0001104659-13-020821 Sample Contracts

SUNSHINE HEART, INC. and , as Warrant Agent FORM OF DEBT SECURITIES WARRANT AGREEMENT Dated as of
Warrant Agreement • March 15th, 2013 • Sunshine Heart, Inc. • Electromedical & electrotherapeutic apparatus • New York

This DEBT SECURITIES WARRANT AGREEMENT (this “Agreement”), dated as of between SUNSHINE HEART, INC., a Delaware corporation (the “Company”), and , a [corporation] [national banking association] organized and existing under the laws of and having a corporate trust office in , as warrant agent (the “Warrant Agent”).

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SUNSHINE HEART, INC. and , as Warrant Agent FORM OF COMMON STOCK WARRANT AGREEMENT Dated as of
Warrant Agreement • March 15th, 2013 • Sunshine Heart, Inc. • Electromedical & electrotherapeutic apparatus • New York

This COMMON STOCK WARRANT AGREEMENT (this “Agreement”), dated as of between SUNSHINE HEART, INC., a Delaware corporation (the “Company”), and , a [corporation] [national banking association] organized and existing under the laws of and having a corporate trust office in , as warrant agent (the “Warrant Agent”).

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