0001144204-17-031600 Sample Contracts

SERIES J COMMON STOCK PURCHASE WARRANT GREAT BASIN SCIENTIFIC, INC.
Warrant Agreement • June 8th, 2017 • Great Basin Scientific, Inc. • Surgical & medical instruments & apparatus • New York

THIS SERIES J COMMON STOCK PURCHASE WARRANT (this “Warrant”) certifies that, for value received, _____________ or its assigns (the “Holder”) is entitled, upon the terms and subject to the limitations on exercise and the conditions hereinafter set forth, at any time on or after ________, 2017 (the “Initial Exercise Date”) and on or prior to the close of business on the sixtieth (60th) day following the Initial Exercise Date (the “Termination Date”) but not thereafter, to subscribe for and purchase from Great Basin Scientific, Inc., a Delaware corporation (the “Company”), up to ______ shares (as subject to adjustment hereunder, the “Warrant Shares”) of Common Stock. The purchase price of one share of Common Stock under this Warrant shall be equal to the Exercise Price, as defined in Section 2(b). This Warrant is issued pursuant to the Subscription Agreement (as hereinafter defined).

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Great Basin Scientific, Inc. 420 E. South Temple, Suite 520 Salt Lake City, Utah 84111 Gentlemen:
Subscription Agreement • June 8th, 2017 • Great Basin Scientific, Inc. • Surgical & medical instruments & apparatus • New York

The undersigned (the “Investor”) hereby confirms its agreement with Great Basin Scientific, Inc., a Delaware corporation (the “Company”), as follows:

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