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ACOG US Equity

Alpha Cognition Inc.Health Care · Biological Products, (No Diagnostic Substances) · CIK 1655923 · FY ends Dec 31
$8.89
+0.32 (+3.67%)
USD · as of 2026-08-19 · marketstack

ACOG · 10-K · period ended 2025-12-31

← all ACOG documents
filed 2026-03-31 · EDGAR original ↗

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ITEM 7. MANAGEMENT’S DISCUSSION AND ANALYSIS

OF FINANCIAL CONDIITION AND RESULTS OF OPERATIONS

The following discussion and analysis should

be read in conjunction with our audited consolidated financial statements for the fiscal year ended December 31, 2025, and the related

notes thereto, which have been prepared in accordance with generally accepted accounting principles in the United States. This discussion

and analysis contains forward-looking statements and forward-looking information that involve risks, uncertainties, and assumptions. Our

actual results may differ materially from those anticipated in these forward-looking statements and information as a result of many factors.

See section heading “Special Note Regarding Forward-Looking Statements.”

Overview

The Company is a commercial stage biopharmaceutical company dedicated

to developing treatments for patients suffering from neurodegenerative diseases, such as Alzheimer’s disease (“AD”),

for which there are limited or no treatment options. The Company focuses on the commercial manufacturing and commercial sales of ZUNVEYL

oral tablet formulation. The Company’s commercial program for ZUNVEYL is primarily focused on its long-term care commercial team

that can focus on providing key points of differentiation, exploiting key issues with existing AChEI treatments, and franchising potential

additional indications and new products.

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For additional details regarding our business,

see the discussion under “Business” in Item 1 of Part I of this Annual Report on Form 10-K.

The Company launched ZUNVEYL on March 19, 2025, and targets the largest

volume nursing homes specializing in Alzheimer’s disease, leveraging an account-based sales team with demonstrated success in LTC,

positioning ZUNVEYL with Medicare payors, and developing strategic and clinical partnerships with consultant pharmacists and long-term

care pharmacies. Alpha Cognition has set the Wholesale Acquisition Cost (WAC) for its therapeutic product at $820 per month. This pricing

reflects the company’s commitment to balancing patient access with the value of innovative healthcare solutions. By establishing

a competitive WAC price, Alpha Cognition aims to enhance affordability and ensure patients can benefit from our advanced treatment options.

Patients’ out-of-pocket cost for treatment with ZUNVEYL will depend on their length of treatment and their insurance. The Company

has three additional pre-clinical development programs: (1) ZUNVEYL in combination with memantine for the treatment of moderate-to-severe Alzheimer’s

disease,(2) ALPHA-1062 sublingual oral tablet (“ALPHA-1062IN”) formulation for the treatment of cognitive impairment

with mild traumatic brain injury (mTBI; otherwise known as concussion) and (3) ALPHA-0602, ALPHA-0702 & ALPHA-0802, also referred

to as ‘Progranulin’ and ‘Progranulin GEM’s’, for the treatment of neurodegenerative diseases including amyotrophic

lateral sclerosis, otherwise known as ALS or Lou Gehrig’s disease and spinal muscular atrophy (SMA).

ZUNVEYL, is a patented new innovative product

being positioned as a next generation acetylcholinesterase inhibitor for the treatment of Alzheimer’s disease, with expected minimal

gastrointestinal side effects. ZUNVEYL’s active metabolite is differentiated from donepezil and rivastigmine in that it binds neuronal

nicotinic receptors, most notably the alpha-7 subtype, which is known to have a positive effect on cognition. ZUNVEYL is in pre-clinical development

in combination with memantine to treat moderate to severe Alzheimer’s disease, in pre-clinical development with sublingual

formulation for patients suffering from dysphagia, and is in pre-clinical development for cognitive impairment with mTBI.

The Company is the parent company of Alpha Cognition Canada Inc. (“Alpha

Canada” or “ACI Canada”) which is the parent company of Alpha Cognition USA Inc. (“ACI USA”). As of May

1, 2023, the Company’s Common Stock commenced trading on the CSE under the symbol “ACOG”, previously the Company’s

stock were traded on the TSX-V until April 28, 2023, when the Company had them delisted. As of November 12, 2024, the Company’s

Common Stock commenced trading on The Nasdaq Capital Market under the symbol “ACOG”. The Company’s stock were voluntarily

delisted from the CSE on December 17, 2024.

Operations

As of December 31, 2025, the Company had an accumulated

deficit of $97,106,775 which has been primarily financed by equity. The Company had $66,105,189 in cash and cash equivalents, including

restricted cash, and $9,130,075 in current liabilities (of which $44,464 is payable from the Company’s available restricted cash

balance) as of December 31, 2025. The Company’s continuing operations, as intended, are highly dependent upon its ability to obtain

additional funding and eventually positive generate cash flows. Management is of the opinion that it does have sufficient working capital

to fully meet the Company’s liabilities and commitments as outlined and planned in the following discussion. Management is of the

opinion it will need to raise additional capital to cover upcoming planned Research and Development (“R&D”), continued

commercialization of ZUNVEYL and operating costs. Possible sources of such capital may come from our “at the market” facility

and future private placements, and public offerings of the Company’s Common Stock and funds received from the exercise of warrants

and stock options. Additionally, the Company will also consider funding that may arise through partnership activities, including royalties,

and debt. There is a risk that additional financing will not be available on a timely basis, on terms acceptable, or at all to the Company.

The Company is also contemplating raising capital

by pursuing both dilutive and non-dilutive strategic sources of capital to fully execute its commercialization and operating plans for

ZUNVEYL from the FDA. Any additional capital is expected to further support our planned costs for commercial activities.

Components of our Results of Operations

Revenue

The Company generates revenue from product sales

and licensing arrangements.

Product Sales, Net

Product revenue consists primarily of sales of

the Company’s commercial product to wholesalers and pharmacies. Revenue is recognized at a point in time when control of the product

transfers to the customer.

Product revenue is recorded net of variable consideration,

including expected prompt pay discounts, chargebacks, product returns, recalls, rebates, and consideration payable to customers. Consideration

payable to customers includes fees paid to distributors, which are generally calculated as a percentage of product sales and are recognized

as a reduction of revenue when the related services are not distinct from the Company’s promise to transfer the product. These deductions

represent estimates of the related obligations and, as such, knowledge and judgment are required when estimating the impact of these revenue

deductions on gross sales for a reporting period. The amount of variable consideration can vary from period to period due to fluctuations

in these deductions.

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Licensing Revenue

License revenue consists of revenue from our License,

Collaboration and Distribution Agreement with CMS International Development and Management Limited, or CMSI (the “CMSI License Agreement”),

including upfront payments, potential milestone and royalty payments, as well as revenue from the sale of active pharmaceutical ingredient

(“API”), finished goods, and reimbursable costs.

Our revenue to date has been generated primarily

from the upfront payment received from CMSI under the CMSI License Agreement. In addition to the upfront payment, we may also be entitled

to development, regulatory, and sales milestone payments, as well as royalties on net sales, upon achieving predefined objectives. We

recognize license revenue when the related performance obligations are satisfied. If achievement of a milestone is considered probable

and it is probable that a significant revenue reversal will not occur, the associated milestone amount is included in the transaction

price.

License revenue also includes revenue from the

sale of API and finished goods to CMSI, which are generally priced at cost plus a margin, as well as certain reimbursable pass-through

costs. These amounts are recognized on a gross basis and are generally recognized upon shipment or delivery, depending on the applicable

shipping terms.

We expect that license revenue under the CMSI License Agreement, and

from any potential future licensing arrangements, will fluctuate based on the timing and amount of upfront, milestone, and royalty payments,

as well as the level of API sales and reimbursable activities.

Cost of Product Sales

Cost of product sales consists primarily of costs

related to the manufacturing of ZUNVEYL, logistics costs, inventory impairment expense, and royalty payments under license or purchase

agreements.

Prior to receiving FDA approval in July 2024, costs associated with

the manufacturing of ZUNVEYL were expensed as research and development expenses.

Cost of Licensing Revenue

Cost of licensing revenue consists primarily of

costs incurred to support the Company’s licensing arrangements, including the cost of API and finished goods sold to CMSI, as well

as other costs associated with fulfilling obligations under the CMSI License Agreement, including reimbursable pass-through costs.

Research and Development

Research and development expenses represent costs

incurred to conduct research, such as the discovery and development of our product candidates. We recognize all research and development

costs as they are incurred unless there is an alternative future use in other research and development projects or otherwise.

Research and development expenses consists primarily of the following:

● other expenses including travel and consulting services.

Selling, General and Administrative expenses

Selling, general and administrative expenses costs consist of personnel

costs, other outside professional services including legal, human resources, audit and accounting services, consulting and pre-commercialization

expenses, including selling and marketing costs as well attendance to various conferences. Personnel costs consist of salaries, benefits,

and share-based compensation. We expect to continue to incur expenses to support our continued operations as a public company, including

expenses related to existing and future compliance with rules and regulations of the stock exchanges on which our securities are now traded,

insurance expenses, investor relations, audit fees, professional services and general overhead and administrative costs.

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Results of Operations

Comparison of the Year Ended December 31, 2025 and 2024

For the Year Ended December 31, Dollar Percentage

Revenue

Operating Expenses

Other income (expense)

Net loss per share, basic $ (1.17 ) $ (2.04 ) $ 0.87 (43 )

Net loss per share, diluted $ (1.18 ) $ (2.04 ) $ 0.86 (42 )

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Revenue

Comparison of Revenue for Year Ended December 31, 2025 and 2024

Revenue increased by $10,220,275, or 100%, from

$0 for the year ended December 31, 2024 to $10,220,275 for the year ended December 31, 2025. The increase is due to the start of commercial

sales of ZUNVEYL in the first quarter of 2025 and the Company’s entrance into the License, Collaboration and Distribution agreement

with CMSI (the “CMSI License Agreement”) pursuant to which the Company received a non-creditable upfront payment of $3 million

in January 2025, of which approximately $179,000 has been deferred. The Company expects that revenue from commercial sales of ZUNVEYL

will continue to grow year over year as the Company expands its sale force and implements its sale strategy in the coming fiscal year.

The Company is also eligible to receive up to $11 million in development and regulatory milestone payments with CMSI, as well as up to

$30 million sales milestone payments.

Cost of Product Sales and Cost of Licensing Revenue

Comparison of Cost of Sales and Cost of Licensing Revenue for

the Year Ended December 31, 2025 and 2024

Cost of product sales increased by $474,006, or

100%, from $0 for the year ended December 31, 2024 to $474,006 for the year ended December 31, 2025. The increase is due to the start

of commercial sales of ZUNVEYL in the first quarter of 2025. The Company expects that cost of product sales will continue to increase

year over year in relation to expected increased sales of ZUNVEYL in the coming fiscal year as the Company expands its sales of ZUNVEYL

however the Company does expect to realize some cost savings to scale as ZUNVEYL production and distribution in streamlined and potential

cost saving measures in sales strategy is realized in the coming year.

Cost of licensing revenue increased by $1,441,317,

or 100%, from $0 for the year ended December 31, 2024 to $1,441,317 for the year ended December 31, 2025. The increase is from salaries;

royalty payments, and pass-through-costs, such as consulting fees and active pharmaceutical ingredients, were allocated to activities

supporting the CMSI agreement. The Company expects that cost of licensing revenue will continue to decrease year over year until requirements

of the CMSI agreement have been fulfilled.

Research and Development expenses

Comparison of Research and Development for the Year Ended December

31, 2025 and 2024

Research and development expenses decreased by $2,052,440, or 52%,

from $3,920,412 for the year ended December 31, 2024, to $1,867,972 for the year ended December 31, 2025. The net change is due to decrease

is primarily due to lower product development costs of approximately $762,000, and less time allocated to management and employees, which

resulted in lower management fees and salaries, share-based compensation and employee costs of approximately $1.2 million.

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Selling, General and Administrative Expenses

Comparison of Selling, General and Administrative Expenses for the

Year Ended December 31, 2024 and 2023

Selling, general and administrative expenses increased

by $21,063,893 or 263%, from $8,012,230 for the year ended December 31, 2024, to $29,076,123, for the year ended December 31, 2025 In

support of the Company’s expansion in commercial operations and launch of ZUNVEYL, there has been an increase of $13.8 million in

management fees and salaries and employee costs, $2.4 million in marketing and commercial operations, increase in regulatory costs of

approximately $1.5 million and $1.1 million in other general and administrative expenses. Share-based compensation increased by approximately

$4 million primarily due to the grant options issued during the 2025 year end and fair value revaluation of CAD options. Consulting fees

have decreased by approximately $1,330,000 due to reduction in services for raising capital.

Interest Income

Interest income consists of interest earned and interest charges

on the Company’s cash and cash equivalents.

Interest income had a net change of $1,737,706 or 1,075% from interest income, net of $161,664 for the year ended December 31,

2024, to interest income, net of $1,899,370 for the year ended December 31, 2025.

Change in Fair Value of Derivative Liabilities and Conversion

of Convertible Debt

The Company used the Monte Carlo Simulation to

determine the fair value of the initial recognition of the convertible debentures and conversion feature liability in the 2024 year end.

Subsequent to the 2024 year end, the convertible debenture warrants were valued using the binomial lattice model to factor in the redemption

features associated with these warrants. This model requires the input of subjective assumptions including expected share price, volatility

and interest rate. Changes in the input assumptions can materially affect the fair value estimate and the Company’s net loss and

liabilities.

The Company uses the Black-Scholes Option Pricing

Model to determine the fair value of stock options, and derivative liabilities. This model requires the input of subjective assumptions

including expected share price volatility, interest rate, and forfeiture rate. Changes in the input assumptions can materially affect

the fair value estimate and the Company’s net loss and equity reserves.

The gain of $88,155 for the year ended December 31, 2025, for the fair

value of the warrant liabilities was a net change of $3,252,862, or 103%, compared to a loss of $3,164,707 for the year ended December

31, 2024. The net change is mainly attributable to the loss on recognition and revaluation of conversion feature liability of approximately

$2 million in the 2024 year end. The net change in the fair value of the warrants was primarily due to the fluctuation in the Company’s

stock price to the comparative period and the reallocation of the derivative for the 128,578 warrants exercised in the year ended December

31, 2025.

Liquidity and Capital Resources

Sources of Liquidity

The Company does not have sufficient operating revenue to finance its

existing obligations and has relied on external financing, such as debt and equity raises, to generate capital to maintain its capacity

to meet working capital requirements. The Company has relied on debt and equity raises to finance its operating activities since incorporation.

The Company has successfully raised funds that exceed the Company’s working capital requirements for the next 12 months from the

date of issuance of the consolidated financial statements contained in this report. The Company expects to continue to rely on debt and

the issuance of stock, and possibly other non-dilutive financing options to finance its ongoing operations and ongoing plans for commercialization

of ZUNVEYL. However, there is a risk that additional financing will not be available on a timely basis or on terms acceptable to the Company.

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Future Funding Requirements

We expect our expenses to increase substantially

in connection with our ongoing activities, particularly as we continue the commercialization of ZUNVEYL, following the start of sales

in the first quarter of 2025, and potentially seek to discover and develop additional product candidates, conduct our ongoing and planned

clinical trials and preclinical studies, continue our R&D activities, utilize third parties to manufacture ZUNVEYL, hire additional

personnel, expand and protect our intellectual property, and incur additional costs associated with being a public company.

Cash used to fund operating expenses is impacted

by the timing of when we pay these expenses, as reflected in the change in our outstanding accounts payable, accrued expenses, and prepaid

expenses. The timing and amount of our funding requirements will depend on many factors, including:

Based upon our current operating plan, we estimate that our existing

cash and cash equivalents as of the date of this filing, will be sufficient to fund our projected base ongoing operating expenses, commercialization

costs of ZUNVEYL in AD, ongoing CMC costs, pre-clinical formulation and study R&D work, and ongoing operating costs and capital expenditures

through at least the next 12 months. We may choose to raise additional capital to continue to further advance our commercialization

plans and ongoing operating costs. However, we may have based our estimates on assumptions that may prove to be wrong, and our operating

plan may change as a result of many factors currently unknown to us. In addition, we could utilize our available capital resources sooner

than we expected. The Company may also contemplate raising additional capital by pursuing both dilutive and non-dilutive strategic

sources of capital to fully execute its commercial, R&D, and operating plans for ZUNVEYL. Any additional capital would further support

our R&D and commercial activities related to U.S. sales of ZUNVEYL in AD.

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In August 2025, the Company entered into an ATM

agreement with H.C. Wainright & Co., LLC as the sales agent. The Company currently has not utilized the ATM facility.

Until such time, as we can generate substantial product revenue, we

expect to finance our operations other capital sources, including current or potential future collaborations, licenses, royalties and

other similar arrangements. We do not know what the terms of these future financings will be and whether they will be acceptable to the

us or not and, therefore, we may be unable to raise additional funds or enter into such other arrangements when needed on favorable terms

or at all. To the extent we raise additional capital , your ownership interest will be diluted, and the terms of these securities may

include liquidation or other preferences that adversely affect your rights as a common stockholder. Debt financing and preferred equity

financing, if available, may involve agreements that include covenants limiting or restricting our ability to take specific actions, such

as incurring additional debt, making acquisitions, engaging in acquisitions, merger or collaboration transactions, selling or licensing

our assets, making capital expenditures, redeeming our stock, making certain investments or declaring dividends. If we raise additional

funds through collaborations or license agreements with third parties, we may have to relinquish valuable rights to our technologies,

future revenue streams, research programs or product candidates, or grant licenses on terms that may not be favorable to us. If we are

unable to raise additional funds through equity or debt financings when needed, we may be required to delay, limit, reduce or terminate

our product development or future commercialization efforts or grant rights to develop and market product candidates that we would otherwise

prefer to develop and market ourselves, or even cease operations.

Financing Activities

Recent capital raising activities

On September 24, 2024, the Company announced

the closing of a $4.545 million bridge financing through the issuance of convertible notes and warrants led by existing investors

and select new investors comprised of institutional funds and high-net-worth accredited investors.

On November 13, 2024, the Company completed a

public offering of common stock by issuing 8,695,653 common stock at a public offering price of $5.75 per share for gross proceeds of

approximately $50 million. In connection with the US public offering, the Company’s Common Stock began trading on The Nasdaq Capital

Market on November 12, 2024.

The completion of the public offering of common

stock was a “Qualified Offering” under the Company’s convertible notes, which automatically converted into 801,413 common

stock at closing of the public offering at a price of $5.75 per share, being the public offering price in the Qualified Offering. The

amount converted consisted of the converted principal amount of convertible notes and interest through November 13, 2024.

103

Additionally, as a result of the closing of the

Qualified Offering, the Company issued an additional 215,421 warrants exercisable to acquire 215,421 Common Stock with an exercise price

of $7.19 per share and the exercise price of the Company’s existing 430,835 warrants issued in connection with the offering of the

convertible notes was repriced from $10.55 per share to $7.19 per share.

On December 12, 2024, the underwriter of the Company’s

underwritten U.S. public offering partially exercised its over-allotment option to purchase an additional 488,506 common stock at the

public offering price of $5.75 per share for additional gross proceeds of $2.8 million.

On October 2, 2025, the Company completed a public

offering of Common Stock by issuing 4,651,516 of Common Stock at a public offering price of $6.25 per share and 948,484 pre-funded warrants

exercisable to Common Stock with an exercise price of $0.001 per share for total gross proceeds of approximately $35 million. In connection

with this offering, the Company incurred underwriting fees of approximately $2.11 million.

On October 17, 2025, the underwriter of the Company’s

public offering exercised its over-allotment option in full to purchase an additional 840,000 of Common Stock at the public offering price

of $6.25 per share for additional gross proceeds of approximately $5.25 million and underwriting fees of $341,250

The following table includes our cash flow data

for the periods indicated:

Cash Flows

The following table provides information regarding

our cash flows for the years ended December 31, 2025, and 2024:

For the Year Ended December 31, Dollar Percentage

Consolidated Statement of Cash Flows Data

Cash used in operating activities

Cash used in operating activities increased by $12,624,713 to $20,380,367

for the year ended December 31, 2025, from $7,755,654 for the comparative period. The purchase of API and manufacturing activity resulted

in higher cash outflows than the previous year of approximately $3.9 million. The increase is also related to in higher employee costs,

which increased by approximately $12.5 million, and commercial, marketing and other general and administrative costs increased by approximately

$2.4 million. As of December 31, 2025, there was accounts receivable balance of approximately $4.2 million, whereas in the previous year

period it was $0.

Cash used in investing activities

Cash used in investing activities increased by

$266,788 to $293,489 for the year ended December 31, 2025 from $26,701 compared to the comparative period. During the year ended December

31, 2025, investing activities consisted of acquiring computer equipment and software.

Cash provided by financing activities

Cash provided by financing activities for the year ended December 31,

2025, decreased by $16,636,901 compared to the comparative period. During the year ended December 31, 2025, financing activities primarily

consisted of raising net proceeds of $37,701,830 from stock and pre-funded warrants issued for cash, proceeds of $1,384,066 from the

exercise of options and warrants, principal repayment of the promissory note of $911,463 and receiving $174,675 in government grant proceeds

offset by $134,146 of related grant expenses. During the year ended December 31, 2024, financing activities primarily consisted of raising

proceeds of $56,541,384 from stock and units issued for cash, proceeds $4,545,000 from the issuance of convertible debentures offset by

issuance costs of $459,360, proceeds of $300,000 from the exercise of warrants and receiving $373,825 in government grant proceeds offset

by $446,366 of related expenses.

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Contractual Obligations and Other Commitments

In the normal course of business, we enter into

agreements with contract service providers to assist in the performance of R&D and clinical and commercial manufacturing activities.

We currently have three license agreements, the CMSI License Agreement, ALPHA-1062 technology and ALPHA-602 technology, which are outlined

below. We expect to enter into additional clinical development, contract research, clinical and commercial manufacturing, supplier, and

collaborative research agreements in the future, which may require upfront payments and long-term commitments of capital resources.

See “Note 14 – Commitments and Contingencies”

of the accompanying consolidated financial statements for a discussion of our contractual obligations and long-term commitments.

Contingencies

The Company did not have any contingencies as

of December 31, 2025, or the date of this report.

Critical Accounting Estimates

Our management’s discussion and analysis

of our financial condition and results of operations is based on our consolidated financial statements, which have been prepared in accordance

with US GAAP. The preparation of these consolidated financial statements requires us to make estimates and assumptions that affect

the reported amounts of assets and liabilities and the disclosure of contingent liabilities at the date of the consolidated financial

statements and expenses incurred during the reporting periods. Our estimates are based on our historical experience and on various other

factors that we believe are reasonable under the circumstances, the results of which form the basis for making judgments about the carrying

value of assets and liabilities that are not readily apparent from other sources. Actual results may differ from these estimates under

different assumptions or conditions.

We consider an accounting estimate to be critical

if (i) it requires significant judgment and the use of assumptions about matters that are inherently uncertain, and (ii) changes in those

assumptions could have a material impact on our consolidated financial statements.

The following are the accounting estimates that

we believe are most critical to understanding our financial condition and results of operations.

Revenue Recognition, Including Variable

Consideration

We generate revenue from product sales and licensing

arrangements. Revenue is recognized when control of promised goods or services is transferred to customers in an amount that reflects

the consideration we expect to receive. For product sales, revenue is recorded net of variable consideration, including estimated rebates,

chargebacks, discounts, returns and other allowances.

Significant judgment is required in (i) estimating

variable consideration, particularly given the early stage of commercialization of ZUNVEYL, (ii) determining standalone selling prices

in licensing arrangements, and (iii) assessing performance obligations and allocation of transaction price. These estimates require the

use of assumptions related to payer mix, contractual terms, product returns, and market adoption. Given our limited commercialization

history, these estimates may be subject to increased variability, and changes in assumptions could materially impact revenue in future

periods.

Fair Value of Warrant, Option, and Derivative

Liabilities

Certain freestanding warrants and stock options

are accounted for as liabilities and are remeasured at fair value at each reporting period, with changes recognized in the consolidated

statement of operations and comprehensive loss. In addition, previously outstanding convertible instruments included embedded derivatives

that required fair value measurement.

Significant judgments required in estimating the

fair value of these financial instruments and embedded derivatives include (i) the selected valuation technique, (ii) volatility assumptions,

and (iii) expected term. Changes in these assumptions can result in significant non-cash gains or losses in the consolidated statement

of operations and comprehensive loss.

Stock-Based Compensation

We measure stock-based compensation based on the

fair value of equity awards granted to employees and non-employees. The determination of fair value requires significant estimates, including

(i) expected volatility of our common stock, (ii) expected term of awards, (iii) for certain awards, classification between equity and

liabilities. Changes in these assumptions could materially impact the amount and timing of compensation expense recognized.

105

Emerging Growth Company Status and Smaller

Reporting Company Status

We are an emerging growth company, as defined

in the JOBS Act. The JOBS Act permits an emerging growth company such as us to take advantage of an extended transition period to comply

with new or revised accounting standards. We have elected to avail ourselves of such extended transition period, which means that when

a standard is issued or revised and it has different application dates for public or private companies, we can adopt the new or revised

standard at the time private companies adopt the new or revised standard and may do so until such time that we either (i) irrevocably

elect to opt out of such extended transition period or (ii) no longer qualify as an emerging growth company. We may choose to early

adopt any new or revised accounting standards whenever such early adoption is permitted for private companies. We will continue to remain

an emerging growth company until the earliest of the following: (1) December 31, 2029; (2) the last day of the fiscal year

in which our total annual gross revenue is equal to or more than $1.235 billion; (3) the date on which we have issued more than

$1.0 billion in nonconvertible debt during the previous three years; or (4) the date on which we are deemed to be a large

accelerated filer under the rules of the SEC.

We are also a smaller reporting company as defined

in the Exchange Act. We may continue to be a smaller reporting company even after we are no longer an emerging growth company. We

may take advantage of certain of the scaled disclosures available to smaller reporting companies and will be able to take advantage of

these scaled disclosures for so long as our voting and non-voting Common Stock held by non-affiliates is less than $250.0 million

measured on the last business day of our second fiscal quarter, or our annual revenue is less than $100.0 million during the

most recently completed fiscal year and our voting and non-voting Common Shares held by non-affiliates is less than $700.0 million

measured on the last business day of our second fiscal quarter.

ITEM 7A. QUANTITATIVE AND QUALITATIVE DISCLSOURES

ABOUT MARKET RISK

Not Applicable.

ITEM 8. FINANCIAL STATEMENTS AND SUPPLEMENTARY

DATA

The Report of Independent Registered Public Accounting Firm, our consolidated

financial statements and accompanying notes listed under Part IV, Item 15. Exhibits, Financial Statement Schedules of this Annual Report

on Form 10-K are set forth beginning on page F-1 immediately following the signature page hereof and incorporated by reference herein.

ITEM 9. CHANGES IN AND DISAGREEMENTS WITH

ACCOUNTANTS ON ACCOUNTING AND FINANCIAL DISCLOSURE

In connection with our change in accountants during

the fiscal year ended December 31, 2025, there were not any disagreements with our former accountant on any matter of accounting principles

or practices, financial statement disclosure, or auditing scope or procedure, or any reportable event as described in paragraph (a)(1)(v)

of Item 304 of Regulation S-K.

ITEM 9A. CONTROLS AND PROCEDURES

Disclosure Controls and Procedures

At the end of the period covered by this annual

report on Form 10-K for the fiscal year ended December 31, 2025, an evaluation was carried out under the supervision of and with

the participation of our management, including the Chief Executive Officer (“CEO”) and Chief Financial Officer (“CFO”),

of the effectiveness of the design and operations of our disclosure controls and procedures (as defined in Rule 13a-15(e) and

Rule 15d-15(e) under the Exchange Act). Based on that evaluation, the CEO and the CFO have concluded that as of the end of the period

covered by this annual report, our disclosure controls and procedures were not effective in ensuring that: (i) information required

to be disclosed by us in reports that we file or submit to the SEC under the Exchange Act is recorded, processed, summarized and reported

within the time periods specified in applicable rules and forms and (ii) material information required to be disclosed in our reports

filed under the Exchange Act is accumulated and communicated to our management, including our CEO and CFO, as appropriate, to allow for

accurate and timely decisions regarding required disclosure.

Management determined that disclosure controls

and procedures were not effective due to the material weakness in our internal control over financial reporting, as described below, which

required us to correct certain accounting items in our audited financial statements.

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Management’s Report on Internal Control

Over Financial Reporting

Our management is responsible for establishing

and maintaining adequate internal control over financial reporting. Internal control over financial reporting is defined in Rule 13a-15(f)

and 15d-15(f) under the Exchange Act as a process designed by, or under the supervision of, our principal executive and principal financial

officers and effected by our Board of Directors, management and other personnel to provide reasonable assurance regarding the reliability

of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting

principles and includes those policies and procedures that:

Because of its inherent limitations, internal

control over financial reporting may not prevent or detect misstatements. Also, projections of any evaluation of effectiveness to future

periods are subject to the risks that controls may become inadequate because of changes in conditions, or that the degree of compliance

with the policies or procedures may deteriorate.

Management assessed the effectiveness of our internal

control over financial reporting as of December 31, 2025. In making this assessment, management used the criteria set forth by the Committee

of Sponsoring Organizations of the Treadway Commission (COSO) in Internal Control - Integrated Framework (2013 Framework).

Based on this assessment and due to the material

weaknesses described below, management concluded that our internal control over financial reporting ineffective as of December 31, 2025.

Material Weaknesses and Plan to Remediate

The material weakness identified is a result of

a lack adequate procedures to appropriately account for accounting transactions including warrants and stock option liabilities, certain

deferred tax disclosures, and a lack of segregation of duties due to the size of the finance and accounting team.

We plan to remediate the material weakness by

enhancing our system of internal control over financial reporting, including, but not limited to, engaging external technical accounting

experts to advise and review all complex accounting transactions, ensuring appropriate analysis, documentation, and oversight prior to

the finalization of our financial statements, implementing an accounting standards compliance process to ensure timely adoption and assessment

of evolving accounting standards, and strengthening financial disclosure resources those involving the third-party valuation specialist.

Although we are committed to continuing to improve our internal control processes and intend to remediate our material weaknesses, we

recognize that any controls and procedures, no matter how well designed and operated, can provide only reasonable assurance of achieving

their objectives.

Changes in Internal Control over Financial

Reporting

Other than the ongoing steps being taken to implement

the remediation plan described above, there has been no other changes in our internal control over financial reporting during the quarter

ended December 31, 2025, that has materially affected, or is reasonably likely to materially affect, our internal control over financial

reporting.

ITEM 9B. OTHER INFORMATION

(a) None.

ITEM 9C. DISCLOSURE REGARDING FOREIGN JURISDICTIONS

THAT PREVENT INSPECTIONS

Not applicable.

107

PART III

Item

10. Directors, Executive Officers and Corporate Governance.

The

information required by this Item 10 will be included in our definitive proxy statement (the “Proxy Statement”) to be filed

with the SEC with respect to our 2026 Annual Meeting of Stockholders and is incorporated herein by reference.

Item

11. Executive Compensation.

The

information required by this Item 11 will be included in our Proxy Statement and is incorporated herein by reference.

Item

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

The

information required by this Item 12 will be included in the Security Ownership of Certain Beneficial Owners and Management sections

of our Proxy Statement and is incorporated herein by reference.

Item

13. Certain Relationships and Related Transactions, and Director Independence.

The

information required by this Item 13 will be included in our Proxy Statement and is incorporated herein by reference.

Item

14. Principal Accountant Fees and Services.

Our

independent public accounting firm is CBIZ CPAs P.C. New York, New York, USA, PCAOB Auditor ID: 199.

The

information required by this Item 14 will be included in our Proxy Statement and is incorporated herein by reference.

108

PART IV

ITEM 15. EXHIBITS AND FINANCIAL STATEMENTS

SCHEDULES

109

(3) Exhibits. The following exhibits are filed as part of this report:

Exhibit Number Description

110

111

23.1 Consent of CBIZ CPAs P.C.

23.2 Consent of Manning Elliott

101.SCH(1) XBRL Taxonomy Extension – Schema

101.CAL(1) XBRL Taxonomy Extension – Calculations

101.DEF(1) XBRL Taxonomy Extension – Definitions

101.LAB(1) XBRL Taxonomy Extension – Labels

101.PRE(1) XBRL Taxonomy Extension – Presentations

* Filed herewith

# Indicates management contract or compensatory plan

ITEM 16. FORM 10-K SUMMARY

None.

112

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.

ALPHA COGNITION INC. (Registrant)

Dated: March 31, 2026 By: /s/ Michael McFadden

Michael McFadden,

Chief Executive Officer

Pursuant to the requirements of the Securities

Exchange Act of 1934, this report has been signed below by the following persons on behalf of the Registrant and in the capacities and

on the dates indicated:

Signature Capacity Date

/s/ Michael McFadden Chief Executive Officer and Director March 31, 2026

Michael McFadden (Principal Executive Officer)

Henry Du (Principal Accounting and Financial Officer)

/s/ Len Mertz Director March 31, 2026

Len Mertz

/s/ Kenneth Cawkell Director March 31, 2026

Kenneth Cawkell

/s/ Robert Wills Director March 31, 2026

Robert Wills

/s/ Phillip Mertz Director March 31, 2026

Phillip Mertz

/s/ Rajeev Bakshi Director March 31, 2026

Rajeev Bakshi

113

ALPHA COGNITION INC.

INDEX TO CONSOLIDATED FINANCIAL STATEMENTS

Consolidated Financial Statements as of and for the Years Ended December

31, 2025 and 2024:

Page

Report of Independent Registered Public Accounting Firm (PCAOB ID:199) F-2

Consolidated Balance Sheets F-4

Consolidated Statements of Operations and Comprehensive Loss F-5

Consolidated Statements of Stockholders’ Equity (Deficiency) F-6

Consolidated Statements of Cash Flows F-7

Notes to Consolidated Financial Statements F-9

F-1

Report of Independent Registered Public Accounting Firm

To the Stockholders and Board of Directors of

Alpha Cognition, Inc.

Opinion on the Financial Statements

We have audited the accompanying consolidated balance sheet of Alpha

Cognition, Inc. (the “Company”) as of December 31, 2025, and the related consolidated statements of operations and comprehensive

loss, stockholders’ equity (deficiency) and cash flows for the year ended December 31, 2025, and the related notes (collectively

referred to as the “financial statements”). In our opinion, the financial statements present fairly, in all material

respects, the financial position of the Company as of December 31, 2025, and the results of its operations and its cash flows for the

year ended December 31, 2025, in conformity with accounting principles generally accepted in the United States of America.

Basis for Opinion

These financial statements are the responsibility of the Company’s

management. Our responsibility is to express an opinion on the Company’s financial statements based on our audit. We are a public accounting

firm registered with the Public Company Accounting Oversight Board (United States) (“PCAOB”) and are required to be independent

with respect to the Company in accordance with the U.S. federal securities laws and the applicable rules and regulations of the Securities

and Exchange Commission and the PCAOB.

We conducted our audit in accordance with the standards of the PCAOB.

Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free

of material misstatement, whether due to error or fraud. The Company is not required to have, nor were we engaged to perform, an audit

of its internal control over financial reporting. As part of our audit we are required to obtain an understanding of internal control

over financial reporting but not for the purpose of expressing an opinion on the effectiveness of the Company’s internal control over

financial reporting. Accordingly, we express no such opinion.

Our audit included performing procedures to assess the risks of material

misstatement of the financial statements, whether due to error or fraud, and performing procedures that respond to those risks. Such procedures

included examining, on a test basis, evidence regarding the amounts and disclosures in the financial statements. Our audit also included

evaluating the accounting principles used and significant estimates made by management, as well as evaluating the overall presentation

of the financial statements. We believe that our audit provides a reasonable basis for our opinion.

/s/ CBIZ CPAs P.C.

CBIZ CPAs P.C.

We have served as the Company’s auditor since 2025

San Diego, California

March 31, 2026

F-2

REPORT

OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

To the Stockholders and the Board of Directors Alpha Cognition Inc.

Opinion on the Consolidated Financial Statements

We have audited the accompanying consolidated balance sheets of Alpha

Cognition Inc. and its subsidiaries (the “Company”) as of December 31, 2024 and 2023, and the related consolidated statements

of operations and comprehensive loss, stockholders’ equity (deficiency) and cash flows for the years then ended, and the related

notes (collectively referred to as the “consolidated financial statements”).

In our opinion, the consolidated financial statements present fairly,

in all material respects, the financial position of the Company as of December 31, 2024 and 2023, and the results of its operations and

its cash flows for the years then ended in conformity with accounting principles generally accepted in the United States of America.

Basis for Opinion

These consolidated financial statements are the responsibility of the

Company’s management. Our responsibility is to express an opinion on the Company’s consolidated financial statements based

on our audits. We are a public accounting firm registered with the Public Company Accounting Oversight Board (United States) (“PCAOB”)

and are required to be independent with respect to the Company in accordance with the U.S. federal securities laws and the applicable

rules and regulations of the Securities and Exchange Commission and the PCAOB.

We conducted our audits in accordance with the standards of the PCAOB.

Those standards require that we plan and perform the audits to obtain reasonable assurance about whether the consolidated financial statements

are free of material misstatement, whether due to error or fraud. The Company is not required to have, nor were we engaged to perform,

an audit of its internal control over financial reporting. As part of our audits, we are required to obtain an understanding of internal

control over financial reporting but not for the purpose of expressing an opinion on the effectiveness of the Company’s internal

control over financial reporting. Accordingly, we express no such opinion.

Our audits included performing procedures to assess the risks of material

misstatement of the consolidated financial statements, whether due to error or fraud, and performing procedures that respond to those

risks. Such procedures included examining, on a test basis, evidence regarding the amounts and disclosures in the consolidated financial

statements. Our audits also included evaluating the accounting principles used and significant estimates made by management, as well as

evaluating the overall presentation of the consolidated financial statements. We believe that our audits provide a reasonable basis for

our opinion.

CHARTERED PROFESSIONAL ACCOUNTANTS

/s/ Manning Elliott LLP

Vancouver, Canada

March 31, 2025, except as to Note 2A, as to which the date is March

31, 2026

We have served as the Company’s auditor since 2019

F-3

ALPHA COGNITION INC.

CONSOLIDATED BALANCE SHEETS

December 31, December 31,

ASSETS

Current assets

Accounts receivable, net 4,236,136 -

LIABILITIES AND STOCKHOLDERS’ EQUITY

Current liabilities

Current portion of promissory note - related party - 911,463

Current deferred income 153,171 -

Stockholders’ equity

The accompanying notes to the consolidated financial

statements are an integral part of these statements.

Source: SEC EDGAR (public domain) · 10-K for the period ended 2025-12-31, filed 2026-03-31 · accession 0001213900-26-037614

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