Fisher Wallace Laboratories Inc.

03/28/2024 | Press release | Distributed by Public on 03/28/2024 08:37

Offering Statement under Regulation A - Form C

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


FORM C

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Form C: Filer Information

Filer CIK:
0001787792
Filer CCC:
XXXXXXXX
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Submission Contact Information

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Phone Number:
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Form C: Issuer Information

Issuer Information

Name of Issuer:
Fisher Wallace Laboratories, Inc.


Legal Status of Issuer:

Form:
Corporation


Jurisdiction of Incorporation/Organization:
DELAWARE


Date of Incorporation/Organization:
08-23-2019


Physical Address of Issuer:

Address 1:
630 FLUSHING AVENUE, SUITE #104


City:
BROOKLYN


State/Country:
NEW YORK


Mailing Zip/Postal Code:
11206


Website of Issuer:
www.fisherwallace.com


Intermediary through which the Offering will be Conducted:
CIK:
0001872856


Company Name:
DEALMAKER SECURITIES LLC


Commission File Number:
008-70756


CRD Number:
000315324


Form C: Offering Information

Offering Information

Amount of compensation to be paid to the intermediary, whether as a dollar amount or a percentage of the offering amount, or a good faith estimate if the exact amount is not available at the time of the filing, for conducting the offering, including the amount of referral and any other fees associated with the offering:
Up to 8.5%


Type of Security Offered:
Common Stock


Target Number of Securities to be Offered:
901


Price:
11.11000


Target Offering Amount:
10010.11


Oversubscriptions Accepted: Yes No
Deadline to reach the Target Offering Amount:
04-18-2024


NOTE: If the sum of the investment commitments does not equal or exceed the target offering amount at the offering deadline, no securities will be sold in the offering, investment commitments will be cancelled and committed funds will be returned.

Form C: Annual Report Disclosure Requirements

Annual Report Disclosure Requirements

Current Number of Employees:
2.00


Total Assets Most Recent Fiscal Year-end:
439495.00


Total Assets Prior Fiscal Year-end:
1999403.00


Cash and Cash Equivalents Most Recent Fiscal Year-end:
128229.00


Cash and Cash Equivalents Prior Fiscal Year-end:
1929380.00


Accounts Receivable Most Recent Fiscal Year-end:
0.00


Accounts Receivable Prior Fiscal Year-end:
0.00


Short-term Debt Most Recent Fiscal Year-end:
427470.00


Short-term Debt Prior Fiscal Year-end:
471468.00


Long-term Debt Most Recent Fiscal Year-end:
1083664.00


Long-term Debt Prior Fiscal Year-end:
576525.00


Revenue/Sales Most Recent Fiscal Year-end:
4739387.00


Revenue/Sales Prior Fiscal Year-end:
4230290.00


Cost of Goods Sold Most Recent Fiscal Year-end:
1096113.00


Cost of Goods Sold Prior Fiscal Year-end:
623703.00


Taxes Paid Most Recent Fiscal Year-end:
0.00


Taxes Paid Prior Fiscal Year-end:
250.00


Net Income Most Recent Fiscal Year-end:
-7073744.00


Net Income Prior Fiscal Year-end:
3262291.00


Using the list below, select the jurisdictions in which the issuer intends to offer the securities:
ALABAMA


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ALASKA


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ARIZONA


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ARKANSAS


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CALIFORNIA


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COLORADO


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CONNECTICUT


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DELAWARE


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DISTRICT OF COLUMBIA


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FLORIDA


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GEORGIA


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HAWAII


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IDAHO


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ILLINOIS


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INDIANA


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IOWA


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KANSAS


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KENTUCKY


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LOUISIANA


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MAINE


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MARYLAND


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MASSACHUSETTS


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MICHIGAN


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MINNESOTA


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MISSISSIPPI


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MISSOURI


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MONTANA


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NEBRASKA


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NEVADA


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NEW HAMPSHIRE


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NEW JERSEY


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NEW MEXICO


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NEW YORK


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NORTH CAROLINA


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NORTH DAKOTA


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OHIO


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OKLAHOMA


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OREGON


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PENNSYLVANIA


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PUERTO RICO


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RHODE ISLAND


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SOUTH CAROLINA


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SOUTH DAKOTA


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TENNESSEE


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TEXAS


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UTAH


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VERMONT


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VIRGINIA


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WASHINGTON


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WEST VIRGINIA


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WISCONSIN


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WYOMING


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ALBERTA, CANADA


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BRITISH COLUMBIA, CANADA


Using the list below, select the jurisdictions in which the issuer intends to offer the securities:
MANITOBA, CANADA


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NEW BRUNSWICK, CANADA


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NEWFOUNDLAND, CANADA


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NOVA SCOTIA, CANADA


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ONTARIO, CANADA


Using the list below, select the jurisdictions in which the issuer intends to offer the securities:
PRINCE EDWARD ISLAND, CANADA


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QUEBEC, CANADA


Using the list below, select the jurisdictions in which the issuer intends to offer the securities:
SASKATCHEWAN, CANADA


Using the list below, select the jurisdictions in which the issuer intends to offer the securities:
YUKON, CANADA


Using the list below, select the jurisdictions in which the issuer intends to offer the securities:
CANADA (FEDERAL LEVEL)


Form C: Signature

Signature

Pursuant to the requirements of Sections 4(a)(6) and 4A of the Securities Act of 1933 and Regulation Crowdfunding (§ 227.100-503), the issuer certifies that it has reasonable grounds to believe that it meets all of the requirements for filing on Form C and has duly caused this Form to be signed on its behalf by the duly authorized undersigned.
Issuer:
Fisher Wallace Laboratories, Inc.


Signature:
/Kelly Roman/


Title:
Chief Executive Officer


Pursuant to the requirements of Sections 4(a)(6) and 4A of the Securities Act of 1933 and Regulation Crowdfunding (§ 227.100-503), this Form C has been signed by the following persons in the capacities and on the dates indicated.

Signature:
/Kelly Roman/


Title:
Chief Executive Officer


Date:
03-28-2024