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EX-32.1 - ProUroCare Medical Inc.v178921_ex32-1.htm
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EX-23.1 - ProUroCare Medical Inc.v178921_ex23-1.htm
EX-4.27 - ProUroCare Medical Inc.v178921_ex4-27.htm
EX-31.1 - ProUroCare Medical Inc.v178921_ex31-1.htm
EX-10.50 - ProUroCare Medical Inc.v178921_ex10-50.htm
EX-10.49 - ProUroCare Medical Inc.v178921_ex10-49.htm
EX-10.48 - ProUroCare Medical Inc.v178921_ex10-48.htm



UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

FORM 10-K

x ANNUAL REPORT UNDER SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
 
For the fiscal year ended December 31, 2009

o TRANSITION REPORT UNDER SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
 
For the transition period from _________________ to __________________
 
Commission file number: 000-51774

ProUroCare Medical Inc.
(Exact name of registrant as specified in its charter)
 
Nevada
20-1212923
(State or other jurisdiction
(IRS Employer
of incorporation)
Identification No.)
   
6440 Flying Cloud Drive, Suite 101, Eden Prairie, MN
55344
(Address of principal executive offices)
(Zip Code)
     
Registrant’s telephone number, including area code
952-476-9093
 
 
(Former name or former address, if changed since last report.)

Securities registered pursuant to Section 12(b) of the Exchange Act:  None
 
Securities registered pursuant to Section 12(g) of the Act:

Common Stock $0.00001 par value; Common Stock Warrants
 
   
Units, consisting of one share of Common Stock and one Warrant
 

Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act.
¨ Yes     x No
 
Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or 15(d) of the Act.
¨ Yes     x No
 
Indicate by check mark whether the issuer (1) filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act during the past 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.                                                                 x Yes     ¨ No
 
Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files).                     ¨ Yes     ¨ No
 
Indicate by check mark if disclosure of delinquent filers in response to Item 405 of Regulation S-K (§229.405 of this chapter) is not contained herein, and will not be contained, to the best of registrant’s knowledge, in definitive proxy or information statements incorporated by reference in Part III of this Form 10-K or any amendment to this Form 10-K                   ¨ 
 
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company.  See the definitions of “large accelerated filer,” “accelerated filer,” and “smaller reporting company” in Rule 12b-2 of the Exchange Act.
 
Large accelerated filer ¨
Accelerated filer ¨
Non-accelerated filer ¨
Smaller reporting company x

Indicate by check mark whether the registrant is a shell company (as defined by Rule 12b-2 of the Exchange Act).
¨ Yes     x No
 
State the aggregate market value of the voting and non-voting common equity held by non-affiliates computed by reference to the price at which the common equity was sold, or the average bid and asked price of such common equity, as of the last business day of the registrant’s most recently completed second fiscal quarter.                      $6,136,378 as of June 30, 2009
 
Indicate the number of shares outstanding of each of the registrant’s classes of common equity, as of the latest practicable date.
11,370,321 common shares and 1,525,156 Units at March 26, 2010
 


 

 
INTRODUCTORY CAUTIONARY STATEMENT
 
This Annual Report on Form 10-K includes forward-looking statements within the meaning of the Securities Exchange Act of 1934, as amended (the "Exchange Act"). These statements are based on management’s current beliefs and assumptions and on information currently available to us. Forward-looking statements include, among others, the information concerning possible or assumed future results of operations of ProUroCare Medical Inc. and its subsidiary (the "Company,” “we,” “us,” or “our”) set forth in Part II, Item 7, "Management's Discussion and Analysis of Financial Condition and Results of Operation" and elsewhere in this Annual Report. Forward-looking statements also include statements where the words "may,”" "will,” "should,” "could,” "expect,” "anticipate,” "intend,” "plan,” "believe,” "estimate,” "predict,” "potential,” or similar expressions are used. Forward-looking statements are not guarantees of future performance. Our future actual results and shareholder values may likely differ materially from those expressed in these forward-looking statements. We caution you not to put undue reliance on any forward-looking statements included in this document. See Part I, Item 1A, “Risk Factors Associated with our Business, Operations, and Securities.”

 
 

 

TABLE OF CONTENTS
 
   
Page
PART I
   
     
ITEM 1:
BUSINESS
1
     
ITEM 1A:
RISK FACTORS
14
     
ITEM 1B:
UNRESOLVED STAFF COMMENTS
25
     
ITEM 2:
PROPERTIES
25
     
ITEM 3:
LEGAL PROCEEDINGS
26
     
PART II
   
     
ITEM 4:
RESERVED
26
     
ITEM 5:
MARKET FOR COMMON EQUITY, RELATED STOCKHOLDER MATTERS
 
 
AND ISSUER PURCHASES OF EQUITY SECURITIES
26
     
ITEM 6:
SELECTED FINANCIAL DATA
27
     
ITEM 7:
MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL
 
 
CONDITION AND RESULTS OF OPERATIONS
27
     
ITEM 7A:
QUANTITATIVE AND QUALITATTIVE DISCLOSURES ABOUT MARKET RISK
33
     
ITEM 8:
FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA
F-1
     
ITEM 9:
CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS
 
 
ON ACCOUNTING AND FINANCIAL DISCLOSURES
34
     
ITEM 9A(T):
CONTROLS AND PROCEDURES
34
     
ITEM 9B:
OTHER INFORMATION
35
     
PART III
   
     
ITEM 10:
DIRECTORS, EXECUTIVE OFFICERS AND CORPORATE GOVERNANCE
35
     
ITEM 11:
EXECUTIVE COMPENSATION
37
     
ITEM 12:
SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND
 
 
MANAGEMENT AND RELATED STOCKHOLDER MATTERS
40
     
ITEM 13:
CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS,
 
 
AND DIRECTOR INDEPENDENCE
42
     
ITEM 14:
PRINCIPAL ACCOUNTANT FEES AND SERVICES
43
     
PART IV
   
     
ITEM 15:
EXHIBITS, FINANCIAL STATEMENT SCHEDULES
44
     
SIGNATURES
48

 
 

 

PART I

ITEM 1:  BUSINESS
 
Overview
 
We have developed and intend to market an innovative prostate imaging system known as the ProUroScan™ System.  The ProUroScan System incorporates our new proprietary elasticity imaging technology to create a “map” and an electronic record of the prostate.
 
The ProUroScan System is an imaging system designed for use as an aid to the physician in visualizing and documenting abnormalities in the prostate that have been previously detected by a digital rectal exam (“DRE”). As an adjunct to DRE, the ProUroScan System will be used following an abnormal DRE to generate a real-time image and map of the prostate.  The final composite image is saved as a permanent electronic record and can be conveniently retrieved to view previous test results.
 
Our approach to imaging is based on the fact that most abnormalities in otherwise homogenous organ tissue are less elastic than normal tissue.  The ProUroScan’s unique technology uses measurements of relative tissue elasticity as detected by mechanical sensors and interpreted by mathematical algorithms to create images, rather than using ultrasound or other alternative technologies.  Using the system’s specially designed rectal probe, physicians can quickly and cost-effectively visualize the prostate gland and document specific areas of concern.  The real-time map can be saved as a permanent electronic record.
 
Our imaging technology is based on work originally performed by Artann Laboratories Inc. (“Artann”), a scientific technology company based in Trenton, New Jersey, that is focused on early-stage technology development. In 2002, we licensed the rights to this technology and since then have worked with Artann on its development. In September 2006, Artann was awarded a $3 million Small Business Innovation Research Phase II Competitive Renewal grant from the National Institute of Health and the National Cancer Institute to help advance the development and application for clearance of the ProUroScan System by the U.S. Food and Drug Administration (“FDA”).  In July 2008, the Company entered into new license and development and commercialization agreements with Artann relating to their existing technology and know-how and all future technology developed by Artann in our field of use. After we obtain FDA clearance, it is our intent to expand our working relationship with Artann to include their participation in the development and licensing of additional technologies.

The ProUroScan System is not currently marketed or sold and has not yet been cleared for marketing by the FDA. On November 18, 2009, a 510(k) application for market clearance was filed with the FDA that incorporated a basic mapping and data maintenance claim. On March 29, 2010, Artann received a letter from the FDA regarding its pending 510(k) for the ProUroScan System. The letter notified Artann that the FDA could not determine whether the device is substantially equivalent to the listed predicates in the 510(k) application. The FDA specifically noted the lack of a comparable predicate device for use as an aid in documenting abnormalities of the prostate detected by DRE.  Artann intends to discuss this letter and its findings with the FDA as soon as it can and also plans to discuss why Artann believes there is a suitable predicate.  If the ProUroScan System is not found to be substantially equivalent because a suitable predicate cannot be identified, the FDA may indicate that the product may be appropriate for Evaluation of Automatic Class III Designation because it is deemed to be a low risk device.  This provision which is also known as a “de novo” or a “risk based” classification is intended to allow low risk devices to be marketed under a 510(k) when there is no adequate predicate.  Information supporting the de novo application as a low risk device would then be combined with the previously submitted 510(k) and submitted to FDA for review.
 
Once FDA clearance is obtained on our current generation ProUroScan System, we intend to have the systems manufactured by one or more FDA-regulated contract manufacturers and market the system in cooperation with a to be determined  medical device company that has an established worldwide presence in the urology market.
 
Once FDA clearance is obtained on our current generation ProUroScan System, we intend to have the systems manufactured by one or more FDA-regulated contract manufacturers and market the system in cooperation with a to be determined  medical device company that has an established worldwide presence in the urology market.
 
We have identified a market need to be able to visualize and create an electronic record or map that can show the position of abnormalities in the prostate gland. We believe the ProUroScan System will offer a solution that meets these needs and that will enable physicians to monitor and compare images of the prostate over time (assuming we apply for and obtain FDA approval or clearance for this indication).
 
We believe the ProUroScan System’s existing technology provides a platform on which to develop multiple future generation systems. In the future, following our initial FDA 510(k) clearance, we intend to work with Artann to develop and introduce enhanced versions and additional indications for this technology.  For example, we plan to study and develop an enhanced version of the system that may be able to monitor changes in prostate tissue over time, guide prostate biopsies and assess changes in prostate size following drug treatment for benign prostate hyperplasia (“BPH”).  Future generation systems will require us to obtain regulatory approval or clearance for use of the ProUroScan System for additional related indications and file additional submissions with the FDA if we are to obtain expanded labeling claims.
 
Corporate Information
 
ProUroCare Inc. (“PUC”) was incorporated in 1999 as a Minnesota corporation.  In January 2002, PUC licensed the rights to certain advanced prostate mechanical imaging technology, and became engaged in the business of developing this technology for assessing characteristics of the prostate.  In 2004, through a reverse merger transaction with Global Internet Communications (“Global”), a Nevada corporation, PUC became the wholly owned and sole operating subsidiary of Global, which was then renamed ProUroCare Medical Inc.

 
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Our executive offices are located at 6440 Flying Cloud Drive, Suite 101, Eden Prairie, Minnesota 55344. Our telephone number is (952) 476-9093, and our Internet site is www.prourocare.com.
 
Market Focus—Prostate Disease
 
Prostate cancer is the most common form of cancer and the second leading cause of cancer death in men. According to the National Cancer Institute, more than 192,000 men were expected to be diagnosed with prostate cancer and over 28,000 were expected to die from the disease in 2009. Currently, there are approximately 42 million men in the U.S. over the age of 50. For men in this age category, the standard of care to screen for the presence of prostate cancer is to have a physical exam each year in which two tests are routinely performed: the DRE and the Prostate Specific Antigen (“PSA”) blood test. Although used for many years, the specificity of these tests has been widely questioned. Data from community based studies suggest that the positive predictive value of a DRE for prostate cancer is 15% to 30% and varies relatively little with age. For elevated PSA levels between 4 and 10ng/mL, the positive predictive value is approximately 20%. For studies in which biopsies were done when the results of either test were abnormal, 18% to 26% of screened patients had suspicious results, cancer was actually detected in approximately 4% of screened patients and the positive predictive value of the tests combined was 15% to 21%. In another study involving 6,630 volunteers, the combination of DRE and PSA detected 26% more cancers than PSA alone. Although PSA and DRE provide some positive predictive value, neither of these tests creates a physical or visual record of the abnormality or its position in the prostate.
 
We believe there is a market need to be able to visualize and create an electronic record (map) that can show the relative size and position of abnormalities in the prostate gland. We believe that the ProUroScan System offers a solution that meets these needs and one that will enable physicians to monitor and compare images of the prostate over time (assuming we apply for and obtain FDA approval or clearance for this indication). With additional development and further FDA approvals, we believe the ProUroScan System may eventually be used to guide prostate biopsy and assess the effect of medical treatments of BPH.
 
Prostate Cancer Screening and Diagnosis
 
The two most common screening tests for identifying prostate cancer are the DRE and the PSA. These tests have been used for years, but have often been criticized for their lack of specificity and selectivity.
 
In a DRE exam, a physician wearing a latex glove inserts a lubricated finger into the rectum to palpate the prostate gland to detect abnormalities. The clinician must rely on his or her experience and sensitivity of touch to estimate the size of the prostate and detect irregularities in shape or hardness. There is significant subjectivity inherent in the DRE exam which can be negatively affected by poor examiner training, lack of experience or poor ability to interpret the results, as well as other patient related limitations including excessive obesity, patient discomfort and unusual anatomical positioning of the prostate.
 
Data from community-based studies indicate that the positive predictive value of a DRE in detecting cancer is 15% to 30% and varies relatively little with age. In a Scandinavian study, the positive predictive value of DRE was found to be only 22% to 29%. According to the Eighth Edition of Campbell’s Urology, a DRE has only fair reproducibility even with experienced examiners and the test misses a substantial proportion of cancers before they become advanced and less amenable to treatment.
 
The other primary screening test for detecting prostate cancer is the measurement of PSA in serum. The advantages offered by PSA testing are its simplicity, objectivity, reproducibility and low level of invasiveness. Although PSA is specific to prostate tissue, it is not specific to prostate cancer. Older men that have benign enlargement of the prostate and acute prostatitis often have elevated PSA levels. Serum levels of PSA can also be elevated for a period of time after transrectal needle biopsy, acute urinary retention and prostate surgery. Because of the prevalence of these conditions in men over the age of 50, the positive predictive value of PSA measurements decreases with age.
 
In clinical practice, a PSA level greater than 4ng/mL is generally considered an abnormal result. Recent community-based studies show that PSA levels greater than 4ng/mL are seen in about 15% of men who are older than 50 years of age. The probability, or positive predictive value, that a man who is older than 50 having prostate cancer if his PSA level is elevated is approximately 20% to 30%. However, the likelihood of cancer depends on the degree of elevation in the PSA levels. For levels between 4 and 10ng/mL, the positive predictive value is about 20 percent. This value increases to between 42 percent and 64 percent if the PSA level is greater than 10ng/nL. Despite these variances, PSA testing has increased the detection rate of early-stage prostate cancers, which are more curable than late-stage cancers.

 
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Most clinicians have adopted the strategy of performing both tests in combination, which has been shown to increase the combined predictive value. In fact, in a large study of volunteers, the combination of DRE and PSA detected 26% more cancers than PSA alone. However, because of the significant risk of prostate cancer, prostate biopsy is recommended for all men who have DRE abnormalities, regardless of PSA level, because 25% of men with cancer have PSA levels less than 4mg/nL.
 
A patient with a positive DRE or an elevated PSA is typically referred to a urologist for further diagnosis. The urologist will usually perform a prostate biopsy to obtain tissue samples for microscopic analysis. The prostate is biopsied by a needle that is guided by ultrasound into the prostate through the rectal wall. Since the existence and exact location of possible cancerous tissue is not known, the urologist will usually take 10 to 14 samples in a scattered pattern throughout the prostate in an attempt to find the suspect tissue. The tissue samples are then sent to a laboratory for analysis and interpretation, and the results are reported several days later. If the results are negative or indeterminate, the urologist may suggest a second biopsy procedure, or that the patient increase the frequency of future screening examinations. According to Oregon Health and Science University, approximately one million patients are biopsied each year in the United States, but only approximately 25% of biopsy procedures performed detect the presence of cancer.
 
The treatment path for patients who test positive for prostate cancer depends on many variables, including age, location and pathology of the cancerous tissue and general health of the patient. Generally, a younger, otherwise healthy patient will elect to have the prostate removed to eliminate the possibility that it might spread beyond the prostate. Older, less healthy patients may elect not to undergo surgery, and instead monitor the disease closely by semi-annual PSA and DRE exams, and annual biopsies. This monitoring regimen is commonly referred to as “active surveillance.” Some patients may elect radiation or drug treatments, in addition to necessary ongoing active surveillance. The National Cancer Institute estimates that there are approximately two million men alive who have a history of cancer of the prostate. On this basis, we estimate that the number of men over the last decade that have elected against prostate removal and thus are undergoing ongoing active surveillance exceeds one million.
 
The ProUroScan Prostate Imaging System
 
The ProUroScan System is an imaging system designed for use as an aid to the physician in visualizing and documenting abnormalities in the prostate.  As an adjunctive tool to DRE, it will be used after a physician identifies abnormalities during a DRE examination. The first generation system will provide a map or record of the pressures that are generated from palpation of the posterior surface of the prostate using a sensor probe. The system’s operation is based on measurement of the stress pattern created when the probe is pressed against the prostate through the rectal wall. Temporal and spatial changes in the stress pattern provide information on the elastic structure of the gland and allow two-dimensional reconstruction of prostate anatomy and visualization of prostate mechanical properties. The data acquired allow the calculation of prostate features such as size and shape. The prostate image is displayed on a screen that allows physicians to visualize tissue abnormalities in the prostate gland. In addition to the real time visual image, the results are stored electronically as a digital record.
 
The ProUroScan System consists of arrays of pressure sensors mounted on a probe, a central processing unit, proprietary software and image construction algorithms, and a color monitor. The probe is specially designed for the rectal anatomy to minimize patient discomfort. It is ergonomic for the clinician and similar to a traditional DRE for the patient. The probe utilizes highly sensitive pressure sensors located on the face of the probe head to palpate the prostate. The probe’s positioning system ensures that the person administering the scan examines the entire surface of the prostate, and assists prostate image construction.
 
To perform a scan, the clinician inserts the tip of the probe into the patient’s rectum and palpates the prostate. As the prostate is palpated, a color image of the prostate is produced and displayed on the computer monitor, along with indicators of the amount of pressure being applied to help guide the clinician. Differences in tissue density or elasticity will be depicted in real time on a color monitor.

 
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ProUroScan System Status
 
The first generation ProUroScan System has been tested in laboratory experiments on prostate models and in a pre-clinical study. In addition, the system was used for over two years and on approximately 168 patients at the Robert Wood Johnson Medical Center in New Brunswick, New Jersey.  In March 2008, an article authored by Artann scientists and published in the peer- reviewed journal Urology reported that in 84% of the cases in this pre-clinical study, the ProUroScan System was able to construct a real-time color image and map of the prostate.
 
Under the terms of its contract with us, Artann is responsible for submitting and obtaining the initial 510(k) clearance for the ProUroScan System for the basic mapping and data maintenance claim. In April 2008, representatives from Artann met with the FDA to solicit feedback from the agency regarding the proposed clinical testing that the FDA will require to support a 510(k). Based on these discussions between Artann and representatives from the FDA, we believe that the ProUroScan System with a basic mapping and data maintenance claim will be regulated by the FDA as a Class II device. Class II devices typically are cleared for marketing by the FDA through a 510(k) application.  Once cleared and upon ProUroCare’s first commercial sale of a ProUroScan System, Artann will transfer the 510(k) to ProUroCare.
 
On September 25, 2009, we completed a multi-site clinical study of the ProUroScan imaging system designed to provide documentation to the FDA of the system’s effectiveness in visualizing and documenting abnormalities of the prostate detected by DRE.  The trial included a final patient count of 56 patients assessed at the following medical centers:

 
·
Veterans Affairs Medical Center, Minneapolis, MN;
 
·
Robert Wood Johnson Medical School Division of Urology, New Brunswick, NJ;
 
·
Mayo Clinic, Rochester, MN;
 
·
AccuMed Research Associates, Garden City, NY; and
 
·
Urological Associates of Lancaster, Lancaster, PA.
 
In November 2009, Artann submitted to the FDA a 510(k) application for clearance to market this technology in the U.S. On March 29, 2010, Artann received a letter from the FDA regarding the pending 510(k) for the ProUroScan System. The letter notified Artann that the FDA could not determine whether the device is substantially equivalent to the listed predicates in the 510(k) application. The FDA specifically noted the lack of a comparable predicate device for use as an aid in documenting abnormalities of the prostate detected by DRE.  Artann intends to discuss this letter and its findings with the FDA as soon as it can and also plans to discuss why Artann believes there is a suitable predicate.  If the ProUroScan System is not found to be substantially equivalent because a suitable predicate cannot be identified, the FDA may indicate that the product may be appropriate for Evaluation of Automatic Class III Designation because it is deemed to be a low risk device.  This provision which is also known as a “de novo” or a “risk based” classification is intended to allow low risk devices to be marketed under a 510(k) when there is no adequate predicate.  Information supporting the de novo application as a low risk device would then be combined with the previously submitted 510(k) and submitted to FDA for review.  If the FDA does not deem the device to be low risk, a Premarket Approval (“PMA”) could be required.  Such an application may take more time to prepare and review and be more comprehensive than the 510(k) or de novo clearance process.
 
Planned Development of the ProUroScan System
 
We believe that the ProUroScan System’s existing technology provides a platform on which to develop multiple future generation systems. Once 510(k) clearance is obtained for a basic mapping and data maintenance claim, the 510(k) will be transferred to us from Artann.  In the future, we intend to work with Artann to develop more enhanced labeling claims and product features. Future generation systems will require us to obtain regulatory approval or clearance for use of the ProUroScan System for additional prostate related indications and file additional submissions with the FDA to obtain expanded labeling claims. Such regulatory clearances or approvals may require us to perform additional clinical studies. Future generations of the ProUroScan System may also require us to secure rights to additional intellectual property.
 
Active Surveillance
 
We believe that one of the more valuable future applications for the ProUroScan System, assuming we obtain any necessary FDA clearance or approval, will be to allow physicians to monitor changes in the prostate over time. The ProUroScan System is designed to produce a digital image of the prostate showing the size and symmetry of the prostate and the location of abnormalities within the prostate. The ProUroScan System creates a digital record of the exam that can be stored and used for comparison to subsequent exams. We believe its ability to digitally store not only the scan results but all of the individual pressure readings taken during the course of the procedure should facilitate a quantitative analysis of the progression of the disease over time. By comparing the data taken in a baseline examination to subsequent examinations during the course of active surveillance, we believe the urologist will gain valuable information about changes in the patient’s condition that can influence their decision to pursue additional treatment or continue surveillance. We believe that this expanded use of the ProUroScan System will provide consistent mapping over time as compared to variations resulting from differences in technique and experience of clinicians performing DREs. We believe this will enable physicians to compare and contrast the patient’s results from exam to exam, and to get second opinions on the patient’s status in regards to the diagnosis without an additional office visit. We believe that comparisons of multiple scans over time will also enable physicians to make longitudinal assessments of the patient’s disease.

 
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Three-Dimensional Imaging
 
We believe that another future enhancement of the current generation system may be the capability to identify the specific three-dimensional location of lesions found in the prostate. This can be accomplished by creating a three-dimensional image of the position of the lesions allowing physicians to rotate the image to assist in identifying the actual position of the lesion in the prostate gland. We believe that having this capability may prove helpful in providing a diagnosis of the patient’s condition in conjunction with other commercially available diagnostic tools.
 
Guiding Biopsy
 
We believe that use of three-dimensional imaging may facilitate guiding biopsy needles to specific areas in the prostate where suspicious lesions. Having this capability increases the likelihood of finding cancerous tissue while also potentially minimizing the number of biopsies that are taken on an individual patient. According to Oregon Health and Science University, approximately one million patients are biopsied each year in the United States, but only 25 percent of biopsy procedures performed detect the presence of cancer.
 
Evaluating Drug Treatment for BPH Patients
 
For patients who have symptoms of BPH, we believe that future generations of the ProUroScan System may also be used to monitor changes in prostate size before and during the course of drug treatments, allowing physicians to more quickly assess the effectiveness of alternative therapeutic approaches. Assuming future FDA approval or clearance is granted, use of the ProUroScan System in patients diagnosed with BPH will allow physicians to monitor changes in the size and volume of the prostate following treatment with drugs or other tissue reducing technologies. Timely, accurate assessment of prostate volume changes and the effectiveness of treatment should enable physicians to recommend alternative treatments sooner than current assessment methods, and thus provide more immediate relief to patients.
 
Marketing and Distribution
 
Our business plan is built on the premise that the map and physical record created by the ProUroScan System will become a valuable tool in assisting physicians and patients in understanding the scope of the abnormalities that are identified with a DRE.
 
Current Procedural Terminology (“CPT”) codes are used by physicians and other providers to submit claims. We anticipate that the ProUroScan System would be covered by Medicare as a diagnostic test for patients who have clinical signs or symptoms of disease. At the outset, however, there will not be a unique CPT code for the ProUroScan procedure. During this period of time, physicians will have the option of submitting claims under a “miscellaneous” CPT code with proper documentation. We also expect to use a “patient pay” model in which the patient would pay directly for the cost of the scan. During the first year or two following market entry, we will collect the clinical and economic data necessary in order to apply for a unique CPT code from the American Medical Association (“AMA”).  Our initial commercial rollout will focus on urologists in the United States. By focusing on urologists, we expect to establish the clinical and economic value of the scan for patients, and to demonstrate to both private and government payors the rationale and parameters for establishing a CPT code and that the scan should be covered and adequately reimbursed.
 
We believe that the cost of establishing our own direct sales force of sufficient size and with the capability to commercialize the ProUroScan System worldwide would require a considerable period of time and significant funding.  As an effective way to develop our understanding of different international markets and accelerate sales and marketing activities we plan to establish a distribution agreement with a large urology or diagnostic products company.  We believe that establishing such a relationship would allow us to penetrate markets more quickly and afford us an opportunity to obtain additional financial support in the form of licensing fees, equity investments and “in kind assistance” from key functional groups within the licensing organization.  We have begun exploring marketing opportunities with four of the eight to ten potential partner companies we have targeted.
 
In the United States, in advance of establishing such a distribution agreement, we plan to hire a small direct sales force that will focus on large urology practices in major metro markets.  The concentration of large urology group practices in the U.S. enables us to access a disproportionate number of physicians with a highly targeted sales force.  Once a distribution partner has been identified and a distribution agreement put in place, our sales force will be used in business-to-business support to the partnering organization.  They will also be used to assist in the initial analysis and development of other markets.

 
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We anticipate that, in time, the majority of our revenue will be generated from testing fees bundled together with the sale of disposable supplies consumed in the scanning process.  Additional revenue will be generated by the sale of ProUroScan Systems, which likely will be placed in clinics under a variety of programs, which may include outright sales, operating leases, financing leases or arrangements where payments are based upon the usage of the system.
 
Manufacturing
 
The ProUroScan System has two major proprietary hardware components: a central processor and a rectal probe. There are also certain off-the-shelf components that presently are widely available. Artann has provided five clinical prostate imaging systems used in performing clinical trials and for contract manufacturing assessment. Artann will transfer ownership of these units to us upon the date of first commercial sale of the ProUroScan System.
 
We have recently contracted with Logic (Minneapolis, MN), a contract engineering and manufacturing firm that is Quality Systems Regulation (“QSR”) compliant, to initiate production on the first commercial ProUroScan Systems. The QSR requires manufacturers, including certain third-party manufacturers, to follow stringent design, testing, control, documentation and other quality assurance procedures during all aspects of the manufacturing process. Because of the unique nature of the two major proprietary components of the ProUroScan System, it is likely that one or more additional third party manufacturers will be chosen to assemble the certain components or sub-assemblies. Our goal is to reduce the cost of producing systems over the first two years, taking advantage of manufacturing scale and purchasing discounts, as well as engineering changes designed to eliminate components and reduce component costs.
 
ProUroScan System Development Partner
 
The ProUroScan System is based on work originally performed by Artann and its affiliate, ArMed LLC. In 2002, we licensed the rights to this technology developed by Artann from its owner, Profile LLC (“Profile”), a technology holding company, and since then have worked with Artann and our other technology partners on its development. In April 2008, we acquired the patents, patent applications and other know-how associated with this technology previously licensed from Profile. In July 2008, we entered into two new agreements with Artann relating to this technology, namely, a license agreement (the “Artann License Agreement”) and a development and commercialization agreement (the “Artann Development Agreement”).  In December 2008 and November 2009, we amended these agreements to revise the effective dates of the agreements and alter the timing of certain payments to be made under the agreements.  We have expensed $2,240,000 and $598,000 for research and development activities in 2009 and 2008, respectively, primarily for contracted work performed by Artann under the Artann Development Agreement.
 
Under the Artann License Agreement, Artann has granted us an exclusive, worldwide, sub-licensable license to certain patent applications and other know-how needed to make, use and market certain mechanical imaging products for the diagnosis or treatment of urologic disorders of the prostate, kidney or liver. Artann also agreed to transfer to us possession of five clinical prostate imaging systems and grant us full access to all relevant documentation thereto. As an upfront license fee pursuant to the Artann License Agreement, on January 14, 2009 we paid Artann $600,000 in cash and $500,000 in shares of our common stock.  In addition, we have agreed to pay Artann:
 
•      a royalty fee equal to 4% of the first $30,000,000 of net cumulative sales of licensed products, 3% of the next $70,000,000 of net cumulative sales and 2% of net cumulative sales over $100,000,000; and
 
•      a technology royalty fee of 1% of net sales of the prostate imaging system products through the earlier of December 31, 2016 or the date of last commercial sale of such products.
 
The combined royalties are subject to a minimum annual royalty equal to $50,000 per year for each of the first two years after FDA clearance for commercial sale and $100,000 per year for each year thereafter until termination or expiration of the Artann License Agreement. We also agreed to grant Artann a non-exclusive, fully paid, sub-licensable, worldwide license to our patents, patent applications and know-how relating to the manufacture, use or sale of any mechanical imaging system for the diagnosis or treatment of disorders of the female breast.

 
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Under the Artann Development Agreement, we will collaborate with Artann to develop, commercialize and market prostate imaging systems. Artann will conduct and complete all pre-clinical activities and testing on the prostate imaging system, conduct clinical trials, prepare and submit FDA regulatory submissions and provide hardware and software development, refinement and debugging services to ready the prostate imaging system for commercial sale. For these development services, we paid Artann:
 
 
• 
$250,000 in cash upon initiation of the clinical study to support the basic mapping and data maintenance claim;
 
 
$250,000 in cash as a milestone payment upon completion of that study and submission of the 510(k) application to support the basic mapping and data maintenance claim;
 
 
• 
monthly retainer fees totaling $285,000 for technical advice and training by Artann personnel; and.
 
 
769,231 shares of our common stock as a milestone payment upon submission of the 510(k) application, on March 15, 2010 (the $1,565,000 value of these shares was accrued for issuance as of December 31, 2009).
 
Future payments due to Artann under the Artann Development Agreement, as amended, include:
 
 
$750,000 in cash and $1,000,000 in shares of our common stock upon FDA clearance that allows the ProUroScan System to be commercially sold in the United States (subject to reduction of the number of shares by 10% for each full month that FDA clearance is delayed after March 23, 2010); and
 
 
a monthly retainer fee for technical advice and training by Artann personnel of $15,000 per month for each of the first five months of 2010.
 
Under the Artann Development Agreement, Artann will also facilitate the transfer of commercial production to our contract manufacturer, Logic.
 
The Artann License Agreement and the Artann Development Agreement each became effective on December 23, 2008. Under the Artann License Agreement, we have a 30-day cure period from the date of receipt of written notice from Artann of a breach of our payment obligations under either the Artann License Agreement or Artann Development Agreement. If we have not cured such payment breach within five days of receipt of the Artann notice, the exclusive licenses convert to non-exclusive licenses, however, neither party may sub-license or grant additional licenses for a period of 60 days after receipt of such notice. Under the Artann Development Agreement, we have a 60-day cure period from the date of receipt of written notice from Artann of a breach of our payment obligations under either the Artann License Agreement or the Artann Development Agreement. If we do not cure a breach of our payment obligations by the end of the 30-day cure period, the licenses granted under the Artann License Agreement will terminate.  Subject to earlier termination due to breach, bankruptcy and certain other events, the Artann License Agreement will terminate upon expiration of all royalty obligations, and the Artann Development Agreement will terminate on its third anniversary, subject to renewal for additional one year terms upon mutual agreement of us and Artann.
 
Intellectual Property
 
Our objective as a medical device company is to effectively and aggressively obtain, maintain and enforce patent protection for our products, formulations, processes, methods and other proprietary technologies, preserve our trade secrets and licenses, and operate without infringing the proprietary rights of other parties both in the United States and in all other countries where we may do business. We seek to obtain, where appropriate and financially feasible, the broadest intellectual property protection possible for our products, proprietary information and proprietary technology through a combination of contractual arrangements, licenses, and patents, both in the United States and throughout the rest of the world.
 
We also depend upon the skills, knowledge and experience of scientific and technical personnel that we hire or outside organizations with whom we contract, as well as our advisors and consultants. To help protect our proprietary know-how that is not patentable, and for inventions for which patents may be difficult to enforce, we rely on trade-secret protection and confidentiality agreements. To this end, it is our practice to require employees, consultants, advisors and other contractors, as appropriate, to enter into confidentiality agreements that prohibit the disclosure of confidential information and, where applicable, require disclosure and assignment to us of the ideas, developments, discoveries and inventions important to our business.

 
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We own patents, patent applications and know-how associated with mechanical prostate-imaging systems. These patents and patent applications relate to real-time mechanical imaging of the prostate (patent expires in 2021), a method and device for mechanical imaging of the prostate (patent expires in 2012), an intracavity ultrasonic device for elasticity imaging (patent expires in 2012), a method and device for elasticity imaging (patent expires in 2013), an apparatus for measuring mechanical parameters of the prostate and for imaging the prostate (patent expires in 2012), a device for palpation and mechanical imaging of the prostate (patent expires in 2012), and a method for using a transrectal probe to mechanically image the prostate gland (patent expires in 2012). Together, our mechanical imaging technology is protected by seven U.S. patents, seven foreign patents (six foreign patents expire in 2017 and one foreign patent expires in 2022), four foreign patent applications and, along with the Artann patent applications discussed below, is the basis for the imaging technology used in our ProUroScan System. We own similar patents, patent applications and know-how associated with breast imaging. However, we do not intend to pursue any such applications within our near-term business plan. Under the Artann License Agreement, we agreed to grant Artann a non-exclusive, fully paid license to make, use or sell any imaging system for the diagnosis or treatment of disorders of the human breast.
 
Additionally, Artann has one U.S. patent and three U.S. patent applications (filed in May 2005, June 2005 and June 2008) that are licensed to us under the Artann License Agreement.  The U.S. patent, which will expire in 2024, is a design patent relating to a calibration chamber for a prostate mechanical imaging probe.  The U.S. patent applications relate to a method and device for real-time mechanical imaging of a prostate, a method and dual-array transducer probe for real-time mechanical imaging of a prostate and a design for a prostate mechanical imaging probe.
 
Third-Party Reimbursement
 
In the U.S., health care providers that use the ProUroScan System will generally rely on third-party payors, including private payors and governmental payors such as Medicare and Medicaid, to cover and reimburse all or part of the cost of using the ProUroScan System. Consequently, sales of the ProUroScan System depend in part on the availability of coverage and reimbursement from third-party payors. The manner in which reimbursement is sought and obtained varies based upon the type of payor involved and the setting in which the procedure is furnished. In general, third-party payors will provide coverage and reimbursement for medically reasonable and necessary procedures and tests. Most payors, however, will not pay separately for capital equipment, such as the ProUroScan System. Instead, payment for the cost of using the capital equipment is considered to be covered as part of payments received for performing the procedure. In determining payment rates, third-party payors increasingly are scrutinizing the amount charged for medical procedures.
 
Medicare and Medicaid
 
In order for Medicare to cover procedures using the ProUroScan System as screening, the Secretary of Health and Human Services (the “Secretary”) would need to add the scan to the list of appropriate procedures for prostate cancer screening or the procedure would need to be appropriately recommended by the United States Preventative Services Task Force (“USPSTF”) and added through the national coverage determination (“NCD”) process.
 
We anticipate that the ProUroScan System may be covered by Medicare as a diagnostic test for patients who have clinical signs or symptoms of disease. We anticipate that the first generation of the ProUroScan System will be used to map the prostate and to maintain historical records for future tracking for men who have an abnormal DRE or other signs or symptoms of disease. Thus, providers who perform prostate mapping using the first generation ProUroScan System likely will seek Medicare coverage as a diagnostic, rather than a screening test, presuming that the patient presents with a sign or symptom of disease. Even as a diagnostic test, however, CMS or its contractors could determine that procedures using the ProUroScan System are not medically necessary and therefore decide not to cover them.
 
Regardless of how they are covered, we anticipate that procedures using the ProUroScan System will be reimbursed either based upon the value of their unique billing and procedure code or as part of an office visit. Until a unique billing and procedure code is established, we expect that providers will be able to bill for the procedure using a miscellaneous CPT code. Claims submitted under a miscellaneous code are processed manually and the provider must include additional information to be used by the payor in determining the medical appropriateness of the procedure. The lack of a unique, permanent CPT code could slow market uptake of the ProUroScan System.
 
In order to apply for a new, unique code, an application must be submitted to the AMA’s CPT Editorial Panel. The process of obtaining a new CPT code typically takes one or two years. Once a new CPT code is created, the AMA’s Relative Value Scale Update Committee (“RUC”) recommends relative value units (“RVUs”) for it. CMS then takes these recommendations into account when establishing the Medicare Physician Fee Schedule values. The amount of reimbursement the provider receives generally depends on the RVUs assigned to the procedure multiplied by a conversion factor. Most private payors also base their payment rates based on the RVUs adopted by CMS. There is a risk that the reimbursement rate that results from this process could be insufficient, hampering our ability to market and sell the ProUroScan System.

 
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Initially, we anticipate using a “patient pay model” for physicians to receive payment for performing the ProUroScan System procedure. Under a patient pay model, in the absence of coverage from their health insurance, patients pay for the scan out of their own funds. Medicare beneficiaries would sign an Advanced Beneficiary Notice (“ABN”) that would allow the provider to collect from the patient. Only one in four biopsies performed based on an abnormal PSA reading reveal prostate cancer, and only 50 percent of suspicious lesions found by DRE presented cancer on prostate biopsy. Given these statistics, in cases where patients have abnormal DRE or PSA test results or when a test result may not be clear, there is a high incentive to seek additional information so that patients can make an informed and reasonable decision for themselves and their family. We believe that a sufficient number of patients will be willing to pay for the ProUroScan System procedure out of their personal funds to support the launch of our product in advance of receiving favorable coverage decisions from third-party insurers. The concept of a patient pay model has been used successfully for a few other procedures (e.g., computer-aided detection (“CAD”) for mammography), and we expect this to be our approach for generating revenues during at least the early phases of product rollout. As described above, providers also will be able to bill under a miscellaneous CPT code until a unique CPT code is created for the ProUroScan System procedure.
 
Commercial Insurers
 
Many private payors look to Medicare as a guideline in setting their coverage policies and payment amounts. Unlike the Medicare program, however, private payors have no statutory impediment to covering screening tests. They do tend to seek guidance from USPSTF recommendations, however. The current coverage policies of these private payors may differ from the Medicare program, and the payment rates they make may be higher, lower or the same as the Medicare program. If CMS or other agencies decrease or limit reimbursement payments for physicians, this may affect coverage and reimbursement determinations by many private payors. Additionally, some private payors do not follow the Medicare guidelines, and those payors may reimburse only a portion of the costs associated with the use of our products, or not at all.
 
Competition
 
Although we expect competition to intensify in the prostate imaging and prostate disease diagnostic market, we are not aware of any competitive product currently being sold based on the same technology platform with comparable real-time color images or other product features that the ProUroScan System provides. In addition, we do not expect to market the ProUroScan System as a general screening tool, and therefore will not be positioning the system to compete directly with currently available screening tests, including the DRE and PSA tests. The ProUroScan System will be positioned as an “adjunctive” tool following an abnormal DRE to create a map of the prostate and an electronic record of the image. More specifically, the proposed indication for use of the ProUroScan System is for use as an aid to the physician in visualizing and documenting abnormalities of the prostate detected by a DRE.
 
Another test that uses inferred data to identify prostate cancer, yet to be approved in the United States, is the PCA3 Marker (the “PCA3”). The PCA3 is a non-coding ribonucleic acid (“RNA”) believed to be a more accurate marker of prostate cancer than currently used diagnostics tests. The PCA3 marker was licensed in 2000 by DiagnoCure Inc. of Quebec, Canada. In 2003, DiagnoCure granted a worldwide license to Gen-Probe, based in San Diego, CA, for the development and licensing of a second generation PCA3-based test using their proprietary platform. In 2006, Gen-Probe made the test available in analyte specific reagent format to U.S. laboratories and launched a full CE-marked PCA3 test in Europe. Although this test has not been approved in the United States, it potentially represents a significant advance in the development of more sophisticated and sensitive detection methods for identifying early stage prostate cancer. Gene fusion is another discovery that may lead to a test that potentially will be used to diagnose prostate cancer more accurately than current tests as well as predict prognosis. Gen-Probe has licensed this technology as well.
 
In contrast to the DRE, PSA and PCA3 tests, the ProUroScan System creates a visual and physical record of the prostate gland. We will seek expanded labeling claims on future generations of the ProUroScan System so that it can also be used to conduct ongoing monitoring and surveillance of the status of the abnormalities found by either a DRE or with the ProUroScan System. We believe that the current generation of the ProUroScan System will have several features that are complementary to a traditional DRE examination, such as:

 
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it is designed to produce a real-time color image of the prostate; and
 
 
it is designed to enable physicians to electronically store the images in patient files.
 
Aside from large-scale imaging modalities such as magnetic resonance imaging, computed tomography and nuclear medicine, which due to their cost and limited availability will not be direct competitors of the ProUroScan System, the only imaging system in common use for prostates is the transrectal ultrasound (“TRUS”). TRUS is employed by urologists following the referral of a patient that has had a positive result from a DRE or PSA test, primarily to guide the placement of prostate biopsy needles. We believe that the ProUroScan System will be easier to operate and require less training than TRUS. We also believe it will be less costly to acquire and maintain in a traditional medical office setting.
 
Subject to FDA clearance or approval, we believe that future uses of the ProUroScan System will include providing a permanent record of the prostate that can be used to identify changes over time. Nevertheless, technology is rapidly changing in the prostate imaging and the prostate disease diagnostic market, and other technology could come to market potentially displacing the ProUroScan System.
 
Government Regulation
 
The ProUroScan System is subject to the Federal Food, Drug, and Cosmetic Act (“FDCA”) as implemented and enforced by the FDA and by comparable agencies in various states and various foreign countries. To ensure that medical products distributed domestically and internationally are safe and effective for their intended use, FDA and comparable authorities in other countries have imposed regulations that govern, among other things, the following activities that we or our third-party manufacturers and suppliers perform or will perform:
 
 
product design and development;
 
 
product testing;
 
 
product manufacturing;
 
 
product labeling;
 
 
product storage;
 
 
premarket clearance or approval;
 
 
advertising and promotion;
 
 
product marketing, sales and distribution; and
 
 
post-market surveillance reporting death or serious injuries and medical device reporting.
 
Pervasive and Continuing Regulation
 
After a device is placed on the market, numerous regulatory requirements apply. These include:
 
 
product listing and establishment registration, which helps facilitate FDA inspections and other regulatory action;
 
 
QSR, which requires manufacturers, including third-party manufacturers, to follow stringent design, testing, control, documentation and other quality assurance procedures during all aspects of the manufacturing process;
 
 
labeling regulations and FDA prohibitions against the promotion of products for uncleared, unapproved or off-label use or indication;
 
 
clearance of product modifications that could significantly affect safety or efficacy or that would constitute a major change in intended use of our cleared devices;
 
 
approval of product modifications that affect the safety or effectiveness of our approved devices;

 
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medical device reporting regulations, which require that manufacturers comply with FDA requirements to report if their device may have caused or contributed to a death or serious injury, or has malfunctioned in a way that would likely cause or contribute to a death or serious injury if the malfunction of the device or a similar device were to recur;
 
 
post-approval restrictions or conditions, including post-approval study commitments;
 
 
post-market surveillance regulations, which apply when necessary to protect the public health or to provide additional safety and effectiveness data for the device; and
 
 
the FDA’s recall authority, whereby it can ask, or under certain conditions order, device manufacturers to recall from the market a product that is in violation of governing laws and regulations.
 
Advertising and promotion of medical devices, in addition to being regulated by the FDA, are also regulated by the Federal Trade Commission and by state regulatory and enforcement authorities. Recently, promotional activities for FDA-regulated products of other companies have been the subject of enforcement action brought under healthcare reimbursement laws and consumer protection statutes. In addition, under the federal Lanham Act and similar state laws, competitors and others can initiate litigation relating to advertising claims. In addition, we are required to meet regulatory requirements in countries outside the U.S., which can change rapidly with relatively short notice. If the FDA determines that our promotional materials or training constitutes promotion of an unapproved or uncleared use, it could request that we modify our training or promotional materials or subject us to regulatory or enforcement actions, including the issuance of an untitled letter, a warning letter, injunction, seizure, civil fine or criminal penalties. It is also possible that other federal, state or foreign enforcement authorities might take action if they consider our promotional or training materials to constitute promotion of an unapproved use, which could result in significant fines or penalties under other statutory authorities, such as laws prohibiting false claims for reimbursement. In that event, our reputation could be damaged and adoption of the products would be impaired.
 
Furthermore, our products could be subject to voluntary recall if we or the FDA determine, for any reason, that our products pose a risk of injury or are otherwise defective. Moreover, the FDA can order a mandatory recall if there is a reasonable probability that our device would cause serious adverse health consequences or death.
 
The FDA has broad post-market and regulatory enforcement powers. Our facilities and the manufacturing facilities of our subcontractors will be subject to unannounced inspections by the FDA to determine our level of compliance with the QSR and other regulations. Failure by us or by our third-party manufacturers and suppliers to comply with applicable regulatory requirements can result in enforcement action by the FDA or other regulatory authorities, which may result in sanctions including, but not limited to:
 
 
warning letters or untitled letters;
 
 
fines and civil penalties;
 
 
unanticipated expenditures to address or defend such actions;
 
 
delays in clearing or approving, or refusal to clear or approve, our products;
 
 
withdrawal or suspension of approval of our products or those of our third-party suppliers by the FDA or other regulatory bodies;
 
 
product recall or seizure;
 
 
orders for physician notification or device repair, replacement or refund;
 
 
interruption of production;
 
 
operating restrictions;

 
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injunctions; and
 
 
criminal prosecution.
 
Regulation of the ProUroScan System
 
The ProUroScan System is being developed under development contracts with Artann. We are implementing a regulatory strategy to obtain 510(k) clearance of the ProUroScan System for a basic mapping and data maintenance claim and for the ProUroScan System to serve as an adjunct to a DRE. We believe that this basic mapping and data maintenance claim reflects the current needs of the market and the capabilities of the system. Based on discussions between Artann and representatives from the FDA, we believe that the ProUroScan System with a basic mapping and data maintenance claim will be regulated by the FDA as a Class II device. Class II devices typically are cleared for marketing by the FDA through a 510(k) application.
 
On March 29, 2010, Artann received a letter from the FDA regarding the pending 510(k) for the ProUroScan System. The letter notified Artann that the FDA could not determine whether the device is substantially equivalent to the listed predicates in the 510(k) application. The FDA specifically noted the lack of a comparable predicate device for use as an aid in documenting abnormalities of the prostate detected by DRE.  If the ProUroScan System is not found to be substantially equivalent because a suitable predicate cannot be identified, the FDA may indicate that the product may be appropriate for Evaluation of Automatic Class III Designation because it is deemed to be a low risk device.  This provision which is also known as a “de novo” or a “risk based” classification is intended to allow low risk devices to be marketed under a 510(k) when there is no adequate predicate.  Information supporting the de novo application as a low risk device would then be combined with the previously submitted 510(k) and submitted to the FDA for review.  If the FDA does not deem the device to be low risk, a PMA could be required.  Such an application may take more time to prepare and review and be more comprehensive than the 510(k) or de novo clearance process.
 
Depending on the exact nature of future claims, the approval process may require more extensive clinical studies and possibly the submission of a PMA.
 
Once we obtain FDA approval for the ProUroScan System, or obtain FDA clearance or approval for future products, the manufacturing, sale and performance of our products will be subject to the ongoing FDA regulation and inspection processes as described above.
 
Fraud and Abuse Laws
 
Because of the significant federal funding involved in Medicare and Medicaid, Congress and the states have enacted, and actively enforce, a number of laws whose purpose is to eliminate fraud and abuse in federal health care programs. Once we commercialize the ProUroScan System, our business is subject to compliance with these laws.
 
Anti-Kickback Statutes and Federal False Claims Act
 
The federal healthcare programs Anti-Kickback Statute prohibits persons from knowingly and willfully soliciting, offering, receiving or providing remuneration, directly or indirectly, in exchange for or to induce either the referral of an individual, or the furnishing or arranging for a good or service, for which payment may be made under a federal healthcare program such as Medicare or Medicaid. The definition of “remuneration” has been broadly interpreted to include anything of value, including for example gifts, discounts, the furnishing of free supplies, equipment or services, credit arrangements, payments of cash and waivers of payments. Several courts have interpreted the statute’s intent requirement to mean that if any one purpose of an arrangement involving remuneration is to induce referrals of federal healthcare covered business, the statute has been violated. Penalties for violations include criminal penalties and civil sanctions such as fines, imprisonment and possible exclusion from Medicare, Medicaid and other federal healthcare programs. In addition, some kickback allegations have been claimed to violate the Federal False Claims Act, discussed in more detail below.
 
The Anti-Kickback Statute is broad and prohibits many arrangements and practices that are lawful in businesses outside of the healthcare industry. Recognizing that the Anti-Kickback Statute is broad and may technically prohibit many innocuous or beneficial arrangements, Congress authorized the Office of Inspector General of the U.S. Department of Health and Human Services, or OIG, to issue a series of regulations, known as “safe harbors.” These safe harbors, issued by the OIG beginning in July 1991, set forth provisions that, if all their applicable requirements are met, will assure healthcare providers and other parties that they will not be prosecuted under the Anti-Kickback Statute. The failure of a transaction or arrangement to fit precisely within one or more safe harbors does not necessarily mean that it is illegal or that prosecution will be pursued. However, conduct and business arrangements that do not fully satisfy each applicable safe harbor may result in increased scrutiny by government enforcement authorities such as the OIG.
 
Many states have adopted laws similar to the Anti-Kickback Statute. Some of these state prohibitions apply to referral of patients for healthcare items or services reimbursed by any source, not only the Medicare and Medicaid programs.

 
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Government officials have focused their enforcement efforts on marketing of healthcare services and products, among other activities, and recently have brought cases against companies, and certain sales, marketing and executive personnel, for allegedly offering unlawful inducements to potential or existing customers in an attempt to procure their business.
 
Another development affecting the healthcare industry is the increased use of the Federal Civil False Claims Act (the “False Claims Act”) and, in particular, actions brought pursuant to the False Claims Act’s “whistleblower” or “qui tam” provisions. The False Claims Act imposes liability on any person or entity who, among other things, knowingly presents, or causes to be presented, a false or fraudulent claim for payment by a federal healthcare program. The qui tam provisions of the False Claims Act allow a private individual to bring actions on behalf of the federal government alleging that the defendant has submitted a false claim to the federal government and to share in any monetary recovery. In recent years, the number of suits brought against healthcare providers by private individuals has increased dramatically. In addition, various states have enacted false claim laws analogous to the False Claims Act, although many of these state laws apply where a claim is submitted to any third-party payor and not merely a federal healthcare program.
 
When an entity is determined to have violated the False Claims Act, it may be required to pay up to three times the actual damages sustained by the government, plus civil penalties of $5,500 to $11,000 for each separate false claim. There are many potential bases for liability under the False Claims Act. Liability arises, primarily, when an entity knowingly submits, or causes another to submit, a false claim for reimbursement to the federal government. The False Claims Act has been used to assert liability on the basis of inadequate care, kickbacks and other improper referrals, and improper use of Medicare numbers when detailing the provider of services, in addition to the more predictable allegations as to misrepresentations with respect to the services rendered. In addition, companies have been prosecuted under the False Claims Act in connection with alleged off-label promotion of products. Our future activities relating to the reporting of wholesale or estimated retail prices for our products, the reporting of discount and rebate information and other information affecting federal, state and third-party reimbursement of our products, and the sale and marketing of our products, may be subject to scrutiny under these laws. We are unable to predict whether we would be subject to actions under the False Claims Act or a similar state law, or the impact of such actions. However, the costs of defending such claims, as well as any sanctions imposed, could significantly affect our financial performance.
 
HIPAA and Other Fraud and Privacy Regulations
 
Among other things, the Health Insurance Portability and Accountability Act of 1996, or HIPAA, created two new federal crimes: healthcare fraud and false statements relating to healthcare matters. The HIPAA health care fraud statute prohibits, among other things, knowingly and willfully executing, or attempting to execute, a scheme to defraud any healthcare benefit program, including private payors. A violation of this statute is a felony and may result in fines, imprisonment and/or exclusion from government-sponsored programs. The HIPAA false statements statute prohibits, among other things, knowingly and willfully falsifying, concealing or covering up a material fact or making any materially false, fictitious or fraudulent statement or representation in connection with the delivery of or payment for healthcare benefits, items or services. A violation of this statute is a felony and may result in fines and/or imprisonment.
 
In addition to creating the two new federal healthcare crimes, regulations implementing HIPAA also establish uniform standards governing the conduct of certain electronic healthcare transactions and protecting the security and privacy of individually identifiable health information maintained or transmitted by healthcare providers, health plans and healthcare clearinghouses, which are referred to as “covered entities.” Three standards have been promulgated under HIPAA’s regulations: the Standards for Privacy of Individually Identifiable Health Information, which restrict the use and disclosure of certain individually identifiable health information, the Standards for Electronic Transactions, which establish standards for common healthcare transactions, such as claims information, plan eligibility, payment information and the use of electronic signatures, and the Security Standards, which require covered entities to implement and maintain certain security measures to safeguard certain electronic health information. Although we are not a covered entity and therefore not directly subject to these standards, we expect that our customers generally will be covered entities and may ask us to contractually comply with certain aspects of these standards, particularly because we expect that the ProUroScan System will store patient information and scan results. The government intended this legislation to reduce administrative expenses and burdens for the healthcare industry; however, our compliance with certain provisions of these standards entails significant costs for us.
 
In addition to federal regulations issued under HIPAA, some states have enacted privacy and security statutes or regulations that, in some cases, are more stringent than those issued under HIPAA. In those cases, it may be necessary to modify our planned operations and procedures to comply with the more stringent state laws. If we fail to comply with applicable state laws and regulations, we could be subject to additional sanctions.

 
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Employees
 
We currently have two full-time employees, and expect to conduct much of our research and development, market research, clinical and regulatory function, and other business operations through the use of a variety of consultants and medical-device development contractors. We have found that using consultants and contractors to perform these functions during our development stages has allowed us to engage specialized talent and capabilities as needed by the business while providing the flexibility to engage them as our financial resources have permitted.  As we begin our entry into the market during the 2010, we anticipate hiring employees in the areas of marketing, sales and sales training, quality assurance, engineering, software development and administration. Some or all of these functions may be performed by contracted individuals or consultants as management deems most effective. We are conducting our research and development activities related to our acquired technologies and proposed products on a contract basis with Artann and Logic.
 
ITEM 1A. 
RISK FACTORS

Important Notices to Investors; Safe Harbor Statement

Statements in this Annual Report on Form 10-K which are not purely historical are forward-looking statements. These statements with respect to the goals, plan objectives, intentions, expectations, financial condition, results of operations, future performance and business of our Company, including, without limitation: (i) our ability to successfully complete all clinical trials and commercial development of our products and secure all necessary federal and other regulatory approvals to introduce and market our products in the United States and around the world; (ii) our ability to fund our working capital needs over the next 12 to 24 months; (iii) our ability to successfully introduce our products into the medical device markets; and (iv) all statements preceded by, followed by or that include the words "may," "would," "could," "should," "expects," "projects," "anticipates," "believes," "estimates," "plans," "intends," "targets" or similar expressions. For these statements, the Company claims the protection of the safe harbor for forward-looking statements contained in the Private Securities Litigation Reform Act of 1995.

Forward-looking statements involve inherent risks and uncertainties, and important factors (many of which are beyond our control) that could cause actual results to differ materially from those set forth in the forward-looking statements, including the following, in addition to those contained in our Company's reports on file with the Securities and Exchange Commission: general economic or industry conditions, nationally and in the physician, urology and medical device communities in which we intend to do business; our ability to fund our working capital needs over the next 12 to 24 months; our ability to complete the development of our existing and proposed products on a timely basis if at all; legislation or regulatory requirements, including our securing all FDA and other regulatory approvals on a timely basis, if at all, prior to being able to market and sell our products in the United States; competition from larger and more well established medical device and other competitors; the development of products that may be superior to the products offered by us; securing and protecting our intellectual property and assets and enforcing breaches of the same; clinical results not anticipated by management of the Company; the quality or composition of our products and the strength and reliability of our contract vendors and partners; ability to raise capital to fund our 2009 and 2010 working capital needs and launch our products into the marketplace in subsequent years; changes in accounting principles, policies or guidelines; financial or political instability; acts of war or terrorism; and other economic, competitive, governmental, regulatory and technical factors affecting our operations, proposed products and prices.

Accordingly, results actually achieved may differ materially from expected results in these statements.  Forward-looking statements speak only as of the date they are made.  We do not undertake, and specifically disclaim, any obligation to update any forward-looking statements to reflect events or circumstances occurring after the date of such statements.

 
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Risk Factors Associated with our Business, Operations and Securities
 
We are a development stage company. We have no operating history and our business plan has not yet been fully tested. We anticipate incurring future losses and may continue incurring losses after our products are completed, regulatory clearance or approval is secured and our products are introduced and accepted in the United States and worldwide markets.
 
We are a development-stage company. We have yet to commence active operations to manufacture or sell any products associated with the proprietary urology-based imaging technologies that we intend to market. We have no prior operating history from which to evaluate our likelihood of success in operating our business, generating any revenues or achieving profitability. As of December 31, 2009, we have generated no revenue and have recorded losses since inception of approximately $28 million. There can be no assurance that our plans for developing and marketing our urology-based products will be successful, or that we will ever attain significant sales or profitability. We anticipate that we will incur losses in the near future.
 
We have a history of operating losses and have received a “going-concern” qualification from our independent registered public accounting firm.
 
We have incurred operating losses and negative cash flows from operations since inception. As of December 31, 2009, we had an accumulated deficit of approximately $27.9 million. We have not yet generated any revenues. These factors, among others, raise substantial doubt about our ability to continue as a going concern. Our consolidated financial statements included in this Annual Report on Form 10-K do not include any adjustments related to recoverability and classification of asset carrying amounts or the amount and classification of liabilities that might result should we be unable to continue as a going concern.
 
Our independent registered public accounting firm included an explanatory paragraph in their report on our financial statements indicating that such deficit accumulated during the development stage raises substantial doubt as to our ability to continue as a going concern. The likelihood of our success must be considered in light of the expenses, difficulties and delays frequently encountered in connection with development stage businesses and the competitive environment in which we will operate. Our ability to achieve profitability is dependent in large part on obtaining FDA clearance or approval for the ProUroScan System, implementing a “patient pay” sales model, achieving third party coverage and reimbursement, establishing distribution channels, forming relationships with third-party manufacturers and gaining market acceptance of the ProUroScan System. There can be no assurance that the Company will successfully market the ProUroScan System or operate profitably.
 
If adequate funds are not available on a timely basis, we could potentially be forced to cease operations.
 
If adequate funds are not available on a timely basis, or are not available on acceptable terms, we may be unable to repay our existing debt, to fund expansion, or to develop or enhance our products. Until such time as we are able to enter the market and achieve positive cash flow from operations, we will continue to depend on our ability to obtain additional new investment to fund operations.  Ultimately, if adequate financing is not obtained, we could potentially be forced to cease operations.
 
Our assets are pledged to secure $1,300,000 of senior bank notes and $643,000 of notes issued to investors and a bank and, as a result, are not available to secure other senior debt financing. Upon the occurrence of an event of default, the bank’s security interests in our assets will be assigned to guarantors of the bank notes and the holders of such $643,000 of promissory notes.
 
Our $1,300,000 senior debt financing through Crown Bank, Minneapolis, Minnesota, has required us to pledge all of our assets and certain licenses, as well as to provide personal guarantees of certain shareholders. In addition, we have issued a total of $643,000 of promissory notes to three individual investors and a bank that have subordinated interests in all of our assets and certain licenses.  Due to such security interests, we will not be in a position in the future to pledge our assets to secure any debt or lending facility, in the event we desire or need to borrow such funds on a secured lending basis. It is doubtful that we would be able to obtain significant additional debt financing on an unsecured basis.
 
Moreover, under the terms and conditions of the Crown Bank facility and our agreement with the facility’s guarantors, in the event of any default by us with our senior lender that causes the personal guarantees to be called and honored, all of the bank’s security interests in our assets shall be assigned to such guarantors, pro rata, in consideration of such breach and obligation to pay under the respective guarantees. In addition, the holders and guarantor of $643,000 of promissory notes have a security interest in our assets in the event of a default under the note. Thus, our common shareholders, and any existing and future investors in our common stock, would, if the foregoing breach and circumstances occurred, not have access or recourse to the assets and collateral, and thus, would likely face a complete loss of their investment in the Company.

 
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We will need additional financing, and any such financing will likely be dilutive to our existing shareholders.
 
We will need additional financing to fund operations while we ramp up production of the ProUroScan System and begin to enter the market.  We will also need funding to pay, for example, the $750,000 payment due to Artann upon achieving the FDA 510(k) clearance milestone.  If we fail to secure a distribution partner on terms acceptable to us, or at all, we could be required to undertake distribution activity at our expense, which could significantly increase our capital requirements and may delay the commercialization of our products.
 
As of March 26, 2010, we had approximately $575,000 of cash on hand and  5,760,436 outstanding redeemable warrants.  These warrants have an exercise price of $1.30 per share.  We currently have the right to redeem 4,515,607 of these warrants, and may redeem the remaining 1,244,829 warrants once the last sale price of our common stock equals or exceeds $4.00 per share for a period of 10 consecutive trading days.  If all of the redeemable warrants are exercised pursuant to such redemptions, we could realize approximately $7.5 million.  There can be no assurance that we will be able to redeem the warrants, or how much would be realized if such redemptions were made.
 
We are actively pursuing other potential near-term sources of funding to provide the working capital needed to repay our existing debt and to fund a commercial launch into the urology market.  These potential sources include additional loans or guaranteed bank debt, working with lenders to extend the maturity dates of existing debt and one or more rounds of private placements of debt or equity securities and cash advances from shareholders.
 
If additional funds are raised by the issuance of convertible debt or equity securities, such as the issuance of stock or the issuance and exercise of warrants or the issuance and conversion of convertible debt, then existing shareholders will experience dilution in their ownership interest. If additional funds are raised by the issuance of debt or certain equity instruments, we may become subject to certain operational limitations, and such securities may have rights senior to those of existing holders of common stock. There can be no assurance that we will be successful in obtaining such additional financing, if needed. Additional financing may not be available to us, may not be available on favorable terms and will likely be dilutive to existing shareholders.
 
We are relying upon Artann to obtain 510(k) clearance of the ProUroScan System. There is no guarantee that the FDA will grant timely 510(k) clearance of the ProUroScan System, if at all, and failure to obtain such timely clearance would adversely affect our ability to market that product and expand utilization of the technology in other prostate applications or in other soft tissue organs in the body, which may affect our ability to grow our business.
 
The ProUroScan System is subject to regulation by the FDA and by comparable agencies in various foreign countries. The process of complying with the requirements of the FDA and comparable agencies is costly, time consuming and burdensome. We believe the ProUroScan System with a basic mapping and data maintenance claim will be regulated by the FDA as a Class II device and will require the clearance of a 510(k) application. On November 18, 2009, Artann submitted the 510(k).  On March 29, 2010, Artann received a letter from the FDA regarding the pending 510(k) for the ProUroScan System. The letter notified Artann that FDA could not determine whether the device is substantially equivalent to the listed predicates in the 510(k) application. The FDA specifically noted the lack of a comparable predicate device for use as an aid in documenting abnormalities of the prostate detected by DRE.  If the ProUroScan System is not found to be substantially equivalent because a suitable predicate cannot be identified, the FDA may indicate that the product may be appropriate for Evaluation of Automatic Class III Designation because it is deemed to be a low risk device.  This provision which is also known as a “de novo” or a “risk based” classification is intended to allow low risk devices to be marketed under a 510(k) when there is no adequate predicate.
 
There is no guarantee that the FDA will grant 510(k) clearance or designate the ProUroScan System as a class II device in a timely manner, if at all. Failure to obtain clearance for the ProUroScan System would require Artann to re-apply for 510(k) clearance with additional supporting data or information, or for a different labeling claim, submit a Premarket Approval Application (a “PMA”) for FDA approval, or abandon the product. Even if FDA 510(k) clearance is received, Artann may encounter significant delays in receiving such clearance. If unexpected clearance delays occur, or if Artann needs to re-apply for FDA clearance or submit a PMA, it could have a material adverse effect on our business as Artann is to transfer such clearance or approval to us once we make the first commercial sale of the ProUroScan System. If such delays occur, we would need to obtain additional financing to continue operations.

 
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Even if clearance from the FDA is obtained, our products may not be commercially viable or may not be accepted by the marketplace.
 
Even if the FDA grants market clearance of the ProUroScan System and we are able to successfully develop future products, we may not be able to contract for the manufacture of such products in commercial quantities at prices that will be commercially viable. Further, there is risk that the ProUroScan System and our future products may not prove to be as effective as currently available medical or diagnostic products or those developed in the future. The inability to successfully complete development of a product or application or a determination by us, for financial, technical or other reasons not to complete development of any product or application, particularly in instances in which we have made sufficient capital expenditures, could have a material adverse effect on our business. With respect to the ProUroScan System, under our current Artann Development Agreement, Artann is to transfer the 510(k) to us once we make the first commercial sale of the ProUroScan System. If we are not able to procure a commercial sale of at least one ProUroScan System, Artann would not be obligated to transfer the 510(k) to us and might not do so, thus inhibiting our ability to develop future generations of the product.
 
Even if successfully developed, the ProUroScan System and our future products will be competing against other imaging and diagnostic products in the medical device marketplace, including those developed in the future that may render the ProUroScan System obsolete. The DRE, in combination with a PSA test, is part of today’s “standard of care” to evaluate patients over the age of 50 for prostate cancer or other ailments relating to the prostate. In addition, other modalities that can be used for diagnostic imaging include transrectal ultrasound, magnetic resonance imaging, computed tomography and nuclear medicine. Therefore, there can be no assurance that physicians, providers, patients, third party payors or the medical device market, in general, will accept our products.
 
There is no guarantee that the FDA will grant 510(k) clearance or PMA approval of our future products and claims and failure to obtain necessary clearances or approvals for our future products and claims would adversely affect our ability to expand utilization of the technology in other prostate applications or in other soft tissue organs in the body, which may affect our ability to grow our business.
 
In the future, we may seek to obtain additional indications for use of the ProUroScan System beyond the basic mapping and data maintenance claim, as well as clearance and approval of new products. Some of these expanded claims and future products may require FDA clearance of a 510(k). Other claims and future products will require FDA approval of a PMA. Moreover, some of our future products and the additional claims on the ProUroScan System we may seek may require clinical trials to support regulatory approval, and we may not successfully complete these clinical trials. The FDA may not approve or clear these future products, or future generations of the ProUroScan System for the indications that are necessary or desirable for successful commercialization. Indeed, the FDA may refuse our requests for 510(k) clearance or PMA approval of new products. Failure to receive clearance or approval for additional claims for the ProUroScan System, or for our future products, would have an adverse effect on our ability to expand our business.
 
Clinical trials necessary to support our future products and claims will be expensive and may require the enrollment of large numbers of patients, and suitable patients may be difficult to identify and recruit. These trials may require the submission of an investigational device exemption, for which there is no guarantee that the FDA will approve. Delays or failures in our clinical trials will prevent us from commercializing any modified or new products and will adversely affect our business, operating results and prospects.
 
Initiating and completing clinical trials necessary to support 510(k)s or PMAs for future generations of the ProUroScan System will be time consuming and expensive and the outcome uncertain. Moreover, the results of early clinical trials are not necessarily predictive of future results, and any product we advance into clinical trials may not have favorable results in later clinical trials.
 
Conducting successful clinical studies may require the enrollment of large numbers of patients, and suitable patients may be difficult to identify and recruit. Patient enrollment in clinical trials and completion of patient participation and follow-up depends on many factors, including: the size of the patient population; the number of patients to be enrolled; the nature of the trial protocol; the attractiveness of, or the discomforts and risks associated with, the treatments received by enrolled subjects; the availability of appropriate clinical trial investigators, support staff, and proximity of patients to clinical sites; and the patients’ ability to meet the eligibility and exclusion criteria for participation in the clinical trial and patient compliance. For example, patients may be discouraged from enrolling in our clinical trials if the trial protocol requires them to undergo extensive post-treatment procedures or follow-up to assess the safety and effectiveness of our products or if they determine that the treatments received under the trial protocols are not attractive or involve unacceptable risks or discomforts. In addition, patients participating in clinical trials may die before completion of the trial or suffer adverse medical events unrelated to investigational products.

 
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Development of sufficient and appropriate clinical protocols to demonstrate safety and efficacy are required, and we may not adequately develop such protocols to support clearance and approval. Significant risk trials will require the submission and approval of an investigational device exemption (“IDE”) from the FDA. There is no guarantee that the FDA will approve our future IDE submissions. Further, the FDA may require us to submit data on a greater number of patients than we originally anticipated and/or for a longer follow-up period or change the data collection requirements or data analysis applicable to our clinical trials. Delays in patient enrollment or failure of patients to continue to participate in a clinical trial may cause an increase in costs and delays in the approval and attempted commercialization of our products or result in the failure of the clinical trial. In addition, despite considerable time and expense invested in our clinical trials, the FDA may not consider our data adequate to demonstrate safety and efficacy. Such increased costs and delays or failures could adversely affect our business, operating results and prospects.
 
We have no manufacturing experience, and will rely on third parties to manufacture the ProUroScan System in an efficient manner. If design specification changes are needed to develop an efficient manufacturing process, those changes may require FDA clearance of a new 510(k) or approval of a PMA, which we may not be able to obtain in a timely manner, if at all.
 
To be successful, the ProUroScan System will need to be manufactured in sufficient quantities, in compliance with regulatory requirements and at an acceptable cost. We have no manufacturing experience. We have identified a third-party manufacturer to produce commercial units of the ProUroScan System for distribution after 510(k) clearance or PMA approval is obtained. This third-party manufacturer is in the process of developing and optimizing the manufacturing process to produce commercial ProUroScan Systems. If device design changes are required to implement an efficient manufacturing process, these design changes will need to be evaluated and implemented in accordance with applicable Quality Systems Regulation (“QSR”) requirements. If we implement design changes after the FDA has cleared the ProUroScan System 510(k), we will need to assess whether those design changes could significantly affect the safety or effectiveness of the device, and require the submission and clearance of a new 510(k), or even require the submission of a PMA. If we determine that these modifications require a new 510(k) clearance or PMA approval, we may not be able to obtain this additional clearance in a timely manner, or at all. In general, obtaining additional clearances can be a time consuming process, and delays in obtaining required future clearances would adversely affect our ability to market the ProUroScan System in a timely manner, which in turn would harm our potential for future growth.
 
If we or our third-party manufacturers or suppliers fail to comply with ongoing FDA or other foreign regulatory authority requirements, or if we experience unanticipated problems with our products, these products could be subject to restrictions or withdrawal from the market.
 
Any product for which we obtain FDA clearance or approval, and the manufacturing processes, reporting requirements, post-approval clinical data and promotional activities for such product, will be subject to continued regulatory review, oversight and periodic inspections by the FDA and other domestic and foreign regulatory bodies. In particular, we and our third-party manufacturers and certain of our suppliers will be required to comply with the FDA’s QSR, regulations for the manufacture of our products and other regulations which cover the methods and documentation of the design, testing, production, control, quality assurance, labeling, packaging, storage and shipping of any product for which we obtain clearance or approval. Regulatory bodies, such as the FDA, enforce the QSR and other regulations through periodic inspections. The failure by us or one of our third-party manufacturers or suppliers to comply with applicable statutes and regulations administered by the FDA and other regulatory bodies, or the failure to timely and adequately respond to any adverse inspectional observations or product safety issues, could result in, among other things, any of the following enforcement actions:
 
 
• 
warning letters or untitled letters;
 
 
• 
fines and civil penalties;
 
 
• 
unanticipated expenditures to address or defend such actions;
 
 
• 
delays in clearing or approving, or refusal to clear or approve, our products;
 
 
withdrawal or suspension of approval of our products or those of our third-party suppliers by the FDA or other regulatory bodies;

 
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•      product recall or seizure;
 
•      orders for physician notification or device repair, replacement or refund;
 
•      interruption of production;
 
•      operating restrictions;
 
•      injunctions; and
 
•      criminal prosecution.
 
If any of these actions were to occur it would harm our reputation and cause our product sales and profitability to suffer and may prevent us from generating revenue. Furthermore, our third-party manufacturers and suppliers may not be in compliance with all applicable regulatory requirements which could result in failure to supply our products in required quantities, if at all.
 
Even if regulatory clearance or approval of a product is granted, such clearance or approval may be subject to limitations on the intended uses for which the product may be marketed and reduce our potential to successfully commercialize the product and generate revenue from the product. If the FDA determines that our promotional materials, labeling, training or other marketing or educational activities constitute promotion of an unapproved use, it could request that we cease or modify our training or promotional materials or subject us to serious regulatory enforcement actions, including some of those listed above. It is also possible that other federal, state or foreign enforcement authorities might take action if they consider our training or other promotional materials to constitute promotion of an unapproved use, which could result in significant fines or penalties under other statutory authorities, such as laws prohibiting false claims for reimbursement.
 
In addition, we may be required to conduct costly post-market testing and surveillance to monitor the safety or effectiveness of our products, and we must comply with medical device reporting requirements, including the reporting of adverse events and malfunctions related to our products. Later discovery of previously unknown problems with our products, including unanticipated adverse events or adverse events of unanticipated severity or frequency, manufacturing problems or failure to comply with regulatory requirements such as QSR, may result in changes to labeling, restrictions on such products or manufacturing processes, withdrawal of the products from the market or regulatory enforcement actions.
 
Our products may in the future be subject to product recalls that could harm our reputation, business and financial results.
 
The FDA and similar foreign governmental authorities have the authority to require the recall of commercialized products in the event of material deficiencies or defects in design or manufacture. In the case of the FDA, the authority to require a mandatory recall must be based on an FDA finding that there is a reasonable probability that the device would cause serious adverse health consequences or death. In addition, foreign governmental bodies have the authority to require the recall of our products in the event of material deficiencies or defects in design or manufacture. Manufacturers may, under their own initiative, initiate a field correction or removal, known as a recall, for a product if any material deficiency in a device is found. A government mandated or voluntary recall by us or one of our third-party manufacturers or suppliers could occur as a result of component failures, manufacturing errors, design or labeling defects or other deficiencies and issues. Recalls of any of our products would divert managerial and financial resources and have an adverse effect on our financial condition and results of operations. The FDA requires that certain classifications of recalls be reported to the FDA within 10 working days after the recall is initiated. Companies are required to maintain certain records of recalls, even if they are not reportable to the FDA. We may initiate voluntary recalls involving our products in the future that we determine do not require notification of the FDA. If the FDA disagrees with our determinations, they could require us to report those actions as recalls. A future recall announcement could harm our reputation with customers and negatively affect our sales. In addition, the FDA could take enforcement action for failing to report the recalls when they were conducted.
 
If our marketed products cause or contribute to a death or a serious injury, or malfunction in certain ways, we will be subject to medical device reporting regulations, which can result in voluntary corrective actions or agency enforcement actions.
 
Under the FDA medical device reporting regulation, medical device manufacturers are required to report to the FDA information that a device has or may have caused or contributed to a death or serious injury or has malfunctioned in a way that would likely cause or contribute to death or serious injury if the malfunction of the device or one of our similar devices were to recur. If we fail to report these events to the FDA within the required timeframes, or at all, the FDA could take enforcement action against us. Any such adverse event involving our products also could result in future voluntary corrective actions, such as recalls or customer notifications, or agency action, such as inspection or enforcement action. Any corrective action, whether voluntary or involuntary, as well as defending ourselves in a lawsuit, will require the dedication of our time and capital, distract management from operating our business, and may harm our reputation and financial results.

 
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We will depend upon others for the manufacturing of our products, which will subject our business to the risk that we will be unable to fully control the supply of our products to the market.
 
Our ability to develop, manufacture and successfully commercialize our future products depends upon our ability to enter into and maintain contractual and collaborative arrangements with others. We do not intend to establish any of our own manufacturing facilities for the ProUroScan System or any of our future products. Instead, we intend to retain QSR compliant and FDA registered contract manufacturers. We may also have to rely on a sole supplier for certain components of our ProUroScan System. There can be no assurance that such manufacturers will be able to supply our products in the required quantities, at appropriate quality levels or at acceptable costs. We may be adversely affected by any difficulties encountered by such third-party manufacturers that result in product defects, production delays or the inability to fulfill orders on a timely basis. If a manufacturer cannot meet our quality standards and delivery requirements in a cost-efficient manner, we could suffer interruptions of delivery while we arrange for alternative manufacturing sources. Any extended disruption in the delivery of our products could result in our inability to satisfy customer demand for our products. Consequently, our inability to obtain alternative sources on a timely basis may have a material adverse effect on our business.
 
We may incur significant liability if it is determined that we are promoting off-label use of our products in violation of federal and state regulations in the United States or elsewhere.
 
Artann initially intends to seek clearance of the ProUroScan System from the FDA solely for a basic mapping and data maintenance claim. We believe that seeking 510(k) clearance for this limited indication is the least burdensome path to initial regulatory clearance. Our business and future growth, however, will depend primarily on the use or enhancement of the ProUroScan System to identify the specific three-dimensional location(s) of lesion(s) in the prostate and allow the physician to rotate the image to assist in identifying the actual position(s) of the lesion(s) in the prostate gland in order to provide a diagnosis of the patient’s condition. Once 510(k) clearance is obtained and the ProUroScan System 510(k) is transferred to us from Artann, we intend to subsequently seek regulatory clearance or PMA approval for use of the ProUroScan System for a variety of other prostate related indications. Unless and until we receive regulatory clearance or approval for use of the ProUroScan System in these procedures, uses in procedures other than basic mapping and data maintenance will be considered off-label uses of the ProUroScan System. Under the Federal Food, Drug and Cosmetic Act (the “FDCA”) and other similar laws, we are prohibited from labeling or promoting our products, or training physicians, for such off-label uses. This prohibition means that the FDA could deem it unlawful for us to make claims about the safety or effectiveness of the ProUroScan System in the diagnosis of lesions or proactively discuss or provide information or training on the use of the ProUroScan System for the diagnosis of prostate lesions, with very limited exceptions. However, although manufacturers are not permitted to promote for off-label uses, in their practice of medicine, physicians may lawfully choose to use medical devices for off-label uses. Even if the FDA grants 510(k) clearance for the ProUroScan System for use in a basic mapping and data maintenance claim, a physician could use the ProUroScan System for uses not covered by the cleared labeling. This would constitute an off-label use. We expect that hospitals and physicians will use the ProUroScan System for a variety of uses beyond mapping prostate anatomy.
 
The FDA and other regulatory agencies actively enforce regulations prohibiting promotion of off-label uses and the promotion of products for which marketing clearance has not been obtained. A company that is found to have improperly promoted off-label uses may be subject to significant liability, including civil and administrative remedies as well as criminal sanctions. Due to these legal constraints, our sales and marketing efforts will focus only on the general technical attributes and benefits of the ProUroScan System and the FDA cleared or approved indications for use.
 
Federal regulatory reforms may adversely affect our ability to sell our products profitably.
 
From time to time, legislation is drafted and introduced in Congress that could significantly change the statutory provisions governing the clearance or approval, manufacture and marketing of a medical device. In addition, FDA regulations and guidance are often revised or reinterpreted by the agency in ways that may significantly affect our business and our products. It is impossible to predict whether legislative changes will be enacted or FDA regulations, guidance or interpretations changed, and what the impact of such changes, if any, may be.

 
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Without limiting the generality of the foregoing, last year, the Food and Drug Administration Amendments Act of 2007 (the “FDA Amendments Act”) were enacted. The FDA Amendments Act requires, among other things, that the FDA propose, and ultimately implement, regulations that will require manufacturers to label medical devices with unique identifiers unless a waiver is received from the FDA. Once implemented, compliance with those regulations may require us to take additional steps in the manufacture of our products and labeling. These steps may require additional resources and could be costly. In addition, the FDA Amendments Act will require us to, among other things, comply with clinical trial registration requirements once our clinical trials are initiated.
 
A failure to successfully implement a “patient pay” sales model prior to establishing third-party reimbursement could have a material adverse effect on our product sales and financial results.
 
Until third-party reimbursement coverage for the ProUroScan System procedure is established, if at all, we anticipate using a “patient pay model” for physicians to receive payment. Under a patient pay model, in the absence of coverage from their health insurance, patients pay for the scan out of their own funds. Any failure to successfully establish a patient pay model could have a material adverse effect on our product sales and financial results.
 
The financial success of the ProUroScan System and other future medical device products will materially depend on our ability to obtain coverage and reimbursement for them.
 
The financial success of the ProUroScan System and other medical device products will materially depend on the scope of coverage for each device and the ability of medical service providers to obtain third-party reimbursement from private and public insurance sources, such as Medicare, Medicaid and private payors. It is difficult to predict the timing and outcome of coverage and reimbursement decisions. There can be no assurance that coverage and reimbursement will be obtained or will be obtained at a level that will provide a suitable return to providers of services using our technology.
 
Because the incidence of prostate cancer increases with age, we expect that a significant percentage of our patients will be Medicare beneficiaries. Obtaining Medicare coverage and reimbursement will be critical to our success. Ensuring adequate Medicare coverage and reimbursement, however, can be a lengthy and expensive endeavor and we cannot provide assurances that we will be successful.
 
Significantly, the U.S. Congress may pass laws that impact coverage and reimbursement for healthcare services, including Medicare reimbursement to physicians and hospitals. Furthermore, many private payors look to Medicare’s coverage and reimbursement policies in setting their coverage policies and reimbursement amounts. If the Centers for Medicare and Medicaid Services (“CMS”), the federal agency that administers the Medicare program, or Medicare contractors limit coverage or payments to physicians for the ProUroScan System, private payors may similarly limit coverage or payments. In addition, state legislatures may enact laws limiting or otherwise affecting the level of Medicaid reimbursement for procedures using the ProUroScan System. As a result, physicians may not purchase our ProUroScan System, and, consequently, our business and financial results would be adversely affected.
 
We do not currently receive coverage and reimbursement from any party for the use of our products because we have no products fully developed and currently available for sale in the marketplace. As a result, we have not taken any steps to obtain approval for coverage and reimbursement for the use of the ProUroScan System.
 
Our failure to receive the third-party coverage for our products could result in diminished marketability of our products.
 
Generally, Medicare does not cover and pay for items and services that are not reasonable or necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member. This means that Medicare does not usually cover and pay for preventative services, including routine screening tests for patients who do not present with any signs or symptoms of disease, unless the law specifically provides for such preventative coverage. Such statutory coverage currently exists for prostate cancer screening tests. Specifically, the law states that Medicare will cover a prostate screening test that consists of a DRE and/or a PSA test provided for the purpose of early detection of prostate cancer to a man over 50 years of age who has not had such test during the preceding year. In addition, the law provides the Secretary of Health and Human Services (the “Secretary”) the authority to cover other prostate screening tests based upon changes in technology and standards of medical practice, availability, effectiveness, costs and other factors deemed appropriate by the Secretary. Thus, for the ProUroScan System to receive Medicare coverage as a prostate screening test, the Secretary would need to add the scan to the list of appropriate procedures for prostate cancer screening. This could be a significant hurdle for the ProUroScan System to receive Medicare coverage as a prostate screening test. Additionally, Congress recently created an alternative pathway for Medicare to cover preventative services. Preventative services that receive a grade “A” or “B” by the United States Preventive Services Task Force (“USPSTF”) are eligible for Medicare coverage. The USPSTF does not currently recommend prostate cancer screening with either grade.

 
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We anticipate, however, that the ProUroScan System may be covered by Medicare as a diagnostic test for patients who have clinical signs or symptoms of disease. Obtaining Medicare coverage as a diagnostic test is more straightforward as long as the test is reasonable and necessary. For example, the PSA test is covered as a diagnostic test when used to differentiate benign from malignant disease in men with lower urinary tract signs and symptoms (e.g., hematuria, slow urine stream, hesitancy, urgency, frequency, nocturia and incontinence) as well as with patients with palpably abnormal prostate glands on physician exam, and in patients with other laboratory or imaging studies that suggest the possibility of a malignant prostate disorder. We anticipate that the first generation of the ProUroScan System will be used to map the prostate and to maintain historical records for future tracking for men who have an abnormal DRE or other signs or symptoms of disease. Thus, providers who perform prostate mapping using the first generation ProUroScan System likely will seek Medicare coverage and payment as a diagnostic, rather than a screening test. Even as a diagnostic test, however, CMS or its contractors could determine that procedures using the ProUroScan System are not medically necessary and therefore decide not to cover them.
 
Even if covered, our failure to receive appropriate reimbursement from third-party payors could slow market uptake of our products.
 
Regardless of whether the ProUroScan System is covered as a screening tool or a diagnostic test, there is a risk that Medicare and other payors will bundle payment for it into the payment for a covered office visit furnished to the patient on the same day. For example, Medicare currently bundles billing and payment for a DRE into payment for a covered evaluation and management office visit when the two services are furnished to a Medicare beneficiary on the same day. If the DRE is the only service or is provided as part of an otherwise non-covered service, it may be separately paid if other coverage requirements are met. On the other hand, the PSA typically is separately paid as a clinical diagnostic laboratory service. Specifically, CMS could determine that due to the ease and short amount of time needed to perform the ProUroScan System procedure, separate reimbursement is not warranted if the physician already is billing an office visit.
 
In order for physicians and providers who perform procedures using the ProUroScan System to receive separate reimbursement, they must bill a Current Procedure Terminology (“CPT”) code that appropriately describes the service performed. Although initially physicians and providers will be able to bill a miscellaneous code to submit claims for ProUroScan System procedures, eventually we will want to apply for a unique CPT code. The CPT application process is lengthy, and there is no guarantee that we will receive a unique CPT code or that we will receive a unique CPT code in a timely manner. Should we receive a unique CPT code, the code is then valued for purposes of receiving reimbursement by the American Medical Association’s Relative Value Scale Update Committee. The valuation process depends on the amount of time the procedure takes and difficulty of work involved, the practice expense and the malpractice expense associated with using the ProUroScan System. CMS then takes the recommendation of this committee into account when establishing the reimbursement amount. The amount of reimbursement the physician will receive generally depends on the values assigned to the various components of the procedure multiplied by a conversion factor. This value is updated annually as part of the Medicare Physician Fee Schedule. There is no guarantee that this process will result in an appropriate level of reimbursement or an amount that supports the price and revenues we have projected.
 
Even if a unique CPT code is obtained for the test, the level of reimbursement established may not provide adequate economic incentive to physicians, which could deter them from using our products and limit our sales growth.
 
At this time, we do not know the extent to which physicians or providers would consider third-party reimbursement levels adequate to cover the cost of our products. Failure by physicians or providers to receive an amount that they consider to be adequate reimbursement could deter them from using our products and limit our sales growth. In addition, Medicare physician fee schedule payments may decline over time, which could deter physicians from using the ProUroScan System. If physicians or providers are unable to justify the costs of the ProUroScan System or they are not adequately compensated for using our product, they may experience an economic disincentive to purchase or use them, which would significantly harm our business.
 
Notwithstanding current or future FDA clearances, if granted, third-party payors may deny reimbursement if the payor determines that the ProUroScan System is unnecessary, inappropriate, not cost-effective or experimental, or is used for a non-approved indication. Further, all third-party payors, whether governmental or private, whether domestic or international, are developing increasingly sophisticated methods of controlling healthcare costs. These cost control methods include prospective payment systems, capitated rates, benefit redesigns, or pre-authorization requirements. Increased scrutiny particularly is being placed on medical imaging. Additionally, payors are emphasizing and covering wellness and healthier lifestyle interventions and other cost-effective methods of delivering healthcare in exchange for covering more procedures. These cost control methods also potentially limit the amount that healthcare providers may be willing to pay for medical technology which could, as a result, adversely affect our business and financial results. In addition, in the U.S., no uniform policy of coverage and reimbursement for medical technology exists among all third-party payors. Therefore, coverage and reimbursement for medical technology can differ significantly from payor to payor. There also can be no assurance that current levels of reimbursement will not be decreased or eliminated in the future, or that future legislation, regulation or reimbursement policies of third-party payors will not otherwise adversely affect the demand for the ProUroScan System or our ability to sell the ProUroScan System on a profitable basis.

 
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If we commercialize the ProUroScan System, we will be subject, directly or indirectly, to federal and state healthcare fraud and abuse laws and regulations and could face substantial penalties if we are unable to fully comply with such laws.
 
Although we do not control referrals of healthcare services or directly bill Medicare, Medicaid or other third-party payors, many healthcare laws and regulations will apply to our business. For example, we could be subject to healthcare fraud and abuse and patient privacy regulation and enforcement by both the federal government and the states in which we conduct our business. The healthcare laws and regulations that may affect our ability to operate include:
 
•      the federal healthcare programs’ Anti-Kickback Law, which prohibits, among other things, persons or entities from soliciting, receiving, offering or providing remuneration, directly or indirectly, in return for or to induce either the referral of an individual for, or the purchase order or recommendation of, any item or service for which payment may be made under a federal healthcare program such as the Medicare and Medicaid programs;
 
•      federal false claims laws which prohibit, among other things, individuals or entities from knowingly presenting, or causing to be presented, claims for payment from Medicare, Medicaid or other third-party payors that are false or fraudulent, or are for items or services not provided as claimed, and which may apply to entities like us to the extent that our interactions with customers may affect their billing or coding practices;
 
•      the federal Health Insurance Portability and Accountability Act of 1996, or HIPAA, which established new federal crimes for knowingly and willfully executing a scheme to defraud any healthcare benefit program or making false statements in connection with the delivery of or payment for healthcare benefits, items or services, as well as leading to regulations imposing certain requirements relating to the privacy, security and transmission of individually identifiable health information; and
 
•      state law equivalents of each of the above federal laws, such as anti-kickback and false claims laws which may apply to items or services reimbursed by any third-party payor, including commercial insurers, and state laws governing the privacy of health information in certain circumstances, many of which differ from each other in significant ways and often are not preempted by HIPAA, thus complicating compliance efforts.
 
The healthcare sector is, and in recent years has been, under heightened scrutiny as the subject of government investigations and enforcement actions involving manufacturers who allegedly offered unlawful inducements to potential or existing customers in an attempt to procure their business, including specifically arrangements with physician consultants. We may have arrangements with physicians and other entities which may be subject to scrutiny. For example, we may lease the ProUroScan System to physicians or others through consulting agreements. Payment for these consulting services sometimes may be in the form of cash, stock options or royalties. If our operations are found to be in violation of any of the laws described above or any other governmental regulations that apply to us, we may be subject to penalties, including civil and criminal penalties, damages, fines, exclusion from the Medicare and Medicaid programs, and the curtailment or restructuring of our operations. Any penalties, damages, fines, exclusions, curtailment or restructuring of our operations could adversely affect our ability to operate our business and our financial results. The risk of our being found in violation of these laws is increased by the fact that many of these laws are broad and their provisions are open to a variety of interpretations. Any action against us for violation of these laws, even if we successfully defend against it, could cause us to incur significant legal expenses and divert our management’s attention from the operation of our business. If the physicians or other providers or entities with whom we do business are found to be non-compliant with applicable laws, they may be subject to sanctions, which could also have a negative impact on our business.
 
Any failure in our efforts or our contractor’s efforts to train physicians or other medical staff could result in lower than expected product sales.
 
A critical component of our sales and marketing efforts is the training of a sufficient number of physicians and other medical staff to properly use the ProUroScan System. We rely on physicians and other medical staff to devote adequate time to learn to use our products. Convincing physicians and other medical staff to dedicate the time and energy for adequate training in the use of our system may be challenging, and we cannot guarantee that this will occur. If physicians and other medical staff are not properly trained, they may misuse or ineffectively use our products. Insufficient training may result in unsatisfactory patient outcomes, patient injury and related liability or negative publicity, which could have an adverse effect on our product sales or create substantial potential liabilities.

 
23

 
 
Rapid technological change in our competitive marketplace may render the ProUroScan System obsolete or may diminish our ability to compete in the marketplace.
 
The prostate cancer detection, imaging and medical device markets are extremely competitive, dominated by large and well financed competition and are subject to rapid technological advances and changes. The discovery of new technologies and advances in the application of such technologies to the medical marketplace in general, and the market for urology-based imaging products in particular, may render our products obsolete or non-competitive. Any such changes and advances could force us to abandon our currently proposed products, which would have a material adverse effect on our business.
 
We may not be able to enter into manufacturing agreements or other collaborative agreements on terms acceptable to us, if at all, which could have a material adverse effect on our business.
 
We cannot be sure that we will be able to enter into manufacturing or other collaborative arrangements with third parties on terms acceptable to us, if at all. If we fail to establish such arrangements when, and as necessary, we could be required to undertake these activities at our own expense, which would significantly increase our capital requirements and may delay the development, manufacturing and commercialization of our products. If we are unable to address these capital requirements, it may have a material adverse effect on our business.
 
We expect to rely materially on Artann and other consultants and contractors, some of whom may be partially or wholly paid through issuances of common stock dilutive to our shareholders.
 
We materially rely on consultants and contractors to perform a significant amount of research and development, pre-manufacturing, clinical, regulatory and marketing activities. Specifically, we issued 769,231 shares of our common stock to Artann on March 15, 2010 related to the FDA 510(k) filing milestone, and upon receipt of FDA clearance from the FDA we expect to issue additional equity securities to Artann valued at $1.0 million. We expect that certain other consultants and contractors will also accept payment of a portion of their compensation in the form of our equity securities. Any such issuances would be dilutive to shareholders.
 
We are highly dependent on the services provided by certain key personnel.
 
We are highly dependent upon the services of our executive officers, Richard Carlson and Richard Thon. We have not obtained “key-man” life insurance policies insuring the lives of either of these persons. If the services of either of these persons become unavailable to us, for any reason, our business could be adversely affected.
 
If we lose our right to license and use from Artann certain critical intellectual property for any reason, our entire business would be in jeopardy.
 
If we breach or fail to perform the material conditions including payment obligations of, or fail to extend the term of, the agreement with Artann that licenses critical intellectual property, we may lose all or some of our rights to such critical intellectual property and our license may terminate. If we should lose our right to license and use technology covered by such license that is critical to our business, such loss would have a materially adverse effect on our business. In such a case, the viability of the Company would be in question. Our only alternatives would be to find existing and non-infringing technology to replace that lost, if any exists, or develop new technology ourselves. The pursuit of any such alternative would likely cause significant delay in the development and introduction of our proposed products.
 
The protections for our key intellectual property may be successfully challenged by third parties.
 
We own various key intellectual properties. No assurance can be given that any intellectual property claims will not be successfully challenged by third parties. Any challenge to our intellectual property, regardless of merit, would likely involve costly litigation which could have a material adverse effect on our business. If a successful challenge were made to intellectual property that is critical to our proposed products, the pursuit of any such alternative would likely cause significant delay in the development and introduction of such products. Moreover, a successful challenge could call into question the validity of our business.

 
24

 
 
As we lose patent protection on our critical technologies, it may have a material adverse effect on our business.
 
We rely on certain patents to provide us with exclusive rights for our technology. The first of our primary patents on our core technology will expire in December 2012. As we begin to lose certain patent protections on our prostate imaging systems and related critical patented technologies, we may face strong competition as a result, which could have a material adverse effect our business.
 
The government has rights to certain of our patents.
 
Certain of our patents emanated from work performed by Artann under grants from the National Institutes of Health (“NIH”). As a result, certain standard NIH grant obligations apply, which are designed to ensure that the U.S. investment is used in the interest of U.S. industry and labor and that inventions are reported to NIH. Additionally, the U.S. government retains a non-exclusive license to these patents. As a non-exclusive licensee of certain of these patents, the U.S. government, in addition to utilizing the inventions itself, could in certain limited circumstances, request additional licenses to the patents be granted to other parties and, if such license request is refused, grant the licenses itself. Any actions by the U.S. government to require the grant of additional licenses could materially and adversely affect our business.
 
We may not be able to successfully compete against companies in our industry with greater resources, or with any competition.
 
If our development plan is successful, we expect to experience significant competition in the medical device market. Although we believe that we may currently have a niche in the prostate imaging marketplace, many factors beyond our control will likely encourage new competitors. In particular, there are several large companies that have indicated an interest in the prostate imaging business. Therefore, no assurance can be given that we will be able to successfully compete with these, or any other companies in the marketplace, if at all.
 
Our ability to use operating loss carryforwards to offset income in future years may be limited.
 
As of December 31, 2009, the Company had generated net operating loss carryforwards of approximately $6.7 million which, if not used, will begin to expire in 2021. Federal and state tax laws impose significant restrictions on the utilization of net operating loss carryforwards in the event of a change in ownership of the Company that constitutes an “ownership change,” as defined by Section 382 of the Internal Revenue Code of 1986, as amended. The Company has analyzed its equity ownership changes and believes that such an ownership change has occurred.  The Company’s use of its net operating loss carryforwards and built-in loss will be limited as a result of this change; however, the amount of limitation will not be known until a full Section 382 study can be completed.
 
Our business and products subject us to the risk of product liability claims.
 
The manufacture and sale of medical products and the conduct of clinical trials using new technology involve customary risks of product liability claims. There can be no assurance that our insurance coverage limits will be adequate to protect us from any liabilities which we might incur in connection with the clinical trials or the commercialization of any of our products. Product liability insurance is expensive and in the future may not be available on acceptable terms, if at all. A successful product liability claim or series of claims brought against us in excess of our insurance coverage would have a material adverse effect on our business. In addition, any claims, even if not ultimately successful, could have a material adverse effect on the marketplace’s acceptance of our products.
 
ITEM 1B:  UNRESOLVED STAFF COMMENTS
 
Not applicable.
 
ITEM 2:  PROPERTIES
 
Our executive offices are located at 6440 Flying Cloud Drive, Eden Prairie, Minnesota, where we rent approximately 1,000 square feet of office space on a month-to-month basis.  Additional space sufficient for our foreseeable needs is available to us on similar terms on an as-needed basis.  Our rental cost for this office space is approximately $1,000 per month, which we believe is at market for similar office space in Minneapolis, Minnesota.  We do not own any real property.

 
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ITEM 3:  LEGAL PROCEEDINGS
 
Although we are subject to litigation or other legal proceedings from time to time in the ordinary course of our business, we are not a party to any pending legal proceedings and are not aware of any threatened legal proceeding.
 
On July 15, 2009, Rensselaer Polytechnic Institute (“RPI”) filed a lawsuit against the Company seeking payment of $202,716 plus interest, penalties, costs and disbursements, including attorneys’ fees. In the complaint, RPI alleged that the Company breached obligations to pay RPI an aggregate of $202,716 under the terms of a license agreement dated July 13, 2001 between RPI and the Company and a sponsored research agreement dated as of December 9, 2005 between RPI and the Company. On December 7, 2009, the Company entered into a settlement agreement with RPI concerning litigation originally filed by RPI against the Company on July 15, 2009.  In the settlement agreement, the Company agreed to pay to RPI a total of $117,000 in installments as follows: $10,000 upon signing, $6,000 per month from December 2009 through October 2010, and $41,000 in November 2010.  The Company executed an affidavit for judgment by confession to secure the above payments.  The Company has 20 days to cure any failure to make the required payments.  As the full amount due to RPI was recorded in prior years, no additional provision was recorded and previously recorded minimum royalty expenses of $20,000 were reversed during the year ended December 31, 2009.
 
ITEM 4:  (RESERVED)
 
PART II

ITEM 5: MARKET FOR REGISTRANT’S COMMON EQUITY, RELATED STOCKHOLDER MATTERS AND ISSUER PURCHASES OF EQUITY SECURITIES

General
 
We currently have four equity securities quoted on the OTC Bulletin Board: common stock, Units, and two warrant issues. Our common stock is quoted under the symbol “PUMD.” The Units, consisting of one share of common stock and one five-year warrant to purchase a share of common stock at $1.30 per share, are quoted under the symbol “PUMDU.” Upon their separation from the Units, the warrants are separately quoted under the symbol “PUMDW” (the “Public Warrants”). Finally, three-year warrants issued as an incentive to existing warrant holders for their early exercise of five-year warrants pursuant to our 2009 replacement warrant offering (the “Replacement Warrants”) are quoted under the symbol “PUMWW.”

The following table lists the high and low bid information for our common stock and Units as quoted on the OTC Bulletin Board by quarter from January 1, 2008 through December 31, 2009 (as adjusted for the February 2008 one-for-ten reverse stock split).  Our common stock began trading in December 2003.  Price quotes for the Public Warrants represent the high and low selling prices as quoted on the OTC Bulletin Board.  No quotes are available for the Replacement Warrants to date.

   
Common Stock
(PUMD)
   
Units
(PUMDU)
   
Public Warrants
(PUMDW)
 
   
High
   
Low
   
High
   
Low
   
High
   
Low
 
2008
                                   
First Quarter
  $ 0.95     $ 0.30     $   *   $   *   $   *   $   *
Second Quarter
  $ 2.01     $ 0.30     $   *   $   *   $   *   $   *
Third Quarter
  $ 3.05     $ 0.30     $   *   $   *   $   *   $   *
Fourth Quarter
  $ 1.85     $ 0.41     $   *   $   *   $   *   $   *
2009
                                               
First Quarter
  $ 1.21     $ 0.20     $ 0.80     $ 0.70     $ 0.20     $ 0.15  
Second Quarter
  $ 0.70     $ 0.50     $ 1.10     $ 0.70     $ 0.20     $ 0.15  
Third Quarter
  $ 1.45     $ 0.55     $ 1.55     $ 1.10     $ 0.51     $ 0.15  
Fourth Quarter
  $ 4.00     $ 1.10     $ 2.20     $ 1.01     $ 1.70     $ 0.20  


*    Not traded.

 
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Dividend Policy
 
We have never declared or paid any cash dividends on our capital stock and do not expect to pay any dividends for the foreseeable future. We intend to use future earnings, if any, in the operation and expansion of our business. Any future determination relating to our dividend policy will be made at the discretion of our board of directors, based on our financial condition, results of operations, contractual restrictions, capital requirements, business properties, restrictions imposed by applicable law and other factors our board of directors may deem relevant. Future debt covenants may prohibit payment of dividends.
 
Recent Sales of Unregistered Securities
 
None.
 
ITEM 6:
SELECTED FINANCIAL DATA
 
 
Not applicable.
 
ITEM 7:
MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
 
The following discussion of our financial condition and results of operations should be read in conjunction with our consolidated financial statements, and notes thereto, included in this Annual Report on Form 10-K. This discussion should not be construed to imply that the results discussed herein will necessarily continue into the future, or that any conclusion reached herein will necessarily be indicative of actual operating results in the future.
 
Overview
 
ProUroCare Medical Inc. (“ProUroCare,” the “Company,” “we” or “us”) is an emerging medical device company that is in the process of obtaining FDA clearance for its first product, an innovative prostate imaging system known as the ProUroScan™ System.  The ProUroScan System incorporates our new proprietary elasticity imaging technology to create a “map” of the prostate to be used as an aid in visualizing and documenting abnormalities of the prostate detected/monitored by digital rectal examination.  We own and exclusively license intellectual property related to the creation in real-time of two- and three-dimensional images of soft tissue using special software to process data acquired by probes that incorporate arrays of sensitive mechanical force sensors.  The ProUroScan System is our first embodiment of this technology, to be used to image the prostate.  We believe that this technology can be applied to other soft organ tissue in the future.
 
The ProUroScan System was developed over the past several years under agreements with our development partner, Artann Laboratories Inc. (“Artann”), a scientific technology company that is focused on early-stage technology development.  During 2008 and 2009, our research and development activities conducted through Artann have been primarily directed toward completion of the final configuration of the ProUroScan System and conducting clinical trials.  This work culminated in the preparation and submission to the FDA of a 510(k) application for market clearance in November 2009.  On March 29, 2010, Artann received a letter from the FDA regarding the pending 510(k) for the ProUroScan System. The letter notified Artann that the FDA could not determine whether the device is substantially equivalent to the listed predicates in the 510(k) application. The FDA specifically noted the lack of a comparable predicate device for use as an aid in documenting abnormalities of the prostate detected by DRE.  If the ProUroScan System is not found to be substantially equivalent because a suitable predicate cannot be identified, the FDA may indicate that the product may be appropriate for Evaluation of Automatic Class III Designation because it is deemed to be a low risk device.  This provision which is also known as a “de novo” or a “risk based” classification is intended to allow low risk devices to be marketed under a 510(k) when there is no adequate predicate.  Information supporting the de novo application as a low risk device would then be combined with the previously submitted 510(k) and submitted to FDA for review.  If the FDA does not deem the device to be low risk, a PMA could be required.  Such an application may take more time to prepare and review and be more comprehensive than the 510(k) or de novo clearance process.
 
For further information concerning our agreement and commitments to Artann, see “ProUroScan System Development Partner” in Part I, Item 1, “Business.”
 
During this pre-revenue stage, in addition to work performed by Artann, we have conducted our development and clinical activities primarily through the use of contracted resources that specialize in managing the clinical trial process, developing regulatory strategies and in counseling on FDA matters.  We have found that using consultants and contractors to perform these functions during our development stages has allowed us to engage specialized talent and capabilities as needed by the business while providing the flexibility to engage them as our financial resources have permitted.  During 2009, we identified a highly qualified contract manufacturer, Logic (Minneapolis, MN), to produce the first commercial ProUroScan Systems.  Logic is currently working with Artann to transfer the technology into production.

 
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We expect to market the system in cooperation with a yet-to-be-determined medical device company that has an established worldwide presence in the urology market. We are actively engaged in discussions with several such companies, and intend to identify the final marketing partner during 2010. Prior to entering the market through a commercialization partner, we plan to produce eight to ten systems and place them with highly-regarded urologists across the United States. These key opinion leaders will expand our base of clinical reference while evaluating physician training and in-service programs. We also intend to place a limited number of systems in Europe during this period. During the course of 2010, as we move into production and begin marketing our products, we expect to add internal resources in the areas of marketing, regulatory affairs, operations and support.
 
In addition to the research and development work, we incur ongoing expenses that are directly related to being a publicly traded company, including professional audit and legal fees, public and investor relations, financial printing, press releases and transfer agent fees.  We also incur costs associated with the prosecution and maintenance of our intellectual property.  We currently rent approximately 1,000 square feet of office space on a month-to-month basis at a cost of approximately $1,000 per month. Other expenses incurred include executive officer compensation, travel, insurance, telephone, supplies and other miscellaneous expenses.
 
Recent Financings
 
We have been funded to date by a combination of public and private financings, and by bank loans that have been guaranteed by certain investors.  Since December 2007, we have raised over $7.5 million to fund our product development, clinical trials and early preparations for market entry.
 
Between December 2007 and July 2008, we raised a total of $2.0 million (including conversion of $175,000 of existing debt) from the sale of convertible promissory notes and warrants in four private placements.
 
On April 3, 2008, we purchased certain previously licensed patents, patent applications, and know-how (the “Profile Assets”) from Profile, LLC (“Profile”). $150,000 of the purchase price was financed under a secured promissory note with Profile (the “Profile Note”) that was subsequently repaid. In addition, we borrowed an aggregate of $112,500 pursuant to three convertible promissory notes each in the amount of $37,500 to finance the purchase. In January 2009, following the closing of the 2009 Public Offering (as defined below), we repaid $45,500 of the notes, and $29,500 of the notes were converted into common stock at $0.70 per share (based on 70 percent of the 2009 Public Offering price as discussed below). On March 19, 2009, the remaining $37,500 promissory note and accrued interest thereon, due to Mr. James Davis, a greater than 10 percent shareholder of the Company, was refinanced along with another $150,000 promissory note due to Mr. Davis (discussed below).
 
On September 16, 2008, we received funding commitments to purchase $325,000 of units in accordance with the terms of a unit put agreement (such funding commitments, the “Unit Put Arrangement”).  Between September 2008 and December 2008, we raised $315,000 from the sale of convertible promissory notes and warrants pursuant to the Unit Put Arrangement.
 
On September 25, 2008, we borrowed $150,000 pursuant to a promissory note issued in favor of Mr. Davis. The proceeds of the loan were used to retire the $150,000 principal amount of the Profile Note.  On March 19, 2009, Mr. Davis agreed to refinance the $150,000 debt along with a $37,500 note, accrued interest and other advances from Mr. Davis to us.  Pursuant to the refinancing, we issued a $281,000 unsecured convertible promissory note to Mr. Davis.  On May 26, 2009, Mr. Davis exercised his conversion rights under the promissory note, and the note was converted into 510,909 shares of the Company’s common stock.
 
On January 12, 2009, we closed a public offering of 3,050,000 units at $1.00 per unit (the “2009 Public Offering”) resulting in net cash received of $1,790,472 after offering costs of $1,259,528. Each unit sold consisted of one share of common stock and one redeemable warrant to purchase one share of common stock at an exercise price of $1.30 per share (the “Public Warrants”).
 
The closing of the 2009 Public Offering triggered the automatic conversion of certain debt instruments into equity, as follows:
 
 
·
$733,334 convertible debentures, together with $143,815 of interest accrued thereon, converted into 292,384 shares of our common stock;

 
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·
$1.9 million of convertible notes issued in the 2007 and 2008 private placements, together with $177,882 of interest accrued thereon, converted into 3,058,381 Units.  Each unit sold consisted of one share of common stock and one redeemable warrant to purchase one share of common stock at an exercise price of $1.30 per share (the “Private Warrants”); and
 
 
·
$299,250 of convertible notes issued pursuant to the Unit Put Arrangement, together with $9,563 of interest accrued thereon, converted into 441,165 shares of our common stock.
 
On March 19, 2009, we renewed our $1.2 million Crown Bank promissory note.  The renewed note matures on April 28, 2010 and remains collateralized by all Company assets and guaranteed by two individual guarantors.
 
Between May 1, 2009 and September 16, 2009, Mr. Davis made various payments for the benefit of the Company and provided us with certain cash advances to help fund specific Company activities related to product development, clinical studies and FDA related activities totaling approximately $243,000.   On September 21, 2009, Mr. Davis and the Company executed a promissory note in the principal amount of $243,000 to formalize our obligation to Mr. Davis for these amounts.   The note matures on March 28, 2011, and provides Mr. Davis with a subordinated security interest in the Company’s assets.
 
On June 16, 2009, we borrowed $100,000 from Crown Bank pursuant to a promissory note that is collateralized by Company assets and guaranteed by an individual guarantor.  The note matures on April 28, 2010.
 
On September 23, 2009, we borrowed $100,025 from Central Bank pursuant to a promissory note.  The promissory note matures on January 17, 2011. The promissory note was guaranteed by an individual guarantor.
 
On September 23, 2009, we borrowed $300,000 from an individual lender pursuant to a secured promissory note.  The promissory note matures on March 28, 2011 and provides the lender with a subordinated security interest in the Company’s assets.
 
On September 25, 2009, we commenced our “Replacement Warrant Offering.”  Pursuant to the offer, we temporarily modified the terms of the Public Warrants and the Private Warrants so that each holder who tendered their warrants for early exercise on or before November 6, 2009 received, in addition to the shares of common stock purchased upon exercise, new three-year warrants to purchase the same number of shares of ProUroCare common stock at an exercise price of $1.30 per share (the “Replacement Warrants”).  On November 6, 2009, warrants to purchase 1,244,829 shares of common stock were tendered resulting in proceeds to the Company of $1,618,278.  Net proceeds were $1,446,413 after $171,865 of offering expenses.
 
On March 26, 2010, we converted a $600,000 loan along with $97,546 of accrued interest thereon into 381,173 shares of common stock and 381,173 three-year, immediately exercisable warrants to acquire common stock at an exercise price of $1.83 per share.
 
Results of Operations
 
The following presents an analysis of the Company’s financial results for the fiscal years ended December 31, 2009 and 2008.
 
Net Loss
 
Our net loss for fiscal 2009 increased 49 percent to $6,944,000 compared to $4,658,000 for fiscal 2008.  Operating expenses comprised of research and development expenses and general and administrative expenses, as described below, increased by 51 percent to $3,951,000 in 2009 compared to $2,624,000 in 2008.  Also contributing to the increased net loss was a $1,357,000 incentive, in the form of Replacement Warrants, given to warrant holders for the early exercise of their existing warrants.
 
Research and development
 
Research and development expense for fiscal 2009 increased 275 percent to $2,240,000 compared to $598,000 for fiscal 2008. The majority of our research and development expense was conducted under contracts with Artann.  The November 18, 2009 submission of the FDA 510(k) application triggered a cash milestone payment of $250,000, and an accrual of the issuance of 769,231 shares of common stock valued on the submission date at approximately $1,565,000.  In addition, we expensed $235,000 for Artann’s development retainer.  During 2009 we also incurred approximately $137,000 of regulatory and clinical consulting fees and contracted engineering fees of approximately $34,000. In 2008, research and development expense consisted primarily of a $250,000 milestone payment due to Artann upon the initiation of FDA clinical studies and the expensing of the $300,000 purchase price of the Profile Assets.

 
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General and administrative expenses
 
General and administrative expenses for 2009 decreased by 16 percent, or $316,000, to $1,711,000 compared to $2,027,000 for 2008.
 
Our only employees are our two executive officers, whose base salaries have not increased since 2006.  Cash-based compensation expenses (salary, bonus, benefits and related payroll taxes) totaled $359,000 in 2009, including a total of $40,000 in bonuses.  In 2008, we incurred $331,000 of compensation expense, which included no bonus expense. Stock options granted to our directors, officers and consultants in 2009 were valued at $481,000.  Stock-based compensation expense in 2008 was $59,000.
 
We incur costs related to being a public reporting company, including fees for securities attorneys and our independent registered public accounting firm, proxy services, transfer agent services, investor relations and directors and officer’s (“D&O”) insurance costs. In 2009, we increased our investor relations activity and expanded our D&O insurance coverage following our 2009 Public Offering.  Consequently, public reporting company costs totaled $325,000 in 2009, representing an increase of $141,000 over 2008.
 
In 2009, as we worked to complete clinical trials, submit the FDA 510(k) application and began preparations for market entry, we incurred new fees for reimbursement consulting, marketing, public relations and financial consulting services totaling $212,000.
 
In 2008 we incurred a $600,000 up-front cash license fee and a $500,000 license fee paid in our common stock pursuant to our license agreement with Artann, which were expensed as general and administrative expense.
 
Interest and other expense
 
Interest expense for 2009 was $1,221,000, a decrease of $689,000, or 36 percent, compared to $1,910,000 in 2008.  Our interest expense consists of the interest charged by lenders on amounts we have borrowed plus the amortization of the cost of consideration we have provided to lenders and loan guarantors.  Interest charged by lenders totaled $193,000 in 2009, a 57 percent reduction from the $453,000 n 2008.  The majority of the decrease was due to the automatic conversion of $2,933,000 of convertible debt in January 2009 upon the completion of our 2009 Public Offering.  The cost of consideration provided to lenders and loan guarantors, in the form of stock, warrants or beneficial conversion features of convertible debt, is generally recorded as original issue discount and amortized over the term of the associated debt.  In 2009, $1,028,000 of such consideration was amortized, a decrease of $430,000, or 29 percent from the $1,458,000 recorded in 2008.
 
Debt extinguishment expense for 2009 was $416,000, an increase of $292,000, or 236 percent, compared to $124,000 in 2008.  Debt extinguishment expense is incurred when the cost to refinance existing loans, including changes in interest rates and the cost of consideration provided to lenders and loan guarantors, in the form of stock, warrants or beneficial conversion features of convertible debt, is significant enough that we deem it to be a retirement of existing debt and creation of a new loan.  The debt extinguishment expense recognized in 2009 related to the refinancing of our Crown Bank loan and loans from Mr. Davis.  The debt extinguishment expense recognized in 2008 related to the refinancing of several loans with individual investors.
 
Pursuant to our Replacement Warrant Offering (see “Recent Financings,” above), we issued 1,244,829 Replacement Warrants.  The $1,357,000 fair market value of the Replacement Warrants, determined using the Black-Scholes pricing model, was expensed as an incentive for early warrant exercise in 2009.
 
Liquidity and Capital Resources
 
Assets; Property Acquisitions and Dispositions
 
Our primary assets are our intellectual property rights, including patents, patent applications and our license agreement with Artann, which are the foundation for our proposed product offerings. These assets secure $1.3 million of senior bank notes and, as a result, are not available to secure other senior debt financing.

 
30

 

We anticipate purchasing approximately $230,000 of tooling, molds and other capital for production, computer equipment, software and general office furniture and equipment during the remainder of 2010. We do not anticipate selling any significant assets in the near term.
 
On April 3, 2008, we purchased the Profile Assets pursuant to an asset purchase agreement. The purchase price of the Profile Assets was $300,000.  See “Recent Financings,” above.
 
Sources and Uses of Cash
 
Net cash used in operating activities was $3.1 million in 2009 compared to $1.1 million in 2008.  The increase in cash used was primarily the result of payments to Artann of $600,000 for licensing fees and a total of $500,000 for milestone achievements pursuant to our licensing and development agreements. We also paid $205,000 to Artann for development work performed under the development agreement.  In addition to increased operating expenses, other uses of cash included payments for accounts payable, accrued compensation and other accrued expenses.
 
Net cash provided by financing activities was $4.1 million in 2009 compared to $700,000 in 2008.  Proceeds from the 2009 Public Offering less underwriter’s commissions and other payments for expenses of the offering were $2.3 million, while net proceeds from warrant exercises was $1.7 million.  In addition, we borrowed a total of $200,025 pursuant to two bank loans and $543,000 pursuant to two loans from investors.  Offsetting this was our retirement of a $400,000 bank debt in March 2009.  During 2008, we received net proceeds from our private convertible debt placements with individual investors of $1,197,000.  These debt proceeds were offset by repayments of notes payable and loans from directors totaling $410,000 and payments made for debt issuance and deferred offering costs totaling $88,000.
 
Cash Requirements
 
We expect that our cash needs for our operating expenses (including payments due to Artann explained below) will be approximately $4.2 million through the remainder of 2010.  Of this amount, we anticipate that on-going general and administrative expenses, including the cost of existing personnel, rent, patent, legal, audit and other costs of being a public company, will be approximately $1,150,000.  We estimate that our cost of contracting for certain product engineering and development work to reduce the size of the ProUroScan System and make certain enhancements will cost approximately $700,000.  We expect to add personnel in the areas of sales and marketing, engineering, and quality during the remainder of 2010 estimated to cost approximately $600,000.  We expect to initiate sales and marketing programs in advance of obtaining a corporate distribution partner that will cost approximately $450,000.  Placing systems and performing additional patient studies at certain key institutions will cost approximately $350,000.
 
Pursuant to the terms of the Artann development agreement, upon receipt of FDA 510(k) clearance we are required to make a cash payment of $750,000 and provide a $1.0 million equity payment to Artann.
 
We are in negotiations with Crown Bank to renew our existing $1.3 million of loans.  We expect that the final agreement will include provisions that we retire $300,000 or more of this debt over the next 12 months.  We also have other short term liabilities, consisting of accounts payable, accrued expenses and a bank loan totaling approximately $1.4 million.
 
In total, assuming financing permits, we expect our cash requirements for operating costs, capital expenditures, and debt retirement during the remainder of 2010 to be approximately $5.3 million.  Of this, at least $2 million is discretionary and subject to reduction or postponement based on availability of funding. If FDA clearance of the ProUroScan System is delayed, such as may happen if we need to file for de novo or PMA approval (See "Overview," above), or if additional clinical information is requested, our cash requirements could increase and we would likely reduce certain planned marketing and development activities.
 
Current Financing Plans
 
Our plan to meet these cash requirements consists of several elements:
 
As of March 26, 2010, we have 5,760,436 outstanding redeemable warrants.  These warrants have an exercise price of $1.30 per share.  Of these, we currently have the right to redeem 4,515,607 Public and Private Warrants.  We may redeem 1,244,829 Replacement Warrants once the last sale price of our common stock equals or exceeds $4.00 per share for a period of 10 consecutive trading days.  Upon our exercise of our right to redeem the warrants, holders of the warrants will have a period of 30 days to exercise their warrants.  If all holders of the Public and Private Warrants exercise their warrants, we could realize up to approximately $5.9 million, depending on the number of shares actually exercised pursuant to such a redemption.  If all holders of the Replacement Warrants exercise their warrants, we could realize up to an additional $1.6 million, depending on the number of shares actually exercised pursuant to such redemption.  There can be no assurance that we will be able to redeem the warrants, or how much would be realized if such redemption were made.

 
31

 
 
We plan to identify a distribution partner to market our products (see “Marketing and Distribution” under Part I, Item 1, “Business”) during 2010.  We expect such a distribution partner to provide significant financial support in the form of licensing fees, loans, equity investment or a combination of these.  In addition to financial support, a successful collaboration with such a partner would allow us to gain access to downstream marketing, manufacturing and sales support.  There can be no assurance that a distribution partner can be successfully identified and engaged during 2010, if at all.
 
If an insufficient number of warrants are exercised, or if we do not receive adequate financial support from a distribution partner, we will likely pursue one or more additional rounds of funding in 2010. If additional funds are raised by the issuance of convertible debt or equity securities, or by the exercise of outstanding warrants, then existing shareholders will experience dilution in their ownership interest. If additional funds are raised by the issuance of debt or certain equity instruments, we may become subject to certain operational limitations, and such securities may have rights senior to those of our existing holders of common stock.
 
If adequate funds are not available through these initiatives on a timely basis, or are not available on acceptable terms, we may be unable to fund expansion and may be forced to delay our market entry.  Ultimately, if no additional financing is obtained beyond what has been secured to date, we likely would be forced to cease operations. There can be no assurance we will be successful in raising such funds.
 
Off-Balance Sheet Arrangements
 
None.
 
Going Concern
 
We have incurred operating losses, accumulated deficit and negative cash flows from operations since inception. As of December 31, 2009, we had an accumulated deficit of approximately $27.9 million. These factors, among others, raise substantial doubt about our ability to continue as a going concern. Our consolidated financial statements included in this Annual Report on Form 10-K do not include any adjustments related to recoverability and classification of asset carrying amounts or the amount and classification of liabilities that might result should we be unable to continue as a going concern.
 
Critical Accounting Policies
 
Our critical accounting policies are policies which have a high impact on the reporting of our financial condition and results, and require significant judgments and estimates. Our critical accounting policies relate to (a) the valuation of stock-based compensation awarded to employees, directors, loan guarantors and consultants and (b) the accounting for debt with beneficial conversion features.
 
Valuation of Stock-Based Compensation
 
Since inception, we have measured and recognized compensation expense for all share-based payment awards made to employees and directors including employee stock options based on fair value. Our determination of fair value of share-based payment awards is based on the date of grant using an option-pricing model which incorporates a number of highly complex and subjective variables. These variables include, but are not limited to, the expected volatility of our stock price and estimates regarding projected employee stock option exercise behaviors and forfeitures. We recognize the expense related to the fair value of the award straight-line over the vesting period.
 
Debt with Beneficial Conversion Features
 
The beneficial conversion features of the promissory notes were valued using the Black-Scholes pricing model. The resulting original issue discount is amortized over the life of the promissory notes using the straight-line method, which approximates the interest method.

 
32

 

ITEM 7A: QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

Not applicable.

 
33

 

ITEM 8:  FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA

The following financial statements are included:
   
     
Report of Independent Registered Public Accounting Firm
 
F-2
     
Audited Financial Statements:
   
     
Consolidated Balance Sheets
 
F-3
     
Consolidated Statements of Operations
 
F-4
     
Consolidated Statement of Shareholders’ Equity (Deficit)
 
F-5
     
Consolidated Statements of Cash Flows
 
F-13
     
Notes to Consolidated Financial Statements
 
F-16

 
F-1

 

REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

To the Shareholders, Audit Committee and Board of Directors
ProUroCare Medical Inc.
Eden Prairie, MN

We have audited the accompanying consolidated balance sheets of ProUroCare Medical Inc. (a development stage company) as of December 31, 2009 and 2008, and the related consolidated statements of operations, shareholders' equity (deficit) and cash flows for the years then ended and the period from August 17, 1999 (inception) to December 31, 2009.  These consolidated financial statements are the responsibility of the Company's management.  Our responsibility is to express an opinion on these consolidated financial statements based on our audits.

We conducted our audits in accordance with the standards of the Public Company Accounting Oversight Board (United States).  Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the consolidated financial statements are free of material misstatement.  The Company is not required to have, nor were we engaged to perform, an audit of its internal control over financial reporting.  Our audits included consideration of its internal control over financial reporting as a basis for designing audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the Company’s internal control over financial reporting.  Accordingly, we express no such opinion.  An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements.  An audit also includes assessing the accounting principles used and significant estimates made by management as well as evaluating the overall consolidated financial statement presentation.  We believe that our audits provide a reasonable basis for our opinion.

In our opinion, the consolidated financial statements referred to above present fairly, in all material respects, the financial position of ProUroCare Medical Inc. as of December 31, 2009 and 2008 and the results of their operations and their cash flows for the years then ended and the period from August 17, 1999 (inception) to December 31, 2009, in conformity with U.S. generally accepted accounting principles.

The accompanying consolidated financial statements have been prepared assuming that the Company will continue as a going concern.  As discussed in Note 3 to the consolidated financial statements, the Company has recurring operating losses, negative cash flows from operations and requires additional working capital to support future operations, which raises substantial doubt about its ability to continue as a going concern.  Management's plans in regards to these matters are also described in Note 3.  The consolidated financial statements do not include any adjustments that might result from the outcome of this uncertainty.

/s/ Baker Tilly Virchow Krause, LLP

Minneapolis, Minnesota
March 31, 2010

 
F-2

 

ProUroCare Medical Inc.
(A Development Stage Company)
Consolidated Balance Sheets

   
December 31,
2009
   
December 31,
2008
 
Assets
           
Current assets:
           
Cash
  $ 1,000,874     $ 3,900  
Restricted cash
          44,214  
Other current assets
    58,200       31,634  
Total current assets
    1,059,074       79,748  
                 
Equipment and furniture, net
    1,470        
Deferred offering expenses
          729,924  
Debt issuance costs, net
    27,383       266,882  
    $ 1,087,927     $ 1,076,554  
Liabilities and Shareholders’ Deficit
               
Current liabilities:
               
Notes payable, bank
    1,300,000       1,600,000  
Notes payable
    624,865       668,425  
Convertible debt, net of original issue discount
          1,386,963  
Convertible debt related parties, net of original issue discount
          826,434  
Accounts payable
    985,560       1,203,549  
Accrued license and development fees
    1,595,385       1,327,835  
Accrued expenses
    269,230       937,253  
Total current liabilities
    4,775,040       7,950,459  
                 
Commitments and contingencies (Note 8):
               
Long-term note payable, bank
    100,025        
Long-term note payable
    300,000        
Long-term note payable - related party
    243,000        
Long-term convertible debt, net of original issue discount
          221,199  
Long-term convertible debt - related parties, net of original issue discount
          162,759  
Total liabilities
    5,418,065       8,334,417  
Shareholders’ deficit:
               
Common stock, $0.00001 par.  Authorized 50,000,000 shares; issued and outstanding 11,326,283 and 1,811,429 shares on December 31, 2009and 2008, respectively
    113       18  
Additional paid-in capital
    23,549,626       13,677,932  
Deficit accumulated during development stage
    (27,879,877 )     (20,935,813 )
Total shareholders’ deficit
    (4,330,138 )     (7,257,863 )
    $ 1,087,927     $ 1,076,554  

See accompanying notes to consolidated financial statements.

 
F-3

 
 
ProUroCare Medical Inc.
(A Development Stage Company)
Consolidated Statements of Operations

               
Period from
 
               
August 17,
 
               
1999
 
   
Year ended
   
Year ended
   
(inception) to
 
   
December 31,
   
December 31,
   
December 31,
 
   
2009
   
2008
   
2009
 
Operating expenses:
                 
Research and development
  $ 2,239,590     $ 597,755     $ 7,694,897  
General and administrative
    1,711,075       2,026,677       11,542,248  
                         
Total operating expenses
    3,950,665       2,624,432       19,237,145  
                         
Operating loss
    (3,950,665 )     (2,624,432 )     (19,237,145 )
Incentive for early warrant exercise
    (1,313,309 )           (1,313,309 )
Incentive for early warrant exercise - related parties
    (43,555 )           (43,555 )
Interest income
    158       537       18,453  
Interest expense
    (909,481 )     (1,001,551 )     (4,723,955 )
Interest expense - related parties
    (311,230 )     (908,486 )     (1,659,223 )
Debt extinguishment expense
    (68,162 )     (75,571 )     (498,281 )
Debt extinguishment expense - related parties
    (347,820 )     (48,214 )     (422,862 )
                         
Net loss
  $ (6,944,064 )   $ (4,657,717 )   $ (27,879,877 )
                         
Net loss per common share:
                       
Basic and diluted
  $ (0.73 )   $ (2.65 )   $ (14.93 )
                         
Weighted average number of shares outstanding:
                       
Basic and diluted
    9,574,914       1,759,607       1,867,169  

See accompanying notes to consolidated financial statements.

 
F-4

 

ProUroCare Medical Inc.
(A Development Stage Company)
Consolidated Statements of Shareholders’ Equity (Deficit)

                     
Deficit
       
                     
accumulated
       
               
Additional
   
during the
   
Total
 
   
Common stock
   
paid-in
   
development
   
shareholders’
 
   
Shares
   
Amount
   
capital
   
stage
   
equity (deficit)
 
Balance at inception, August 17, 1999
                             
Net loss for the period from inception to December 31, 1999
        $     $     $     $  
Balance, December 31, 1999
                             
Net loss for the year ended December 31, 2000
                             
Balance, December 31, 2000
                             
Issuance of common stock to founders at $33.33 per share on March 1, 2001
    1.0             20             20  
Cancellation of founders’ shares, March 6, 2001
    (1.0 )           (20 )           (20 )
Recapitalization and transfer of common stock to Clinical Network, Inc. July 6, 2001
    300,000       3       (3 )            
Issuance of common stock to CS Medical Technologies, LLC as consideration for technology license agreement on July 6, 2001, valued at $1.58 per share
    300,000       3       474,997             475,000  
Net loss for the year ended December 31, 2001
                      (612,533 )     (612,533 )
Balance, December 31, 2001
    600,000       6       474,994       (612,533 )     (137,533 )
Issuance of common stock valued at $4.29 per share to Profile LLC for technology license, January 14, 2002
    400,000       4       1,713,596             1,713,600  
Issuance of common stock at $23.33 per share for services rendered, November 14, 2002
    4,421             103,166             103,166  
Issuance of common stock for cash at $23.33 per share on November 22, 2002, net of costs of $193,386
    45,335       1       864,418             864,419  
Options to purchase 90,000 shares issued to officers and directors, valued at $4.60 per share, granted March 19, 2002; portion vested in 2002
                124,583             124,583  
Options to purchase 6,000 shares issued to consultants for services rendered, valued at $4.60 per share, granted March 19, 2002; portion vested in 2002
                18,400             18,400  
Warrant for 3,000 shares valued at $4.60 per share, issued to a director on April 19, 2002; portion vested in 2002
                4,025             4,025  
Warrant for 150 shares valued at $3.33 per share issued for services rendered, November 11, 2002
                490             490  
Net loss for the year ended December 31, 2002
                      (3,613,003 )     (3,613,003 )
Balance, December 31, 2002
    1,049,756       11       3,303,672       (4,225,536 )     (921,853 )
Stock issued in lieu of cash for accounts payable, valued at $23.33 per share, February 25, 2003
    545             12,705             12,705  
Warrants for 19,286 shares valued at $3.00 per share, issued to bank line of credit guarantors, March 1, 2003
                57,858             57,858  
Warrant for 2,143 shares valued at $3.00 per share, issued to director as a bank line of credit guarantor, March 1, 2003
                6,429             6,429  
Warrant for 9,215 shares issued for services rendered, valued at $20.30 per share, June 30, 2003
                187,060             187,060  
Warrants for 22,501 shares valued at $3.60 per share, issued to bank line of credit guarantors, August 5, 2003
                81,003             81,003  
Warrant for 2,143 shares valued at $3.60 per share, issued to director as a bank line of credit guarantor, August 5, 2003
                7,714             7,714  
Warrants for 6,429 shares valued at $3.40 per share, issued to bank line of credit guarantors, September 11, 2003
                21,858             21,858  
Warrant for 11,789 shares valued at $3.50 per share, issued to bank line of credit guarantor, December 22, 2003
                41,250             41,250  

 
F-5

 
 
ProUroCare Medical Inc.
(A Development Stage Company)
Consolidated Statements of Shareholders’ Equity (Deficit) (Continued)
 
                     
Deficit
       
                     
accumulated
       
               
Additional
   
during the
   
Total
 
   
Common stock
   
paid-in
   
development
   
shareholders’
 
   
Shares
   
Amount
   
capital
   
stage
   
equity (deficit)
 
Options to purchase 90,000 shares issued to officers and directors, valued at $4.60 per share, granted March 19, 2002; portion vested in 2003
                133,400             133,400  
Options to purchase 6,000 shares issued to consultants for services rendered, valued at $4.60 per share, granted March 19, 2002; portion vested in 2003
                6,900             6,900  
Warrant for 3,000 shares valued at $4.60 per share, issued to a director on April 19, 2002; portion vested in 2003
                6,900             6,900  
Net loss for the year ended December 31, 2003
                      (1,632,457 )     (1,632,457 )
Balance, December 31, 2003
    1,050,301       11       3,866,749       (5,857,993 )     (1,991,233 )
                                         
Options to purchase 3,000 shares issued to a consultant valued at $6.70 per share, granted February 1, 2004, portion vested in 2004
                10,100             10,100  
Options to purchase 45,000 shares issued to officer valued at $6.70 per share, granted February 1, 2004; portion vested in 2004
                84,173             84,173  
Repurchase of 90,000 shares pursuant to the exercise of dissenters' rights at time of merger, April 5, 2004 in connection with $750,000 note payable
    (90,000 )     (1 )     (749,999 )           (750,000 )
Issuance of shares to shareholders of Global Internet Communications, Inc. pursuant to merger April 5, 2004
    209,700       2       (2 )            
Issuance of common stock for cash at $20.00 per share during 2004, net of costs of $139,493
    220,500       2       4,270,505             4,270,507  
Cost associated with Global Internet Communications, Inc. reverse merger effective April 5, 2004
                (162,556 )           (162,556 )
Effect of anti-dilution and price-protection provisions of warrants issued to loan guarantors in 2003, triggered by April 5, 2004 closing of private placement; shares subject to warrants increased by 37,501; exercise price reduced from $23.33 to $16.67 per share (see Note 14(g))
                320,974             320,974  
Issuance of common stock valued at $20.00 per share for accrued expenses in lieu of cash, May 21, 2004
    3,861             77,225             77,225  
Warrants for 10,000 shares issued for services rendered valued at $11.50 per share on July 19, 2004
                114,914             114,914  
Options to purchase 20,000 shares issued to officer valued at $15.00 per share, granted July 21, 2004; portion vested in 2004
                41,670             41,670  
Issuance of common stock valued at $20.00 per share for accrued interest in lieu of cash, October 12, 2004
    4,444             88,882             88,882  
Warrants for 20,000 shares issued for services rendered valued at $8.30 per share on December 2, 2004
                166,172             166,172  
Options to purchase 90,000 shares issued to officers and directors, valued at $4.60 per share, granted March 19, 2002; portion vested in 2004
                82,452             82,452  
Warrant for 3,000 shares valued at $4.60 per share, issued to a director on April 19, 2002; portion vested in 2004
                1,150             1,150  
Net loss for the year ended December 31, 2004
                      (2,318,896 )     (2,318,896 )
Balance, December 31, 2004
    1,398,806       14       8,212,409       (8,176,889 )     35,534  
 
F-6

 
ProUroCare Medical Inc.
(A Development Stage Company)
Consolidated Statements of Shareholders’ Equity (Deficit) (Continued)

                     
Deficit
       
                     
accumulated
       
               
Additional
   
during the
   
Total
 
   
Common stock
   
paid-in
   
development
   
shareholders’
 
   
Shares
   
Amount
   
capital
   
stage
   
equity (deficit)
 
                                         
Options to purchase 90,000 shares issued to officers and directors, valued at $4.60 per share, granted March 19, 2002; portion vested in 2005
                5,734             5,734  
Options to purchase 45,000 shares issued to officer valued at $6.70 per share, granted February 1, 2004; portion vested in 2005
                111,108             111,108  
Options to purchase 20,000 shares issued to officer valued at $15.00 per share, granted July 21, 2004; portion vested in 2005
                100,008             100,008  
Options to purchase 15,000 shares issued to officer valued at $16.20 per share, granted January 3, 2005; portion vested in 2005
                74,256             74,256  
Options to purchase 15,000 shares issued to officer valued at $6.70 per share, granted September 6, 2005; portion vested in 2005
                6,625             6,625  
Issuance of common stock for services rendered at $10.20 per share on May 13, 2005
    5,000             51,000             51,000  
Issuance of common stock for cash at $7.60 per share on June 15, 2005
    6,579             50,001             50,001  
Issuance of common stock for deferred offering costs at $7.10 per share on September 1, 2005
    2,500             17,750             17,750  
Issuance of common stock in lieu of cash for accrued expenses at $8.90 per share on December 31, 2005
    4,541             40,418             40,418  
Warrants for 2,500 shares valued at $6.30 per share, issued to bank loan guarantor, September 14, 2005
                15,750             15,750  
Warrants for 2,500 shares valued at $5.30 per share, issued in connection with notes payable on September 21, 2005
                13,250             13,250  
Warrants for 20,000 shares valued at $4.80 per share, issued to bank loan guarantors, October 19, 2005
                106,000             106,000  
                                         
Net loss for the year ended December 31, 2005
                      (2,028,056 )     (2,028,056 )
Balance, December 31, 2005
    1,417,426       14       8,804,309       (10,204,945 )     (1,400,622 )
                                         
Options to purchase 45,000 shares issued to officer valued at $6.70 per share, granted February 1, 2004; portion vested in 2006
                101,008             101,008  
Options to purchase 20,000 shares issued to officer valued at $15.00 per share, granted July 21, 2004; portion vested in 2006
                100,008             100,008  
Options to purchase 15,000 shares issued to officer valued at $16.20 per share, granted January 3, 2005; portion vested in 2006
                81,006             81,006  
Options to purchase 15,000 shares issued to officer valued at $6.70 per share, granted September 6, 2005; portion vested in 2006
                8,834             8,834  
Options to purchase 17,500 shares issued to officers and an employee valued at $5.60 per share, granted March 1, 2006; portion vested in 2006
                48,215             48,215  

 
F-7

 

ProUroCare Medical Inc.
(A Development Stage Company)
Consolidated Statements of Shareholders’ Equity (Deficit) (Continued)

                     
Deficit
       
                     
accumulated
       
               
Additional
   
during the
   
Total
 
   
Common stock
   
paid-in
   
development
   
shareholders’
 
   
Shares
   
Amount
   
capital
   
stage
   
equity (deficit)
 
Options to purchase 3,000 shares issued to a director valued at $5.90 per share, granted May 30, 2006; portion vested in 2006
                5,163             5,163  
Original issue discount on convertible debt issued on February 16, 2006
                400,000             400,000  
Warrants for 5,000 shares valued at $4.60 per share, issued in connection with notes payable on January 25, 2006
                23,000             23,000  
Issuance of common stock for deferred offering costs at $9.10 per share on February 22, 2006
    2,500             22,750             22,750  
Original issue discount on convertible debt issued on February 29, 2006
                333,334             333,334  
Issuance of common stock for services rendered at $6.40 per share on April 21, 2006
    7,000             44,800             44,800  
Warrants for 3,750 shares valued at $6.80 per share, issued in connection with notes payable on June 1, 2006
                25,500             25,500  
Warrants for 375 shares valued at $5.40 per share, issued in connection with notes payable on July 21, 2006
                2,025             2,025  
Warrants for 500 shares valued at $4.60 per share, issued in connection with notes payable on August 30, 2006
                2,300             2,300  
Issuance of common stock for cash at $4.30 per share on September 7, 2006
    11,628             50,000             50,000  
Issuance of common stock for services rendered at $6.30 per share on September 8, 2006
    1,415             8,938             8,938  
Warrants for 5,000 shares valued at $4.50 per share, issued in connection with notes payable on November 30, 2006
                22,500             22,500  
Warrants for 5,171 shares valued at $5.40 per share, accrued for issuance in connection with a note payable as of December 31, 2006
                27,922             27,922  
Net loss for the year ended December 31, 2006
                      (2,959,853 )     (2,959,853 )
Balance, December 31, 2006
    1,439,969       14       10,111,612       (13,164,798 )     (3,053,172 )
                                         
Options to purchase 45,000 shares issued to officer valued at $6.70 per share, granted February 1, 2004; portion vested in 2007
                16,811             16,811  
Options to purchase 20,000 shares issued to officer valued at $15.00 per share, granted July 21, 2004; portion vested in 2007
                58,314             58,314  
Warrants for 5,000 shares valued at $4.50 per share, issued in connection with debt extinguishment on January 3, 2007
                22,500             22,500  
Options to purchase 15,000 shares issued to officer valued at $16.20 per share, granted January 3, 2005; portion vested in 2007
                81,007             81,007  
Options to purchase 17,500 shares issued to officers and an employee valued at $5.60 per share, granted March 1, 2006; portion vested in 2007
                33,245             33,245  
Issuance of investment units consisting of common stock and warrants for 62,500 shares issued for cash at $4.00 per share on January 18, January 23, February 28 and May 1, 2007, net of costs of $52,388
    125,000       2       447,610             447,612  

 
F-8

 

ProUroCare Medical Inc.
(A Development Stage Company)
Consolidated Statements of Shareholders’ Equity (Deficit) (Continued)

                     
Deficit
       
                     
accumulated
       
               
Additional
   
during the
   
Total
 
   
Common stock
   
paid-in
   
development
   
shareholders’
 
   
Shares
   
Amount
   
capital
   
stage
   
equity (deficit)
 
Options to purchase 20,000 shares issued to officer valued at $3.40 per share, granted February 1, 2007; portion vested in 2007
                32,857             32,857  
Warrants for 5,000 shares valued at $3.60 per share, issued in connection with debt extinguishment on February 1, 2007
                18,000             18,000  
Issuance of common stock in lieu of cash for a loan from a director at $4.10 per share on February 9, 2007
    1,707             7,000             7,000  
Modification of warrant term of warrant to purchase 30,000 shares pursuant to separation agreement of employee dated March 15, 2007, valued at $3.20 per share
                96,000             96,000  
Issuance of common stock in lieu of cash for accrued expenses at $4.00 per share on March 21, 2007
    12,478             49,911             49,911  
Warrants for 6,240 shares issued pursuant to amendment of convertible debt valued at $4.30 per share on March 21, 2007
                26,829             26,829  
Issuance of common stock for accounts payable $5.00 per share on April 2, 2007
    4,141             20,704             20,704  
Warrants for 20,000 shares issued for services rendered valued at $3.60 per share on April 16, 2007
                    72,000             72,000  
Modification of option term to purchase 45,000 shares pursuant to separation agreement of officer dated May 11, 2007, valued at $2.30 per share
                103,500             103,500  
Modification of option term to purchase 45,000 shares pursuant to separation agreement of officer dated May 11, 2007, valued at $2.60 per share
                117,000             117,000  
Options to purchase 3,000 shares issued to a director valued at $5.90 per share, granted May 30, 2006; portion vested in 2007
                8,850             8,850  
Options to purchase 3,000 shares issued to a director valued at $2.40 per share, granted June 14, 2007; portion vested in 2007
                1,800             1,800  
Issuance of common stock in lieu of cash for director's fees at $3.00 per share on September 10, 2007
    20,694             62,082             62,082  
Issuance of common stock in lieu of cash for loans from directors at $3.00 per share on September 10, 2007
    1,100             3,300             3,300  
Issuance of common stock as debt issuance cost at $2.00 per share on November 7, 2007
    33,333             66,666             66,666  
Warrants for 6,050 shares valued at $2.80 per share, issued in connection with notes payable on December 27, 2007
                16,940             16,940  
Warrants for 5,800 shares valued at $1.70 per share, issued in connection with notes payable on December 27, 2007
                9,860             9,860  
Warrants for 700 shares valued at $2.20 per share, issued in connection with notes payable on December 27, 2007
                1,540             1,540  
Original issue discount on convertible debt issued on December 27, 2007
                595,666             595,666  
Original issue discount attributable to warrants for 240,000 shares issued on December 27, 2007
                88,576             88,576  
Issuance of common stock as compensation for loan guarantees at $1.00 per share on December 28, 2007
    88,889       1       88,888             88,889  
Warrants for 15,400 shares valued at $4.00 per share, accrued for issuance in addition to interest on a note payable as of December 31, 2007
                61,600             61,600  
Warrants for 51,010 shares valued at $3.60 per share, accrued for issuance in connection with debt extinguishment as of December 31, 2007
                183,637             183,637  

 
F-9

 
 
ProUroCare Medical Inc.
(A Development Stage Company)
Consolidated Statements of Shareholders’ Equity (Deficit) (Continued)

                     
Deficit
       
                     
accumulated
       
               
Additional
   
during the
   
Total
 
   
Common stock
   
paid-in
   
development
   
shareholders’
 
   
Shares
   
Amount
   
capital
   
stage
   
equity (deficit)
 
Warrants for 15,221 shares valued at $5.40 per share, accrued for issuance in connection with debt extinguishment as of December 31, 2007
                82,191             82,191  
Net loss for the year ended December 31, 2007
                      (3,113,298 )     (3,113,298 )
Balance, December 31, 2007
    1,727,311       17       12,586,496       (16,278,096 )     (3,691,583 )
                                         
Original issue discount on convertible debt issued between Jan 4, 2008 and July 30, 2008
                350,873             350,873  
Warrants for 160,000 shares valued at $0.47 to $1.10 per share issued in connection with convertible debt between Jan 4, 2008 and July 30, 2008
                65,160             65,160  
Warrants for 14,500 shares valued at $1.00 per share issued to former employee pursuant to a termination agreement on January 4, 2008
                14,500             14,500  
Warrants for 52,357 shares valued at $3.60 per share, connection with debt extinguishment on January 16, 2008; portion expensed in 2008
                4,848             4,848  
Rounding of common stock due to reverse stock split on February 14, 2008
    39                          
Warrants for 75,000 shares valued at $0.92 per share, issued in connection with notes payable on April 3, 2008
                42,768             42,768  
Options to purchase 20,000 shares issued to officers valued at $0.79 per share, granted July 11, 2008
                15,800             15,800  
Cancellation of an officer's options to purchase 20,000 shares valued at $0.27 per share on July 11, 2008
                (5,400 )           (5,400 )
Cancellation of an officer's options to purchase 15,000 shares valued at $0.31 per share on July 11, 2008
                (4,650 )           (4,650 )
Options to purchase 3,000 shares issued to directors valued at $0.71 per share, granted July 11, 2008
                2,130             2,130  
Issuance of common stock valued at $1.00 per share in lieu of cash for directors' fees on July 11, 2008
    59,634       1       59,633             59,634  
Extension of note payable modified with a conversion feature added and recorded as debt extinguishment on September 12, 2008
                48,214             48,214  
Original issue discount on convertible debt issued between September 16, 2008 and December 11, 2008
                145,743             145,743  
Warrants for 95,500 shares valued at $0.89 to $1.31 per share issued in connection with convertible debt between September 16, 2008 and December 11, 2008
                75,819             75,819  
Original issue discount attributable to warrants for 100,000 shares valued at $0.47 per share, issued on September 25, 2008
                46,604             46,604  
Warrants for 31,817 shares valued at $5.40 per share, issued on September 30, 2008 in connection with debt extinguishment expensed and accrued from previous years; portion expensed in 2008
                61,700             61,700  
Warrants for 3,000 shares valued at $1.32 per share, issued in connection with debt extinguishment on October 24, 2008
                3,960             3,960  
Issuance of common stock as compensation for loan guarantees at $1.00 per share on October 31, 2008
    17,778             17,778             17,778  
Warrants for 44,445 shares valued at $0.77 per share issued as compensation for loan guarantees on October 31, 2008
                34,223             34,223  
Issuance of common stock valued at $1.00 per share for debt
                                     
issuance cost on October 31, 2008
    6,667             6,667             6,667  
Warrants for 16,667 shares valued at $0.77 per share issued as
                                     
debt issuance costs on October 31, 2008
                12,834             12,834  
Warrants for 3,836 shares valued at $1.32 per share, accrued for issuance in connection with debt extinguishment as of December 31, 2006
                5,063             5,063  
Options to purchase 17,500 shares issued to officers and an employee valued at $5.60 per share, granted March 1, 2006; portion vested in 2008
                9,663             9,663  

 
F-10

 
 
ProUroCare Medical Inc.
(A Development Stage Company)
Consolidated Statements of Shareholders’ Equity (Deficit) (Continued)

                     
Deficit
       
                     
accumulated
       
               
Additional
   
during the
   
Total
 
   
Common stock
   
paid-in
   
development
   
shareholders’
 
   
Shares
   
Amount
   
capital
   
stage
   
equity (deficit)
 
Options to purchase 3,000 shares issued to a director valued at $5.90 per share, granted May 30, 2006; portion vested in 2008
                3,687             3,687  
Options to purchase 3,000 shares issued to a director valued at $2.40 per share, granted June 14, 2007; portion vested in 2008
                3,600             3,600  
Options to purchase 5,000 shares issued to officer valued at $3.40 per share, granted February 1, 2007; portion vested in 2008
                8,869             8,869  
Options to purchase 15,000 shares issued to officer valued at $16.20 per share, granted January 3, 2005; portion vested in 2008
                6,731             6,731  
Options to purchase 85,000 shares issued to officers valued at $0.85 per share, granted July 11, 2008; portion expensed in 2008
                12,042             12,042  
Reversal of expense associated with performance-based option of an officer that did not vest
                (7,727 )           (7,727 )
Warrants for 12,576 shares valued at $4.00 per share, accrued for issuance in addition to interest on a note payable; portion expensed in 2008
                50,304             50,304  
Net loss for the year ended December 31, 2008
                      (4,657,717 )     (4,657,717 )
Balance, December 31, 2008
    1,811,429       18       13,677,932       (20,935,813 )     (7,257,863 )
                                         
Issuance of common stock in conversion of convertible debt at $0.70 per share upon the January 7, 2009 effective date of the 2009 Public Offering
    2,743,535       28       1,920,446             1,920,474  
Issuance of common stock in conversion of convertible debt at $0.50 per share upon the January 7, 2009 effective date of the 2009 Public Offering
    314,846       3       157,405             157,408  
Adjustment to original issue discount on 2007 and 2008 prive placement debt offerings based on final 2009 Public Offering closing price
                47,046             47,046  
Issuance of common stock pursuant to the January 12, 2009 closing of the 2009 Public Offering at $1.00 per share net of closing costs of $1,259,558
    3,050,000       31       1,790,441             1,790,472  
Underwriter's warrants to acquire 305,000 Units issued upon close of 2009 Public Offering
                50             50  
Issuance of common stock in conversion of convertible debt at $3.00 per share upon the January 12, 2009 closing date of the 2009 Public Offering
    292,384       3       877,146             877,149  
Warrants for 459 shares valued at $1.32 per share, issued on January 13, 2009 in addition to interest on a note payable
                607             607  
Issuance of common stock valued at $1.10 per share for contracted development costs on January 15, 2009
    454,546       5       499,995               500,000  
Issuance of common stock in conversion of convertible
                                     
debt at $0.70 per share on January 20, 2009
    42,143             29,500             29,500  
Warrants for 680 shares valued at $4.00 per share, issued on January 20, 2009 in addition to interest on a note payable
                2,720             2,720  
Issuance of common stock in conversion of convertible debt at $0.70 per share on February 6, 2009
    441,165       4       308,809             308,813  
Adjustment to original issue discount on convertible debt issued in put offering based on final conversion price
                81,059             81,059  
Issuance of common stock to guarantors of bank debt and a lender on March 19, 2009, valued at $0.50 per share
    200,001       2       99,998             100,000  
To record original issue discount on debt upon retirement of related note payable
                103,396             103,396  
Original issue discount on convertible debt issued March 19, 2009
                123,000             123,000  

 
F-11

 
 
ProUroCare Medical Inc.
(A Development Stage Company)
Consolidated Statements of Shareholders’ Equity (Deficit) (Continued)

                     
Deficit
       
                     
accumulated
       
               
Additional
   
during the
   
Total
 
   
Common stock
   
paid-in
   
development
   
shareholders’
 
   
Shares
   
Amount
   
capital
   
stage
   
equity (deficit)
 
Issuance of common stock valued at $0.74 per share in lieu of cash for directors' fees on April 3, 2009
    27,366             20,251             20,251  
Issuance of common stock in conversion of convertible debt at $0.55 per share on May 26, 2009
    510,909       5       280,995             281,000  
Issuance of common stock to guarantor of bank debt on June 16, 2009, valued at $0.82 per share
    6,667             5,467             5,467  
Issuance of common stock as consideration to lender on September 21, 2009, valued at $1.43 per share
    19,833             28,262             28,262  
Issuance of common stock as consideration to lender on September 23, 2009, valued at $1.35 per share
    20,000             27,000             27,000  
Issuance of common stock to guarantor of bank debt on September 23, 2009, valued at $1.35 per share
    6,667             9,000             9,000  
Issuance of common stock valued at $1.50 per share in lieu of cash for directors' fees on September 29, 2009
    4,834             7,250             7,250  
Warrants for 30,000 shares valued at $0.88 per share, issued on September 30, 2009 for services rendered
                26,400             26,400  
Issuance of common stock pursuant to closing of early warrant exercise offering on November 6, 2009, net of offering expenses of $171,865; $1.30 per share exercise price
    1,244,829       13       1,446,400             1,446,413  
Issuance of replacement warrants pursuant to closing of early warrant exercise offering
                1,356,864             1,356,864  
Issuance of common stock valued at $1.43 per share for interest on note payableon November 6, 2009
    925             1,322             1,322  
Issuance of common stock pursuant to options exercised during November, 2009
    22,229                          
Issuance of common stock pursuant to warrants exercised during December, 2009
    101,975       1       132,567             132,568  
Issuance of common stock valued at $0.74 per share on December 3, 2009 for services rendered
    10,000             7,425             7,425  
Options to purchase 3,000 shares issued to a director valued at $2.40 per share, granted June 14, 2007; portion vested in 2009
                1,800             1,800  
Options to purchase 17,500 shares issued to officers and an employee valued at $5.60 per share, granted March 1, 2006; portion vested in 2009
                2,823             2,823  
Options to purchase 85,000 shares issued to officers valued at $0.85 per share, granted July 11, 2008; portion expensed in 2009
                24,083             24,083  
Options to purchase 215,000 shares issued to officers and directors, valued at $0.68 per share, granted March 3, 2009
                146,400             146,400  
Options to purchase 6,500 shares issued to a consultant valued at $0.87 per share, granted July 23, 2009
                5,655             5,655  
Options to purchase 100,000 shares issued to a consultant granted July 23, 2009; 50,000 shares valued at $0.97 per share, 50,000 shares valued at $2.14 per share in 2009
                64,792             64,792  
Options to purchase 3,000 shares issued to directors valued at $1.00 per share, granted August 11, 2009
                3,000             3,000  
Options to purchase 320,000 shares issued to officers and directors, valued at $1.21 per share, granted September 29, 2009; portion vested in 2009
                232,320             232,320  
Net loss for the year ended December 31, 2009
                      (6,944,064 )     (6,944,064 )
Balance, December 31, 2009
    11,326,283     $ 113     $ 23,549,626     $ (27,879,877 )   $ (4,330,138 )

 
F-12

 
 
ProUroCare Medical Inc.
(A Development Stage Company)
Consolidated Statements of Cash Flows

   
Year Ended
December 31,
   
Year Ended
December 31,
   
Period from August
17, 1999 (inception) to
 
   
2009
   
2008
   
December 31, 2009
 
Cash flows from operating activities:
                 
Net loss
  $ (6,944,064 )   $ (4,657,717 )   $ (27,879,877 )
Adjustments to reconcile net loss to net cash used in operating activities:
                       
Depreciation and amortization
    186       605       20,983  
Gain on sale of furniture and equipment
                (2,200 )
Stock-based compensation
    480,873       59,245       2,245,220  
Common stock issued for services rendered
    14,675       50,467       222,046  
Common stock issued to related parties for interest
    1,322             1,322  
Common stock issued for debt guarantees
          17,778       106,667  
Common stock issued for debt issuance cost
          6,667       6,667  
Common stock issued for debt extinguishment
    33,333             33,333  
Notes payable issued for intangibles expensed as research and development
          150,000       150,000  
Warrants issued for services
    26,400             567,036  
Warrants issued for debt guarantees
          34,223       355,197  
Warrants issued for debt extinguishment
    607       75,571       360,007  
Warrants issued for debt extinguishment-related parties
                26,828  
Warrants issued for debt issuance cost
          12,834       12,834  
Warrants issued for early warrant exercise incentive
    1,356,864             1,356,864  
Amortization of note payable-original issue discount
                152,247  
Amortization of note payable-related parties original issue discount
    2,720       50,304       142,964  
Amortization of convertible debt-original issue discount
    507,902       428,430       1,146,587  
Amortization of convertible debt-related parties original issue discount
    444,328       505,217       1,194,132  
Amortization of debt issuance costs
    443,161       421,564       2,148,894  
Bargain conversion option added to note payable- related parties for debt extinguishment
          48,214       48,214  
Write-off debt issuance cost for debt extinguishment
                42,797  
Write-off of deferred offering cost
                59,696  
License rights expensed as research and development, paid by issuance of common stock to CS Medical Technologies, LLC
                475,000  
License rights expensed as research and development, paid by issuance of common stock to Profile, LLC
                1,713,600  
Changes in operating assets and liabilities:
                       
Other current assets
    54,779       44,603       (883 )
Accounts payable
    (52,009 )     199,379       877,825  
Accrued development expense
    767,550       1,327,835       2,095,385  
Accrued expenses
    (288,359 )     129,808       851,437  
Net cash used in operating activities
    (3,149,732 )     (1,094,973 )     (11,469,178 )
Cash flows from investing activities:
                       
Purchases of equipment and furniture
    (1,656 )           (22,453 )
Deposit into a restricted cash account
          (214 )     (44,214 )
Withdrawal from a restricted cash account
    44,214             44,214  
Net cash provided by (used in) investing activities
    42,558       (214 )     (22,453 )

 
F-13

 
 
ProUroCare Medical Inc.
(A Development Stage Company)
Consolidated Statements of Cash Flows (Continued)

   
Year Ended
December 31,
   
Year Ended
December 31,
   
Period from August
17, 1999 (inception) to
 
   
2009
   
2008
   
December 31, 2009
 
Cash flows from financing activities:
                 
Proceeds of note payable, bank
    100,000             600,000  
Payments of note payable, bank
    (400,000 )           (900,000 )
Proceeds of notes payable
                340,500  
Payment of notes payable
    (90,905 )     (333,222 )     (1,461,423 )
Proceeds of notes payable - related parties
    93,638       112,500       653,738  
Payments of notes payable - related parties
    (79,500 )     (76,450 )     (282,800 )
Proceeds from long-term notes payable and bank debt
    400,025       923,337       4,207,362  
Proceeds from long-term notes payable, related parties
    243,000       254,500       1,363,500  
Payments on long-term bank debt
                (600,000 )
Proceeds from warrants
          54,500       104,500  
Proceeds from exercise of warrants
    1,713,596             1,713,596  
Payments for debt issuance costs
    (92,790 )     (148,211 )     (766,227 )
Payment for rescission of common stock
                (100,000 )
Payments for offering expenses
    (396,516 )     (88,480 )     (513,823 )
Cost of reverse merger
                (162,556 )
Net proceeds from issuance of common stock
    2,613,600             8,296,138  
Net cash provided by financing activities
    4,104,148       698,474       12,492,505  
Net increase (decrease) in cash
    996,974       (396,713 )     1,000,874  
Cash, beginning of the period
    3,900       400,613        
Cash, end of the period
  $ 1,000,874     $ 3,900     $ 1,000,874  
                         
Supplemental cash flow information:
                       
Cash paid for interest
  $ 122,643     $ 123,073     $ 839,052  
Non-cash investing and financing activities:
                       
Deferred offering costs included in accounts payable
    (61,497 )     461,456       509,947  
Deferred offering costs included in accrued expenses
    (70,000 )     47,350        
Debt issuance costs included in accounts payable
          58,339       114,156  
Warrants issued pursuant to notes payable
    3,327       139,677       467,191  
Warrants issued for debt issuance costs
          55,409       298,021  
Prepaid expenses financed by note payable
    81,345       54,504       246,871  
Convertible debt issued in lieu of cash for accrued expenses
          31,413       31,413  
Common stock issued in lieu of cash for accrued expenses
    20,250       9,167       259,053  
Common stock issued in lieu of cash for accrued development cost
    500,000             500,000  
Common stock issued for debt issuance cost
    136,396       6,667       301,230  
Warrants issued in lieu of cash for accrued expenses
          1,250       1,250  
Conversion of notes payable, related parties into convertible debentures
                200,000  

 
F-14

 

ProUroCare Medical Inc.
(A Development Stage Company)
Consolidated Statements of Cash Flows (Continued)

   
Year Ended
December 31,
   
Year Ended
December 31,
   
Period from August
17, 1999 (inception) to
 
   
2009
   
2008
   
December 31, 2009
 
Common stock issued in lieu of cash for accounts payable
                122,291  
Common stock issued in lieu of cash for notes payable-related parties
                10,300  
Convertible debt issued as debt issuance costs related to guarantee of long-term debt (recorded as a beneficial conversion in additional paid-in capital) applied to accounts payable
                733,334  
Issuance of note payable for redemption of common stock
                650,000  
Conversion of accounts payable to note payable
    12,293             253,906  
Conversion of accrued expenses to note payable
    13,569             13,569  
Deposits applied to note payable and accrued interest
                142,696  
Deposits applied to accounts payable
                45,782  
Assumption of liabilities in the Profile, LLC transaction
                25,000  
Proceeds from sale of furniture and equipment
                2,200  
Deposits applied to accrued expenses
                1,076  
Deferred offering costs offset against gross proceeds of offering
    823,078             823,078  
Conversion of convertible debt to units (see Note 2)
    1,638,750             1,638,750  
Conversion of convertible debt-related parties to units (see Note 2)
    1,323,334             1,323,334  
Conversion of convertible debt-related parties to common stock
    281,000             281,000  
Conversion of accrued expenses to units (see Note 2)
    331,261             331,261  
Note payable-related party tendered for warrant exercise
    26,000             26,000  
Warrant exercise cost paid in lieu of cash for services rendered-related party
    11,250             11,250  

See accompanying notes to consolidated financial statements.

 
F-15

 
ProUroCare Medical Inc.
 
A Development Stage Company
 
Notes to Consolidated Financial Statements
 
December 31, 2009 and 2008 and the period from
August 17, 1999 (inception) to December 31, 2009

(1)  Description of Business and Summary of Significant Accounting Policies
 
(a)
Description of Business, Development Stage Activities and Basis of Presentation
 
ProUroCare Medical Inc. (“ProUroCare,” the “Company,” “we” or “us”) is engaged in the business of developing for market innovative products for the detection and characterization of male urological prostate disease.  The primary focus of the Company is currently the ProUroScanTM prostate imaging system, designed for use as an aid to the physician in visualizing and documenting tissue abnormalities in the prostate that have been previously detected by a digital rectal exam.  The Company’s developmental activities, conducted by its wholly owned operating subsidiary ProUroCare Inc. (“PUC”), have included the acquisition of several technology licenses, the purchase of intellectual property, the development of a strategic business plan and a senior management team, product development and fund raising activities.
 
PUC had no activities from its incorporation in August 1999 until July 2001, when it acquired a license to certain microwave technology from CS Medical Technologies, LLC (“CS Medical”).  In January 2002, PUC acquired a license to certain prostate imaging technology from Profile, LLC (“Profile”).
 
Pursuant to a merger agreement effective April 5, 2004 (the “Merger”), PUC became a wholly owned operating subsidiary of Global Internet Communications, Inc. (“Global”), which changed its name to ProUroCare Medical Inc. on April 26, 2004.  In connection with the Merger, the Company completed a private placement of 220,500 shares, as adjusted for the Reverse Split (as defined below), of common stock (the “2004 Private Placement”) pursuant to Rule 506 under the Securities Act of 1933, as amended (the “Securities Act”).
 
On December 27, 2007, the Company’s shareholders approved a one-for-ten reverse split of the Company’s common stock without a corresponding reduction in the number of authorized shares of the Company capital stock (the “Reverse Split”).  The Reverse Split became effective on February 14, 2008.  The exercise price and the number of shares of common stock issuable under the Company's outstanding convertible debentures, options and warrants were proportionately adjusted to reflect the Reverse Split for all periods presented.
 
Between December 27, 2007 and December 11, 2008, the Company closed on a total of $2.0 million of private placements of investment units (the “2007 and 2008 Private Placements”) and $315,000 of private placements of convertible debentures in a unit put arrangement (the “2008 Unit Put Arrangement”) each consisting of convertible debentures and warrants (see Notes 2 and 14(e)).  Upon the closing of the Company’s 2009 Public Offering (as defined below), the convertible debentures issued in these private placements were automatically converted into equity (see Note 2).
 
On January 12, 2009, the Company closed a public offering of 3,050,000 units at $1.00 per unit (the “2009 Public Offering”).  Each unit sold (the “2009 Units”) consisted of one share of common stock and one redeemable warrant to purchase one share of common stock at an exercise price of $1.30 per share.  Upon the January 7, 2009 effective date of the 2009 Public Offering, $1.9 million of  convertible promissory notes issued in private placements during 2007 and 2008 along with $177,882 of interest accrued thereon automatically converted into 3,058,381 units identical to the 2009 Units (see Note 14(e)).
 
The accompanying consolidated financial statements include the accounts of the Company and its wholly owned subsidiary, PUC.  Significant inter-company accounts and transactions have been eliminated in consolidation.
 
 
F-16

 
 
 
(b)
Restatement of Share Data
 
All share data has been restated to give effect to the Reverse Split.
 
At the effective time of the Merger, all 350,100 shares of common stock of PUC that were outstanding immediately prior to the Merger and held by PUC shareholders were cancelled, with one share of ProUroCare common stock issued to Global.  Simultaneously, the non-dissenting shareholders of PUC received an aggregate of 960,300 shares of common stock of Global in exchange for their aggregate of 320,100 shares of PUC.  The share data in this paragraph has been restated to give effect to the Reverse Split, as noted above.
 
All share data has been restated to give effect to the Merger under which each PUC share was converted into three shares of Global.
 
 
(c)
Accounting Estimates
 
The preparation of financial statements in conformity with accounting principles generally accepted in the United States of America requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of expenses during the reporting periods. The Company’s significant estimates include the determination of the fair value of its common stock and stock-based compensation awarded to employees, directors, loan guarantors and consultants and the accounting for debt with beneficial conversion features. Actual results could differ from those estimates.
 
Valuation of Stock-Based Compensation. Since inception, the Company has measured and recognized compensation expense for all share-based payment awards made to employees and directors including employee stock options based on fair values. The Company’s determination of fair value of share-based payment awards is based on the date of grant using an option-pricing model which incorporates a number of highly complex and subjective variables. These variables include, but are not limited to, the Company’s expected stock price volatility and estimates regarding projected employee stock option exercise behaviors and forfeitures. The Company recognizes the expense related to the fair value of the award straight-line over the vesting period.
 
Debt with Beneficial Conversion Features.  The beneficial conversion features of convertible promissory notes were valued using the Black-Scholes pricing model, which is considered the Company’s equivalent to the fair value of the conversion. The resulting original issue discount is amortized over the life of the promissory notes (generally no more that 24 months) using the straight-line method, which approximates the interest method.
 
 
(d)
Net Loss Per Common Share
 
Basic and diluted loss per common share is computed by dividing net loss by the weighted-average number of common shares outstanding for the reporting period. These calculations reflect the effects of the Reverse Split (see Note 1(a)). Dilutive common-equivalent shares have not been included in the computation of diluted net loss per share because their inclusion would be antidilutive. Antidilutive common equivalent shares issuable based on future exercise of stock options or warrants could potentially dilute basic loss per common share in subsequent years. All options and warrants outstanding were antidilutive for the years ended December 31, 2009 and 2008 and the period from August 17, 1999 (inception) to December 31, 2009 due to the Company’s net losses. 8,532,058 and 1,603,994 shares of common stock issuable under our stock options, warrants, convertible debt and contingent shares and warrants issuable under agreements with loan guarantors were excluded from the computation of diluted net loss per common share for the years ended December 31, 2009 and 2008, respectively. Also excluded were the undetermined number of shares issuable pursuant to the convertible notes and warrants issued in connection with our 2007 and 2008 Private Placements, the 2008 Unit Put Arrangement and certain convertible notes, whose terms of conversion were based on the price of the equity securities offered in the 2009 Public Offering, as described and defined in Note 2. The number of such shares was determined on the January 7, 2009 effective date of the 2009 Public Offering to be 6,937,177 shares as of December 31, 2008.
 
 
F-17

 
 
 
(e)
Comparative Figures
 
Due to common stock issuances during 2009, certain persons who were beneficial owners of greater than five percent of the Company’s outstanding common stock and therefore deemed to be related parties as of December 31, 2008 ceased to be related as of December 31, 2009.  Certain comparative figures have been reclassified to conform to the financial statement presentation adopted in the current year, including the reclassification of transactions with former related parties.
 
 
(f)
Cash
 
The Company maintains its cash in financial institutions.  The balances, at times, may exceed federally insured limits.
 
 
(g)
Equipment and Furniture
 
Equipment and furniture are stated at cost and depreciated using the straight-line method over the estimated useful lives ranging from three to seven years. Maintenance, repairs, and minor renewals are expensed as incurred.
 
 
(h)
License Agreements
 
The costs associated with acquisition of licenses for technology are recognized at the fair value of stock and cash used as consideration.  Costs of acquiring technology which has no alternative future uses are expensed immediately as research and development expense.
 
 
(i)
Stock-Based Compensation
 
The Company’s policy is to grant stock options at fair value at the date of grant and to record the expense at fair value as determined using the Black-Scholes pricing model. Stock-based employee and non-employee compensation cost related to stock options was $480,873, $44,745 and $2,122,645 for the years ended December 31, 2009 and 2008, and the period from August 17, 1999 (inception) to December 31, 2009, respectively. The Company estimates the amount of future stock-based compensation expense related to currently outstanding options to be approximately $270,000 and $12,000 for the years ending December 31, 2010 and 2011, respectively. Shares issued upon the exercise of stock options are newly issued from the Company’s authorized shares.
 
The Black-Scholes option-pricing model was developed for use in estimating the fair value of traded options that have no vesting restrictions and are fully transferable. In addition, option pricing models require the input of highly subjective assumptions. Because the Company’s employee and consultant stock options have characteristics significantly different from those of traded options, and because changes in the subjective input assumptions can materially affect the fair value estimate, the existing models may not necessarily provide a reliable single measure of the fair value of the Company’s employee stock options.
 
In determining the compensation cost of the options granted for the years ended December 31, 2009 and 2008, the fair value of each option grant has been estimated on the date of grant using the Black-Scholes pricing model and the weighted-average assumptions used in these calculations are summarized as follows:
 
   
For the years ended December 31,
 
   
2009
   
2008
 
Risk-free Interest Rate
    1.73 %     3.13 %
Expected Life of Options Granted
 
3.6 years
   
4.3 years
 
Expected Volatility
    134.6 %     131.2 %
Expected Dividend Yield
    0       0  

 
F-18

 
 
The expected life of the options is determined using a simplified method, computed as the average of the option vesting periods and the contractual term of the option. For performance based options that vest upon the occurrence of an event, the Company uses an estimate of when the event will occur as the vesting period used in the Black-Scholes calculation for each option grant. Expected volatility is based on a simple average of weekly price data since the date of the Merger. Based on the lack of history to calculate a forfeiture rate, the Company has not adjusted the calculated value of the options. The risk-free rates for the expected terms of the stock options and awards are based on the U.S. Treasury yield curve in effect at the time of grant.
 
 
(j)
Warrants
 
The Company has elected to utilize the fair-value method of accounting for warrants issued to non-employees as consideration for goods or services received, including warrants issued to lenders and guarantors of Company debt (see Notes 14(f) and 14(g)). Stock-based employee and non-employee compensation cost related to stock warrants was $0, $14,500 and $122,575 for the years ended December 31, 2009 and 2008, and the period from August 17, 1999 (inception) to December 31, 2009, respectively. The weighted-average fair value of the warrants granted during the years ended December 31, 2009 and 2008 was $0.95 and $1.37, respectively, and such warrants are immediately vested and exercisable on the date of grant.
 
The fair value of stock warrants is the estimated present value at grant date using the Black-Scholes pricing model with the following weighted average assumptions:
 
   
For the years ended December 31,
 
   
2009
   
2008
 
Risk-free Interest Rate
    1.18 %     3.23 %
Expected Life of Warrants Issued1
 
2.1 years
   
5.0 years
 
Expected Volatility
 
135.2
 
129.5
Expected Dividend Yield
    0       0  
                 
1 The contractual term of the warrants.                
 
The expected volatility is based on weekly price data since the date of the Merger on April 5, 2004. Based on the lack of history to calculate a forfeiture rate, the Company has not adjusted the calculated value of the warrants. The risk-free rates for the expected terms of the stock warrants are based on the U.S. Treasury yield curve in effect at the time of grant.
 
 
(k)
Financial Instruments
 
The carrying amount for all financial instruments approximates fair value. The carrying amounts for cash, notes payable, accounts payable and accrued liabilities approximate fair value because of the short maturity of these instruments. The carrying amounts for long-term debt, and other obligations approximates fair value as the interest rates and terms are substantially similar to rates and terms which could be obtained currently for similar instruments.
 
 
(l)
Research and Development
 
Expenditures for research and product development costs, including certain upfront license fees for technologies under development, are expensed as incurred.
 
 
(m)
Debt Issuance Costs
 
The Company has issued common stock and warrants as consideration to various individual lenders and loan guarantors of its bank debt (see Note 14(g)).  The fair value of the equity consideration along with loan initiation fees is recorded on the balance sheet as debt issuance cost.  Debt issuance costs are amortized over the term of the related debt as interest expense using the straight-line method, which approximates the interest method.
 
 
(n)
Deferred Offering Costs
 
The legal, accounting, printing and certain other expenses directly related to the 2009 Public Offering that became effective on January 7, 2009 were recorded as a deferred offering cost asset as of December 31, 2008. The deferred offering costs were recorded as a cost of the offering and a reduction of additional paid-in capital upon its closing on January 12, 2009.
 
 
F-19

 
 
(o) 
Restricted Cash
 
Pursuant to the October 15, 2007 renewal of its promissory notes with Crown Bank, the Company agreed to deposit with Crown Bank four months worth of future interest payments due under the notes.    The funds on deposit were not available to the Company for any purpose other than for debt service on the Crown Bank promissory notes.  On March 19, 2009, pursuant to a further renewal of a Crown Bank promissory note, this restriction was removed.
 
 
(p)
Income Taxes
 
The Company utilizes the liability method of accounting for income taxes. Under this method, deferred tax assets and liabilities are recognized for the expected future tax consequences attributable to temporary differences between the financial statement and income tax reporting bases of assets and liabilities. Deferred tax assets are reduced by a valuation allowance to the extent that realization is not assured.
 
 
(q)
Purchased Intangible Assets
 
On April 3, 2008, the Company purchased certain patents, patent applications and know-how from Profile (the “Profile Assets”) pursuant to an asset purchase agreement. The purchase of the Profile Assets effectively terminated the license agreement. The technology encompassed by the Profile Assets provides the basis for the ProUroScan System, the Company’s initial product currently in the final stages of development. The purchase price of the Profile Assets was $300,000, of which $150,000 was paid in cash and $150,000 was financed under a promissory note from Profile. The promissory note was fully paid in 2008. As this intangible asset was purchased for a particular research and development project and has no alternative future uses, the entire $300,000 purchase price was expensed as research and development expense for the year ended December 31, 2008.
 
 
(r)
Subsequent Events
 
The Company evaluates events occurring after the date of the financial statements for events requiring recording or disclosure in the financial statements.  Any required events have been disclosed in Note 16.
 
(2) 
2009 Public Offering; Automatic Conversion of Convertible Debt.
 
On January 7, 2009, the 2009 Public Offering was declared effective by the SEC, and on January 12, 2009 the 2009 Public Offering was closed.  In the offering, the Company sold 3,050,000 of 2009 Units at $1.00 per unit resulting in net cash received of $1,790,472, after offering costs of $1,259,528.
 
The completion of the 2009 Public Offering triggered automatic conversion provisions of several outstanding convertible debt instruments:
 
 
·
Upon the January 7, 2009 effective date of the 2009 Public Offering, $733,334 of convertible debentures originally issued as consideration to guarantors of its bank debt, along with $143,815 interest accrued thereon, converted into 292,384 shares of the Company’s common stock.  Unamortized original issue discount relating to the convertible debentures totaling $33,796 was expensed as interest expense upon the conversion.
 
·
Upon the January 12, 2009 closing of the 2009 Public Offering, the $1,757,500 aggregate amount of promissory notes issued in the 2007 and 2008 Private Placement, along with $162,959 of interest accrued thereon, automatically converted into 2,743,535 units identical to the 2009 Units (based on 70 percent of the offering price, or $0.70 per share). In addition, a $142,500 promissory note issued as part of the 2007 Private placement to James Davis, a greater than ten percent shareholder of the Company, on December 27, 2007, along with $14,923 of interest accrued thereon, automatically converted into 314,846 units identical to the 2009 Units (based on 50 percent of the offering price, or $0.50 per share). The closing of the 2009 Public Offering resolved a contingent conversion feature of the promissory notes. Consequently, the valuation of the beneficial conversion feature of the promissory notes was recalculated, resulting in the recording of a $47,046 increase in the original issue discount. Unamortized original issue discount relating to the warrants and the beneficial conversion feature of these notes (including the adjustment resulting from the new valuation) totaling $434,215 and unamortized debt issuance cost of $207,575 was expensed as interest expense upon the conversion.
 
 
F-20

 
 
·
On February 6, 2009 (30 days after the effective date of the 2009 Public Offering), the $299,250 outstanding promissory notes issued pursuant to the Company’s 2008 Unit Put Arrangement, along with the $9,563 interest accrued thereon, automatically converted into 441,165 shares of the Company’s common stock. The notes and accrued interest converted at 70 percent of the 2009 Public Offering price, or $0.70 per share. The closing of the 2009 Public Offering resolved a contingent conversion feature of the promissory notes. Consequently, the valuation of the beneficial conversion feature of the promissory notes was recalculated, resulting in the recording of an $81,059 increase in the original issue discount. Unamortized original issue discount relating to the warrants and the beneficial conversion feature of the notes (including the adjustment resulting from the new valuation) totaling $209,879 and unamortized debt issuance cost of $44,686 was expensed as interest expense upon the conversion.
 
(3)
Going Concern; Management’s Plan to Fund Working Capital Needs
 
The Company incurred net losses of $6,944,064, $4,657,717 and $27,879,877 and negative cash flows from operating activities of $3,149,732, $1,094,973, and $11,469,178 for the years ended December 31, 2009 and 2008 and for the period from August 17, 1999 (inception) to December 31, 2009, respectively. The Company has completed the development of its first product and recently submitted a 510(k) premarket notification application to the FDA for a basic mapping and data maintenance labeling claim. Assuming that FDA clearance is obtained on a timely basis, the Company expects to increase its expenditures as it establishes the production and marketing capabilities through both contracted and internal resources. The Company’s business plan is dependent upon its ability to obtain sufficient capital to fund its transition from product development to production and marketing its products.
 
As of March 26, 2010, the Company had approximately $575,000 cash on hand and current liabilities of approximately $2.9 million, including $1.3 million of secured debt due on April 28, 2010. However, the Company does not currently have sufficient funds to make a significant commercial launch into the urology market. Management believes that during the remainder of 2010 the Company will need approximately $4 million of working capital to fund planned operations.
 
As of March 26, 2010, we have 5,760,436 outstanding redeemable warrants. These warrants have an exercise price of $1.30 per share. Of these, we currently have the right to redeem 4,515,607 Public and Private Warrants. We may redeem 1,244,829 Replacement Warrants once the last sale price of our common stock equals or exceeds $4.00 per share for a period of 10 consecutive trading days. Upon our exercise of our right to redeem the warrants, holders of the warrants will have a period of 30 days to exercise their warrants. If all holders of the Public and Private Warrants exercise their warrants, we could realize up to approximately $5.9 million, depending on the number of shares actually exercised pursuant to such a redemption. If all holders of the Replacement Warrants exercise their warrants, we could realize up to an additional $1.6 million, depending on the number of shares actually exercised pursuant to such redemption. There can be no assurance that we will be able to redeem the warrants, or how much would be realized if such redemption were made.
 
The Company also plans to identify a distribution partner to market our products during 2010. The Company expects such a distribution partner to provide significant financial support in the form of licensing fees, loans, equity investment or a combination of these. In addition to financial support, a successful collaboration with such a partner would allow us to gain access to downstream marketing, manufacturing, and sales support. There can be no assurance that a distribution partner can be successfully identified and engaged during 2010, or at all.
 
The Company intends to negotiate with the lenders and loan guarantors and expects to extend the majority of the loans that come due in 2010. Amounts that are not able to be refinanced would be repaid from the proceeds of warrant exercises. The Company continues to work with other short term creditors and expect to make satisfactory arrangements to pay amounts due from the proceeds of the warrant exercises.
 
 
F-21

 
 
If an insufficient number of warrants are exercised, or if adequate financial support from a distribution partner is not received, the Company will likely pursue one or more additional rounds of funding in 2010. If additional funds are raised by the issuance of convertible debt or equity securities, or by the exercise of outstanding warrants, then existing shareholders will experience dilution in their ownership interest. If additional funds are raised by the issuance of debt or certain equity instruments, the Company may become subject to certain operational limitations, and such securities may have rights senior to those of our existing holders of common stock.
 
If adequate funds are not available through these initiatives on a timely basis, or are not available on acceptable terms, The Company may be unable to fund expansion and may be forced to delay market entry.  Ultimately, if no additional financing is obtained beyond what has been secured to date, the Company likely would be forced to cease operations. There can be no assurance the Company will be successful in raising such funds.
 
(4)
Equipment and Furniture
 
Equipment and furniture consisted of the following at December 31:
 
   
2009
   
2008
 
Computer equipment
  $ 4,473     $ 11,563  
Furniture
    4,279       4,279  
      8,752       15,842  
Less accumulated depreciation
    (7,282 )     (15,842 )
    $ 1,470     $ 0  
 
Depreciation expense was $186, $605 and $20,983 for the years ended December 31, 2009 and 2008 and the period from August 17, 1999 (inception) to December 31, 2009, respectively.
 
(5)
Debt Issuance Cost
 
The costs related to the Company’s $2.2 million Crown Bank promissory notes issued in January and February 2006 were recorded as debt issuance cost, and were amortized over the approximately two-year term of the notes using the straight-line method until October 14, 2007. At that time, $600,000 of the notes was retired, and approximately $42,800 of debt issuance cost related to that portion of the notes was expensed as debt extinguishment expense. The debt issuance cost associated with the remaining Crown Bank notes were amortized as interest expense until December 28, 2007, when the notes were modified to extend the maturity date of the notes to February 28, 2009. It was determined that the modification was not a substantial modification of the terms of the notes, as the present value of the cash flows under the new convertible promissory note was less than 10 percent different from the present value of the cash flows under the original note. Accordingly, the debt issuance cost from the old debt was carried forward. The remaining $36,370 of unamortized debt issuance cost, together with $12,000 of bank fees associated with the extension, was amortized over the new term of the notes as interest expense.
 
On October 15, 2007, the Company borrowed $600,000 pursuant to a promissory note issued an individual investor that matured on February 28, 2009. In consideration for this loan, on November 7, 2007 the Company agreed to issue 33,333 shares of its common stock to the lender. The $66,666 value of this consideration was recorded as debt issuance cost and was amortized over the term of the loan. On March 19, 2009, the note was renewed to mature on March 28, 2010. As consideration to the lender for renewing the loan, the Company issued 66,667 shares of its common stock, representing the first six months compensation, and will accrue for issuance 11,111 shares per month for each additional month the note remains outstanding after December 31, 2009. It was determined that a substantial modification of the terms of the note was made as the present value of the cash flows under the new convertible promissory note was greater than 10 percent different from the present value of the cash flows under the original note. Accordingly, the $33,333 value of the initial 66,667 shares issued was recorded as debt issuance cost and expensed as debt extinguishment expense. Additional accruals of stock to be issued if the promissory notes remain outstanding after August 31, 2009 were expensed each month as debt extinguishment expense. During the year ended December 31, 2009, 44,444 shares were accrued for issuance pursuant to this loan guarantee compensation arrangement, resulting in additional debt extinguishment expense of $22,222.
 
Direct costs of the 2007 and 2008 Private Placements and 2008 Unit Put Arrangement offerings totaling $586,201, including underwriting fees, legal and accounting expenses and printing costs, were recorded as a debt issuance cost asset.  Also included in this debt issuance cost was the issuance of warrants to acquire 32,500 shares of our common stock valued at $42,575 related to the origination of the unit put financing facility.  The debt issuance costs were amortized over the term of the related debt.  Unamortized debt issuance cost was expensed upon the automatic conversion of the convertible debt following the closing of the 2009 Public Offering.
 
 
F-22

 
 
On March 19, 2009, pursuant to guaranties received relating to the Company’s renewal of its $1.2 million Crown Bank promissory note, the Company issued an aggregate of 133,334 shares of its common stock to the guarantors representing the first six months’ consideration for providing their guarantee (see Note 11). The $66,667 value of the shares on the issuance date was recorded as debt issuance cost and was amortized on a straight-line basis through August 31, 2009. For each month the promissory note remains outstanding after August 31, 2009, the Company is accruing for issuance to the guarantors 22,222 shares of its common stock. A total of 88,888 shares valued at $44,444 were accrued for issuance and recorded as interest expense during the year ended December 31, 2009.
 
On June 16, 2009, pursuant to a guarantee received relating to a $100,000 Crown Bank promissory note, the Company issued 6,667 shares of its common stock to the guarantor representing the first six months’ consideration for providing his guarantee (see Note 11).  The $5,467 value of the shares on the issuance date along with $600 of loan origination fees was recorded on the balance sheet as debt issuance cost and was amortized on a straight-line basis over a six month period ending December 31, 2009.
 
On September 21, 2009, the Company issued 19,833 shares to James Davis representing six months’ consideration for providing a $243,000 loan (see Note 10).  The $28,262 value of the shares was recorded as debt issuance cost and is being amortized as interest expense over a six-month period.
 
On September 23, 2009, the Company issued 6,667 shares to a guarantor as consideration for providing a guarantee of a $100,025 bank loan (see Note 11).  The $9,000 value of the shares was recorded as debt issuance cost and is being amortized as interest expense over a six-month period.
 
On September 23, 2009, the Company issued 20,000 shares to an individual lender as consideration for providing a $300,000 loan (see Note 10).  The $27,000 value of the shares was recorded as debt issuance cost and is being amortized as interest expense over a six-month period.
 
Debt issuance costs are summarized as follows:
 
   
For the years ended December 31,
 
   
2009
   
2008
 
Debt issuance costs, gross
  $ 203,662     $ 701,238  
Less amortization
    (176,279 )     (434,356 )
                 
Debt issuance costs, net
  $ 27,383     $ 266,882  
 
 
Amortization expense related to debt issuance costs was $443,161, $421,564, and $2,148,894 for the years ended December 31, 2009 and 2008 and the period from August 17, 1999 (inception) to December 31, 2009, respectively.
 
 
F-23

 
 
(6)
Accrued Expenses
 
Accrued expenses consisted of the following at December 31:
 
   
2009
   
2008
 
Accrued interest
  $ 148,129     $ 169,985  
Accrued stock to be issued for loan guarantees – related parties
    44,444        
Accrued stock to be issued for loan consideration
    22,222        
Consulting fees
    11,500       15,000  
Legal fees
    19,710        
Audit fees
    14,000       47,000  
Accrued interest-related party
    9,225       263,522  
Accrued compensation, benefits, and  related taxes
          350,836  
Public offering costs
          70,000  
Directors’ fees
          20,249  
Other
          661  
    $ 269,230     $ 937,253  
 
(7)
Agreements with Artann Laboratories Inc.
 
The Company has developed its ProUroScan System under contracts with Artann Laboratories, Inc. (“Artann”), a scientific technology company based in Trenton, New Jersey, that is focused on early stage technology development.
 
Artann 2008 License Agreement
 
On July 25, 2008, the Company entered into two agreements with Artann. Under the first agreement, the “License Agreement,” Artann granted to the Company an exclusive, worldwide, sublicensable license to certain patent applications, trade secrets and technology to make, use and market certain mechanical imaging products in the diagnosis or treatment of urologic disorders of the prostate, kidney or liver field of use. Artann also agreed to transfer possession of five fully functional prostate imaging systems to the Company and grant the Company full access to all relevant documentation thereto. The License Agreement became effective on December 23, 2008. As consideration, the Company agreed to pay, on the effective date of the agreement, an upfront cash license fee of $600,000 and shares of the Company’s common stock valued at $500,000. The total $1,100,000 license fee was recorded as a general and administrative expense in the year ended December 31, 2008. In addition, the Company agreed to pay Artann a royalty equal to four percent of the first $30 million of net cumulative sales of licensed products, three percent of the next $70 million of net cumulative sales and two percent of net cumulative sales over $100 million. Further, the Company will pay Artann a technology royalty of one percent of net sales on prostate imaging system products through December 31, 2016. The combined royalties are subject to a minimum annual royalty equal to $50,000 per year for each of the first two years after clearance from the Food and Drug Administration (“FDA”) for commercial sale and $100,000 per year for each year thereafter until termination or expiration of the License Agreement. The Company also agreed to grant Artann a non-exclusive fully paid up, sublicensable, royalty-free and worldwide license for Artann to make, use or sell any mechanical imaging system for the diagnosis or treatment of disorders of the female human breast. The License Agreement will terminate upon the expiration of all royalty obligations, by failure of either party to cure a breach of the agreement within a 60-day cure period, if the Company fails to make a payment to Artann and such failure is not cured within a 30-day cure period or should one of the parties become insolvent, go into liquidation or receivership or otherwise lose legal control of its business.
 
 
F-24

 
 
Artann 2008 Development Agreement
 
Under the second Artann agreement, the “Development and Commercialization Agreement,” the parties are collaborating to develop, commercialize and market prostate mechanical imaging systems. During 2008 and 2009, Artann completed all pre-clinical activities and testing on the prostate imaging system, conducted clinical trials and filed an FDA 510(k) submission. In the future, Artann will provide hardware and software development, refinement and debugging services. For the services provided, the Company made cash milestone payments to Artann of $250,000 upon initiation of an FDA approved clinical study and $250,000 upon Artann’s November 18, 2009 completion of the FDA study and submission of the 510(k) approval application on the prostate imaging system. The Company also accrued for issuance to Artann 769,231 shares of common stock of the Company valued at $1,565,385 following the 510(k) submission, which was recorded as research and development expense in the year ended December 31, 2009. Further, as a success bonus, the Company will make a $750,000 cash payment and issue to Artann shares of its common stock having a value of $1 million upon receiving FDA clearance allowing the prostate imaging system to be commercially sold in the United States. The success bonus will be reduced by ten percent for each month that FDA clearance is delayed beyond March 23, 2009. The Company also agreed to pay a monthly retainer fee for technical advice and training by Artann personnel of $30,000 per month for each of the first six months following the effective date of the Development and Commercialization Agreement and $15,000 per month for the next 12 months. During the years ended December 31, 2009 and 2008, retainer fees of $235,000 and $50,000 were recorded as research and development expense, respectively. On March 15, 2010, the Company issued the 769,231 shares of common stock that had been accrued for issuance as of December 31, 2009 (see Note 16).
 
Additionally, Artann will facilitate the transfer of commercial production to a third party.  Qualified Artann personnel shall provide manufacture and scale-up services to the Company or a third party manufacturer designated by the Company to facilitate the commercial manufacture of the prostate imaging systems at a cost of $1,200 per day per individual for such services.
 
The initial term of the Development and Commercialization Agreement is for three years and may thereafter be renewed for additional one year terms upon mutual agreement of the parties. The Development and Commercialization Agreement may also terminate if the Company fails to make a payment to Artann and such failure is not cured within a 60-day cure period or should one of the parties become insolvent, go into liquidation or receivership or otherwise lose legal control of its business.
 
Accrued License and Development Fees
 
Accrued license and development fees consisted of the following amounts due to Artann under the License Agreement and the Development and Commercialization Agreement as of December 31:
 
   
2009
   
2008
 
Accrued stock payment for development milestone
  $ 1,565,385     $ -  
Contracted development fees
    30,000       -  
Upfront license fee payable in cash
    -     $ 600,000  
Upfront license fee payable in equity
    -       500,000  
First milestone cash payment due under the Development and Commercialization Agreement
    -       250,000  
Less: Advances
    -       (22,165 )
Accrued license and development fees
  $ 1,595,385     $ 1,327,835  
 
(8)
Commitments and Contingencies
 
 
(a)
Lease
 
The Company rents a small amount of office space on a month-to-month basis at a cost of approximately $1,100 per month, which is the market price for similar office space in Minneapolis, Minnesota. Rent expense for the years ended December 31, 2009 and 2008, and the period from August 17, 1999 (inception) to December 31, 2009 was $10,668, $23,062 and $266,874, respectively.
 
 
F-25

 
 
 
(b)
Legal proceedings
 
On July 15, 2009, Rensselaer Polytechnic Institute (“RPI”) filed a lawsuit against the Company seeking payment of $202,716 plus interest, penalties, costs and disbursements, including attorneys’ fees. In the complaint, RPI alleged that the Company breached obligations to pay RPI an aggregate of $202,716 under the terms of a license agreement dated July 13, 2001 between RPI and the Company and a sponsored research agreement dated as of December 9, 2005 between RPI and the Company. On December 7, 2009, the Company entered into a settlement agreement with RPI concerning litigation originally filed by RPI against the Company on July 15, 2009. In the settlement agreement, the Company agreed to pay to RPI a total of $117,000 in installments as follows: $10,000 upon signing, $6,000 per month from December 2009 through October 2010, and $41,000 in November 2010. The Company executed an affidavit for judgment by confession to secure the above payments. The Company has 20 days to cure any failure to make the required payments. As the full amount due to RPI was recorded in prior years, no additional provision was recorded and previously recorded minimum royalty expenses of $20,000 were reversed during the year ended December 31, 2009.
 
(9)
Income Taxes
 
The Company has generated net operating loss carryforwards of approximately $6.7 million which, if not used, will begin to expire in 2021.  Federal and state tax laws impose significant restrictions on the utilization of net operating loss carryforwards in the event of a change in ownership of the Company that constitutes an “ownership change,” as defined by Section 382 of the Code.  The Company has analyzed its equity ownership changes and believes that such an ownership change has occurred.  The Company’s use of its net operating loss carryforwards and built-in loss will be limited as a result of this change; however, the amount of limitation will not be known until a full Section 382 study can be completed.
 
The Company has recorded a full valuation allowance against its deferred tax assets and deferred tax liability due to the uncertainty of realizing the related benefits and costs as follows:
 
   
2009
   
2008
 
Deferred tax assets
           
Net operating loss carryforwards
  $ 2,559,000     $ 1,916,000  
Capitalized start up costs
    3,570,000       2,921,000  
Expenses paid with options and warrants
    722,000       724,000  
Capitalized licenses
    804,000       893,000  
Accrued expenses to be paid in stock
    625,000       0  
Other
    0       164,000  
Deferred tax liability
               
Beneficial conversion feature of convertible debentures
    0       (212,000 )
Less: valuation allowance
    (8,280,000 )     (6,406,000 )
Net deferred tax assets
  $ 0     $ 0  

The change in the valuation allowance was $1,874,000, $1,336,000 and $8,280,000 for the years ended December 31, 2009 and 2008 and the period from August 17, 1999 (inception) to December 31, 2009, respectively.  The Company has reviewed its issuances of convertible debt, and has recognized a deferred tax liability for the temporary difference between the book basis and tax basis resulting from beneficial conversion features of the debt instruments.  The effect of recognizing the deferred tax liability was charged to equity.  During the year ended December 31, 2009, all of the Company’s convertible debt was retired or converted, and the deferred tax liability was reversed.   The remaining deferred tax liability at December 31, 2008 was $212,000, which was offset against the deferred tax valuation.
 
 
F-26

 
 
Reconciliation between the federal statutory rate and the effective tax rates for the years ended December 31, 2009 and 2008 and the period from August 17, 1999 (inception) to December 31, 2009 is as follows:
 
   
2009
   
2008
   
Period from
August 17,
1999
(inception) to
December 31,
2009
 
Federal statutory tax rate
    (34.0 ) %     (34.0 ) %     (34.0 ) %
State taxes, net of federal benefit
    (4.5 )     (4.5 )     (4.5 )
Employee incentive stock options
    1.0       0.3       1.7  
Expired warrants and options
    1.3       4.5       1.4  
Replacement warrants issued as an incentive to early exercise warrants
    7.5             1.9  
Capitalized license fees
                0.7  
Beneficial conversion feature of convertible debt
    5.1       7.0       3.1  
Change in valuation allowance
    23.6       26.7       29.7  
Effective tax rate
    0.0 %     0.0 %     0.0 %

The Company has adopted the policy of classifying interest in interest expense and penalties in general and administrative expense.
 
The Company had no significant unrecognized tax benefits as of December 31, 2009 or December 31, 2008 and, likewise, no significant unrecognized tax benefits that, if recognized, would affect the effective tax rate.
 
The Company had no positions for which it deemed that it is reasonably possible that the total amounts of the unrecognized tax benefit will significantly increase or decrease.
 
The tax years that remain subject to examination by major tax jurisdictions currently are:
 
Federal 2006 - 2008
State of Minnesota 2006 - 2008
 
(10) 
Notes Payable
 
On October 31, 2007, the Company issued a promissory note for $600,000 in favor of an individual lender effective as of October 15, 2007.  On March 11, 2008, the promissory note was amended to make the interest accrued pursuant to the promissory note payable on the maturity date, rather than payable monthly.  On March 19, 2009, the Company again amended the promissory note with the lender.  Under the terms of the amendment, the note’s maturity date was extended to March 28, 2010 and the interest rate was changed to 1.0 percent over the prime rate, but never less than 6.00 percent (6.00 percent and 6.50 percent at December 31, 2009 and 2008, respectively), and has a subordinated security interest in all of the Company’s assets.  As consideration to the lender for making this loan and amendments thereto, the Company issued shares of its common stock and warrants to acquire shares of its common stock (see Note 14(g)).  On March 26, 2010, the note was retired pursuant to an equity conversion (see Note 16).
 
Between May 1, 2009 and September 16, 2009, James Davis made various payments for the benefit of the Company and provided the Company with certain cash advances totaling approximately $243,000. The purpose of these payments and advances was to help fund specific Company activities related to product development, clinical studies and Food and Drug Administration (“FDA”) related activities. On September 21, 2009, Mr. Davis and the Company executed a promissory note in the principal amount of $243,000 (the “Davis Note”) to formalize the Company’s obligation to Mr. Davis for these amounts. In lieu of cash interest the Company is accruing 1,618 shares of its common stock for issuance to Mr. Davis for each month or portion thereof that the principal amount of the Davis Note is outstanding. As of December 31, 2009, 6,474 shares of common stock were accrued for issuance and $9,225 of interest expense was recorded. All of the accrued shares will be issued upon repayment of the Davis Note. The Davis Note matures on March 28, 2011, and provides Mr. Davis with a subordinated security interest in the Company’s assets.
 
 
F-27

 
 
On June 1, 2009, the Company borrowed $81,345 pursuant to an unsecured insurance policy financing agreement. The financing agreement is payable in 10 monthly installments of $8,058 per month and bear interest at 6.48 percent.
 
On September 1, 2009, the Company received an advance of $26,000 from a director.  On November 6, 2009, the advance was applied to the director’s exercise of warrants.  In lieu of cash interest, the Company issued 925 shares of its common stock to the director and recorded $1,323 of interest expense.
 
On September 23, 2009, the Company borrowed $300,000 from an individual lender pursuant to a secured promissory note.  In lieu of cash, the Company is accruing 1,998 shares of its common stock for issuance to the investor for each month or portion thereof that the principal amount of the loan remains outstanding.  As of December 31, 2009, 7,992 shares of common stock were accrued for issuance and $10,789 of interest expense was recorded.  All accrued shares will be issued upon repayment of the loan.  The promissory note matures on March 28, 2011 and provides the lender with a subordinated security interest in the Company’s assets.
 
The Company has provided equity consideration to the individual lenders.  See Note 14(g) for more information regarding the equity consideration issued.  See Note 15 for information regarding related party transactions and loans.
 
The following summarizes notes payable balances at December 31, 2009 and 2008, and the related activity during the year ended December 31, 2009:
 
   
Year Ended December 31,
   
   
2009
   
2008
 
2009 Activity
Short term notes payable:
             
Note payable dated October 15, 2007
  $ 600,000     $ 600,000  
Amended to extend maturity date to March 28, 2010
Note payable dated July 31, 2007
          34,000  
Paid in full
Note payable dated June 1, 2006
          9,350  
Paid in full
Insurance policy financing
    24,865       25,075  
2008 balance paid in full; 2009 balance per description above
Total notes payable-short term
  $ 624,865     $ 668,425    
                   
Long term notes payable:
                 
Long term note payable
                 
Note payable dated September 23, 2009
  $ 300,000     $  
2009 balance per description above
Long-term note payable – related party
                 
Note payable dated September 21, 2009
  $ 243,000     $  
2009 balance per description above

(11)
Notes Payable - Bank
 
On March 19, 2009, the Company renewed its $1.2 million Crown Bank promissory note.  The renewed note matures on March 28, 2010 and bears interest at the prime rate plus one percent, but never less than 6.00 percent (6.0 percent and 6.5 percent at December 31, 2009 and 2008, respectively).  No other note terms were changed.  The note remains collateralized by all Company assets and guaranteed by two individual guarantors.  On March 26, 2010, the maturity date of the promissory note was extended to mature on April 28, 2010.
 
On June 16, 2009, the Company borrowed $100,000 from Crown Bank pursuant to a promissory note that is collateralized by all Company assets and guaranteed by an individual guarantor. The note matures on March 28, 2010 and bears interest at the prime rate plus one percent, but never less than 6.00 percent (6.0 percent at December 31, 2009).
 
 
F-28

 

On September 23, 2009, the Company borrowed $100,025 from Central Bank pursuant to an unsecured promissory note. The promissory note matures on January 17, 2011, and bears interest at the prime rate plus one percent, with a minimum rate of 6.0 percent (6.0 percent at December 31, 2009). The promissory note was guaranteed by an individual guarantor, whose guaranty was collateralized by Company assets. On March 26, 2010, the maturity date of the promissory note was extended to mature on April 28, 2010.
 
The Company has provided shares of its common stock as consideration to the guarantors of its bank debt (see Note 14(g).
 
The following summarizes bank notes payable balances at December 31, 2009 and 2008, and the related activity during the year ended December 31, 2009:
 
   
Year Ended December 31,
   
   
2009
   
2008
 
2009 Activity
Short term note payable – bank:
             
Crown Bank note
  $ 1,200,000     $ 1,200,000  
Amended to extend maturity date to March 28, 2010
Crown Bank note
          400,000  
Paid in full
Crown Bank note
    100,000        
2009 balance per description above
Total notes payable bank-short term
  $ 1,300,000     $ 1,600,000    
Long term note payable – bank:
                 
Central Bank note
  $ 100,025     $  
2009 balance per description above

(12)
Convertible Debt
 
On April 3, 2008, the Company borrowed $37,500 pursuant to a convertible promissory note issued in favor of James Davis. On September 25, 2008, the Company borrowed an additional $150,000 pursuant to another convertible promissory note issued in favor of Mr. Davis. As Mr. Davis’s ability to exercise the conversion feature of the $150,000 note was contingent upon an event outside of his control, the note’s bargain conversion feature valued at $103,396 was not recorded until the January 12, 2009 closing of the 2009 Public Offering when the contingency was removed. On March 19, 2009, Mr. Davis agreed to refinance both the $150,000 debt (and $7,291 of interest accrued thereon) and the $37,500 note (and $3,646 of accrued interest thereon), along with another $2,632 payable to Mr. Davis and $12,293 of expenses paid by Mr. Davis on behalf of the Company. Mr. Davis also agreed to loan to the Company an additional $67,638 to pay for the exhibition of the prostate mechanical imaging system at the annual American Urology Association meeting, the retention of an investor relations firm and the initiation of a clinical advisory board. He also agreed to have certain website maintenance services performed for the Company. Pursuant to the refinancing and the other arrangements, the Company issued a $281,000 unsecured convertible promissory note to Mr. Davis. The promissory note was to mature on March 19, 2010, bore no interest and was convertible into our common stock at $0.55 per share at the option of Mr. Davis. It was determined that a substantial modification of the terms of the note was made as the present value of the cash flows under the new convertible promissory note was greater than 10 percent different from the present value of the cash flows under the original note. Accordingly, $113,709 of unamortized original issue discount related to the original $150,000 note was expensed as debt extinguishment expense and the bargain conversion option of the new note, valued at $123,000 using the Black-Sholes pricing model, was recorded as original issue discount and amortized as debt extinguishment expense over the term of the note. On May 26, 2009, Mr. Davis exercised his conversion rights under the promissory note, and the note was converted into 510,909 shares of the Company’s common stock.
 
 
F-29

 

The following summarizes convertible notes payable balances at December 31, 2009 and 2008, and the related activity during the year ended December 31, 2009:
 
   
Year Ended December 31,
   
   
2009
   
2008
 
2009 Activity
Short-term convertible debt:
             
10% unsecured convertible debentures
  $     $ 333,334  
Fully converted (see Note 2)
10% convertible promissory notes issued pursuant to 2007 and 2008 Private Placements
          1,268,250  
Fully converted (see Note 2)
Convertible promissory note dated April 3, 2008
  $     $ 37,500  
Repaid $8,000 in cash, fully converted  the remaining $29,500
Less: original issue discount
          (252,121 )
Remaining original issue discount expensed upon debt conversion
Total notes payable bank-short term
  $     $ 1,386,963    
                   
Short-term convertible debt – related party:
                 
10% unsecured convertible debentures
  $     $ 400,000  
Fully converted (see Note 2)
10% convertible promissory notes issued pursuant to 2007 and 2008 Private Placements
          465,500  
Fully converted (see Note 2)
Convertible promissory note dated April 3, 2008
          37,500  
Fully converted
Convertible promissory note dated April 3, 2008
          37,500  
Refinanced on March 19, 2009 (see above)
Less: original issue discount
          (114,066 )
Remaining original issue discount expensed upon debt conversion
Total notes payable bank-short term
  $     $ 826,434    
                   
Long-term convertible debt:
                 
10% convertible promissory notes issued pursuant to the 2008 Unit Put arrangement
  $     $ 204,250  
Fully converted (see Note 2)
10% convertible promissory notes issued pursuant to 2008 Private Placements
          166,250  
Fully converted (see Note 2)
Less: original issue discount
          (149,301 )
Remaining original issue discount expensed upon debt conversion
    $     $ 221,199    
                   
Long-term convertible debt – related parties:
                 
10% convertible promissory notes issued pursuant to the 2008 Unit Put arrangement
  $     $ 95,000  
Fully converted (see Note 2)
Promissory note dated September 25, 2008
          150,000  
Refinanced on March 19, 2009 (see above)
Less: original issue discount
          (82,241 )
Remaining original issue discount expensed upon debt conversion
    $     $ 162,759    
 
 
F-30

 
 
(13) 
Future Maturities of Long term Debt
 
Future maturities of long-term notes for the years succeeding December 31, 2009 are as follows:
 
Year
 
Notes 
Payable
   
Notes
Payable-
Bank
   
Total
 
2010
  $     $     $  
2011
    543,000       100,025       643,025  
Total
  $ 543,000     $ 100,025     $ 643,025  

(14) 
Shareholders’ Equity (Deficit)
 
 
(a)
Common stock issued related to formation and licensing activities
 
The Company issued 300,000 shares to Clinical Network Inc. in July 2001. In connection with the Company’s license agreements with CS Medical and Profile, the Company issued 300,000 and 400,000 shares of common stock in 2001 and 2002, respectively.
 
 
(b)
Common Stock and Warrants issued related to 2002 Private Placement
 
In connection with a private placement to accredited investors, the Company issued 45,335 shares of common stock in 2002.  In addition, the Company issued warrants to purchase 4,535 shares of common stock to three individuals related to services rendered in connection with the private placement.  These warrants expired unexercised.
 
 
(c)
Common Stock and Warrants issued related to Merger and 2004 Private Placement
 
Merger Agreement
 
Prior to the April 5, 2004 Merger (see Note 1(a)), Profile had notified the Company of a possible breach of its license agreement with the Company, and had also dissented from the Merger proposal as the registered holder of securities beneficially owned by certain shareholders holding, in the aggregate, 30,847 (pre-merger) shares of PUC’s common stock. Effective on April 4, 2004, the parties reached an agreement pursuant to which Profile waived any existing defaults under the Profile license agreement, and the Company agreed to purchase 30,000 of the 30,847 (pre-conversion) shares with respect to which dissenters’ rights were exercised for an aggregate purchase of $750,000. Of that amount, $100,000 was paid upon the initial closing of the private placement (described below) and the balance of $650,000 was paid pursuant to the delivery of a promissory note, which was paid in full in October 2004. The remaining 847 (pre-conversion) shares with respect to which dissenters’ rights were originally exercised withdrew their dissents and participated in the Merger.
 
At the effective time of the Merger all 350,100 (pre-conversion) shares of common stock of PUC that were outstanding immediately prior to the Merger and held by PUC shareholders were cancelled, with one share of PUC common stock issued to Global.  Simultaneously, the former shareholders of PUC common stock received an aggregate of 960,300 shares of common stock of Global, representing approximately 82.1 percent of Global’s common stock outstanding immediately after the Merger.
 
Global was a non-operating public shell company at the time of the Merger. Accordingly, the Merger transaction was recorded as a recapitalization rather than a business combination. The assets and liabilities resulting from the reverse acquisition were the former PUC assets and liabilities (at historical cost) plus a $13,500 accrued Global liability (assumed at historical cost). There were no other assets or liabilities on Global’s books at the time of the Merger. The Company recorded costs associated with the Merger totaling $162,556 during 2004.
 
 
F-31

 
 
2004 Private Placement of Common Stock.
 
In connection with the Merger, the Company completed a private placement offering of 220,500 shares of common stock pursuant to Rule 506 promulgated under the Securities Act. The initial closing occurred on April 5, 2004, at which time the Company issued 198,000 shares at $20.00 per share, aggregating to gross proceeds of $3.96 million.  Subsequent to April 5, 2004, the Company issued an additional 22,500 shares at $20.00 per share, aggregating to gross proceeds of $450,000.  Costs associated with the private placement (including the subsequent registration costs) were $139,493.
 
As part of the private placement, the Company engaged a consultant to provide financial-advisory services. Under terms of the arrangement, the consultant was paid $27,000 and was issued a warrant for 30,000 shares of common stock upon the first closing of the private placement. The warrant had a three-year term and was exercisable at $20.00 per share.
 
 
(d)
Private sales of Common Stock
 
 
·
On June 15, 2005, the Company sold 6,579 shares of its common stock to an accredited investor in a non-public offering.  The per share selling price of $7.60 was based on the last selling price prior to this sale as reported on the Over-the-Counter Bulletin Board.  Net proceeds received from this placement were $50,000.
 
 
·
On September 7, 2006, the Company sold 5,814 shares of its common stock to Scott Smith, a director of the Company, and 5,814 shares of our common stock to an investor.  The per share selling price of $4.30 was based on the last selling price prior to this sale as reported on the Over-the-Counter Bulletin Board.  Net proceeds received from these investments were $50,000.
 
·
During the year ended December 31, 2007, the Company sold 125,000 of the Company’s Investment Units at a price of $4.00 per unit, with total gross proceeds of $500,000. The Investment Units were sold in tranches of 31,250 Units each to four investors on January 18, January 23, February 28 and May 1, 2007. Each Investment Unit consists of one share of the Company’s common stock and a 3-year warrant (immediately exercisable) to acquire 0.5 shares of the Company’s common stock for $2.50 ($5.00 per share). Costs of this sale totaled $52,388.
 
 
·
On February 12, 2007, the Company sold 1,707 shares of its common stock to Scott Smith, a director of the Company.  The per share selling price of $4.10 was based on the last selling price prior to this sale as reported on the Over-the-Counter Bulletin Board.  The subscription price was paid by the conversion of a $7,000 loan to the Company from Mr. Smith.
 
 
·
On March 21, 2007, the Company and the four guarantors of the Company’s Crown Bank promissory notes (see Note 11) agreed to amend the related debenture agreements.  Pursuant to the revised debenture agreements, among other things, the Company issued a total of 12,478 shares of its Investment Units to the four guarantors in lieu of $49,911 of accrued interest.  The 6,240 warrants were valued at $26,829 using the Black-Scholes method and were recorded as debt extinguishment expense.
 
 
·
On September 10, 2007, the Company sold a total of 1,100 shares of its common stock to Mr. Carlson and Mr. Smith.  The per share selling price of $3.00 was based on the last selling price prior to this sale as reported on the Over-the-Counter Bulletin Board.  The subscription price was paid by the conversion of a $3,300 of loans to the Company from Mr. Carlson and Mr. Smith.
 
 
(e)
Common stock and warrants issued pursuant to the 2007 and 2008 Private Placements, the 2008 Unit Put Arrangement and the 2009 Public Offering
 
 
·
Between December 27, 2007 and July 30, 2008, the Company closed on the sale of an aggregate $1,850,000 of units under its 2007 and 2008 Private Placements (see Note 1(a)), and converted $150,000 of existing loans from James Davis into similar units.  At the closings, the Company issued warrants to purchase a total of 400,000 shares of common stock to the investors.  The exercise price of the warrants was set upon the January 7, 2009 effective date of the 2009 Public Offering at $0.50 per share (based on 50 percent of the offering price).  All of these warrants became exercisable upon the January 12, 2009 closing of the 2009 Public Offering and will remain exercisable until December 31, 2012.

 
F-32

 
 
The $153,735 relative fair value of the aggregate 400,000 warrants issued were recorded as an original issue discount as defined in Financial Accounting Standards Board (“FASB”) Accounting Standards Codification (“ASC”) Topic 470 against the convertible debt liability, and were amortized as interest expense over the term of the convertible debentures.  The unamortized original issue discount relating to the warrants was expensed as interest expense upon the January 12, 2009 closing of the 2009 Public Offering.
 
 
·
On September 16, 2008, pursuant to the Company’s 2008 Unit Put Arrangement (see Note 1(a)), the Company issued warrants, exercisable until December 31, 2012 at an exercise price of $1.00 per share, to purchase an aggregate 32,500 shares of our common stock (the “Origination Warrants”).  Of these, 31,500 Origination Warrants became exercisable when the Company exercised its put options and closed on $315,000 of the 2008 Unit Put Arrangement, while 1,000 Origination Warrants were forfeited when an investor failed to meet a $10,000 unit put obligation.  The Origination Warrants, valued at $42,575 using the Black-Scholes pricing model, were recorded as a debt issuance cost asset and amortized as interest expense over the term of the 2008 Unit Put Arrangement (see Note 5).
 
Each unit issued in the 2008 Unit Put Arrangement included a warrant that will remain exercisable until December 31, 2012 at an exercise price of $1.00 per share (a “Unit Put Warrant”). The purchase price of the warrant portion of each unit was $500.
 
Between September 16, 2008 and December 11, 2008, the Company exercised $315,000 of its put options under the Unit Purchase Agreement and issued 63,000 Unit Put Warrants.  The $17,493 relative fair value of the Unit Put Warrants was recorded as an original issue discount as defined in ASC Topic 470 against the convertible debt liability, and was amortized as interest expense over the term of the convertible debentures.  On February 6, 2009, the $299,250 outstanding promissory notes issued pursuant to the Company’s 2008 Unit Put Arrangement, along with the $9,563 interest accrued thereon, automatically converted into 441,165 shares of the Company’s common stock.  The unamortized original issue discount was expensed as interest cost upon this conversion.
 
 
·
On January 7, 2009, the 2009 Public Offering was declared effective by the United States Securities and Exchange Commission, and January 12, 2009 the 2009 Public Offering was closed.  In the offering, the Company sold 3,050,000 units at $1.00 per unit, with each unit consisting of one share of common stock and one redeemable warrant to purchase one share of common stock at an exercise price of $1.30 per share resulting in net cash of $1,790,472, after costs of $1,259,528.
 
 
·
As additional compensation pursuant to the 2009 Public Offering, the Company sold to the underwriter, Feltl & Company, for nominal consideration, a warrant (the “Underwriter’s Warrant”) to purchase up to 305,000 units. The Underwriter’s Warrant is not exercisable until January 7, 2010 and thereafter is exercisable at $1.20 per unit for a period of four years.
 
 
·
On the January 7, 2009 effective date of the 2009 Public Offering, the $1,757,500 aggregate amount of notes from the 2007 and 2008 Private Placements, along with $162,974 of interest accrued thereon, automatically converted into 2,743,535 units identical to those sold in the 2009 Public Offering (based on 70 percent of the offering price, or $0.70 per share).  On the same date, the $142,500 of Davis Note, along with $14,908 of interest accrued thereon, automatically converted into 314,846 units identical to those sold in the 2009 Public Offering (based on 50 percent of the offering price, or $0.50 per share).
 
 
·
The exercise price of the Davis Warrants and the warrants from the 2007 and 2008 Private Placements was set upon the January 7, 2009 effective date of the 2009 Public Offering at $0.50 per share (based on 50 percent of the offering price.  All of these warrants became exercisable upon the January 12, 2009 closing of the 2009 Public Offering and will remain exercisable until December 31, 2012  Unamortized original issue discount relating to the warrants and the beneficial conversion feature of the notes totaling $387,169 and unamortized debt issuance cost of $207,575 was expensed as interest expense upon the conversion.

 
F-33

 
 
 
(f)
Common Stock and Warrants issued for services and liabilities
 
 
·
In March 2002, the Company granted a warrant to purchase 3,000 shares of common stock to a former director that was exercisable at $11.33 per share. This warrant expired unexercised.  An aggregate of $12,075 of stock-based compensation expense related to this warrant was recognized in the period from August 17, 1999 (inception) to December 31, 2009.
 
 
·
In November 2002, the Company granted a warrant to purchase 150 shares of common stock at an exercise price of $23.33 per share to a consultant, for services rendered.  This warrant expired unexercised.  An aggregate of $490 of stock-based compensation expense related to this warrant was recognized in the period from August 17, 1999 (inception) to December 31, 2009.
 
 
·
In February 2003, the Company issued 545 common shares to a consultant, in lieu of $12,705 cash for accounts payable.
 
 
·
In June 2003, under the terms of an agreement with a supplier, the Company issued a warrant to purchase 9,215 shares of common stock at an exercise price of $3.33 per share.  This warrant expired unexercised.  The value of $187,060 related to this warrant was recognized as research and development expense in the year ended December 31, 2003.
 
 
·
In May 2004, a vendor was issued 3,861 shares of the Company’s common stock as payment for product development work valued at $77,225.
 
 
·
In July 2004, the Company entered into a research and development agreement for the development of the ProUroScan System.  Under this agreement, warrants for the purchase of 10,000 shares of the Company’s common stock upon the execution of the agreement and warrants for the purchase of 20,000 shares of the Company’s common stock in December 2004. The warrants were fully vested, five-year warrants at a per share exercise price of $20.00 per share value.  The total value of these warrants computed using the Black-Scholes pricing model was $281,086.  The value of the warrants was recorded as research and development expense in the year ended December 31, 2004.
 
 
·
In October 2004, another vendor was issued 4,444 shares of the Company’s common stock in lieu of $88,882 cash for accounts payable.
 
 
·
On April 11, 2005, the Company entered into a placement agency agreement with an investment firm to raise working capital for the Company.  Pursuant to the agreement, on May 13, 2005 the Company issued 5,000 shares of the Company’s common stock to the placement agent.  The 5,000 shares were valued at $51,000 using the stock price on the date of grant and were recorded as general and administrative expense during the year ended December 31, 2005.
 
 
·
On December 30, 2005, the Company issued 4,541 shares of common stock to our current and former directors in satisfaction of accrued director’s fees in the amount of $40,418.
 
 
·
On April 21, 2006, the Company issued 7,000 shares of its common stock to its former Vice-President of Engineering, upon his resignation, pursuant to his employment agreement.  The shares were valued at $44,800 based on the average closing share price during the five days before and after the issuance date, and were recorded as compensation expense during the year ended December 31, 2006.
 
 
·
On September 8, 2006, the Company issued 1,415 shares of its common stock to a vendor, as payment for product development work valued at $8,938.
 
 
·
On April 2, 2007, the Company issued 4,141 shares of its common stock to a vendor, as payment for product development work valued at $20,704.
 
 
·
On April 16, 2007, the Company issued to Artann five-year warrants (immediately exercisable) to acquire 20,000 shares of its common stock at $4.10 per share pursuant to an agreement with Artann.  The warrants were valued at $72,000 by the Black-Scholes pricing model and recorded as research and development expense during the year ended December 31, 2007.

 
F-34

 
 
 
·
On September 10, 2007, the Company issued a total of 20,694 shares of its common stock to its directors and former directors as payment for $62,082 of accrued directors’ fees.
 
 
·
On January 4, 2008, pursuant to a final separation agreement with a former employee of the Company, the Company issued to the former employee five-year warrants (immediately exercisable) to acquire up to 14,500 shares of the Company’s common stock at an exercise price of $5.00 per share, and amended a previously issued warrant to acquire up to 30,000 shares of the Company’s common stock to provide for cashless exercise thereof.  The warrants, valued at $14,500 using the Black-Scholes pricing model, were recorded as compensation expense during the year ended December 31, 2008.
 
 
·
On July 11, 2008, the Company’s directors received 21,667 of shares of the Company’s common stock in lieu of cash for $21,667 of unpaid director’s fees accrued through June 30, 2008.  The shares were valued at $1.00 per share and expensed during the period of service.
 
 
·
On July 11, 2008, the Company issued a total of 37,967 shares of the Company’s common stock to its directors in recognition of extraordinary amount of time and effort they spent on the Company’s restructuring and refocusing efforts since January 2007.  The shares were valued at $1.00 per share and expensed on the date of issuance.
 
 
·
On January 15, 2009, the Company issued 454,546 shares of common stock to Artann in satisfaction of a $500,000 liability pursuant to its license agreement with Artann.
 
 
·
On April 13, 2009, the Company issued an aggregate of 27,366 shares to its independent directors as payment of $20,250 directors’ fees accrued through December 31, 2008, in lieu of cash.
 
 
·
On July 23, 2009, the Company issued a two-year warrant to purchase 30,000 shares of our common stock at an exercise price of $1.25 per share to its public relations firm as consideration for services provided to the Company.  The warrant, valued at $26,400 using the Black-Scholes pricing model, was recorded as general and administrative expense.
 
 
·
On September 29, 2009, the Company issued 4,834 shares to a director as payment of $7,250 directors’ fees, in lieu of cash.
 
 
·
On December 3, 2009, the Company issued 10,000 shares of its common stock to a web-site designer for services provided valued at $7,425.
 
 
(g)
Common Stock and Warrants issued pursuant to loans and loan guarantees
 
Each warrant listed below was valued using the Black-Scholes pricing model; however, the recorded value of warrants issued to lenders and guarantors of Company debt is limited to the corresponding amount loaned or guaranteed.
 
 
·
During the year ended December 31, 2003, the Company issued warrants to purchase a total of 64,287 shares of common stock at $23.33 per share to nine individuals, including 4,286 shares to a Company director in exchange for their guaranteeing a bank line of credit.  An aggregate of $216,112 of debt issuance cost related to these warrants was recorded and amortized over the life of the bank line of credit.  Upon the closing of the Company’s 2004 private placement and Merger on April 5, 2004, certain exercise price protections and anti-dilution provisions of these warrants became effective.  Under the terms of these provisions, the holders of these warrants became eligible to purchase a total of 101,788 shares at $16.67 per share.  The additional warrants and revaluation of the existing warrants were valued at $320,974 using the Black Scholes pricing model, and were recorded as interest expense at the time of issuance.  The warrants expired unexercised.

 
F-35

 

 
·
In September 2005, the Company engaged a consultant to assist with the introduction of strategic investors to the Company.  Under this agreement, on September 1, 2005 and February 22, 2006, the Company issued a total of 5,000 shares of common stock valued at $40,500 on the grant dates to the consultant.  Upon the closing of the Company’s Crown Bank notes on February 16, 2006, the $43,000 aggregate value of the shares and initial retainer were recorded as debt issuance cost and were amortized over the term of the notes.
 
 
·
On September 14, 2005, in connection with a commercial guaranty of a $100,000 bank loan, the Company issued two five-year warrants (immediately exercisable) to an individual investor to acquire a total of 5,000 shares of the Company’s common stock at $5.00 per share.  The warrants, valued at $29,000 using the Black-Scholes pricing model, were recorded as debt issuance costs and expensed over the term of the loan as interest expense.  The Company recorded $29,000 of expense related to the value of the warrants during the period from August 17, 1999 (inception) to December 31, 2009.
 
 
·
On September 21, 2005, in connection with $100,000 loan from an individual investor, the Company issued two five-year warrants (immediately exercisable) to the lender to acquire a total of 5,000 shares of the Company’s common stock at $5.00 per share.  The gross proceeds of $100,000 were allocated between the promissory note and the common stock warrants based on the relative fair values of the securities at the time of issuance. The warrants, valued at $26,500 using the Black-Scholes pricing model, were recorded as original issue discount as defined in ASC Topic 470 expensed on a straight-line basis over the term of the promissory note as interest expense.  The Company recorded $26,500 of expense related to the value of the warrants during the period from August 17, 1999 (inception) to December 31, 2009.
 
 
·
On October 19, 2005, in connection with commercial guaranties of a $300,000 loan from a bank, the Company issued five-year warrants (immediately exercisable) to two investors to acquire up to 7,500 shares (15,000 shares in total) of the Company’s common stock at $5.00 per share.  The warrants, valued at $79,500 using the Black-Scholes pricing model, were recorded as debt issuance costs and expensed over the term of the loan as interest expense.  The Company recorded $79,500 of expense related to the value of the warrants during the period from August 17, 1999 (inception) to December 31, 2009.
 
 
·
On January 25, 2006, in connection with a $23,000 loan, the Company issued a five-year warrant (immediately exercisable) to a partnership to acquire 5,000 shares of Company common stock at $5.00 per share.    The gross proceeds of $23,000 were allocated between the promissory note and the common stock warrant based on the relative fair values of the securities at the time of issuance.  The fair value of the warrant estimated at grant date using the Black-Scholes pricing model exceeded the amount of the loan.  Accordingly, the warrant was valued at $23,000 and recorded as original issue discount as defined in ASC Topic 470 and expensed as interest expense over the term of the loan.
 
 
·
On June 1, 2006, the Company borrowed $75,000 from an individual investor, and in connection therewith issued to the investor a promissory note to mature on August 30, 2006.  Under the terms of the loan agreement, the Company issued a five-year warrant (immediately exercisable) to the investor to acquire 3,750 shares of Company common stock at $5.00 per share.  The fair value of the warrant at the grant date was estimated using the Black-Scholes pricing model to be $25,500 and was recorded as original issue discount as defined in ASC Topic 470 and subsequently expensed as interest expense over the 90-day term of the loan.
 
On August 24, 2006 the promissory note was amended to mature on October 29, 2006 and the Company agreed to issue a five-year warrant to the investor to acquire 41.7 shares of the Company’s common stock at $5.00 per share for each day the promissory note was outstanding after August 30, 2006 upon repayment of the promissory note.  These warrants were valued at $5.40 per share using the Black-Scholes pricing model.  In connection with amendments to the promissory note, the Company issued to the investor 31,817 warrants accrued between August 30, 2006 and October 1, 2008 along with a warrant to acquire 3,000 shares of its common stock and agreed to continue to accrue 41.7 warrants per day to be issued upon the Company’s repayment of the promissory note.  The warrants issued and accrued on and after October 1, 2008 were five-year warrants with an exercise price of $1.50 per share, and were valued at $1.32 per share using the Black-Scholes pricing model.

 
F-36

 

The present value of the cash flows under both amendments was greater than 10 percent different from the present value of the cash flows under the original agreement, indicating that a substantial modification of debt terms had occurred.  Accordingly, the warrants issued and the accrual of warrants to be issued pursuant to the amended note were recorded as debt extinguishment expense.  The total debt extinguishment expense recorded for the 459, 15,262 and 36,112 warrants accrued for issuance during the years ended December 31, 2009 and 2008, and the period from August 17, 1999 (inception) to December 31, 2009 was $607, $70,723 and $181,443, respectively.  On January 12, 2009, the Company repaid the promissory note and issued 4,295 warrants related to this note.
 
 
·
On July 21, 2006, in connection with a $7,500 loan from an individual investor, the Company issued a five-year warrant (immediately exercisable) to the investor to acquire 375 shares of Company common stock at $5.00 per share.  The gross proceeds of $7,500 were allocated between the promissory note and the common stock warrant based on the relative fair values of the securities at the time of issuance.  The warrant, valued at $2,025 using the Black-Scholes pricing model, was recorded as original issue discount as defined in ASC Topic 470 and was expensed as interest expense during the year ended December 31, 2006.
 
 
·
On August 30, 2006, in connection with a $10,000 loan from an individual investor, the Company issued a five-year warrant (immediately exercisable) to the investor to acquire 500 shares of Company common stock at $5.00 per share. The gross proceeds of $10,000 were allocated between the promissory note and the common stock warrant based on the relative fair values of the securities at the time of issuance.  The warrant, valued at $2,300 using the Black-Scholes pricing model, was recorded as original issue discount as defined in ASC Topic 470 and was expensed as interest expense during the year ended December 31, 2006.
 
 
·
On November 30, 2006, the Company borrowed $100,000 from a partnership, and in connection therewith issued to the partners a promissory note to mature on January 2, 2007.  Pursuant to the terms of the promissory note, the Company issued five-year warrants (immediately exercisable) to the partners to acquire 5,000 shares of Company common stock at $5.00 per share.  In addition, pursuant to the terms of the promissory note, the Company issued an additional five-year warrant (immediately exercisable) to the partners to acquire 5,000 shares of Company common stock at $5.00 per share, when the loan was not repaid on January 2, 2007.  The first warrant, valued at $22,500 using the Black-Scholes pricing model, was recorded as original issue discount as defined in ASC Topic 470 and was expensed as interest expense over the term of the promissory note.  The second warrant, also valued at $22,500, was expensed immediately as interest expense.  The Company recorded interest expense of $45,000 related to the warrants issued pursuant to the original agreement during the period from August 17, 1999 (inception) to December 31, 2009.
 
On each of March 20, 2007 and August 8, 2007, the Company amended the promissory note with the partnership, resulting in an extension of its due dates, the issuance of a third warrant to acquire 5,000 shares of Company common stock at $5.00 per share on February 1, 2007 and an agreement to issue to the partners five-year warrants to acquire 167 shares at $5.00 per share for each day the principal remained unpaid on and after March 1, 2007.  The present value of the cash flows under the modifications was greater than 10 percent different from the present value of the cash flows under the existing agreement, indicating that a substantial modification of debt terms had occurred.  Accordingly, the accrual of warrants to be issued and the warrants issued on February 1, 2007 pursuant to the promissory note were recorded as debt extinguishment expense.  The Company expensed as debt extinguishment cost $0, $4,848 and $206,485 related to the accrual of 0,1,347 and 52,357 warrants to be issued of warrants pursuant to the amended terms of the promissory note during the years ended December 31, 2009 and 2008, and the period from August 17, 1999 (inception) to December 31, 2009, respectively.  On January 16, 2008, the Company repaid the outstanding principal amount of the note and issued the 52,357 accrued warrants.
 
 
·
On March 14, 2007, upon the termination of employment of an employee, and in consideration for an agreement to defer payment of accrued salaries until the Company is able to make such payments, the Company agreed to extend by three years the expiration date of 30,000 warrants beneficially held by the employee.  The modification of the warrant resulted in the recording of an immediate incremental compensation expense totaling $96,000, computed as the increase in the fair value of the warrant as determined using the Black-Scholes pricing model over the fair value so determined immediately before the modification.

 
F-37

 

 
·
On July 31, 2007, the Company borrowed $100,000 for short-term working capital needs pursuant to a promissory note issued to an individual investor.  During the years ended December 31, 2009 and 2008, and the period from August 17, 1999 (inception) to December 31, 2009, the Company accrued for issuance warrants to acquire 680, 12,576 and 28,656 shares of the Company’s common stock, respectively, and recorded interest expense of $2,720, $50,304 and $114,624, respectively, related thereto.  On January 20, 2009, the Company repaid the promissory note and issued 28,656 warrants related to this note.
 
 
·
On August 29, October 31, and November 30, 2007, the Company borrowed for working capital needs $50,000, $100,000 and $25,000, respectively, from James Davis.  On December 27, 2007 these notes were converted into the units sold by the Company in its 2007 Private Placement (see Note 14(e)). Pursuant to the terms of the promissory note the Company issued to Mr. Davis 12,550 warrants that were valued at $28,340 using the Black-Scholes pricing model, which were expensed as interest expense during the period from August 17, 1999 (inception) to December 31, 2009.
 
 
·
On October 15, 2007, the Company borrowed $600,000 pursuant to a promissory note issued to an individual investor.  In consideration for this loan, on November 7, 2007 the Company agreed to issue 33,333 shares of its common stock to the investor.  The $66,666 value of this consideration was recorded as debt issuance cost and was amortized over the term of the loan using the straight-line method, which approximates the interest method.  The Company recorded $7,836, $48,473 and $66,667 of interest expense related to the amortization of this debt issuance cost during the years ended December 31, 2009 and 2008, and the period from August 17, 1999 (inception) to December 31, 2009, respectively.  On October 31, 2008, pursuant to the terms of the loan when the loan remained unpaid on that date, the Company issued to the investor 6,667 shares of its common stock and a five-year immediately exercisable warrant to acquire 16,667 shares of its common stock at an exercise price of $2.00.  The $6,667 value of the shares issued and the $12,834 value of the warrants was recorded as interest expense during the year ended December 31, 2008.
 
On March 19, 2009, the note was renewed to mature on March 28, 2010.  As consideration to the lender for renewing the loan, the Company issued 66,667 shares of its common stock, representing the first six months compensation, and is accruing for issuance 11,111 shares per month for each additional month the note remains outstanding after August 31, 2009.  It was determined that a substantial modification of the terms of the note was made as the present value of the cash flows under the new convertible promissory note was greater than 10 percent different from the present value of the cash flows under the original note.  Accordingly, the $33,333 value of the initial 66,667 shares issued was recorded as debt extinguishment expense.  Additional accruals of stock to be issued if the promissory notes remain outstanding after August 31, 2009 were expensed each month as debt extinguishment expense.  During the year ended December 31, 2009, 44,444 shares were accrued for issuance pursuant to this loan guarantee compensation arrangement, resulting in additional debt extinguishment expense of $22,222.
 
 
·
On January 7, 2009, upon the effective date of the 2009 Public Offering, the Company issued 292,384 shares of common stock to holders of $733,334 of convertible debentures pursuant to the automatic conversion of the debentures and $143,815 interest accrued thereon.
 
 
·
On December 28, 2007, pursuant to the terms of guarantees of its $1.2 million Crown Bank promissory note, the Company issued to the three guarantors an aggregate of 88,889 shares of the Company’s common stock.  The $88,889 value of the shares was immediately expensed as interest.  On October 31, 2008, pursuant to the terms of the guarantees when the Crown bank loan remained unpaid, the Company issued to the three guarantors an aggregate amount of 17,778 shares of our common stock and five-year immediately exercisable warrants to acquire an aggregate of 44,445 shares of our common stock at an exercise price of $2.00 per share.  The $17,778 value of the shares issued and the $34,223 value of the warrants was recorded as interest expense during the year ended December 31, 2008.
 
On March 19, 2009, pursuant to guaranties received relating to the Company’s renewal of the Crown Bank promissory note, the Company issued an aggregate of 133,334 shares of its common stock to the guarantors representing the first six months’ consideration for providing their guarantee (see Note 11).  The $66,667 value of the shares on the issuance date was recorded as debt issuance cost and was amortized on a straight-line basis through August 31, 2009.  For each month the promissory note remains outstanding after August 31, 2009, the Company is accruing for issuance to the guarantors 22,222 shares of its common stock.  A total of 88,888 shares were accrued for issuance as of December 31, 2009.  The $44,444 value of the shares was recorded as interest expense.

 
F-38

 
 
 
·
On April 3, 2008, as consideration to James Davis, William Reiling and another investor for providing certain loans to the Company, the Company issued five-year warrants (immediately exercisable) to purchase a total of 75,000 shares of the Company’s common stock at $1.50 per share.  The gross proceeds were allocated between the note and the warrants based on the relative fair value at the time of issuance.  The relative fair value of warrants was recorded as original issue discount on the related convertible promissory notes and was expensed as interest expense over the term of the notes.  During the year ended December 31, 2008, original issue discounts of $42,768 were expensed as interest expense.  On January 22, 2009, $29,500 of the convertible promissory notes was converted into 42,143 shares of the Company’s common stock.
 
 
·
On September 25, 2008, the Company borrowed $150,000 pursuant to a convertible promissory note issued in favor of James Davis.  As consideration for providing the loan, the Company issued an immediately exercisable, five-year warrant to purchase 100,000 shares of the Company’s common stock at $1.50 per share to Mr. Davis.  The $46,604 relative fair value of the warrant was recorded as original issue discount and expensed as interest expense over the term of the promissory note.  During the year ended December 31, 2008, original issue discount of $8,280 was expensed as interest expense.  On March 19, 2009, Mr. Davis agreed to refinance the $150,000 debt interest and a $37,500 note along with accrued interest and additional amounts loaned to the Company. Pursuant to the refinancing and the other arrangements, the Company issued a $281,000 unsecured convertible promissory note to Mr. Davis.  On May 26, 2009, Mr. Davis exercised his conversion rights under the promissory note, and the note was converted into 510,909 shares of the Company’s common stock (see Notes 12 and 15).
 
 
·
On June 16, 2009, the Company issued 6,667 shares valued at $5,467 to a guarantor as consideration for providing a guarantee of a $100,000 bank loan (see Note 11). The Company will accrue for issuance 1,111 shares of its common stock as further consideration for each month or portion thereof that the principal amount of the loan remains outstanding beginning January 1, 2010. All accrued shares will be issued upon repayment of the loan.  The value of the shares was recorded as debt issuance cost.
 
 
·
On September 21, 2009, the Company issued 19,833 shares valued at $28,262 to Mr. Davis as six months worth of consideration for providing a $243,000 loan (see Notes 10 and 15).  The value of the shares was recorded as debt issuance cost and is being amortized over six months.  The Company will accrue for issuance 2,700 shares of its common stock as further consideration for each month or portion thereof that the principal amount of the loan remains outstanding beginning March 23, 2010. All accrued shares will be issued upon repayment of the loan.  The value of the shares was recorded as debt issuance cost.
 
 
·
On September 23, 2009, the Company issued 6,667 shares valued at $9,000 to a guarantor as six months worth of consideration for providing a guarantee of a $100,025 bank loan (see Note 11).  The value of the shares was recorded as debt issuance cost and is being amortized over six months.  The Company will accrue for issuance 1,111 shares of its common stock as further consideration for each month or portion thereof that the principal amount of the loan remains outstanding beginning March 23, 2010. All accrued shares will be issued upon repayment of the loan.  The value of the shares was recorded as debt issuance cost.
 
 
·
On September 23, 2009, the Company issued 20,000 shares valued at $27,000 to an individual lender as six months worth of consideration for providing a $300,000 loan (see Note 10).  The value of the shares was recorded as debt issuance cost and is being amortized over six months.  The Company will accrue for issuance 3,333 shares of its common stock as further consideration for each month or portion thereof that the principal amount of the loan remains outstanding beginning March 23, 2010. All accrued shares will be issued upon repayment of the loan.  The value of the shares was recorded as debt issuance cost.
 
 
·
On November 6, 2009, the Company issued 925 shares of its common stock valued at $1,322 to Scott Smith, a director, as consideration for providing a $26,000 loan.

 
F-39

 
 
 
(h)
Warrant exercises
 
 
On September 25, 2009, the Company commenced its Replacement Warrant Offering.  The warrants subject to the offer were: (a) 3,050,000 publicly traded warrants to purchase common stock that were issued on January 12, 2009; and (b) 3,058,381 unregistered warrants to purchase common stock which were also issued on January 12, 2009 (together, the “Warrants”).  Pursuant to the offer, the Company temporarily modified the terms of the Warrants so that each holder who tendered Warrants for early exercise on or before November 6, 2009 received, in addition to the shares of common stock purchased upon exercise, new three-year warrants to purchase the same number of shares of ProUroCare common stock at an exercise price of $1.30 per share (the “Replacement Warrants”).  On November 6, 2009, Warrants to purchase 1,244,829 shares of common stock were tendered resulting in gross proceeds to the Company of $1,618,278, including the cancellation of a $26,000 loan from a director and $11,250 of directors’ fees owed to another director in lieu of cash payments for the exercise of a portion the Warrants they exercised.
 
 
The $1,356,864 fair value of the Replacement Warrants as determined using the Black-Scholes pricing model was expensed with an offsetting entry to additional paid-in capital.  The $1,618,278 purchase price of the stock issued pursuant to the Warrant exercise, less the $171,865 expenses of the offering was recorded as capital stock and additional paid-in capital.
 
 
In December 2009, the Company issued 101,975 shares of common stock to certain warrant holders upon their exercise of warrants.  The Company realized proceeds of $132,568 from these warrant exercises.
 
 
(i)
Warrants summary
 
Warrant activity was as follows for the years ended December 31:
 
   
Warrants
   
Weighted-Average Exercise
Price
 
   
2009
   
2008
   
2009
   
2008
 
Outstanding, January 1
    1,074,014       639,504     $ 3.05     $ 6.61  
Granted
    7,689,349       538,297       1.30       1.38  
Exercised
    (1,346,804 )     -       1.30       -  
Expired
    (30,000 )     (103,787 )     20.00       16.37  
Outstanding, December 31
    7,386,559       1,074,014     $ 1.47     $ 3.05  
 
The fair value of stock warrants is the estimated present value at grant date using the Black-Scholes pricing model (see Note 1(j)).  The weighted-average fair value of the warrants granted during the years ended December 31, 2009 and 2008 was $1.30 and $1.37, respectively. The expense related to warrants issued to lenders and debt guarantors was $3,327, $262,305 and $1,100,511 for the years ended December 31, 2009 and 2008, and the period from August 17, 1999 (inception) to December 31, 2009, respectively (excluding warrants issued in connection with the 2007 and 2008 Private Placements and the 2008 Unit Put Arrangement).  Stock-based compensation cost related to warrants issued to the Company’s consultants and suppliers was $26,400, $14,500 and $677,536 for the years ended December 31, 2009 and 2008, and the period from August 17, 1999 (inception) to December 31, 2009, respectively.  Stock-based compensation cost related to warrants issued to directors (in lieu of stock options) was $0, $0 and $12,075 for the years ended December 31, 2009 and 2008, and the period from August 17, 1999 (inception) to December 31, 2009, respectively.
 
 
(j)
Stock Options
 
Stock Option Plans
 
In April 2002, the Company’s Board passed a resolution adopting the ProUroCare Medical Inc. 2002 Stock Plan (the “2002 Plan”), reserving 150,000 shares of the Company’s common stock for issuance.
 
In July 2004, the Board passed a resolution adopting the ProUroCare Medical Inc. 2004 Stock Option Plan (the “2004 Plan”), which was approved by the Company’s shareholders in July 2005.  The Company has reserved 150,000 shares of common stock for issuance under the 2004 Plan.

 
F-40

 
 
In February 2009, the Board passed a resolution adopting the ProUroCare Medical Inc. 2009 Stock Option Plan (the “2009 Plan”), which was approved by the Company’s shareholders in August 2009.  The Company has reserved 1,200,000 shares of common stock for issuance under the 2009 Plan.
 
The plans permit the Company to grant incentive and nonqualified options, stock appreciation rights, stock awards, restricted stock awards, performance shares and cash awards to Company employees and independent contractors.  The exercise price for all options granted under the plans shall be determined by the Board. The term of each stock option and period of exercisability will also be set by the Board, but will not exceed a period of ten years and one day from grant date. The agreements also include provisions for anti-dilution of options.
 
Stock Option Grants
 
Each of the options granted below were valued using the Black-Scholes pricing model (see Note 1(i)) and are being expensed over the vesting period as general and administrative expense.
 
 
·
In March 2002, the Company granted an aggregate of 90,000 employee stock options to officers and directors that were exercisable at $11.33 per share.  The officers’ options vested ratably over a 36-month period through December 2004, while the directors’ options vested ratably over a 24-month period through April 2004.  An aggregate $342,782 of stock-based compensation expense related to these options was recognized in the period from August 17, 1999 (inception) to December 31, 2009.
 
In October 2003, an officer resigned from the Company and 15,000 of his unvested options were forfeited and in October 2004 his remaining 21,000 options expired.  In February 2004, a director resigned from the Board, and 375 of his unvested options were forfeited, and in October 2005 his remaining 2,625 options expired.  Effective May 1, 2007, Maurice Taylor, the Company’s former Chairman and Chief Executive Officer, retired from the Company.  Pursuant to a May 11, 2007 agreement to defer payment of his unpaid salary, the Company extended the date through which Mr. Taylor may exercise 45,000 options (including options gifted to his children) following his separation to April 1, 2012.  The Company recorded stock-based compensation expense of $103,500 related to the extension of the exercise date in the year ended December 31, 2007.
 
 
·
In April 2002, the Company issued a nonqualified stock option to a consultant to acquire 3,000 shares of common stock at $11.33 per share. This option expired unexercised.  At the same time, the Company also issued a nonqualified stock option to another consultant to acquire 3,000 shares of common stock at $11.33 per share. This option vested ratably over a two-year period through April 2004.  An aggregate of $27,600 of stock-based compensation expense related to these options was recognized in the period from August 17, 1999 (inception) to December 31, 2009.
 
 
·
In February 2004, the Company issued 45,000 employee stock options to Michael Grossman, our former President and Chief Operating Officer.  These options were valued at $6.70 per share, vested ratably over a three-year period and are exercisable at $20.00 per share.  The Company expensed, $16,811 and $303,000 related to these options during the year ended December 31, 2007 and the period from August 17, 1999 (inception) to December 31, 2009, respectively.  Pursuant to a May 11, 2007 separation agreement, the Company extended the date through which Mr. Grossman may exercise 45,000 options (including options gifted to his children) following his separation until February 1, 2012.  The Company recorded stock-based compensation expense of $117,000 related to the extension of the exercise date in the year ended December 31, 2007.
 
 
·
In February 2004, the Company issued 3,000 nonqualified stock options to a consultant in consideration of services rendered.  The options were valued at $6.70 per share, and vested as to 1,500 shares upon issuance and as to the remaining 1,500 shares on January 1, 2005.  These options are exercisable at $20.00 per share through February 2014.  The Company expensed $20,200 related to these options during the period from August 17, 1999 (inception) to December 31, 2009.
 
 
·
In July 2004, the Company issued 20,000 employee stock options to Mr. Thon in connection with his employment agreement.  These options were valued at $15.00 per share, vested ratably over a three-year period, and are exercisable at $25.00 per share through July 2014.  The Company expensed $58,314 and $300,000 related to these options during the year ended December 31, 2007 and the period from August 17, 1999 (inception) to December 31, 2009, respectively.  On July 11, 2008, in connection with the issuance of new options to Mr. Thon (see below), these options were cancelled.

 
F-41

 
 
 
·
In January 2005, the Company issued 15,000 stock options to Mr. Carlson, who at the time was the Company’s Vice President of Marketing and Sales.  The options were valued at $16.20 per share, vest ratably over a three-year period, and are exercisable at $23.50 per share through January 2015.  The Company expensed $0, $6,729, and $243,000 related to these options during the years ended December 31, 2009 and 2008 and the period from August 17, 1999 (inception) to December 31, 2009, respectively.  On July 11, 2008, in connection with the issuance of new options to Mr. Carlson (see below), these options were cancelled.
 
 
·
In September 2005, the Company issued 15,000 stock options exercisable at $6.00 per share to an employee.  The options were valued at $5.30 per share and expired unexercised.  The Company expensed $15,460 related to these options during the period from August 17, 1999 (inception) to December 31, 2009.
 
 
·
On March 1, 2006, the Company issued to five of its employees five-year stock options to acquire a total of up to 20,000 shares of common stock at $7.50 per share.  The options, valued at $5.60 per share, vest upon the Company securing FDA approval of its ProUroScanTM system.  10,000 of these options were awarded to employees who subsequently left the Company and have been forfeited.  The remaining options are being expensed over the vesting period (estimated by the Company as forty-one months) as general and administrative expense.  The Company expensed $2,823, $9,663 and $94,007 related to these options during the years ended December 31, 2009 and 2008, and the period from August 17, 1999 (inception) to December 31, 2009, respectively.
 
 
·
On May 30, 2006, the Company issued 3,000 nonqualified stock options to Mr. Smith, a director, upon his appointment to the Board.  The options were valued at $5.90 per share, and vested over a two year period.  These options are exercisable at $7.00 per share through May 2013.  The Company expensed $0, $3,688 and $17,700 related to these options during the years ended December 31, 2009 and 2008, and the period from August 17, 1999 (inception) to December 31, 2009, respectively.
 
 
·
On February 1, 2007, the Company granted to Mr. Carlson, a seven-year option to acquire up to 20,000 shares of the Company’s common stock at a price of $5.00 per share.  The options were valued at $3.40 per share using the Black-Scholes pricing model and will be expensed over the vesting period as general and administrative expense.  The options vested as follows:
 
 
(a)
5,000 shares vested immediately.
 
 
(b)
5,000 shares vest upon the Company’s closing on new equity financing arrangements aggregating to $3,000,000 or more after February 1, 2007 and prior to December 31, 2007.  This objective was not met, and these options did not vest and were forfeited.
 
 
(c)
5,000 shares vest if the Company records gross product revenues of $1,000,000 or more in the Company’s 2008 fiscal year.  This objective was not met, and these options did not vest and were forfeited.
 
 
(d)
5,000 shares vested on December 31, 2008.
 
The Company expensed $0, $1,143, and $34,000 related to these options during the year ended December 31, 2009 and 2008, and the period from August 17, 1999 (inception) to December 31, 2009, respectively.
 
 
·
On June 14, 2007, the Company issued 3,000 nonqualified stock options to Mr. Rudelius, upon his appointment to the Board.  The options were valued at $2.40 per share, and vest ratably over a 24-month period through June 14, 2009.  These options are exercisable at $2.90 per share through May 2014.  The Company expensed $1,800, $3,600 and $7,200 related to these options during the year ended December 31, 2009 and 2008, and the period from August 17, 1999 (inception) to December 31, 2009, respectively.

 
F-42

 

 
·
On July 11, 2008, the Company issued incentive stock options to acquire 70,000 shares of its common stock to Mr. Carlson.  The options are exercisable for a period of seven years at an exercise price of $1.00 per share.  Of the options, 10,000 shares vest immediately and 20,000 shares will vest on July 1 of each of 2009, 2010 and 2011.  At the same time, Mr. Carlson agreed to cancel existing, fully-vested stock options to acquire 15,000 shares of common stock at an exercise price of $23.50 per share.  The Company accounts for options that are cancelled and reissued simultaneously as a modification of the terms of the original option.  Accordingly, the incremental compensation cost of the fully vested portion of the newly issued options, valued at $0.79 per share using the Black-Scholes pricing model, over the $0.31 per share value of the cancelled options on the cancellation date were expensed immediately as general and administrative expense.  The value of the unvested portion will be recorded as general and administrative expense over the three-year vesting period.  The Company expensed $17,000, $11,750 and $28,750 related to these options during the year ended December 31, 2009 and 2008, and the period from August 31, 1999 (inception) to December 31, 2009, respectively.
 
 
·
On July 11, 2008, the Company issued incentive stock options to acquire 35,000 shares of its common stock to Mr. Thon.  The options are exercisable for a period of seven years at an exercise price of $1.00 per share.  Of the options, 10,000 shares vest immediately and 8,333 shares will vest on July 1 of each of 2009, 2010 and 2011.  At the same time, Mr. Thon agreed to cancel existing, fully-vested stock options to acquire 20,000 shares of common stock at an exercise price of $25.00 per share.  The Company accounts for options that are cancelled and reissued simultaneously as a modification of the terms of the original option.  Accordingly, the incremental compensation cost of the fully vested portion of the newly issued options, valued at $0.79 per share using the Black-Scholes pricing model, over the $0.27 per share value of the cancelled options on the cancellation date were expensed immediately as general and administrative expense.  The value of the unvested portion will be recorded as general and administrative expense over the three-year vesting period.  The Company expensed $7,083, $6,042 and $13,125 related to these options during the year ended December 31, 2009 and 2008, and the period from August 31, 1999 (inception) to December 31, 2009, respectively.
 
 
·
On August 11, 2008, the Company issued 1,000 non-qualified stock options (immediately exercisable) to each of its three outside directors, Mr. Koenig, Mr. Smith and Mr. Rudelius, pursuant to its standard annual option award program, upon their re-election to the Company’s Board.  The options are exercisable for a period of seven years at an exercise price of $0.90 per share, and were valued at $0.71 per share.  The Company expensed $2,130 related to these option during the year ended December 31, 2008.
 
 
·
On March 3, 2009, the Company granted non-qualified stock options to acquire an aggregate of 70,000 shares of its common stock to its non-employee directors, and incentive options to acquire 45,000 shares of its common stock to Richard Thon, our Chief Financial Officer (the “CFO”).  The options are fully vested and are exercisable for a period of seven years at an exercise price of $0.85 per share.  The 115,000 options were valued at $0.68 per share using the Black-Scholes pricing model and $78,200 was immediately expensed as general and administrative expense.
 
Also on March 3, 2009, the Company granted an incentive stock option to acquire an aggregate of 100,000 shares of its common stock to Richard Carlson, our Chief Executive Officer (the “CEO”).  Of the options, 90,000 shares vest immediately and 10,000 shares will vest on January 2, 2010.  At the same time, Mr. Carlson agreed to cancel existing, unvested stock options to acquire 5,000 shares of common stock at an exercise price of $7.50 per share.  The options that were cancelled and simultaneously reissued were treated as a modification of the terms of the original option.  Accordingly, the incremental compensation cost of the fully vested portion of the newly issued options valued at $0.68 per share using the Black-Scholes pricing model over the $0.07 per share value of the cancelled options on the cancellation date was expensed immediately as general and administrative expense.  A total of $68,200 was recorded as compensation expense related to this option grant during the year ended December 31, 2009
 
 
·
On July 23, 2009, the Company granted a non-qualified stock option to acquire an aggregate of 6,500 shares of its common stock to a consultant pursuant to a consulting arrangement.  The options are fully vested and are exercisable for a period of five years at an exercise price of $1.21 per share.  The options were valued at $0.87 per share using the Black-Scholes pricing model and $5,655 was immediately expensed as general and administrative expense.

 
F-43

 

 
·
On July 23, 2009, the Company granted a non-qualified stock option to acquire an aggregate of 100,000 shares of its common stock to a consultant pursuant to a consulting arrangement.  The options expire seven years from the date of issuance and have an exercise price of $1.21 per share.  Options to purchase 50,000 shares vested immediately, and were valued at $0.97 per share using the Black-Scholes pricing model.  Options to purchase the remaining 50,000 shares vest on July 23, 2010 if the consultant remains a consultant to the Company at that time.  The cost of these options will ultimately be measured on the date that the consultant’s performance is complete, which is the vesting date.  For purposes of measuring the cost during interim periods, the options are measured at their then-current fair value at each interim reporting date.  The fair value of the unvested options as of December 31, 2009 as determined using the Black Scholes pricing model was $2.14 per share.  The value of the options to purchase all 100,000 shares is being recognized as general and administrative expense over the 12 month consulting period.  The Company expensed $64,792 during the year ended December 31, 2009.
 
 
·
On August 11, 2009, the Company issued 1,000 non-qualified stock options (immediately exercisable) to each of its non-employee directors pursuant to its standard annual option award program, upon their re-election to the Board.  The options are fully vested and exercisable for a period of seven years at an exercise price of $1.25 per share.  The options were valued at $1.00 per share using the Black-Scholes pricing model and $3,000 was immediately expensed as general and administrative expense.
 
 
·
On September 29, 2009, the Company issued non-qualified stock options to each of its non-employee directors, Mr. Koenig (50,000 options), Mr. Smith (30,000 options) and Mr. Rudelius (30,000 options).  On the same date, the Company issued incentive stock options to its executive officers, Mr. Carlson (150,000 options) and Mr. Thon (60,000 options).  The options expire seven years from the date of issuance, are exercisable at $1.50 per share and vest upon the latter of the date that the Company is cleared by the FDA to sell its ProUroScan System in the United States or the date that the Company closes on an aggregate of $2 million or more of incremental financing after the date of grant, including financing received upon the exercise of existing warrants.  The options were valued at $1.21 per share using the Black-Scholes pricing model and are being expensed over the estimated vesting period as general and administrative expense.  The Company expensed $232,320 during the year ended December 31, 2009 related to these options.
 
 
·
On November 23, 2009, Mr. Koenig exercised 32,000 of his non-qualified options in a cashless exercise that resulted in a net issuance of 22,229 shares of common stock.
 
 
(k)
Stock options summary
 
Stock option activity was as follows for the years ended December 31:

   
Options
   
Weighted-Average Exercise
Price
 
   
2009
   
2008
   
2009
   
2008
 
Outstanding, January 1
    233,000       175,500     $ 7.73     $ 15.16  
Granted
    644,500       108,000       1.23       1.00  
Exercised
    (32,000 )           0.86        
Forfeited/Expired
    (5,000 )     (50,500 )     7.50       19.16  
Outstanding, December 31
    840,500       233,000     $ 3.01     $ 7.73  
                                 
Exercisable, December 31
    398,833       132,250     $ 4.73     $ 12.20  

 
F-44

 
 
The following table summarizes information about stock options outstanding as of December 31, 2009:
 
   
Options Vested or Expected to Vest
   
Options Exercisable
 
Range of Exercise Prices
 
Number of
Options
   
Weighted
Average
Exercise
Price
   
Weighted
Average
Remaining
Contractual
Life
   
Number of
Options
   
Weighted
Average
Exercise
Price
 
$0.85-$1.25
    400,500     $ 0.99       6.08       283,833       0.95  
$1.50
    320,000     $ 1.50       6.75       -       -  
$2.90
    3,000     $ 2.90       4.45       3,000       2.90  
$5.00-$7.50
    18,000     $ 6.03       5.04       13,000       5.46  
$11.33
    51,000     $ 11.33       2.26       51,000     $ 11.33  
$20.00
    48,000     $ 20.00       2.21       48,000     $ 20.00  
      840,500     $ 3.01       5.85       398,833     $ 4.73  

The aggregate intrinsic value of the options outstanding and exercisable at December 31, 2009 was $925,835 and $439,835, respectively.  The average fair value of each option granted during the years ended December 31, 2009 and 2008, and the period from August 17, 1999 (inception) to December 31, 2009, as determined using the Black-Scholes pricing model (see Note 1(i)) was $0.99, $0.84 and $2.34, respectively.  The stock-based employee and non-employee compensation cost related to stock options was $480,873, $44,745 and $2,122,645, or $0.05, $0.03 and $1.14 per share, for the years ended December 31, 2009 and 2008, and the period from August 17, 1999 (inception) to December 31, 2009, respectively.  The total intrinsic value of the 32,000 options exercised during the year ended December 31, 2009 was $62,910.  The options were exercised pursuant to cashless exercise provisions of the options and no cash was received by the Company.
 
(15)
Related Parties
 
The Company considers its directors, executives and beneficial shareholders of more than five percent of its common stock to be related parties.  During the years ended December 31, 2009 and 2008, the following significant transactions were made between the Company and those parties that were related parties at the time of each transaction:
 
From March 1, 2007 to January 31, 2009, the Company rented executive offices within the offices of a former Company director, Mr. Alex Nazarenko.  Our rental cost for these offices was approximately $2,129 per month, which is the market price for similar office space in Minneapolis, Minnesota.
 
On February 28, 2008, director Robert Rudelius acquired $10,000 of the units sold in the 2008 Private Placement.
 
On April 3, 2008, in connection with the Company’s purchase of the Profile Assets, the Company borrowed an aggregate of $112,500 pursuant to three promissory notes each in the amount of $37,500. The promissory notes were issued in favor of James Davis, William Reiling and the Phillips W. Smith Family Trust (the “Smith Trust”), then each greater than five percent shareholders.  On September 12, 2008, these three promissory notes were amended to extend their due dates to the earlier of seven days following the close of an underwritten public offering or December 31, 2008, and to give the holders an option to convert their notes into shares of our common stock at a conversion price equal to 70 percent of the price of the Units sold in such offering.
 
On September 16, 2008, Mr. Davis agreed to purchase $100,000 of the puts pursuant to the 2008 Unit Put Arrangement.  On September 24, 2008, the Company closed on $50,000 of Mr. Davis’ put commitment, and issued a $47,500 convertible note and a warrant to acquire 10,000 shares of our common stock at an exercise price of $1.00 per share. On October 28, 2008, the Company closed on the remaining $50,000 of Mr. Davis’ put commitment, and issued a $47,500 convertible note and a warrant to acquire 10,000 shares of our common stock at an exercise price of $1.00 per share.
 
On September 25, 2008, the Company borrowed $150,000 pursuant to a promissory note issued in favor of Mr. Davis and used the proceeds to retire the $150,000 principal amount of the Profile Note (see Note 12(d)). As consideration for providing the loan, the Company issued an immediately exercisable, five-year warrant to purchase 100,000 shares of our common stock at $1.50 per share to Mr. Davis.

 
F-45

 
 
On January 15, 2009, the Company repaid an outstanding $37,500 loan along with accrued interest thereon to Mr. Reiling.
 
On March 19, 2009, pursuant to the guaranties received relating to the Company’s renewal of its $1,200,000 Crown Bank promissory note, the Company issued an aggregate 133,334 shares of its common stock as consideration to Mr. Davis and Mr. Reiling, and will issue a further 11,111 shares to each per month for each month the notes remain outstanding after August 31, 2009.
 
On March 19, 2009, a $37,500 convertible promissory note and a $150,000 convertible promissory note due to Mr. Davis were refinanced and combined with other loans and advances on behalf of the Company from Mr. Davis into a $281,000 convertible promissory note.  On May 26, 2009, Mr. Davis exercised his conversion rights under the promissory note and the note was converted into 510,909 shares of the Company’s common stock (see Note 12).
 
On April 13, 2009, the Company issued an aggregate of 27,366 shares of its common stock to its non-employee directors as payment of $20,250 directors’ fees accrued through December 31, 2008, in lieu of cash.
 
On September 1, 2009, the Company borrowed $26,000 from Mr. Smith for working capital purposes.  On November 6, 2009, the entire amount due to Mr. Smith was applied toward his exercise of warrants tendered in the Replacement Warrant Offering.  Although no promissory note was issued, on November 6, 2009, the Company issued 925 shares of its common stock valued at $1,322 to Mr. Smith as consideration for making the loan and in lieu of cash interest.
 
Between May 1, 2009 and September 16, 2009, Mr. Davis made various payments for the benefit of the Company and provided the Company with certain cash advances totaling approximately $243,000.  On September 21, 2009, Mr. Davis and the Company executed the Davis Note.  Upon execution of the Davis Note, the Company agreed, as consideration for making the payments and advances represented by the Davis Note, to issue to Mr. Davis 19,833 shares of its common stock and to accrue for future issuance to Mr. Davis 2,700 shares of common stock for each month (or portion thereof) that the Davis Note is outstanding after March 21, 2010.  In addition, under the terms of the Davis Note, the Company will accrue for issuance to Mr. Davis in lieu of cash interest, 1,618 shares of its common stock for each month (or portion thereof) that the principal amount of the Davis Note is outstanding.  All of the shares accrued for issuance to Mr. Davis will be issued upon repayment of the Davis Note.  The Davis Note matures on March 28, 2011. The promissory note provides Mr. Davis with a subordinated security interest in the Company’s assets.
 
In total, amounts expensed for related party interest and related party debt extinguishment costs were $311,230 and $347,820,  respectively, during the year ended December 31, 2009, $908,486 and $48,214,  respectively, during the year ended December 31, 2008, and $1,659,223 and $422,862,  respectively, during the period from August 17, 1999 (inception) to December 31, 2009.
 
(16)
Subsequent Events
 
 
Between February 3, 2010 and March 2, 2010, holders of 249,970 warrants to purchase the Company’s common stock exercised their warrants resulting in proceeds to the Company of $321,761.
 
On March 15, 2010, the Company issued 769,231 shares of common stock to Artann pursuant to the Development and Commercialization Agreement (see Note 7).  The $1,565,230 value of the shares was recorded as research and development expense during the year ended December 31, 2009.
 
On March 26, 2010, the Company converted its $600,000 loan from an individual lender and $97,546 of accrued interest thereon into 381,173 shares of the Company’s common stock and 381,173 warrants to purchase the Company’s common stock.  The immediately exercisable warrants had a three-year term, an exercise price of $1.83 per share and a cashless exercise provision.  The lender immediately elected to exercise the warrants, and the Company issued 102,154 shares of stock to the lender pursuant to the cashless exercise. The Company will recognize debt extinguishment expense of $870,981 in March 2010, representing the excess fair value of the securities issued over the carrying value of the debt and interest. Upon the termination of the loan upon conversion to equity, the company issued to the individual lender 66,666 shares of common stock as consideration pursuant to the original terms of the loan (see Notes 10 and 14(g)).

 
F-46

 

On March 26, 2010, the maturity dates of the Company’s $1.3 million of Crown Bank promissory notes were extended to April 28, 2010 with no changes to other existing note terms (see Note 11).

 
F-47

 

ITEM 9:
CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND FINANCIAL DISCLOSURE

None.

ITEM 9A(T): 
CONTROLS AND PROCEDURES

Disclosure Controls and Procedures

We maintain disclosure controls and procedures designed to ensure that information required to be disclosed in our reports filed or submitted under the Exchange Act is recorded, processed, summarized and reported within the time periods specified in the rules and forms of the Securities and Exchange Commission. As of December 31, 2009, the end of the period covered by this Annual Report on Form 10-K, we carried out an evaluation, under the supervision and with the participation of management, including our Chief Executive Officer and Chief Financial Officer, of the effectiveness of the design and operation of our disclosure controls and procedures pursuant to Exchange Act Rule 13a-15. Based upon that evaluation, our Chief Executive Officer and Chief Financial Officer concluded that our disclosure controls and procedures were effective.
 
Management’s Annual Report on Internal Control Over Financial Reporting
 
The financial statements, financial analyses and all other information included in this Annual Report on Form 10-K were prepared by the Company’s management, which is responsible for establishing and maintaining adequate internal control over financial reporting.
 
The Company’s internal control over financial reporting is designed to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles. The Company’s internal control over financial reporting includes those policies and procedures that:
 
 
·
pertain to the maintenance of records that, in reasonable detail, accurately and fairly reflect the transactions and dispositions of the assets of the Company;
 
 
·
provide reasonable assurance that transactions are recorded as necessary to permit preparation of financial statements in accordance with generally accepted accounting principles, and that receipts and expenditures of the Company are being made only in accordance with authorizations of management and directors of the Company; and
 
 
·
provide reasonable assurance regarding prevention or timely detection of unauthorized acquisition and use or disposition of the Company’s assets that could have a material effect on the financial statements.
 
There are inherent limitations in the effectiveness of any internal control, including the possibility of human error and the circumvention or overriding of controls. Accordingly, even effective internal controls can provide only reasonable assurances with respect to financial statement preparation. Further, because of changes in conditions, the effectiveness of internal controls may vary over time.
 
Management assessed the design and effectiveness of the Company’s internal control over financial reporting as of December 31, 2009. In making this assessment, management used the criteria set forth by the Committee of Sponsoring Organizations of the Treadway Commission in Internal Control—Integrated Framework. Based on management’s assessment using this framework, it believes that, as of December 31, 2009, the Company’s internal control over financial reporting is effective.
 
This Annual Report on Form 10-K does not include an attestation report of the Company’s independent registered public accounting firm regarding internal control over financial reporting.  Management’s report was not subject to attestation by the Company’s independent registered public accounting firm pursuant to temporary rules of the Securities and Exchange Commission that permit the Company to provide only management’s report in this Annual Report on Form 10-K.
 
Changes in Internal Control Over Financial Reporting
 
During the quarter ended December 31, 2009, there has been no change in the Company’s internal control over financial reporting (as defined in Rule 13a-15(f) under the Exchange Act) that has materially affected, or is reasonably likely to materially affect, the Company’s internal control over financial reporting.

 
34

 

ITEM 9B:
OTHER INFORMATION

None.
 

PART III

ITEM 10:
DIRECTORS, EXECUTIVE OFFICERS AND CORPORATE GOVERNANCE
 
Directors and Executive Officers
 
The following information sets forth the names of our executive officers and directors, their ages and their present positions with the Company as of March 1, 2010. The directors serve for a term of one year or until the next annual meeting of the shareholders. Each officer serves at the discretion of the Board of Directors.
 
Name
 
Age
 
Position
Richard C. Carlson
 
58
 
Chief Executive Officer and Acting Chairman of the Board
Michael Chambers
 
55
 
Director
James L. Davis
 
65
 
Director
David F. Koenig
 
69
 
Director
Robert J. Rudelius
 
54
 
Director
Scott E Smith
 
54
 
Director
Richard B. Thon
  
54
  
Chief Financial Officer

Richard C. Carlson, Chief Executive Officer, Director since 2006 and Acting Chairman of the Board since 2007.  Mr. Carlson was hired as our Vice President of Marketing and Sales in January 2005, and was promoted to Chief Executive Officer in November 2006.  Prior to joining the Company, Mr. Carlson held several positions with SurModics, Inc., a company that provides surface modification solutions for medical device and biomedical applications, from 1998 to 2004, including Vice President of Marketing and Sales and Vice President of Strategic Planning.
 
Mr. Carlson’s extensive experience marketing urology products with American Medical Systems and Boston Scientific is invaluable in developing market strategies for the Company’s products.
 
Michael Chambers, JD, Ph.D. Elected Director on March 1, 2010.  Dr. Chambers currently serves as President and CEO of Swift Biotechnology, a company he co-founded in January 2010. Swift is commercializing early diagnostics for gynecological cancers through technology invented at the Mitchell Cancer Institute.  From 1999 through 2005, Dr. Chambers served as President and CEO of InnoRx Pharmaceuticals, a privately-held company specializing in drugs and drug delivery systems for ophthalmic diseases that he helped establish. He is also "of Counsel" to the law firm of Cabaniss Johnston, based in Birmingham, Alabama.  Dr. Chambers is a member of the Nominating and Governance Committee.
 
Dr. Chambers experience as an attorney, angel investor and medical products entrepreneur helps the Board address key issues it faces in intellectual property matters and global expansion opportunities.
 
James L. Davis. Elected Director on March 1, 2010.  Mr. Davis is the President of Davis & Associates, Inc. which he founded more than 30 years ago. Davis & Associates represents the leading edge lighting and controls manufacturers, providing lighting and controls solutions for customers in the upper Midwest.  Mr. Davis is a member of the Compensation Committee.

 
35

 
 
Mr. Davis brings to the Board extensive experience as a successful independent business owner and an active investor in entrepreneurial companies. He has served as Director on both private and public company Boards over the last 20 years. 
 
David F. Koenig, Director since 2004.   Mr. Koenig served as a director of our predecessor company, ProUroCare Inc. (“PUC”), from 1999 until April 2004, when he became a director of the Company upon the merger of PUC with an acquisition subsidiary of the Company (the “Merger”).  From 1996 to 2005, Mr. Koenig was the Executive Vice President and Chief Operating Officer of Solar Plastics, Inc., a manufacturer of custom rotationally molded plastic parts.  Mr. Koenig is Chairman of the Compensation Committee.
 
Mr. Koenig has valuable experience in raising funds with both private and institutional investors, in commercial banking relationships and deal structuring and in strategic business planning. All of these functions are of particular importance to the Company at its current stage.
 
Robert J. Rudelius, Director since 2007.  Since 2003, Mr. Rudelius has been the Managing Director and CEO of Noble Ventures, LLC, a company he founded, providing advising and consulting services to early-stage companies in the information technology, renewable energy and loyalty marketing fields.  Mr. Rudelius is also the Managing Director and CEO of Noble Logistics, LLC, a holding company he founded in 2002 to create, acquire and grow a variety of businesses in the freight management, logistics and information technology industries.  Mr. Rudelius is the Chairman of the Nominating and Governance Committee and is a member of the Audit Committee.
 
Mr. Rudelius' experience launching several new ventures combined with 25 years of experience leading information technology companies and consulting on IT/systems matters for global companies provides a valued perspective to the Board.
 
Scott E Smith, Director since 2006. Mr. Smith currently provides consulting to best-in-class companies to help them grow rapidly and profitably. He was previously employed by F-2 Intelligence Group (“F2”), a company engaged in providing critical insights to multinational corporations and private equity clients on a broad range of strategic issues. From 2004 to 2008, Mr. Smith served as F2’s Regional Director of Sales for Private Equity, where he advised private equity firms on market and competitive intelligence issues. Prior to joining F2, Mr. Smith was employed by Arthur Andersen for 23 years and served the last 10 years as an audit partner.  Mr. Smith also serves on the board of directors and chairs the audit committee of Table Trac, Inc.  Mr. Smith is a Certified Public Accountant and a Certified Management Accountant. Mr. Smith is Chairman of the Audit Committee and a member of the Compensation Committee.
 
Mr. Smith’s expertise gained through 23 years of experience in public accounting (including 10 years as an audit partner at Arthur Andersen) is invaluable to the Company.  Mr. Smith provides leadership and guidance on the Company’s accounting and financial reporting issues. 
 
Richard B. Thon, Chief Financial Officer.  Mr. Thon has been our Chief Financial Officer since 2004.
 
There are no family relationships among our executive officers or directors.
 
Audit Committee
 
Our Board of Directors has established a two-member Audit Committee that currently consists of Messrs. Smith, the Chairman, and Rudelius.  Mr. Koenig was a member of the Audit committee during all of 2009 and through March 1, 2010. The Board of Directors has adopted a written charter for the Audit Committee, which is available on our website www. prourocare.com.
 
The board of directors has determined that Mr. Smith is an “audit committee financial expert” as that term is defined in Item 407(d)(5) of Regulation S-K promulgated under the Exchange Act.  Mr. Smith was an Audit Partner for Arthur Andersen and is a Certified Public Accountant and a Certified Management Accountant.  Both members of the Audit Committee qualify as “independent directors,” as such term is defined in Section 5000(a)(19) of the NASDAQ listing standards.  Moreover, the board of directors has determined that each of the Audit Committee members is able to read and understand fundamental financial statements.

 
36

 


 
Code of Ethics Disclosure Compliance
 
On February 15, 2005, our Board of Directors adopted a Code of Ethics for Financial Executives, which includes our Company’s principal executive officer, principal financial officer, principal accounting officer or controller, or persons performing similar functions, as required by Sections 406 and 407 of the Sarbanes-Oxley Act of 2002.  Our Code of Ethics is available on our website www.prourocare.com, and we will provide a copy, without charge, to any shareholder upon written request to Dick Thon, ProUroCare Medical Inc., 6440 Flying Cloud Drive, Suite 101, Eden Prairie, MN  55344.

Section 16(a) Beneficial Ownership Reporting Compliance
 
The rules of the Securities and Exchange Commission require our directors, executive officers and holders of more than 10 percent of our common stock to file reports of stock ownership and changes in ownership with the Securities and Exchange Commission.  Based on the Section 16 reports filed by our directors, executive officers and greater than 10 percent beneficial owners and written representations of our directors and executive officers, we believe there were no late or inaccurate filings for transactions occurring during fiscal 2009, except as follows:
 
Name
 
Number of Late Reports
 
Number of Transactions
Reported Late
David Koenig
 
1
 
1
Robert Rudelius
 
1
 
1
Scott Smith
 
1
 
1
James Davis
 
1
 
1

ITEM 11:  EXECUTIVE COMPENSATION

Summary Compensation Table
 
The following table sets forth the compensation earned for services rendered in all capacities by our Chief Executive Officer and Chief Financial Officer. There were no other executive officers or other individuals who earned more than $100,000 during 2009. The individuals named in the table will be hereinafter referred to as the “Named Executive Officers.”
 
Summary Compensation Table
 
Name and
Position
 
Year
 
Salary
($)
   
Bonus
($)
   
Option
Awards
($)(3)
   
All Other
Compensa-
tion
($)(4)
   
Total
($)
 
Richard Carlson(1)
 
2009
  $ 150,000     $ 20,000     $ 249,700     $ 2,107     $ 421,807  
Chief Executive Officer
 
2008
  $ 150,000     $     $ 58,900     $ 2,103     $ 231,003  
and Acting Chairman of the Board
                                           
Richard Thon(2)
 
2009
  $ 133,015     $ 20,000     $ 103,200     $ 8,185     $ 264,400  
Chief Financial Officer
 
2008
  $ 136,375     $     $ 29,150     $ 4,825     $ 170,350  

(1)
All compensation Mr. Carlson earned is related to his duties as an officer.  See “Executive Compensation—Employment Agreements” for the terms of Mr. Carlson’s current employment arrangements with us.
 
(2)
See “Executive Compensation—Employment Agreements” for the terms of Mr. Thon’s current employment arrangements with us.
 
(3)
The amount in the Option Awards column represents the aggregate grant date fair value computed in accordance with Financial Accounting Standards Board (“FASB”) Accounting Standards Codification (“ASC”) Topic 718 for stock options granted during the fiscal years ended December 31, 2009 and 2008, as determined using the Black-Scholes pricing model. See Notes 1(f) and 7(b) to the Consolidated Financial Statements for the fiscal year ended December 31, 2008 included in Part II, Item 8 of our Annual Report on Form 10-K for the fiscal year ended December 31, 2008 and Notes 1(i) and 15(j) to the Consolidated Financial Statements for the fiscal year ended December 31, 2009 included in Part II, Item 8 of this Annual Report on Form 10-K for the material terms of stock option grants.

 
37

 
 
(4)
Other compensation represents insurance premiums paid by us with respect to term life insurance and long-term care polices for the benefit of the executive. There is no cash surrender value associated with the policies.
 
Outstanding Equity Awards at December 31, 2009
 
No stock options or stock-appreciation rights were exercised by our Named Executive Officers during fiscal 2009, and no stock appreciation rights were outstanding at the end of fiscal 2009. The table below sets forth outstanding but unexercised options of our Named Executive Officers as of December 31, 2009.
 
Name
 
Number of
Securities
Underlying
Unexercised
Options 
(#)
Exercisable(1)
   
Number of
Securities
Underlying
Unexercised
Options 
(#)
Unexercisable(1)
   
Equity Incentive
Plan Awards:
Number of
Securities
Underlying
Unexercised
Unearned
Options 
(#)
   
Option
Exercise
Price
 
Option Expiration
Date
Richard Carlson
    10,000                 $ 5.00  
February 1, 2017
      30,000       40,000 (2)         $ 1.00  
July 11, 2015
      90,000       10,000 (3)         $ 0.85  
March 3, 2016
                  150,000 (4)   $ 1.50  
September 29, 2016
                                   
Richard Thon
                5,000 (5)   $ 7.50  
March 1, 2011
      3,000                 $ 11.33  
April 18, 2012
      18,333       16,667 (6)         $ 1.00  
July 11, 2015
      45,000                 $ 0.85  
March 3, 2016
                  60,000 (4)   $ 1.50  
September 29, 2016

(1)
See Notes 1(i) and 14(j) to the Consolidated Financial Statements for the fiscal year ended December 31, 2009 included in Part II, Item 8 in this Annual Report on Form 10-K for the material terms of stock option grants.
 
(2)
20,000 shares will vest on July 1 of each of 2010 and 2011.
 
(3)
Vested January 1, 2010.
 
(4)
Equity Incentive Plan awards will vest upon the latter of (i) the Company securing FDA market clearance of its ProUroScan System and (ii) the date that the Company closes on an aggregate of $2.0 million or more of incremental equity financing after the date of grant.
 
(5)
Equity Incentive Plan Award that will vest upon the Company securing FDA market clearance of its ProUroScan System.
 
(6)
8,333 shares will vest on July 1, 2010 and 8,334 shares on July 1, 2011.
 
Director Compensation
 
During 2009, each of our non-employee directors received an annual payment of $10,000 for services to the Company. The chairpersons of our Compensation, Audit and Nominating and Governance committees received an additional annual payment of $2,500 and each committee member received an annual payment of $1,000 per committee. In addition, we granted to all non-employee directors a one-time non-qualified stock option upon election or appointment to the Board of Directors to purchase 3,000 shares of our common stock at fair market value that vested ratably over two years of service.  We also granted immediately vesting options to purchase 1,000 shares of our common stock at fair market value to each director upon their annual re-election to the Board.

 
38

 
 
Effective January 1, 2010, in addition to the annual payment of $10,000 for services to each of our non-employee directors, the chairpersons of our Compensation and Nominating and Governance Committees will receive $750 per committee meeting up to a maximum of $3,000 per year.  Non-chair committee members of those committees will receive $500 per meeting, up to an annual maximum of $2,000.  The chairperson of the Audit Committee will receive $750 per committee meeting, up to a maximum of $6,000 per year, while other members of the Audit Committee will receive $500 per meeting up to a maximum of $4,000 per year.  In addition, non-employee directors will receive non-qualified stock options upon election or appointment to the Board of Directors, and annually thereafter, to purchase a number of shares equal to $25,000 divided by the then current stock price.  The initial grant will vest ratably over two years of service, while subsequent annual grants will vest immediately.
 
On March 3, 2009, the Company granted non-qualified stock options to Mr. Koenig (30,000 options), Mr. Smith (20,000 options) and Mr. Rudelius (20,000 options).  The options are fully vested and are exercisable for a period of seven years at an exercise price of $0.85 per share.  On September 29, 2009, the Company issued non-qualified stock options to Mr. Koenig (50,000 options), Mr. Smith (30,000 options) and Mr. Rudelius (30,000 options).  The options expire seven years from the date of issuance, are exercisable at $1.50 per share and vest upon the latter of the date that the Company is cleared by the FDA to sell its ProUroScan System in the United States or the date that the Company closes on an aggregate of $2.0 million or more of incremental financing after the date of grant, including financing received upon the exercise of existing warrants.
 
Directors are reimbursed for travel and other out-of-pocket expenses incurred in connection with attendance at meetings of the Board of Directors and its committees.
 
The table below sets forth director compensation earned during 2009:
 
Name
 
Fees Earned
or Paid in
Cash
($)
   
Stock
Awards(4)
($)
   
Option
Awards(5)
($)
   
Total
($)
 
David Koenig(1)
  $ 7,250     $ 7,250     $ 81,900     $ 96,400  
Scott Smith(2)
  $ 12,500     $ 0     $ 50,900     $ 63,400  
Robert Rudelius(3)
  $ 13,500     $ 0     $ 50,900     $ 64,400  

 
(1)
Chairman of the Compensation Committee.
 
 
(2)
Chairman of the Audit Committee.
 
 
(3)
Chairman of the Nominating and Governance Committee.
 
 
(4)
On September 29, 2009, we issued a total of 4,834 shares of our common stock to Mr. Koenig in lieu of $7,250 cash as payment of directors’ fees earned in 2009, based on the average of the closing bid and asked price on that date as quoted by the OTCBB.  Not included in the 2009 compensation are 27,366 shares of common stock issued to our directors in lieu of cash as payment for $20,251 of directors’ fees earned in 2008.
 
 
(5)
The amount in the Option Awards column represents the aggregate grant date fair value computed in accordance with FASB ASC Topic 718 for stock options granted during the fiscal years ended December 31, 2009 as determined using the Black-Scholes pricing model. See Notes 1(i) and 14(j) to the Consolidated Financial Statements for the fiscal year ended December 31, 2009 included in Part II, Item 8 of this Annual Report on Form 10-K for the material terms of stock option grants.  As of December 31, 2009, Mr. Koenig held 53,000 stock options and Mr. Smith and Mr. Rudelius each held 55,000 options.
 
Employment Agreements
 
On July 16, 2008, we entered into an employment agreement with Mr. Carlson, our Chief Executive Officer. The agreement provided for a minimum annual salary of $150,000, a cash incentive bonus potential of up to 40 percent of Mr. Carlson’s base pay, and eligibility to participate in an annual grant of options to purchase shares of common stock, as determined by our board of directors. Mr. Carlson’s agreement expired on December 31, 2009.

 
39

 
 
On July 21, 2007, we entered into an employment agreement with our Chief Financial Officer, Richard Thon. The agreement provided for a minimum annual salary of $140,000, a cash incentive bonus potential of up to 30 percent of Mr. Thon’s base pay and eligibility to participate in an annual grant of options to purchase shares of common stock, as determined by our Board of Directors. Mr. Thon’s agreement  expired on June 30, 2009.
 
ITEM 12:
SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT AND RELATED STOCKHOLDER MATTERS

The following table sets forth certain information regarding beneficial ownership of our common stock as of March 26, 2010, by (i) each person known by us to be the beneficial owner of more than five percent of the outstanding common stock, (ii) each director of the Company, (iii) each executive officer of the Company and (iv) all executive officers and directors as a group.

The number of shares beneficially owned is determined under rules promulgated by the SEC and the information is not necessarily indicative of beneficial ownership for any other purpose.  The definition of beneficial ownership for proxy statement purposes includes shares over which a person has sole or shared voting power or dispositive power, whether or not a person has any economic interest in the shares. The definition also includes shares that a person has a right to acquire currently or within 60 days of March 26, 2010.  Including those shares in the tables does not, however, constitute an admission that the named stockholder is a direct or indirect beneficial owner of those shares.  Unless otherwise indicated, each person or entity named in the table has sole voting power and investment power (or shares that power with that person’s spouse) with respect to all shares of common stock listed as owned by that person or entity.  Unless otherwise indicated, the address of each of the following persons is 6440 Flying Cloud Drive, Suite 101, Eden Prairie, MN 55344.

Name
 
Shares
Beneficially Owned
   
Percent of Class
 
Richard C. Carlson(1)
    130,850       1.0  
Michael Chambers(2)
    197,642       1.5  
James L. Davis (3)
    3,042,914       21.6  
David F. Koenig(4)
    107,363       *  
Robert J. Rudelius(5)
    164,815       1.3  
Scott E Smith(6)
    211,067       1.6  
Richard B. Thon(7)
    66,333       *  
All directors and officers as a group (7 total)(8)
    3,920,984       27.0  
Armen Sarvazyan(9)(10)
    1,077,485       8.3  
Phillips W. Smith Family Trust(11)(12)
    683,522       5.3  


*Less than one percent.
 
(1)
Includes direct holdings of 850 shares of common stock and currently exercisable options to purchase 130,000 shares of common stock.
 
(2)
Includes direct holdings of 113,000 shares of common stock, currently exercisable options to purchase 866 shares of common stock and currently exercisable warrants to purchase 83,776 shares of common stock.
 
(3)
Includes the following directly held shares and immediately exercisable warrants and convertible notes: 1,739,210 shares of common stock, 66,666 shares of stock issuable pursuant to loan guarantees within 60 days, currently exercisable options to purchase 866 shares of common stock and warrants to purchase 989,530 shares of common stock.  Shares beneficially owned also include the following shares and immediately exercisable warrants held by Davis & Associates Inc., 401K PSP, of which Mr. Davis has sole voting power: 74,964 shares of common stock and warrants to purchase 91,014 shares of common stock.  Shares beneficially owned also include the following shares and immediately exercisable warrants held by Davis & Associates Inc., of which Mr. Davis has sole voting power: 37,482 shares of common stock and warrants to purchase 43,182 shares of common stock.
 
(4)
Includes direct holdings of 75,916 shares of common stock held directly and currently exercisable options to purchase 3,000 shares of common stock. Also includes 1,875 shares held by Clinical Network Management Corp. and 26,572 shares held by Clinical Network, Inc. with respect to each of which Mr. Koenig is an officer and minority owner.

 
40

 
 
(5)
Includes direct holdings of 64,317 shares of common stock, warrants to purchase 33,986 shares of common stock and currently exercisable options to purchase 25,000 shares of common stock.  Also includes 24,756 shares of common stock and currently exercisable warrants to purchase 16,756 share of common stock held by Nobel Ventures, of which Mr. Rudelius is an officer and the managing director.
 
(6)
Includes direct holdings of 126,592 shares of common stock, warrants to purchase 59,475 shares of common stock and currently exercisable options to purchase 25,000 shares of common stock.
 
(7)
Includes currently exercisable directly held options to purchase 66,333 shares of common stock.
 
(8)
Includes Messrs. Carlson, Chambers, Davis, Koenig, Rudelius, Smith and Thon.
 
(9)
The address of Dr. Sarvazyan is 1753 Linvale Harbourton Rd., Lambertville, NJ 08530.
 
(10)
Includes direct holdings of 937,099 shares of common stock.  Also includes 122,386 shares of common stock and currently exercisable warrants to purchase 18,000 shares of common stock held by Artann Laboratories Inc., of which Dr. Sarvazyan is an officer and minority owner.
 
(11)
The address of the Phillips W. Smith Family Trust is 5636 E. Mockingbird Lane, Paradise Valley, AZ 85253.
 
(12)
Shares beneficially owned include 613,199 directly held shares and immediately exercisable warrants to purchase 70,323 shares.
 
Securities Authorized for Issuance under Equity Compensation Plans
as of Last Fiscal Year (December 31, 2009)

   
Number of Securities to
be Issued Upon Exercise
of Outstanding Options,
Warrants and Rights
   
Weighted-Average
Exercise Price of
Outstanding Options,
Warrants and Rights
   
Number of Securities
Remaining Available
for Issuance Under
Equity Compensation
Plans (excluding
securities reflected in
column (a))
 
   
(a)
   
(b)
   
(c)
 
Equity compensation plans approved by stockholders (1)
    840,500     $ 3.01       617,500  
Equity compensation plans not approved by stockholders (2)
    1,763,982     $ 2.07        
Total
    2,604,482     $ 2.37       617,500  

 
(1)
Includes shares of our common stock issuable pursuant to options granted under our 2002, 2004 and 2009 Plans (as defined below).
 
(2)
Consists of warrants issued to vendors, consultants, lenders and loan guarantors.
 
The Board of Directors adopted the ProUroCare Inc. 2002 Stock Plan (the “2002 Plan”), the ProUroCare Inc. 2004 Stock Option Plan (and the “2004 Plan”) and the ProUroCare Inc. 2009 Stock Plan (the “2009 Plan”) to provide a means by which our employees, directors, officers and consultants may be given an opportunity to purchase our stock, to assist in retaining the services of such persons, to secure and retain the services of persons capable of filling such positions and to provide incentives for such persons to exert maximum efforts for our success.  Under the three Plans, we are able to grant incentive and non-qualified options, stock appreciation rights, stock awards, restricted stock awards and performance shares.  Incentive stock options granted under the Plans are intended to qualify as “incentive stock options” within the meaning of Section 422 of the Internal Revenue Code of 1986, as amended (the “Code”).  Non-qualified stock options granted under the Plans will not qualify as incentive stock options under the Code.  The Compensation Committee of the board of directors determines the vesting provisions of stock-based awards under the Plans on a case-by-case basis.  We utilize the fair-value method of accounting for these options.  An aggregate of $480,873, $44,745 and $2,122,645 of stock-based compensation related to these options was recognized in the years ended December 31, 2009, 2008 and the period from August 17, 1999 to December 31, 2009, respectively.

 
41

 
 
ITEM 13:
CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS, AND DIRECTOR INDEPENDENCE
 
Upon the January 7, 2009 effective date of the Company’s 2009 Public Offering, convertible debentures and accrued interest in the amount of $239,222 were automatically converted into 79,741 shares of our common stock for each of James Davis and William Reiling.
 
Upon the January 12, 2009 closing of the 2009 Public Offering, the following convertible notes held by related parties were automatically converted into Units, each consisting of one share of our common stock and one five-year warrant to purchase common stock at $1.30 per share:
 
Related Party
 
Amount of Convertible Debt and
Accrued Interest Converted
   
Units Received upon
Conversion
 
James Davis
  $ 393,557       652,182  
William Reiling
  $ 52,474       74,964  
Robert Rudelius
  $ 31,318       44,742  
Scott Smith
  $ 36,732       52,475  
 
On January 15, 2009, the Company repaid an outstanding $37,500 loan along with accrued interest thereon to Mr. Reiling.
 
On February 6, 2009, convertible debentures (and the accrued interest thereon) in the amount of $98,114 held by Mr. Davis automatically converted into 140,163 shares of our common stock.
 
On March 19, 2009, pursuant to the guaranties received relating to the Company’s renewal of its $1,200,000 Crown Bank promissory note, the Company issued an aggregate 66,667 shares of its common stock as consideration to each of Mr. Davis and Mr. Reiling, and will issue a further 11,111 shares to each per month for each month the notes remain outstanding after August 31, 2009.
 
On March 19, 2009, a $37,500 convertible promissory note and a $150,000 convertible promissory note due to Mr. Davis were refinanced and combined with other loans and advances on behalf of the Company from Mr. Davis in a $281,000 convertible promissory note.  On May 26, 2009, Mr. Davis exercised his conversion rights under the promissory note and the note was converted into 510,909 shares of the Company’s common stock.
 
On April 13, 2009, the Company issued an aggregate of 27,366 shares of its common stock to Mr. Koenig, Mr. Rudelius and Mr. Smith as payment of $20,251 directors’ fees accrued through December 31, 2008, in lieu of cash.
 
On September 1, 2009, the Company borrowed $26,000 from Mr. Smith for working capital purposes.  On November 6, 2009, the entire amount due to Mr. Smith was applied toward his exercise of warrants tendered in the Replacement Warrant Offering.  On November 6, 2009, the Company issued 925 shares of its common stock valued at $1,322 to Mr. Smith as consideration for making the loan and in lieu of cash interest.
 
Between May 1, 2009 and September 16, 2009, Mr. Davis made various payments for the benefit of the Company and provided the Company with certain cash advances totaling approximately $243,000.  On September 21, 2009, Mr. Davis and the Company executed the Davis Note.  Upon execution of the Davis Note, the Company agreed, as consideration for making the payments and advances represented by the Davis Note, to issue to Mr. Davis 19,833 shares of its common stock and to accrue for future issuance to Mr. Davis 2,700 shares of common stock for each month (or portion thereof) that the Davis Note is outstanding after March 21, 2010.  In addition, under the terms of the Davis Note, the Company will accrue for issuance to Mr. Davis in lieu of cash interest, 1,618 shares of its common stock for each month (or portion thereof) that the principal amount of the Davis Note is outstanding.  All of the shares accrued for issuance to Mr. Davis will be issued upon repayment of the Davis Note.  The Davis Note matures on March 28, 2011. The promissory note provides Mr. Davis with a subordinated security interest in the Company’s assets
 
Director Independence
 
Each of Messrs. Chambers, Koenig, Rudelius and Smith qualifies as an “independent director,” as such term is defined in Section 5000(a)(19) of the NASDAQ listing rules.  As an executive officer of the Company, Mr. Carlson does not qualify as an “independent director.”  Our Board has determined that due to his beneficial ownership of our securities, Mr. Davis does not qualify as independent.

 
42

 

ITEM 14: PRINCIPAL ACCOUNTANT FEES AND SERVICES

Principal Accountant Fees and Services
 
The following is a summary of the fees billed to the Company by Baker Tilly Virchow Krause, LLP (“Baker Tilly Virchow Krause”) for professional services rendered for the fiscal years ended December 31, 2009 and 2008, respectively:
 
Fee Category
 
Fiscal 2009 Fees
   
Fiscal 2008 Fees
 
                 
Audit Fees
  $ 77,041     $ 91,021  
Tax Fees
    2,060       1,300  
All Other Fees
    20,955       44,790  
Total Fees
  $ 100,056     $ 137,111  
 
Audit Fees. These consist of fees billed by our auditors for professional services rendered for the audit of our consolidated financial statements and review of the interim consolidated financial statements included in quarterly reports.
 
Tax Fees. These consist of fees billed by our auditors for professional services for tax compliance, tax advice and tax planning.
 
All Other Fees. There consist of fees billed by our auditors for professional services rendered for the review of private placement memorandums and registration statement filings on Form S-1, Form S-3 and Form S-8.

Preapproval Policies

The policy of our Audit Committee is to review and preapprove both audit and non-audit services to be provided by the independent auditors (other than with de minimus exceptions permitted by the Sarbanes-Oxley Act of 2002).  This duty may be delegated to one or more designated members of the Audit Committee with any such approval reported to the committee at its next regularly scheduled meeting.  Approval of non-audit services shall be disclosed to investors in periodic reports required by Section 13(a) of the Exchange Act.  100 percent of the fees paid to Baker Tilly Virchow Krause were pre-approved as aforesaid.

No services in connection with appraisal or valuation services, fairness opinions or contribution-in-kind reports were rendered by Baker Tilly Virchow Krause.  Furthermore, no work of Baker Tilly Virchow Krause with respect to its services rendered to the Company was performed by anyone other than Baker Tilly Virchow Krause.

 
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PART IV

ITEM 15:  EXHIBITS, FINANCIAL STATEMENT SCHEDULES

Exhibit No.
 
Description
2.1
 
Agreement of Merger and Reorganization by and among Global Internet Communications, Inc., GIC Acquisition Co., and ProUroCare Inc. dated April 5, 2004 (incorporated by reference to Exhibit 2.1 to our Current Report on Form 8-K filed April 20, 2004).
2.2
 
Articles of Merger relating to the merger of GIC Acquisition Co., then a wholly owned subsidiary of the registrant with and into ProUroCare Inc., as filed with the Minnesota Secretary of State on April 5, 2004 (incorporated by reference to Exhibit 2.2 to our Current Report on Form 8-K filed April 20, 2004).
3.1
 
Amended and Restated Articles of Incorporation of ProUroCare Medical Inc. (incorporated by reference to Exhibit 3.1 to Current Report on Form 8-K filed August 17, 2009).
3.2
 
Amended and Restated Bylaws of ProUroCare Medical Inc. (incorporated by reference to Exhibit 3.2 to Annual Report on Form 10-KSB filed March 31, 2005).
4.1
 
Warrant to acquire 300,000 shares of common stock of ProUroCare Medical Inc., issued in favor of BINA Enterprises on April 5, 2004 (incorporated by reference to Exhibit 4.2 to Registration Statement on Form SB-2 filed August 3, 2004).
4.2
 
Form of Warrants issued to promissory note guarantors and a lender between September 14 and October 19, 2005 (incorporated by reference to Exhibit 4.9 to Annual Report on Form 10-KSB filed March 31, 2006).
4.3
 
Warrant to acquire 25,000 shares of common stock of ProUroCare Medical Inc. issued in favor of Adron Holdings, LLC, dated January 25, 2006 (incorporated by reference to Exhibit 10.7 to Current Report on Form 8-K filed January 31, 2006).
4.4
 
Form of Warrant to acquire shares of common stock of ProUroCare Medical Inc. issued in favor of Roman Pauly and Maryjo Pauly (37,500 shares), Andrew Write (3,750 shares), Leslie Pearson (5,000 shares) and Roman Pauly (31,817 shares), dated between June 1, 2006 and October 24, 2008 (incorporated by reference to Exhibit 10.7 to Current Report on Form 8-K filed June 6, 2006).
4.5
 
Form of Warrants to acquire an aggregate of 67,657 shares of common stock of ProUroCare Medical Inc. issued to the partners of Adron Holdings, LLC in connection with a $100,000 promissory note dated November 29, 2006, January 3, 2007, February 1, 2007, and January 16, 2008 (incorporated by reference to Exhibit 4.17 to Annual Report on Form 10-KSB filed March 30, 2007).
4.6
 
Form of Warrants to acquire an aggregate of 68,740 shares of common stock of ProUroCare Medical Inc. issued in favor of subscribers of the Company’s $500,000 Investment Unit offering dated January 18, 2007, January 23, 2007, February 28, 2007, and May 1, 2007 (incorporated by reference to Exhibit 4.18 to Annual Report on Form 10-KSB filed March 30, 2007).
4.7
 
Amendment No. 1 to Warrant to acquire 300,000 shares of common stock of ProUroCare Medical Inc., originally issued in favor of BINA Enterprises on April 5, 2004, dated April 5, 2007 (incorporated by reference to Exhibit 4.14 to Annual Report on Form 10-KSB filed March 31, 2008).
4.8
 
Form of Warrant issued pursuant to the Company’s 2007 Private Placement dated December 27, 2007 (incorporated by reference to Exhibit 4.16 to Annual Report on Form 10-KSB filed March 31, 2008).
4.9
 
Warrant issued to James Davis dated December 27, 2007 (incorporated by reference to Exhibit 4.17 to Annual Report on Form 10-KSB filed March 31, 2008).
4.10
 
Form of Warrant issued pursuant to the Company’s 2008 Private Placement dated February 13, 2008 (incorporated by reference to Exhibit 4.18 to Annual Report on Form 10-KSB filed March 31, 2008).
4.11
 
Form of Warrants issued to William Reiling, James Davis, and the Phillips W. Smith Family Trust dated April 3, 2008 (incorporated by reference to Exhibit 4.1 to Quarterly Report on Form 10-Q filed May 8, 2008).
4.12
 
Form of Origination Warrant issued pursuant to the Company’s Unit Put Agreement dated September 16, 2008 (incorporated by reference to Exhibit 4.22 to Registration Statement on Form S-1 filed September 19, 2008).
4.13
 
Form of Put Warrant issued pursuant to the Company’s exercise of its put right pursuant to the Unit Put Agreement dated September 16, 2008 (incorporated by reference to Exhibit 4.23 to Registration Statement on Form S-1 filed September 19, 2008).
4.14
 
Warrant issued to James Davis dated September 25, 2008 (incorporated by reference to Exhibit 4.1 to Quarterly Report on Form 10-Q filed October 23, 2008).
4.15
 
Form of Warrant issued to James Davis, Bruce Culver, William S. Reiling, and the Smith Family Trust, dated October 31, 2008 (incorporated by reference to Exhibit 4.25 to Amendment No. 1 to Registration Statement on Form S-1 filed November 10, 2008).

 
44

 

Exhibit No.
 
Description
4.16
 
Form of Underwriters Warrant Agreement (incorporated by reference to Exhibit 4.26 to Amendment No. 3 to Registration Statement on Form S-1 filed December 18, 2008).
4.17
 
Form of Warrants to acquire an aggregate of 20,000 shares of common stock of ProUroCare Medical Inc. issued in favor of Artann Laboratories and Vladimir Drits on April 16, 2007 (incorporated by reference to Exhibit 4.18 to Registration Statement Form S-4/A filed October 16, 2009).
4.18
 
Form of Warrants to purchase an aggregate of 7,295 shares of ProUroCare Medical Inc. common stock issued to Roman Pauly on October 24, 2008 and January 12, 2009(incorporated by reference to Exhibit 4.19 to Registration Statement Form S-4/A filed October 16, 2009).
4.19
 
Warrant to purchase 28,656 shares of ProUroCare Medical Inc. common stock issued to the Phillips W. Smith Family Trust on January 20, 2009 (incorporated by reference to Exhibit 4.20 to Registration Statement Form S-4/A filed October 16, 2009).
4.20
 
Warrant to purchase 30,000 shares of ProUroCare Medical Inc. common stock issued to Kohnstamm Communications on August 6, 2009 (incorporated by reference to Exhibit 4.21 to Registration Statement Form S-4/A filed October 16, 2009).
4.21
 
Form of Warrant Agreement between ProUroCare Medical Inc. and Interwest Transfer (incorporated by reference to Exhibit 4.27 to Amendment No. 3 to Registration Statement on Form S-1 filed December 18, 2008).
4.22
 
Specimen Warrant (incorporated by reference to Exhibit 4.28 to Amendment No. 3 to Registration Statement on Form S-1 filed December 18, 2008).
4.23
 
Form of Unit Certificate (incorporated by reference to Exhibit 4.29 to Amendment No. 3 to Registration Statement on Form S-1 filed December 18, 2008).
4.24
 
Form of Unit Agreement between ProUroCare Medical Inc. and Interwest Transfer (incorporated by reference to Exhibit 4.30 to Amendment No. 3 to Registration Statement on Form S-1 filed December 18, 2008).
4.25
 
Form of First Amendment to Warrant Agreement between ProUroCare Medical Inc. and Interwest Transfer Company, Inc. (incorporated by reference to Exhibit 4.3 to Registration Statement Form S-3 filed September 25, 2009).
4.26
 
Specimen Replacement Warrant (incorporated by reference to Exhibit 4.4 to Registration Statement Form S-3 filed September 25, 2009).
4.27
  Warrant to acquire 381,173 shares of ProUroCare Medical Inc. common stock issued in favor of the Phillips W. Smith Family Trust on March 26, 2010 (filed herewith).
10.1 *
 
ProUroCare Medical Inc. Amended and Restated 2002 Stock Plan (incorporated by reference to Exhibit 4.1 to Registration Statement on Form S-8 filed March 31, 2008).
10.2 *
 
ProUroCare Medical Inc. Amended and Restated 2004 Stock Option Plan (incorporated by reference to Exhibit 4.2 to Registration Statement on Form S-8 filed March 31, 2008).
10.3
 
Promissory Note issued in favor of the Phillips W. Smith Family Trust executed on October 31, 2007 effective as of October 15, 2007 (incorporated by reference to Exhibit 10.35 to Annual Report on Form 10-KSB filed March 31, 2008).
10.4
 
Security Agreement issued in favor of the Phillips W. Smith Family Trust executed on October 31, 2007 effective as of October 15, 2007 (incorporated by reference to Exhibit 10.36 to Annual Report on Form 10-KSB filed March 31, 2008).
10.5
 
$400,000 Promissory Note issued in favor of Crown Bank executed October 31, 2007(incorporated by reference to Exhibit 10.37 to Annual Report on Form 10-KSB filed March 31, 2008).
10.6
 
$1,200,000 Promissory Note issued in favor of Crown Bank, executed October 31 2007 (incorporated by reference to Exhibit 10.38 to Annual Report on Form 10-KSB filed March 31, 2008).
10.8
 
Guaranty provided to Crown Bank on behalf of ProUroCare Medical Inc. by James Davis dated October 10, 2007 (incorporated by reference to Exhibit 10.41 to Annual Report on Form 10-KSB filed March 31, 2008).
10.9
 
Guaranty provided to Crown Bank on behalf of ProUroCare Medical Inc. by William Reiling dated October 10, 2007 (incorporated by reference to Exhibit 10.42 to Annual Report on Form 10-KSB filed March 31, 2008).
10.14
 
Form of Convertible Note issued pursuant to the Company’s 2008 Private Placement dated February 13, 2008 (incorporated by reference to Exhibit 10.47 to Annual Report on Form 10-KSB filed March 31, 2008).
10.15
 
Amendment No. 1 to Promissory Note dated July 31, 2007 between ProUroCare Medical Inc. and the Phillips W. Smith Family Trust dated March 11, 2008 (incorporated by reference to Exhibit 10.48 to Annual Report on Form 10-KSB filed March 31, 2008).
10.16
 
Amendment No. 1 to $600,000 Promissory Note dated October 15, 2007 between ProUroCare Medical Inc. and the Phillips W. Smith Family Trust dated March 11, 2008 (incorporated by reference to Exhibit 10.49 to Annual Report on Form 10-KSB filed March 31, 2008).

 
45

 

Exhibit No.
 
Description
10.17
 
Commercial Loan and Security Agreement with Crown Bank, executed October 31, 2007 and effective as of December 28, 2007 (incorporated by reference to Exhibit 10.39 to Annual Report on Form 10-KSB filed March 31, 2008).
10.18
 
Asset Purchase Agreement by and between ProUroCare Medical Inc. and Profile, LLC dated April 3, 2008 (incorporated by reference to Exhibit 10.1 to Quarterly Report on Form 10-Q filed May 8, 2008).
10.19
 
Security Agreement by and between ProUroCare Medical Inc. and Profile, LLC dated April 3, 2008 (incorporated by reference to Exhibit 10.2 to Quarterly Report on Form 10-Q filed May 8, 2008).
10.20
 
Promissory Note by and between ProUroCare Medical Inc. and Profile, LLC dated April 3, 2008 (incorporated by reference to Exhibit 10.3 to Quarterly Report on Form 10-Q filed May 8, 2008).
10.21
 
Form of Promissory Notes by and between ProUroCare Medical Inc. and each of William Reiling, James Davis, and the Phillips W. Smith Family Trust dated April 3, 2008 (incorporated by reference to Exhibit 10.4 to Quarterly Report on Form 10-Q filed May 8, 2008).
10.22 *
 
Employment Agreement by and between ProUroCare Inc. and Richard Carlson dated July 16, 2008 (incorporated by reference to Exhibit 10.1 to Quarterly Report on Form 10-Q filed August 14, 2008).
10.23 *
 
Form of Stock Option Agreement and Notice of Stock Option Grant for incentive stock options issued to Richard Carlson and Richard Thon on July 11, 2008 (incorporated by reference to Exhibit 10.4 to Quarterly Report on Form 10-Q filed August 14, 2008).
10.24
 
License Agreement by and between ProUroCare Medical Inc. and Artann Laboratories Inc. dated July 25, 2008 (incorporated by reference to Exhibit 10.2 to Quarterly Report on Form 10-Q filed August 14, 2008).
10.25
 
Development and Commercialization Agreement by and between ProUroCare Medical Inc. and Artann Laboratories Inc. dated July 25, 2008 (incorporated by reference to Exhibit 10.3 to Quarterly Report on Form 10-Q filed August 14, 2008).
10.26
 
Amendment Number 1 to Promissory Note by and between ProUroCare Medical Inc. and Profile, LLC dated April 3, 2008 (incorporated by reference to Exhibit 10.1 to Current Report on Form 8-K filed September 16, 2008).
10.27
 
Form of Amendment Number 1 to Promissory Notes by and between ProUroCare Medical Inc. and each of William Reiling, James Davis and the Phillips W. Smith Family Trust dated April 3, 2008 (incorporated by reference to Exhibit 10.2 on Form 8-K filed September 16, 2008).
10.28
 
Unit Put Agreement dated September 16, 2008 (incorporated by reference to Exhibit 10.43 to Registration Statement on Form S-1 filed September 19, 2008).
10.29
 
Form of Unit Put Origination Warrant issued pursuant to Unit Put Agreement dated September 16, 2008 (incorporated by reference from Exhibit 4.23 to Registration Statement on Form S-1 filed September 19, 2008).
10.30
 
Form of Unit Put Warrant to be issued to Unit Put Agreement dated September 16, 2008 (incorporated by reference from Exhibit 4.22 to Registration Statement on Form S-1 filed September 19, 2008).
10.31
 
Form of Convertible Promissory Note issued pursuant to the Company’s exercise of its put right pursuant to the Unit Put Agreement dated September 16, 2008 (incorporated by reference to Exhibit 10.44 to Registration Statement on Form S-1 filed September 19, 2008).
10.32
 
Convertible Promissory Note dated September 25, 2008 issued in favor of James Davis (incorporated by reference to Exhibit 10.7 to Quarterly Report on Form 10-Q filed October 23, 2008).
10.33
 
Amendment of License Agreement by and between ProUroCare Medical Inc. and Artann Laboratories, Inc. dated December 19, 2008 (incorporated by reference to Exhibit 10.46 to Amendment No. 4 to Registration Statement on Form S-1 filed December 22, 2008).
10.34
 
Amendment No.1 to Development and Commercialization Agreement by and between ProUroCare Medical Inc. and Artann Laboratories, Inc. dated December 19, 2008 (incorporated by reference to Exhibit 10.46 to Amendment No. 4 to Registration Statement on Form S-1 filed December 22, 2008).
10.35
 
Promissory Note dated March 19, 2009 issued in favor of Crown Bank (incorporated by reference to Exhibit 10.51 to Annual Report on Form 10-K filed March 26, 2009).
10.36
 
Financing Agreement by and between ProUroCare Medical Inc. and James Davis dated March 19, 2009 (incorporated by reference to Exhibit 10.52 to Annual Report on Form 10-K filed March 26, 2009).
10.37
 
Form of Loan Guarantor Compensation Letter Agreement dated March 19, 2009 (incorporated by reference to Exhibit 10.53 to Annual Report on Form 10-K filed March 26, 2009).
10.38
 
Letter Agreement by and between ProUroCare Medical Inc. and the Phillips W. Smith Family Trust dated March 19, 2009 (incorporated by reference to Exhibit 10.54 to Annual Report on Form 10-K filed March 26, 2009).

 
46

 

Exhibit No.
 
Description
10.39
 
Amendment #2 to $600,000 Promissory Note dated October 15, 2007 between ProUroCare Medical Inc. and the Phillips W. Smith Family Trust dated March 19, 2009 (incorporated by reference to Exhibit 10.55 to Annual Report on Form 10-K filed March 26, 2009).
10.40
 
Convertible Promissory Note dated March 19, 2009 issued in favor of James Davis (incorporated by reference to Exhibit 10.56 to Annual Report on Form 10-K filed March 26, 2009).
10.41
 
Promissory Note dated June 12, 2009 issued in favor of Crown Bank (incorporated by reference to Exhibit 10.1 to Quarterly Report on Form 10-Q filed August 14, 2009).
10.42
 
Security Agreement with Crown Bank dated June 12, 2009 (incorporated by reference to Exhibit 10.2 to Quarterly Report on Form 10-Q filed August 14, 2009).
10.43
 
ProUroCare Medical Inc. 2009 Stock Plan (incorporated by reference to Exhibit 10.1 to Current Report on Form 8-K filed August 17, 2009)
10.44
 
Promissory Note dated September 21, 2009 issued in favor of James L. Davis (incorporated by reference to Exhibit 10.44 to Registration Statement on Form S-4/A filed October 16, 2009).
10.45
 
Promissory Note dated September 23, 2009 issued in favor of Jack Petersen (incorporated by reference to Exhibit 10.45 to Registration Statement on Form S-4/A filed October 16, 2009).
10.46
 
Promissory Note dated September 23, 2009 issued in favor of Central Bank (incorporated by reference to Exhibit 10.46 to Registration Statement on Form S-4/A filed October 16, 2009).
10.47
 
Security Agreement with Bruce Johnson dated September 23, 2009 (incorporated by reference to Exhibit 10.47 to Registration Statement on Form S-4/A filed October 16, 2009).
10.48
 
Amendment No.2 to Development and Commercialization Agreement by and between ProUroCare Medical Inc. and Artann Laboratories, Inc. dated November 17, 2009 (filed herewith).
10.49
 
Settlement Agreement by and between ProUroCare Medical Inc. and Rensselaer Polytechnic Institute dated December 7, 2009 (filed herewith).
10.50
 
Modification/Amendment Agreement to Crown Bank Loans dated March 26, 2010 (filed herewith).
21.1
 
List of Subsidiaries of ProUroCare Medical Inc. (incorporated by reference to Exhibit 21.1 to Registration Statement on Form SB-2 filed August 3, 2004).
23.1
 
Consent of Baker Tilly Virchow Krause, LLP (filed herewith).
24.1
 
Power of Attorney (included on signature page hereof).
31.1
 
Certification of Principal Executive Officer pursuant to Rule 13a-14(a)/15d-14(a) of the Sarbanes-Oxley Act of 2002 (filed herewith).
31.2
 
Certification of Chief Financial Officer pursuant to Rule 13a-14(a)/15d-14(a) of the Sarbanes-Oxley Act of 2002 (filed herewith).
32.1
 
Certification of Chief Executive Officer and Chief Financial Officer pursuant to pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002 (filed herewith).
     

Note: In order that share data agree with the underlying documents, no share data in this list of Exhibits have been restated to reflect the effect of the Company’s February 2008 one-for-ten reverse stock split.

 
47

 

SIGNATURES

Pursuant to the requirements of Section 13 and 15 (d) of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.

ProUroCare Medical, Inc.

By:
/s/ Richard C. Carlson
 
Richard C. Carlson
 
Chief Executive Officer
 
Date: March 31, 2010

Pursuant to the requirements of the Securities Act of 1934, this Annual Report has been signed as of March 29, 2010, by the following persons in the capacities indicated.

Name
 
Title
     
/s/ Richard C. Carlson
 
Chief Executive Officer (Principal Executive Officer)
Richard C. Carlson
   
     
/s/ Richard Thon
 
Chief Financial Officer (Principal Financial and Accounting
Richard Thon
 
Officer)
     
/s/ K. W. Michael Chambers
 
Director
K. W. Michael Chambers
   
     
/s/ James L. Davis
 
Director
James L. Davis
   
     
/s/ David Koenig
 
Director
David Koenig
   
     
/s/ Robert Rudelius
 
Director
Robert Rudelius
   
     
/s/ Scott E. Smith
 
Director
Scott E. Smith
   
     

 
48