0001354488-13-005881 Sample Contracts

WARRANT TO PURCHASE COMMON STOCK OF ALLIQUA, INC.
Alliqua, Inc. • October 28th, 2013 • Surgical & medical instruments & apparatus

This is to certify that, for value received, ___________________, or its successors and assigns (in each case, the “Holder”), is entitled to purchase, subject to the provisions of this warrant (the “Warrant”), from Alliqua, Inc., a Florida corporation (the “Company”), at any time during the period from the date hereof (the “Commencement Date”) until 5:00 p.m., New York time on _________, 2018 (the “Expiration Date”), at which time this Warrant shall expire and become void, ____________ shares (“Warrant Shares”) of the Company’s Common Stock, par value $0.001 per share (the “Common Stock”) at a per share price equal to $0.10 (the “Exercise Price”). The number of shares of Common Stock to be received upon exercise of this Warrant shall be adjusted from time to time as set forth below. This Warrant is one of a series of similar warrants issued pursuant to that certain Securities Purchase Agreement, dated as of the date hereof, by and among the Company and the purchasers identified therein

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SECURITIES PURCHASE AGREEMENT Dated as of October 22, 2013 among ALLIQUA, INC. and CROSSOVER HEALTHCARE FUND, LLC
Securities Purchase Agreement • October 28th, 2013 • Alliqua, Inc. • Surgical & medical instruments & apparatus • New York

This SECURITIES PURCHASE AGREEMENT (the “Agreement”) is dated as of October 22, 2013 by and among Alliqua, Inc., a Florida corporation (the “Company”), and Crossover Healthcare Fund, LLC (the “Purchaser”).

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