0001564590-18-031406 Sample Contracts

FORM OF SENIOR INDENTURE BETWEEN ACHIEVE LIFE SCIENCES, INC. AND AS TRUSTEE
Senior Indenture • December 26th, 2018 • Achieve Life Sciences, Inc. • In vitro & in vivo diagnostic substances • New York

THIS INDENTURE, dated as of , between ACHIEVE LIFE SCIENCES, INC., a Delaware corporation (the “Company”), and , a , as trustee (the “Trustee”).

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FORM OF SUBORDINATED INDENTURE Between ACHIEVE LIFE SCIENCES, INC. and AS TRUSTEE Dated as of
Subordinated Indenture • December 26th, 2018 • Achieve Life Sciences, Inc. • In vitro & in vivo diagnostic substances • New York

THIS SUBORDINATED INDENTURE, dated as of , between ACHIEVE LIFE SCIENCES, INC., a Delaware corporation (the “Company”), and , a , as trustee (the “Trustee”).

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