Security Type | |
Security Class Title | |
Fee Calculation Rule | |
Amount Registered(1) | | |
Proposed Maximum Offering Price Per Share | | |
Maximum Aggregate Offering Price | | |
Fee Rate | | |
Amount of Registration Fee | |
Equity (2) | |
Common Stock, par value $0.01 per share | |
Rule 457(c) and 457(h) | |
| 3,791,019 | | |
$ | 2.49 | (3) | |
$ | 9,439,637.30 | | |
| 0.00015310 | | |
$ | 1,445.21 | |
Equity (4) | |
Common Stock, par value $.0.01 per share | |
Rule 457(h) | |
| 190,000 | | |
$ | 8.48 | | |
$ | 1,611,200 | | |
| 0.00015310 | | |
$ | 246.67 | |
Equity (4) | |
Common Stock, par value $.0.01 per share | |
Rule 457(h) | |
| 145,000 | | |
$ | 6.48 | | |
$ | 939,600 | | |
| 0.00015310 | | |
$ | 143.85 | |
Equity (4) | |
Common Stock, par value $.0.01 per share | |
Rule 457(h) | |
| 173,000 | | |
$ | 3.73 | | |
$ | 645,290 | | |
| 0.00015310 | | |
$ | 98.79 | |
Equity (4) | |
Common Stock, par value $.0.01 per share | |
Rule 457(h) | |
| 115,000 | | |
$ | 2.43 | | |
$ | 279,450 | | |
| 0.00015310 | | |
$ | 42.78 | |
Equity (4) | |
Common Stock, par value $.0.01 per share | |
Rule 457(h) | |
| 167,500 | | |
$ | 1.2684 | | |
$ | 212,457 | | |
| 0.00015310 | | |
$ | 32.52 | |
Equity (4) | |
Common Stock, par value $.0.01 per share | |
Rule 457(h) | |
| 115,192 | | |
$ | 1.25 | | |
$ | 143,990 | | |
| 0.00015310 | | |
$ | 22.04 | |
Equity (4) | |
Common Stock, par value $.0.01 per share | |
Rule 457(h) | |
| 361,875 | | |
$ | 2.04 | | |
$ | 738,225 | | |
| 0.00015310 | | |
$ | 113.02 | |
Equity (4) | |
Common Stock, par value $.0.01 per share | |
Rule 457(h) | |
| 67,855 | | |
$ | 7.00 | | |
$ | 474,985 | | |
| 0.00015310 | | |
$ | 72.72 | |
Equity (4) | |
Common Stock, par value $.0.01 per share | |
Rule 457(h) | |
| 83,185 | | |
$ | 5.71 | | |
$ | 474,986.35 | | |
| 0.00015310 | | |
$ | 72.72 | |
Equity (4) | |
Common Stock, par value $.0.01 per share | |
Rule 457(h) | |
| 371,090 | | |
$ | 1.28 | | |
$ | 474,995.20 | | |
| 0.00015310 | | |
$ | 72.72 | |
Equity (4) | |
Common Stock, par value $.0.01 per share | |
Rule 457(h) | |
| 70,000 | | |
$ | 1.93 | | |
$ | 135,100 | | |
| 0.00015310 | | |
$ | 20.68 | |
Equity (4) | |
Common Stock, par value $.0.01 per share | |
Rule 457(h) | |
| 35,000 | | |
$ | 3.48 | | |
$ | 121,800 | | |
| 0.00015310 | | |
$ | 18.65 | |
Equity (4) | |
Common Stock, par value $.0.01 per share | |
Rule 457(h) | |
| 10,000 | | |
$ | 4.7973 | | |
$ | 47,973 | | |
| 0.00015310 | | |
$ | 7.34 | |
Equity (4) | |
Common Stock, par value $.0.01 per share | |
Rule 457(h) | |
| 25,000 | | |
$ | 1.29 | | |
$ | 32,250 | | |
| 0.00015310 | | |
$ | 4.94 | |
Total Offering Amounts | |
| | | |
| | | |
$ | 15,771,938.85 | | |
| | | |
$ | 2,414.65 | |
Total Fee Offsets | |
| | | |
| | | |
| | | |
| | | |
$ | - | |
Net Fee Due | |
| | | |
| | | |
| | | |
| | | |
$ | 2,414.65 | |
(1) |
Pursuant
to Rule 416(a) under the Securities Act of 1933, as amended (the “Securities Act”), this Registration Statement also
covers any shares of Microbot Medical Inc. (the “Registrant”) common stock that become issuable under the Microbot Medical
Inc. 2020 Omnibus Performance Award Plan (“Plan”) by reason of any stock split, recapitalization, stock dividend or other
similar transaction or capital adjustment. |
|
|
(2) |
Represents
the registration of 3,791,019 shares of common stock available to be issued under the Plan. |
|
|
(3) |
Estimated
solely for the purposes of calculating the registration fee pursuant to Rule 457(c) and Rule 457(h)(l) under
the Securities Act, on the basis of the average of the high ($2.59) and low ($2.39) reported prices of the shares of Common Stock
of the Registrant as reported by the Nasdaq Capital Market on July 16, 2025, a date within five business days prior to the filing
of this Registration Statement. |
|
|
(4) |
Represents
the resale of up to 2,009,697 shares of common stock by certain officers and directors of the Registrant that consist of options
that were previously issued and that have vested or will vest pursuant to the Plan. |