Proxy Results, Amendments to Bylaws (Form 8-K)

On June 11, 2025, Tenax Therapeutics, Inc. (the "Company") held its 2025 annual meeting of stockholders (the "Annual Meeting"). At the Annual Meeting, upon the recommendation of the Company's Board of Directors (the "Board"), the Company's stockholders approved the Certificate of Amendment (the "Officer Exculpation Amendment") to the Company's Certificate of Incorporation, as amended (the "Certificate") to add provisions to the Certificate exculpating certain officers of the Company from liability in specific circumstances, as permitted by Delaware law. The details of the Officer Exculpation Amendment were disclosed in the Company's definitive proxy statement for the Annual Meeting, filed with the Securities and Exchange Commission on April 25, 2025, which description is incorporated herein by reference.

The Company filed the Officer Exculpation Amendment with the Secretary of State of the State of Delaware (the "DE Secretary of State") on June 13, 2025, which became effective upon filing. The Company filed a restated certificate of incorporation (the "Restated Certificate") with the DE Secretary of State on June 16, 2025, which became effective upon filing, that integrated the Certificate and the Officer Exculpation Amendment.

The foregoing descriptions of the Officer Exculpation Amendment and the Restated Certificate are qualified in their entirety by reference to the full text of the Officer Exculpation Amendment and the Restated Certificate, copies of which are filed as Exhibit 3.1 and Exhibit 3.2, respectively, to this Current Report on Form 8-K and incorporated herein by reference.

The following proposals were voted upon at the Annual Meeting and the final voting results with respect to each such proposal are set forth below.

Proposal 1: Election of Directors

The Company's stockholders elected each of the following individuals to the Board for a one-year term expiring in 2026, or until his or her successor is duly elected qualified, by the votes indicated below.

Proposal 2: Officer Exculpation

The Company's stockholders approved the Officer Exculpation Amendment by the votes indicated below.

Proposal 3: Stockholder Action

The Company's stockholders did not approve the proposed amendments to the Certificate requiring all stockholder action be taken at an annual or special meeting of stockholders, by the votes indicated below.

Proposal 4: Say-on-Pay

The Company's stockholders voted on a resolution to approve (on a nonbinding advisory basis) the Company's 2024 named executive officer compensation as disclosed in the Proxy Statement. This proposal was approved by the votes indicated below.

Proposal 5: Say-on-Frequency

The Company's stockholders voted to approve (on a nonbinding advisory basis) the frequency of an advisory vote on the compensation of the Company's named executive officers (the "say-on-pay" vote) in future years. The votes on this proposal are summarized below.

After taking into consideration the foregoing voting results and the prior recommendations of the Board, the Company will hold an advisory "say-on-pay" vote every two years in connection with its annual meeting of stockholders until the Board otherwise determines that a different frequency for such advisory votes is in the best interest of the Company.

Proposal 6: Auditor Ratification

The Company's stockholders ratified the appointment of Cherry Bekaert LLP as the Company's independent registered public accounting firm for the year ending December 31, 2025 by the votes indicated below.