0001144204-11-059039 Sample Contracts

FORM OF WARRANT TO PURCHASE SHARES
Warrant Agreement • October 24th, 2011 • CNS Response, Inc. • Services-misc health & allied services, nec • California

This Warrant is issued to ________________ (“Holder”) by CNS Response, Inc., a Delaware corporation (the “Company”), in connection with the contemporaneous issuance to the Holder of a Note in the aggregate principal amount of $_________(the “Note”). All capitalized terms not defined in this Warrant shall have the meaning ascribed to them in the Note.

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CNS RESPONSE, INC. AMENDED AND RESTATED SECURITY AGREEMENT
Security Agreement • October 24th, 2011 • CNS Response, Inc. • Services-misc health & allied services, nec • California

AMENDED AND RESTATED SECURITY AGREEMENT (this “Agreement”), dated as of September 30, 2011, by and between CNS Response, Inc., a Delaware corporation (the “Company”), and Paul Buck, as administrative agent (in such capacity, the “Administrative Agent”) for the Secured Parties (as defined below).

NOTE AND WARRANT PURCHASE AGREEMENT
Note and Warrant Purchase Agreement • October 24th, 2011 • CNS Response, Inc. • Services-misc health & allied services, nec • California

THIS NOTE AND WARRANT PURCHASE AGREEMENT (this “Agreement”) is made as of October 18, 2011 by and between CNS Response, Inc., a Delaware corporation (the “Company”), and the investors listed on Schedule A hereto (each, an “Investor” and together, the “Investors”).

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