alim-20231231x10ka

 UNITED STATES
 SECURITIES AND EXCHANGE COMMISSION

 Washington, D.C. 20549

 FORM 10-K/A
 (Amendment No. 1)

 (Mark One)

 ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

 For the fiscal year ended December 31, 2023

 or

 TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

 For the transition period from to

 Commission file number: 001-34703

 Alimera Sciences, Inc.

 (Exact name of registrant as specified in its charter)

 Delaware

 20-0028718

 (State or other jurisdiction of
 incorporation or organization)

 (I.R.S. Employer
 Identification Number)

 6310 Town Square, Suite 400
 Alpharetta, GA

 30005

 (Address of principal executive offices)

 (Zip Code)

 ( 678) 990-5740

 (Registrant's telephone number, including area code)

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

 Title of each class

 Trading Symbol(s)

 Name of each exchange on which registered

 Common Stock, $0.01 par value per share

 ALIM

 The Nasdaq Stock Market LLC

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

 None

 Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act. Yes No x

 Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Act. Yes No

 Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes No

 Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§ 232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files). Yes No

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

 Large accelerated filer

 Accelerated filer

 Non-accelerated filer

 Smaller reporting company

 Emerging growth company

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

 Indicate by check mark whether the registrant has filed a report on and attestation to its management's assessment of the effectiveness of its internal control over financial reporting under Section 404(b) of the Sarbanes-Oxley Act (15 U.S.C. 7262(b)) by the registered public accounting firm that prepared or issued its audit report.

 If securities are registered pursuant to Section 12(b) of the Act, indicate by check mark whether the financial statements of the registrant included in the filing reflect the correction of an error to previously issued financial statements.

 Indicate by check mark whether any of those error corrections are restatements that required a recovery analysis of incentive-based compensation received by any of the registrant's executive officers during the relevant recovery period pursuant to §240.10D-1(b).

 Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Act). Yes No

 As of June 30, 2023, the last business day of the registrant's last completed second quarter, the aggregate market value of the registrant's common stock held by non-affiliates of the registrant was approximately $ 14,369,959 based on the closing price of the registrant's common stock, on June 30, 2023, as reported by The Nasdaq Global Market. For the purposes of this disclosure, shares of common stock held by each executive officer, director and affiliate based on public filings and other information known to the registrant have been excluded since such persons may be deemed affiliates. This determination of affiliate status is not necessarily a conclusive determination for other purposes.

 As of April 24, 2024, there were 52,374,687 shares of the registrant's common stock issued and outstanding.

 Auditor Firm PCAOB ID: 248 Auditor name: GRANT THORNTON LLP Auditor location: Atlanta, Georgia

 EXPLANATORY NOTE

 This Amendment No. 1 to Form 10-K (this "Form 10-K/A") amends the Annual Report on Form 10-K of Alimera Sciences, Inc., a Delaware corporation ("Alimera," "we," "us," the "registrant" or the "Company," including our subsidiaries, as applicable), for the year ended December 31, 2023 that we originally filed with the U.S. Securities and Exchange Commission (the "SEC") on March 8, 2024 (the "Original Filing"). We are filing this Form 10-K/A to provide the information required by Items 10, 11, 12, 13, and 14 of Part III of Form 10-K. With the exception of the information required to be included in Item 12 of Form 10-K by Item 201(d) of Regulation S-K (the "Previously Included Information"), we previously omitted this information from the Original Filing in reliance on General Instruction G(3) to Form 10-K, which permits this information to be incorporated by reference from a registrant's definitive proxy statement if the proxy statement is filed within 120 days after fiscal year-end. The reference on the cover page of the Original Filing to such incorporation by reference has been deleted, and this Form 10-K/A amends and restates in their entirety the cover page and Part III, with the exception of the Previously Included Information, of the Original Filing. Capitalized terms not otherwise defined in Part III of this Form 10-K/A shall have the same meanings assigned to those terms in Parts I and II of the Original Filing.

 Pursuant to the rules of the SEC, Part IV, Item 15 (Exhibit Index) has also been amended to contain the currently dated certifications from our principal executive officer and principal financial officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002. The certifications of our principal executive officer and principal financial officer are attached to this Form 10-K/A as Exhibits 31.3 and 31.4, respectively. Because no financial statements have been included in this Form 10-K/A, and this Form 10-K/A does not contain or amend any disclosure with respect to Items 307 and 308 of Regulation S-K, we have omitted paragraphs 3, 4 and 5 of the certifications filed with this Form 10-K/A. Additionally, we are not including the certifications under Section 906 of the Sarbanes-Oxley Act of 2002 because we are not filing any financial statements with this Form 10-K/A.

 Except as set forth in this Form 10-K/A, this Form 10-K/A does not amend or otherwise update any other information in the Original Filing. Other than the information specifically amended and restated herein, this Form 10-K/A does not reflect events occurring after March 8, 2024, the date of the Original Filing, or modify or update those disclosures that may have been affected by subsequent events. Accordingly, this Form 10-K/A should be read in conjunction with the Original Filing and with our filings with the SEC after the Original Filing.

 Alimera Sciences, Inc.

 Form 10-K/A

 Page

 Special Note Regarding Forward-Looking Statements and Projections

 Item 10.

 Directors, Executive Officers and Corporate Governance

 Item 11.

 Executive Compensation

 Pay Versus Performance

 Item 12.

 Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters

 Item 13.

 Certain Relationships and Related Transactions and Director Independence

 Item 14.

 Principal Accountant Fees and Services

 Item 15.

 Exhibits and Financial Statement Schedules

 Exhibit Index

 Signatures

 SPECIAL NOTE REGARDING FORWARD-LOOKING STATEMENTS AND PROJECTIONS

 Various statements in this report of Alimera Sciences, Inc. are "forward-looking statements" within the meaning of the Private Securities Litigation Reform Act of 1995. Forward-looking statements involve substantial risks and uncertainties. All statements, other than statements of historical facts, included in this report, including statements regarding our strategy, future operations, future financial position, future revenues, projected costs, prospects, plans and objectives of management are forward-looking statements. These statements are subject to risks and uncertainties (some of which are beyond our control) and are based on information currently available to our management. Words such as "anticipate," "believe," "estimate," "expect," "intend," "may," "plan," "forecast," "outlook," "contemplates," "predict," "project," "aim," "seek," "target," "likely," "remain," "potential," "continue," "ongoing," "will," "will likely result," "will continue," "would," "should," "could," or a variation or the negative of these terms and similar expressions or words, identify forward-looking statements. The events and circumstances reflected in our forward-looking statements may not occur and actual results could differ materially from those projected in our forward-looking statements. Such forward-looking statements are based on current expectations and involve inherent risks and uncertainties, including risks and uncertainties that could delay, divert, or change these expectations, and could cause actual results to differ materially from those projected in these forward-looking statements. These risks and uncertainties include, but are not limited to, those factors described under Part I, ITEM 1A: "Risk Factors" of the Original Filing. Should one or more of these risks or uncertainties materialize, or should any of our assumptions prove incorrect, actual results may vary in material respects from those projected in these forward-looking statements.

 This report contains market data and industry forecasts that were obtained from industry publications. These data involve a number of assumptions and limitations, and you are cautioned not to give undue weight to such estimates. We have not independently verified any third-party information. While we believe the market position, market opportunity and market size information included in this report is generally reliable, such information is inherently imprecise and subject to change.

 All written and oral forward-looking statements attributable to us or any person acting on our behalf are expressly qualified in their entirety by the cautionary statements contained or referred to in this section. We caution investors not to rely on the forward-looking statements we make or that are made on our behalf as predictions of future events. We undertake no obligation, and specifically decline any obligation, to update or revise any forward-looking statements, whether as a result of new information, future events or otherwise, except as may be required under applicable securities laws.

 We encourage you to read the management's discussion and analysis of our financial condition and results of operations and our consolidated financial statements contained in the Original Filing. There can be no assurance that we will in fact achieve the actual results or developments we anticipate or, even if we do substantially realize them, that they will have the expected consequences to, or effects on, us. Therefore, we can give no assurances that we will achieve the outcomes stated in those forward-looking statements, projections, and estimates.

 ITEM 10. DIRECTORS, EXECUTIVE OFFICERS AND CORPORATE GOVERNANCE

 Directors
 The table below lists the name, age and certain other information of each member of our Board of Directors (the "Board") as of the date of this Form 10-K/A. We have also included below a summary of the business experience; public company director positions held currently or at any time during the last five years; involvement in certain legal or administrative proceedings, if applicable; and the experiences, qualifications, attributes or skills that led our nominating and corporate governance committee and our Board to the conclusion that each of our directors should serve as a member of our Board.
 There are no family relationships among any of our directors or executive officers.

 Name

 Age

 Director Class

 Term Expires

 Committee Membership

 Audit

 Compensation

 Nominating and Corporate Governance

 Ross DeMont

 I

 2026

 -

 -

 I

 2026

 -

 Chair

 Michael Kaseta

 I

 2026

 -

 II

 2024

 -

 -

 -

 Margaret A. Pax

 II

 2024

 -

 -

 III

 2025

 -

 Chair

 -

 III

 2025

 Chair

 -

 Adam Morgan

 III

 2025

 -

 -

 -

 Ross DeMont has been a member of the Board since August 2023. He is currently Chief Investment Officer at the Rainin Group, Inc., which manages the assets of both a family office and the investments of the Kenneth Rainin Foundation. Previously, Mr. DeMont was a Managing Member and Portfolio Manager of Midwood Capital Management, a private investment partnership that made concentrated investments in public companies. Mr. DeMont has also worked as an Associate at Igoe Capital Partners, at Presidio Strategies LLC in mergers and acquisitions and at J.P. Morgan with a focus on corporate finance and mergers and acquisitions. He has also served on multiple boards of directors. Mr. DeMont graduated from Connecticut College with a B.A. in both economics and government and earned an MBA from the Tuck School of Business at Dartmouth. We believe that Mr. DeMont is qualified to serve on our Board based on his experience in public and private market investing, capital markets, corporate finance, and corporate strategy. In addition, having served as a director on multiple public and private company boards, he has the background and experience to contribute to our Board on a range of topics.
 John Snisarenko has been a member of the Board since July 2019. Mr. Snisarenko served as Chief Commercial Officer of Oyster Point Pharma, Inc. from September 2019 until his retirement in July 2022. He previously served as Group Vice President and Head of the Ophthalmics Franchise of Shire (now Takeda) from June 2017 until June 2019. Mr. Snisarenko led a large, multidisciplinary team in Shire's launch of Xiidra and also served as a member of Shire's Commercial Leadership Team. In 2019, Mr. Snisarenko was a key member in the divestiture of the Ophthalmology Franchise to Novartis Pharma. Prior to joining Shire, Mr. Snisarenko was the Franchise Head responsible for the commercial activities within Genentech's Ophthalmology (Lucentis) and Rheumatology (Rituxan, Actemra) franchises for 10 years. A 30 plus year veteran of the pharmaceutical/biotech industry, Mr. Snisarenko also held various positions of increasing responsibility at CIBA Vision / Novartis Pharma. In his last nine years, he served as Vice President and Business Unit Head for Novartis Ophthalmics, holding general management responsibilities for the Canadian business. Mr. Snisarenko has held numerous advisory board positions and was a board member for the

 Foundation Fighting Blindness in Canada. He holds a B.Sc. in biochemistry and an MBA in marketing and international business from McGill University in Montreal, Canada. We believe that Mr. Snisarenko is qualified to serve on our Board because of his 30 plus years of pharmaceutical/biotech experience, including his many years of ophthalmic pharmaceutical experience.
 Michael Kaseta has been a member of the Board since March 2023. Mr. Kaseta has served as Chief Financial Officer of Liquidia Corporation since November 2020. Mr. Kaseta served as Chief Financial Officer of Aerami Therapeutics, Inc., a privately-held biotech company focused on the development of improved therapies for the treatment of severe respiratory diseases, including pulmonary arterial hypertension, from January 2019 until November 2020, and served as Chief Financial Officer of Aralez Pharmaceuticals Inc., a former specialty pharmaceutical company ("Aralez"), beginning in March 2018. Aralez filed for bankruptcy protection in August 2018, and Mr. Kaseta remained Chief Financial Officer of Aralez until his departure in January 2019. Mr. Kaseta previously served as Head of Finance and Interim Chief Financial Officer of Aralez from November 2017 until March 2018 and Corporate Controller from September 2016 until November 2017. Prior to joining Aralez, Mr. Kaseta held various positions at Sanofi S.A., a global biopharmaceutical company focused on human health, including most recently Chief Financial Officer Sanofi North America, Global Services, from April 2015 through September 2016. Mr. Kaseta was previously the Vice President Sanofi NA Pharma Controlling from January 2013 through April 2015, Vice President, Sanofi Financial Shared Services from March 2007 through December 2013 and Director of Technical Accounting from 2005 to 2007. Mr. Kaseta holds a BBA in accounting from James Madison University and is a CPA (inactive) licensed in the state of New Jersey. We believe that Mr. Kaseta is qualified to serve on our Board because of his years of pharmaceutical industry, financial operations, and strategy experience.
 Richard S. Eiswirth, Jr. has served as our Chief Executive Officer and a member of the Board since January 2019. Mr. Eiswirth had previously served as our President and Chief Financial Officer since January 2016. Before that, he served as our Chief Operating Officer and Chief Financial Officer from August 2010 until December 2015 and as our Chief Financial Officer from October 2005 to August 2010. From 2003 to 2005, Mr. Eiswirth served as founding partner of Brand Ignition Group, engaged in consumer products acquisition activities. From 2002 to 2005, Mr. Eiswirth served as President of Black River Holdings, Inc., a financial consultancy he founded in 2002. Mr. Eiswirth served as Chief Financial Officer and Senior Executive Vice President of Netzee, Inc., a provider of Internet banking solutions to community banks, from 1999 to 2002. Mr. Eiswirth held various positions with Arthur Andersen, where he began his career, from 1991 to 1999. Mr. Eiswirth serves as a director of Celtaxsys Inc., a privately-held biotechnology company, where he also chairs the audit committee. Mr. Eiswirth previously served as chair, audit committee chair and member of the compensation committee of Jones Soda Co., a Seattle, Washington-based beverage company, and as director and audit committee chair of Color Imaging, Inc., a Norcross, Georgia based manufacturer of printer and copier supplies. Mr. Eiswirth was previously a CPA in Georgia. Mr. Eiswirth holds a B.A. in accounting from Wake Forest University. We believe that Mr. Eiswirth is qualified to serve on our Board because of his role as our President and Chief Executive Officer and his prior services as our Chief Operating Officer and Chief Financial Officer, his years of pharmaceutical industry experience and his experience as chair of the board of directors and audit committee chair of other companies.
 Margaret A. Pax has served as a director since November 2023. Ms. Pax is currently serving as a board member for Jellagen Ltd., a privately-held company developing and manufacturing tissue engineering and biomaterials products. She is also on the board of Repligen Corporation, a publicly-traded life sciences company focused on innovative bioprocessing solutions. Ms. Pax was a senior executive at Thermo-Fisher Scientific from 2012 to 2020 where her most recent role was as Vice President, Strategy and Innovation, Clinical Supply Chain / Pharma Services. Previously, she served as Vice President, Business and Clinical Development with Microchips BioMedical, a drug delivery company, and Vice President, Business Development for CareScout, a healthcare services company acquired by Genworth. Ms. Pax began her career at Phillips Healthcare where she held senior leadership roles in business

 development, marketing, and product management from 1989 to 2000. Ms. Pax holds an MBA from the Harvard Business School and is a board director of the Harvard Business School Healthcare Alumni Association. We believe that Ms. Pax is qualified to serve on our Board because of her broad experience in life sciences and her experience as a public company board member.
 Erin Parsons has been a member of the Board since November 2021. Ms. Parsons has served as Founder and President of Parsons Medical Communications, LLC, an agency providing scientific and strategic consulting to small and large companies in the ophthalmic space, since its founding in 2010. Ms. Parsons has served as a member of the board of directors of Kiora Pharmaceuticals, Inc., an ophthalmic specialty pharmaceutical company that develops therapies for the treatment of different types of eye diseases, since February 2022. Ms. Parsons is also involved with various associations in the eyecare space including Ophthalmic World Leaders, the Ophthalmology Innovation Summit (where she led a Masterclass on KOL Advocacy), and The Holland Foundation for Sight Restoration. Ms. Parsons received a Bachelor of Science in biology from Wake Forest University. We believe that Ms. Parsons is qualified to serve on our Board because of her more than 20 years of experience working in the ophthalmic industry overseeing scientific strategy, medical communications, advocacy development, and peer-to-peer educational programs, much of this in the retina space.
 Peter J. Pizzo, III has been a member of the Board since April 2010. Since August 2022, Mr. Pizzo has served as Chief Financial Officer of Intrinsic Therapeutics, Inc., a privately-held medical device company that has developed and is commercializing a product to prevent reherniation and reoperation following lumbar discectomy surgery. From October 2019 until June 2022, Mr. Pizzo served as Chief Financial Officer for ControlRad, Inc, a privately-held medical technology company focused on reducing unnecessary radiation exposure during fluoroscopically guided procedures. From October 2018 until September 2019, Mr. Pizzo provided financial consulting services to medical device companies. From 2005 until October 2018, Mr. Pizzo served as Chief Financial Officer of Carticept Medical, Inc., a private medical device company, and from its spinout from Carticept in December 2011 until its sale in October 2018, as Chief Financial Officer of Cartiva, Inc., a privately-held orthopedic medical device company. From 2002 until its sale in 2005, Mr. Pizzo served as Chief Financial Officer of Proxima Therapeutics, Inc., a privately-held medical device company. From 1996 to 2001, Mr. Pizzo worked for Serologicals Corporation, a publicly-traded global provider of biological products to life science companies, ultimately serving as Chief Financial Officer. From 1995 to 1996, Mr. Pizzo served as Vice President of Administration and Controller of ValueMark Healthcare Systems, Inc., a privately-held owner-operator of psychiatric hospitals. From 1992 until its sale in 1995, Mr. Pizzo served in various senior financial positions at Hallmark Healthcare Corporation, a publicly-traded hospital management company. Mr. Pizzo holds a Bachelor of Science with special attainments in commerce from Washington and Lee University. We believe that Mr. Pizzo is qualified to serve on our Board because of his years of experience in medical devices, biologics and healthcare services, including in the roles of vice president, finance and chief financial officer; and his status as an "audit committee financial expert" as such term is defined in the rules and regulations of the SEC.
 Adam Morgan has been a member of the Board since March 2023. Mr. Morgan currently serves as the Chief Investment Officer of Velan Capital Investment Management LP, a healthcare-dedicated investment firm based in Alpharetta, Georgia. Mr. Morgan also currently serves on the board of directors of Health Outlook Corporation, a privately-held developer of predictive healthcare technology and service based in New York, New York, where he serves as a director and chair of the company's audit committee, since January 2023. Previously, Mr. Morgan served as Senior Analyst at Broadfin Capital, LLC, a healthcare dedicated investment firm based in New York, New York, where he covered the Biotech and Pharmaceutical sectors, from February 2018 to June 2020. Prior to that, Mr. Morgan served as Senior Analyst at Iguana Healthcare Partners LLC, a healthcare-dedicated investment firm based in New York, New York, where he covered Medical Devices and Specialty Pharmaceuticals, from 2015 to January 2018. Mr. Morgan also served as Analyst at Pura Vida Investments, LLC, a healthcare-focused investment firm,

 where he covered global Medical Devices, from 2014 to 2015. Earlier in his career, Mr. Morgan served as a Research Associate at Cowen and Company (a subsidiary of Cowen Inc.), a financial services company, on the firm's Medical Supplies and Devices team, from January 2014 to June 2014. Mr. Morgan received his B.S. in chemistry from the University of Minnesota and his MBA from the Carlson School of Management at the University of Minnesota. We believe that Mr. Morgan is qualified to serve on our Board because of his years of pharmaceutical industry, strategy and investment banking experience.
 Executive Officers
 The following table provides the name, age and position of each of our executive officers as of the date of this Form 10-K/A. Certain biographical information for each executive officer follows the table:

 Name

 Age

 Position

 President, Chief Executive Officer and Director

 Elliot Maltz

 Chief Financial Officer and Treasurer

 Chief Operating Officer

 David Holland

 Chief Marketing Officer, Senior Vice President Corporate Communications and Managed Markets

 President of International Operations

 Todd Wood

 President of U.S. Operations

 ___
 Richard S. Eiswirth, Jr. - For biographical information about Mr. Eiswirth, see "- Directors" above.
 Elliot Maltz has served as our Chief Financial Officer and Treasurer since January 2024. Prior to his appointment as our Chief Financial Officer, Mr. Maltz served as Chief Financial Officer of Orgenesis Inc., a publicly traded global biotech company transforming the processing of cell and gene therapies. Before that, he was with Gelesis Holdings, Inc. ("Gelesis"), a publicly traded multi-national commercial-stage company focused on advancing first-in-class therapeutics to treat excess weight and other gastric conditions. At Gelesis, from March 2014 to August 2023, Mr. Maltz advanced from Corporate Controller to Vice President of Finance and then to Chief Financial Officer while leading numerous operational and fundraising initiatives. Prior to that, he served at Sapient Corp., a publicly traded global agency providing strategic business and advertising consulting services where he was the Technical Accounting and SEC Reporting Manager. Mr. Maltz started his career at Deloitte & Touche LLP, attaining the position of audit manager. Mr. Maltz holds a B.S. in business administration from Elon University and is a licensed Certified Public Accountant in the state of Massachusetts.
 Jason Werner joined Alimera in October 2023 as Chief Operating Officer after three months as a member of the Board of Directors. Prior to this, Mr. Werner served as the Chief Executive Officer and Board Member of SightStream Biotherapeutics Inc., a biotechnology company focused on developing regenerative medicines in ophthalmics. Mr. Werner also currently serves on the board of directors of InflammX Therapeutics Inc., a privately held developer of novel treatments of the Inflammasome (NLRP3) Pathway based in San Diego, California. Mr. Werner previously co-founded and served as Chief Operating Officer of Eyevance Pharmaceuticals through its sale to Santen Pharmaceuticals Ltd. He has held a variety of commercial development roles and corporate strategy positions at companies such as Sun Pharma, Nicox SA and Inspire Pharmaceuticals, all within the field of ophthalmics. Mr. Werner received his B.S. in business administration from the University of New Hampshire.

 David Holland is one of our co-founders and has served as our Chief Marketing Officer, Senior Vice President Corporate Communications and Managed Markets since January 2019. Prior to that, Mr. Holland served as the Vice President of Marketing from our inception in 2003 through August 2010, when he was appointed the Senior Vice President of Sales and Marketing, a position he held until January 2019. Prior to co-founding Alimera, Mr. Holland served as the Vice President of Marketing of Novartis Ophthalmics from 1998 to 2003. In 1997, Mr. Holland served as Global Head of the Lens Business at CIBA Vision and in 1996, Global Head of the Lens Care Business of CIBA Vision. From 1992 to 1995, Mr. Holland served as the Director of Marketing for CIBA Vision Ophthalmics. From 1989 to 1991, Mr. Holland served as New Products Manager for CIBA Vision. From 1985 to 1989, Mr. Holland served as a Brand Assistant and Assistant Brand Manager of Procter and Gamble. Mr. Holland holds an A.B. in politics from Princeton University.
 Philip Ashman, Ph. D. has served as Chief Operating Officer and Senior Vice President Commercial Operations Europe since January 2019. Previously, Dr. Ashman served as the Senior Vice President, Managing Director Europe since January 2013. Prior to joining us, Dr. Ashman held a number of leadership roles at Bayer from 2006 to 2012, including being responsible for leadership of the market access strategy in the U.K. for Bayer, covering all therapy areas including ophthalmology. Prior to this, Dr. Ashman served as Vice President Global Marketing Oncology at Bayer and also as Vice President Regional Business Unit Head (Europe) Oncology, responsible for the delivery of oncology sales and profitability targets in Europe, Canada, the Middle East and Africa. Before 2006, Dr. Ashman held UK-based business leadership positions in AstraZeneca and Sanofi. Dr. Ashman holds a doctorate in biochemistry from the University of London: Royal Holloway and Bedford, U.K., and a Bachelor of Science degree in biochemistry from the University College London, U.K.
 Todd Wood has been President, U.S. Operations since December 2023. Mr. Wood spent the majority of his career at Allergan, an AbbVie company, where he held a variety of roles, including Vice President of U.S. Sales, Eye Care, Area Director, Facial Aesthetics and Senior Product Manager, Lumigan (glaucoma product). He most recently served as Chief Commercial Officer at Dermtech International, a leading genomics company in dermatology. Previously, he was Vice-President, Global Sales at Obalon Therapeutics, which focused on developing and commercializing novel technologies for weight loss before merging with ReShape Lifesciences in 2021. He received his B.S. in business administration from Grand Valley State University, Allendale, Michigan.
 Delinquent Section 16(a) Reports
 Section 16(a) of the Securities Exchange Act of 1934, as amended (the "Exchange Act"), requires our directors, executive officers and holders of more than 10% of our common stock to file reports with the SEC regarding their ownership and changes in ownership of our securities.
 Based solely upon a review of those reports and written representations provided to us by all of our directors and executive officers, we believe that during the year ended December 31, 2023, our directors, executive officers and greater than 10% stockholders timely filed all reports they were required to file under Section 16(a), except that for Mr. Ashman, one Form 4 was not timely filed, for Mr. Holland, one Form 4 was not timely filed, and for Mr. Russell Skibsted, our former Chief Financial Officer, one Form 4 was not timely filed.

 CORPORATE GOVERNANCE
 Code of Conduct
 Our Board has adopted a code of business conduct that applies to each of our directors, officers and employees. The full text of our code of business conduct is posted on the investor relations section of our website at  Any waiver of the code of business conduct for an executive officer or director may be granted only by our Board or a committee thereof. We intend to disclose future amendments to, or waivers of, our code of business conduct, as and to the extent required by SEC rules and regulations, at the same location on our website identified above or in public filings. We have implemented whistleblower procedures that establish formal protocols for receiving and handling complaints from employees. Any concerns regarding accounting or auditing matters reported under these procedures will be communicated promptly to the audit committee.
 Nomination of Directors by Stockholders
 There have been no material changes to the procedures by which stockholders may recommend nominees to the nominating and corporate governance committee of our Board since such procedures were described in our definitive proxy statement filed with the SEC on Schedule 14A on June 29, 2023.
 Board Committees
 Our Board has established an audit committee, a compensation committee and a nominating and corporate governance committee. The Board and its committees set schedules to meet throughout the year and also can hold special meetings and act by written consent from time to time as appropriate. The independent directors of the Board also hold separate regularly scheduled executive session meetings at least twice a year at which only independent directors are present. The Board has delegated various responsibilities and authority to its committees. The committees regularly report on their activities and actions to the full Board. Each committee has a written charter that has been approved by the full Board. The composition of these committees meets the criteria for independence under, and the functioning of these committees comply with, the applicable requirements of the Sarbanes-Oxley Act of 2002, the current rules of The Nasdaq Stock Market LLC ("Nasdaq"), and SEC rules and regulations. We intend to comply with future requirements as they become applicable to us.
 Audit Committee
 Our audit committee is comprised of Peter J. Pizzo, III, John Snisarenko and Mike Kaseta, each of whom is a non-employee member of our Board. Mr. Pizzo serves as the chair of the audit committee. Mr. Kaseta replaced Roger A. Sawheny, M.D. as a member of our audit committee following Dr. Sawheny's resignation as a director in March 2023.
 The audit committee's main function is to oversee our accounting and financial reporting processes, internal systems of control, independent registered public accounting firm relationships, and the audits of our financial statements. The full text of the audit committee's charter is posted on the corporate governance section of our website at  Pursuant to its charter, the functions of the audit committee include, among other things:

 •

 appointing, retaining, approving the compensation of, and assessing the independence of our registered public accounting firm;

 •

 overseeing the work of our registered public accounting firm, including through the receipt and consideration of reports from such firm;

 •

 reviewing and discussing with management and the registered public accounting firm our annual and quarterly financial statements and related disclosures;

 •

 reviewing periodically our internal control over financial reporting and our disclosure controls and procedures;

 •

 meeting independently with our registered public accounting firm and management;

 •

 preparing the audit committee report required by SEC rules;

 •

 reviewing and approving or ratifying any related person transactions; and

 •

 overseeing our risk management program.

 All members of our audit committee meet the requirements for financial literacy under the applicable rules and regulations of the SEC and The Nasdaq Global Market. Our Board has determined that Mr. Pizzo is an "audit committee financial expert" as defined by applicable SEC rules and has the financial sophistication required by applicable Nasdaq listing standards.
 Board Oversight of Risk
 Our Board has responsibility for the oversight of our risk management processes and, either as a whole or through its committees, regularly discusses with management our major risk exposures, their potential impact on our business, and the steps we take to manage them. The risk oversight process includes receiving regular reports from board committees and members of senior management to enable our Board to understand our risk identification, risk management, and risk mitigation strategies with respect to areas of potential material risk, including operations, finance, legal, regulatory, strategic, and reputational risk. The audit committee reviews information regarding liquidity and operations, and oversees our management of financial risks. Periodically, the audit committee reviews our policies with respect to risk assessment, risk management, loss prevention, and regulatory compliance. Oversight by the audit committee includes direct communication with our external auditors, and discussions with management regarding significant risk exposures and the actions management has taken to limit, monitor, or control such exposures. The compensation committee is responsible for assessing whether any of our compensation policies or programs has the potential to encourage excessive risk-taking. The nominating and corporate governance committee manages risks associated with the independence of our Board, corporate disclosure practices, and potential conflicts of interest. While each committee is responsible for evaluating certain risks and overseeing the management of such risks, the entire Board is regularly informed through committee reports about such risks. Matters of significant strategic risk are considered by our Board as a whole.

 ITEM 11. EXECUTIVE COMPENSATION
 Compensation Objectives and Overview
 As a pharmaceutical company, we operate in an extremely competitive, rapidly changing and heavily regulated industry. We believe that the skill, talent, judgment and dedication of our executive officers and other key employees are critical factors affecting our long-term stockholder value. Therefore, our goal is to maintain a compensation program that will fairly compensate our executive officers, attract and retain highly qualified executive officers, motivate the performance of our executive officers towards, and reward the achievement of clearly defined corporate goals, and align our executive officers' long-term interests with those of our stockholders. We believe that for life science companies, stock-based compensation is a significant motivator in attracting employees, and while base salary and the potential for cash bonuses must be at competitive levels, performance is most significantly affected by appropriately relating the potential for creating stockholder value to an individual's compensation potential through the use of equity awards.

 As a "smaller reporting company," we have opted to comply with the reduced executive compensation disclosure rules applicable to "smaller reporting companies," as such terms are defined in the rules promulgated under the Securities Act of 1933, as amended. This section provides an overview of the compensation awarded to, earned by, or paid to each individual who served as our principal executive officer during 2023 and two of our most highly compensated executive officers other than our principal executive officer in respect of their service to our Company for 2023. We refer to individuals as our named executive officers, or "NEOs." Our NEOs for 2023 are:
 Richard S. Eiswirth, Jr., President and Chief Executive Officer
 Jason Werner, Chief Operating Officer
 Philip Ashman, President of International Operations

 Compensation Committee Interlocks and Insider Participation
 None of the members of our compensation committee is or has served as an officer or employee of Alimera. None of our executive officers currently serves, or in the past year has served, as a member of the board of directors or compensation committee of any entity that has one or more executive officers serving on our Board or compensation committee.

 2023 Summary Compensation Table
 The following table provides information concerning the compensation paid to our NEOs during the years ended December 31, 2023 and 2022. In accordance with the rules promulgated by the SEC, certain columns relating to information that is not applicable have been omitted from this table:

 Name and Principal Position

 Year

 Salary ($)

 Bonus ($)

 Stock Awards ($) (3)

 Option Awards ($) (4)

 All Other Compensation ($) (5)

 Total ($)

 President and Chief Executive Officer

 2023

 2022

 603,200

 580,000

 328,203

 125,000

 1,447,342

 251,342

 864,866

 -

 17,869

 17,869

 3,261,479

 974,211

 Chief Operating Officer (1)

 2023

 2022

 112,500

 -

 29,250

 -

 672,750

 -

 486,487

 -

 67,590

 -

 1,368,577

 -

 President of International Operations (2)

 2023

 2022

 373,083

 356,170

 109,127

 -

 139,184

 139,184

 359,255

 -

 34,771

 33,688

 1,015,420

 529,042

 (1)Mr. Werner was hired as our Chief Operating Officer on October 2, 2023, and was not an NEO in 2022. Salary amount shows reflects the pro-rata amount paid during 2023 based on an annual salary of $450,000.

 (2)Dr. Ashman was paid an annual salary of 300,000 in 2023 and 288,000 in 2022, which for purposes of this presentation were converted to U.S. Dollars at the average exchange rate for the twelve months ended (a) December 31, 2023 of 1.2436 U.S. Dollars per British Pound Sterling, and (b) December 31, 2022 of 1.2367 U.S. Dollars per British Pound Sterling.
 (3)The amounts reported in this column represent the aggregate grant date fair value of awards of shares of restricted stock awards ("RSAs"), restricted stock units ("RSUs") and performance stock units ("PSUs"), computed in accordance with the FASB ASC Topic 718. See Note 15 of the Notes to the Consolidated Financial Statements in the Original Filing for a discussion of our assumptions in determining the ASC 718 values of the RSAs, RSUs and PSUs.
 (4)The amounts reported in this column represent the aggregate grant date fair value of options awarded computed in accordance with FASB ASC Topic 718. See Note 15 of the Notes to the Consolidated Financial Statements in the Original Filing for a discussion of our assumptions in determining the ASC 718 values of our option awards.
 (5)All Other Compensation includes:
 (a) for Mr. Eiswirth, the 2023 amount was composed of 401(k) matching contributions for his benefit, short-term and long-term disability gross-ups paid on his behalf and long-term disability premium payments for his benefit;
 (b) for Mr. Werner, the 2023 amount was composed of compensation from a sign-on bonus, consulting and earnings as a member of the Board; and
 (c) for Dr. Ashman, the 2023 amount was composed of contributions to a private pension of $22,385 and payments of $12,386 for the use of his own car.

 Narrative to the Summary Compensation Table
 Elements of Compensation
 The compensation paid to Mr. Eiswirth, Mr. Werner and Dr. Ashman in 2023 consisted of the following components:
 Base Salary
 Base salaries are intended to provide a level of compensation sufficient to attract and retain an effective management team, when considered in combination with the other components of our executive compensation program. The relative levels of base salary for our named executive officers are designed to reflect each executive officer's scope of responsibility and accountability with us. Pursuant to the terms of their respective employment agreements, the annual base salary amounts for our NEOs during 2023 were as set forth in the table below.

 Discretionary Bonus Awards
 From time to time, we utilize discretionary signing, promotion, retention or other bonus awards as compensation tools that provide incentives for executives to accept employment offers, to reward outstanding performance by executives and to retain key executives. We believe that these bonus awards are consistent with our overall executive compensation philosophy to achieve our recruiting and retention objectives as well as to allow discretion to address the needs of our businesses, which operate in a constantly evolving and highly competitive environment. Bonus recommendations are not determined on a formulaic basis, and no particular weight is assigned to any of the factors considered in determining discretionary bonuses.

 For the year ended December 31, 2023, the annual base salaries and cash bonuses actually paid to our NEOs were as follows:

 Name

 Annual Base Salary ($)

 Cash Bonus Actually Paid ($) (1)

 603,200

 203,203

 450,000

 50,000

 373,083

 109,127

 (1)The bonus amounts payable that were paid in March 2024.
 Equity Compensation
 We have historically awarded equity compensation to our named executive officers based on their performance in the form of time-vesting stock options and restricted stock that vest over four years. In addition, we grant restricted stock units ("RSUs") and performance stock units ("PSUs").
 Generally, grants of equity awards are made on the basis of level of responsibility, continued service to the Company and performance. The equity awards are subject to time-based vesting, contingent upon the named executive officer's continued employment with the Company. The Compensation Committee determines equity awards after considering Company and individual performance and information and recommendations provided by our independent compensation consultant. With respect to our named executive officers other than our CEO, the Compensation Committee also considers the recommendations of our CEO when determining grant levels.
 In January 2022, the compensation committee determined, with respect to equity compensation for 2022, that it would be appropriate for approximately 75% of each equity award to be in the form of stock options and 25% to be in the form of restricted stock.
 Generally, to align the executive's interests with those of our stockholders, we make a significant stock option grant to an executive officer at the first regularly scheduled meeting of the compensation committee after the officer commences employment. Typically, both our initial stock option grants to new executive officers and our stock option grants to continuing executive officers vest in 1/48th increments monthly over four years, so long as the officer's service as our employee is continuous from the grant date through the applicable vesting date. We believe that the resulting overlapping vesting schedule from option awards made in prior years, together with the number of shares subject to each award, helps ensure a meaningful incentive to remain in our employment and to enhance stockholder value over time. In addition to the options to purchase common stock, we also grant our executive officers restricted stock which that vest in four equal annual installments beginning on the first anniversary of the date of grant, so long as the officer's service as our employee is continuous from the grant date through the applicable vesting date. We believe that these grants of restricted stock, like our option grants, provide a meaningful incentive for the officer to remain in our employment and enhance stockholder value over time. The Company began granting RSUs and PSUs to our NEOs because it believes the new award structure better aligns with market standards and practice, while still focusing on growth and driving long-term performance and retention. We have also granted performance stock units to certain executives which vest upon the attainment of identified revenue or stock price targets within a defined time period. We believe that these performance stock units help align our officers' interests with those of our stockholders.

 In 2023, our NEOs were granted the following:

 Name

 Grant Date

 Type of Award

 # of Shares of Restricted Stock

 Vesting Dates

 3/26/2023

 RSAs

 103,000

 (a)

 3/26/2023

 RSAs

 186,000

 (a)

 10/2/2023

 RSUs

 (b)

 10/2/2023

 PSUs

 (c)

 10/2/2023

 RSUs

 (b)

 10/2/2023

 PSUs

 (c)

 (a)Vest in four equal annual installments beginning March 26, 2023, so long as the officer's service as an employee of the Company is continuous from the grant date through the applicable anniversary thereof.
 (b)Vest in four equal annual installments beginning October 2, 2023, so long as the officer's service as an employee of the Company is continuous from the grant date through the applicable anniversary thereof.
 (c)Vest in three equal tranches beginning October 2, 2023, the vesting of which will be conditioned on the satisfaction of certain performance metrics being met on or before their measurement date so long as the officer's service as an employee of the Company is continuous from the grant date through the applicable vesting tranche measurement date.

 Name

 Initial Vesting Date

 Number of Securities Underlying Unexercised Options (#)

 Option Exercise Price ($)

 Option Expiration Date

 2.99

 10/1/2033

 2.99

 10/1/2033

 11/21/2024

 147,000

 3.38

 11/21/2033

 Each option vests as follows: one-fourth of the shares shall vest on the initial vesting date, with the remaining shares vesting in 36 equal monthly installments beginning one month after the initial vesting date.

 No equity award was repriced or materially modified during 2023.
 Employee Benefits
 Mr. Eiswirth and Mr. Werner are eligible to participate in all of our employee benefit plans, such as medical, dental, vision, group life, disability and accidental death and dismemberment insurance, our employee stock purchase plan and our 401(k) plan, in each case on the same basis as other U.S.-based employees, subject to applicable law. We also provide vacation and other paid holidays to all employees, including our executive officers, which are comparable to those provided at peer companies.
 Dr. Ashman is eligible to participate in all of our employee benefit plans available to our employees in the U.K., and we contributed $21,370 to a private defined contribution pension for Dr. Ashman in 2023. In addition, we pay Dr. Ashman a car allowance for use of his own car. That allowance was $12,318 in 2023.
 At this time, we do not provide special benefits or other perquisites to our executive officers other than the car allowance to Dr. Ashman.

 Employment Agreements with Our NEOs
 We have entered into employment agreements (each, an "Employment Agreement") with two of our NEOs, Mr. Eiswirth, as amended, and Mr. Werner. These Employment Agreements are based on the same form and are described below. We have also entered into an Employment Contract with Dr. Ashman (the "Ashman Employment Contract"), who resides in the U.K., using a form suitable for that jurisdiction, as well as a Change in Control Severance Agreement. The Ashman Employment Contract and the Change in Control Severance Agreement are described below.
 On December 11, 2023, the Company entered into an Amended and Restated Employment Agreement with Mr. Eiswirth, which amended and restated Mr. Eiswirth's Employment Agreement dated January 2, 2019. Mr. Eiswirth was awarded a one-time special cash bonus of $125,000 to be paid in a lump sum in recognition of Mr. Eiswirth's leadership and significant contributions to the Company, including in connection with the Company's acquisition of the YUTIQ commercialization rights and the improvement of the Company's capital structure and balance sheet through the Company's recent equity and debt financings.
 The Employment Agreements provide for a starting base salary that may be reviewed and increased from time to time at the discretion of the compensation committee, which has exercised this discretion, including in setting the salaries of Mr. Eiswirth and Mr. Werner for 2023. The Employment Agreements also require us to pay an annual bonus for each year to the executive officer no later than 2 months after the end of that year in the amount, and subject to the terms and conditions of, our cash incentive plan applicable to executive officers. Mr. Eiswirth's target annual bonus amount shall not be reduced to an amount below 65% of his then-current base salary, and Mr. Werner's target annual bonus amount shall not be reduced to an amount below 40% of his then-current base salary. For fiscal year 2023, Mr. Eiswirth's target bonus was $369,460. Each of Mr. Eiswirth and Mr. Werner is eligible to receive and has received equity awards at the discretion of the compensation committee.
 The Ashman Employment Contract (a) provides for a base annual salary that the compensation committee reviews annually and may or may not increase from time to time, at its discretion, and (b) states that he is eligible to receive a discretionary annual bonus with a target of 40% of base salary, subject to such conditions as we may determine. Dr. Ashman has also received equity awards at the discretion of the compensation committee.
 Each of the Employment Agreements provides that the applicable named executive officer's employment with us is "at will," and the Ashman Employment Contract includes language to that effect.
 The NEOs are entitled to receive all other benefits generally available to our executive officers in the U.S., with Dr. Ashman receiving similar benefits in the U.K. The Employment Agreements with Mr. Eiswirth and Mr. Werner, and the Change in Control Severance Agreement of Dr. Ashman, also provide certain severance and change in control-related benefits to them, including cash severance and vesting acceleration upon the occurrence of certain defined events. Dr. Ashman also receives certain severance benefits as described below. Additional information regarding these agreements is included below.
 We have also granted performance stock units to certain executives which vest upon the attainment of identified revenue or stock price targets within a defined time period. We believe that these performance stock units help align our officers' interests with those of our stockholders.
 For further information and a description of the acceleration of vesting provisions applicable to the equity-based awards held by our NEOs, please see the section titled "Severance and Change in Control Benefits for Mr. Eiswirth, Mr. Werner and Dr. Ashman."

 Outstanding Equity Awards as of December 31, 2023
 The following table sets forth information regarding the stock options and restricted stock held by each of our NEOs as of December 31, 2023. The vesting provisions applicable to each outstanding option and restricted share is described in the footnotes to the following table. For a description of the acceleration of vesting provisions applicable to the equity-based awards held by our NEOs, please see the section titled "Severance and Change in Control Benefits for Mr. Eiswirth, Mr. Werner and Dr. Ashman" below:

 Option Awards

 Stock Awards

 Name

 Initial Vesting
 Date (1)

 Number of Securities Underlying Unexercised Options (#) Exercisable

 Number of Securities Underlying Unexercised Options (#)
 Unexercisable

 Option Exercise Price ($)

 Option Expiration Date

 Initial Vesting Date (1)

 Number of Shares or Units of Stock that Have Not Vested (#)

 Market Value of Shares or Units of Stock that Have Not Vested ($)(2)

 2/28/2015

 18,334

 -

 82.65

 1/28/2025

 2/4/2016

 18,334

 -

 37.05

 1/3/2026

 2/20/2017

 21,668

 -

 17.70

 1/19/2027

 2/22/2018

 20,000

 -

 17.40

 1/21/2028

 2/23/2019

 33,334

 -

 12.90

 1/22/2029

 1/7/2022

 (4)

 8,750

 $37,800

 2/10/2020

 (3)

 52,385

 1,115

 6.75

 1/09/2030

 1/4/2023

 (5)

 18,750

 $81,000

 2/7/2021

 (3)

 38,281

 14,219

 5.01

 2/6/2031

 3/26/2024

 (6)

 186,000

 $803,520

 2/4/2022

 (3)

 35,937

 39,063

 4.96

 1/3/2032

 (7)

 $1,728,000

 11/2/2023

 (3)

 16,666

 383,334

 2.99

 10/1/2033

 (8)

 $1,728,000

 6/12/2023

 -

 2.46

 5/16/2033

 (7)

 $972,000

 (9)

 -

 2.99

 10/2/2033

 (8)

 $972,000

 2/28/2015

 8,334

 -

 82.65

 1/28/2025

 2/4/2016

 8,334

 -

 37.05

 1/3/2026

 2/20/2017

 10,000

 -

 17.70

 1/19/2027

 2/22/2018

 10,000

 -

 17.40

 1/21/2028

 2/23/2019

 13,334

 -

 12.90

 1/22/2029

 2/10/2020

 (3)

 14,583

 5,417

 6.75

 1/09/2030

 2/7/2021

 (3)

 14,375

 15,625

 5.01

 2/6/2031

 1/7/2022

 (4)

 5,000

 $21,600

 2/4/2022

 (3)

 10,312

 34,688

 4.96

 1/3/2032

 1/4/2023

 (5)

 11,250

 $48,600

 11/21/2024

 (10)

 -

 147,000

 3.38

 11/21/2033

 3/26/2024

 (6)

 103,000

 $444,960

 (1)Unless a footnote indicates otherwise, the award was fully vested at December 31, 2023.
 (2)Computed in accordance with SEC rules as the number of unvested shares multiplied by the closing market price of our common stock on December 29, 2023, which was $4.32. The actual value (if any) to be realized by the officer depends on whether the shares vest and the future performance of our common stock.
 (3)Vests in 48 equal monthly installments over a four-year period beginning on the initial vesting date.

 (4)Vest in four equal annual installments beginning January 7, 2022, so long as the officer's service as an employee of the Company is continuous from the grant date through the applicable anniversary thereof.
 (5)Vest in four equal annual installments beginning January 4, 2023, so long as the officer's service as an employee of the Company is continuous from the grant date through the applicable anniversary thereof.
 (6)Vest in four equal annual installments beginning March 26, 2024, so long as the officer's service as an employee of the Company is continuous from the grant date through the applicable anniversary thereof.
 (7)Vest in four equal annual installments beginning October 2, 2024, so long as the officer's service as an employee of the Company is continuous from the grant date through the applicable anniversary thereof.
 (8)Vest in three equal tranches beginning October 2, 2023, the vesting of which will be conditioned on the satisfaction of certain performance metrics being met on or before their measurement date so long as the officer's service as an employee of the Company is continuous from the grant date through the applicable vesting tranche measurement date.
 (9)Vest as follows: one-fourth of the shares shall vest on October 2, 2024, with the remaining shares vesting in 36 equal monthly installments beginning on November 2, 2024.
 (10)Vest as follows: one-fourth of the shares shall vest on November 21, 2024, with the remaining shares vesting in 36 equal monthly installments beginning on December 21, 2024.
 Severance and Change in Control Benefits for Mr. Eiswirth, Mr. Werner and Dr. Ashman
 The Employment Agreements of Mr. Eiswirth and Mr. Werner, and the Change in Control Severance Agreement of Dr. Ashman, provide certain severance and change in control benefits as described below. Under each heading below, we describe the terms of the agreements that were in effect during 2023.
 Acceleration Provisions for Unvested Options and Shares of Restricted Stock in Event of Change in Control
 Each agreement includes acceleration provisions for outstanding equity in the event of a change in control. Under these provisions for Mr. Werner and Dr. Ashman, if a change in control occurs, each officer will receive 12 months of additional vesting for any stock options and restricted shares that are outstanding and unvested as of the date of such transaction. For Mr. Eiswirth, any of Mr. Eiswirth's performance-based vesting equity grants that are outstanding and unvested as of the effective date of such change in control will fully vest. If the change in control consists of a merger or consolidation of the Company, then all outstanding and unvested equity awards will fully vest unless otherwise provided by the transaction document. In addition, for Mr. Werner and Dr. Ashman, the NEOs' unvested stock options and restricted shares will vest in full if (a) the Company is subject to a change in control before the NEOs' employment with us terminates and (b) within 12 months after the change in control, we terminate the NEOs' employment with us without cause or the NEO terminates his employment for good reason. Further, if we are a party to a merger or consolidation, the NEOs' unvested stock options and restricted shares will vest in full unless the agreement evidencing the merger or consolidation provides for one or more of the following: (a) the continuation of the NEO's stock options and restricted shares by Alimera if Alimera is the surviving corporation; (b) the assumption of the officer's stock options and restricted shares by the surviving corporation or its parent; (c) the substitution by the surviving corporation of its parent of new stock options and restricted shares for the NEOs' existing stock options and restricted shares; (d) full exercisability of outstanding stock options and full vesting of the stock underlying the restricted shares, followed by the cancellation of such stock options and restricted shares; or (e) the cancellation of the NEOs' outstanding stock options and restricted shares and a payment to the NEO equal to the excess of (i) the fair market value of the stock subject to such stock options and restricted shares (whether or not such stock options and restricted shares are then exercisable or vested, as applicable) as of the closing date of such merger or consolidation over (ii) the exercise price (for stock options).

 Termination Without Cause/Resignation for Good Reason - Not in Connection with a Change in Control
 In addition, each of Mr. Eiswirth's and Mr. Werner's Employment Agreements provides that if we terminate the applicable named executive officer's employment without cause or if he resigns for good reason, either more than three months prior to a change in control or more than 18 months after a change in control, subject to the conditions in the Employment Agreement, the NEO will be entitled to:
 100% of his total annual base salary at the rate in effect at the time of termination paid in 12 monthly installments;
 for Mr. Eiswirth and Mr. Werner, target annual bonus for the year of termination payable in 12 monthly installments;
 a cash payment equal to his earned and pro-rated annual bonus;
 payment of the premiums for medical insurance coverage for the officer and the officer's dependents under COBRA for one year following the date of termination or, if earlier, until the officer is eligible to be covered under another substantially equivalent medical insurance plan by a subsequent employer; and
 for Mr. Eiswirth only, 12 months of additional vesting for any time-based vesting equity grants that are outstanding and unvested as of the termination date.
 Termination Without Cause/Resignation for Good Reason in Connection with a Change in Control
 For each of Mr. Eiswirth, Mr. Werner and Dr. Ashman, if we terminate the applicable named executive officer's employment without cause or if he resigns for good reason, either within three months prior to a change in control or within 18 months after a change in control, subject to the conditions in the Employment Agreement, the named executive officer will be entitled to:
 a cash payment equal to his earned and pro-rated annual bonus;
 for Mr. Eiswirth and Mr. Werner, payment of the premiums for medical insurance coverage for the officer and the officer's dependents under COBRA, and for Dr. Ashman, payment of the taxable value of any accrued benefit entitlements (subject to such withholdings as required by law, including income tax and national insurance contributions), with the specific number of months of payment varying based on the named executive officer as described below;
 for Mr. Eiswirth only, 100% vesting for any time-based vesting equity grants that are outstanding and unvested as of the termination date; and
 for Mr. Werner only, Mr. Werner's unvested restricted stock units subject to performance-based vesting (the "Performance RSUs") will vest in full for the measurement year in which a change in control occurs (i) if certain performance-based vesting conditions are met and (ii) if (a) the Company is subject to a change in control and (b) within 3 months prior to a change in control, on a change in control, or 12 months after the change in control, his employment with the Company is terminated by the Company (or its successor) without cause or he terminates his employment for good reason.
 a multiple of the sum of (a) his total annual base salary at the rate in effect at the time of termination plus (b) his target bonus in effect at the time of termination, with the specific multiple and timing of payments varying based on the named executive officer as described below:
 For Mr. Eiswirth, the multiple of the sum is 150%, which will be paid in 18 monthly installments. In addition, the payment of premiums for medical insurance will be for 18 months or until he is eligible to be covered under another substantially equivalent medical insurance plan by a subsequent employer.
 For Mr. Werner, the multiple of the sum is 150% of his total annual base salary plus 100% of his target annual bonus, which will be paid in 18 monthly installments. In addition, the

 payment of premiums for medical insurance will be for 18 months or until he is eligible to be covered under another substantially equivalent medical insurance plan by a subsequent employer.
 For Dr. Ashman, the multiple of the sum is 100%, which will be paid in 12 monthly installments. In addition, the payment of the taxable value of any accrued benefit entitlements will be for the 12-month period following the termination of employment.
 Severance Benefits for Dr. Ashman Not in Connection with a Change in Control
 First, either Dr. Ashman or Alimera may terminate the Ashman Employment Contract upon giving six months written notice. In that event, we are obligated to pay Dr. Ashman his salary and provide all other benefits arising under the Ashman Employment Contract during the six-month period, including bonus or other performance-related benefits. In addition, if we terminate the Ashman Employment Contract for reasons other than gross misconduct, or Dr. Ashman resigns from his employment after we have constructively dismissed him from employment, we are obligated to pay an additional sum representing six months' basic salary, accrued bonus and taxable value of any accrued benefit entitlements within one month following the effective date of termination, subject to deduction of income tax and national insurance contributions. If we dismiss Dr. Ashman for gross misconduct, however, he will not be entitled to any further notice or payment except for the amount that has accrued and is due at the date of termination.
 Rationale for Severance and Change in Control Arrangements
 Our compensation committee believes that these severance and change in control arrangements mitigate some of the risk that exists for executives working in a smaller company. These arrangements are intended to attract and retain qualified executives who could have other job alternatives that may appear to them to be less risky absent these arrangements. Particularly given the significant acquisition activity in the life science industry, we could be acquired by another company in the future. Accordingly, our compensation committee believes that the larger severance packages resulting from terminations related to change in control transactions, and bonus and vesting packages relating to the change in control itself, will provide an incentive for these executives to help execute such a transaction from its early stages until closing.
 Benefits upon Death or Disability
 Death of the Officer
 The Employment Agreement of each of Mr. Eiswirth and Mr. Werner provides certain benefits if his employment is terminated on account of his death. In that event, we are obligated to pay:
 (a)his base salary through the end of the month in which his death occurred,
 (b)a cash payment equal to his earned and pro-rated annual bonus through the date of death,
 (c)any benefits the officer is entitled to under the terms of any applicable disability plans or other employee benefit plan, and
 (d)the premiums for medical insurance coverage for the officer's dependents under COBRA for 12 months after the date of death or, if earlier, until the officer's dependents are eligible to be covered under another substantially equivalent medical insurance plan.
 In addition, all of Mr. Eiswirth's and Mr. Werner's remaining unvested equity awards will vest upon his death.
 Disability of the Officer
 The Employment Agreement of each of Mr. Eiswirth and Mr. Werner provides certain benefits if his employment is terminated on account of his disability. In that event, we are obligated to pay:

 (a)his base salary through the end of the month in which the termination occurred,
 (b)a cash payment equal to his earned bonus,
 (c)any benefits the officer is entitled to under the terms of any applicable disability plans or other employee benefit plan, and
 (d)the premiums for medical insurance coverage for the named executive officer and the officer's dependents under COBRA for 18 months after the date of termination or, if earlier, until the officer is eligible to be covered under another substantially equivalent medical insurance plan by a subsequent employer.
 In addition, all of Mr. Eiswirth's and Mr. Werner's remaining unvested equity awards will vest upon his disability where a "separation from service" as defined in the regulations under Section 409A occurs.
 The Ashman Employment Contract does not include provisions regarding benefits if his employment is terminated on account of his death or disability.
 Policies Regarding Recovery of Awards
 In November 2023, the Board adopted a "clawback" policy. This policy was adopted to comply with Section 10D of the Exchange Act, as well as with Nasdaq listing standards adopted in 2023, as mandated by the Dodd-Frank Wall Street Reform and Consumer Protection Act of 2010 (the "Dodd-Frank Act"). Under the policy, which applies to the Company's current and former Section 16 officers, the Company must promptly recover erroneously awarded incentive-based compensation, subject to limited exceptions. Recovery is triggered by accounting restatements that correct errors that are material to previously issued financial statements ("Big R" restatements), as well as restatements that correct errors that are not material to previously issued financial statements but would result in a material misstatement if (1) the errors were left uncorrected in the current report or (2) the error correction was recognized in the current period ("little r" restatements). The policy does not provide for enforcement discretion by the Compensation committee and requires recovery regardless of whether a covered person engaged in any misconduct or is at fault.
 Policies on Ownership, Insider Trading, Hedging, 10b5-1 Plans and Pledging
 We do not have formal stock ownership guidelines for our executive officers, because the compensation committee is satisfied that stock and option holdings among our executive officers provide motivation and align this group's interests with those of our stockholders.
 Our securities trading policy prohibits our Board members, officers, employees and consultants from engaging in (a) transactions involving options on our securities, such as puts, calls and other derivative securities, whether on an exchange or in any other market, and (b) hedging transactions, such as collars and forward sale contracts.
 Our executive officers may enter into trading plans established according to Section 10b5-1 of the Exchange Act with an independent broker-dealer ("broker"), although as of the date of this Form 10-K/A, none of our executive officers had a trading plan in effect. These plans may include specific instructions for the broker to exercise vested options and sell Alimera stock on behalf of the executive officer at certain dates, if our stock price is above a specified level or both. Under these plans, the executive officer no longer has control over the decision to exercise and sell the securities in the plan, unless he or she amends or terminates the trading plan during an open trading window. The purpose of these plans is to enable executive officers to recognize the value of their compensation and diversify their holdings of our stock during periods in which the executive officer may be unable to sell our common stock because material information about us had not been publicly released.

 Our securities trading policy requires our Board members, officers, employees and consultants to exercise extreme caution in holding Company securities in a margin account or pledging Company securities as collateral for a loan.
 Stockholder Advisory Vote on Executive Compensation
 At our 2023 annual meeting of stockholders, approximately 99% of the shares voted were in favor of the compensation paid to our NEOs as disclosed in the proxy statement for the 2023 annual meeting of stockholders. The compensation committee considers this vote to be an endorsement of our compensation philosophy and practices, including our balance between cash and equity compensation and, in light of this, did not implement any significant changes to our executive compensation program as a result of the vote. Both our compensation committee and the Board intend to periodically reevaluate our executive compensation philosophy and practices in light of our performance, needs and developments, including the outcome of future non-binding advisory votes by our stockholders.

 Pay Versus Performance
 As required by Section 953(a) of the Dodd-Frank Act and Item 402(v) of Regulation S-K, we are providing the following information about the relationship between executive compensation and certain financial performance of our Company. The disclosure included in this section is prescribed by SEC rules and does not necessarily align with how we or our compensation committee view the link between our performance and our NEOs pay.
 Pay Versus Performance Table
 The table below presents information on the compensation of our chief executive officer and our other NEOs in comparison to certain performance metrics for 2023, 2022 and 2021. The metrics are not those that our compensation committee uses when setting executive compensation. The use of the term "compensation actually paid" is required by the SEC's rules. Neither "compensation actually paid" nor the total amount reported in the Summary Compensation Table reflect the amount of compensation actually earned, paid or received during the applicable year. Per SEC rules, "compensation actually paid" was calculated by adjusting the Summary Compensation Table Total values for the applicable year as described in the footnotes to the table.

 Year

 Summary Compensation Table Total for Principal Executive Officer ("PEO") (1)

 Compensation Actually Paid to PEO (2)

 Average Summary Compensation Table Total for Non-PEO NEOs (3)

 Average Compensation Actually Paid to Non-PEO NEOs (4)

 Value of Initial Fixed $100 Investment Based On Total Shareholder Return ("TSR") (5)

 Net Income (Loss)
 (millions) (6)

 (a)

 (b)

 (c)

 (d)

 (e)

 (f)

 (g)

 2023

 $3,261,479

 $4,833,624

 $1,191,999

 $1,699,070

 $102.37

 $(20.0)

 2022

 $1,089,198

 $741,505

 $613,407

 $478,364

 $64.22

 $(18.1)

 2021

 $890,081

 $1,047,080

 $569,932

 $614,483

 $121.56

 $(4.4)

 ___
 (1)The dollar amounts reported in column (b) are the amounts of total compensation reported for Richard S. Eiswirth, Jr. (our Chief Executive Officer) for each corresponding year in the "Total" column of the Summary Compensation Table. Refer to "Executive Compensation—Summary Compensation Table."

 (2)The dollar amounts reported in column (c) represent the amount of "compensation actually paid" to Mr. Eiswirth, as computed in accordance with Item 402(v) of Regulation S-K. The dollar amounts do not reflect the actual amount of compensation earned by or paid to Mr. Eiswirth during the applicable year. In accordance with the requirements of Item 402(v) of Regulation S-K, the following adjustments were made to Mr. Eiswirth's total compensation for each year to determine the compensation actually paid:

 Year

 Reported
 Summary Compensation Table Total for PEO
 ($)

 Reported
 Value of Equity Awards (a)
 ($)

 Equity
 Award Adjustments (b)
 ($)

 Compensation Actually Paid to PEO
 ($)

 2023

 $3,261,479

 $(2,312,208)

 $3,884,353

 $4,833,624

 2022

 $1,089,198

 $(366,329)

 $18,636

 $741,505

 2021

 $890,081

 $(256,212)

 $413,211

 $1,047,080

 ___
 (a)The grant date fair value of equity awards represents the total of the amounts reported in the "Stock Awards" and "Option Awards" columns in the Summary Compensation Table for the applicable year.

 (b)The equity award adjustments for each applicable year include the addition (or subtraction, as applicable) of the following: (i) the year-end fair value of any equity awards granted in the applicable year that are outstanding and unvested as of the end of the year; (ii) the amount of change as of the end of the applicable year (from the end of the prior fiscal year) in fair value of any awards granted in prior years that are outstanding and unvested as of the end of the applicable year; (iii) for awards that are granted and vest in same applicable year, the fair value as of the vesting date; (iv) for awards granted in prior years that vest in the applicable year, the amount equal to the change as of the vesting date (from the end of the prior fiscal year) in fair value; (v) for awards granted in prior years that are determined to fail to meet the applicable vesting conditions during the applicable year, a deduction for the amount equal to the fair value at the end of the prior fiscal year; and (vi) the dollar value of any dividends or other earnings paid on stock or option awards in the applicable year prior to the vesting date that are not otherwise reflected in the fair value of such award or included in any other component of total compensation for the applicable year. The valuation assumptions used to

 calculate fair values did not materially differ from those disclosed at the time of grant. The amounts deducted or added in calculating the equity award adjustments are as follows:

 Year

 Year End Fair Value of Outstanding and Unvested Equity Awards Granted in the Year
 ($)

 Year over Year Change in Fair Value of Outstanding and Unvested Equity Awards Granted in Prior Years
 ($)

 Fair Value as of Vesting Date of Equity Awards Granted and Vested in the Year
 ($)

 Year over Year Change in Fair Value of Equity Awards Granted in Prior Years that Vested in the Year
 ($)

 Fair Value at the End of the Prior Year of Equity Awards that Failed to Meet Vesting Conditions in the Year
 ($)

 Value of Dividends or other Earnings Paid on Stock or Option Awards not Otherwise Reflected in Fair Value or Total Compensation
 ($)

 Total
 Equity
 Award
 Adjustments
 ($)

 2023

 $3,804,442

 $39,152

 $40,624

 $136

 $—

 $—

 $3,884,353

 2022

 $155,562

 $(203,567)

 $64,092

 $2,548

 $—

 $—

 $18,636

 2021

 $219,490

 $(20,831)

 $64,788

 $149,764

 $—

 $—

 $413,211

 ___
 (3)The dollar amounts reported in column (d) represent the average of the amounts reported for our company's NEOs as a group (excluding Mr. Eiswirth) in the "Total" column of the Summary Compensation Table in each applicable year. The names of each of the NEOs (excluding Mr. Eiswirth) included for purposes of calculating the average amounts in each applicable year are as follows: for 2023 Mr. Werner and Dr. Ashman and for 2022 and 2021, Mr. Holland and Dr. Ashman.

 (4)The dollar amounts reported in column (e) represent the average amount of "compensation actually paid" to the NEOs as a group (excluding Mr. Eiswirth), as computed in accordance with Item 402(v) of Regulation S-K. The dollar amounts do not reflect the actual average amount of compensation earned by or paid to the NEOs as a group (excluding Mr. Eiswirth) during the applicable year. In accordance with the requirements of Item 402(v) of Regulation S-K, the following adjustments were made to average total compensation for the NEOs as a group (excluding Mr. Eiswirth) for each year to determine the compensation actually paid, using the same methodology described above in Note (2):

 Year

 Average
 Reported Summary Compensation Table Total for Non-PEO NEOs
 ($)

 Average
 Reported
 Value of Equity Awards (a)
 ($)

 Average Equity
 Award Adjustments (b)
 ($)

 Average Compensation Actually Paid to Non-PEO NEOs
 ($)

 2023

 $1,191,999

 $(828,838)

 $1,335,910

 $1,699,070

 2022

 $613,407

 $(174,007)

 $38,964

 $478,364

 2021

 $569,932

 $(114,381)

 $158,932

 $614,483

 (a)The grant date fair value of equity awards represents the total of the amounts reported in the "Stock Awards" and "Option Awards" columns in the Summary Compensation Table for the applicable year.
 (b)The amounts deducted or added in calculating the total average equity award adjustments are as follows:

 Year

 Year End Fair Value of Outstanding and Unvested Equity Awards Granted in the Year
 ($)

 Year over Year Change in Fair Value of Outstanding and Unvested Equity Awards Granted in Prior Years
 ($)

 Fair Value as of Vesting Date of Equity Awards Granted and Vested in the Year
 ($)

 Year over Year Change in Fair Value of Equity Awards Granted in Prior Years that Vested in the Year
 ($)

 Fair Value at the End of the Prior Year of Equity Awards that Failed to Meet Vesting Conditions in the Year
 ($)

 Value of Dividends or other Earnings Paid on Stock or Option Awards not Otherwise Reflected in Fair Value or Total Compensation
 ($)

 Total
 Equity
 Award
 Adjustments
 ($)

 2023

 $1,321,564

 $13,070

 $1,018

 $258

 $—

 $—

 $1,335,910

 2022

 $73,893

 $(66,422)

 $30,443

 $1,050

 $—

 $—

 $38,964

 2021

 $97,987

 $(7,611)

 $28,921

 $39,634

 $—

 $—

 $158,932

 (c)

 (5)Cumulative TSR is calculated by dividing the sum of the cumulative amount of dividends for the measurement period, assuming dividend reinvestment, and the difference between our company's share price at the end and the beginning of the measurement period by our company's share price at the beginning of the measurement period. No dividends were paid on stock or option awards in 2023, 2022 or 2021.
 (6)The dollar amounts reported represent the amount of net income (loss) reflected in our consolidated audited financial statements for the applicable year.
 Analysis of the Information Presented in the Pay Versus Performance Table
 We generally seek to incentivize long-term performance, and therefore do not specifically align our performance measures with "compensation actually paid" (as computed in accordance with Item 402(v) of Regulation S-K) for a particular year. In accordance with Item 402(v) of Regulation S-K, we are providing the following descriptions of the relationships between information presented in the Pay Versus Performance table.
 We do not utilize net income (loss) or TSR in our executive compensation program. However, we do utilize several other performance measures to align executive compensation with our performance. As described in more detail above in the section "Executive Compensation – Narrative Explanation of Certain Aspects of the Summary Compensation Table," part of the compensation our NEOs are eligible to receive consists of annual performance-based cash bonuses which are designed to provide appropriate incentives to our executives to achieve defined annual corporate goals and to reward our executives for individual achievement towards these goals. Additionally, we view stock options and restricted stock, which are an integral part of our executive compensation program, as related to company performance although not directly tied to net income (loss) or TSR, because they provide value, or provide incremental value in the case of restricted stock, only if the market price of our common stock increases, and if the executive officer continues in our employment over the vesting period. We believe that stock options and grants of restricted stock provide a meaningful incentive for the officer to remain in our employment and enhance stockholder value over time.
 Compensation Actually Paid and Cumulative TSR
 As shown in the following graph, the "compensation actually paid" to Mr. Eiswirth and the average amount of "compensation actually paid" to our NEOs as a group (excluding Mr. Eiswirth) during the periods presented are correlated to cumulative TSR. A significant portion of their compensation is in the form of long-term equity awards. The equity awards values are directly tied to our stock price each period. These equity awards strongly align our executive officers' interests with those of our stockholders by providing a continuing financial incentive to maximize long-term value for our stockholders and by encouraging our executive officers to continue in our employment for the long-term.

 Compensation Actually Paid and Net Income (Loss)
 As shown in the following graph, the "compensation actually paid" to Mr. Eiswirth and the average amount of "compensation actually paid" to our NEOs as a group (excluding Mr. Eiswirth) during the periods presented are correlated with our net income (loss). We do not use net income (loss) as a financial performance measure in our overall executive compensation program, so this indirect correlation is due to the price of our common stock decreasing during the same periods.

 All information provided above under the "Pay Versus Performance" heading will not be deemed to be incorporated by reference in any filing of our company under the Securities Act of 1933, as amended, whether made before or after the date hereof and irrespective of any general incorporation language in any such filing.
 Director Compensation
 The following table describes our current non-employee director compensation program, which consists of annual cash retainers paid in four quarterly payments and options to purchase shares of our common stock:

 Term

 Compensation

 Annual Cash Retainer for All Non-Employee Directors

 $40,000

 Chair of Board

 Additional annual retainer: $45,000

 Lead Independent Director (if any)

 Additional annual retainer: $15,000

 Chair of Audit Committee

 Additional annual retainer: $20,000

 Chair of Compensation Committee

 Additional annual retainer: $15,000

 Chair of Nominating and Corporate Governance Committee

 Additional annual retainer: $8,000

 Non-Chair Member of Audit Committee

 Additional annual retainer: $10,000

 Non-Chair Member of Compensation Committee

 Additional annual retainer: $7,000

 Non-Chair Member of Nominating and Corporate Governance Committee

 Additional annual retainer: $4,000

 Initial Option Grant

 Option to purchase up to 50,000 shares of our common stock upon initial election as director which is typically prorated based on the number of days until the 1-year anniversary of the previous year's annual meeting of stockholders (1)

 Annual Option Grant

 Option to purchase 50,000 shares of our common stock following each annual meeting of stockholders (1)

 (1)Annual options vest and become exercisable in twelve equal monthly installments and vest in full on the earlier of the date of the last monthly installment or the following year's annual meeting of stockholders of the Company provided the director provides continuous service through the applicable vesting date. Initial options vest and become exercisable in equal monthly installments through the 1-year anniversary of the previous annual meeting of stockholders if the director provides continuous service through the applicable vesting date. Unless otherwise approved by our compensation committee, all stock option grants to non-employee directors will have an exercise price per share equal to the fair market value of one share of our common stock on the date of grant and will be subject to the terms of the Alimera Sciences, Inc. 2023 Equity Incentive Plan (the "2023 Plan"). Each option granted under the 2023 Plan to each of our non-employee directors that is not fully vested will become fully vested upon (a) a change in control of the Company or (b) such non-employee director's service terminates due to death.
 Our current policy is to reimburse our non-employee directors for travel, lodging and other reasonable expenses incurred in connection with their attendance at Board and committee meetings. Directors who are employees of the Company do not receive any additional compensation for their services as a director.

 Director Compensation Table for Year Ended December 31, 2023
 The following table sets forth information regarding compensation earned during the fiscal year ended December 31, 2023 by each of our non-employee directors:

 Name

 Fees Earned or Paid in Cash ($)

 Option
 Awards ($)

 All Other Compensation ($)

 Total ($)

 Brian K. Halak, Ph. D. (1)

 13,500

 11,251

 ----

 24,751

 Garheng Kong, M.D., Ph. D. (2)

 27,500

 11,251

 ----

 38,751

 James R. Largent (3)

 17,500

 11,251

 ----

 28,751

 C. Daniel Myers (4)

 53,216

 25,324

 35,109

 113,649

 Roger A. Sawheny, M.D. (5)

 4,096

 3,115

 ----

 7,211

 Jason Werner (6)

 16,319

 1,271

 ----

 17,590

 53,163

 119,359

 ----

 172,522

 66,951

 119,359

 ----

 186,310

 52,848

 119,359

 ----

 172,207

 Adam Morgan (7)

 55,292

 110,461

 ----

 165,753

 Michael Kaseta (7)

 41,241

 110,461

 ----

 151,702

 Ross DeMont (7)

 16,522

 108,108

 ----

 124,630

 Margaret A. Pax (7)

 6,457

 89,965

 ----

 96,422

 (1)Dr. Halak resigned from our Board on February 24, 2023.
 (2)Dr. Kong resigned from our Board on May 17, 2023.
 (3)Mr. Largent resigned from our Board on March 24, 2023.
 (4)Mr. Myers resigned from our Board on August 1, 2023. Compensation received as Chairman Emeritus (after August 1, 2023) is recorded in "All Other Compensation."
 (5)Dr. Sawheny resigned from our Board on March 24, 2023.
 (6)Mr. Werner resigned as a Board member in October 2023 in connection with his appointment as Chief Operating Officer of the Company.
 (7)Amounts listed are based on pro-rated fees based on the director's start date in 2023.
 The following table describes the number of shares of our common stock that are purchasable under outstanding and unexercised options to purchase shares of our common stock held as of December 31, 2023 by each of our non-employee directors who served during 2023, whether exercisable or not:

 Name

 Number of Common Shares
 Purchasable under
 Outstanding Options (6)

 Brian K. Halak, Ph. D. (1)

 12,667

 Garheng Kong, M.D., Ph. D. (2)

 18,667

 James R. Largent (3)

 28,033

 C. Daniel Myers (4)

 139,335

 Roger A. Sawheny, M.D. (5)

 2,252

 59,255

 78,003

 68,410

 Adam Morgan

 51,825

 Michael Kaseta

 51,825

 Ross DeMont

 50,000

 Margaret A. Pax

 36,713

 (1)Dr. Halak resigned from our Board on February 24, 2023.
 (2)Dr. Kong resigned from our Board on May 17, 2023.
 (3)Mr. Largent resigned from our Board on March 24, 2023.
 (4)Mr. Myers resigned from our Board on August 1, 2023.
 (5)Dr. Sawheny resigned from our Board on March 24, 2023.
 (6)Mr. Werner is excluded from this list given his resignation as a Board member and appointment as Chief Operating Officer in October 2023. Mr. Werner's outstanding equity awards are included in the NEO Outstanding Equity Awards table above.

 Narrative to Director Compensation Table
 Our Board has adopted a non-employee director compensation program, which is described further above. In 2023, our non-employee directors were paid fees consistent with this program. Mr. Eiswirth does not receive any compensation for his service as a director.
 In connection with his appointment as Chairman Emeritus, the Company and Mr. Myers entered into a Chairman Emeritus Agreement dated as of August 1, 2023 (the "Myers Agreement"). Pursuant to the Myers Agreement, Mr. Myers will serve as Chairman Emeritus through the date of the Company's 2024 annual meeting of stockholders, which term may be extended upon mutual agreement of the parties thereto. Mr. Myers' compensation will be consistent with the cash and equity compensation provided to the Chair of the Board pursuant to the Company's non-employee director compensation program.

 ITEM 12. SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT AND RELATED STOCKHOLDER MATTERS

 Overview
 The following table sets forth certain information with respect to the beneficial ownership of our common stock as of April 24, 2024 for:

 •

 each of our NEOs;

 •

 each of our directors;

 •

 all of our current executive officers and directors as a group; and

 •

 each stockholder known by us to be the beneficial owner of more than 5% of our outstanding shares of common stock.

 The table below is based upon information supplied by officers, directors and principal stockholders and Schedule 13Gs and 13Ds filed with the SEC through April 24, 2024.
 The percentage ownership is based upon 52,374,687 shares of common stock outstanding as of April 24, 2024. For purposes of the table below, we deem shares of common stock subject to options and warrants that are currently exercisable or exercisable within sixty (60) days of April 24, 2024 to be outstanding and to be beneficially owned by the person holding the options and warrants for the purpose of computing the percentage ownership of that person, but we do not treat them as outstanding for the purpose of computing the percentage ownership of any other person. Except as otherwise noted, the persons or entities in this table have sole voting and investing power with respect to all of the shares of common stock beneficially owned by them, subject to community property laws, where applicable.

 Name of
 Beneficial Owner

 Number of Shares of Common Stock
 Beneficially Owned

 Percentage of Shares of Common Stock
 Beneficially Owned

 5% Stockholders (other than our executive officers and directors)

 Caligan Partners LP

 17,635,154

 (1)

 33.2%

 Velan Capital Investment Management LP

 14,408,533

 (2)

 27.1%

 Stonepine Capital Management LLC

 5,373,732

 (3)

 9.9%

 Boothbay Fund Management, LLC

 3,198,708

 (4)

 6.1%

 Altium Capital Management LP

 2,660,000

 (5)

 5.1%

 Directors and NEOs

 241,088

 (6)

 *

 Ross DeMont

 41,666

 (7)

 *

 645,509

 (8)

 1.2%

 David Holland

 278,866

 (9)

 *

 Michael Kaseta

 43,491

 (10)

 *

 Adam Morgan

 14,452,024

 (2)(11)

 27.6%

 50,921

 (12)

 *

 Margaret Pax

 28,553

 (13)

 *

 70,169

 (14)

 *

 70,076

 (15)

 *

 All current directors and executive officers as a group
 (13 persons)

 15,924,205

 (16)

 29.9%

 *

 Represents beneficial ownership of less than one percent of our outstanding common stock.

 (1)

 Consists of 16,835,154 shares of common stock held by Caligan Partners LP, a Delaware limited partnership (Caligan) as well as 800,000 shares of common stock underlying warrants. The securities reported herein are beneficially owned by Caligan, which serves indirectly as the investment manager to Caligan Partners Master Fund LP, a Cayman Islands limited partnership (the Caligan Fund), and managed accounts (the Caligan Accounts), with respect to the shares of common stock held by the Caligan Fund and the Caligan Accounts; and David Johnson, the Partner of Caligan and Managing Member of Caligan Partners GP LLC, the general partner of Caligan, with respect to the shares of common stock held by the Caligan Fund and the Caligan Accounts. The business address of Caligan Partners LP is 515 Madison Avenue, 8th Floor, New York, New York 10022. The forgoing information is based on a Schedule 13D/A filed with the SEC on August 3, 2023 by Caligan Partners LP.

 (2)

 Consists of 13,608,533 shares of common stock held by Velan Capital Master Fund LP (Velan Master) as well as 800,000 shares of common stock underlying warrants. Velan Capital Holdings LLC (Velan GP), as the general partner of Velan Master, may be deemed to beneficially own the shares beneficially owned by Velan Master. Velan Capital Investment Management LP (Velan Capital), as the investment manager of Velan Master, may be deemed to beneficially own the shares beneficially owned by Velan Master. Velan Capital Management LLC (Velan IM GP), as the general partner of Velan Capital, may be deemed to beneficially own the shares beneficially owned by Velan Master. Balaji Venkataraman, as a Managing Member of each of Velan GP and Velan IM GP, may be deemed to beneficially own shares beneficially owned by Velan Master. Adam Morgan, a member of our Board, is a Managing Member of each of Velan GP and Velan IM GP, may be deemed to beneficially own the shares beneficially owned by Velan Master. The forgoing information is based on a Schedule 13D/A filed with the SEC on August 16, 2023 by Velan Capital.

 (3)

 Consists of 3,999,459 shares of common stock held by Stonepine Capital Management LLC and 2,000,000 shares of common stock underlying pre-funded warrants. The forgoing information is based on a Schedule 13G/A filed with the SEC on February 13, 2024 by Stonepine Capital Management LLC.

 (4)

 The forgoing information is based on a Schedule 13G/A filed with the SEC on February 13, 2024 by
 Boothbay Fund Management, LLC.

 (5)

 Consists of 2,660,000 shares of common stock held by Altrium Capital Management LP. The forgoing information is based on a Schedule 13D/G filed with the SEC on February 13, 2024 by Altrium Capital Management LP.

 (6)

 Includes 122,814 shares issuable upon exercise of options exercisable within 60 days of April 24, 2024.

 (7)

 Includes 41,666 shares issuable upon exercise of options exercisable within 60 days of April 24, 2024.

 (8)

 Includes 321,991 shares issuable upon exercise of options exercisable within 60 days of April 24, 2024.

 (9)

 Includes 91,610 shares issuable upon exercise of options exercisable within 60 days of April 24, 2024.

 (10)

 Includes shares beneficially owned by Velan Capital, of which Mr. Morgan is the Managing Member, as well as 43,491 shares issuable upon exercise of options exercisable within 60 days of April 24, 2024.

 (11)

 Includes 43,491 shares issuable upon exercise of options exercisable within 60 days of April 24, 2024.

 (12)

 Includes 50,921 shares issuable upon exercise of options exercisable within 60 days of April 24, 2024.

 (13)

 Includes 28,553 shares issuable upon exercise of options exercisable within 60 days of April 24, 2024.

 (14)

 Includes 69,669 shares issuable upon exercise of options exercisable within 60 days of April 24, 2024.

 (15)

 Includes 60,076 shares issuable upon exercise of options exercisable within 60 days of April 24, 2024.

 (16)

 Includes 804,984 shares issuable upon exercise of options exercisable within 60 days of April 24, 2024.

 ITEM 13. CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS, AND DIRECTOR INDEPENDENCE
 Certain Relationships and Related Transactions
 In addition to the compensation arrangements with our directors and executive officers described elsewhere in this Form 10-K/A, the following is a description of each transaction since January 1, 2022 and each currently proposed transaction in which:

 •

 we have been or are to be a participant;

 •

 the amount involved exceeds the lesser of $120,000 or one percent of the average of our total assets at yearend for the last two completed fiscal years; and

 •

 any of our directors, executive officers, or holders of more than 5% of our capital stock, or any immediate family member of or person sharing the household with any of these individuals (other than tenants or employees), had or will have a direct or indirect material interest.

 Employment Agreements
 We have entered into offer letters with our NEOs. For more information regarding these agreements, see the section entitled "Employment Agreements with Our NEOs."
 Equity Grants and Awards to Executive Officers and Directors
 We have granted equity to our executive officers and certain of our directors as more fully described in the section entitled "Executive Compensation" and "Director Compensation."
 Series B Convertible Preferred Stock Financing
 On March 24, 2023, we entered into a Securities Purchase Agreement (the Purchase Agreement) with entities affiliated with Caligan Partners LP and Velan Capital Master Fund, LP for the sale of up to 27,000 shares of our newly designated Series B Convertible Preferred Stock, par value $0.01 per share (the Series B Preferred Stock) and warrants (the Warrants) to purchase up to 5,714,286 shares of our common stock, for an aggregate purchase price of up to $27.0 million in two tranches. On March 24, 2023 (the Tranche 1 Closing Date), we issued and sold an aggregate of 12,000 shares of Series B Preferred Stock at a per-share purchase price of $1,000 (the Stated Value) and the Warrants for aggregate gross proceeds of $12.0 million (the Tranche 1 Closing). The proceeds from the Tranche 1 Closing will be used to fund development and commercialization of our existing and pipeline drugs, maintenance of our credit facility and corporate purposes substantially related to the commercialization of our existing and pipeline drugs, as well as the Repurchase (as defined below).
 Pursuant to the Purchase Agreement, (i) entities affiliated with Caligan Partners LP purchased 6,000 shares of Series B Preferred Stock and warrants to purchase 2,847,143 shares of our common stock for a total purchase price of $6,000,000 and (ii) Velan Capital Master Fund LP purchased 6,000 shares of Series B Preferred Stock and warrants to purchase 2,847,143 shares of our common stock for a total purchase price of $6,000,000.
 At the closing of the second tranche (the Tranche 2 Closing), we will issue and sell an aggregate of 15,000 shares of Series B Preferred at a per-share purchase price equal to the Stated Value for aggregate gross proceeds of $15.0 million. The Tranche 2 Closing will only occur upon the mutual agreement of us and the holders of a majority of the outstanding Series B Preferred Stock (the Preferred Majority); provided that the closing shall occur no later than December 31, 2023, if at all. The proceeds from the Tranche 2 Closing, if any, will be used to fund potential in-licenses or acquisitions of new technologies, products or businesses in ophthalmology, subject to applicable Nasdaq listing rules. If Stockholder Approval (as defined below) is obtained prior to the Tranche 2 Closing, the securities issued and sold at the Tranche 2 Closing will be shares of common stock rather than shares of Series B Preferred.

 Pursuant to the Purchase Agreement, entities affiliated with Caligan Partners LP and Velan Capital Master Fund LP each have certain participation rights in our future financings, and also each have the right to designate a member of our Board of Directors (the Board) so long as such affiliated investors beneficially hold 50% or more of the shares of common stock (calculated on an as-converted basis) it acquired pursuant to the Purchase Agreement. Effective as of the Tranche 2 Closing, the investors will have the right to designate one additional individual mutually agreed upon by the investors for election to the Board, subject to applicable Nasdaq listing rules.
 We intend to hold a meeting of our stockholders to approve the issuance of common stock upon conversion of the Series B Preferred Stock and exercise of the Warrants in excess of the Change of Control Cap and the Exchange Cap (each as defined and described below) (such meeting, the Stockholder Meeting and such approval, the Stockholder Approval). Prior to the conclusion of the Stockholder Meeting, the Series B Preferred Stock is not convertible into common stock. If Stockholder Approval is obtained, all of the outstanding Series B Preferred Stock will automatically convert into shares of common stock. If Stockholder Approval is not obtained at the Stockholder Meeting, following such meeting, each share of Series B Preferred Stock will be convertible, at the option of the holder, into shares of common stock, subject to the Change of Control Cap and the Exchange Cap.
 The initial conversion price of the shares of Series B Preferred Stock issued at the Tranche 1 Closing is $2.10 (the Tranche 1 Conversion Price). The shares of Series B Preferred Stock issued at the Tranche 2 Closing, if any, will have an initial conversion price equal to the 30-day preceding volume-weighted average price of the common stock on Nasdaq, but in any event (i) no less than eighty percent (80%) of the Tranche 1 Conversion Price per share nor (ii) greater than two-times the Tranche 1 Conversion Price per share. In each case, the conversion price of the Series B Preferred Stock is subject to certain customary adjustments, including a weighted average anti-dilution adjustment.
 Unless and until Stockholder Approval is obtained, the Series B Preferred Stock will not be convertible into common stock to the extent that such conversion would cause (i) the aggregate number of shares of common stock that would be issued pursuant to the Purchase Agreement and the transactions contemplated thereby to exceed 1,401,901 (19.99% of the voting power or number of shares of common stock, issued and outstanding immediately prior to the execution of the Purchase Agreement), which number will be reduced, on a share-for-share basis, by the number of shares of common stock issued or issuable pursuant to any transactions that may be aggregated with the transactions contemplated by the Purchase Agreement under applicable Nasdaq rules (the Exchange Cap); or (ii) the aggregate number of shares of common stock that would be issued pursuant to such conversion, when aggregated with any shares of common stock then beneficially owned by the holder (or group of holders required to be aggregated) of such shares, would result in (a) a "change of control" under applicable Nasdaq listing rules (the Change of Control Cap) or (b) such holder or a "person" or "group" to beneficially own in excess of 9.99% of the common stock outstanding immediately after giving effect to the issuance of shares of common stock issuable upon such conversion (the Ownership Limitation).
 The Series B Preferred Stock will be entitled to receive dividends and other distributions pro rata with the common stock. In addition, prior to conversion, dividends will accrue on the Series B Preferred at an annual rate of 6% of the Stated Value, accruing daily. The Series B Preferred Stock is not redeemable.
 The Warrants have an exercise price equal to the Tranche 1 Conversion Price (as adjusted pursuant to the Certificate of Designation of the Series B Preferred Stock through the date of Stockholder Approval) and expire seven years from the date of the Tranche 1 Closing. The Warrants are exercisable upon the earlier of (a) a change of control and (b) March 24, 2024; provided that prior to Stockholder Approval, exercise of the Warrants is subject to the Ownership Limitation, the Change of Control Cap and the Exchange Cap. If we consummate the Tranche 2 Closing or a qualified financing transaction of at least $15.0 million prior to December 31, 2023, the number of shares underlying the Warrants will automatically be reduced to an aggregate of 1.0 million shares of common stock.

 Repurchase of Series A Convertible Preferred Stock
 As a condition to closing the transactions contemplated by the Purchase Agreement, we repurchased all 200,919 shares of common stock and 600,000 shares of Series A Convertible Preferred Stock held by entities affiliated with Palo Alto Investors LP (the Repurchase), for an aggregate purchase price of approximately $1.25 million.
 Limitation of Liability and Indemnification
 We have entered into indemnification agreements with each of our directors and executive officers. The agreements provide that we will indemnify each of our directors and executive officers against any and all expenses incurred by that director or executive officer because of his or her status as one of our directors or executive officers, to the fullest extent permitted by Delaware law, our restated certificate of incorporation and our amended and restated bylaws. In addition, the agreements provide that, to the fullest extent permitted by Delaware law, but subject to various exceptions, we will advance all expenses incurred by our directors in connection with a legal proceeding.
 Our restated certificate of incorporation and amended and restated bylaws contain provisions relating to the limitation of liability and indemnification of directors. The restated certificate of incorporation provides that our directors will not be personally liable to us or our stockholders for monetary damages for any breach of fiduciary duty as a director, except for liability:
 for any breach of the director's duty of loyalty to us or our stockholders;
 for acts or omissions not in good faith or that involve intentional misconduct or a knowing violation of law;
 in respect of unlawful payments of dividends or unlawful stock repurchases or redemptions as provided in Section 174 of the Delaware General Corporation Law; or
 for any transaction from which the director derives any improper personal benefit.
 Our restated certificate of incorporation also provides that if Delaware law is amended in the future to authorize corporate action further eliminating or limiting the personal liability of directors, then the liability of our directors will be eliminated or limited to the fullest extent permitted by Delaware law. The foregoing provisions of the restated certificate of incorporation are not intended to limit the liability of directors or officers for any violation of applicable federal securities laws. As permitted by Section 145 of the Delaware General Corporation Law, our restated certificate of incorporation provides that we may indemnify our directors to the fullest extent permitted by Delaware law and the restated certificate of incorporation provisions relating to indemnity may not be retroactively repealed or modified so as to adversely affect the protection of our directors.
 In addition, as permitted by Section 145 of the Delaware General Corporation Law, our amended and restated bylaws authorize us (a) to enter into indemnification agreements with our directors and executive officers, which we have done, and (b) to purchase directors' and officers' liability insurance, which we currently maintain to cover our directors and executive officers.
 Director Independence
 Our common stock is listed on The Nasdaq Global Market. The listing rules of this stock exchange generally require that a majority of the members of a listed company's board of directors be independent. In addition, the rules of Nasdaq require that, subject to specified exceptions, each member of a listed company's audit, compensation, and nominating and corporate governance committees be independent. The Nasdaq director independence definition includes a series of objective tests, such as that the director is not also one of our employees and has not engaged in various types of business dealings with us. In addition, as further required by Nasdaq rules, our Board has made a subjective determination as to each independent director that no relationships exist which, in the opinion of our

 Board, would interfere with the exercise of independent judgment in carrying out the responsibilities of a director. In making these determinations, our Board reviewed and discussed information provided by the directors and us with regard to each director's business and personal activities as they may relate to us and our management.
 Our Board has determined that none of our non-employee directors has a relationship that would interfere with the exercise of independent judgment in carrying out the responsibilities of a director and that each of these directors is "independent" as that term is defined under the rules of Nasdaq. The independent members of our Board hold separate regularly scheduled executive session meetings at which only independent directors are present.
 Audit committee members must also satisfy the independence criteria set forth in Rule 10A-3 under the Exchange Act. In order to be considered independent for purposes of Rule 10A-3, a member of an audit committee of a listed company may not, other than in his or her capacity as a member of the audit committee, the board of directors, or any other board committee: accept, directly or indirectly, any consulting, advisory, or other compensatory fee from the listed company or any of its subsidiaries; or be an affiliated person of the listed company or any of its subsidiaries. Each of Peter J. Pizzo, III, John Snisarenko and Mike Kaseta qualify as an independent director pursuant to Rule 10A-3.
 ITEM 14. PRINCIPAL ACCOUNTING FEES AND SERVICES
 Independent Registered Public Accounting Firm's Fees
 The following table sets forth the fees billed by Grant Thornton LLP, our independent registered public accounting firm, for audit and non-audit services rendered to us in 2023 and 2022. These fees are categorized as audit fees, audit-related fees, tax fees and all other fees. The nature of the services provided in each category is described following the table:

 Year Ended December 31,

 2023

 2022

 Grant Thornton LLP Fees

 Audit fees (1)

 $

 744,255

 $

 639,069

 Audit-related fees

 -

 -

 Tax fees (2)

 122,397

 160,339

 All other fees

 -

 -

 Total fees

 $

 866,652

 $

 799,408

 (1)The fees billed or incurred by Grant Thornton LLP for professional services in 2023 and 2022 include the review of our quarterly financial statements included in our quarterly reports on Form 10-Q for the quarters ended March 31, June 30, and September 30; the audit of our annual financial statements included in our Annual Reports on Form 10-K for the years ended December 31, 2023 and December 31, 2022; subsidiary audits and the review of and issuance of consents for our registration statements.
 (2)In 2023 and 2022, fees billed or incurred by Grant Thornton LLP were for professional services rendered in connection global tax consulting and foreign tax returns, including the reorganization of our foreign subsidiaries.

 All fees described above were pre-approved by the audit committee in accordance with applicable SEC requirements.

 Pre-Approval Policies and Procedures of the Audit Committee
 The audit committee's policy is to pre-approve all audit and permissible non-audit services rendered by Grant Thornton LLP, our independent registered public accounting firm. The audit committee can pre-approve specified services in defined categories of audit services, audit-related services and tax services up to specified amounts, as part of the audit committee's approval of the scope of the engagement of Grant Thornton LLP or on an individual case-by-case basis before Grant Thornton LLP is engaged to provide a service. The audit committee has determined that the rendering of tax-related services by Grant Thornton LLP in 2023 is compatible with maintaining the principal accountant's independence for audit purposes. Grant Thornton LLP has not been engaged to perform any non-audit services other than tax-related services.

 ITEM 15. EXHIBITS AND FINANCIAL STATEMENTS SCHEDULES

 (a)The following documents were filed as part of the Original Filing:

 1.Financial Statements. We are not filing any financial statements with this Form 10-K/A because they were included in the Original Filing.

 2.Financial Statement Schedules. We are not filing any schedules with this Form 10-K/A, which were either appropriately omitted from the Original Filing or the information required to be presented in them was shown in the financial statements or related notes at Part II, Item 8 of the Original Filing.

 3.Exhibits. The exhibits required to be filed by Item 15 are set forth in, and filed with or incorporated by reference in, the "Exhibit Index" of the Original Filing. The attached list of exhibits in the "Exhibit Index" sets forth the additional exhibits required to be filed with this Form 10-K/A and are incorporated herein by reference in response to this item.

 (b)Exhibits. See Item 15(a)(3) above.

 (c)Financial Statement Schedules. See Item 15(a)(2) above.

 EXHIBIT INDEX

 Exhibit
 Number

 Exhibit
 Title

 31.1*

 Certification of the Chief Executive Officer, as required by Section 302 of the Sarbanes-Oxley Act of 2002

 31.2*

 Certification of the Chief Financial Officer as required by Section 302 of the Sarbanes-Oxley Act of 2002

 *Filed herewith.

 Signatures

 Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.

 Date: April 29, 2024

 ALIMERA SCIENCES, INC.

 By:

 /s/ Richard S. Eiswirth, Jr.

 Name:

 Title:

 President and Chief Executive Officer

 Signature

 Title

 Date

 /s/ Richard S. Eiswirth, Jr.

 President, Chief Executive Officer and Director (Principal Executive Officer)

 *
 Elliot Maltz

 Chief Financial Officer
 (Principal Financial and Accounting Officer)

 *
 Adam Morgan

 Chairman of the Board of Directors

 *
 Ross DeMont

 *
 Michael Kaseta

 *

 *
 Margaret A. Pax

 *

 *

 *By: /s/ Richard S. Eiswirth, Jr,
 Name: Richard S. Eiswirth, Jr.
 Title: Attorney-in-fact