Form Of Convertible Note Sample Contracts

Adial Pharmaceuticals, L.L.C. – Exhibit a Form of Convertible Note (September 7th, 2017)

THIS CONVERTIBLE PROMISSORY NOTE HAS NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED. NO SALE OR DISPOSITION MAY BE EFFECTED EXCEPT IN COMPLIANCE WITH RULE 144 UNDER SAID ACT OR AN EFFECTIVE REGISTRATION STATEMENT RELATED THERETO OR AN OPINION OF COUNSEL FOR THE HOLDER SATISFACTORY TO THE COMPANY THAT SUCH REGISTRATION IS NOT REQUIRED UNDER THE ACT OR RECEIPT OF A NO-ACTION LETTER FROM THE SECURITIES AND EXCHANGE COMMISSION.

Adial Pharmaceuticals, L.L.C. – Exhibit a Form of Convertible Note (May 12th, 2017)

THIS CONVERTIBLE PROMISSORY NOTE HAS NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED. NO SALE OR DISPOSITION MAY BE EFFECTED EXCEPT IN COMPLIANCE WITH RULE 144 UNDER SAID ACT OR AN EFFECTIVE REGISTRATION STATEMENT RELATED THERETO OR AN OPINION OF COUNSEL FOR THE HOLDER SATISFACTORY TO THE COMPANY THAT SUCH REGISTRATION IS NOT REQUIRED UNDER THE ACT OR RECEIPT OF A NO-ACTION LETTER FROM THE SECURITIES AND EXCHANGE COMMISSION.

Biolargo Inc. – BioLargo, Inc. [FORM OF] Convertible Note (January 25th, 2017)

FOR VALUE RECEIVED, BioLargo, Inc., a Delaware corporation (the "Company"), hereby promises to pay to the order of [INVESTOR], or registered assigns (the "Holder") the amount set out above as the Original Principal Amount (as reduced pursuant to the terms hereof pursuant to redemption, conversion or otherwise, the "Principal") when due, whether upon the Maturity Date (as defined below), acceleration, redemption or otherwise (in each case in accordance with the terms hereof) and to pay interest ("Interest") on any outstanding Principal at the applicable Interest Rate from the date set out above as the Issuance Date (the "Issuance Date") until the same becomes due and payable, upon the Maturity Date or acceleration, conversion, redemption or otherwise (in each case in accordance with the terms hereof).

Biolargo Inc. – BioLargo, Inc. FORM OF Convertible Note (November 14th, 2016)

FOR VALUE RECEIVED, BioLargo, Inc., a Delaware corporation (the "Company"), hereby promises to pay to the order of _______, or registered assigns (the "Holder") the amount set out above as the Original Principal Amount (as reduced pursuant to the terms hereof pursuant to redemption, conversion or otherwise, the "Principal") when due, whether upon the Maturity Date (as defined below), acceleration, redemption or otherwise (in each case in accordance with the terms hereof) and to pay interest ("Interest") on any outstanding Principal at the applicable Interest Rate from the date set out above as the Issuance Date (the "Issuance Date") until the same becomes due and payable, upon the Maturity Date or acceleration, conversion, redemption or otherwise (in each case in accordance with the terms hereof).

Biolargo Inc. – BioLargo, Inc. FORM OF Convertible Note (August 15th, 2016)

FOR VALUE RECEIVED, BioLargo, Inc., a Delaware corporation (the "Company"), hereby promises to pay to the order of _______, or registered assigns (the "Holder") the amount set out above as the Original Principal Amount (as reduced pursuant to the terms hereof pursuant to redemption, conversion or otherwise, the "Principal") when due, whether upon the Maturity Date (as defined below), acceleration, redemption or otherwise (in each case in accordance with the terms hereof) and to pay interest ("Interest") on any outstanding Principal at the applicable Interest Rate from the date set out above as the Issuance Date (the "Issuance Date") until the same becomes due and payable, upon the Maturity Date or acceleration, conversion, redemption or otherwise (in each case in accordance with the terms hereof).

Royale Energy, Inc. – Form of Convertible Note (August 5th, 2016)

THIS NOTE AND THE COMMON SHARES ISSUABLE UPON CONVERSION OF THIS NOTE HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED. THIS NOTE AND THE COMMON SHARES ISSUABLE UPON CONVERSION OF THIS NOTE MAY NOT BE SOLD, OFFERED FOR SALE, PLEDGED OR HYPOTHECATED IN THE ABSENCE OF AN EFFECTIVE REGISTRATION STATEMENT AS TO THIS NOTE UNDER SAID ACT OR AN OPINION OF COUNSEL REASONABLY SATISFACTORY TO HOLDER THAT SUCH REGISTRATION IS NOT REQUIRED.

Amyris – [Form of Convertible Note] (May 10th, 2016)

FOR VALUE RECEIVED, Amyris, Inc., a Delaware corporation (the "Company"), hereby promises to pay to [ ] or registered assigns (the "Holder") in cash and/or in shares of Common Stock (as defined below) the amount set out above as the Original Principal Amount (as reduced pursuant to the terms hereof pursuant to redemption, conversion, amortization or otherwise, the "Principal") when due, whether upon the Maturity Date (as defined below), on any Installment Date (as defined below) with respect to the Installment Amount (as defined below) due on such Installment Date, acceleration, redemption or otherwise (in each case in accordance with the terms hereof). This Convertible Note (including all Convertible Notes issued in exchange, transfer or replacement hereof, this "Note") is one of a series of Convertible Notes issued pursuant to the Securities Purchase Agreement (as defined below) either on the Initial Closing Date (as defined below) or on the Additional Closing Date (as defined belo

Dolphin Digital Media – Form of Convertible Note (December 15th, 2015)

FOR VALUE RECEIVED, Dolphin Digital Media, Inc., a Florida corporation (the "Company"), promises to pay to [Insert Name] (the "Investor"), in lawful money of the United States of America, the principal amount of three million, one hundred sixty four dollars and 00/00 ($3,164,000), and to pay interest on the unpaid principal amount hereof (as determined in accordance with Section 3 hereof) at the rate of ten percent (10%) per annum.

Attitude Drinks Inc. – Exhibit (10)(154) Form of Convertible Note (December 31st, 2014)

"NEITHER THE ISSUANCE AND SALE OF THE SECURITIES REPRESENTED BY THIS CERTIFICATE NOR THE SECURITIES INTO WHICH THESE SECURITIES ARE CONVERTIBLE HAVE BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED, OR APPLICABLE STATE SECURITIES LAWS. THE SECURITIES MAY NOT BE OFFERED FOR SALE, SOLD, TRANSFERRED OR ASSIGNED (I) IN THE ABSENCE OF (A) AN EFFECTIVE REGISTRATION STATEMENT FOR THE SECURITIES UNDER THE SECURITIES ACT OF 1933, AS AMENDED, OR (B) AN OPINION OF COUNSEL (WHICH COUNSEL SHALL BE SELECTED BY THE HOLDER), IN A GENERALLY ACCEPTABLE FORM, THAT REGISTRATION IS NOT REQUIRED UNDER SAID ACT OR (II) UNLESS SOLD PURSUANT TO RULE 144 OR RULE 144A UNDER SAID ACT. NOTWITHSTANDING THE FOREGOING, THE SECURITIES MAY BE PLEDGED IN CONNECTION WITH A BONA FIDE MARGIN ACCOUNT OR OTHER LOAN OR FINANCING ARRANGEMENT SECURED BY THE SECURITIES."

Eflo Energy, Inc. – Form of Convertible Note (June 16th, 2014)

THE SECURITIES REPRESENTED HEREBY HAVE NOT BEEN AND WILL NOT BE REGISTERED UNDER THE UNITED STATES SECURITIES ACT OF 1933, AS AMENDED (THE "1933 ACT") OR APPLICABLE STATE SECURITIES LAWS. THE HOLDER HEREOF, BY PURCHASING SUCH SECURITIES, AGREES FOR THE BENEFIT OF THE COMPANY THAT SUCH SECURITIES MAY BE OFFERED, SOLD, PLEDGED OR OTHERWISE TRANSFERRED, DIRECTLY OR INDIRECTLY, ONLY (A) TO THE COMPANY, (B) OUTSIDE THE UNITED STATES IN COMPLIANCE WITH RULE 904 OF REGULATION S UNDER THE 1933 ACT AND IN COMPLIANCE WITH ALL APPLICABLE LOCAL LAWS AND REULATIONS, (C) IN ACCORDANCE WITH THE EXEMPTION FROM REGISTRATION UNDER THE U.S. SECURITIES ACT PROVIDED BY (I) RULE 144 THEREUNDER, IF AVAILABLE, OR (II) RULE 144A THEREUNDER, IF AVAILABLE, TO A PERSON WHO THE SELLER REASONABLY BELIEVES IS A "QUALIFIED INSTITUTIONAL BUYER", AS DEFINED IN RULE 144A UNDER THE U.S. SECURITIES ACT ("QUALIFIED INSTITUTIONAL BUYER"), THAT IS PURCHASING FOR ITS OWN ACCOUNT OR FOR THE ACCOUNT OF A QUALIFIED INSTITUTIONA

Emmaus Life Sciences, Inc. – Form of Convertible Note (May 8th, 2014)

THIS CONVERTIBLE PROMISSORY NOTE AND THE SECURITIES INTO WHICH IT MAY BE CONVERTED HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED (THE ACT). NO SALE OR DISPOSITION MAY BE AFFECTED EXCEPT IN COMPLIANCE WITH RULE 144 UNDER SAID ACT OR AN EFFECTIVE REGISTRATION STATEMENT RELATED THERETO OR AN APPLICABLE EXEMPTION THEREFROM.

Royale Energy, Inc. – [Form of Convertible Note] (October 29th, 2012)

FOR VALUE RECEIVED, Royale Energy, Inc., a California corporation (the "Company"), hereby promises to pay to the order of [____________] or its registered assigns ("Holder") the amount set out above as the Original Principal Amount (as reduced pursuant to the terms hereof pursuant to redemption, conversion or otherwise, the "Principal") when due, whether upon the Maturity Date (as defined below), on any Holder Optional Redemption Date (as defined below), acceleration, redemption or otherwise (in each case in accordance with the terms hereof) and to pay interest ("Interest") on any outstanding Principal (as defined below) at the applicable Interest Rate (as defined below) from the date set out above as the Issuance Date (the "Issuance Date") until the same becomes due and payable, whether upon any Holder Optional Redemption Date, the Maturity Date or acceleration, conversion, redemption or otherwise (in each case in accordance with the terms hereof). This Convertible Note (including all

QS Energy, Inc. – Form of Convertible Note (July 31st, 2012)

FOR VALUE RECEIVED, SAVE THE WORLD AIR, INC., a corporation organized under the laws of the State of Nevada (the "Company"), promises to pay to the order of "Investor", as that term is defined on the Acknowledgement and Acceptance page of this Note (hereafter, together with any subsequent holder hereof, called "Holder"), at "Investor's Address", as that term is set forth on such page or at such other place as Holder may direct, the "Subscription Amount", noted above (the "Loan"), payable in full Twelve Months from the date hereof (the "Maturity Date").

Emmaus Life Sciences, Inc. – Form of Convertible Note (April 10th, 2012)

THIS CONVERTIBLE PROMISSORY NOTE AND THE SECURITIES INTO WHICH IT MAY BE CONVERTED HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED (THE "ACT"). NO SALE OR DISPOSITION MAY BE AFFECTED EXCEPT IN COMPLIANCE WITH RULE 144 UNDER SAID ACT OR AN EFFECTIVE REGISTRATION STATEMENT RELATED THERETO OR AN APPLICABLE EXEMPTION THEREFROM.

QS Energy, Inc. – Form of Convertible Note (February 8th, 2012)

FOR VALUE RECEIVED, SAVE THE WORLD AIR, INC., a corporation organized under the laws of the State of Nevada (the "Company"), promises to pay to the order of "Investor", as that term is defined on the Acknowledgement and Acceptance page of this Note (hereafter, together with any subsequent holder hereof, called "Holder"), at "Investor's Address", as that term is set forth on such page or at such other place as Holder may direct, the "Subscription Amount", noted above (the "Loan"), payable in full Twelve Months from the date hereof (the "Maturity Date").

EMPIRE RESOURCES, INC. $12,000,000 Principal Amount of 10% Convertible Senior Subordinated Notes Due June 1, 2016 FORM OF CONVERTIBLE NOTES PURCHASE AGREEMENT (January 30th, 2012)

This CONVERTIBLE NOTES PURCHASE AGREEMENT is dated as of June 3, 2011, (this "Agreement"), and entered into by and among Empire Resources, Inc., a Delaware corporation (the "Company"), and the purchasers listed on the signature pages hereto (each a "Purchaser" and collectively, the "Purchasers").

QS Energy, Inc. – Form of Convertible Note (January 23rd, 2012)

FOR VALUE RECEIVED, SAVE THE WORLD AIR, INC., a corporation organized under the laws of the State of Nevada (the "Company"), promises to pay to the order of "Investor", as that term is defined on the Acknowledgement and Acceptance page of this Note (hereafter, together with any subsequent holder hereof, called "Holder"), at "Investor's Address", as that term is set forth on such page or at such other place as Holder may direct, the "Subscription Amount", noted above (the "Loan"), payable in full Twelve Months from the date hereof (the "Maturity Date").

QS Energy, Inc. – Form of Convertible Note (December 14th, 2011)

FOR VALUE RECEIVED, SAVE THE WORLD AIR, INC., a corporation organized under the laws of the State of Nevada (the "Company"), promises to pay to the order of "Investor", as that term is defined on the Acknowledgement and Acceptance page of this Note (hereafter, together with any subsequent holder hereof, called "Holder"), at "Investor's Address", as that term is set forth on such page or at such other place as Holder may direct, the "Subscription Amount", noted above (the "Loan"), payable in full Twelve Months from the date hereof (the "Maturity Date").

RADIENT PHARMACEUTICALS CORP Common Stock – [Form of Convertible Note] (November 29th, 2011)

FOR VALUE RECEIVED, Radient Pharmaceuticals Corporation, a Delaware corporation (the "Company"), hereby promises to pay to [_____________] or its registered assigns (the "Holder") (a) the amount set out above as the Original Principal Amount, as such Original Principal Amount is reduced pursuant to the terms hereof pursuant to redemption, conversion or otherwise (the "Principal"), whether upon the Maturity Date (as defined below), or upon acceleration, redemption or otherwise (in each case in accordance with the terms hereof), and (b) interest ("Interest") on any outstanding Principal, at the applicable Interest Rate (as defined below) from the date set out above as the date of issuance of this Convertible Note (the "Issuance Date") until the same becomes due and payable, whether upon the Maturity Date or acceleration, conversion, redemption or otherwise (in each case in accordance with the terms hereof). This Convertible Note (including all Convertible Notes issued in exchange, transf

EWaste Systems, Inc. – Contract (November 21st, 2011)

THIS NOTE HAS NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933. IT MAY NOT BE SOLD, OFFERED FOR SALE, PLEDGED OR HYPOTHECATED IN THE ABSENCE OF AN EFFECTIVE REGISTRATION STATEMENT UNDER SAID ACT OR AN APPLICABLE EXEMPTION FROM REGISTRATION UNDER SAID ACT AND APPLICABLE STATE SECURITIES LAWS.

QS Energy, Inc. – Form of Convertible Note (October 21st, 2011)

FOR VALUE RECEIVED, SAVE THE WORLD AIR, INC., a corporation organized under the laws of the State of Nevada (the "Company"), promises to pay to the order of "Investor", as that term is defined on the Acknowledgement and Acceptance page of this Note (hereafter, together with any subsequent holder hereof, called "Holder"), at "Investor's Address", as that term is set forth on such page or at such other place as Holder may direct, the "Subscription Amount", noted above (the "Loan"), payable in full Twelve Months from the date hereof (the "Maturity Date").

Quantum Fuel Systems Technologies – Form of Convertible Note (October 5th, 2011)

THE TRANSFER OF THIS SECURITY IS SUBJECT TO RESTRICTIONS CONTAINED HEREIN. THIS SECURITY HAS BEEN ISSUED IN RELIANCE UPON THE REPRESENTATION OF HOLDER THAT IT HAS BEEN ACQUIRED FOR INVESTMENT PURPOSES AND NOT WITH A VIEW TOWARDS THE RESALE OR OTHER DISTRIBUTION THEREOF. THIS SECURITY AND THE SECURITIES ISSUABLE UPON EXERCISE OR CONVERSION HEREOF HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED, OR ANY STATE SECURITIES LAWS AND MAY NOT BE SOLD, OFFERED FOR SALE, PLEDGED, ASSIGNED, HYPOTHECATED OR OTHERWISE TRANSFERRED IN THE ABSENCE OF AN EFFECTIVE REGISTRATION STATEMENT UNDER SAID ACT AND ANY APPLICABLE STATE SECURITIES LAWS, OR AN OPINION OF COUNSEL SATISFACTORY TO COMPANY THAT SUCH REGISTRATION IS NOT REQUIRED.

Form of Convertible Note (August 23rd, 2011)

THE SECURITIES REPRESENTED HEREBY HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED (THE SECURITIES ACT), OR QUALIFIED OR REGISTERED UNDER STATE SECURITIES OR BLUE SKY LAWS. THESE SECURITIES HAVE BEEN ACQUIRED FOR INVESTMENT AND NOT WITH A VIEW TO DISTRIBUTION, AND NEITHER THESE SECURITIES NOR ANY INTEREST OR PARTICIPATION HEREIN MAY BE SOLD, OFFERED FOR SALE, PLEDGED, HYPOTHECATED OR OTHERWISE TRANSFERRED OR DISPOSED OF EXCEPT IN COMPLIANCE WITH THE SECURITIES ACT, APPLICABLE STATE SECURITIES OR BLUE SKY LAWS AND THE APPLICABLE RULES AND REGULATIONS THEREUNDER. THE ISSUER OF THESE SECURITIES MAY REQUIRE AN OPINION OF COUNSEL IN FORM AND SUBSTANCE SATISFACTORY TO THE ISSUER, IN ITS SOLE DISCRETION, TO THE EFFECT THAT ANY PROPOSED TRANSFER OR RESALE IS IN COMPLIANCE WITH THE SECURITIES ACT AND ANY APPLICABLE STATE SECURITIES LAWS. THIS CERTIFICATE MUST BE SURRENDERED TO THE CORPORATION OR ITS TRANSFER AGENT AS A CONDITION PRECEDENT TO THE SALE, PLEDGE OR OTHER TRANSF

QS Energy, Inc. – Form of Convertible Note (August 10th, 2011)

FOR VALUE RECEIVED, SAVE THE WORLD AIR, INC., a corporation organized under the laws of the State of Nevada (the "Company"), promises to pay to the order of "Investor", as that term is defined on the Acknowledgement and Acceptance page of this Note (hereafter, together with any subsequent holder hereof, called "Holder"), at "Investor's Address", as that term is set forth on such page or at such other place as Holder may direct, the "Subscription Amount", noted above (the "Loan"), payable in full Twelve Months from the date hereof (the "Maturity Date").

RADIENT PHARMACEUTICALS CORP Common Stock – [Form of Convertible Note] (July 1st, 2011)

FOR VALUE RECEIVED, Radient Pharmaceuticals Corporation, a Delaware corporation (the "Company"), hereby promises to pay to [_____________] or its registered assigns (the "Holder") (a) the amount set out above as the Original Principal Amount, as such Original Principal Amount is reduced pursuant to the terms hereof pursuant to redemption, conversion or otherwise (the "Principal"), whether upon the Maturity Date (as defined below), each Installment Date (as defined below), or upon acceleration, redemption or otherwise (in each case in accordance with the terms hereof), and (b) interest ("Interest") on any outstanding Principal, at the applicable Interest Rate (as defined below) from the date set out above as the date of issuance of this Convertible Note (the "Issuance Date") until the same becomes due and payable, whether upon any Installment Date, the Maturity Date or acceleration, conversion, redemption or otherwise (in each case in accordance with the terms hereof). This Convertible

QS Energy, Inc. – Form of Convertible Note (June 9th, 2011)

FOR VALUE RECEIVED, SAVE THE WORLD AIR, INC., a corporation organized under the laws of the State of Nevada (the "Company"), promises to pay to the order of "Investor", as that term is defined on the Acknowledgement and Acceptance page of this Note (hereafter, together with any subsequent holder hereof, called "Holder"), at "Investor's Address", as that term is set forth on such page or at such other place as Holder may direct, the "Subscription Amount", noted above (the "Loan"), payable in full Twelve Months from the date hereof (the "Maturity Date").

Emmaus Life Sciences, Inc. – Form of Convertible Note (No Interest) (5 Years) (May 4th, 2011)

THIS CONVERTIBLE PROMISSORY NOTE AND THE SECURITIES INTO WHICH IT MAY BE CONVERTED HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED (THE "ACT"). NO SALE OR DISPOSITION MAY BE AFFECTED EXCEPT IN COMPLIANCE WITH RULE 144 UNDER SAID ACT OR AN EFFECTIVE REGISTRATION STATEMENT RELATED THERETO OR AN APPLICABLE EXEMPTION THEREFROM.

QS Energy, Inc. – Form of Convertible Note (March 7th, 2011)

FOR VALUE RECEIVED, SAVE THE WORLD AIR, INC., a corporation organized under the laws of the State of Nevada (the "Company"), promises to pay to the order of "Investor", as that term is defined on the Acknowledgement and Acceptance page of this Note (hereafter, together with any subsequent holder hereof, called "Holder"), at "Investor's Address", as that term is set forth on such page or at such other place as Holder may direct, the "Subscription Amount", noted above (the "Loan"), payable in full Twelve Months from the date hereof (the "Maturity Date").

RADIENT PHARMACEUTICALS CORP Common Stock – [Form of Convertible Note] (January 31st, 2011)

FOR VALUE RECEIVED, Radient Pharmaceuticals Corporation, a Delaware corporation (the "Company"), hereby promises to pay to [BUYER] or registered assigns (the "Holder") the amount set out above as the Original Principal Amount (as reduced pursuant to the terms hereof pursuant to redemption, conversion, amortization or otherwise, the "Principal") in cash and/or in shares of Common Stock (as defined below) and when due, whether upon the Maturity Date (as defined below), each Installment Date (as defined below), acceleration, redemption or otherwise (in each case in accordance with the terms hereof). This Convertible Note (including all Convertible Notes issued in exchange, transfer or replacement hereof, this "Note") is one of an issue of Convertible Notes issued pursuant to the Securities Purchase Agreement on the Closing Date (collectively, the "Notes" and such other Convertible Notes, the "Other Notes"). Certain capitalized terms used herein are defined in Section 28.

Converted Organics Inc – [FORM OF CONVERTIBLE NOTE] Converted Organics Inc. Convertible Note (December 17th, 2010)

FOR VALUE RECEIVED, Converted Organics Inc., a Delaware corporation (the Company), hereby promises to pay to the order of IROQUOIS MASTER FUND LTD. or its registered assigns (Holder) the amount set out above as the Original Principal Amount (as reduced pursuant to the terms hereof pursuant to redemption, conversion or otherwise, the Principal) when due, whether upon the Maturity Date, on any Installment Date with respect to the Installment Amount due on such Installment Date (each as defined below), acceleration, redemption or otherwise (in each case in accordance with the terms hereof) and to pay interest (Interest) on any outstanding Principal at the applicable Interest Rate (as defined below) from the date set out above as the Issuance Date (the Issuance Date) until the same becomes due and payable, whether upon any Installment Date, the Maturity Date or acceleration, conversion, redemption or otherwise (in each case in accordance with the terms hereof). This Convertible Note (inclu

QS Energy, Inc. – Form of Convertible Note (December 6th, 2010)

FOR VALUE RECEIVED, SAVE THE WORLD AIR, INC., a corporation organized under the laws of the State of Nevada (the "Company"), promises to pay to the order of "Investor", as that term is defined on the Acknowledgement and Acceptance page of this Note (hereafter, together with any subsequent holder hereof, called "Holder"), at "Investor's Address", as that term is set forth on such page or at such other place as Holder may direct, the "Subscription Amount", noted above (the "Loan"), payable in full Twelve Months from the date hereof (the "Maturity Date").

Isoftstone Holdings – Form of Convertible Note (November 23rd, 2010)

This Note is issued pursuant to, and in accordance with, the Convertible Note Purchase Agreement, dated December 18, 2009, by and among the Company and the parties named therein (as amended, supplemented or modified from time to time, the Convertible Note Purchase Agreement). The Holder is entitled to the benefits of this Note and the Convertible Note Purchase Agreement and, subject to the terms and conditions set forth herein and therein, may enforce the agreements contained herein and therein and exercise the remedies provided for hereby and thereby or otherwise available in respect hereto and thereto.

Biolargo Inc. – Form of Convertible Note (November 1st, 2010)

FOR VALUE RECEIVED, BIOLARGO, INC., a corporation organized under the laws of the state of Delaware ("Issuer"), promises to pay to the order of ___XXXX____ (hereafter, together with any subsequent holder hereof, called "Holder"), at its office, at "Holder's Address" (as that term is defined below), or at such other place as Holder may direct, the "Amount" noted above (the "Loan Amount"), payable on April 15, 2013, or at an earlier date as provided herein (the "Maturity Date"). This convertible note is duly autho rized issue of the Issuer, issued on the "Date" noted (the "Issuance Date"), and designated as its Convertible Note due April 15, 2013 (the "Note").

QS Energy, Inc. – Form of Convertible Note (October 5th, 2010)

FOR VALUE RECEIVED, SAVE THE WORLD AIR, INC., a corporation organized under the laws of the State of Nevada (the "Company"), promises to pay to the order of "Investor", as that term is defined on the Acknowledgement and Acceptance page of this Note (hereafter, together with any subsequent holder hereof, called "Holder"), at "Investor's Address", as that term is set forth on such page or at such other place as Holder may direct, the "Subscription Amount", noted above (the "Loan"), payable in full Twelve Months from the date hereof (the "Maturity Date").

Jintai Mining Group, Inc. – Form of Convertible Note (August 12th, 2010)

THIS NOTE AND THE COMMON SHARES ISSUABLE UPON CONVERSION OF THIS NOTE HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED. THIS NOTE AND THE COMMON SHARES ISSUABLE UPON CONVERSION OF THIS NOTE MAY NOT BE SOLD, OFFERED FOR SALE, PLEDGED OR HYPOTHECATED IN THE ABSENCE OF AN EFFECTIVE REGISTRATION STATEMENT AS TO THIS NOTE UNDER SAID ACT OR AN OPINION OF COUNSEL REASONABLY SATISFACTORY TO THE COMPANY THAT SUCH REGISTRATION IS NOT REQUIRED.