FORM CONVERTIBLE NOTE Maturity Date: 12 Months from Note closing dateConvertible Note • June 27th, 2013 • Cytosorbents Corp • Surgical & medical instruments & apparatus
Contract Type FiledJune 27th, 2013 Company IndustryFOR VALUE RECEIVED, the undersigned CytoSorbents Corporation (the “Company”), promises to pay in equity as set forth below on or before June 21, 2014, to_________________________ (“Creditor"), at New York, NY the principal sum of ____________ ($0.00) (the “Principal”), together with interest accruing thereon at the rate of 8% per annum, payable on or before maturity of the Note. This Note together with any Warrants issued hereunder shall be defined as the Securities (the “Securities”).