NeuroOne Medical Technologies Corporation BROKER WarrantNEUROONE MEDICAL TECHNOLOGIES Corp • July 5th, 2019 • Surgical & medical instruments & apparatus
Company FiledJuly 5th, 2019 IndustryThis Certifies That, for value received, [__], or his/her/our registered assigns (the “Holder”), is entitled to subscribe for and purchase from NeuroOne Medical Technologies Corporation, a Delaware corporation (the “Company”), at any time commencing on [__], 2019 and expiring on [__], 2024 (such period, the “Warrant Exercise Term”), the Shares at the Exercise Price (each as defined in Section 1 below). This Warrant is issued in connection with that certain Placement Agent Agreement, dated [___], by and between the Company and [___], [an affiliate of Holder], as amended.