0001144204-17-018819 Sample Contracts

COMMON STOCK PURCHASE WARRANT Alliqua BioMedical, Inc.
Alliqua BioMedical, Inc. • April 4th, 2017 • Surgical & medical instruments & apparatus

THIS COMMON STOCK PURCHASE WARRANT (the “Warrant”) certifies that, for value received, [ ] or its assigns (the “Holder”) is entitled, upon the terms and subject to the limitations on exercise and the conditions hereinafter set forth, at any time on or after April 3, 2017 (the “Initial Exercise Date”), and on or prior to the close of business on March 29, 2022 (the “Termination Date”) but not thereafter, to subscribe for and purchase from Alliqua BioMedical, Inc., a Delaware corporation (the “Company”), up to [ ] shares (as subject to adjustment hereunder, the “Warrant Shares”) of Common Stock. The purchase price of one share of Common Stock under this Warrant shall be equal to the Exercise Price, as defined in Section 2(b). This Warrant is issued pursuant to that certain Underwriting Agreement, dated as of March 29, 2017, by and between H.C. Wainwright & Co., LLC and the Company (the “Underwriting Agreement”).

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