Common use of Terms of the Repurchase Clause in Contracts

Terms of the Repurchase. Number of Preferred Shares repurchased by the Company: Share certificate number (representing the Preferred Shares previously issued to the Investor at the Closing): Per share Liquidation Amount of Preferred Shares: Accrued and unpaid dividends on Preferred Shares: Aggregate purchase price for Repurchased Preferred Shares: Investor wire information for payment of purchase price: ABA Number: Bank: Account Name: Account Number: Annex K (Form of Repurchase Document) SCHEDULE A [Version to be used by private issuers] General Information: Date of Letter Agreement incorporating the Securities Purchase Agreement: Name of the Company: Corporate or other organizational form of the Company: Jurisdiction of organization of the Company: Number and series of preferred stock issued to the Investor at the Closing (Preferred Shares): Number and series of preferred stock underlying the Warrant issued to the Investor at the Closing (Warrant Shares):

Terms of the Repurchase. Number of Preferred Shares repurchased by the Company: Share certificate number (representing the Preferred Shares previously issued to the Investor at the Closing): Per share Liquidation Amount of Preferred Shares: Accrued and unpaid dividends on Preferred Shares: Aggregate purchase price for Repurchased Preferred Shares: Investor wire information for payment of purchase price: ABA Number: Bank: Account Name: Account Number: Annex K (Form of Repurchase Document) (Bank/Thrift) SCHEDULE A [Version to be used by private issuers] General Information: Date of Letter Agreement incorporating the Securities Purchase Agreement: Name of the Company: Corporate or other organizational form of the Company: Jurisdiction of organization of the Company: Number and series of preferred stock issued to the Investor at the Closing (Preferred Shares): Number and series of preferred stock underlying the Warrant issued to the Investor at the Closing (Warrant Shares):

Terms of the Repurchase. Number of Preferred Shares repurchased by the Company: Share certificate number (representing the Preferred Shares previously issued to the Investor at the Closing): Per share Liquidation Amount of Preferred Shares: Accrued and unpaid dividends on Preferred Shares: Aggregate purchase price for Repurchased Preferred Shares: Investor wire information for payment of purchase price: ABA Number: Bank: Account Name: Account Number: Annex K (Form of Repurchase Document) SCHEDULE A [Version to be used by private issuers] General Information: Date of Letter Agreement incorporating the Securities Purchase Agreement: Name of the Company: Corporate or other organizational form of the Company: Jurisdiction of organization of the Company: Number and series of preferred stock issued to the Investor at the Closing (Preferred Shares): Number and series of preferred stock underlying the Warrant issued to the Investor at the Closing (Warrant Shares):