Company: FLDDW
Filing Date: 2025-01-22
Form Type: S-4/A
Source: 0001213900-25-005202
Chunk: 884

Company: Fold Holdings, Inc.
Filing Date: 2025-01-22
Form: S-4/A
Chunk 884
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 may disclose any such information to any third party. [ signature page follows ] Annex I-42

IN WITNESS WHEREOF, the Company has caused this Note to be duly executed as of the Issuance Date set out above.

| FOLD, INC. |     |        |
| By:        |     |        |
|            |     | Name:  |
|            |     | Title: |

Annex I-43

EXHIBIT I FOLD, INC. CONVERSION NOTICE Reference is made to the Senior Secured Convertible Note (the “ Note ”) issued to the undersigned by Fold, Inc., a Delaware corporation (the “ Company ”). In accordance with and pursuant to the Note, the undersigned hereby elects to convert the Conversion Amount (as defined in the Note) of the Note indicated below into shares of Common Stock, $0.0001 par value per share (the “ Common Stock ”), of the Company, as of the date specified below. Capitalized terms not defined herein shall have the meaning as set forth in the Note.

|                                           |     | Date of Conversion:                                                                                                                                                            |
|                                           |     | Aggregate Principal to be converted:                                                                                                                                           |
|                                           |     | Aggregate accrued and unpaid Interest and accrued and unpaid Late Charges with respect to such portion of the Aggregate Principal and such Aggregate Interest to be converted: |
|                                           |     | AGGREGATE CONVERSION AMOUNT TO BE CONVERTED:                                                                                                                                   |
| Please confirm the following information: |     |                                                                                                                                                                                |
|                                           |     | Conversion Price:                                                                                                                                                              |
|                                           |     | Number of shares of Common Stock to be issued:                                                                                                                                 |

☐ If this Conversion Notice is being delivered with respect to an Alternate Conversion, check here if Holder is electing to use the following Alternate Conversion Price:____________ Please issue the Common Stock into which the Note is being converted to Holder, or for its benefit, as follows: ☐ Check here if requesting delivery as a certificate to the following name and to the following address:

| Issue to: |

☐ Check here if requesting delivery by Deposit/Withdrawal at Custodian as follows:

| DTC Participant: |
| DTC Number:      |
| Account Number:  |

| Date: _____________ __,______ |     |         |
| Name of Registered Holder     |     |         |
| By:                           |     |         |
|                               |     | Name:   |
|                               |     | Title: