0001144204-17-001504 Sample Contracts

great basin scientific, inc. FORM OF SERIES I Warrant To Purchase Common Stock
Great Basin Scientific, Inc. • January 10th, 2017 • Surgical & medical instruments & apparatus • New York

Great Basin Scientific, Inc., a Delaware corporation (the “Company”), hereby certifies that, for good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, [PURCHASER], the registered holder hereof or its permitted assigns (the “Holder”), is entitled, subject to the terms set forth below, to purchase from the Company, at the Exercise Price (as defined below) then in effect, at any time or times on or after the date hereof (the “Initial Exercisability Date”), but not after 11:59 p.m., New York time, on the Expiration Date (as defined below), up to such number of fully paid and nonassessable shares of common stock of the Company (“Common Stock”) equal to ___, subject to adjustment as provided herein (the “Warrant Shares”). Except as otherwise defined herein, capitalized terms in this Warrant to Purchase Common Stock (including any warrants to Purchase Common Stock issued in exchange, transfer or replacement hereof, this “Warrant”), shall have the meani

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Great Basin Scientific, Inc. 2441 South 3850 West Salt Lake City, Utah 84120 Gentlemen:
Great Basin Scientific, Inc. • January 10th, 2017 • Surgical & medical instruments & apparatus • New York

The undersigned (the “Investor”) hereby confirms its agreement with Great Basin Scientific, Inc., a Delaware corporation (the “Company”) as follows:

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