Exhibit 107
Calculation of Filing Fee Table
Form F-1
(Form Type)
Polyrizon Ltd.
(Exact Name of Registrant as Specified in its Charter)
Table 1: Newly Registered Securities
Security Type | | Security Class Title | | Fee Calculation Rule | | | Amount Registered(1) | | | Proposed Maximum Offering Price Per Share(4) | | | Maximum Aggregate Offering Price | | | Fee Rate | | | Amount of Registration Fee | |
Equity | | Ordinary shares, no par value | | | 457(c) | | | | 2,419,724 | (2) | | $ | 1.77 | (3) | | $ | 4,282,911.48 | | | $ | 0.0001531 | | | $ | 655.72 | |
Total Offering Amount | | | | 2,419,724 | | | | | | | $ | 4,282,911.48 | | | | | | | $ | 655.72 | |
Total Fees Previously Paid | | | | | | | | | | | | | | | | | | | | | | | — | |
Total Fee Offsets | | | | | | | | | | | | | | | | | | | | | | | — | |
Net Fee Due | | | | | | | | | | | | | | | | | | | | | | $ | 655.72 | |
(1) | Pursuant to Rule 416 under the Securities Act of 1933, as amended, or the Securities Act, the Registrant is also registering hereunder an indeterminate number of additional shares of common stock that shall be issuable pursuant to Rule 416 to prevent dilution resulting from stock splits, stock dividends or similar transactions. |
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(2) | Consists of an aggregate of 2,419,724 of the Registrant’s ordinary shares, no par value (the “Ordinary Shares”), consisting of (i) 364,931 Ordinary Shares issuable upon the exercise of pre-funded warrants and (ii) 2,054,793 Ordinary Shares issuable upon the exercise of common warrants. All 2,419,724 Ordinary Shares are to be offered for resale by the selling shareholder named in the prospectus contained in this Registration Statement on Form F-1. |
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(3) | Estimated solely for the purpose of calculating the registration fee pursuant to Rule 457(c) under the Securities Act and based upon the average of the high and low sale prices of the Registrant’s Ordinary Shares on the Nasdaq Capital Market on December 27, 2024. |
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(4) | The Registrant will not receive any proceeds from the sale of its Ordinary Shares by the selling shareholders. |