Common use of Address for Notice Clause in Contracts

Address for Notice. By:__________________________________________ Name: Title: With a copy to (which shall not constitute notice): Fax: E-mail: SIGNATURE PAGE FOR PURCHASER FOLLOWS] [PURCHASER SIGNATURE PAGES TO CHEK SECURITIES PURCHASE AGREEMENT] IN WITNESS WHEREOF, the undersigned have caused this Securities Purchase Agreement to be duly executed by their respective authorized signatories as of the date first indicated above. Name of Purchaser: ______________________________________________________ Signature of Authorized Signatory of Purchaser: _________________________________ Name of Authorized Signatory: _______________________________________________ Title of Authorized Signatory: ________________________________________________ Email Address of Authorized Signatory:_________________________________________ Facsimile Number of Authorized Signatory: __________________________________________ Address for Notice to Purchaser: Address for Delivery of Warrants to Purchaser (if not same as address for notice): Subscription Amount: $_________________ Shares: _________________ Warrant Shares: __________________ Beneficial Ownership Blocker ☐ 4.99% or ☐ 9.99%

Address for Notice. By:__________________________________________ Name: Title: Xxxxxxx Xxxxxxxx Chief Executive Officer With a copy to (which shall not constitute notice): FaxEmail: E-mailxxxxxxx@xxxxxxxxx.xxx Xxxxxxxxx Xxxxxxx, P.A. 333 S.E. 0xx Xxxxxx, Xxxxx 0000 Xxxxx, XX 00000 Attn: SIGNATURE PAGE FOR PURCHASER FOLLOWS] [PURCHASER SIGNATURE PAGES TO CHEK SECURITIES PURCHASE AGREEMENT] Xxxx X. Xxxxxx Email: xxxxxxx@xxxxx.xxx IN WITNESS WHEREOF, the undersigned have caused this Securities Purchase Agreement to be duly executed by their respective authorized signatories as of the date first indicated above. Name of Purchaser: ________________________________________________________ Signature of Authorized Signatory of Purchaser: __________________________________ Name of Authorized Signatory: ____________________________________________________ Title of Authorized Signatory: _____________________________________________________ Email Address of Authorized Signatory:: _________________________________________ Facsimile Number of Authorized Signatory: __________________________________________ Address for Notice to Purchaser: Address for Delivery of Warrants Securities to Purchaser (if not same as address for notice): Subscription Amount: $_________________ Shares: _________________ Warrant SharesWarrants Beneficial Ownership Blocker (if desired): □ 4.99% or □ 9.99% EIN Number: _______________________ Beneficial Ownership Blocker ☐ 4.99% or ☐ 9.99%[SIGNATURE PAGES CONTINUE] 37 Exhibit A-1 [Form of Warrants – Attached] Exhibit A-2 [Form of Pre-Funded Warrants – Attached] Exhibit B

Address for Notice. By:__________________________________________ Name: Xxxxx Xxxxxxxx Title: Chief Executive Officer With a copy to (which shall not constitute notice): Fax: E-mail: SIGNATURE PAGE FOR PURCHASER FOLLOWS] [PURCHASER SIGNATURE PAGES TO CHEK SPCB SECURITIES PURCHASE AGREEMENT] IN WITNESS WHEREOF, the undersigned have caused this Securities Purchase Agreement to be duly executed by their respective authorized signatories as of the date first indicated above. Name of Purchaser: ______________________________________________________ Signature of Authorized Signatory of Purchaser: _________________________________ Name of Authorized Signatory: _______________________________________________ Title of Authorized Signatory: ________________________________________________ Email Address of Authorized Signatory:: _________________________________________ Facsimile Number of Authorized Signatory: __________________________________________ Address for Notice to Purchaser: Address for Delivery of Warrants to Purchaser (if not same as address for notice): Subscription Amount: $_________________ Shares: _________________ Pre-Funded Warrant Shares: ________ Beneficial Ownership Blocker ☐ 4.99% or ☐ 9.99% Ordinary Warrant Shares: __________________ Beneficial Ownership Blocker ☐ 4.99% or ☐ 9.99%

Address for Notice. By:__________________________________________ Name: Title: With a copy to (which shall not constitute notice): Fax: E-mail: SIGNATURE PAGE FOR PURCHASER FOLLOWS[ADD] [PURCHASER SIGNATURE PAGES TO CHEK SECURITIES PURCHASE AGREEMENT] IN WITNESS WHEREOF, the undersigned have caused this Securities Purchase Agreement to be duly executed by their respective authorized signatories as of the date first indicated above. Name of Purchaser: ______________________________________________________ Signature of Authorized Signatory of Purchaser: _________________________________ Name of Authorized Signatory: _______________________________________________ Title of Authorized Signatory: ________________________________________________ Email Address of Authorized Signatory:_________________________________________ Facsimile Number of Authorized Signatory: __________________________________________ Address for Notice to Purchaser: Address for Delivery of Warrants Securities to Purchaser (if not same as address for notice): DWAC for Shares: Subscription Amount: $_________________ Shares: _________________ Warrant Shares: __________________ Lesser of maximum amount permitted pursuant to Section 2.1 and the limitation on Beneficial Ownership Blocker ☐ 4.99% or ☐ 9.99%and $__________ (for purposes of clarity, the amount set forth on the immediately above line of this signature page is included in such Purchaser’s “Subscription Amount” for purposes of this Agreement and the Transaction Documents) EIN Number: _______________________

Address for Notice. By:__________________________________________ Name: Title: With a copy to (which shall not constitute notice): Fax: E-mail: SIGNATURE PAGE FOR PURCHASER FOLLOWS] [PURCHASER SIGNATURE PAGES TO CHEK BLRX SECURITIES PURCHASE AGREEMENT] IN WITNESS WHEREOF, the undersigned have caused this Securities Purchase Agreement to be duly executed by their respective authorized signatories as of the date first indicated above. Name of Purchaser: __________________________________________________________ Signature of Authorized Signatory of Purchaser: ____________________________________ Name of Authorized Signatory: __________________________________________________ Title of Authorized Signatory: ____________________________________________________ Email Address of Authorized Signatory:_____________________________________________ Facsimile Number of Authorized Signatory: __________________________________________ Address for Notice to Purchaser: Address for Delivery of Warrants to Purchaser (if not same as address for notice): Subscription Amount: $_________________ Shares: _________________ Warrant Shares: __________________ Beneficial Ownership Blocker ☐ 4.99% or ☐ 9.99%

Address for Notice. 000 Xxxxxxxx Xxxxxxxxx Xxxx., 0xx Xxxxx By:__________________________________________ : Xxxxxxxxxxx, Xxx Xxxxxx 00000 Name: Title: Email: With a copy to (which shall not constitute notice): FaxXxxxxx & Bird Attn: E-mailFacsimile: SIGNATURE PAGE FOR PURCHASER FOLLOWS] Email: Acknowledged and agreed by: ZYVERSA THERAPEUTICS, INC. By: Name: Title: [PURCHASER SIGNATURE PAGES TO CHEK SECURITIES PURCHASE AGREEMENTLARSKPUR HEALTH ACQUISITION CORP. SPA] IN WITNESS WHEREOF, the undersigned have caused this Securities Purchase Agreement to be duly executed by their respective authorized signatories as of the date first indicated above. Name of Purchaser: ______________________________________________________ Signature of Authorized Signatory of Purchaser: _________________________________ Name of Authorized Signatory: _______________________________________________ Title of Authorized Signatory: ________________________________________________ Email Address of Authorized Signatory:: _________________________________________ Facsimile Number of Authorized Signatory: __________________________________________ Address for Notice to Purchaser: :_________________________________________________ Address for Delivery of Warrants Securities to Purchaser (if not same as address for notice): Subscription Amount: $_________________ SharesShares of Preferred Stock: _________________ Warrant Shares: __________________ Beneficial Ownership Blocker ☐ 4.99% or ☐ 9.99%% EIN Number: _______________________

Address for Notice. 800 Xxxxx Xx, 0xx xxxxx Xxxxxxxx, XX 00000 U.S.A By:__________________________________________ : Name: Yxxxx Xxx E-Mail: yxxxx.xxx@xxxxxxxxxxxxx.xxx Title: Chief Executive Officer Fax: 300-000-0000 With a copy to (which shall not constitute notice): Fax: E-mail: SIGNATURE PAGE FOR PURCHASER FOLLOWS] [PURCHASER SIGNATURE PAGES TO CHEK SOL SECURITIES PURCHASE AGREEMENT] IN WITNESS WHEREOF, the undersigned have caused this Securities Purchase Agreement to be duly executed by their respective authorized signatories as of the date first indicated above. Name of Purchaser: ________________________________________________________ Signature of Authorized Signatory of Purchaser: _________________________________ Name of Authorized Signatory: _______________________________________________ Title of Authorized Signatory: ________________________________________________ Email Address of Authorized Signatory:_________________________________________ Facsimile Number of Authorized Signatory: __________________________________________ Address for Notice to Purchaser: Address for Delivery of Warrants Shares to Purchaser (if not same as address for notice): Subscription Amount: $_________________ SharesADSs: _________________ Warrant SharesEIN Number: __________________ Beneficial Ownership Blocker ☐ 4.99% or ☐ 9.99%___

Address for Notice. 800 Xxxxx Xx, 0xx xxxxx Xxxxxxxx, XX 00000 U.S.A By:: /s/ Yxxxx Xxx Name: Yxxxx Xxx E-Mail: yxxxx.xxx@xxxxxxxxxxxxx.xxx Title: Chief Executive Officer Fax: 300-000-0000 With a copy to (which shall not constitute notice): [PURCHASER SIGNATURE PAGES TO SOL SECURITIES PURCHASE AGREEMENT] IN WITNESS WHEREOF, the undersigned have caused this Securities Purchase Agreement to be duly executed by their respective authorized signatories as of the date first indicated above. Name of Purchaser: __________________________________________ Name: Title: With a copy to (which shall not constitute notice): Fax: E-mail: SIGNATURE PAGE FOR PURCHASER FOLLOWS] [PURCHASER SIGNATURE PAGES TO CHEK SECURITIES PURCHASE AGREEMENT] IN WITNESS WHEREOF, the undersigned have caused this Securities Purchase Agreement to be duly executed by their respective authorized signatories as of the date first indicated above. Name of Purchaser: ______________________________________________________ Signature of Authorized Signatory of Purchaser: _______________________________________________________________________ Name of Authorized Signatory: _____________________________________________________________________________________ Title of Authorized Signatory: ______________________________________________________________________________________ Email Address of Authorized Signatory:_________________________________________ Facsimile Number of Authorized Signatory: __________________________________________ Address for Notice to Purchaser: Address for Delivery of Warrants Shares to Purchaser (if not same as address for notice): Subscription Amount: $_________________ Shares: _________________ Warrant SharesEIN Number: __________________ Beneficial Ownership Blocker ☐ 4.99% or ☐ 9.99%___

Address for Notice. By:_______________________________________________ Name: Title: With a copy to (which shall not constitute notice): Fax: E-mail: SIGNATURE PAGE FOR PURCHASER FOLLOWS] [PURCHASER SIGNATURE PAGES TO CHEK MDGS SECURITIES PURCHASE AGREEMENT] IN WITNESS WHEREOF, the undersigned have caused this Securities Purchase Agreement to be duly executed by their respective authorized signatories as of the date first indicated above. Name of Purchaser: ________________________________________________________ Signature of Authorized Signatory of Purchaser: _________________________________ Name of Authorized Signatory: _______________________________________________ Title of Authorized Signatory: ________________________________________________ Email Address of Authorized Signatory:_________________________________________ Facsimile Number of Authorized Signatory: __________________________________________ Address for Notice to Purchaser: Address for Delivery of Warrants to Purchaser (if not same as address for notice): DWAC for ADSs: Subscription Amount: $_________________ SharesADSs: _________________ Warrant SharesADSs: ____________________ Beneficial Ownership Blocker ☐ 4.99% or ☐ 9.99%EIN Number: _______________________

Address for Notice. By:__________________________________________ Name: Title: With a copy to (which shall not constitute notice): Fax: E-mail: SIGNATURE PAGE FOR PURCHASER FOLLOWS] [PURCHASER SIGNATURE PAGES TO CHEK RDHL SECURITIES PURCHASE AGREEMENT] IN WITNESS WHEREOF, the undersigned have caused this Securities Purchase Agreement to be duly executed by their respective authorized signatories as of the date first indicated above. Name of Purchaser: ______________________________________________________ Signature of Authorized Signatory of Purchaser: _________________________________ Name of Authorized Signatory: _______________________________________________ Title of Authorized Signatory: ________________________________________________ Email Address of Authorized Signatory:_________________________________________ Facsimile Number of Authorized Signatory: __________________________________________ Address for Notice to Purchaser: Address for Delivery of Pre-Funded Warrants to Purchaser (if not same as address for notice): DWAC for ADSs: Subscription Amount: $_________________ SharesADSs: _________________ Pre-Funded Warrant SharesADSs: __________________ Beneficial Ownership Blocker ☐ 4.99% or ☐ 9.99%

Address for Notice. By:__________________________________________ Name: Title: With a copy to (which shall not constitute notice): Fax: E-mail: SIGNATURE PAGE FOR PURCHASER FOLLOWS] [PURCHASER SIGNATURE PAGES TO CHEK RDHL SECURITIES PURCHASE AGREEMENT] IN WITNESS WHEREOF, the undersigned have caused this Securities Purchase Agreement to be duly executed by their respective authorized signatories as of the date first indicated above. Name of Purchaser: ______________________________________________________ Signature of Authorized Signatory of Purchaser: _________________________________ Name of Authorized Signatory: _______________________________________________ Title of Authorized Signatory: ________________________________________________ Email Address of Authorized Signatory:_________________________________________ Facsimile Number of Authorized Signatory: __________________________________________ Address for Notice to Purchaser: Address for Delivery of Warrants to Purchaser (if not same as address for notice): DWAC for ADSs: Subscription Amount: $_________________ SharesADSs: _________________ Pre-Funded Warrant SharesADSs: ____________ Beneficial Ownership Blocker ☐ 4.99% or ☐ 9.99% Class A Ordinary Warrant ADSs: _____________ Beneficial Ownership Blocker ☐ 4.99% or ☐ 9.99% Class B Ordinary Warrant ADSs: _____________ Beneficial Ownership Blocker ☐ 4.99% or ☐ 9.99%

Address for Notice. By:__________________________________________ Name: Title: With a copy to (which shall not constitute notice): Fax: E-mail: SIGNATURE PAGE FOR PURCHASER FOLLOWS] [PURCHASER SIGNATURE PAGES TO CHEK SECURITIES PURCHASE AGREEMENT] IN WITNESS WHEREOF, the undersigned have caused this Securities Purchase Agreement to be duly executed by their respective authorized signatories as of the date first indicated above. Name of Purchaser: ______________________________________________________ Signature of Authorized Signatory of Purchaser: _________________________________ Name of Authorized Signatory: _______________________________________________ Title of Authorized Signatory: ________________________________________________ Email Address of Authorized Signatory:_________________________________________ Facsimile Number of Authorized Signatory: __________________________________________ Address for Notice to Purchaser: Address for Delivery of Warrants Shares to Purchaser (if not same as address for notice): Subscription Amount: $_________________ Shares: _________________ Warrant Company Shares currently held by Purchaser: Ordinary Shares: __________________ Beneficial Ownership Blocker ☐ 4.99% or ☐ 9.99%Ordinary Share Equivalents:

Address for Notice. By:__________________________________________ Name: Title: With a copy to (which shall not constitute notice): Fax: E-mail: SIGNATURE PAGE FOR PURCHASER FOLLOWS] [PURCHASER SIGNATURE PAGES TO CHEK ZOM SECURITIES PURCHASE AGREEMENT] IN WITNESS WHEREOF, the undersigned have caused this Securities Purchase Agreement to be duly executed by their respective authorized signatories as of the date first indicated above. Name of Purchaser: ______________________________________________________ Signature of Authorized Signatory of Purchaser: _________________________________ Name of Authorized Signatory: _______________________________________________ Title of Authorized Signatory: ________________________________________________ Email Address of Authorized Signatory:_________________________________________ Facsimile Number of Authorized Signatory: __________________________________________ Address for Notice to Purchaser: Address for Delivery of Warrants to Purchaser (if not same as address for notice): DWAC for Shares: Common Share Subscription Amount: $_________________ Shares: ____________________ Common Warrant Shares: __________________ Beneficial Ownership Blocker ☐ 4.99% or ☐ 9.99%Pre-Funded Warrant Subscription Amount: $_____________ Pre-Funded Warrant Shares: ______________ Common Warrants: _________________ EIN Number: _______________________ [SIGNATURE PAGES CONTINUE]

Address for Notice. By:__________________________________________ : Name: Title: With a copy to (which shall not constitute notice): E-Mail: Fax: E-mail: [ADD] SIGNATURE PAGE FOR PURCHASER FOLLOWS] [PURCHASER SIGNATURE PAGES TO CHEK AEMD SECURITIES PURCHASE AGREEMENT] IN WITNESS WHEREOF, the undersigned have caused this Securities Purchase Agreement to be duly executed by their respective authorized signatories as of the date first indicated above. Name of Purchaser: ________________________________________________________ Signature of Authorized Signatory of Purchaser: _________________________________ Name of Authorized Signatory: _______________________________________________ Title of Authorized Signatory: ________________________________________________ Email Address of Authorized Signatory:_________________________________________ Facsimile Number of Authorized Signatory: __________________________________________ Address for Notice to Purchaser: Address for Delivery of Warrants Securities to Purchaser (if not same as address for notice): Subscription Amount: $_________________ Shares: _________________ Warrant Shares: __________________ Beneficial Ownership Blocker ☐ 4.99% or ☐ 9.99%EIN Number: _______________________