0001193125-16-600062 Sample Contracts

SERIES G COMMON STOCK PURCHASE WARRANT GREAT BASIN SCIENTIFIC, INC.
Common Stock Purchase Warrant • May 24th, 2016 • Great Basin Scientific, Inc. • Surgical & medical instruments & apparatus

THIS SERIES G 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 (the “Initial Exercise Date”) and on or prior to the close of business on the five (5) year anniversary of the Initial Exercise Date (the “Termination Date”) but not thereafter, to subscribe for and purchase from Great Basin Scientific, 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).

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Great Basin Scientific, Inc. Salt Lake City, Utah 84120 Gentlemen:
Great Basin Scientific, Inc. • May 24th, 2016 • 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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