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UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON , D.C. 20549 ( Mark One ) X ANNUAL REPORT PURSUANT TO SECTION 13 OR 15 ( d ) OF THE SECURITIES EXCHANGE ACT OF 1934 For the fiscal year ended December 31 , 2020 1934 TRANSITION REPORT PURSUANT TO SECTION 13 OR 15 ( d ) OF THE SECURITIES EXCHANGE ACT OF FORM 10 - K Delaware ( State or other jurisdiction of incorporation or organization ) Title of Class Common Stock , $ 0.01 par value OR For the transition period from Large Accelerated filer Non - accelerated filer 98 Spit Brook Road , Suite 100 , Nashua , New Hampshire ( Address of principal executive offices ) to Commission file number 001-09341 iCAD , INC . ( Exact name of registrant as specified in its charter ) 02-0377419 ( I.R.S. Employer Identification No. ) Registrant's telephone number , including area code : ( 603 ) 882-5200 Securities registered pursuant to Section 12 ( b ) of the Act : Trading Symbol ( s ) ICAD Securities registered pursuant to Section 12 ( g ) of the Act : None 03062 ( Zip Code ) Name of each exchange on which registered The NASDAQ Stock Market LLC Indicate by check mark if the registrant is a well - known seasoned issuer , as defined in Rule 405 of the Securities Act . Yes 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 > 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 requirement for the past 90 days . Yes No Indicate by check mark whether the registrant has submitted electronically , if any , every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S - T during the preceding 12 months ( or for such shorter period that the registrant was required to submit ) . 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 . Accelerated filer Smaller reporting company Emerging growth company