0001683168-23-006484 Sample Contracts

ESCROW AGREEMENT
Escrow Agreement • September 15th, 2023 • Autonomix Medical, Inc. • Surgical & medical instruments & apparatus • Delaware

This ESCROW AGREEMENT (this “Agreement”) dated as of this ___ day of September 2023 by and among Autonomix Medical, Inc., a Delaware corporation (the “Company”), having an address at 21 Waterway Avenue, Suite 300, Woodlands, Texas 77380; Digital Offering, LLC, having an address at 1461 Glenneyre Street, Suite D, Laguna Beach, CA 92651 (“Placement Agent”), and WILMINGTON TRUST, NATIONAL ASSOCIATION (the “Escrow Agent”). The Company and the Placement Agent, each a “Party,” are collectively referred to as “Parties” and individually, a “Party.”

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Indemnification AND ADVANCEMENT Agreement
Indemnification and Advancement Agreement • September 15th, 2023 • Autonomix Medical, Inc. • Surgical & medical instruments & apparatus • Delaware

This Indemnification Agreement (this “Agreement”) is made as of _______________, by and between Autonomix Medical, Inc., a Delaware corporation (the “Company”), and __________ (“Indemnitee”). Capitalized terms used but not otherwise defined herein have the meanings set forth in Section 12.

EXCLUSIVE LICENSE TERMINATION AGREEMENT
Exclusive License Termination Agreement • September 15th, 2023 • Autonomix Medical, Inc. • Surgical & medical instruments & apparatus • New York

THIS EXCLUSIVE LICENSE TERMINATION AGREEMENT (this “Agreement”) is made as of July 7, 2023, by and among Impulse Medical, Inc., a Delaware corporation (“Impulse”), Autonomix Medical, Inc., a Delaware corporation (“Autonomix”), Michael Fulton, M.D. (“Fulton”) and David Robins (“Robins”). Autonomix, Impulse, Fulton and Robins are referred to herein individually as a “Party” and collectively as the “Parties.”

TRI-PARTY ESCROW AGREEMENT
Tri-Party Escrow Agreement • September 15th, 2023 • Autonomix Medical, Inc. • Surgical & medical instruments & apparatus • Missouri

This ESCROW AGREEMENT (“Agreement”) is made and entered into as of August 31, 2023, by and among Autonomix Medical, Inc., a Delaware Corporation (the “Company”), DealMaker Securities LLC, a Florida limited liability company (the “Managing Broker-Dealer”), and Digital Offering, LLC, a Delaware limited liability company (the “Senior Managing Broker-Dealer”) and ENTERPRISE BANK & TRUST, a Missouri chartered trust company with banking powers (in its capacity as escrow holder, the “Escrow Agent”).

EXCLUSIVE LICENSE AGREEMENT
Exclusive License Agreement • September 15th, 2023 • Autonomix Medical, Inc. • Surgical & medical instruments & apparatus • Texas

THIS EXCLUSIVE LICENSE AGREEMENT (this “Agreement”) is made as of December 21, 2021 (the “Effective Date”), by and between AUTONOMIX MEDICAL, INC., a Delaware corporation (“Licensor”), and IMPULSE MEDICAL, INC., a Delaware corporation (“Licensee”). Licensor and Licensee are each individually referred to herein without distinction as a “Party” and collectively as the “Parties”.

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