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| FORM C | UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 | OMB APPROVAL |
| OMB Number: ####-#### Estimated average burden hours per response: ##.# |
Form C: Filer Information
| Filer CIK: | 0001674632 |
| Filer CCC: | XXXXXXXX |
| Period: | 12-31-2019 |
| Is this a LIVE or TEST Filing? |  LIVE  TEST |
| Is this an electronic copy of an official filing submitted in paper format in connection with a hardship exemption? |  |
| Would you like a Return Copy? | |
Submission Contact Information
| Name: | |
| Phone Number: | |
| Contact E-Mail Address: | |
| Notify via Filing Website only? | |
Form C: Issuer Information
Issuer Information
| Name of Issuer: | Beta Bionics, Inc |
Legal Status of Issuer:
| Form: | Corporation |
| Jurisdiction of Incorporation/Organization: | MISSISSIPPI |
| Date of Incorporation/Organization: | 10-21-2015 |
Physical Address of Issuer:
| Address 1: | BUSINESS INNOVATION CENTER |
| Address 2: | 8 SAINT MARY'S STREET, SUITE 936 |
| City: | BOSTON |
| State/Country: | MASSACHUSETTS |
| Mailing Zip/Postal Code: | 02215 |
| Website of Issuer: | www.betabionics.com |
Form C: Offering Information
Offering Information
Form C: Annual Report Disclosure Requirements
Annual Report Disclosure Requirements
| Current Number of Employees: | 39.00 |
| Total Assets Most Recent Fiscal Year-end: | 108079000.00 |
| Total Assets Prior Fiscal Year-end: | 50902000.00 |
| Cash and Cash Equivalents Most Recent Fiscal Year-end: | 103226000.00 |
| Cash and Cash Equivalents Prior Fiscal Year-end: | 48755000.00 |
| Accounts Receivable Most Recent Fiscal Year-end: | 492000.00 |
| Accounts Receivable Prior Fiscal Year-end: | 0.00 |
| Short-term Debt Most Recent Fiscal Year-end: | 2331000.00 |
| Short-term Debt Prior Fiscal Year-end: | 1410000.00 |
| Long-term Debt Most Recent Fiscal Year-end: | 0.00 |
| Long-term Debt Prior Fiscal Year-end: | 0.00 |
| Revenue/Sales Most Recent Fiscal Year-end: | 854000.00 |
| Revenue/Sales Prior Fiscal Year-end: | 1928000.00 |
| Cost of Goods Sold Most Recent Fiscal Year-end: | 0.00 |
| Cost of Goods Sold Prior Fiscal Year-end: | 0.00 |
| Taxes Paid Most Recent Fiscal Year-end: | 1387.00 |
| Taxes Paid Prior Fiscal Year-end: | 2394.00 |
| Net Income Most Recent Fiscal Year-end: | -13932000.00 |
| Net Income Prior Fiscal Year-end: | -5216000.00 |
Form C: Signature
Signature
| Issuer: | Beta Bionics, Inc |
| Signature: | /s/ Serafina Raskin |
| Title: | VP, General Counsel and Corporate Secretary |
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: | /s/ Edward R. Damiano |
| Title: | Chairmain of the Board, CEO & President (Principal Executive Officer) |
| Date: | 05-22-2020 |
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: | /s/ Gilbert Clarke |
| Title: | Chief Financial Officer (Principal Financial Officer) |
| Date: | 05-22-2020 |
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: | /s/ Edward B. Raskin |
| Title: | Board Member |
| Date: | 05-22-2020 |
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: | /s/ Jeff Hitchcock |
| Title: | Board Member |
| Date: | 05-22-2020 |
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: | /s/ Adam Steensberg |
| Title: | Board Member |
| Date: | 05-22-2020 |
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: | /s/ Finny Kuruvilla |
| Title: | Board Member |
| Date: | 05-22-2020 |
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: | /s/ Martha Goldberg Aronson |
| Title: | Board Member |
| Date: | 05-22-2020 |
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: | /s/ Sean Carney |
| Title: | Board Member |
| Date: | 05-22-2020 |