current assets 1,367 Cash in hand, bank 34,259 Total cash and cash equivalents 34,259 TOTAL ASSETS 246,171 Share capital 550 Share premium reserve 247,005 Other contributed capital 179 Net profit/loss for the year –2,726 Total shareholders' equity 245,008 Accounts payable - trade 419 Other current liabilities 267 Accrued expenses 477 Total current liabilities 1,163 TOTAL SHAREHOLDERS' EQUITY and LIABILITIES 246,171 20 Karessa Pharma Holding AB (publ) Company Description for listing on Nasdaq Stockholm First North Cash Flow Statement Consolidated statements Karessa Pharma Holding AB 12 Aug–31 Dec 2014 Pro Forma (tkr) Operating activities Operating profit/loss after financial items –2,726 Depreciation 0 Cash flow from operating activities before changes in working capital –2,726 Changes in working capital –254 Cash flow from operating activities –2,980 Investing activities Net investments in intangible fixed assets –2,800 Net investments in financial fixed assets –40,300 Cash flow from investing activities –43,100 Net cash flow before financial items –46,080 Financing activities Contributed capital 80,339 Cash flow from financing activities 80,339 CASH FLOW FOR THE PERIOD 34,259 Cash and cash equivalents at beginning of period 0 Cash and cash equivalents at end of period 34,259 21 Karessa Pharma Holding AB (publ) Company Description for listing on Nasdaq Stockholm First North Share capital and ownership structure Marketplace Karessa has applied for and received approval for admission to trading of the Company’s shares on Nasdaq Stockholm First North. The first day of trading on First North is 10 February 2015. The Company’s share will have the ticker KARE. Share capital Karessa’s share capital amounts to SEK 550,000 divided among 11,000,000 shares outstanding. According to the articles of association, the share capital is to amount to no less than SEK 500,000 and no more than SEK 2,000,000 and the number of shares is to amount to no less than 10,000,000 and no more than 40,000,000. The share’s implied book value is SEK 0.05 (five öre). The Company has only one class of shares and all shares carry equal rights to dividends and profit in the event of a liquidation, and entitlement to one vote per share. The shares in Karessa are not, nor have ever been, subject to any offer as a result of a mandatory bid or redemption rights or obligations. The shares have not been subject to any public takeover bid. The shares have been issued in accordance with Swedish law and are denominated in Swedish kronor (SEK). There are no restrictions on the free transfer of shares. Capital development The share capital in Karessa has changed since the Company was formed in 2014 in accordance with what is shown in the following table. Shareholders The table below shows Karessa’s twelve biggest shareholders as at 31 December 2014. On 31 December 2014 Karessa had around 5,400 shareholders. Incentive programme Karessa has 450,000 outstanding share warrants. Each share warrant gives the right to subscribe for one new share in Karessa for SEK 50 by no later than 1st December 2017. If all share warrants are exercised for the subscription of 450,000 shares, the new shares, based on the current number of shares outstanding, would constitute 3.9 per cent of the share capital of Karessa. Authorisation The Board of Karessa is authorised to, on one or more occasions during the period up to the next annual general meeting, decide on a new share issue for cash payment and/or with provision for payment in kind or set-off; and thereby is able to deviate from the shareholders’ preferential rights. The purpose of this authorisation and the reason for the deviation from the shareholders’ preferential rights is to allow for raising capital for expansion and new business opportunities. If the new share issue is made for payment in cash and deviates from the shareholders’ preferential rights, the share price shall be at a market rate and the number of newly issued shares may not exceed 20 per cent of the total number of shares in the Company after completion of the new share issue. Action Formation (2013) Split (2014) Number of shares Shareholders Participating interest JP MORGAN BANK 3,478,879 31.6% UBS AG CLIENTS ACCOUNT 1,493,418 13.6% HüBINETTE, FREDRIK 1,164,295 10.6% SVENSKA HANDELSBANKEN AB FOR PB 962,406 8.8% BANK MORGAN STANLEY AG ZURICH 302,050 2.8% FÖRVALTNINGS AB HUMMELBOSHOLM 224,000 2.0% HJÄLMSTAD, LINDA-MARIE 200,000 1.8% SKANDINAVISKA ENSKILDA BANKENS.A., W8IMY 160,528 1.5% LEXRON AB 160,000 1.4% NORTH LAKE INVEST AB 100,449 0.9% FREDRIK SJÖÖ 100,449 0.9% PETER ÅSBERG 100,449 0.9% 2,553,077 23.2% 11,000,000 100% OTHERS Total: Change number of shares Acc. number of shares Implied book value (SEK) Change Share capital (SEK) Acc. share capital (SEK) + 50,000 50,000 + 50,000 50,000 1 - 50,000 + 950,000 1,000,000 0.05 New share issue (2014) + 5,000 55,000 + 100,000 1,100,000 0.05 New share issue (2014) + 160,000 215,000 + 3,200,000 4,300,000 0.05 Non-cash issue (2014) + 335,000 550,000 + 6,700,000 11,000,000 0.05 22 Karessa Pharma Holding AB (publ) Company Description for listing on Nasdaq Stockholm First North Board of Directors Karessa’s Board of Directors has five members. The work of the Board of Directors is led by its chair. The Chair of the Board is paid an annual director’s fee of SEK 150,000 and the other three members who are not employees of the Company are paid an annual director’s fee of SEK 100,000 per member. Erik Nerpin Chairman Born: 1961 Education: LL.M, Uppsala University. International Banking Law, Boston University Main occupation: Lawyer Other current engagements include: Chairman of the Board of Nicoccino Holding AB, Cassandra Oil AB, Kancera AB and WYA Holding AB. Board member of Diamyd Medical AB, Effnetplattformen AB, Aqeri Holding AB, AB Igrene, Blasieholmen Investment Group AB and Otirol Art AB Previous directorships include: Chairman of the Board of Factum Electronics AB (until 2013) Shareholding: 20,000 Option holding: 0 Michel Bracké Board member Born: 1963 Education: Harvard Business School Alumni Master Degree Applied Arts Other current engagements: CEO Nicoccino Holding AB and MRM Advice AB Previous directorships: Board member of Dicota Holding AB, Board member of Urbanista and CEO of OSM Holding AB Shareholding: 10,000 Option holding: 0 Stefan Arver Board member Born: 1952 Education: MD, PhD (Karolinska Institute), Registered medical practitioner, specialist in endocrinology Other current engagements: Director European Academy of Andrology accredited Educational Centre in Andrology, Fellow and chief physician, Section manager Centre for Andrology and Sexual Medicine at Karolinska University Hospital, Stockholm. Research group leader in Andrology and Sexual Medicine, Karolinska Institute. Scientific adviser, consultant in the area of men's gender-specific diseases. Board member Vitamin Well AB, Alabio AB, Acrosomen AB Shareholding: 0 Option holding: 75,000 23 Scott Boyer Board member Born: 1962 Education: PhD, University of Colorado, Boulder – Toxicology. NIH Fogarty International Centre Postdoctoral Fellow – Karolinska Institute Other current engagements: Director – Computational Toxicology, Karolinska Institute, CEO, Klaria Pharmaceuticals AB Previous directorships: Shareholding: 10,000 Option holding: 0 Torbjörn Kemper CEO, Board member Born: 1969 Education: University of Gothenburg, School of Business, Economics and Law Other current engagements: Board member of Nicoccino Holding AB Past experience: Sales Director, HENKEL Business Development Director, MEDA OTC AB Nordic Commercial Director, NESTLÉ HEALTH SCIENCE Commercial Director, Novartis Medical Nutrition Sales Manager Glaxo Smith Kline Previous directorships: Shareholding: 4,000 Option holding: 175,000 Karessa Pharma Holding AB (publ) Company Description for listing on Nasdaq Stockholm First North Management and auditor Auditor Authorized public accountant Hans Brorsson, born 1959 Shareholding: 0 Option holding: 0 Torbjörn Kemper See Board of Directors Erik Mascher CTO Born1956 Education: PhD in biochemistry, Uppsala University Other current engagements:Previous directorships:Past experience: Senior Scientist, Section Manager General Electric Healthcare, Vice President Process Development and Production Resistentia Pharmaceuticals AB, Consultant, MAKK Consulting AB Shareholding: 0 Option holding: 0 Hans Richter CFO on a consultative basis Born: 1949 Education: MBA, Uppsala University, BA from Stockholm University Other current engagements: Chairman of the Board of Magelhusen AB, Hela Sveriges Assistans AB, AntiSnore Sweden AB, board member of Icehotel AB, Gällöfsta Utbildning och Konferens, Professionell Ägarstyrning AB. Previous directorships: Chairman of IPQ IP Specialists AB, ID-Entity AB, Zuera AB, board member of Vivaldi AB, COOD Investments AB Past experience: Professional board member and CFO for hire Shareholding: 0 Option holding: 0 Other information about the Board of Directors and senior management concerning the circumstances since 1st January 2010 None of the members of the board or the Company’s senior executives have been involved in a bankruptcy or liquidation (in the case of insolvency) in their capacity as board members or holders of senior executive positions. No board member nor any of the Company’s senior executives has been convicted in any fraud-related cases. Nor has any accusation been made and/or sanction ordered by an authority or professional association against any of these individuals. No member of the board or senior executive has been banned by a court from being a member of a compa- Jan Berglund Chief Operating Officer Born: 1961 Education: Nursing Care/ Science of Care at Mid Sweden University in Sundsvall, Bachelor of Science in Nursing, Anaesthetist Care from Uppsala University Other current engagements: Previous directorships: Past experience: Country manager, Cipla Europe NW, Nordic Commercial Director at Nestlé Health Care Science, Deputy Managing Director Sweden, Director of Contract Placement Solutions and Head of Marketing and Sales at Trial Form Support, Area Manager General Medicine at Novartis, various senior positions held at GlaxoSmithKline Shareholding: 5,000 Option holding: 55,000 ny’s administrative, management or supervisory bodies, or from having a leading or controlling function in a company. None of the members of the board or the senior executives are entitled to any benefits in connection with the termination of their directorship or senior executive position (beyond the fringe benefits pursuant to the provisions in their contracts of employment during the period of notice). No member of the board or senior executive has any family ties with any other board member or senior executive. The Company is not aware of any conflict of interest between the obligations of the board members and senior executives to the Company and their respective private interests and/or other obligations. 24 Karessa Pharma Holding AB (publ) Company Description for listing on Nasdaq Stockholm First North Legal matters and supplementary information Trading on First North Karessa’s share will be traded on First North under the ticker KARE. The share has the ISIN code SE0005506193. Karessa’s ICB classification is Subsector 4577. Legal structure Karessa is a Swedish public limited company with corporate identity number 556942-1596. The Company was registered by the Swedish Companies Registration Office on 11 September 2013 under its then name Goldcup 9013 AB. The Company’s form of association is a limited company and is governed by the Swedish Companies Act (SFS 2005:551). The Board has its registered office in Stockholm. Karessa is the parent company of a Group of a total of three companies. Karessa owns all the shares in Pertubatio AB (556966-7420) which in turn owns all the shares in Karessa Pharma AB (5569592891). CSD company Karessa is a CSD company and its shares are registered in a CSD register in accordance with lagen (1998:1479) om kontoföring av finansiella instrument (the Act (SFS 1998:1479) on accounting of financial instruments). Karessa and its shares are linked to the CSD system with Euroclear as the central custodian of securities and the clearing house. Euroclear also holds Karessa’s share register. Shareholders do not receive any physical share certificate; instead transactions with shares are effected electronically by registration in the CSD system by competent banks and other asset managers. Shareholder Agreement As far as Karessa’s board of directors know, no shareholder agreements exist between any of the Company’s major shareholders. Lock-up agreements Karessa’s founder Fredrik Hübinette has entered into a lock-up agreement with the Company which means that he has undertaken not to transfer any shares in the Company or to enter into any agreement or be involved in transactions that would have a similar effect to a transfer, during the period until 31st July 2015. As far as Karessa’s board of directors know, no other lock-up agreements exist. Dividend policy The size of any future dividends to the shareholders in Karessa is dependent on a number of factors, such as profit, financial position, cash flow and need for working capital. Only after long-term profitability can be foreseen will dividends to shareholders be payable. In the next few years, dividends are not anticipated to be applicable since all available funds will be used for continued expansion. A decision on distribution of profits is made by the annual general meeting and payment is effected by Euroclear. Those who are registered as a shareholder in the share register maintained by Euroclear on the record day for dividends decided by the annual general meeting are entitled to dividends. Dividends are normally paid as a cash amount per share, but may also consist of payments in other than cash, such as distribution in kind. If the shareholder cannot be reached to receive dividends, the shareholder’s claim on the Company persists, and is limited only by the general rules relating to limitation on claims. Should the limitation period expire, the full amount accrues to the Company. Karessa does not apply any restrictions or special procedures with regard to cash dividends to shareholders residing outside of Sweden. With the exception of any limitations deriving from bank and clearing systems, payment is effected in the same way as for shareholders resident in Sweden. However, for shareholders who are not resident for tax purposes in Sweden, normal Swedish coupon tax is payable. Certified Adviser on First North First North is an alternative marketplace operated by the various stock exchanges that are make up Nasdaq. It does not have the same legal status as a regulated market. Companies listed on First North are governed by First North’s rules and not by the legal requirements for trading on a regulated market. An investment in a company that is traded on First North therefore is generally higher risk than an investment in a company in a regulated market. All of the companies whose shares are traded on First North have a Certified Adviser to monitor that the Company complies with First North’s rules for disclosure to the market and investors. Remium, which is a member of and has an agreement with Nasdaq OMX Stockholm AB, is the Certified Adviser for Karessa. A Certified Adviser audits companies whose shares are admitted for trading on First North. Nasdaq OMX Stockholm AB approves the application for admission to such trading. Nasdaq OMX Stockholm AB’s Surveillance function is responsible for checking that both companies and their Certified Advisers comply with the rules of First North. Surveillance also monitors trading on First North. Remium does not own any shares in Karessa. 25 Karessa Pharma Holding AB (publ) Company Description for listing on Nasdaq Stockholm First North Patent The technology behind Karessa’s drug delivery film is patented. The patent (Swedish patent no. 0502900-4), designated in this Company Description as “the Film patent”, is owned by Uppsalagruppen Medical AB and is exclusive for the remainder of the period of validity of the patent, and is licensed without restrictions to the Company with regard to critical molecules in the area of sexual dysfunction. The Company will pay no royalties or any type of future milestone payment for the license, but must pay the costs related to maintaining the patent. The application for the Film patent, the PCT application (PCT/ SE2006/050626), was made in 2006. The subsequent national phase comprises a total of 42 countries, including the EU. The patent application has so far been approved in Sweden, the USA (Notice of Allowance), China, Russia, Japan, Australia, New Zealand, South Africa and Israel. The license for the invention applies to the whole world. The scope of the protection for the invention is governed by the patent application and patent approval in each country. In the countries in which the patent has been approved, protection until 2026 has been obtained. proved IFRS interpretations as far as possible within the framework of Sweden’s Annual Accounts Act and its law on safeguarding of pension commitments (SFS 1967:531), and with regard to the connection between accounting and taxation. The recommendation specifies the exemptions and additions to be applied in relation to IFRS. The consolidated profit and loss account for Karessa will include the annual report and the quarterly reports for Karessa and its subsidiaries. The subsidiaries’ annual reports and quarterly reports will be drawn up for the same accounting year as for the parent company using the same accounting principles. All intra-group transactions, revenues and costs, profits and losses and balance sheet items derived from intra-group transactions are eliminated in their entirety in the consolidated profit and loss account. A subsidiary is a company in which the parent company has a controlling influence; as a general rule as a consequence of a shareholding that, directly or indirectly, gives the parent company control over more than 50 per cent of the voting rights. A subsidiary is included in the consolidated profit and loss account from the date of its acquisition, which is the day when the parent company acquired a controlling influence, and is included in the consolidated profit and loss account up until the time when that controlling influence ceases. Significant agreements Karessa licenses the Film patent according to the agreement with Uppsalagruppen Medical AB (see above under the heading “Patent” ). Karessa currently has no other agreements that are deemed not possible to replace with another contractor under equivalent commercial terms. Acquisitions and goodwill Acquisitions of subsidiaries are reported by applying the acquisition method. The acquisition is considered to be a transaction by which the Group indirectly acquires the assets of the subsidiary and takes over its liabilities and other commitments. The cost of an acquisition consists of the fair value of the assets provided as compensation, equity instruments issued and liabilities incurred or taken over on the day of transfer, plus costs that are directly attributable to the acquisition. Identifiable assets acquired and liabilities taken over and contingent liabilities in a business combination are initially valued at fair value on the acquisition date. Any surplus arising as the difference between the acquisition value and the fair value of the Group’s share of the identifiable acquired assets, liabilities and contingent liabilities is recognised as goodwill. Goodwill is recognised as an asset in the consolidated balance sheet. If the difference is negative, it is taken up directly in the consolidated profit and loss account. Equity in the subsidiary is eliminated entirely on acquisition. The Group’s equity includes the parent company’s equity and that part of the subsidiaries’ equity earned after the acquisition. Accounting principles The Karessa Group is newly formed and has not drawn up any annual report or interim report. Starting with the annual report for 2014 and the interim report for the first quarter of 2015, the Group will begin reporting in accordance with International Financial Reporting Standards (IFRS) as adopted by the EU and in accordance with Sweden’s Annual Accounts Act and RFR 1 Supplementary accounting rules for groups. In all other respects, Karessa’s accounting principles will be based on Sweden’s Annual Accounts Act (SFS 1995:1554) and Sweden’s Financial Reporting Council’s recommendation RFR 2, Accounting for legal entities. RFR 2 means that Karessa is to apply all EU-ap- 26 Karessa Pharma Holding AB (publ) Company Description for listing on Nasdaq Stockholm First North Agreements with related parties The current Group structure was formed as result of FFT Medical AB spinning off Karessa Pharma AB to its shareholders through the newly-formed company Pertubatio AB, whereupon Karessa acquired Pertubatio AB through a non-cash issue. There are therefore no ownership connections between FFT Medical AB and Karessa. Moreover, no transactions with related parties exist and Karessa is not party to any agreement that has not been entered into on commercial terms. Conversion from foreign currency Functional currency and presentation currency Items that will be included in the financial statements of the various companies in the Group will be valued in the currency that is used in the financial environment in which each respective company mainly operates (functional currency). Karessa’s functional currency is SEK which will also be the presentation currency for the parent company and the Group. This means that the financial statements will be presented in SEK rounded to the nearest thousand unless otherwise specified. Disputes and legal procedures Karessa is not a party to any dispute, trial, or any arbitration process that could affect the Company’s operations to a material degree. Transactions and balance sheet items Transactions in foreign currencies will be converted to the functional currency SEK according to the exchange rate available on the date of the transaction. Monetary assets and liabilities in foreign currencies will be converted to the functional currency at the exchange rate available on the balance sheet date. The exchange rate differences that arise in the conversions will be reported in net financial items in the profit and loss account. Non-monetary assets and liabilities will be reported at their historical cost and will be converted at the exchange rate available on the date of the transaction. Insurance The Board is of the opinion that Karessa currently has sufficient insurance coverage for its current operations. The Board will continue to monitor insurance coverage in pace with the Company’s operations expanding. Permits for activities The Company does not need any special permits to carry out its activities. Translation of foreign subsidiaries Assets and liabilities in foreign entities, including goodwill and any other over- or undervalues will be converted at the exchange rate available on the balance sheet date. Income and expenses in a foreign entity will be converted to SEK at a monthly average rate that applies at the time of a transaction. Translation differences arising from the translation of foreign entities will be reported directly against equity in the consolidated profit and loss account as a translation difference. 27 Karessa Pharma Holding AB (publ) Company Description for listing on Nasdaq Stockholm First North Risk factors All business activities and all ownership of shares is associated with risks. Below is an account of a number of risk factors that may affect the Company's future development. These are not ranked and do not either claim to be comprehensive. Risk factors that have not yet been identified, or have not been assessed as significant, may still come to have an impact on the Company's future development. Any potential investor should make his/her own overall assessment of all the information in this Company Description as well a general assessment of the business environment. Risks related to the business and the industry Karessa's business concept is to combine the company's patented drug delivery technology with proven substances in the therapeutic area of erectile dysfunction. The Company's products require continued research and development, as well as regulatory approvals, before they can generate revenue. The level of risk is therefore high, and there is no guarantee that the Company's product development will be successful, that potential products will be safe and effective, that it will be possible to obtain the necessary authorisations, or that the medicinal products to be launched on the market will be well received. In order to obtain a marketing authorisation, the Company must show that these product candidates are safe and effective by means of adequate and well-controlled clinical studies. The Company cannot predict with certainty when these studies will be completed or even conducted. This type of development is time-consuming and is affected by a variety of factors, including those which are outside the control of the Company. During the development process, it may become apparent that the Company's product candidates do not have the anticipated effect, or that they turn out to have unforeseen and undesirable side effects or other characteristics which may delay or stop the product development and restrict or prevent the commercial use of the product candidates. Unanticipated study results can lead to the need to review the concept and development programmes, which means that further studies may be required at significant cost, or that development programmes are shut down. This can result in delayed product launches or non-registration of the Company's product candidates which, in such a case, would have a negative impact on the Company's earnings and financial position. Regulatory risks The development, marketing and sale of medicinal products are subject to extensive regulation and legislation. The Company cannot predict with certainty whether, where, when and how these rules will be changed, and if such changes might affect the Company negatively. For the Company to be able to sell medicinal products in the long term, marketing authorisation must be obtained for each geographical market. The Company cannot predict with certainty what additional clinical studies must be carried out for different markets, that the manufacturing process will be approved, the time it takes to obtain marketing authorisation, or that marketing authorisation will be obtained for the markets that the Company wants to sell to. In this respect, Karessa, like other companies in the pharmaceutical industries, is dependent on the assessments and decisions of the relevant authorities, such as the Medical Products Agency of Sweden, the Food and Drug Administration (FDA) in the USA, or the European Medicines Agency (EMA) in the EU. Such assessments include authorisation to carry out clinical trials and authorisation to market and sell the medicinal products. An application for marketing authorisation of the Company's products as medicinal products require extensive documentation of clinical results, quality assurance and that the production complies with the applicable national and international requirements among other things. Even if the Company prepares large parts of this documentation in parallel with the clinical studies, it cannot be ruled out that unforeseen circumstances will lead to delays, which could result in the applications for marketing authorisation being submitted later than anticipated. The authorities may request supplementary information or have other comments on the Company's applications, which means that the time for a possible market authorisation is subject to uncertainty. It cannot be ruled out that the Company may need to supplement its applications, which can be time-consuming and entail unforeseen costs. 28 Karessa Pharma Holding AB (publ) Company Description for listing on Nasdaq Stockholm First North Patents, trademarks and know-how In the type of activity in which Karessa is engaged, there is always a risk that the Company's patents, licensed patent rights or other intellectual property rights do not provide sufficient protection for the Company, or that the Company's rights cannot be upheld. Furthermore, patent infringements may occur, which can lead to costly litigation. The outcome of such disputes cannot be guaranteed in advance. Negative outcomes of disputes concerning intellectual property rights, can lead to loss of protection for the losing party, as well as a ban on continuing utilise the current right or an obligation to pay damages. The Company has licensed a patent owned by Uppsalagruppen Medical AB (the delivery film patent, see page 26). This patent has not yet been approved in all countries where an application has been made, and it cannot be guaranteed that this will be the case. Even if the Company uses non-disclosure agreements, and strives to keep its know-how within the Company and to maintain control over the most sensitive components involved in the production of the Company's products, there are no guarantees that uncontrolled proliferation and copying of the Company's production methods will not occur. Such uncontrolled proliferation and copying could damage the Company if it is used for the production of competing products, or if it otherwise exploited commercially without financial compensation to Karessa. Karessa is highly dependent on the Company's senior executives and other key people. If the Company were to lose any of its key employees it could come to have a negative impact on the Company's expansion and growth. Side effects The Company's main area of activity lies in the development and sale of medicinal products, which entails risks to persons who either consume or participate in clinical studies with the Company's products or otherwise come into contact with the Company's products being affected by side effects. The consequences of such potential side effects in the various markets may delay or stop the process of obtaining marketing authorisation or mean the suspension of sales and thus impact the Company's sales, earnings and financial position. It cannot be ruled out that the Company may be sued by people who are affected by side effects, which may lead to the Company being obliged to pay damages. Competition The Company operates in an industry that is characterised by intense competition and it cannot be guaranteed that the Company's products will be preferred over competing companies' existing or future products on the market. It cannot either be ruled out that competing companies may develop equivalent or better products. Future products under development by other companies can result in increased competition and poorer prospects for the Company's products with respect to market share and price. The said uncertainties entail risks that can have a negative impact on the Company's anticipated sales, earnings and financial position. Partners in cooperation and distribution channels The Company's growth is expected to be largely dependent on the establishment of partnerships with distributors, retailers and other distribution channels. The Company cannot guarantee that contracts can be concluded with favourable terms, or that contracts entered into are not breached by the other parties. If key partnerships cannot be entered into, are terminated or do not function satisfactorily, this can adversely affect the Company's continued development, growth and financial position. The Company might also be adversely affected by stoppages or failures of business-critical systems. Growth and recruitment needs The Company intends to expand its operations in the coming years and there will be a need for recruitment within all of the Company's functions. This expansion will also make demands on the Company's existing management, control, accounting and information systems. If the Company is unable to control or provide for growth in an effective way, this could come to have a negative impact on the Company's operations, earnings and financial position. Product liability and insurance The Company's business operations carry risks of product liability. The Company will obtain and maintain product liability insurance for products where this is judged to be important. However, any claims for damages against the Company in the event of damage caused by the Company's products or product candidates may come to exceed the amount paid out by the Company's insurance policies. Furthermore, it is not possible to rule out that the Company's product liability insurance will not cover a claim for damages. If the Company is liable for damages in excess of what is covered by the Company's insurance policies, this can adversely affect the Company's earnings and financial position. Legal risks In the long term, Karessa will operate in several countries and thus be affected by the legislation in each individual country in which its activities are carried on. It cannot be ruled out that legislation related to taxation, customs duties and authorisations will change, potentially with retroactive effect, in a way that may have a negative impact on the Company's operations, earnings and financial position. 29 Karessa Pharma Holding AB (publ) Company Description for listing on Nasdaq Stockholm First North Financial risks Working capital It cannot be ruled out that the Company will need to seek financing, including loans or equity, to cover future unforeseen capital requirements. There are no guarantees either that such other financing can be obtained from one time to another, or that the conditions for such other financing will be acceptable to the Company and its shareholders. For example, a new issue of shares in the Company could lead to a dilution for the existing shareholders. Risks related to the Company's shares Stock market risk A potential investor should be aware that an investment in the Company's shares are associated with a high degree of risk. Along with the Company's earnings, the share price is dependent on a number of factors that the Company cannot influence. Such factors include, for example, the economic climate, market interest rates, capital flows, political uncertainty and market and behavioural psychology. Even if the Company's operations develop in a positive direction, the possibility that an investor makes a loss on the disposal of his/her shares in the Company cannot be ruled out. Currency risk Currency risk is the risk of exchange rate fluctuations negatively affecting the Company's earnings, financial position and/or cash flow. Foreign-exchange risks can exist in the form of both transaction risks and translation exposure. The Company currently has a relatively limited currency exposure but since future sales will be mainly in foreign currencies, the Company's currency exposure will gradually increase. Share liquidity No trade in the Company's shares has occurred before its listing on Nasdaq Stockholm First North. It is not possible to predict the extent to which active and liquid trading in the shares will develop. If an active and liquid trading does not develop, or is not sustained, it would mean difficulties for shareholders to sell their shares without affecting the market price negatively, or to sell them at all. Future dividends Since in the coming years Karessa will be in an expansive phase of development, the Board does not intend to commit itself to a fixed dividend payout ratio. If cash flows from operating activities exceed the Company's capital requirements, the Board intends to recommend that the Annual General Meeting (AGM) decides on dividends. No guarantees can be provided, however, as to whether future cash flows will exceed the Company's capital requirements or that the AGM will decide to pay out dividends in the future. Shareholders with significant influence At the time of listing on Nasdaq Stockholm First North, share ownership in Karessa is spread in such a way that no single shareholder controls the Company. However, it cannot be ruled out that in the future there will be shareholders or groups of shareholders that acquire a controlling influence at the AGM, for example in the case of election of the Board of Directors. 30 Karessa Pharma Holding AB (publ) Company Description for listing on Nasdaq Stockholm First North Taxation issues in Sweden The following summary outlines certain tax rules which may become topical in connection with the holding and trading in shares in Karessa. This summary refers in the first instance to shareholders with unlimited tax liability in Sweden. This summary is not intended to be exhaustive , nor does it cover situations where the shares are held by partnerships or as stock in trade. In addition, it does not deal with the special rules that apply when shareholders hold shares deemed held for business purposes, or the special rules which apply to natural persons' holdings of what are termed restricted shares held in a close company. Special tax consequences may also arise for other categories of shareholders, such as investment companies, investment funds and persons whose tax liability in Sweden is limited. Holders of shares in Karessa are recommended to seek advice from tax advisers regarding the tax consequences that may arise in each individual case, including their applicability and the effects of foreign tax and tax agreements. the remainder. The deficit cannot be saved for a later tax year. Legal persons Legal persons, except deceased estates, are normally taxed on all income, including taxable capital gains and dividends, under income from business activities. The tax rate is currently 22 per cent. If the shares are shares deemed to be held for business purposes, special rules apply. Calculation of the capital gain or loss occurs in the same way as for natural persons as indicated above. Deductions for capital losses are normally only allowed against capital gains on shares or other partnership rights. Provided certain conditions are met, a loss can also be offset against capital gains in companies within the same group, on the condition that the right to group contributions exists between the companies. Capital losses that have not been able to be used for a given year may be saved and deducted against capital gains on shares and other partnership rights in subsequent tax years without limitation in time, termed the aktiefållan (pen for shares). Natural persons For natural persons and deceased estates, any returns, such as dividends and capital gains, are taxed as income from capital when the shares are sold. The tax rate is 30 per cent. Preliminary tax in respect of dividends is withheld by Euroclear or, for nominee holdings, by the nominee. The company paying the dividend is not responsible for withholding any tax at source. Capital gains and capital losses are normally calculated as the difference between the sale payment, after deductions for selling costs, and the cost amount. The cost amount for all shares of the same class and type is calculated jointly, applying the average method. Alternatively, for listed shares, the cost amount may be determined according to a standard method at 20 per cent of the sale payment after deductions for selling costs. Capital losses on the disposal of listed shares are fully deductible against taxable capital gains on other listed shares and partnership rights the same year, except for shares in investment funds that contain only Swedish rights to make claims (fixed income funds). Capital losses that cannot be offset in this way may be 70 per cent deducted against other income from capital. If a deficit arises in income from capital, a tax credit is allowed against municipal and state income taxes, as well as against state property tax and municipal property charges. A tax credit is allowed of 30 per cent of the part of the deficit that does not exceed SEK 100,000 and of 21 per cent for Shareholders with limited tax liability in Sweden For shareholders, natural as well as legal persons, with limited tax liability in Sweden, normal Swedish dividend tax is payable at the rate of 30 per cent on dividends from the Swedish limited company. However, this rate is generally reduced by double taxation relief agreements between Sweden and other countries. Special rules apply for dividends on share which are deemed held for business purposes. Exemption from dividends tax also applies for shareholders within the EU who are legal persons and who meet the criteria in the EU directive 2011/96/EU if the shareholding amounts to at least 10 per cent of the share capital in the company issuing the dividends. Dividends tax is withheld at the time of paying the dividends by Euro- 31 Karessa Pharma Holding AB (publ) Company Description for listing on Nasdaq Stockholm First North clear or, for nominee holdings, by the nominee. If dividends tax is withheld at too high an amount, repayment can be requested from Skatteverket (the Swedish Tax Agency) before the end of the fifth calendar year after the dividend payout. Shareholders with limited tax liability in Sweden and who do not carry out activities from a permanent establishment in Sweden are not normally taxed in Sweden for capital gains on the sale of shares and other partnership rights. Shareholders may, however, become the subject of such taxation in their fiscal domicile. Natural persons with limited tax liability in Sweden can be the subject of Swedish taxation on the disposal of securities if at any time during the calendar year in which the sale takes place, or at any time during the ten preceding calendar years, they have been resident in Sweden or have had their habitual abode here. However, the applicability of this rule in most cases is limited by double taxation relief agreements between Sweden and other countries. 32 Karessa Pharma Holding AB (publ) Company Description for listing on Nasdaq Stockholm First North Articles of Association Karessa Pharma Holding AB CIN 556942-1596 notice of the annual general meeting. This date may not be a public holiday, a Saturday, Midsummer Eve, Christmas Eve or New Year’s Eve and it may not fall earlier than the fifth workday before the meeting. Shareholders may bring one or two assistants, however, only if the shareholder has notified this in accordance with the preceding paragraph. ARTICLES OF ASSOCIATION Adopted at the extraordinary general meeting on 4 July 2014 Section 1 The Company is Karessa Pharma Holding AB (publ). Section 9 The annual general meeting shall be held within six months after the end of the financial year. At the annual general meeting, the following matters shall be treated: 1) Election of the chair of the meeting. 2) Drawing up and approval of the voting list. 3) Election of one or two scrutinizers of the minutes. 4) Determination of whether the meeting has been duly convened. 5) Approval of the agenda. 6) Presentation of the annual report and the auditor’s report and, where appropriate, the consolidated profit and loss account and the auditors’ report for the Group. 7) Decisions on: (a) Adoption of the profit and loss account and the balance sheet as well as, where applicable, the consolidated profit and loss account and the consolidated balance sheet. (b) Allocation of the profit or loss according to the adopted balance sheet, as well as (c) Discharge from liability of the members of the Board of Directors and the CEO 8) Determination of the fees to be paid to the members of the Board and the auditors. 9) Election of the members of the Board and, where appropriate, of the auditors 10) Any other matters arising from the annual general meeting in accordance with the Swedish Companies Act (2005:551) or the Articles of Association. Section 2 The Board shall have its registered office in the municipality of Stockholm. Section 3 The Company shall carry out research and development in the medical field, market and sell medicinal products and services and engage in other activities related thereto. Section 4 Share capital shall be no less than SEK 500,000 and no more than SEK 2,000,000. Section 5 The number of shares shall be no less than 10,000000 and no more than 40,000,000. All shares are of the same class. Section 6 The Board shall consist of no less than 3 and no more than 8 members with no substitutes. Section 7 The Company shall have one to two auditors with or without substitutes or a registered public accounting firm. Section 8 Notice of the annual general meeting shall be announced in Post- och Inrikes Tidningar (the Swedish government gazette) and on the Company’s website, as well as by advertising in Svenska Dagbladet that the notice has been issued. Notice of the annual general meeting and any extraordinary general meetings at which amendments of the articles of association are to be treated shall be published no earlier than six weeks and no later than four weeks before such a meeting. Notice of other extraordinary general meetings shall be published no earlier than six weeks and no later than two weeks before the meeting. In order to be entitled to participate in the annual general meeting, shareholders must be listed in the printout of the share register with respect to circumstances five weekdays prior to the meeting, and in addition must register for the meeting, along with the number of assistants to the Company, no later than the date specified in the Section 10 The financial year for the Company shall be January 1 - December 31 (calendar year). Section 11 The Company’s shares shall be registered in a CSD register in accordance with lagen (1998:1479) om kontoföring av finansiella instrument (the Act (SFS 1998:1479) on accounting of financial instruments). 33 Karessa Pharma Holding AB (publ) Company Description for listing on Nasdaq Stockholm First North Glossary GMP (Good Manufacturing Practice) is a regulatory framework governing the manufacture, including packaging, of medicines, foods and health foods. PK studies refers to studies of the mechanisms of the absorption and distribution of medicinal products. In addition, time to effect, how long the effect lasts, the chemical changes in substance in the body and the drug's metabolism are studied. Dose-finding study is a clinical study with the aim to determining the dose of the future medicinal product that gives the best effect in relation to any potential side effects. 34 Karessa Pharma Holding AB Lahällsvägen 48 SE-183 30 Täby SWEDEN www.karessa.se [email protected]