conversion agreement SUBORDINATED CONVERTIBLE PROMISSORY NOTESConversion Agreement • June 20th, 2012 • CNS Response, Inc. • Services-misc health & allied services, nec • California
This Conversion Agreement (this “Agreement”) is entered into as of June 12, 2012 by and between CNS Response, Inc., a Delaware corporation (the “Company”) and the undersigned (“Holders”), as the holders of subordinated convertible promissory notes (collectively, the “Notes” and each, a “Note”) in the aggregate principal amount set forth opposite each such holder's name below, and of the related warrants (collectively, the “Warrants” and each, a “Warrant”) to purchase the number of shares of common stock, par value $0.001 per share (the “Common Stock”), set forth opposite each such holder’s name.
conversion agreement SUBORDINATED CONVERTIBLE PROMISSORY NOTESConversion Agreement • June 20th, 2012 • CNS Response, Inc. • Services-misc health & allied services, nec • California
This Conversion Agreement (this “Agreement”) is entered into as of June 12, 2012 by and between CNS Response, Inc., a Delaware corporation (the “Company”) and the undersigned (“Holders”), as the holders of subordinated convertible promissory notes (collectively, the “Notes” and each, a “Note”) in the aggregate principal amount set forth opposite each such holder's name below, and of the related warrants (collectively, the “Warrants” and each, a “Warrant”) to purchase the number of shares of common stock, par value $0.001 per share (the “Common Stock”), set forth opposite each such holder’s name.
conversion agreement SENIOR CONVERTIBLE PROMISSORY NOTESConversion Agreement • June 20th, 2012 • CNS Response, Inc. • Services-misc health & allied services, nec • California
This Conversion Agreement (this “Agreement”) is entered into as of June 12, 2012 by and between CNS Response, Inc., a Delaware corporation (the “Company”) and the undersigned (“Holders”), as the holders of senior convertible promissory notes (collectively, the “Notes” and each, a “Note”) in the aggregate principal amount set forth opposite each such holder's name below, and of the related warrants (collectively, the “Warrants” and each, a “Warrant”) to purchase the number of shares of common stock, par value $0.001 per share (the “Common Stock”), set forth opposite each such holder’s name.
CNS RESPONSE, INC. [___] SHARES OF COMMON STOCK AND [___] COMMON STOCK PURCHASE WARRANTS FORM OF UNDERWRITING AGREEMENTUnderwriting Agreement • June 20th, 2012 • CNS Response, Inc. • Services-misc health & allied services, nec • New York
Form of Representative’s Option AgreementRepresentative’s Option Agreement • June 20th, 2012 • CNS Response, Inc. • Services-misc health & allied services, nec • New York
THIS PURCHASE OPTION IS NOT EXERCISABLE PRIOR TO _________2013, [DATE THAT IS ONE YEAR AFTER DATE OF PROSPECTUS]. VOID AFTER 5:00 P.M., EASTERN TIME, ______________, 2017 [DATE THAT IS FIVE YEARS AFTER DATE OF PROSPECTUS].
