SUBSCRIPTION AGREEMENT
Exhibit 10.21
To: The Board of Directors of Larkspur Health Acquisition Corp.
The undersigned hereby subscribes for 21,777 shares of Class B common stock, par value $0.0001 per share (the “Shares”) of Larkspur Health Acquisition Corp, a Delaware corporation (the “Company”). In consideration for the issue of the Shares, the undersigned hereby agrees and undertakes to pay $252.49 to the Company.
The undersigned agrees to take the Shares subject to the Certificate of Incorporation of the Company and authorizes you to enter the following name and address in the stockholder ledger of the Company:
| Name: | Xxxxxxx Xxxxxxxx XX | |
| Address: | 000 00xx Xxxxxx, Xxx. 0X | |
| Xxx Xxxx, XX 00000 |
| Xxxxxxx Xxxxxxxx XX | ||
| Signed: | /s/ Xxxxxxx Xxxxxxxx XX | |
| Name: | Xxxxxxx Xxxxxxxx XX | |
| Dated: | November 4, 2021 | |
| Accepted: | ||
| Larkspur Health Acquisition Corp. | ||
| Signed: | /s/ Xxxxxx X. X’Xxxxxx | |
| Name: | Xxxxxx X. X’Xxxxxx | |
| Title: | Chairman; Chief Executive Officer | |
| Dated: | November 4, 2021 | |
