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Correspondence 0001104659-23-109965 from TriSalus Life Sciences, Inc. (TLSI)

TriSalus Life Sciences, Inc.
Date: Oct. 18, 2023 · CIK: 0001826667 · Accession: 0001104659-23-109965

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File numbers found in text: 333-274292

Referenced dates: September 27, 2023

Date
October 18, 2023
Author
Not clearly detected
Form
CORRESP
Company
TriSalus Life Sciences, Inc.

Letter

Carlos Ramirez

T: +1 858 550 6157

cramirez@cooley.com

October 18, 2023

U.S. Securities and Exchange Commission

Division of Corporation Finance

Office of Manufacturing

100 F Street, NE

Washington, D.C. 20549

Attention:

Nicholas O’Leary

Abby Adams

Re: TriSalus Life Sciences, Inc.

Amendment No. 1 to Registration Statement on Form S-1

Filed September 1, 2023

File No. 333-274292

Ladies and Gentlemen:

On behalf of TriSalus Life Sciences, Inc. (the “Company”), we are providing this letter in response to comments (the “Comments”) received from the staff of the U.S. Securities and Exchange Commission’s Division of Corporation Finance (the “Staff”) by letter dated September 27, 2023 with respect to the Company’s Amendment No. 1 to Registration Statement on Form S-1, as filed on September 1, 2023. Concurrently with the submission of this letter, the Company is filling its second amendment to the registration statement on Form S-1 (the “Amendment No. 2”) and certain exhibits via EDGAR to the Commission.

The Staff’s comments are repeated below in bold, followed by the Company’s responses to the comments. We have included page numbers to refer to the location in Amendment No. 2 where the disclosure addressing a particular comment appears. Defined terms used but not otherwise defined herein shall have the respective meanings ascribed thereto in Amendment No. 2.

Amendment No. 1 to Form S-1 filed September 1,

Cover Page

1. We note your disclosure of the purchase price for certain securities being registered for resale. For each of the securities being registered for resale, disclose the price that the selling securityholders paid for such securities.

In response to the Staff’s comment, the Company respectfully advises the Staff that it has revised the disclosure on the cover page and pages 5 and 60 of Amendment No. 2.

Cooley LLP 10265 Science Center Drive San Diego, CA 92121-1117

t: +1 858 550 6000 f: +1 858 550-6420 cooley.com

U.S. Securities and Exchange Commission

October 18, 2023

Page Two

Prospectus Summary, page 1

2. Here and in your risk factors, use of proceeds and management's discussion and analysis, and elsewhere where you address your recent trading prices as compared to the warrant exercise price, please revise to clarify that your warrants are out of the money and it is unlikely that warrant holders would exercise your warrants while the trading price is below the warrant exercise price. In addition, we note that your disclosure does not present a clear view of your liquidity expectations. We note, for example:

• Disclosure in the liquidity discussion on pages 76-77, wherein you state, "We believe that the proceeds from the Business Combination and [the July 2023] exercise of warrants should be sufficient to fund our operations through key data read-outs expected in mid-2024. However, unless we are able to raise additional capital, we do not currently expect that our existing cash and cash equivalents, including cash received in connection with the Business Combination will be sufficient to fund our projected liquidity requirements for the next 12 months, creating substantial doubt about our ability to continue as a going concern."

• The liquidity discussion refers to the section addressing "Funding Requirements," wherein you state, "We will likely require additional capital in the near term in order to continue to fund our operations through equity or debt financings, partnerships, collaborations, or other sources which may not be available on a timely basis, on favorable terms, or at all, and such capital, if obtained, may not be sufficient to enable us to continue to implement our long-term business strategy."

Please revise your cover page, summary, risk factors, use of proceeds, and MD&A to clarify the ability of your company to fund your operations on a prospective basis with your current cash on hand.

In response to the Staff’s comment, the Company respectfully advises the Staff that it has revised the disclosure on the cover page and pages 4, 61–62, 66, 81–82 and 85–86 of Amendment No. 2.

3. Revise your prospectus to disclose the price that each selling securityholder paid for the securities being registered for resale. To the extent you have not done so, highlight any differences in the current trading price, the prices that the Sponsor, PIPE investors and other selling securityholders acquired their shares and warrants, and the price that the public securityholders acquired their shares and warrants. Disclose that while the Sponsor, PIPE investors and other selling securityholders may experience a positive rate of return based on the current trading price, the public securityholders may not experience a similar rate of return on the securities they purchased due to differences in the purchase prices and the current trading price. Please also disclose the potential profit the selling securityholders will earn based on the current trading price. Lastly, please include appropriate risk factor disclosure.

In response to the Staff’s comment, the Company respectfully advises the Staff that it has revised the disclosure on the cover page and pages 5 and 60 of Amendment No. 2.

Cooley LLP 10265 Science Center Drive San Diego, CA 92121-1117

t: +1 858 550 6000 f: +1 858 550-6420 cooley.com

U.S. Securities and Exchange Commission

October 18, 2023

Page Three

Risk Factors

Sales of our Common Stock and/or Warrants or the perception of such sales, by us or the selling securityholders pursuant to this prospectus, page 57

4. We note the risk factor on page 59 addressing the potential negative pressure potential sales by the selling securityholders may have on your security prices. Please revise the risk factor to state the purchase price the various selling security holders paid for their securities being registered for resale, in addition to the price paid originally for the Founder Shares.

In response to the Staff’s comment, the Company respectfully advises the Staff that it has revised the disclosure on pages 60–61 of Amendment No. 2.

Management's Discussion and Analysis of Financial Condition and Results of Operations, page 66

5. We note that the projected revenues for 2023 were $19.2 million, as set forth in the unaudited prospective financial information management prepared and provided to the Board, the company’s financial advisors and the SPAC in connection with the evaluation of the Business Combination. We also note that your actual revenues for the six months ended June 30, 2023 was approximately $7.6 million. It appears that you will miss your 2023 revenue projection. Please update your disclosure in Liquidity and Capital Resources, and elsewhere, to provide updated information about the company’s financial position and further risks to the business operations and liquidity in light of these circumstances.

In response to the Staff’s comment, the Company respectfully informs the Staff that there are no changes to its 2023 revenue projection. In addition, the Company respectfully advises the Staff that it has revised the disclosure on pages 80–81 of Amendment No. 2.

Liquidity and Capital Resources, page 75

6. In light of the significant number of redemptions and the unlikelihood that the company will receive significant proceeds from exercises of the warrants because of the disparity between the exercise price of the warrants and the current trading price of the common stock, expand your discussion of capital resources to address any changes in the company’s liquidity position since the business combination.

In response to the Staff’s comment, the Company respectfully advises the Staff that it has revised the disclosure on pages 81–82 of Amendment No. 2.

7. We note your disclosure that this offering involves the potential sale of a substantial portion of shares for resale and that such sales could impact the market price of the company’s common stock. Please expand your disclosure to highlight the fact that a number of beneficial owners of more than 5% will be able to sell all of their shares for so long as the registration statement of which this prospectus forms a part is available for use. In providing this disclosure, please include the number of beneficial owners of more than 5% of your shares that are participating in the offering.

In response to the Staff’s comment, the Company respectfully advises the Staff that it has revised the disclosure on page 82 of Amendment No. 2.

Cooley LLP 10265 Science Center Drive San Diego, CA 92121-1117

t: +1 858 550 6000 f: +1 858 550-6420 cooley.com

U.S. Securities and Exchange Commission

October 18, 2023

Page Four

General

8. Please revise to update your disclosures throughout the filing and address areas that appear to need updating or that present inconsistencies. Non-exclusive examples of areas where disclosure should be updated are as follows:

• To the extent applicable, revise the risk factors and other areas of the document to clarify the current stage of clinical development for your product candidates, and whether you have made any determination with respect to seeking expedited approval pathways or orphan drug status (pages 13, 29-31, 96 and 98-103). We note the product pipeline in the investor presentation submitted with your Form 8-K filed September 1, 2023, does not correspond with the disclosure on page 98;

• Update the disclosure regarding the CARES Act, and the status of related legislation (pages 35-36);

• Update the status of your patents and patent applications, which currently are stated as of July 16, 2023, and your progress in notifying certain foreign patent offices of your ownership of foreign patent rights related to SD-101 (pages 44-45 and 48 and 110-113);

• Update the disclosure regarding the impact of new tax laws and management's remediation plans regarding the material weaknesses in your internal controls (page 55);

• Update the risk factors related to the market for your securities and price volatility (page 56);

• Revise to clarify that your warrants are exercisable (page 59);

• Revise the risk factors to clarify that your current charter contains an exclusive forum provision, rather than it "will provide" that federal district courts will be the sole and exclusive forum (page 62);

• Update the recent developments on page 68; and

• Please update the status of the transactions described in "Certain Relationships and Related Party Transactions," beginning on page 155, to the extent the transactions do not reflect the effects of the business combination.

In response to the Staff’s comment, the Company respectfully advises the Staff that it has revised the disclosure on pages 7–8, 10, 13, 19, 22, 32, 37, 42, 45–46, 55–59, 62–64, 72, 94, 99, 103, 105–108, 111, 113, 115–117 and 161–163 of Amendment No. 2. The Company also respectfully advises the Staff that there have not been any changes to its determinations with respect to seeking expedited approval pathways or orphan drug status.

9. Please revise the first paragraph on the cover page, and the prospectus generally, to remove the registration of these private placement shares:

• "up to 4,933,333 shares of Common Stock that are issuable upon the exercise of 4,933,333 warrants (the “Private Placement Warrants”) held by MedTech Acquisition Sponsor LLC, a Delaware limited liability company (the “Sponsor”), originally issued in a private placement in connection with the initial public offering of MedTech Acquisition Corporation (“MTAC”)," and

• "up to 1,000,000 shares of Common Stock that are issuable upon the exercise of 1,000,000 conversion warrants issuable upon the conversion of the promissory note issued by MTAC to the Sponsor for working capital requirements and payment of certain expenses in connection with a potential

Show Raw Text
CORRESP
1
filename1.htm

Carlos Ramirez

T: +1 858 550 6157

cramirez@cooley.com

October 18, 2023

U.S. Securities and Exchange Commission

Division of Corporation Finance

Office of Manufacturing

100 F Street, NE

Washington, D.C. 20549

Attention:

Nicholas O’Leary

Abby Adams

 Re: TriSalus Life Sciences, Inc.

                                            Amendment No. 1 to Registration Statement on Form S-1

                                            Filed September 1, 2023

                                            File No. 333-274292

Ladies and Gentlemen:

On behalf of TriSalus Life Sciences, Inc.
(the “Company”), we are providing this letter in response to comments (the “Comments”)
received from the staff of the U.S. Securities and Exchange Commission’s Division of Corporation Finance (the “Staff”)
by letter dated September 27, 2023 with respect to the Company’s Amendment No. 1 to Registration Statement on Form S-1,
as filed on September 1, 2023. Concurrently with the submission of this letter, the Company is filling its second amendment to the
registration statement on Form S-1 (the “Amendment No. 2”) and certain exhibits via EDGAR to the
Commission.

The Staff’s comments are repeated below
in bold, followed by the Company’s responses to the comments. We have included page numbers to refer to the location in Amendment
No. 2 where the disclosure addressing a particular comment appears. Defined terms used but not otherwise defined herein shall have
the respective meanings ascribed thereto in Amendment No. 2.

Amendment No. 1 to Form S-1 filed September 1,
2023

Cover Page

 1. We note your disclosure of
                                            the purchase price for certain securities being registered for resale. For each of the securities
                                            being registered for resale, disclose the price that the selling securityholders paid for
                                            such securities.

In response to the Staff’s comment,
the Company respectfully advises the Staff that it has revised the disclosure on the cover page and pages 5 and 60 of Amendment
No. 2.

Cooley LLP 10265 Science Center Drive San Diego,
CA 92121-1117

t: +1 858 550 6000 f: +1 858 550-6420 cooley.com

U.S. Securities and Exchange Commission

 October 18, 2023

Page Two

Prospectus Summary, page 1

 2. Here and in your risk factors,
                                            use of proceeds and management's discussion and analysis, and elsewhere where you address
                                            your recent trading prices as compared to the warrant exercise price, please revise to clarify
                                            that your warrants are out of the money and it is unlikely that warrant holders would exercise
                                            your warrants while the trading price is below the warrant exercise price. In addition, we
                                            note that your disclosure does not present a clear view of your liquidity expectations. We
                                            note, for example:

 • Disclosure
                                            in the liquidity discussion on pages 76-77, wherein you state, "We believe that
                                            the proceeds from the Business Combination and [the July 2023] exercise of warrants
                                            should be sufficient to fund our operations through key data read-outs expected in mid-2024.
                                            However, unless we are able to raise additional capital, we do not currently expect that
                                            our existing cash and cash equivalents, including cash received in connection with the Business
                                            Combination will be sufficient to fund our projected liquidity requirements for the next
                                            12 months, creating substantial doubt about our ability to continue as a going concern."

 • The
                                            liquidity discussion refers to the section addressing "Funding Requirements," wherein
                                            you state, "We will likely require additional capital in the near term in order to continue
                                            to fund our operations through equity or debt financings, partnerships, collaborations, or
                                            other sources which may not be available on a timely basis, on favorable terms, or at all,
                                            and such capital, if obtained, may not be sufficient to enable us to continue to implement
                                            our long-term business strategy."

Please revise your cover page, summary,
risk factors, use of proceeds, and MD&A to clarify the ability of your company to fund your operations on a prospective basis with
your current cash on hand.

In response to the Staff’s comment,
the Company respectfully advises the Staff that it has revised the disclosure on the cover page and pages 4, 61–62, 66,
81–82 and 85–86 of Amendment No. 2.

 3. Revise your prospectus to disclose
                                            the price that each selling securityholder paid for the securities being registered for resale.
                                            To the extent you have not done so, highlight any differences in the current trading price,
                                            the prices that the Sponsor, PIPE investors and other selling securityholders acquired their
                                            shares and warrants, and the price that the public securityholders acquired their shares
                                            and warrants. Disclose that while the Sponsor, PIPE investors and other selling securityholders
                                            may experience a positive rate of return based on the current trading price, the public securityholders
                                            may not experience a similar rate of return on the securities they purchased due to differences
                                            in the purchase prices and the current trading price. Please also disclose the potential
                                            profit the selling securityholders will earn based on the current trading price. Lastly,
                                            please include appropriate risk factor disclosure.

In response to the Staff’s comment,
the Company respectfully advises the Staff that it has revised the disclosure on the cover page and pages 5 and 60 of Amendment
No. 2.

Cooley LLP 10265 Science Center Drive San Diego,
CA 92121-1117

t: +1 858 550 6000 f: +1 858 550-6420 cooley.com

U.S. Securities and Exchange Commission

 October 18, 2023

Page Three

Risk Factors

Sales of our Common Stock and/or Warrants or the perception
of such sales, by us or the selling securityholders pursuant to this prospectus, page 57

 4. We note the risk factor on
                                            page 59 addressing the potential negative pressure potential sales by the selling securityholders
                                            may have on your security prices. Please revise the risk factor to state the purchase price
                                            the various selling security holders paid for their securities being registered for resale,
                                            in addition to the price paid originally for the Founder Shares.

In response to the Staff’s comment,
the Company respectfully advises the Staff that it has revised the disclosure on pages 60–61 of Amendment No. 2.

Management's Discussion and Analysis of Financial Condition
and Results of Operations, page 66

 5. We note that the projected
                                            revenues for 2023 were $19.2 million, as set forth in the unaudited prospective financial
                                            information management prepared and provided to the Board, the company’s financial
                                            advisors and the SPAC in connection with the evaluation of the Business Combination. We also
                                            note that your actual revenues for the six months ended June 30, 2023 was approximately
                                            $7.6 million. It appears that you will miss your 2023 revenue projection. Please update your
                                            disclosure in Liquidity and Capital Resources, and elsewhere, to provide updated information
                                            about the company’s financial position and further risks to the business operations
                                            and liquidity in light of these circumstances.

In response to the Staff’s comment,
the Company respectfully informs the Staff that there are no changes to its 2023 revenue projection. In addition, the Company respectfully
advises the Staff that it has revised the disclosure on pages 80–81 of Amendment No. 2.

Liquidity and Capital Resources, page 75

 6. In light of the significant
                                            number of redemptions and the unlikelihood that the company will receive significant proceeds
                                            from exercises of the warrants because of the disparity between the exercise price of the
                                            warrants and the current trading price of the common stock, expand your discussion of capital
                                            resources to address any changes in the company’s liquidity position since the business
                                            combination.

In response to the Staff’s comment,
the Company respectfully advises the Staff that it has revised the disclosure on pages 81–82 of Amendment No. 2.

 7. We note your disclosure that
                                            this offering involves the potential sale of a substantial portion of shares for resale and
                                            that such sales could impact the market price of the company’s common stock. Please
                                            expand your disclosure to highlight the fact that a number of beneficial owners of more than
                                            5% will be able to sell all of their shares for so long as the registration statement of
                                            which this prospectus forms a part is available for use. In providing this disclosure, please
                                            include the number of beneficial owners of more than 5% of your shares that are participating
                                            in the offering.

In response to the Staff’s comment,
the Company respectfully advises the Staff that it has revised the disclosure on page 82 of Amendment No. 2.

Cooley LLP 10265 Science Center Drive San Diego,
CA 92121-1117

t: +1 858 550 6000 f: +1 858 550-6420 cooley.com

U.S. Securities and Exchange Commission

 October 18, 2023

Page Four

General

 8. Please revise to update your
                                            disclosures throughout the filing and address areas that appear to need updating or that
                                            present inconsistencies. Non-exclusive examples of areas where disclosure should be updated
                                            are as follows:

 • To
                                            the extent applicable, revise the risk factors and other areas of the document to clarify
                                            the current stage of clinical development for your product candidates, and whether you have
                                            made any determination with respect to seeking expedited approval pathways or orphan drug
                                            status (pages 13, 29-31, 96 and 98-103). We note the product pipeline in the investor
                                            presentation submitted with your Form 8-K filed September 1, 2023, does not correspond
                                            with the disclosure on page 98;

 • Update
                                            the disclosure regarding the CARES Act, and the status of related legislation (pages 35-36);

 • Update
                                            the status of your patents and patent applications, which currently are stated as of July 16,
                                            2023, and your progress in notifying certain foreign patent offices of your ownership of
                                            foreign patent rights related to SD-101 (pages 44-45 and 48 and 110-113);

 • Update
                                            the disclosure regarding the impact of new tax laws and management's remediation plans regarding
                                            the material weaknesses in your internal controls (page 55);

 • Update
                                            the risk factors related to the market for your securities and price volatility (page 56);

 • Revise
                                            to clarify that your warrants are exercisable (page 59);

 • Revise
                                            the risk factors to clarify that your current charter contains an exclusive forum provision,
                                            rather than it "will provide" that federal district courts will be the sole and
                                            exclusive forum (page 62);

 • Update
                                            the recent developments on page 68; and

 • Please
                                            update the status of the transactions described in "Certain Relationships and Related
                                            Party Transactions," beginning on page 155, to the extent the transactions do not
                                            reflect the effects of the business combination.

In response to the Staff’s comment,
the Company respectfully advises the Staff that it has revised the disclosure on pages 7–8, 10, 13, 19, 22, 32, 37, 42, 45–46,
55–59, 62–64, 72, 94, 99, 103, 105–108, 111, 113, 115–117 and 161–163 of Amendment No. 2. The Company
also respectfully advises the Staff that there have not been any changes to its determinations with respect to seeking expedited approval
pathways or orphan drug status.

 9. Please revise the first paragraph
                                            on the cover page, and the prospectus generally, to remove the registration of these private
                                            placement shares:

 • "up
                                            to 4,933,333 shares of Common Stock that are issuable upon the exercise of 4,933,333 warrants
                                            (the “Private Placement Warrants”) held by MedTech Acquisition Sponsor LLC, a
                                            Delaware limited liability company (the “Sponsor”), originally issued in a private
                                            placement in connection with the initial public offering of MedTech Acquisition Corporation
                                            (“MTAC”)," and

 • "up
                                            to 1,000,000 shares of Common Stock that are issuable upon the exercise of 1,000,000 conversion
                                            warrants issuable upon the conversion of the promissory note issued by MTAC to the Sponsor
                                            for working capital requirements and payment of certain expenses in connection with a potential