0001096906-13-001898 Sample Contracts

COMMON STOCK PURCHASE WARRANT ACTIVECARE, INC.
Activecare, Inc. • December 27th, 2013 • Communications equipment, nec

THIS COMMON STOCK PURCHASE WARRANT (the “Warrant”) certifies that, for value received, _____________ or its assigns (the “Holder”) is entitled, upon the terms and subject to the limitations on exercise and the conditions hereinafter set forth, at any time on or after the date hereof (the “Initial Exercise Date”) and on or prior to the close of business on the five (5) year anniversary of the Initial Exercise Date (the “Termination Date”) but not thereafter, to subscribe for and purchase from ActiveCare, Inc., a Delaware corporation (the “Company”), up to ______ shares (as subject to adjustment hereunder, the “Warrant Shares”) of Common Stock. The purchase price of one share of Common Stock under this Warrant shall be equal to the Exercise Price, as defined in Section 2(b).

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LOAN CONVERSION AGREEMENT
Loan Conversion Agreement • December 27th, 2013 • Activecare, Inc. • Communications equipment, nec • Utah

THIS LOAN CONVERSION AGREEMENT (this “Agreement”) is executed on _____________ (the “Effective Date”), by and between ____________ (“Lender”) and ActiveCare, Inc., a Delaware corporation (“Company”).

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