0001193125-16-802497 Sample Contracts

HELIUS MEDICAL TECHNOLOGIES, INC., Issuer AND [TRUSTEE], Trustee INDENTURE Dated as of [●], 20 Debt Securities
Indenture • December 23rd, 2016 • Helius Medical Technologies, Inc. • Electromedical & electrotherapeutic apparatus • New York
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HELIUS MEDICAL TECHNOLOGIES, INC. and , AS WARRANT AGENT FORM OF CLASS A COMMON STOCK WARRANT AGREEMENT DATED AS OF
Common Stock Warrant Agreement • December 23rd, 2016 • Helius Medical Technologies, Inc. • Electromedical & electrotherapeutic apparatus • New York

CLASS A COMMON STOCK WARRANT AGREEMENT (this “Agreement”), dated as of [ ] between HELIUS MEDICAL TECHNOLOGIES, INC., a Wyoming corporation (the “Company”) and [ ], a [corporation] [national banking association] organized and existing under the laws of and having a corporate trust office in , as warrant agent (the “Warrant Agent”).

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HELIUS MEDICAL TECHNOLOGIES, INC. and , AS WARRANT AGENT FORM OF DEBT SECURITIES WARRANT AGREEMENT DATED AS OF
Debt Securities Warrant Agreement • December 23rd, 2016 • Helius Medical Technologies, Inc. • Electromedical & electrotherapeutic apparatus • New York

DEBT SECURITIES WARRANT AGREEMENT (this “Agreement”), dated as of [ ] between HELIUS MEDICAL TECHNOLOGIES, INC., a Wyoming corporation (the “Company”) and [ ], a [corporation] [national banking association] organized and existing under the laws of [ ] and having a corporate trust office in [ ], as warrant agent (the “Warrant Agent”).

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