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区 UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON , DC 20549 FORM 10 - K ANNUAL REPORT PURSUANT TO SECTION 13 OR 15 ( d ) OF THE SECURITIES EXCHANGE ACT OF 1934 For the fiscal year ended December 31 , 2020 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 : 000-52985 Nevada SANUWAVE Health , Inc. ( Exact Name of Registrant as Specified in Charter ) ( State or Other Jurisdiction of Incorporation ) 20-1176000 ( I.R.S. Employer Identification No. ) 3360 Martin Farm Road , Suite 100 Suwanee , Georgia ( Address of Principal Executive Offices ) ( 770 ) 419-7525 Registrant's Telephone Number , Including Area Code Securities registered pursuant to Section 12 ( g ) of the Act : 30024 ( Zip Code ) Title of each class Common Stock , par value $ 0.001 Trading Symbol ( s ) SNWV Name of each exchange on which registered OTC Expert Securities registered pursuant to Section 12 ( b ) 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 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 , or a smaller reporting company . See definitions of " large accelerated filer , ” “ accelerated filer ” and “ smaller reporting company ” in Rule 12b - 2 of the Exchange Act . ( Check one ) : Large accelerated filer Non - accelerated filer 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 registrant is a shell company ( as defined in Rule 12b - 2 of the Act ) . YES NO The aggregate market value of the registrant's common stock held by non - affiliates of the registrant ( assuming , for purposes of this calculation only , that the registrant's directors , executive officers and greater than 10 % shareholders are affiliates of the registrant ) , based upon the closing sale price of the registrant's common stock on June 30 , 2020 , the last business day of the registrant's most recently completed second fiscal quarter , was $ 66.7 million . As of October 11 , 2021 , there were issued and outstanding 481,619,621 shares of the registrant's common stock .