0001493152-22-027834 Sample Contracts

Date: _________ Warrant to Purchase ***________*** Shares
QSAM Biosciences, Inc. • October 6th, 2022 • Specialty cleaning, polishing and sanitation preparations • Texas

THIS IS TO CERTIFY that, for value received, ____________________, who has invested in the Company’s Common Stock offering (the “Holder”), is entitled to purchase, subject to the terms and conditions hereinafter set forth, up to _______ shares [equal to 100% of common shares purchased] of the common stock (“Common Stock”), of QSAM Biosciences, Inc. (the “Company”), and to receive certificate(s) for the Common Stock so purchased.

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FORM OF SECURITIES PURCHASE AGREEMENT COMMON STOCK AND WARRANT UNIT
Securities Purchase Agreement • October 6th, 2022 • QSAM Biosciences, Inc. • Specialty cleaning, polishing and sanitation preparations • Texas

This Securities Purchase Agreement (this “Securities Purchase Agreement” or “Agreement”), between QSAM Biosciences Inc., a Delaware corporation, (the “Company”) and the purchaser(s) set forth below (the “Purchaser”), is dated as of the date signed by the Company (the Effective Date”). The Company and the Purchasers may be referred to individually, as a “Party” and collectively, as the “Parties.”

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