COMMON STOCK PURCHASE WARRANT GUARDION HEALTH SCIENCES, INC.Common Stock Purchase Warrant • August 12th, 2019 • Guardion Health Sciences, Inc. • Pharmaceutical preparations • New York
Contract Type FiledAugust 12th, 2019 Company Industry JurisdictionTHIS 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 the date hereof (the “Initial Exercise Date”) and on or prior to 5:00 p.m. (New York City time) on [_____]1 (the “Termination Date”) but not thereafter, to subscribe for and purchase from Guardion Health Sciences, 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 shall initially be issued and maintained in the form of a security held in book-entry form and the Depository Trust Company or its nominee (“DTC”) shall initially be the sole registered holder of this Warrant, subject to the Hold
WARRANT AGENT AGREEMENTWarrant Agent Agreement • August 12th, 2019 • Guardion Health Sciences, Inc. • Pharmaceutical preparations • New York
Contract Type FiledAugust 12th, 2019 Company Industry JurisdictionWARRANT AGENT AGREEMENT (this “Warrant Agreement”) dated as of ______________, 2019 (the “Issuance Date”) between Guardion Health Sciences, Inc., a company incorporated under the laws of the State of Delaware (the “Company”), and VStock Transfer, LLC (the “Warrant Agent”).