0001316645-14-000019 Sample Contracts

SUBSCRIPTION AGREEMENT
Subscription Agreement • May 9th, 2014 • American Caresource Holdings, Inc. • Services-misc health & allied services, nec • New York

This Subscription Agreement (this “Agreement”) is being delivered to the purchaser identified on the signature page to this Agreement (the “Subscriber”) in connection with its investment in American CareSource Holdings, Inc., a Delaware corporation (the “Company”). The Company is conducting a private placement of up to $2,000,000 in value of shares (the “Shares” or the “Securities”) of the Company’s common stock, par value $0.01 per share (the “Common Stock”) at a purchase price of $2.00 per Share (the “Offering”).

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