Acceptance of Warrant. By acceptance of this Warrant, the Holder accepts and agrees to be bound by all of the terms and provisions set forth herein. * * * Issuance date: ________________, 2020 H-CYTE, INC. By: Name: Wxxxxxx X. Xxxxx Title: Chief Executive Officer FORM OF ASSIGNMENT (To be executed by the registered holder if such holder desires to transfer the attached Warrant.) FOR VALUE RECEIVED, __________________________________ hereby sells, assigns, and transfers unto __________________ a Warrant to purchase the Warrant Shares, together with all right, title, and interest therein, and does hereby irrevocably constitute and appoint __________________________ attorney to transfer such Warrant on the books of the Company, with full power of substitution. Dated:_____________ By: Print Name Signature The signature on the foregoing Assignment must correspond to the name as written upon the face of this Warrant in every particular, without alteration or enlargement or any change whatsoever. To: H-Cyte, Inc. 200 X. Xxxxxxx Blvd, Suite 700 Tampa, FL 33602 Attention: Chief Executive Officer NOTICE OF EXERCISE The undersigned hereby exercises his or its rights to purchase _______ Warrant Shares covered by the within Warrant and tenders payment herewith in the amount of $_________ by [tendering cash or delivering a certified check or bank cashier’s check, payable to the order of the Company] [surrendering ______ shares of Common Stock received upon exercise of the attached Warrant, which shares have a Current Market Price equal to such payment] in accordance with the terms thereof, and requests that certificates for such securities be issued in the name of, and delivered to: ______________________________________ _______________________________________ (Print Name, Address and Social Security or Tax Identification Number) and, if such number of Warrant Shares shall not be all the Warrant Shares covered by the within Warrant, that a new Warrant for the balance of the Warrant Shares covered by the within Warrant be registered in the name of, and delivered to, the undersigned at the address stated below. Dated:_____________ By: Print Name Signature Address:
Acceptance of Warrant. By accepting this Warrant, the Holder represents and warrants to the Company that the Holder is an “accredited investor” as that term is defined in Rule 501(a) of Regulation D under the Securities Act, and has such knowledge and experience in financial and business matters as to be capable of evaluating the merits and risks of an investment in this Warrant and the shares of Common Stock for which this Warrant is exercisable. The Holder understands that its investment in this Warrant and the shares of Common Stock for which this Warrant is exercisable involves a significant degree of risk. The Holder further understands that no United States federal or state agency or any other government or governmental agency has passed upon or made any recommendation or endorsement of this Warrant and the shares of Common Stock for which this Warrant is exercisable. The Holder is acquiring this Warrant and, upon exercise, if any, the shares of Common Stock for which this Warrant is exercisable for its own account, not as a nominee or agent, for investment purposes and not with a present view towards resale, except pursuant to sales exempted from registration under the Securities Act, or registered under the Securities Act.
