0001144204-10-055801 Sample Contracts

WARRANT TO PURCHASE SHARES
CNS Response, Inc. • October 27th, 2010 • Services-misc health & allied services, nec • California

This Warrant is issued to Monarch Capital Group, LLC. (“Holder”) by CNS Response, Inc., a Delaware corporation (the “Company”), in connection with its services under the placement agent agreement dated September 30, 2010 by and between the Company and the Holder in connection with the Company’s private placement of a secured convertible note in the principal amount of $100,000, convertible into 333,333 shares of the Company’s common stock, par value $0.001 per share (“Note”), to an accredited investor.

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