UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON D.C. 20549

FORM 10

GENERAL FORM FOR REGISTRATION OF SECURITIES
Pursuant to Section 12(b) or (g) of The Securities Exchange Act of 1934

AquaMed Technologies, Inc.

(Exact name of Registrant as specified in its charter)

Registrant’s telephone number, including area code: (215) 702-8550

Securities to be registered pursuant to Section 12(b) of the Act: None

Securities to be registered pursuant to Section 12(g) of the Act:

Common Stock, par value $0.001 per share
(Title of class)

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act.

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.   ☐

INFORMATION REQUIRED IN REGISTRATION STATEMENT

CROSS-REFERENCE SHEET BETWEEN INFORMATION STATEMENT AND ITEMS OF FORM 10

Our information statement (the “Information Statement”) is filed as Exhibit 99.1 to this Registration Statement on Form 10 and is incorporated by reference herein. The cross-reference sheet below identifies where the items required by Form 10 can be found in the Information Statement.

Item 1. Business

The information required by this item is contained under the sections of the Information Statement entitled “Summary,” “Risk Factors,” “The Transactions,” “Our Business,” “Management’s Discussion and Analysis of Financial Condition and Results of Operations,” “Management,” and “Where You Can Find More Information.”

Item 1A. Risk Factors

The information required by this item is contained under the sections of the Information Statement entitled “Risk Factors” and “Cautionary Statement Concerning Forward-Looking Statements.”

Item 2. Financial Information

The information required by this item is contained under the sections of the Information Statement entitled “Summary Historical Financial Data,” “Capitalization,” “Selected Historical Financial Data,” and “Management’s Discussion and Analysis of Financial Condition and Results of Operations.”

Item 3. Properties

The information required by this item is contained under the section of the Information Statement entitled “Our Business—Properties.”

Item 4. Security Ownership of Certain Beneficial Owners and Management

The information required by this item is contained under the section of the Information Statement entitled “Security Ownership of Certain Beneficial Owners, Directors and Executive Officers.”

Item 5. Directors and Executive Officers

The information required by this item is contained under the section of the Information Statement entitled “Management of the Company Following the Transactions.”

Item 6. Executive Compensation

The information required by this item is contained under the section of the Information Statement entitled “Executive Compensation.”

Item 7. Certain Relationships and Related Transactions, and Director Independence

The information required by this item is contained under the sections of the Information Statement entitled “Management of the Company Following the Transactions” and “Certain Relationships and Related Party Transactions.”

Item 8. Legal Proceedings

The information required by this item is contained under the section of the Information Statement entitled “Our Business—Legal Proceedings.”

Item 9. Market Price of and Dividends on the Registrant’s Common Equity and Related Stockholder Matters

The information required by this item is contained under the sections of the Information Statement entitled “Summary,” “Risk Factors,” “The Transactions,” “The Asset Contribution and Separation Agreement and Ancillary Agreements,” “Dividend Policy,” “Capitalization,” and “Description of Our Capital Stock.”

Item 10. Recent Sales of Unregistered Securities

None.

Item 11. Description of Registrant’s Securities to be Registered

The information required by this item is contained under the sections of the Information Statement entitled “Risk Factors—Risks Relating to Our Common Stock and Capital Structure,” “The Transactions,” “The Asset Contribution and Separation Agreement and Ancillary Agreements,” “Dividend Policy” and “Description of Our Capital Stock.”

Item 12. Indemnification of Directors and Officers

The information required by this item is contained under the section of the Information Statement entitled “Description of Our Capital Stock—Limitation on Liability and Indemnification of Directors and Executive Officers.”

Item 13. Financial Statements and Supplementary Data

The information required by this item is contained under the section of the Information Statement entitled titled “Index to Financial Statements” and the financial statements referenced therein.

Item 14. Changes in and Disagreements with Accountants on Accounting and Financial Disclosure

Not applicable.

Item 15. Financial Statements and Exhibits

(a)

Financial Statements

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The information required by this item is contained under the section of the Information Statement entitled “Index to Financial Statements” and the financial statements referenced therein.

(b)

Exhibits

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The following documents are filed as exhibits hereto:

*

Schedules and exhibits have been omitted pursuant to Item 601(b)(2) of Regulation S-K. The registrant hereby undertakes to furnish copies of any of the omitted schedules and exhibits upon request by the U.S. Securities and Exchange Commission.

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SIGNATURES

Pursuant to the requirements of Section 12 of the Securities Exchange Act of 1934, the registrant has duly caused this registration statement to be signed on its behalf by the undersigned, thereunto duly authorized.

Date: June 14, 2019