Statement of Ownership (sc 13g)
January 13 2021 - 09:01AM
Edgar (US Regulatory)
SECURITIES AND EXCHANGE COMMISSION |
Washington, D.C. 20549 |
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SCHEDULE 13G |
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Under the Securities Exchange Act of 1934 |
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(Amendment No. 1)* |
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CHF Solutions, Inc.
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(Name of Issuer) |
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Common Stock, $0.0001 par value
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(Title of Class of Securities) |
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12542Q870
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(CUSIP Number) |
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December 31, 2020
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(Date of event which requires filing of this statement) |
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Check the appropriate box to designate the rule pursuant to which
this Schedule 13G is filed: |
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¨ |
Rule 13d-1(b) |
x |
Rule 13d-1(c) |
¨ |
Rule 13d-1(d) |
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(Page 1 of 9 Pages) |
______________________________
*The remainder of this cover page shall be filled out for a
reporting person's initial filing on this form with respect to the
subject class of securities, and for any subsequent amendment
containing information which would alter the disclosures provided
in a prior cover page.
The information required in the remainder of this cover page shall
not be deemed to be "filed" for the purpose of Section 18 of the
Securities Exchange Act of 1934 ("Act") or otherwise subject to the
liabilities of that section of the Act but shall be subject to all
other provisions of the Act (however, see the Notes).
CUSIP No. 12542Q870 |
13G |
Page
2
of 9 Pages |
1 |
NAMES OF
REPORTING PERSONS
Empery Asset Management, LP
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2 |
CHECK THE APPROPRIATE BOX IF A MEMBER
OF A GROUP |
(a)
¨
(b)
¨
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3 |
SEC USE ONLY |
4 |
CITIZENSHIP OR PLACE OF ORGANIZATION
Delaware
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NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON WITH |
5 |
SOLE
VOTING POWER
0
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6 |
SHARED
VOTING POWER
479,333 shares of Common Stock issuable upon exercise of
Warrants
(See Item 4)*
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7 |
SOLE
DISPOSITIVE POWER
0
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8 |
SHARED
DISPOSITIVE POWER
479,333 shares of Common Stock issuable upon exercise of
Warrants
(See Item 4)*
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9 |
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
479,333 shares of Common Stock issuable upon exercise of Warrants
(See Item 4)*
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10 |
CHECK BOX IF THE AGGREGATE AMOUNT IN
ROW (9) EXCLUDES CERTAIN SHARES |
¨ |
11 |
PERCENT
OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
4.99% (See Item 4)*
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12 |
TYPE OF
REPORTING PERSON
PN
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* As
more fully described in Item 4, the Warrants are subject to a 4.99%
blocker, and the percentage set forth in row (11) gives effect to
such blockers. However, as more fully described in Item 4, the
securities reported in rows (6), (8) and (9) show the number of
shares of Common Stock that would be issuable upon full conversion
and exercise of such reported securities and do not give effect to
such blockers. Therefore, the actual number of shares of Common
Stock beneficially owned by such Reporting Person, after giving
effect to such blockers, is less than the number of securities
reported in rows (6), (8) and (9).
CUSIP No. 12542Q870 |
13G |
Page
3
of 9 Pages |
1 |
NAMES OF
REPORTING PERSONS
Ryan M. Lane
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2 |
CHECK THE APPROPRIATE BOX IF A MEMBER
OF A GROUP |
(a)
¨
(b)
¨
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3 |
SEC USE ONLY |
4 |
CITIZENSHIP OR PLACE OF ORGANIZATION
United States
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NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON WITH |
5 |
SOLE
VOTING POWER
0
|
6 |
SHARED
VOTING POWER
479,333 shares of Common Stock issuable upon exercise of
Warrants
(See Item 4)*
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7 |
SOLE
DISPOSITIVE POWER
0
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8 |
SHARED
DISPOSITIVE POWER
479,333 shares of Common Stock issuable upon exercise of
Warrants
(See Item 4)*
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9 |
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
479,333 shares of Common Stock issuable upon exercise of Warrants
(See Item 4)*
|
10 |
CHECK BOX IF THE AGGREGATE AMOUNT IN
ROW (9) EXCLUDES CERTAIN SHARES |
¨ |
11 |
PERCENT
OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
4.99% (See Item 4)*
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12 |
TYPE OF
REPORTING PERSON
IN
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* As
more fully described in Item 4, the Warrants are subject to a 4.99%
blocker, and the percentage set forth in row (11) gives effect to
such blockers. However, as more fully described in Item 4, the
securities reported in rows (6), (8) and (9) show the number of
shares of Common Stock that would be issuable upon full conversion
and exercise of such reported securities and do not give effect to
such blockers. Therefore, the actual number of shares of Common
Stock beneficially owned by such Reporting Person, after giving
effect to such blockers, is less than the number of securities
reported in rows (6), (8) and (9).
CUSIP No. 12542Q870 |
13G |
Page
4
of 9 Pages |
1 |
NAMES OF
REPORTING PERSONS
Martin D. Hoe
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2 |
CHECK THE APPROPRIATE BOX IF A MEMBER
OF A GROUP |
(a)
¨
(b)
¨
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3 |
SEC USE ONLY |
4 |
CITIZENSHIP OR PLACE OF ORGANIZATION
United States
|
NUMBER OF
SHARES
BENEFICIALLY
OWNED BY
EACH
REPORTING
PERSON WITH |
5 |
SOLE
VOTING POWER
0
|
6 |
SHARED
VOTING POWER
479,333 shares of Common Stock issuable upon exercise of
Warrants
(See Item 4)*
|
7 |
SOLE
DISPOSITIVE POWER
0
|
8 |
SHARED
DISPOSITIVE POWER
479,333 shares of Common Stock issuable upon exercise of
Warrants
(See Item 4)*
|
9 |
AGGREGATE AMOUNT BENEFICIALLY OWNED BY EACH REPORTING PERSON
479,333 shares of Common Stock issuable upon exercise of Warrants
(See Item 4)*
|
10 |
CHECK BOX IF THE AGGREGATE AMOUNT IN
ROW (9) EXCLUDES CERTAIN SHARES |
¨ |
11 |
PERCENT
OF CLASS REPRESENTED BY AMOUNT IN ROW (9)
4.99% (See Item 4)*
|
12 |
TYPE OF
REPORTING PERSON
IN
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* As
more fully described in Item 4, the Warrants are subject to a 4.99%
blocker, and the percentage set forth in row (11) gives effect to
such blockers. However, as more fully described in Item 4, the
securities reported in rows (6), (8) and (9) show the number of
shares of Common Stock that would be issuable upon full conversion
and exercise of such reported securities and do not give effect to
such blockers. Therefore, the actual number of shares of Common
Stock beneficially owned by such Reporting Person, after giving
effect to such blockers, is less than the number of securities
reported in rows (6), (8) and (9).
CUSIP No. 12542Q870 |
13G |
Page
5
of 9 Pages |
Item 1(a). |
NAME OF ISSUER: |
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The name of the issuer is CHF Solutions, Inc. (the
"Company"). |
Item 1(b). |
ADDRESS OF ISSUER'S PRINCIPAL EXECUTIVE OFFICES: |
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The Company's principal executive offices are located at 12988
Valley View Road, Eden Prairie, MN 55344. |
Item 2(a). |
NAME OF PERSON FILING: |
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This statement is filed by the entities and persons listed below,
who are collectively referred to herein as "Reporting
Persons," with respect to the shares of Common Stock (as
defined in Item 2(d) below) of the Company: |
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Investment Manager |
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(i) Empery Asset Management, LP (the "Investment Manager"),
with respect to the shares of Common Stock underlying the Reported
Warrants (each as defined below) held by the funds to which the
Investment Manager serves as investment manager (the "Empery
Funds"). |
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Reporting Individuals |
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(ii) Mr. Ryan M. Lane ("Mr. Lane"), with respect to the
shares of Common Stock underlying the Reported Warrants held by the
Empery Funds. |
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(iii) Mr. Martin D. Hoe ("Mr. Hoe"), with respect to the
shares of Common Stock underlying the Reported Warrants held by the
Empery Funds. |
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The Investment Manager serves as the investment manager to each of
the Empery Funds. Each of the Mr. Lane and Mr. Hoe (the
"Reporting Individuals") is a Managing Member of Empery AM
GP, LLC (the "General Partner"), the general partner of the
Investment Manager. |
Item 2(b). |
ADDRESS OF PRINCIPAL BUSINESS OFFICE OR, IF NONE,
RESIDENCE: |
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The address of the business office of each of the Reporting Persons
is: |
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1 Rockefeller Plaza, Suite 1205 |
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New York, New York 10020 |
Item 2(c). |
CITIZENSHIP: |
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Citizenship is set forth in Row 4 of the cover page for each
Reporting Person hereto and is incorporated herein by reference for
each such Reporting Person. |
Item 2(d). |
TITLE OF CLASS OF SECURITIES: |
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Common Stock, $0.0001 par value (the "Common Stock") |
CUSIP No. 12542Q870 |
13G |
Page
6
of 9 Pages |
Item 2(e). |
CUSIP NUMBER: |
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12542Q870 |
Item 3. |
IF THIS STATEMENT IS FILED PURSUANT TO RULES 13d-1(b) OR
13d-2(b) OR (c), CHECK WHETHER THE PERSON FILING IS A: |
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(a) |
¨ |
Broker or dealer registered under Section 15 of the Act, |
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(b) |
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Bank as defined in Section 3(a)(6) of the Act, |
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(c) |
¨ |
Insurance Company as defined in Section 3(a)(19) of the Act, |
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(d) |
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Investment Company registered under Section 8 of the Investment
Company Act of 1940, |
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(e) |
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Investment Adviser registered under Section 203 of the Investment
Advisers Act of 1940, |
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(f) |
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Employee Benefit Plan or Endowment Fund in accordance with Rule
13d-1(b)(1)(ii)(F), |
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(g) |
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Parent Holding Company or control person in accordance with Rule
13d-1(b)(1)(ii)(G), |
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(h) |
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Savings Association as defined in Section 3(b) of the Federal
Deposit Insurance Act, |
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(i) |
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Church Plan that is excluded from the definition of an investment
company under Section 3(c)(14) of the Investment Company Act of
1940, |
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(j) |
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A non-U.S. institution in accordance with Rule
13d-1(b)(1)(ii)(J), |
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(k) |
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Group, in
accordance with Rule 13d-1(b)(1)(ii)(K). |
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If
filing as a non-U.S. institution in accordance with Rule
13d-1(b)(1)(ii)(J), please
specify the type of institution: __________________
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Item
4. |
OWNERSHIP. |
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The
information as of the date of the event which requires filing of
this statement required by Items 4(a) – (c) is set forth in Rows 5
– 11 of the cover page for each Reporting Person hereto and is
incorporated herein by reference for each such Reporting
Person. The percentage set forth in Row 11 of the cover
page for each Reporting Person is based on 2,736,060 shares of
Common Stock issued and outstanding as of November 9, 2020, as
represented in the Company’s Quarterly Report on Form 10-Q filed
with the Securities and Exchange Commission on November 12, 2020,
and assumes the exercise of the Company's reported warrants (the
"Reported Warrants") subject to the Blockers (as defined
below). |
CUSIP No. 12542Q870 |
13G |
Page
7
of 9 Pages |
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Pursuant
to the terms of the Reported Warrants, the Reporting Persons cannot
exercise the Reported Warrants to the extent the Reporting Persons
would beneficially own, after any such exercise, more than 4.99% of
the outstanding shares of Common Stock (the "Blockers"), and
the percentage set forth in Row 11 of the cover page for each
Reporting Person gives effect to the
Blockers. Consequently, as of the date of the event
which requires the filing of this statement, the Reporting Persons
were not able to exercise all of the Reported Warrants due to the
Blockers. |
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The
Investment Manager, which serves as the investment manager to the
Empery Funds, may be deemed to be the beneficial owner of all
shares of Common Stock underlying the Reported Warrants (subject to
the Blockers) held by the Empery Funds. Each of the
Reporting Individuals, as Managing Members of the General Partner
of the Investment Manager with the power to exercise investment
discretion, may be deemed to be the beneficial owner of all shares
of Common Stock underlying the Reported Warrants (subject to the
Blockers) held by the Empery Funds. The foregoing should
not be construed in and of itself as an admission by any Reporting
Person as to beneficial ownership of shares of Common Stock owned
by another Reporting Person. Each of the Empery Funds
and the Reporting Individuals hereby disclaims any beneficial
ownership of any such shares of Common Stock. |
Item
5. |
OWNERSHIP OF FIVE PERCENT OR LESS OF A CLASS. |
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If this
statement is being filed to report the fact that as of the date
hereof the reporting person has ceased to be the beneficial owner
of more than five percent of the class of securities, check the
following: [X] |
Item
6. |
OWNERSHIP OF MORE THAN FIVE PERCENT ON BEHALF OF ANOTHER
PERSON. |
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Not
applicable. |
Item 7. |
IDENTIFICATION AND CLASSIFICATION OF THE SUBSIDIARY WHICH
ACQUIRED THE SECURITY BEING REPORTED ON BY THE PARENT HOLDING
COMPANY. |
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Not
applicable. |
Item 8. |
IDENTIFICATION AND CLASSIFICATION OF MEMBERS OF THE
GROUP. |
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Not
applicable. |
Item 9. |
NOTICE OF DISSOLUTION OF GROUP. |
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Not
applicable. |
CUSIP No. 12542Q870 |
13G |
Page
8
of 9 Pages |
Item 10. |
CERTIFICATION. |
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Each of the
Reporting Persons hereby makes the following certification: |
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By signing
below each Reporting Person certifies that, to the best of its
knowledge and belief, the securities referred to above were not
acquired and are not held for the purpose of or with the effect of
changing or influencing the control of the issuer of the securities
and were not acquired and are not held in connection with or as a
participant in any transaction having that purpose or effect. |
CUSIP No. 12542Q870 |
13G |
Page
9
of 9 Pages |
SIGNATURES
After reasonable inquiry and to the best of our knowledge and
belief, the undersigned certify that the information set forth in
this statement is true, complete and correct.
DATED: January 13, 2021
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EMPERY ASSET MANAGEMENT, LP |
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By: EMPERY AM GP, LLC, its General Partner |
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By: |
/s/ Ryan M. Lane |
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Name: Ryan M. Lane |
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Title: Managing Member |
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/s/ Ryan M.
Lane |
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Ryan M. Lane |
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/s/ Martin
D. Hoe |
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Martin D. Hoe |
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