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Forte Biosciences(FBRX) - 2022 Q4 - Annual Report

PART I Item 1. Business Forte Biosciences is a biopharmaceutical company advancing its preclinical product candidate, FB-102, for broad autoimmune applications amidst a competitive and highly regulated industry Overview - Forte Biosciences, Inc. is a biopharmaceutical company advancing FB-102, a proprietary therapeutic molecule, through preclinical trials for broad autoimmune applications13 - FB-102 targets indications such as graft-versus-host disease (GvHD), vitiligo, and alopecia areata (AA), which have multi-billion dollar market sizes13 - The company expects FB-102 to enter clinical trials in late 2023 or early 202420 - As of December 31, 2022, Forte had $41.1 million in cash and cash equivalents21 Product Candidate (FB-102) and Target Indications - FB-102 is an antagonist of autoimmune disease pathways with potential for durable response, targeting GvHD, vitiligo, and AA13 - GvHD is a complication of allogeneic HSCT, affecting 30-70% of patients, with a global treatment market estimated at $1.6 billion in 2021, projected to reach $2.8 billion by 20271415 - Vitiligo affects 2 million people in the U.S., with a global treatment market estimated at $1.2 billion in 2018, projected to reach $1.9 billion by 20261617 - Alopecia Areata (AA) affects 700,000 people in the US, with a global treatment market estimated at $2.7 billion in 2020, projected to reach $4.9 billion by 20281819 - There is a significant unmet need for safe and effective therapies in these indications, as existing treatments like JAK inhibitors carry black box warnings14161820 Manufacturing and Supply - Forte outsources FB-102 manufacturing to third-party CMOs and preclinical testing to CROs22 - Reliance on a limited number of suppliers for critical raw materials and services poses a risk of supply interruption, which could harm manufacturing and preclinical development22 Competition - The biotechnology and pharmaceutical industries are highly competitive, characterized by rapidly advancing technologies24 - Key competitive factors include efficacy, safety profile, administration method, cost, promotional activity, and intellectual property protection24 - Competitors include major pharmaceutical and biotechnology companies, academic institutions, and government agencies, many with greater financial resources and expertise2526 Intellectual Property - Forte terminated its exclusive license agreement with DHHS for Gram-negative bacteria compositions effective April 2, 202227 - The company owns one US patent for Gram-positive and Gram-negative bacteria combinations (expiring 2039), which is not material to the FB-102 program28 - Forte owns four pending US patent applications related to the FB-102 program, with estimated expiration dates between 2043 and 204428 Government Regulation - Drug and biological products are extensively regulated by government authorities in the U.S. and other countries, covering research, development, testing, manufacturing, approval, labeling, marketing, and post-approval monitoring29 - Obtaining regulatory approvals is a lengthy, expensive process, and non-compliance can lead to severe sanctions, including refusal of approval, withdrawal of approval, fines, and criminal penalties30 United States Biological Product Development - Forte's product candidates require FDA approval through a Biologic License Application (BLA) process31 - The process involves extensive preclinical studies, an effective Investigational New Drug (IND) application, IRB approval, human clinical trials (Phase 1, 2, 3), BLA submission and review, and pre-approval inspections of manufacturing facilities for cGMP compliance3136 Preclinical Studies and IND - Preclinical studies involve laboratory and animal testing to assess safety and therapeutic rationale, conducted under GLP regulations32 - An IND application, including preclinical results and clinical study plans, must become effective (typically after 30 days unless FDA raises concerns) before human clinical trials can begin33 Clinical Trials - Clinical trials involve administering investigational products to humans under qualified investigators, adhering to GCP requirements and IRB approval, with informed consent from participants34 - Trials are typically conducted in three phases: Phase 1 (safety, metabolism, pharmacologic action in small groups), Phase 2 (dose determination, preliminary efficacy in disease-affected patients), and Phase 3 (demonstrate effectiveness, safety, overall benefit/risk in large patient populations)363738 - Post-approval (Phase 4) trials may be conducted to gain additional experience or as a condition of BLA approval38 - Clinical trials can be suspended or terminated by the FDA, sponsor, or IRB due to health risks, non-compliance, or other factors40 FDA Review Process - After clinical trials, a BLA is submitted to the FDA with preclinical and clinical data, proposed labeling, and manufacturing information to prove safety, purity, and potency42 - The FDA reviews the BLA, conducts pre-approval inspections of manufacturing facilities for cGMP compliance, and may refer applications to advisory committees4546 - Approval results in an approval letter, while deficiencies lead to a Complete Response Letter requiring additional data or studies46 Pediatric Information - Under PREA, BLAs must include pediatric safety and efficacy data for relevant subpopulations, or a justification for deferral/waiver47 - Sponsors must submit an initial Pediatric Study Plan (PSP) for new active ingredients, indications, or dosage forms, which requires FDA agreement47 Post-marketing Requirements - Approved products are subject to ongoing FDA regulation, including monitoring, adverse event reporting, promotion/advertising compliance (e.g., no off-label promotion), and potential BLA supplements for modifications48 - The FDA may require a Risk Evaluation and Mitigation Strategy (REMS) to ensure safe product use, which can include medication guides, communication plans, or restricted distribution49 - Manufacturers must comply with cGMP regulations, register establishments with the FDA, and are subject to periodic unannounced inspections5051 Other Regulatory Matters - Post-approval activities are also regulated by other U.S. authorities like CMS, Department of Justice, and state/local governments53 Other Healthcare Laws - Biopharmaceutical manufacturers are subject to federal and state healthcare laws, including anti-kickback, anti-self-referral, false claims, transparency (Physician Payments Sunshine Act), pricing reporting, and data privacy (HIPAA) laws54 - Violations can lead to significant administrative, civil, and criminal penalties, fines, exclusion from government healthcare programs, and reputational harm55 Current and Future Healthcare Reform Legislation - Healthcare reform legislation, such as the Affordable Care Act (ACA) and the Inflation Reduction Act of 2022, aims to reduce healthcare costs and may impact drug pricing, coverage, and profitability565760 - The Inflation Reduction Act of 2022 allows federal negotiation of drug prices, imposes inflation rebates, and redesigns Medicare Part D, with uncertain impacts on the pharmaceutical industry60 - State-level legislation is also increasing to control pharmaceutical product pricing and transparency61 Packaging and Distribution in the United States - Pharmaceutical products are subject to child-resistant packaging requirements and extensive record-keeping, licensing, storage, and security regulations for distribution6263 - Non-compliance can lead to legal/regulatory actions, fines, product recalls, and withdrawal of approvals64 Other U.S. Environmental, Health and Safety Laws and Regulations - Forte is subject to environmental, health, and safety laws governing hazardous materials and waste, with potential liability for contamination or injury66 - The company maintains workers' compensation insurance but does not have environmental liability or toxic tort claims insurance67 U.S. Patent-Term Restoration and Marketing Exclusivity - U.S. patents may be eligible for up to five years of patent term extension under the Hatch-Waxman Amendments to compensate for time lost during FDA review69 - The Biologics Price Competition and Innovation Act (BPCI Act) created an abbreviated approval pathway for biosimilar products, granting reference biological products 12 years of data exclusivity7072 - Pediatric exclusivity, if granted, adds six months to existing regulatory exclusivity periods73 Rest of the World Regulation - Regulatory requirements for clinical trials, product licensing, pricing, and reimbursement vary significantly outside the U.S., including in the European Union74 - Failure to comply with foreign regulations can lead to fines, withdrawal of approvals, product recalls, and criminal prosecution75 Additional Laws and Regulations Governing International Operations - Expanding international operations subjects Forte to laws like the Foreign Corrupt Practices Act (FCPA), which prohibits bribery of foreign officials and requires accurate accounting76 - Compliance with FCPA is complex and expensive, especially in the pharmaceutical industry where government-owned hospitals and doctors are considered foreign officials77 - Failure to comply with international business practice laws can result in substantial civil and criminal penalties, and suspension from government contracting79 Coverage and Reimbursement - Commercial success of approved products depends on coverage and adequate reimbursement from third-party payors (government, commercial insurers, managed healthcare organizations)81 - There is no uniform policy in the U.S., requiring separate negotiations with each payor, which is time-consuming and costly81 - Increasing cost containment measures and changes in reimbursement rates can adversely affect product marketability and pricing828384 - Foreign countries often require pricing approval, and prices in the EU tend to be significantly lower than in the U.S.85 Employees and Human Capital - As of March 24, 2023, Forte had 6 full-time employees, primarily in R&D, manufacturing, and administration86 - The company's human capital objectives include identifying, recruiting, retaining, incentivizing, and integrating employees, advisors, and consultants87 Corporate Information and History - Forte completed a business combination with Tocagen, Inc. on June 15, 2020, with Forte as the surviving entity88 - Forte was privately held and incorporated in Delaware on May 3, 201788 - The company's principal executive office is in Dallas, Texas89 Item 1A. Risk Factors. Forte Biosciences faces significant risks from its early-stage, single product candidate development, including clinical uncertainty, capital needs, intense competition, regulatory hurdles, and reliance on third parties Risks related to Forte's business, technology and industry - Forte's business is almost entirely dependent on the success of FB-102, having discontinued its previous lead product candidate, FB-401, due to a failed Phase 2 clinical trial93949697 - The company has no approved products, a limited operating history, and has incurred net losses in every year since inception, with an accumulated deficit of $87.0 million as of December 31, 20229899102 - Forte will require additional capital to fund operations and FB-102 development; current cash ($41.1 million as of Dec 31, 2022) is sufficient for at least 12 months, but further funding is uncertain105 - Clinical development is lengthy, expensive, and uncertain, with high attrition rates; positive early preclinical results are not predictive of later clinical trial success95114120123124 - Undesirable side effects from FB-102 could delay or prevent regulatory approval, limit commercial profile, or lead to significant negative consequences post-marketing120122185186 - Estimates of target patient populations for FB-102 may be inaccurate, potentially limiting market opportunities and profitability129130 - Forte faces significant competition from companies with greater financial, technical, and marketing resources131132 - Market acceptance of FB-102, if approved, is uncertain and depends on efficacy, safety, convenience, physician/patient willingness, pricing, and reimbursement133134 - The COVID-19 pandemic or other public health threats could adversely impact operations, preclinical studies, and financial results136 - Forte needs to grow its organization and manage this growth effectively, relying substantially on third-party organizations, advisors, and consultants137138 - Loss of key management personnel or failure to recruit skilled personnel could impair product development142143 - Internal computer systems or those of third parties are vulnerable to security breaches, potentially disrupting operations or leading to data loss and liability144 - Employees, contractors, and partners may engage in misconduct, including non-compliance with regulatory standards, leading to significant losses and reputational harm146147 Risks related to government regulation - Forte's ability to commercialize FB-102 is highly uncertain and dependent on successful completion of preclinical studies, clinical trials, regulatory approvals, and establishing manufacturing and commercial operations160161 - Changes in the legal and regulatory environment, including FDA regulations, labeling laws, and consumer protection, could limit business activities or increase costs163164 - Inadequate funding or staffing disruptions at regulatory agencies (FDA, SEC) could delay product review and approval165166168 - Relationships with healthcare providers and third-party payors are subject to federal and state healthcare fraud and abuse laws (e.g., Anti-Kickback Statute, False Claims Act, HIPAA), with potential for significant penalties and reputational harm169170171173174 - Obtaining regulatory approval in one jurisdiction does not guarantee approval in others, and foreign approval processes can be different, lengthy, and costly175176 - Delays or failure to obtain regulatory approvals for FB-102 would materially impair Forte's ability to generate revenue178184 - Post-marketing, Forte will be subject to ongoing regulatory compliance, including cGMP and GCP, and potential FDA actions like labeling changes, post-marketing studies, or product withdrawal188189190191 - International operations expose Forte to anti-bribery (FCPA), export control, trade sanctions, and import laws, with violations leading to substantial penalties195199200 Risks related to Forte's intellectual property - Forte's success depends on obtaining and maintaining patent protection for FB-102 and other technologies; there is no assurance that patent applications will issue or be enforceable201202204 - The scope of patent protection may be insufficient, or patents may be lost, allowing competitors to commercialize similar products205206207 - Patents may be challenged, invalidated, or circumvented by third parties, leading to loss of exclusivity or inability to commercialize products206207208209 - Patent terms may be inadequate to protect competitive position due to the long development and regulatory review periods210227 - Failure to obtain patent term extension or data exclusivity could materially harm the business228 - Forte may face claims challenging inventorship of its patents or other intellectual property, leading to litigation and potential loss of rights229 - Inability to protect trade secrets and proprietary rights globally, or their lawful obtainment by competitors, would harm Forte's competitive position230231233217218 - Third-party claims of intellectual property infringement could prevent or delay commercialization of FB-102, leading to substantial litigation expenses, damages, or licensing obligations238240241242243 - Forte filed a petition for post-grant review of U.S. Patent No. 11,278,505, owned by the University of Massachusetts, which claims broad autoimmune technologies239 Risks related to Forte's reliance on third parties - Forte relies on third parties (investigators, CROs, CMOs) for preclinical studies, clinical trials, and manufacturing, reducing control over these activities and increasing risks of delays or unsatisfactory performance248249250 - Failure of third-party manufacturers to comply with cGMP regulations or meet specifications could delay or prevent development and commercialization253254255 - Third-party collaborations carry risks, including discretion over efforts, non-performance, competition, and potential termination, which could impact funding and development timelines256258259 - Inability to maintain existing collaborations or enter new ones on favorable terms could force Forte to curtail development or undertake costly activities independently261 General Risks - The market price of Forte's common stock is highly volatile; a significant decline (e.g., 82% drop after FB-401 trial failure) can occur, and class action securities litigation is a risk262265 - Unstable market and economic conditions, including disruptions in financial services, could adversely affect Forte's business, financing ability, and stock price155156158267 - Complying with public company laws and regulations (e.g., Sarbanes-Oxley Act) incurs significant costs and demands on management268 - Anti-takeover provisions in charter documents and Delaware law, including a shareholders' rights plan, could make an acquisition more difficult and prevent changes in management269270 - Forte does not anticipate paying cash dividends in the foreseeable future, making capital appreciation the sole source of stockholder gain273 - Future sales of common stock by existing stockholders could cause the stock price to decline274 - Forte has broad discretion in using proceeds from capital raising efforts, which may not align with stockholder preferences or increase investment value276 - Forte identified a material weakness in its internal control over financial reporting related to the review of its annual income tax provision, which could impair accurate financial reporting277279 Item 1B. Unresolved Staff Comments The company reported no unresolved staff comments from the SEC - There are no unresolved staff comments286 Item 2. Properties Forte Biosciences leases adequate office space in Dallas, Texas, under a cancellable agreement - Forte entered into a cancellable lease agreement for office space in Dallas, Texas, in December 2021287 - The company believes its existing facilities are adequate and suitable for current business requirements287 Item 3. Legal Proceedings Forte Biosciences is defending against a pending stockholder complaint filed in November 2022 seeking access to company books and records - A stockholder filed a complaint in November 2022 in the Delaware Court of Chancery to access company books and records and seek attorney fees451 - The legal action is pending, and Forte Biosciences intends to vigorously defend against it451 Item 4. Mine Safety Disclosures This item is not applicable to Forte Biosciences, Inc - Mine Safety Disclosures are not applicable to the registrant289 PART II Item 5. Market for Registrant's Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities Forte's common stock trades on Nasdaq under 'FBRX', with 229 stockholders as of March 2023, and the company has never paid cash dividends - Forte's common stock began trading on the Nasdaq Capital Market under the ticker symbol 'FBRX' on June 16, 2020292 - As of March 24, 2023, there were 229 registered stockholders of record293 - The company has never declared or paid cash dividends and intends to retain all available funds and future earnings for business operations294 - No repurchases of common stock were made during the year ended December 31, 2022297 - No sales of unregistered securities occurred during the year ended December 31, 2022298 Item 6. Reserved This item is reserved and contains no information - Item 6 is reserved299 Item 7. Management's Discussion and Analysis of Financial Condition and Results of Operations Forte Biosciences, a preclinical biopharmaceutical company, reported a $13.9 million net loss in 2022, driven by reduced R&D, and holds $41.1 million in cash for at least 12 months of operations Overview - Forte Biosciences is a biopharmaceutical company focused on advancing its product candidate, FB-102, through preclinical trials for autoimmune applications like GvHD, vitiligo, and AA301 - As of December 31, 2022, the company had $41.1 million in cash and cash equivalents305 - Forte's common stock is publicly traded on the Nasdaq Capital Market under FBRX305 - The company has an 'at-the-market' (ATM) equity offering program but has reached its current sales limit under Form S-3, restricting further sales306 Intellectual Property - Forte terminated its exclusive license agreement with DHHS for Gram-negative bacteria compositions effective April 2, 2022307308 - The company owns one US patent (expiring 2039) not material to FB-102, and four pending US patent applications related to FB-102 (expiring 2043-2044)309 COVID-19 - The COVID-19 pandemic has resulted in significant economic disruption and may adversely affect Forte's operations, financial condition, and liquidity310 - The full extent, consequences, and duration of the pandemic's impact remain unpredictable310 Components of Operating Results - Forte has no approved products and has not generated revenue from product sales; future revenue is expected from product sales, royalties, license fees, or milestones from collaborations311 - Research and development costs are expensed as incurred, including salaries, preclinical studies, clinical trials, and drug manufacturing312 - General and administrative expenses include professional fees, personnel expenses, and costs associated with being a publicly traded company315 - Other expenses, net, consist of foreign exchange losses and franchise taxes, offset by interest income316 Critical Accounting Policies, Significant Judgments and Use of Estimates - The preparation of financial statements requires management to make estimates and assumptions, particularly for research and development expenses and stock-based compensation317319 - Stock-based compensation is measured at grant-date fair value using the Black-Scholes option pricing model, with assumptions for expected term, volatility, risk-free interest rate, and dividend yield320323324325326 - The volatility input is subjective and requires significant analysis and judgment, as the company has limited historical data323325 Results of Operations Consolidated Statements of Operations (in thousands) | Operating Expenses | 2022 ($) | 2021 ($) | Change ($) | |:-------------------|:---------|:---------|:-----------| | Research and development | 5,594 | 13,853 | (8,259) | | General and administrative | 8,302 | 7,633 | 669 |\ | Total operating expenses | 13,896 | 21,486 | (7,590) | | Other income (expenses), net | 17 | (222) | 239 | | Net Loss | (13,879) | (21,708) | (7,829) | - Research and development expenses decreased by $8.3 million in 2022 (YoY), primarily due to a $3.7 million decrease in manufacturing, $3.1 million decrease in preclinical/clinical expenses (FB-401 termination), $0.9 million decrease in payroll, and $0.6 million decrease in other expenses329 - General and administrative expenses increased by $0.7 million in 2022 (YoY), mainly due to an increase in legal expenses331 - Other income (expenses), net, improved by $0.239 million in 2022 (YoY), driven by a $150 thousand increase in interest income, $52 thousand reduction in foreign currency losses, and $37 thousand reduction in franchise taxes332 Liquidity and Capital Resources - Forte has no product sales revenue, has never been profitable, and incurred a net loss of $13.9 million in 2022, with an accumulated deficit of $87.0 million333 - As of December 31, 2022, cash and cash equivalents were $41.1 million, believed to be sufficient for at least 12 months of operations336 - The company issued 6.1 million shares of common stock for gross proceeds of approximately $7.7 million under its ATM Facility from July 1 to December 31, 2022335 - Forte will require additional capital to fund future operations and the development of FB-102, with future capital requirements being difficult to forecast337 Summary Consolidated Statements of Cash Flows Summary Consolidated Statements of Cash Flows (in thousands) | Cash Flow Activity | 2022 ($) | 2021 ($) | |:-------------------|:---------|:---------| | Operating activities | (8,185) | (16,677) | | Financing activities | 7,241 | (44) | | Net decrease in cash | (944) | (16,721) | - Net cash used in operating activities decreased from $16.7 million in 2021 to $8.2 million in 2022, primarily due to a lower net loss and changes in operating assets and liabilities343344 - Net cash provided by financing activities was $7.2 million in 2022, mainly from the sale of common stock under the ATM Facility, a significant increase from $44 thousand used in 2021345346 Indemnification - Forte indemnifies its officers and directors as permitted by Delaware law, believing the fair value of these rights is minimal and has not recorded any liabilities347 Contractual Obligations - Information on contractual obligations is referenced to Note 4 of the Consolidated Financial Statements348 Item 7A. Quantitative and Qualitative Disclosures About Market Risk As a smaller reporting company, Forte Biosciences is not required to provide quantitative and qualitative disclosures about market risk - Forte Biosciences is a smaller reporting company and is not required to provide disclosures about market risk349 Item 8. Financial Statements and Supplementary Data The financial statements and supplementary data are included starting on page F-1 of this Annual Report on Form 10-K - The financial statements and supplementary data are included after the Signatures page, starting on page F-1350 Item 9. Changes in and Disagreements with Accountants on Accounting and Financial Disclosure Forte Biosciences reported no changes in or disagreements with accountants on accounting and financial disclosure - There were no changes in or disagreements with accountants on accounting and financial disclosure351 Item 9A. Controls and Procedures Forte's disclosure controls were ineffective as of December 31, 2022, due to a material weakness in income tax provision review, though financial statements are deemed fair Evaluation of Disclosure Controls and Procedures - Management, with CEO and CFO participation, evaluated the effectiveness of disclosure controls and procedures as of December 31, 2022353 - Conclusion: Disclosure controls and procedures were not effective due to a material weakness in the review of the annual income tax provision353 - Notwithstanding the material weakness, management believes the consolidated financial statements fairly represent the company's financial condition354 Material Weakness in Internal Control over Financial Reporting - A material weakness is a deficiency that creates a reasonable possibility of a material misstatement in financial statements not being prevented or detected timely355 - A material weakness was identified in controls related to the review of the annual income tax provision prepared by a third-party firm, specifically regarding the completeness and accuracy of deferred income taxes356 Material Weakness Remediation - Forte plans to remediate the material weakness by augmenting staff and third-party resources for tax accounting review, strengthening the review process, and implementing additional procedures357 - The company cannot assure investors that these measures will significantly improve or remediate the identified material weakness357 Changes in Internal Control over Financial Reporting - Except for the material weakness described, there were no other changes in internal control over financial reporting during the fiscal quarter ended December 31, 2022, that materially affected or are reasonably likely to materially affect internal control over financial reporting360 Attestation Report of the Registered Public Accounting Firm - As a smaller reporting company and non-accelerated filer, Forte is not required to provide an attestation report on its internal control over financial reporting from its independent registered public accounting firm361 Inherent Limitations on Effectiveness of Controls - Management believes disclosure controls and internal control over financial reporting provide reasonable assurance but acknowledge inherent limitations, meaning they may not prevent all errors or fraud362 - Control systems are subject to resource constraints, human judgment errors, circumvention by individuals or collusion, and management override362 Item 9B. Other Information This item contains no additional information - There is no other information to disclose under this item363 Item 9C. Disclosure Regarding Foreign Jurisdictions that Prevent Inspections This item is not applicable to Forte Biosciences, Inc - Disclosure regarding foreign jurisdictions that prevent inspections is not applicable364 PART III Item 10. Directors, Executive Officers and Corporate Governance Information regarding directors, executive officers, and corporate governance, including the Code of Conduct, is incorporated by reference from the company's Definitive Proxy Statement - Information for this item is incorporated by reference from the Definitive Proxy Statement for the Annual Meeting of Stockholders366 - The company has adopted a Business and Ethics Code of Conduct, available on its website, applicable to officers, directors, and employees366 Item 11. Executive Compensation Information regarding executive compensation is incorporated by reference from the company's Definitive Proxy Statement - Information for this item is incorporated by reference from the Definitive Proxy Statement367 Item 12. Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters Information regarding security ownership of certain beneficial owners and management, and related stockholder matters, is incorporated by reference from the company's Definitive Proxy Statement - Information for this item is incorporated by reference from the Definitive Proxy Statement368 Item 13. Certain Relationships and Related Transactions, and Director Independence Information regarding certain relationships, related transactions, and director independence is incorporated by reference from the company's Definitive Proxy Statement - Information for this item is incorporated by reference from the Definitive Proxy Statement369 Item 14. Principal Accounting Fees and Services Information regarding principal accounting fees and services is incorporated by reference from the company's Definitive Proxy Statement - Information for this item is incorporated by reference from the Definitive Proxy Statement370 PART IV Item 15. Exhibits, Financial Statement Schedules This section lists exhibits and financial statement schedules, with certain documents incorporated by reference and schedules omitted if information is elsewhere or not applicable - This item lists documents filed as part of the Annual Report, including exhibits incorporated by reference373 - Financial statements and supplementary data are included after the Signatures page375 - Financial Statement Schedules are omitted because the required information is included in the financial statements or notes, or they are not applicable375 Item 16. Form 10-K Summary The company has elected not to include a Form 10-K Summary - The company has elected not to include a summary for Form 10-K381