BIOLARGO, INC. FORM OF WARRANT TO PURCHASE COMMON STOCK (Thirty-Six Month Warrant)Biolargo, Inc. • November 1st, 2010 • Chemicals & allied products • California
THIS CERTIFIES THAT, for value received, XXXX (the “Holder”), is entitled to subscribe for and purchase from BIOLARGO, INC., a corporation organized under the laws of the state of Delaware (the “Company”), subject to Section 1(b) hereof, commencing at the time periods prescribed herein and ending at 5:00 p.m. California time on January 15, 2013, XXXX shares (the “Shares”) of common stock, par value, $0.00067, of the Company (the “Common Stock”). The exercise price for each Share subject to this Warrant (the “Warrant Price”) is equal to $1.00. The number of Shares and the Warrant Price are subject to adjustment from time to time as provided in Section 4 of this Warrant.
