Biopharmaceutical Sector - Market Update - February 21, 2022 - Torreya

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Biopharmaceutical Sector - Market Update - February 21, 2022 - Torreya
Biopharmaceutical Sector
Market Update – February 21, 2022

© 2021. All rights reserved. Securities offered in the United States are offered through Torreya Capital LLC, Member FINRA/SIPC. In Europe
such services are offered through Torreya Partners (Europe) LLP, which is authorized and regulated by the UK Financial Conduct Authority.
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Biopharmaceutical Sector - Market Update - February 21, 2022 - Torreya
Pandemic Update

                  2
Biopharmaceutical Sector - Market Update - February 21, 2022 - Torreya
COVID-19 Case Continues to Drop
                                               Down 42%. Seven-day smoothed global COVID caseload has dropped by 42% since
                                               peak on January 27th, 2022.

        1,962,968                                                            Daily Confirmed COVID-19 Cases Worldwide (7-Day Smoothed)
                                             4,000,000
New cases reported worldwide, Feb 17, 2022
                                             3,500,000

                                             3,000,000

        5,863,136                            2,500,000

                                             2,000,000

     Total deaths reported worldwide
                                             1,500,000

                                             1,000,000

10,483,059,250                                500,000

                                                    0
   Vaccinations delivered in 183 countries

                                                                                                                                                   10/22/20

                                                                                                                                                              11/22/20

                                                                                                                                                                         12/22/20

                                                                                                                                                                                                                                                                              10/22/21

                                                                                                                                                                                                                                                                                         11/22/21

                                                                                                                                                                                                                                                                                                    12/22/21
                                                                                                                                         9/22/20
                                                         1/22/20

                                                                   2/22/20

                                                                             3/22/20

                                                                                       4/22/20

                                                                                                 5/22/20

                                                                                                           6/22/20

                                                                                                                     7/22/20

                                                                                                                               8/22/20

                                                                                                                                                                                    1/22/21

                                                                                                                                                                                              2/22/21

                                                                                                                                                                                                        3/22/21

                                                                                                                                                                                                                  4/22/21

                                                                                                                                                                                                                            5/22/21

                                                                                                                                                                                                                                      6/22/21

                                                                                                                                                                                                                                                7/22/21

                                                                                                                                                                                                                                                          8/22/21

                                                                                                                                                                                                                                                                    9/22/21

                                                                                                                                                                                                                                                                                                               1/22/22
                                                                                                                                                                                                                    Source: Johns Hopkins Database, Feb 18, 2022
                                                                                                                                                                                                                                                                                                                         3
Biopharmaceutical Sector - Market Update - February 21, 2022 - Torreya
Omicron Variant Raging in Parts of Asia
Countries with very good disease control are now dealing with Omicron as the virus has broken through.

 Hong Kong working-class district reels as COVID runs
 rampant

                                                                                                         Coronavirus: South Korea’s daily cases eclipse 100,000
 Feb 18, 2022. Once largely insulated from the coronavirus                                               for first time; Japan’s death toll rises
 pandemic, Hong Kong is facing a citywide outbreak, with
 businesses buckling and some losing patience with the                                                   Feb 18, 2022. Deaths, however, have remained relatively low
 government's "zero COVID" policies. In the cluster of working-                                          in the highly vaccinated country which slightly eased a
                                                                                                         curfew on businesses from 9pm to 10pm
 class districts in nearby Sham Shui Po, some residential blocks
 and public housing estates have been sealed off, crowds in                                              South Korea’s new daily Covid-19 cases topped 100,000 for
 malls and street markets have thinned, and once teeming                                                 the first time amid an Omicron outbreak, with authorities
                                                                                                         saying social distancing measures would be only slightly
 diners known as dai pai dongs and stalls selling knick-knacks                                           eased ahead of the March 9 presidential election.
 are quieter after dark.

 Sources: https://www.reuters.com/world/asia-pacific/hong-kong-working-class-district-reels-covid-runs-rampant-2022-02-18/, https://www.scmp.com/news/asia/east-
 asia/article/3167487/coronavirus-south-koreas-daily-cases-eclipse-100000-first-time

                                                                                                                                                                   4
Biopharmaceutical Sector - Market Update - February 21, 2022 - Torreya
Is the End of Covid-19 in Sight?

Feb 16, 2022. Moderna CEO Stephane Bancel has signaled the end of the Covid-19 pandemic
is in sight.

When asked in an interview whether the virus was approaching the final stages of pandemic,
Bancel said: “I think that is a reasonable scenario.”

He repeated that the virus was going to stay with humans forever, like the flu, in the
interview with CNBC’s “Squawk Box Asia,” and added: “I think there is an 80% chance as
Omicron evolves or SarsCov-2 virus evolves, we are going to see less and less virulent
viruses.”

Bancel warned there was a 20% scenario in which a new mutation could be more virulent
than Omicron.                                                                                     A nurse holds a vial of Moderna Covid-19 vaccine.
                                                                                                  Clement Mahoudeau/AFP via Getty Images
Bancel’s prediction appears to match a growing consensus among health experts. It echoes
comments that Dr. Anthony Fauci, President Joe Biden’s chief medical adviser, made to the
Financial Times last week, in which he said that the “full-blown pandemic phase” is ending.

Source: https://www.barrons.com/articles/moderna-stock-price-covid-omicron-pandemic-51645007795
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Biopharmaceutical Sector - Market Update - February 21, 2022 - Torreya
Ukraine and the Stock Market

                               6
Stocks Drop as Tensions Mount in
Ukraine

Feb 18 (Reuters) - U.S. stock indexes slumped on Friday as escalating
tensions in Ukraine amid fears of an imminent Russian invasion
prompted investors to dump risky assets in the run-up to a long
weekend.

All the major S&P 500 sectors were in the red, with energy shares
leading losses due to weaker oil prices.

Russian news agencies reported about a blast in the eastern Ukraine
city of Donetsk and separatists planned to evacuate residents from
the region to Russia due to heavy shelling. read more

Source: https://www.reuters.com/article/usa-stocks-idUSL4N2UT3G8
                                                                        7
Significant
Market Drop
on Friday
Related to
Increasing
Russian Troop
Presence
Around the
Ukraine

                8
Biden says he believes Putin has already decided to
invade Ukraine

Feb 18, 2022

MUNICH, Germany — President Biden said Friday that he is convinced Russian President Vladimir
Putin has decided to invade Ukraine, capping a day full of ominous turns toward war between
Russia and the former Soviet Republic.

“We believe that they will target Ukraine’s capital Kyiv, a city of 2.8 million innocent people,”
Biden said in a somber White House address. “We’re calling out Russia’s plans loudly and
repeatedly, not because we want a conflict, but because we’re doing everything in our power to
remove any reasons that Russia may give to justify invading Ukraine.”

Until Russia attacks, Biden said, “diplomacy is always a possibility,” holding out slight hope that
Western powers might avert a bloody, disruptive and economically damaging war.

The comments followed similar admonitions from Secretary of State Antony J. Blinken that
Russia’s plan to create a pretext for invading Ukraine “is already in play,” with Russian-backed
separatists claiming they were the victims of artillery shelling and sabotage.

Source: https://www.latimes.com/politics/story/2022-02-18/munich-security-conference-kamala-harris-reaffirms-support-nato-ukraine   9
Further Headlines
        Feb 21, 2022

                       10
Further Background Material on the Ukraine Situation

      CSIS                              4   BBC
 1    https://www.csis.org/                 https://www.bbc.com/

      Economist Story                       Kyiv Post
 2    https://www.economist.com/leade
      rs/2022/02/19/whether-he-
                                        5   https://www.kyivpost.com/
      invades-ukraine-or-backs-down-
      putin-has-harmed-russia

      Pravda                                CNBC
 3    https://english.pravda.ru/
                                        6   https://www.cnbc.com/d
                                            efense/
      Running stories saying the
      Ukrainians are attacking
      Russia.                                                           11
XBI Biotech Index Down 4.2% Last Week
                                                                                       NASDAQ Biotech Index, Aug 1, 2021
Biotech Stocks Down                                   VIX Continued its Rise
                                                                                               to Feb 18, 2022
                                                                                5500
Return: Feb 11 to Feb 18, 2022                        Jan 3: 16.6%
                                                      Jan 10: 19.4%
                                                                                5300
                                                      Jan 18: 22.8%
Nasdaq Biotech Index: -3.2%                           Jan 28: 27.7%
Arca XBI Index: -4.2%                                 Feb 4: 23.2%
                                                                                5100

Torreya Global Biotech: +1.3%                         Feb 11: 27.4%
S&P 500: -1.4%                                        Feb 18: 27.9%             4900

                                                                                4700

                                                      Ten-Year Treasury Yield
Return: Jan 1 to Feb 18, 2022
                                                      Flat                      4500

Nasdaq Biotech Index: -16.6%                                                    4300
                                                      Jan 3: 1.63%
Arca XBI Index: -22.6%
                                                      Jan 10: 1.78%
Torreya Global Biotech: -16.5%                        Jan 18: 1.87%
                                                                                4100

S&P 500: -9.3%                                        Jan 28: 1.78%
                                                                                3900
                                                      Feb 4: 1.93%
                                                      Feb 10: 1.92%
                                                      Feb 18: 1.92%
Source: S&P Capital IQ, Google and Torreya analysis
                                                                                                                           12
Funds Flow into Biopharma Turned Negative this Month
We saw steady, albeit slow, inflows into biopharm funds Oct to Jan. In February we have seen net outflows.

Source: EPFR Informa.
                                                                                                             13
Even More Negative Enterprise Value Companies This Week
Than Before

Source: CapitalIQ                                         14
Life Sciences Equity Markets is at an All-Time Value
Value of Public Life Sciences Companies Worldwide by Subsector
Record ($8.5 Trillion)
The global life sciences sector dropped in value by 1.1% last week ($110 billion). Biotech was down 3.1%. Diagnostics,
tools, and devices were down.

                                  Enterprise Value        Change in Last Week   Change in Last    Change in Last Two
Sector              Count
                              (Feb 18, 2022, $millions)        (percent)        Month (percent)     Years (percent)

API                   82              $101,475                   2.0%                -7.0%               -4.2%

Biotech              896              $283,541                   -3.1%               -9.2%              -13.0%

CDMO                  42              $262,753                   2.9%                -9.7%               0.7%

Diagnostics           82              $281,692                   -5.5%               -9.1%              -12.4%

OTC                   33               $27,869                   1.6%                2.3%                0.8%

Pharma               714              $5,576,567                 -0.4%               -2.8%               -4.5%

Services              42              $258,110                   1.4%                -7.3%               5.3%

Tools                 54              $779,127                   -3.3%               -7.1%               -9.3%

Devices              187              $1,847,347                 -2.6%               -5.1%               -8.1%

HCIT                  12               $78,869                   -1.9%               1.2%                -2.6%

Total                2144             $9,497,481                 -1.1%               -4.3%               -5.7%

Source: CapitalIQ                                                                                                        15
Tough Week for Sage and Mirati

                                                                                                                              16
Source: https://www.bloomberg.com/news/articles/2022-02-16/biotech-stock-values-cut-in-half-while-new-drug-setbacks-pile-up
Tough Week for Masimo
Marketwatch, Feb. 16, 2022: “Medical technology company Masimo Corp.
shares MASI, +1.29% tumbled 35% Wednesday, to mark their biggest ever
percentage decline, a day after the company announced its biggest ever deal,
the acquisition of consumer tech company Sound United for about $1 billion.
Sound United owns consumer audio brands including Bowers & Wilkins,
Denon, Polk Audio and Marantz.                                                                                                  “Investors were not
                                                                                                                                excited to see a med tech
The deal is expected to close mid-year and to be financed with a mix of cash                                                    company go out and buy
on hand and borrowings under a new credit facility. Masimo said it would                                                        Polk Audio.”
immediately boost adjusted per-share earnings upon close. "The Sound United
transaction aligns with Masimo's priorities, objectives and vision by advancing
our strategy of enabling connected monitoring across both the hospital and
home," Chief Executive Joe Kiani said in a statement. Raymond James said the
deal was likely a surprise for investors, coming as it announced mostly in-line
earnings. "The deal has the potential to dilute the revenue growth and margin
profile in the near-term, but it significantly accelerates MASI's move into the
home," analyst Jayson Bedford wrote in a note." While this is not a shift in
strategy, most investors thought the transformation into the home would occur
in a more graduated manner." “
Source: https://www.marketwatch.com/story/medical-technology-company-masimo-stock-slides-35-after-unveiling-1-billion-acquisition-of-sound-united-2022-02-16
                                                                                                                                                               17
Hooray for Hookipa

HOOKIPA (NASDAQ:HOOK) shares are 51% higher in after-hours trading after it amended an
agreement with Gilead Sciences (NASDAQ:GILD) for the development of an arenaviral
immunotherapy as part of a HIV regimen.

In 2018, Gilead (GILD) licensed exclusive right to HOOKIPA's arenaviral platform to develop
immunotherapies for HIV and hepatitis B virus. Under that pact, the companies would collaborate
through a joint research phase, after which Gilead had rights for further development.

Under the amended agreement, HOOKIPA (HOOK) is responsible for advancing the HIV program
through the end of a Phase 1b clinical trial, with funding from Gilead via an upfront payment. After
the phase 1b trial is completed, Gilead has the exclusive right to assume further development. The
hepatitis B virus part of the agreement is unchanged.

HOOKIPA will receive a $15 million upfront fee with the amended agreement. It will also receive a
$5M equity payment investment from Gilead and up to $30M in additional equity financing.

Source: https://seekingalpha.com/news/3800476-hookipa-pharma-gains-51-after-hours-on-amended-agreement-with-gilead
                                                                                                                     18
This Too Shall Pass: How Biotech Bear Market Will End

Feb 13, 2022: “A year ago, companies were being valued as                                      Experienced investors and analysts say they’ve lived
exciting ideas,” said Brad Loncar, chief executive officer of Loncar                           through plenty of painful periods before. Bardon and
Investments. “When the market corrects like it has, I think we’re                              MPM co-founder Ansbert Gadicke compare the
going back to valuing them as businesses.”                                                     experience to hibernating bears: The companies that
                                                                                               are well prepared will survive to see the spring and
That means the smart money isn’t abandoning the sector, said                                   the older bears, the experienced investors, who have
Piper Sandler analyst Chris Raymond, who analyzes biotech                                      experienced winters before know that this one will
money flows. But those who remain are taking a harder look at                                  eventually end as well.
the companies they’re willing to back. Some are shying away
from companies that are years away from producing data that                                    “If you’re a good company with good science with a
proves their ideas could translate into medicine.                                              good business model, you’ll make it through,” said
                                                                                               Brad Loncar, the Loncar Investments chief executive.
People also tend to assume higher growth stocks, including                                     “If you’re just based off a PowerPoint deck that’s
biotech, perform worse in inflationary environments. But that’s                                hopes and dreams, you might be in some trouble.”
not what the data show, said Raymond, the Piper Sandler analyst.
Those macro trends give biotech investors and analysts hope that
this downturn, like those before it, will pass.

Source: https://www.bloomberg.com/news/articles/2022-02-13/biotech-investors-unwind-speculative-bets-as-pandemic-fears-fade                      19
Fed Officials Push Back on Frontloaded Tightening
                     NEW YORK (AP) — The Federal Reserve should start raising
                     interest rates next month to help rein in too-high inflation,
                     Federal Reserve Bank of New York President John Williams
                     said Friday. But he added that the rate hikes may not have to
                     begin with as big a bang as some have suggested.
 2/18/22
                     With inflation at its hottest level in two generations, the Fed
                     is widely expected to seek to cool the economy by raising its
                     benchmark short-term interest rate from its record low of
                     nearly zero, where it’s been throughout the pandemic. The
                     only question has been how big and how quickly it will move,
                     because an overly aggressive approach could choke the
                     economy while too much caution could let inflation spiral
                     further.
                     “Personally, I don’t see any compelling argument to take a
                                                                                                                        John Williams
                     big step at the beginning,” Williams said following an event at
                                                                                                                        President
                     New Jersey City University to discuss the economy and
                     interest rates.                                                                                    Federal Reserve Bank of San Francisco

Source: https://apnews.com/article/business-new-york-economy-inflation-john-williams-ac4435cccc8f26565fbd9c4be6c80646                               20
Fed Quite Constrained on its
  Ability to Tighten
                      The Federal Reserve will begin reversing extraordinary
                      pandemic-era stimulus when it meets next month. What
                      comes next is anyone’s guess—including central bankers’.
                      The stakes are as high as they’ve ever been for the U.S.
                      central bank, which was in its infancy during the Spanish
                      Flu pandemic of 1918, and for the economy and financial
                      markets. For every professional prognosticator who is
                      sure a recession is inevitable, there’s another one
                      predicting that the Fed can combat inflation without
                      reversing economic growth. The disagreement over the
                      inevitability of a recession reflects varying views about
                      the frequency and quantity of coming interest-rate
2/18/22
                      increases; the Fed’s plans for and ramifications of
                      shrinking its monster balance sheet after $5 trillion in
                      emergency bond purchases; and the true state of an
                      economy turbocharged by fiscal and monetary policy
                      and not yet through the pandemic.

Source: https://www.barrons.com/articles/the-fed-is-scrambling-to-tame-inflation-while-avoiding-a-recession-51645229935   21
The Main Issues for the Fed are the Cost of Rolling the
  Public Debt and its own Balance Sheet
                                                                                                                          The Fed’s Quantitative
   “The labyrinth of scenarios for how monetary tightening is                                                             Easing Policy of Buying
   conducted and plays out is a web of trade-offs that have                                                               U.S. bonds is likely the
   only gotten more unattractive as inflation surges and
                                                                                                                          main culprit behind
   economic growth slows from lofty levels. The Fed is late in
                                                                                                                          inflation and the main
   removing stimulus that, with the benefit of hindsight, was
                                                                                                                          tool to be used to reverse
   far too excessive, especially in conjunction with massive
   fiscal aid. The central bank’s largess might have staved off a                                                         inflation.
   worse recession and market correction in 2020, when the
   Covid pandemic first reached the U.S. in force and the                                                                 Historical tightening via
   economy effectively closed. But it has contributed to an                                                               increasing interest rates
   inflationary mess that is getting more painful to address.                                                             is going to be more
   The risks of a policy failure are big and growing, threatening                                                         difficult this time around.
   job losses and market bloodshed to fight inflation,
   persistently higher prices to avoid recession, and, in a
   worst-case scenario, all of that at once.

   The constraint on the Fed this time isn’t so much
   households and business, but the amount of debt amassed
   by the government in recent decades and supercharged by
   the pandemic, says Georgetown’s Angel. A record $30
   trillion in public debt—up about 30% since early 2020—
   means that even rates topping out at 2% translate to an
   extra $600 billion a year in interest owed and affect
   future spending, he says.
Source: https://www.barrons.com/articles/the-fed-is-scrambling-to-tame-inflation-while-avoiding-a-recession-51645229935                             22
Industry News

                23
New Book: Forty Percent of New Medicines from
Biotech Companies with 50 or Fewer Employeers
Small pharma is outperforming big pharma, new book suggests (Feb 17, 2022)
Small biotech firms have ‘created more life-changing medicines’ than all major
pharmaceutical companies combined, say Cambridge researchers

Source: https://www.varsity.co.uk/science/23139. Also see: https://www.thebusinessofbiotechnology.com/   24
Biotech and Beauty
                                                          The beauty industry’s landscape is constantly evolving, shaped by
                                                          the rise of innovative products, crafty tools, and new techniques.
                                                          As we all know, developments emerge to fulfill the needs of
                                                          consumers and align with the social conditions, and within the
                                                          framework of the beauty world, this notion certainly applies. So,
                                                          what sort of changes are we adapting to these days? Well many
                                                          to be exact, but one of the most dire obstacles facing the beauty
                                                          industry helping to mitigate the effects of climate change.

                                                          As Aganovic sees it, not only is biotech a relatively new concept in
                                                          the beauty space, but the broadened use of biology in beauty is a
                                                          rather novel practice: “The foundational practice of today’s beauty
                                                          industry is not biology, but in fact chemistry— the study of matter
                                                          and reactions between substances.” Jasmina Aganovic [CEO of
                                                          Arcaea] also explains that for as long as we can remember, the
                                                          beauty industry has been utilizing chemistry to create formulas,
                                                          but scientists and industry professionals have begun to realize
                                                          biology can also play an essential role. Aganovic shares that
                                                          biotech-based companies like her own are beginning to build
Source: https://www.townandcountrymag.com/style/beauty-   around biology to expand the beauty industry’s potential, using
products/a38915833/what-is-biotech-beauty
                                                          technology to produce new ingredients and novel functionality to
                                                          address unsolved problems.                                             25
Nature Article This Week:
How to Start a Biotech Company
Well worth a read: https://www.nature.com/articles/s41587-022-01239-9

                                                                        “Commercializing research is fraught with
                                                                        pitfalls, but a thoughtful checklist can ensure
                                                                        you set off on the right path and give your
                                                                        fledgling business the best chance of success.

                                                                        These days, it feels as though more and more
                                                                        academics are venturing into the dynamic and fast-
                                                                        paced world of life-science startups. Many US
                                                                        academic institutions now provide access to training
                                                                        programs for academic founders. But taking the
                                                                        plunge into the realm of business, finance and law
                                                                        can nevertheless be a daunting process. A new
                                                                        startup founder faces numerous (often unforeseen)
                                                                        obstacles when seeking to commercialize their
                                                                        research. This article lays out those critical issues
                                                                        and provides some helpful tips for faculty members
                                                                        seeking to commercialize their research.”
                                                                                                                           26
General Atlantic Sees Opportunities in Healthcare
System Inefficiencies
                                                                                                          Feb 2022

▪    Enormous number of players in virtual care now
▪    Took off during the pandemic
▪    Big consolidation

Source: https://www.youtube.com/watch?v=N1AbAQYVFNc
Source: https://www.pehub.com/general-atlantic-sees-opportunities-in-healthcare-systems-inefficiencies/

                                                                                                                     27
Science Article on Metabolism over Life Span
“You can’t exercise your way out of a bad diet”

Source: https://www.science.org/content/article/scientist-busts-myths-about-how-humans-burn-calories-and-why   28
If you Exercise a Lot, Your Metabolism Adapts
(continuation of previous story)

 PONTZER GOT A LESSON in the value of food sharing in 2010, when he traveled to Tanzania to study the energy budgets of the Hadza hunter-gatherers. One
 of the first things he noticed was how often the Hadza used the word “za,” which means “to give.” It’s the magic word all Hadza learn as children to get
 someone to share berries, honey, or other foods with them. Such sharing helps all the Hadza be active: As they hunt and forage, Hadza women walk about 8
 kilometers daily; men, 14 kilometers—more than a typical American walks in 1 week.

 To learn about their energy expenditure, Pontzer asked the Hadza whether they’d drink his tasteless water cocktail and give urine samples. They agreed. He
 almost couldn’t get funding for the study, because other researchers assumed the answer was obvious. “Everyone knew the Hadza had exceptionally high
 energy expenditures because they were so physically active,” he recalls. “Except they didn’t.”

 Individual Hadza had days of more and less activity, and some burned 10% more or less calories than average. But when adjusted for nonfat body mass, Hadza
 men and women burned the same amount of energy per day on average as men and women in the United States, as well as those in Europe, Russia, and Japan,
 he reported in PLOS ONE in 2012. “It’s surprising when you consider the differences in physical activity,” Schoeller says.

 One person who wasn’t surprised was epidemiologist Amy Luke at Loyola University Chicago. She’d already gotten a similar result with doubly labeled water
 studies, showing female farmers in western Africa used the same amount of energy daily when adjusted for fat-free body mass as women in Chicago —about
 2400 kilocalories for a 75-kilogram woman. Luke says her work was not well known—until Pontzer’s paper made a splash. The two have collaborated ever since.

                                                      Source: https://www.science.org/content/article/scientist-busts-myths-about-how-humans-burn-calories-and-why   29
Are French Fries OK?
(key research out this week)

French-fried potatoes consumption and energy balance: a randomized controlled trial
Background: Epidemiologic observations suggest increased potato consumption correlates with weight gain, adiposity, and
diabetes risk, while nut consumption is associated with weight control and metabolic health. Randomized controlled trial (RCT)
data indicate humans respond to changes in energy intake in single dietary components and compensate for extra energy
consumed.
Objective: We completed an RCT testing whether increased daily potato consumption influences energy balance (specifically,
fat mass (FM)) compared with calorie-matched almond consumption.
Design: A 30-day RCT of 180 adults prescribed calorie-matched (300 kcal/day, n=60 participants/group) consumption of 1)
almonds, 2) French fries (Potato) or 3) French fries with herb/spices mix (Potato+herb/spices). Baseline and 30-day FM were
measured by dual-energy x-ray absorptiometry (primary outcome), with secondary outcomes including body weight and
carbohydrate metabolism (glycated hemoglobin (HbA1c), fasting blood glucose and insulin, homeostatic model assessment of
insulin resistance (HOMA-IR)) markers.
Results: A total of 180 participants were randomized (gender [67.8%-female], age [mean±SD, 30.4±8.7 years], body mass index
(BMI) [26.1±4.2 kg/m2] and weight [75.6±15.4 kg]), with 12 dropouts and 3 terminations. Total FM change was not significantly
different between Almond and Potato (combined±herb/spices; (mean±SE)] Almond:230.87±114.01g; Potato:123.73±86.09g;
p=0.443), nor was change in fasting glucose (p=0.985), insulin (p=0.082), HOMA-IR (p=0.080) or HbA1c (p=0.269). Body weight
change was not significantly different with potato groups combined versus almonds (p=0.116), but was significantly different
among the three groups (p=0.014; Almond: 0.49±0.20kg; Potato: -0.24±0.20kg; Potato+herb/spices: 0.47±0.21kg).
Conclusion: There were no significant differences in FM or in glucoregulatory biomarkers after 30 days of potato consumption
versus almonds. Results do not support a causal relationship between increased French fried potato consumption and the
negative health outcomes studied.

 Source: https://pubmed.ncbi.nlm.nih.gov/35179193/                                                                               30
Public Equity Offerings

                          31
Weekly Global
           Biopharma     Biopharma
                     Sector         IPO by
                            IPO Activity Volume
                                            Month, 2020 to 2021
      Last week saw a five IPOs price. Three were in China. One in Europe and one (Blue Water Vaccines) in the United States. There was
      an IPO market last week!

                                                                 Biopharma IPO Volume ($ million), Weekly, May 24, 2020 to Feb 18, 2022
                      4000

                      3500

                      3000
Volume ($ millions)

                      2500

                      2000

                      1500

                      1000

                       500

                         0
                         30-May    30-Jun   31-Jul   31-Aug   30-Sep   31-Oct   30-Nov   31-Dec   31-Jan   28-Feb   31-Mar   30-Apr   31-May   30-Jun   31-Jul   31-Aug   30-Sep   31-Oct   30-Nov   31-Dec   31-Jan
                                                                                                                    Week Ended

                      Source: Data from CapitalIQ
                                                                                                                                                                                                                       32
Background on IPO Market and Blue Water Deal
One microcap biotech is charging headfirst into treacherous IPO waters, jumping to Nasdaq with
modest raise

Feb 18, 2022: “It’s a tough market right now for biotech IPOs, but one small company is taking the public leap Friday
with a modest initial offering.Blue Water Vaccines raised $20 million in its IPO, pricing shares at $9 apiece late Thursday
afternoon. The Cincinnati-based company will use the money primarily to advance a slate of preclinical programs
toward IND studies and boost manufacturing capabilities, it reported in its S-1 filing.

Long gone are the days of 2020 when the biotech IPO market was booming, a period that stretched well into the first
half of 2021 and saw roughly 200 companies go public. The bull market helped bring in about $30 billion in new cash,
as investors set their sights on the life sciences hoping to find the next pandemic success like Moderna.During that
period, it was not uncommon to see three or four biotechs price their IPOs every week. Some were so busy that 10
biotechs debuted in a single week last February, and raises topping the $200 million mark were aplenty.”

Source: https://endpts.com/one-microcap-biotech-is-charging-headfirst-into-treacherous-ipo-waters-jumping-to-nasdaq-with-modest-raise/
                                                                                                                                         33
Biopharma Sector IPO Activity by Month, 2020 to 2021
Weekly Global Biopharma Follow-On Equity Volume
The week of Feb 4 was the first week in awhile with a follow-on market (14 deals for $627mm). Last week (week of Feb 11) saw the
market build up. There were 17 transactions in the market for $767mm in volume.

                                                      Biopharma Equity Follow-On Volume ($ million), Weekly, May 2020 to Feb 18, 2022
                      12000

                      10000

                       8000
Volume ($ millions)

                       6000

                       4000

                       2000

                         0
                         30-May   30-Jun   31-Jul   31-Aug 30-Sep   31-Oct   30-Nov   31-Dec   31-Jan 28-Feb   31-Mar   30-Apr   31-May   30-Jun   31-Jul   31-Aug 30-Sep   31-Oct   30-Nov   31-Dec   31-Jan
                                                                                                               Week Ended

   Source: Data from CapitalIQ
                                                                                                                                                                                                                34
Private Capital Markets Environment

                                      35
Weekly Global
Biopharma     Biopharma
          Sector         DebtbyIssuance.
                 IPO Activity    Month, 2020 to 2021
Last week saw Amgen and BMS both issue significant amounts of debt in the market. This was a $10bn issuance week, the largest
since last November. Bristol’s deal was part of a debt exchange transaction.

                                                      Biopharma Public Debt Issuance Trend ($ million), Weekly, May 2020 to Feb 2022
                        16000

                        14000

                        12000
  Volume ($ millions)

                        10000

                        8000

                        6000

                        4000

                        2000

                           0
                           30-May   30-Jun   31-Jul    31-Aug   30-Sep   31-Oct   30-Nov   31-Dec   31-Jan   28-Feb   31-Mar   30-Apr   31-May   30-Jun   31-Jul   31-Aug   30-Sep   31-Oct   30-Nov   31-Dec   31-Jan
                                                                                                                      Week Ended

 Source: Data from CapitalIQ, Crunchbase.
                                                                                                                                                                                                                         36
Bristol Issues $6 Billion as Part of an Exchange
Bristol Myers Squibb Prices $6 Billion of Senior Unsecured Notes. Replacing Debt Due in Next Five Years
With Very Long-Dated Debt Ahead of Fed Tightening

02/15/2022 NEW YORK--(BUSINESS WIRE)-- Bristol-Myers Squibb Company (NYSE:BMY) today announced that it
has priced a public offering (the “Offering”) of senior unsecured notes in a combined aggregate principal amount
of $6 billion (collectively, the “Notes”). The Notes will be issued in four tranches: (i) $1,750,000,000 in aggregate
principal amount of 2.950% notes due 2032, (ii) $1,250,000,000 in aggregate principal amount of 3.550% notes due
2042, (iii) $2,000,000,000 in aggregate principal amount of 3.700% notes due 2052, and (iv) $1,000,000,000 in
aggregate principal amount of 3.900% notes due 2062. Bristol Myers Squibb expects that the closing of the
Offering will occur on March 2, 2022, subject to the satisfaction of customary closing conditions.

Concurrently with this offering, we commenced a tender offer (the “Tender Offer”) to purchase, for cash, various
series of our outstanding notes (the “Tender Offer Notes”). We intend to use the net proceeds of this offering (i) to
fund the Tender Offer, (ii) to pay fees and expenses in connection therewith and this Offering, (iii) to fund the
repayment of outstanding debt upon maturity or earlier redemption and (iv) to the extent of any remaining
proceeds, for general corporate purposes. This offering is not contingent on the consummation of the Tender Offer
or the purchase of any of the Tender Offer Notes in connection therewith.

BofA Securities, Inc., Deutsche Bank Securities Inc., Goldman Sachs & Co. LLC, and Wells Fargo Securities, LLC are
acting as joint book-running managers for the Offering.
                                                                                                                        37
Weekly Global
Biopharma     Biopharma
          Sector         Venture
                 IPO Activity    Equity Placements
                              by Month, 2020 to 2021
We saw $696 million in private venture equity placements complete last week. The market is softening from levels seen a month
ago.

                                                     Biopharma Venture Equity Privates Trend ($ million), Weekly, May 2020 to Feb 2022
                        5000

                        4500

                        4000

                        3500
  Volume ($ millions)

                        3000

                        2500

                        2000

                        1500

                        1000

                         500

                          0
                          30-May   30-Jun   31-Jul    31-Aug 30-Sep   31-Oct   30-Nov   31-Dec   31-Jan 28-Feb   31-Mar   30-Apr   31-May   30-Jun   31-Jul   31-Aug 30-Sep   31-Oct   30-Nov   31-Dec   31-Jan
                                                                                                                 Week Ended

 Source: Data from CapitalIQ, Crunchbase.
                                                                                                                                                                                                                  38
Report from Bio CEO Investor Meeting

Investment rounds are taking longer to complete                                                     "There is money for everything from seed through to late-
                                                                                                    stage," said Asish Xavier, the vice president of venture
                                                                                                    investments at Johnson & Johnson Development Corp., the
When the market for biotech companies peaked in early 2021, drug
                                                                                                    healthcare conglomerate’s startup financing arm. JJDC
startups were able to go from creation to the public markets faster
                                                                                                    approved its first couple deals this week and they should
than ever. Nearly two-thirds of the roughly 150 biotechs that raised at
                                                                                                    close in May, he added, speaking at the BIO conference.
least $50 million in an IPO during 2020 and 2021 were in either
preclinical or Phase 1 testing when they went public, according to data
                                                                                                    But the poor stock market performance of biotechs that went
compiled by BioPharma Dive. That share was notably higher than
                                                                                                    public last year, combined with the sector’s overall downturn,
previous years, too.
                                                                                                    has forced investors to reset expectations. Companies
                                                                                                    seeking 2021-esque valuations now need "a lot longer" to
"Up until recently, the reflex for management teams, and perhaps the
                                                                                                    raise funding, said Sara Nayeem, a partner at Avoro Capital,
other existing investors was 'let's do this financing and then we'll go
                                                                                                    on Monday.
public in six months,'" Otello Stampacchia, founder of the investment
firm Omega Funds, said in a recent interview.
                                                                                                    As a result, companies may need to be more frugal with their
                                                                                                    money and stretch their funding until they achieve
The parade of early stage biotechs going public occurred because the
                                                                                                    "demonstrable milestones," like data from a trial,
market rewarded them with large valuations, earning their backers
                                                                                                    Stampacchia said Monday. Biotechs may also "top up"
sizable returns. And that made it easier for biotechs to quickly amass
                                                                                                    existing rounds by bringing new investors in on the same
syndicates of venture firms and crossover investors who invest in
                                                                                                    terms, which he described as an insurance policy against a
public and private startups.
                                                                                                    bleak IPO market.

                                                                                                                                                                   39
Source: https://www.biopharmadive.com/news/biotech-startup-stock-market-downturn-venture-capital/618823/
Biotech firm Synthego raises $200 mln in funding from
Softbank, others

Feb 18, 2022: Biotechnology firm Synthego said on Thursday it had raised $200 million in a
late-stage funding round led by hedge fund Perceptive Advisors, with participation from
SoftBank Vision Fund 2. The California-based company, which uses machine learning,
automation and gene editing to accelerate drug development, did not disclose the valuation at
which the latest funds were raised.

Other investors in the Series E round included venture capital firms Moore Strategic Ventures,
Declaration Partners, Laurion Capital Management, Logos Capital, GigaFund and Chimera
Investments.

The company said it would use the funds for the creation of a cell and gene therapy discovery
and development ecosystem to help researchers fast track the translation of new discoveries
into therapeutics for serious diseases.

It will also invest in the development of CRISPR technology, a gene-editing tool that allows                 Paul Dabrowski
scientists to rewrite the genetic code in almost any organism, Synthego said. The technique's                Synthego, CEO
real-world applications include the curing of genetic diseases and creating drought-resistant
crops.

Source: https://www.reuters.com/markets/us/biotech-firm-synthego-raises-200-mln-funding-softbank-others-2022-02-17/           40
Mergers and Acquisitions Environment

                                       41
Global Biopharma M&A Activity Continues to Be Soft
Biopharma Weekly M&A Volume, June 2020 to Feb 2022
Through 2021. Quite a Few Smaller Deals Happening.
We continue to find ourselves in an M&A desert. We do not believe that this is a permanent state of affairs.

                                        Biopharma M&A Volume Trend ($ million), Weekly, May 2020 to Feb 2022
                        50000

                        45000

                        40000

                        35000
  Volume ($ millions)

                        30000

                        25000

                        20000

                        15000

                        10000

                        5000

                           0
                           30-May   30-Jun   31-Jul   31-Aug   30-Sep   31-Oct   30-Nov   31-Dec   31-Jan 28-Feb   31-Mar   30-Apr   31-May   30-Jun   31-Jul   31-Aug   30-Sep   31-Oct   30-Nov   31-Dec   31-Jan
                                                                                                                   Week Ended

Source: S&P, CapitalIQ
                                                                                                                                                                                                                      42
Collegium Acquires Biodelivery Sciences For $604 Million
Collegium pays 54% premium in all cash deal funded by $650 million in credit from Pharmakon

STOUGHTON, Mass. and RALEIGH, N.C., Feb. 14, 2022 (GLOBE NEWSWIRE) -- Collegium Pharmaceutical, Inc. (Nasdaq: COLL) and
BioDelivery Sciences International, Inc. (NASDAQ: BDSI) today announced a definitive agreement pursuant to which Collegium will
acquire BDSI for $5.60 per share in cash.

BDSI has a portfolio of pain and neurology products that address serious and debilitating conditions. BDSI’s commercial growth
driver, BELBUCA, is a meaningfully differentiated schedule III opioid product and is highly complementary to Collegium’s portfolio
of pain products. Additional products in the BDSI portfolio include Symproic®, a contributor, and ELYXYB, a neurology product in
its early launch phase.

“We are excited to announce this acquisition, which represents a major step forward in our mission to build a leading, diversified
specialty pharmaceutical company committed to improving the lives of people suffering from serious medical conditions,” said Joe
Ciaffoni, President and Chief Executive Officer of Collegium. “The BDSI portfolio expands and enhances Collegium’s differentiated
pain offerings and establishes a foothold in neurology, a strategic market adjacency. Importantly, we expect this acquisition will be
immediately and highly accretive by expanding our revenue scale and generating significant synergies.”

“We are pleased to announce the transaction with Collegium, which we view as a testament to the attractiveness of our portfolio
and long-term value of our brands,” said Jeff Bailey, Chief Executive Officer of BDSI. “Our team has worked diligently to grow our
differentiated products. We believe that this transaction will deliver benefits to patients and prescribers and create significant
value for our shareholders.”

Source: https://www.globenewswire.com/news-release/2022/02/14/2384236/34897/en/Collegium-to-Acquire-BioDelivery-Sciences-Broadening-Pain-
Portfolio.html                                                                                                                              43
Market Rewarding Commercial Acquisitions in Specialty Pharma

Commercial Pharma Post-Acquisition Performance vs. XBI
       Pacira Post-Acquisition of Flexion (Oct 11, 2021)                Supernus Post-Acquisition of Adamas (Oct 11, 2021)               Collegium Post-Acquisition of BDSI (Feb 14, 2022)
1.6
                                                           34%    1.4                                                                    Equity Generated: +$190 million
1.4                                                                                                                          17%   1.4   Deal EV: $538 million                               27%
1.2                                                               1.2
1.0                                                                                                                                1.2
                                                                  1.0
0.8
0.6                                                               0.8                                                    -23%
                                                           -23%                                                                    1.0                                                        1%
0.4   Equity Generated: +$837 million
      Deal EV: $582 million                                       0.6    Equity Generated: +$264 million
0.2                                                                                                                                0.8
                                                                         Deal EV: $462 million
0.0                                                               0.4                                                                 2/11             2/14             2/15                 2/16
  Oct-21     Nov-21        Dec-21     Jan-22           Feb-22       Oct-21      Nov-21      Dec-21    Jan-22          Feb-22
                                                                                                                                                         XBI       Collegium
                          XBI    Pacira                                                   XBI    Supernus

   ▪ Following recent M&A, commercial pharma buyers have consistently returned double digits and significantly outperformed
     the S&P XBI index
   ▪ In an environment where the share value of biopharma companies is declining, investors appear to view these acquisitions
     as accretive to buyer valuations—a sentiment reflected in their share price performance

  Source: Capital IQ
                                                                                                                                                                                             44
With $1.7T in the coffers, biopharma M&A expected to
be 'a different animal' in 2022

Feb 15, 2022:

“2022, of course, will be a different animal,” said Arda Ural, Ph.D., Americas industry markets leader for health sciences at EY, in an interview.
At $108 billion, biopharma M&A activity in 2021 represented a mere 40% of 2019 levels, the consulting firm noted.
But the potential was there. Last year, companies had M&A firepower that reached levels not seen since 2014, with $1.2 trillion (PDF) at the
ready. And, just as it does now, biotech sported an ever-expanding field of targets, thanks to record amounts of private financing that have
spawned a flurry of nascent biotechs.

High premiums, rising valuations and discord over pricing—especially for biotechs that have no clinical proof—dampened the market for
buying and merging. But now, biotech valuations are coming down. And the “innovation deficit” among pharmaceutical companies expected
over the next few years—plus pending patent exclusivity losses—could be a “propeller for deals,” Ural said.
“That fundamental, foundational problem will be a concern,” Ural said. De-risked assets that have cleared pivotal trials and are on the path to
market will appeal to Big Pharma because the behemoths can handle the commercial, regulatory and supply chain risks better than budding
biotechs can, he said.

Source: https://www.fiercebiotech.com/biotech/biopharma-ma-2022-different-animal-drugmakers-coffers-lined-17t
                                                                                                                                                     45
Appendix:
Weekly Transaction Listing

                             46
Biopharma Sector Transaction List. Week ended Feb 18,
2022 (deal size > $15mm)
       Date          Target/Issuer                                                       Transaction Types          Value ($mm)
    02/14/2022       Collegium Pharmaceutical, Inc. (NasdaqGS:COLL)                      Private Debt Placement              650.0
    02/14/2022       BioDelivery Sciences International, Inc. (NasdaqGS:BDSI)            Merger/Acquisition                 645.64
    02/14/2022       Hualan Biological Bacterin Inc. (SZSE:301207)                       IPO                                357.96
    02/17/2022       Blueprint Medicines Corporation (NasdaqGS:BPMC)                     Public Equity Offering              300.0
    02/14/2022       Roivant Sciences Ltd. (NasdaqGM:ROIV)                               Public Equity Offering              250.0
    02/15/2022       Kallyope Inc.                                                       Private Equity Placement            236.0
    02/17/2022       Synthego                                                            Public Equity Placement             200.0
    02/11/2022       OBI Pharma, Inc. (TPEX:4174)                                        Public Equity Offering             113.09
    02/16/2022       Third Harmonic Bio, Inc.                                            Private Equity Placement            105.0
    02/11/2022       Wild Type                                                           Public Equity Placement             99.69
    02/16/2022       Electra Therapeutics                                                Public Equity Placement              84.0
    02/15/2022       Jilin Province Xidian Pharmaceutical Sci-Tech Development Co.,Ltd   IPO                                 71.86
    02/15/2022       ArriVent Biopharma                                                  Public Equity Placement              69.0
    02/15/2022       Terray Therapeutics, Inc.                                           Private Equity Placement             60.0
    02/16/2022       Splice Bio                                                          Private Equity Placement            56.84
    02/11/2022       Vascular Biogenics Ltd. (NasdaqGM:VBLT)                             Public Equity Offering               50.0
    02/16/2022       Chongqing TCRCure Biotechnology Co., Ltd.                           Private Equity Placement             47.3
    02/15/2022       Parse Biosciences                                                   Public Equity Placement              41.5
    02/14/2022       Variantyx                                                           Public Equity Placement              41.5
    02/15/2022       NMD Pharma ApS                                                      Private Equity Placement            39.77
    02/15/2022       HOOKIPA Pharma Inc. (NasdaqGS:HOOK)                                 Public Equity Placement              35.0
    02/16/2022       Centauri Therapeutics Limited                                       Private Equity Placement            32.59
    02/14/2022       Suzhou Genhouse Bio Co., Ltd.                                       Private Equity Placement             31.4
    02/14/2022       BIO-FD&C Co.,Ltd. (KOSDAQ:A251120)                                  IPO                                 30.39
    02/14/2022       Solasia Pharma K.K. (TSE:4597)                                      Public Equity Placement             29.78
    02/16/2022       ITM Medical Isotopes GmbH                                           Private Equity Placement            28.42
    02/15/2022       Aelis Farma S.A. (ENXTPA:AELIS)                                     IPO                                 28.41
    02/16/2022       Bioniz Therapeutics, Inc.                                           Merger/Acquisition                   25.0
    02/16/2022       Memo Therapeutics                                                   Public Equity Placement             24.86
    02/16/2022       Walking Fish Therapeutics                                           Public Equity Placement              23.0
    02/18/2022       Blue Water Vaccines, Inc. (NasdaqCM:BWV)                            IPO                                  20.0
    02/14/2022       Marizyme, Inc. (OTCPK:MRZM)                                         Public Equity Offering              18.29
    02/17/2022       Signalchem Lifesciences Corporation                                 Private Equity Placement            15.75

 Source: CapIQ, Crunchbase, Biospace                                                                                                 47
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