0001117768-12-000182 Sample Contracts

FORM OF SECURITIES PURCHASE AGREEMENT
Securities Purchase Agreement • May 11th, 2012 • Assured Pharmacy, Inc. • Retail-drug stores and proprietary stores • New York

This Securities Purchase Agreement (this “Agreement”) is dated as of _________, between Assured Pharmacy, Inc., a Nevada corporation (the “Company”), and each purchaser identified on the signature pages hereto (each, including its successors and assigns, a “Purchaser” and collectively, the “Purchasers”).

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EMPLOYMENT AGREEMENT
Employment Agreement • May 11th, 2012 • Assured Pharmacy, Inc. • Retail-drug stores and proprietary stores • Nevada

THIS EMPLOYMENT AGREEMENT (the “Agreement”), effective as of May 9, 2012, is by and between Assured Pharmacy, Inc., a Nevada corporation with its principal place of business at 2595 Dallas Parkway, Suite 206, Frisco, Texas 75034, (the “Company”) and Mike Schneidereit (the “Employee”).

FORM OF COMMON STOCK PURCHASE WARRANT ASSURED PHARMACY, INC.
Security Agreement • May 11th, 2012 • Assured Pharmacy, Inc. • Retail-drug stores and proprietary stores

THIS COMMON STOCK PURCHASE WARRANT (the “Warrant”) certifies that, for value received, (the “Purchaser”) or his or its assigns (collectively with the Purchaser, 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 anniversary of the Initial Exercise Date (the “Termination Date”) but not thereafter, to subscribe for and purchase from Assured Pharmacy, Inc., a Nevada 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).

FORM OF 16% SENIOR CONVERTIBLE DEBENTURE DUE ___________
Convertible Security Agreement • May 11th, 2012 • Assured Pharmacy, Inc. • Retail-drug stores and proprietary stores • New York

THIS 16% SENIOR CONVERTIBLE DEBENTURE is one of a series of duly authorized and validly issued 16% Senior Convertible Debentures of Assured Pharmacy, Inc., a Nevada corporation (the “Company”), having its principal place of business at 2595 Dallas Parkway, Suite 206, Hall Office Park, Frisco, Texas 75034, designated as its 16% Senior Convertible Debenture due _____________ (this debenture, the “Debenture” and, collectively with the other debentures of such series, the “Debentures”).

AGREEMENT
Financial Advisory Agreement • May 11th, 2012 • Assured Pharmacy, Inc. • Retail-drug stores and proprietary stores

This agreement (“Agreement”), entered into on June 1, 2011 is between Assured Pharmacy, Inc. (together with its affiliates, the “Company”) and Halpern Capital, Inc. (“HC”).

AMENDMENT TO PURCHASE AGREEMENT
Purchase Agreement • May 11th, 2012 • Assured Pharmacy, Inc. • Retail-drug stores and proprietary stores

THIS AMENDMENT TO PURCHASE AGREEMENT (this "Amendment") is made as of this 15th day of July, 2009, by and between TPG, L.L.C. a Louisiana limited liability company ("Seller") and ASSURED PHARMACY, INC., a Nevada corporation ("Buyer"), and amends that certain Purchase Agreement dated as of December 12, 2006 by and between Seller and Buyer (the "Purchase Agreement").

CONSULTING AGREEMENT
Consulting Agreement • May 11th, 2012 • Assured Pharmacy, Inc. • Retail-drug stores and proprietary stores • New York

This Agreement is made as of March 30, 2012, by and between Assured Pharmacy, Inc. (“Company”), a Delaware company with its principal offices at 2595 Dallas Parkway, Suite 206, Frisco, TX 75034 and TriPoint Global Equities, LLC (“Advisor”), a Maryland limited liability company, with its principal offices at 17 State Street, Suite 2000 New York, NY 10004.

SECOND AMENDMENT TO PURCHASE AGREEMENT
Purchase Agreement • May 11th, 2012 • Assured Pharmacy, Inc. • Retail-drug stores and proprietary stores

THIS SECOND AMENDMENT TO PURCHASE AGREEMENT (this "Second Amendment") is made as of this 31st day of January, 2010, by and between TPG, L.L.C. a Louisiana limited liability company ("Seller") and ASSURED PHARMACY, INC., a Nevada corporation ("Buyer"), and amends that certain Purchase Agreement dated as of December 15, 2006 by and between Seller and Buyer, as amended (the "Purchase Agreement").

DEBENTURE PURCHASE AGREEMENT
Debenture Purchase Agreement • May 11th, 2012 • Assured Pharmacy, Inc. • Retail-drug stores and proprietary stores • New York

This DEBENTURE PURCHASE AGREEMENT (the “Agreement”), dated this 15th day of July, 2010, is made by and between ASSURED PHARMACY, INC., a Nevada corporation (the “Company”), and JOSEPH V. MCDEVITT (the “Purchaser”).

CONSULTING AGREEMENT (HARESH SHETH)
Consulting Agreement • May 11th, 2012 • Assured Pharmacy, Inc. • Retail-drug stores and proprietary stores • Nevada

This Consulting Agreement, dated as of the 18th day of July 2011 (the “Effective Date”) by and between Assured Pharmacy, Inc., a Nevada corporation (the “Company”), and Haresh Sheth (“Consultant”).

FORM OF ASSURED PHARMACY, INC. 2012 INCENTIVE COMPENSATION PLAN
Incentive Stock Option Agreement • May 11th, 2012 • Assured Pharmacy, Inc. • Retail-drug stores and proprietary stores • Nevada

This Agreement (the "Agreement") is made as of _________________, ______ (the "Grant Date") by and between Assured Pharmacy, Inc., a Nevada corporation (the “Company”), and ____________________ (the “Optionee”).

STOCK PURCHASE AGREEMENT
Stock Purchase Agreement • May 11th, 2012 • Assured Pharmacy, Inc. • Retail-drug stores and proprietary stores • Nevada

THIS STOCK PURCHASE AGREEMENT is made as of the 30th day of June, 2011 by and between TAPG, L.L.C., a Louisiana limited liability company (the “Seller”) and ASSURED PHARMACY, INC., a Nevada corporation (the “Buyer”).

REVOLVING LINE OF CREDIT AGREEMENT
Revolving Line of Credit Agreement • May 11th, 2012 • Assured Pharmacy, Inc. • Retail-drug stores and proprietary stores • New York

This Revolving Line of Credit Agreement (the "AGREEMENT") is made and entered into in this 10th day of March, 2009, by and between Brockington Securities, Inc. ("LENDER"), and Assured Pharmacy, Inc., a Nevada corporation ("BORROWER").

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