0001144204-11-059039 Sample Contracts

FORM OF WARRANT TO PURCHASE SHARES
CNS Response, Inc. • October 24th, 2011 • Services-misc health & allied services, nec • California

This Warrant is issued to ________________ (“Holder”) by CNS Response, Inc., a Delaware corporation (the “Company”), in connection with the contemporaneous issuance to the Holder of a Note in the aggregate principal amount of $_________(the “Note”). All capitalized terms not defined in this Warrant shall have the meaning ascribed to them in the Note.

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NOTE AND WARRANT PURCHASE AGREEMENT
Note and Warrant Purchase Agreement • October 24th, 2011 • CNS Response, Inc. • Services-misc health & allied services, nec • California

THIS NOTE AND WARRANT PURCHASE AGREEMENT (this “Agreement”) is made as of October 18, 2011 by and between CNS Response, Inc., a Delaware corporation (the “Company”), and the investors listed on Schedule A hereto (each, an “Investor” and together, the “Investors”).

CNS RESPONSE, INC. AMENDED AND RESTATED SECURITY AGREEMENT
And Restated Security Agreement • October 24th, 2011 • CNS Response, Inc. • Services-misc health & allied services, nec • California

AMENDED AND RESTATED SECURITY AGREEMENT (this “Agreement”), dated as of September 30, 2011, by and between CNS Response, Inc., a Delaware corporation (the “Company”), and Paul Buck, as administrative agent (in such capacity, the “Administrative Agent”) for the Secured Parties (as defined below).

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