UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, DC 20549
 
Form 6-K
 
REPORT OF FOREIGN PRIVATE ISSUER
PURSUANT TO RULE 13a-16 OR 15d-16 UNDER
THE SECURITIES EXCHANGE ACT OF 1934
 
For November 2023

Commission File No. 001-36848
 
Check-Cap Ltd.

Check-Cap Building
Abba Hushi Avenue
P.O. Box 1271
Isfiya, 3009000, Israel
(ADDRESS OF PRINCIPAL EXECUTIVE OFFICES.)
 
Indicate by check mark whether the registrant files or will file annual reports under cover of Form 20-F or Form 40-F.
 
Form 20-F        Form 40-F 

This Form 6-K (including the text in the first bullet under the heading “Check Cup Propose Business Combination Agreement” as well as the text under the heading  “Financial Results for the Third Quarter Ended September 30, 2023,” “Financial Results for the Nine Months Ended September 30, 2023,” the accompanying financial statements, and “Legal Notice Regarding Forward-Looking Statements” in Exhibit 99.1) is hereby incorporated by reference into the Post-Effective Amendment No. 1 to the Form S-8 Registration Statement File No. 333-203384, Form S-8 Registration Statement File Nos. 333-226490 and 333-259666, and into the Form F-3 Registration Statements File Nos. 333-211065, 333-225789 and 333-262401.


Other Information
 
On November 27, 2023, Check-Cap Ltd. issued a press release entitled “Check-Cap Reports Third Quarter 2023 Financial Results and Provides a Corporate Update”. A copy of the press release is attached hereto as Exhibit 99.1 and is incorporated herein by reference.
 
Exhibit No

Description
 

 


2


SIGNATURES
 
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.
 
 
Check-Cap Ltd.
 
 
 
 
 
 
By:
/s/ Alex Ovadia
 
 
Name: 
Alex Ovadia
 
Date: November 27, 2023
Title:
Chief Executive Officer
 


3


Exhibit 99.1

Check-Cap Reports Third Quarter 2023 Financial Results and Provides a Corporate Update
 
Check-Cap shareholders to vote on proposed Business Combination Agreement with Keystone Dental at Annual  General Meeting on Monday, December 18th
 
ISFIYA, Israel, Nov. 27, 2023 /PRNewswire/ -- Check-Cap Ltd. (the "Company" or "Check-Cap") (NASDAQ: CHEK), today announced financial results and provided a corporate update for the third quarter and nine months ended September 30, 2023.
 
 
Check Cup Propose Business Combination Agreement
 

In August 2023, Keystone Dental and Check-Cap announced entering into a definitive Business Combination Agreement (the "Business Combination Agreement") under which the stockholders of Keystone Dental will become the majority holders of the combined company. If completed, the business combination will create a public company headquartered in Irvine, CA and focused on advancing commercial execution and market development of Keystone Dental's comprehensive portfolio of implants, full arch restorations, and other tooth replacement solutions, in addition to biomaterial and digital dentistry capabilities. Upon closing of the transaction, the combined company will trade on the NASDAQ under the symbol "KSD." The executive team of Keystone Dental will serve as the executive team of the combined company, led by Melker Nilsson, Keystone's Chief Executive Officer.
 
Check-Cap has scheduled an Annual General Meeting of Shareholders (the "Meeting") to be held on Monday, December 18, 2023 at 2:00 p.m. (Israel time) at the offices of Check-Cap's Israeli legal counsel, FISCHER (FBC & Co.), located at 146 Menachem Begin Rd., Tel Aviv 6492103, Israel. At the Meeting, investors will be asked to consider and vote on several proposals, including a proposal to approve the Business Combination Agreement. Only shareholders of record at the close of business on November 10, 2023, are entitled to notice of and to vote at the Meeting or at any adjournment thereof.
 

 
Keystone Dental Recent Business Development
 

GENESIS ACTIVE™ Implant System Commercial Launch – Keystone Dental announced the commercial launch of GENESIS ACTIVE™ Implant System, a state-of-the-art surgical and prosthetic solution that is expected to transform how dental professionals approach implant placement and restoration. The system contains an innovative restorative portfolio of dental implant technologies in one system that enables dental professionals to deliver implant treatments with greater efficiency.
 

Nexus Connect Market Launch – Keystone Dental announced market launch of Nexus Connect, a unique software solution that utilizes proprietary technology and a machine-learning model to analyze implant scans performed with an intraoral scanner. The Nexus Connect employs proprietary 3D computer vision algorithms and geometric processing to detect Nexus Scan Gauges, segment them from tissue, and calculate their positions to ensure the captured data can proceed to prosthetic design. The analysis mechanism is a mathematical regression model based on thousands of completed real-world cases enabling immediate scan data results at the source of capture.
 

Patent for Nexus IOS Solution – Keystone Dental announced that the United States Patent and Trademark Office (USPTO) has granted Osteon Medical, a subsidiary of Keystone Dental, a patent for the innovative Nexus IOS solution. The Nexus iOS Scan Gauge technology allows implant dentists to perform direct full-arch implant scans using an Intraoral Scanner (IOS) with predictable and passive fitting prosthetic outcomes. This technology replaces the traditionally manual impression-taking process through a faster, cost-effective, and accessible workflow.
 
Financial Results for the Third Quarter Ended September 30, 2023
 
In anticipation of the initiation of the strategic development plan, management terminated the majority of the Company's research and development activities. As a result, investment in research and development activities and in clinical trials was reduced to $30,000 for the three months ended September 30, 2023, compared to $3.6 million for the same period in 2022. The decrease is primarily comprised of (i) a decrease of approximately $1.8 million in salary and related expenses and a decrease of $0.4 million in share-based compensation resulting from termination of employees (ii) a decrease of $0.8 million in materials and subcontractors and , (iii) a decrease of approximately $0.5 million in other research and development expenses, including clinical related expenses and regulatory consultants.
 
General and administrative expenses were $2.8 million for the three months ended September 30, 2023, compared to $1.4 million for the same period in 2022. The increase is primarily due to a $1.8 million increase in professional services mainly related to legal and advisors' expenses related to the pending transaction with Keystone Dental and strategic activities, offset in part by a $0.1 million reduction in share-based compensation and a $0.3 million decrease in other general expenses.
 
Impairment of fixed assets was $60,000 for the three months ended September 30, 2023, compared to none for the same period in 2022. The impairment is associated with the reduction in the Company's operating activities.
 
Operating loss was $2.9 million for the three months ended September 30, 2023, compared to $5.0 million for the same period in 2022.
 
Net finance income was $0.3 million for the three months ended September 30, 2023, same as in the comparable period in 2022.
 
Net loss was $2.6 million for the three months ended September 30, 2023, compared to $4.7 million for the same period in 2022.
 
Cash and cash equivalents, restricted cash and short-term bank deposits as of September 30, 2023 were $28.2 million, compared with $32.4 million as of June 30, 2023 and $42.1 million as of December 31, 2022. 
 

 
Financial Results for the Nine Months Ended September 30, 2023
 
In anticipation of the initiation of the strategic development plan, management terminated the majority of the Company's research and development activities. As a result, investment in research and development activities and in clinical trials was reduced to $8.2 million for the nine months ended September 30, 2023, compared to $11.3 million for the same period in 2022. The decrease is primarily comprised of (i) a decrease of approximately $1.9 million in salary and related expenses and $0.5 million decrease in share-based compensation as a result of termination of employees (iii) a decrease of approximately $0.7 million in materials and subcontractors and other research and development expenses, including clinical related expenses and regulatory consultants, mainly associated with the termination of clinical studies and operations.
 
General and administrative expenses were $5.6 million for the nine months ended September 30, 2023, compared to $4.5 million for the same period in 2022. The increase is primarily due to a $1.9 million increase in professional services mainly related to legal and advisors' expenses relating to the pending transaction with Keystone Dental and strategic activities, and $0.1 million in salary and related expenses including directors' fees, offset in part by a $0.3 million reduction in share-based compensation and a $0.6 million decrease in other general expenses, mainly associated with directors' and officers' liability insurance costs.
 
Impairment of fixed assets was $1.4 million for the nine months ended September 30, 2023. Due to the changes in circumstances that indicate that the carrying amount of an asset may not be recoverable, the Company reviewed its long-lived assets for impairment in accordance with ASC 360-10 "Accounting for the Impairment or Disposal of Long-Lived Assets". Therefore, the Company recorded an impairment loss of $1.4 million.
 
Operating loss was $15.2 million for the nine months ended September 30, 2023, compared to $15.8 million for the same period in 2022.
 
Net finance income was $1.3 million for the nine months ended September 30, 2023, compared to $0.4 million for the same period in 2022.  The increase in finance income, net is primarily due to an increase in interest income on short-term deposits of $0.8 million.
 
Net loss was $13.9 million for the nine months ended September 30, 2023, compared to $15.4 million for the same period in 2022.
 
Net cash used in operating activities was $13.4 million for the nine months ended September 30, 2023, compared to $14.6 million for the same period in 2022.
 
About Keystone Dental Group:
 
Keystone Dental is a global commercial-stage medical technology company focused on providing end-to-end tooth replacement solutions for dental practitioners. Headquartered in Irvine, California, and with research and development and manufacturing sites in Caesarea, Israel and Melbourne, Australia, Keystone Dental markets its products worldwide. The Company's product portfolio includes proprietary offerings such as its innovative implant systems Genesis Active, Molaris™ and Prima Plus™ that offer unique solutions to dental practitioners. In addition, the Company also offers an attractive dental implant value brand in Paltop, and a well-regarded portfolio of biomaterials mainly sold under the DYNA brand. Keystone Dental acquired Implant Solutions Pty Ltd ("Osteon") in 2021, adding a comprehensive portfolio of prosthetic solutions on implants and digital workflow capabilities, not least of which is the groundbreaking Nexus iOS digital workflow solution for restoring the fully edentulous patient. For more information, refer to www.keystonedental.com.
 

 
About Check-Cap
 
Check-Cap is a clinical stage medical diagnostics company aiming to redefine colorectal cancer (CRC) screening through the introduction of C-Scan®, a screening test designed to detect polyps before they may transform into colorectal cancer and enable early intervention and cancer prevention. C-Scan is an investigational device and is not available for sale in the United States.
 
Legal Notice Regarding Forward-Looking Statements
 
This press release contains "forward-looking statements" about the Company's expectations, beliefs or intentions regarding, among other things, its product development efforts, business, financial condition, results of operations, strategies or prospects. Words such as "may," "should," "could," "would," "predicts," "potential," "continue," "expects," "anticipates," "future," "intends," "plans," "believes," "estimates," and similar expressions, as well as statements in future tense, often signify forward-looking statements. Forward-looking statements should not be read as a guarantee of future performance or results and may not be accurate indications of when such performance or results will be achieved. Forward-looking statements are based on information that the Company has when those statements are made or management's good faith belief as of that time with respect to future events, and are subject to risks and uncertainties that could cause actual performance or results to differ materially from those expressed in or suggested by the forward-looking statements. For a discussion of these and other risks that could cause such differences and that may affect the realization of forward-looking statements, please refer to the "Forward-looking Statements" and "Risk Factors" in the Company's Annual Report on Form 20-F for the year ended December 31, 2022 and other filings with the Securities and Exchange Commission (SEC). Investors and security holders are urged to read these documents free of charge on the SEC's web site at http://www.sec.gov. The Company assumes no obligation to publicly update or revise its forward-looking statements as a result of new information, future events or otherwise.
 
Participants in the Solicitation
 
Check-Cap, Keystone Parent and their respective directors and executive officers may be deemed under SEC rules to be participants in the solicitation of proxies from the shareholders of Check-Cap in connection with the business combination. Information about Check-Cap's directors and executive officers is set forth in Check-Cap's Annual Report on Form 20-F for the year ended December 31, 2022 which was filed with the SEC on March 31, 2023. Information about Keystone Dental's directors and executive officers will be set forth in the prospectus (when available). Other information regarding the interests of such individuals, as well as information regarding other persons who may be deemed participants in the business combination, will be set forth in the prospectus, the proxy statement and other relevant materials to be filed or submitted with the SEC when they become available. Investors, Keystone security holders and Check-Cap security holders and other readers should read the prospectus and the proxy statement carefully when they become available before making any voting or investment decisions.
 

No Offer or Solicitation
 
This communication is not intended to and shall not constitute an offer to buy or sell or the solicitation of an offer to buy or sell any securities, or a solicitation of any vote or approval, nor shall there be any sale of securities in any jurisdiction in which such offer, solicitation or sale would be unlawful prior to registration or qualification under the securities laws of any such jurisdiction. No offering of securities shall be made, except by means of a prospectus meeting the requirements of Section 10 of the U.S. Securities Act of 1933, as amended.
 
Logo: https://mma.prnewswire.com/media/820848/Check_Cap_Logo.jpg
 
Investor contacts:
 
Irina Koffler 
LifeSci Advisors, LLC 
646.970.4681
ikoffler@lifesciadvisors.com
 
Meirav Gomeh-Bauer
LifeSci Advisors, LLC 
+972(0)-54-476-4979
Meirav@lifesciadvisors.com
 
Media contact:
Mónica Rouco Molina, Ph.D.
Account Supervisor - Europe
LifeSci Communications
mroucomolina@lifescicomms.com
 

CHECK CAP LTD
CONSOLIDATED UNAUDITED BALANCE SHEETS
(U.S. dollars in thousands, except share and per share data)
 
   
September 30,
   
December 31,
 
   
2023
   
2022
 
   
Unaudited
   
Audited
 
Assets
           
             
Current assets
           
Cash and cash equivalents
 
$
3,383
   
$
4,090
 
Restricted cash
   
130
     
352
 
Short-term bank deposit
   
24,684
     
37,609
 
Prepaid expenses and other current assets
   
577
     
579
 
Total current assets
   
28,774
     
42,630
 
                 
Non-current assets
               
Property and equipment, net
   
183
     
1,751
 
Operating leases
   
73
     
1,060
 
Total non-current assets
   
256
     
2,811
 
Total assets
 
$
29,030
   
$
45,441
 
                 
Liabilities and shareholders' equity
               
                 
Current liabilities
               
Accounts payable and accruals
               
Trade
 
$
108
   
$
952
 
Other
   
717
     
802
 
Employees and payroll accruals
   
757
     
1,261
 
Other current liabilities
   
23
     
56
 
Operating lease liabilities
   
30
     
337
 
Total current liabilities
   
1,635
     
3,408
 
                 
Non-current liabilities
               
Royalties provision
   
-
     
94
 
Operating lease liabilities
   
-
     
627
 
Total non-current liabilities
   
-
     
721
 
                 
Shareholders' equity
               
Share capital, Ordinary shares, 48 NIS par value (18,000,000 authorized shares as of September 30, 2023 and December 31, 2022, respectively; 5,850,100 and 5,844,463 shares issued and outstanding as of September 30, 2023 and December 31, 2022, respectively)
   
83,740
     
83,664
 
Additional paid-in capital
   
84,858
     
84,941
 
Accumulated deficit
   
(141,203
)
   
(127,293
)
Total shareholders' equity
   
27,395
     
41,312
 
                 
Total liabilities and shareholders' equity
 
$
29,030
   
$
45,441
 
 

CHECK CAP LTD 
CONSOLIDATED UNAUDITED STATEMENTS OF COMPREHENSIVE LOSS
(U.S. dollars in thousands, except share and per share data)
 
   
Nine months ended September 30,
   
Three months ended September 30,
 
   
2023
   
2022
   
2023
   
2022
 
                         
Research and development expenses, net
 
$
8,181
   
$
11,315
   
$
30
   
$
3,641
 
General and administrative expenses
   
5,595
     
4,504
     
2,833
     
1,404
 
Impairment of fixed assets
   
1,426
     
-
     
62
     
-
 
Operating loss
   
15,202
     
15,819
     
2,925
     
5,045
 
Finance Income , net
   
1,292
     
424
     
335
     
291
 
Loss before income tax
   
13,910
     
15,395
     
2,590
     
4,754
 
Net loss for the period
 
$
13,910
   
$
15,395
   
$
2,590
   
$
4,754
 
                                 
Loss per share:
                               
Net loss per ordinary share basic and diluted
 
$
2.38
   
$
2.74
   
$
0.44
   
$
0.81
 
Weighted average number of ordinary shares outstanding - basic and diluted
   
5,849,189
     
5,613,696
     
5,849,756
     
5,842,205
 
 

CHECK CAP LTD.
CONSOLIDATED UNAUDITED STATEMENTS OF CHANGES IN SHAREHOLDERS' EQUITY
(U.S. dollars in thousands, except share and per share data)
 
   
Number of
         
Additional
         
Total
 
   
Ordinary
         
paid-in
   
Accumulated
   
shareholders'
 
   
Shares
   
Amount
   
capital
   
deficit
   
equity
 
                               
Balance as of January 1, 2023
   
5,844,463
   
$
83,664
   
$
84,941
   
$
(127,293
)
 
$
41,312
 
RSUs vesting
   
5,637
     
76
     
(76
)
   
-
     
-
 
Share-based compensation
   
-
     
-
     
(7
)
   
-
     
(7
)
Net loss
   
-
     
-
     
-
     
(13,910
)
   
(13,910
)
Balance as of September 30, 2023
   
5,850,100
   
$
83,740
   
$
84,858
   
$
(141,203
)
 
$
27,395
 
                                         
Balance as of January 1, 2022
   
4,840,089
   
$
68,787
   
$
90,089
   
$
(108,185
)
 
$
50,691
 
Issuance of ordinary shares and warrants in March 2022 registered direct offerings, net of issuance expenses in an amount of $1,150
   
1,000,000
     
14,815
     
(5,965
)
   
-
     
8,850
 
RSUs vesting
   
3,564
     
51
     
(51
)
   
-
     
-
 
Share-based compensation
   
-
     
-
     
779
     
-
     
779
 
Net loss
   
-
     
-
     
-
     
(15,395
)
   
(15,395
)
Balance as of September 30, 2022
   
5,843,653
   
$
83,653
   
$
84,852
   
$
(123,580
)
 
$
44,925
 


 
CHECK CAP LTD.
CONSOLIDATED UNAUDITED STATEMENTS OF CHANGES IN SHAREHOLDERS' EQUITY
(U.S. dollars in thousands, except share and per share data)
 
   
Number of
         
Additional
         
Total
 
   
Ordinary
         
paid-in
   
Accumulated
   
shareholders'
 
   
Shares
   
Amount
   
capital
   
deficit
   
equity
 
                               
Balance as of June 30, 2023
   
5,849,216
   
$
83,728
   
$
85,075
   
$
(138,613
)
 
$
30,190
 
RSU's vesting
   
884
   
$
12
     
(12
)
           
-
 
Share-based compensation
   
-
     
-
   
$
(205
)
         
$
(205
)
Net loss
   
-
     
-
     
-
   
$
(2,590
)
 
$
(2,590
)
Balance as of September 30, 2023
   
5,850,100
   
$
83,740
   
$
84,858
   
$
(141,203
)
 
$
27,395
 
                                         
Balance as of June 30, 2022
   
5,840,089
   
$
83,602
   
$
84,648
   
$
(118,826
)
 
$
49,424
 
RSU's vesting
   
3,564
   
$
51
   
$
(51
)
   
-
     
-
 
Share-based compensation
   
-
     
-
   
$
255
     
-
   
$
255
 
Net loss
   
-
     
-
     
-
   
$
(4,754
)
   
(4,754
)
Balance as of September 30, 2022
   
5,843,653
   
$
83,653
   
$
84,852
   
$
(123,580
)
 
$
44,925
 
 

 
CHECK-CAP LTD.
CONSOLIDATED UNAUDITED STATEMENTS OF CASH FLOWS
(U.S. dollars in thousands, except share and per share data)
 
   
Nine months ended
 
   
September 30,
 
   
2023
   
2022
 
CASH FLOWS FROM OPERATING ACTIVITIES
           
Net loss
 
$
(13,910
)
 
$
(15,395
)
Adjustments required to reconcile net loss to net cash used in operating activities:
               
Depreciation
   
190
     
254
 
Impairment of fixed assets
   
1,426
     
-
 
Share-based compensation
   
(7
)
   
779
 
Financial income, net
   
374
     
(295
)
Changes in assets and liabilities items:
               
Decrease in prepaid and other current assets and non-current assets
   
37
     
248
 
(Decrease) Increase in trade accounts payable, accruals and other current liabilities
   
(926
)
   
6
 
Decrease in employees and payroll accruals
   
(505
)
   
(127
)
Decrease in royalties provision
   
(94
)
   
(30
)
Net cash used in operating activities
 
$
(13,415
)
 
$
(14,560
)
                 
CASH FLOWS FROM INVESTING ACTIVITIES
               
Purchase of property and equipment
   
(83
)
   
(395
)
Investment in short-term bank and other deposits
   
12,569
     
(11,000
)
Net cash used in investing activities
 
$
12,486
   
$
(11,395
)
                 
CASH FLOWS FROM FINANCING ACTIVITIES
               
Issuance of ordinary shares in the registered direct offerings, net of issuance expenses
   
-
     
8,850
 
Net cash provided by financing activities
 
$
-
   
$
8,850
 
Net decrease in cash, cash equivalents and restricted cash
   
(929
)
   
(17,105
)
Cash, cash equivalents and restricted cash at the beginning of the period
   
4,442
     
26,807
 
Cash, cash equivalents and restricted cash at the end of the period
 
$
3,513
   
$
9,702
 
 
   
Nine months ended
September 30,
 
   
2023
   
2022
 
Supplemental disclosure of non-cash flow information
           
Purchase of property and equipment included in accounts payable and accrued expenses
   
-
     
89
 
Assets acquired under operating lease
   
136
     
307
 
Supplemental disclosure of cash flow information:
               
Cash paid for taxes
   
2
     
23
 
Interest received
   
1,720
     
377
 
 

 


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