Form of Warrant Exercise and Replacement AgreementWarrant Exercise and Replacement Agreement • May 20th, 2015 • LabStyle Innovations Corp. • Surgical & medical instruments & apparatus • New York
Reference is made to that certain Warrant Agreement between LabStyle Innovations Corp., a Delaware corporation (the “Company”), and __________ (the “Purchaser”), dated as of __________ (the “Warrant Agreement”), attached hereto as Exhibit A, pursuant to which the Company granted the Purchaser a warrant to acquire up to an aggregate of __________ shares of Common Stock, par value $0.0001 per share, of the Company at a per share exercise price of $0.24 (subject to certain adjustments as provided in the Warrant Agreement) (the “Warrant”). The Warrant is one of a series of similar warrants issued by the Company pursuant to that certain Securities Purchase Agreement dated __________ by and among the Company and the purchasers identified therein (the “Securities Purchase Agreement”), attached hereto as Exhibit B. Capitalized terms not otherwise defined herein shall have the meanings given to them in the Securities Purchase Agreement and the Warrant.
NEITHER THIS SECURITY NOR THE SECURITIES INTO WHICH THIS SECURITY IS EXERCISABLE HAS BEEN REGISTERED WITH THE SECURITIES AND EXCHANGE COMMISSION OR THE SECURITIES COMMISSION OF ANY STATE IN RELIANCE UPON AN EXEMPTION FROM REGISTRATION UNDER THE...Common Stock Purchase Warrant • May 20th, 2015 • LabStyle Innovations Corp. • Surgical & medical instruments & apparatus
THIS CERTIFIES THAT, for value received, __________ (the “Holder”), is entitled to subscribe for and purchase, at the Exercise Price (as defined below), from LabStyle Innovations Corp., a Delaware corporation (the “Company”), shares of the Company’s common stock, par value $0.0001 (the “Common Stock”), at any time prior to 5:00 p.m., New York time, on _________________ (the “Warrant Exercise Term”).
