Exhibit 107

 

Calculation of Filing Fee Tables

 

Form S-8

(Form Type)

 

Polyrizon Ltd.

(Exact Name of Registrant as Specified in its Charter)

 

Table 1: Newly Registered Securities

 

Security
Type		  Security
Class Title(1)		  Fee
Calculation
Rule		  Amount
Registered(1)		   Proposed
Maximum
Offering
Price Per
Unit		   Maximum
Aggregate
Offering
Price		   Fee Rate   Amount of
Registration
Fee		 
Equity  Ordinary Shares, no par value (2)  Rule 457(c) and Rule 457(h)   

1,196,800

   $

0.925

   $

1,107,040.00

    

0.0001531

   $

169.49

 
Total Offering Amounts        $

1,107,040.00

        $

169.49

 
Total Fee Offsets                   — 
Net Fee Due                  $

169.49

 

  

(1)Pursuant to Rule 416(a) of the Securities Act of 1933, as amended, this registration statement also covers such indeterminate number of Ordinary Shares as may be offered or issued to prevent dilution resulting from stock splits, stock dividends or similar transactions pursuant to the terms of the Polyrizon Ltd. Amended and Restated Equity Incentive Plan (the “Plan”).

 

  (2) Represents Ordinary Shares issuable upon vesting or exercise of future award grants under the Plan and the corresponding proposed maximum offering price per share, which is estimated solely for the purposes of calculating the registration fee under Rule 457(c) and Rule 457(h) under the Securities Act, is based on the average of the high ($1.00) and low ($0.85) prices for the Company’s ordinary shares as quoted on the Nasdaq Capital Market on July 21, 2025.