CONVERTIBLE PROMISSORY NOTEConvertible Promissory Note • January 3rd, 2013 • Originoil Inc • Industrial organic chemicals • Nevada
Contract Type FiledJanuary 3rd, 2013 Company Industry JurisdictionFOR VALUE RECEIVED, OriginOil, Inc., a Nevada corporation, (the “Borrower”) with approximately 17,300,000 common shares issued and outstanding, promises to pay to ______________, a ________________, or its assignees (the “Lender”) the Principal Sum along with the Interest and any other fees according to the terms herein (the “Note”). The Note shall become effective on ____________ (the “Effective Date”).