THIS CONVERTIBLE PROMISSORY NOTE (THIS “NOTE”) AND THE SECURITIES ISSUABLE UPON
CONVERSION HEREOF HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS
AMENDED (THE “SECURITIES ACT”), APPLICABLE STATE SECURITIES LAWS, OR APPLICABLE
LAWS OF ANY FOREIGN JURISDICTION. THIS NOTE AND SUCH SECURITIES HAVE BEEN
ACQUIRED FOR INVESTMENT AND NOT WITH A VIEW TO DISTRIBUTION OR RESALE, AND MAY
NOT BE OFFERED, SOLD, PLEDGED, HYPOTHECATED OR OTHERWISE TRANSFERRED IN THE
ABSENCE OF AN EFFECTIVE REGISTRATION STATEMENT UNDER THE SECURITIES ACT AND ANY
APPLICABLE STATE SECURITIES LAWS AND IN THE ABSENCE OF COMPLIANCE WITH
APPLICABLE LAWS OF ANY FOREIGN JURISDICTION, OR AN OPINION OF COUNSEL
SATISFACTORY TO THE COMPANY THAT SUCH REGISTRATION IS NOT REQUIRED AND SUCH
FOREIGN JURISDICTION LAWS HAVE BEEN SATISFIED.

 

BIODRAIN MEDICAL, Inc.

 

CONVERTIBLE PROMISSORY NOTE

 

  [Eagan, Minnesota] $[      ] Issue Date: December [   ], 2012

 

1. Principal and Interest. BIODRAIN MEDICAL, INC. (the “Company”), a Minnesota
corporation, for value received, hereby promises to pay to the order of [ ] or
his, her or its assigns (“Holder”), in lawful money of the United States of
America at the address for notices to Holder set forth in the applicable
Subscription Agreement (as defined below) (or such other address as Holder shall
provide to the Company in writing pursuant thereto), the principal amount of $[
] (the “Principal Amount”), together with interest as set forth below.

 

This Note is being issued pursuant to that certain Confidential Private
Placement Memorandum (the “Memorandum”) dated as of December 21, 2012, which
sets forth the terms of the offering and sale (the “Offering”) by the Company of
up to a maximum of $300,000 (the “Maximum Offering”) of 8% convertible
promissory notes (each a “Note” and collectively the “Notes”). An investment in
the Offering shall be further governed by that certain Subscription Agreement,
of even date with the Issue Date set forth above, between the Company and Holder
(the “Subscription Agreement”).

 

This Note shall become due and payable on the one-year anniversary of the Issue
Date set forth above (the “Due Date”). The Company promises to pay interest on
the unpaid Principal Amount at a rate of eight percent (8%) per annum or such
lesser rate as shall be the maximum rate allowable under applicable law, which
interest shall accrue from the Issue Date until the Due Date or such date when
the entire Principal Amount and accrued interest thereon is paid in full in
accordance with the terms of this Note. Interest shall be computed on the basis
of a 360-day year of twelve 30-day months, shall compound annually and shall be
accrued and added to principal on an annual basis.

 

Capitalized terms used, but not otherwise defined, herein shall have the
respective meanings ascribed to such terms in the Memorandum.

 

2. Elective Conversion Options.

 

2.1 Elective Conversion Options.

 

(a) Pre-Qualified Financing Conversion Option. Notwithstanding anything herein
to the contrary, any time prior to the consummation of a Qualified Financing (as
hereinafter defined) until the repayment of the entire Principal Amount and
accrued interest thereon as permitted hereunder, Holder shall have the option to
convert any or all of the unpaid Principal Amount and accrued interest thereon
into shares (“Shares”) of the Company’s common stock, par value $0.01 per share
(the “Common Stock”) at a conversion price per share equal to $0.12, subject to
proportionate adjustment as provided in Section 3 hereof (the “Elective
Conversion Price”).

 

 

 

 

(b) Qualified Financing Conversion Option. Notwithstanding anything herein to
the contrary, upon the consummation of a Qualified Financing (as hereinafter
defined) until the repayment of the entire Principal Amount and accrued interest
thereon as permitted hereunder, Holder shall have the option to convert any or
all of such unpaid Principal Amount and accrued interest thereon into Shares of
the Company’s Common Stock, at a conversion price equal to the lesser of 75% of
the lowest price per share at which shares of the Company’s Common Stock (or
other equity securities of the Company, on an as converted basis) are sold in an
equity financing or series of related equity financings by the Company occurring
after the Issue Date (not including any sale of Notes in this Offering) which
results in aggregate gross cash proceeds (before brokers’ fees, commissions and
other transaction-related expenses) to the Company of at least $2,000,000 (a
“Qualified Financing”) or the Elective Conversion Price (subject to
proportionate adjustment as provided in Section 3 hereof).

 

(c) Holder’s conversion rights provided under this Section 2.1 are referred to
herein as the “Conversion Option”. The applicable conversion price shall be paid
by Holder by forgiveness of such amount of this Note, included all unpaid
Principal Amount and accrued interest thereon, being converted as specified in
the applicable Conversion Notice (as hereinafter defined).

 

2.2 Notice of Certain Events; Conversion Procedure for the Conversion Options.
So long as this Note remains outstanding and unless expressly waived in writing
by Holder in Holder’s sole and absolute discretion, the Company shall give
Holder at least ten (10) calendar days advance written notice in accordance with
Section 12 herein prior to the consummation of a Qualified Financing or a
Fundamental Transaction (as defined below) or the repayment of any unpaid
Principal Amount and accrued interest thereon under the Note. Holder shall have
ten (10) calendar days following receipt of such notice to elect to convert any
or all unpaid Principal Amount and accrued interest thereon into Shares of the
Company’s Common Stock in accordance with this Section 2.2. Upon conversion of
this Note pursuant to this Section 2.2, Holder shall surrender this Note, duly
endorsed, at the office of the Company and shall provide written notice (the
“Conversion Notice”) to the Company at its principal corporate office of the
election to convert the same. The Company, as soon as practicable following
receipt of the Conversion Notice, shall issue and deliver to Holder a
certificate or certificates for the number of Shares to which Holder is entitled
(such certificates bearing such legends as are required by applicable state and
federal securities laws).

 

2.3 Mechanics and Effect of Conversion for the Conversion Option. No fractional
Shares shall be issued upon any conversion hereunder. All fractional shares
shall be rounded up to the nearest whole share. Any conversion pursuant to the
Conversion Option, and the issuance of Shares of the Company’s Common Stock
pursuant thereto, shall be deemed to have occurred immediately upon the
Company’s receipt of the Conversion Notice. From and after such time, Holder
shall be treated for all purposes as the record holder of the Shares. Upon
conversion of this Note in full, with no principal or accrued interest amount
thereafter outstanding, the Company shall be released from all its obligations
and liabilities hereunder.

 

3. Effect of Certain Events.

 

3.1 Adjustment of Conversion Price upon Subdivision or Combination of Shares. If
the Company at any time after the date of issuance of this Note subdivides (by
any split, share dividend, recapitalization or otherwise) its Shares into a
greater number of shares, the Elective Conversion Price in effect immediately
prior to such subdivision will be proportionately reduced. If the Company at any
time after the date of issuance of this Note combines (by combination, reverse
stock split, recapitalization or otherwise) its Shares into a smaller number of
shares, the Elective Conversion Price in effect immediately prior to such
combination will be proportionately increased. Any adjustment under this Section
3.1 shall become effective at the close of business on the date the subdivision
or combination becomes effective.

 

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3.2 Distribution of Assets. If the Company shall propose to declare or make any
dividend or other distribution of assets (or rights to acquire its assets) to
holders of Shares, by way of return of capital or otherwise (including, without
limitation, any distribution of cash, stock or other securities, property or
options by way of a dividend, spin off, reclassification, corporate
rearrangement or other similar transaction) (each a “Distribution”), at any time
after the issuance of this Note, then, in each such case, the Company shall
provide to Holder hereof notice of such proposed Distribution at least ten (10)
days prior to such Distribution, and Holder shall have the opportunity to
convert this Note into Shares on the terms and subject to the conditions herein
contained, and thereafter participate in such Distribution.

 

3.3 Certain Events. If any event occurs of the type contemplated by the
provisions of this Section 3 that is proportionately applied to all outanding
shares of Common Stock of the Company, but not expressly provided for by such
provisions (including, without limitation, the granting of stock appreciation
rights, phantom stock rights or other rights applicable to all outstanding
shares of Common Stock , but excluding the Qualified Financing), then the
Company’s board of directors shall make an appropriate adjustment or provision
so as to protect the rights of the Holder of this Note; provided, except as set
forth in Section 3.1, that no such adjustment pursuant to this Section 3 will
increase the Elective Conversion Price, as otherwise determined pursuant to this
Note.

 

4. Prepayment.

 

4.1 Other than as provided in Section 2, Section 4.2 and Section 5 hereof,
unless expressly waived in writing by Holder, in Holder’s sole and absolute
discretion, this Note may not be prepaid at any time, in whole or in part, prior
to a Qualified Financing. At any time following the consummation of a Qualified
Financing and in accordance with the notice requirements set forth in Section
2.2 above, the Company shall have the right to prepay, without premium or
penalty, any or all of the unpaid Principal Amount and interest accrued thereon
under the Note, to the extent that Holder does not first provide the Company
with a Conversion Notice in the applicable timeframe permitted herein.

 

4.2 In the event of a Fundamental Transaction (as defined below), the Company
shall:

 

(a) pay to the Holder an amount equal to the unpaid Principal Amount of this
Note, payable in cash or such other form of Sale Proceeds (as defined below),
having a value equal to such unpaid Principal Amount; and

 

(b) pay to the Holder all accrued but unpaid interest on this Note, payable in
cash or such other form of Sale Proceeds, having a value equal to such accrued
but unpaid interest.

 

3

 

 

Upon the consummation of a Fundamental Transaction and completion by the Company
of the deliveries set forth in clauses (a) and (b) above, the indebtedness
evidenced by this Note shall be satisfied in full and no interest shall continue
to accrue on this Note and all rights of the Holder hereunder shall terminate.

 

4.3 For purposes of this Note:

 

(a) “Fundamental Transaction” means a transaction (or series of related
transactions) with one or more non-affiliates, pursuant to which such party or
parties acquire (i) capital securities of the Company or the surviving entity
possessing the voting power to elect a majority of the board of directors (or
similar governing body) of the Company or the surviving entity (whether by
merger, consolidation, sale or transfer of the Company’s capital securities or
otherwise) (a “Securities Acquisition”); or (ii) all or substantially all of the
Company’s assets determined on a consolidated basis (an “Asset Sale”); provided,
however, that a transaction (or series of related transactions) described in
subclause (i) above, pursuant to which the then-existing holders of the
Company’s capital securities immediately prior to such transaction (or series of
related transactions) continue to own, directly or indirectly, a majority of the
outstanding capital securities of the Company or such other resulting, surviving
or combined company resulting from such transaction (or series of related
transactions) shall not be deemed to be a Fundamental Transaction; provided
further that notwithstanding anything to the contrary contained herein, to the
extent any transaction (or series of related transactions) qualifies as a
Qualified Financing, such transaction(s) shall not be deemed to constitute a
Fundamental Transaction.

 

(b) “Sale Proceeds” means (i) in the event of a Securities Acquisition, the cash
or securities paid by the acquirer to the Company or the selling security
holders to acquire such securities; and (ii) in the event of an Asset Sale, the
cash or securities legally available for distribution to the Company’s
stockholders, after creation of adequate reserves for liabilities of the
Company.

 

5. Events of Default.

 

5.1 Each of the following events shall constitute a default under this Note
(each an “Event of Default”) if not cured by the Company within thirty (30)
calendar days after receipt of written notice thereof from Holder or such longer
period as set forth below:

 

(a) failure by the Company to pay the principal or interest amount due
hereunder;

 

(b) failure by the Company or the Company’s transfer agent to issue securities
issuable upon conversion of this Note to Holder within thirty (30) calendar days
after the receipt of a Conversion Notice and surrender by Holder of this Note to
the Company or the Company’s transfer agent;

 

(c) the Company shall: (1) make a general assignment for the benefit of its
creditors; (2) apply for or consent to the appointment of a receiver, trustee,
assignee, custodian, sequestrator, liquidator or similar official for itself or
any of its assets and properties; (3) commence a voluntary for relief as a
debtor under the United States Bankruptcy Code; (4) file with or otherwise
submit to any governmental authority any petition, answer or other document
seeking: (A) reorganization, (B) an arrangement with creditors or (C) to take
advantage of any other present or future applicable law respecting bankruptcy,
reorganization, insolvency, readjustment of debts, relief of debtors,
dissolution or liquidation; (5) file or otherwise submit any answer or other
document admitting or failing to contest the material allegations of a petition
or other document filed or otherwise submitted against it in any proceeding
under any such applicable law, or (6) be adjudicated a bankrupt or insolvent by
a court of competent jurisdiction;

 

4

 

 

(d) any case, proceeding or other action shall be commenced against the Company
for the purpose of effecting, or an order, judgment or decree shall be entered
by any court of competent jurisdiction approving (in whole or in part) anything
specified in Section 5.1(c) hereof, or any receiver, trustee, assignee,
custodian, sequestrator, liquidator or other official shall be appointed with
respect to the Company, or shall be appointed to take or shall otherwise acquire
possession or control of all or a substantial part of the assets and properties
of the Company, and any of the foregoing shall continue unstayed and in effect
for any period of at least sixty (60) days; or

 

(e) any material breach by the Company of any covenant, warranty, representation
or other term or condition of this Note or the Subscription Agreement at any
time which is not cured within the time periods permitted therein or, if no cure
period is provided therein, within sixty (60) days after the date on which the
Company receives written notice of such breach.

 

5.2 If any Event of Default specified in Sections 5.1(c) or (d) occurs, then the
full Principal Amount of this Note, together with any other amounts owing in
respect thereof, to the date of the Event of Default shall become immediately
due and payable in cash without any action on the part of Holder, and if any
other Event of Default occurs, the full Principal Amount of this Note, together
with any other amounts owing in respect thereof, to the date of acceleration
shall become, at Holder’s election, immediately due and payable in cash.
Commencing five (5) days after the occurrence of any Event of Default that
results in the eventual acceleration of this Note, interest on this Note shall
continue to accrue at the rate of twenty percent (20%) per annum, or such lower
maximum amount of interest permitted to be charged under applicable law. All
Notes for which the full amount hereunder, including unpaid Principal Amouunt
and accrued interest thereon, shall have been paid in accordance herewith shall
promptly be surrendered to or as directed by the Company. Holder need not
provide and the Company hereby waives any presentment, demand, protest or other
notice of any kind, and Holder may immediately and without expiration of any
grace period enforce any and all of its rights and remedies hereunder and all
other remedies available to it under applicable law. Such declaration may be
rescinded and annulled by Holder at any time prior to payment hereunder and
Holder shall have all rights as a Note holder until such time, if any, as the
full payment under this Section 5.2 shall have been received by it. No such
rescission or annulment shall affect any subsequent Event of Default or impair
any right consequent thereon.

 

6. Notice of Proposed Transfers. Prior to any proposed transfer of this Note or
the Shares, unless there is in effect a registration statement under the
Securities Act covering the proposed transfer, Holder shall give written notice
to the Company of such Holder’s intention to effect such transfer. Each such
notice shall describe the manner and circumstances of the proposed transfer in
sufficient detail, and shall, if the Company so requests, be accompanied (except
in transactions in compliance with Rule 144) by an unqualified written opinion
of legal counsel, who shall be reasonably satisfactory to the Company, addressed
to the Company and reasonably satisfactory in form and substance to the
Company’s counsel, to the effect that the proposed transfer of this Note or
Securities may be effected without registration under the Securities Act;
provided, however, no such opinion of counsel shall be necessary for a transfer
without consideration by a Holder to any affiliate of such Holder, or a transfer
by a Holder which is a partnership to a partner of such partnership or a retired
partner of such partnership who retires after the date hereof, or to the estate
of any such partner or retired partner or the transfer by gift, will or
intestate succession of any partner to his spouse or lineal descendants or
ancestors, if the transferee agrees in writing to be subject to the terms hereof
to the same extent as if such transferee were the original Holder hereunder.
Each certificate evidencing Securities or this Note transferred as above
provided shall bear an appropriate restrictive legend, except that this Note or
certificate shall not bear such restrictive legend if in the opinion of counsel
for the Company such legend is not required in order to establish compliance
with any provisions of the Securities Act.

 

5

 

 

7. Reservation of Shares. The Company covenants and agrees that all Shares will,
upon issuance on conversion of this Note, be duly authorized, validly issued,
fully paid and nonassessable, and free of all preemptive rights, liens and
encumbrances, except for restrictions on transfer provided for herein and in the
Company’s organizational documents, as amended from time to time. Prior to
executing this Note or as soon as reasonably possible thereafter, the Company
shall reserve out of its authorized and unissued Shares, solely for the purpose
of providing for the exercise of the rights to convert this Note, such number of
Shares as shall be sufficient therefore at the Elective Conversion Price, and
shall use its best efforts and take such reasonable actions as are necessary to
ensure that such securities remain so reserved for issuance in the future.

 

8. No Impairment. The Company will not, by amendment of its Certificate of
Incorporation or through any reorganization, transfer of assets, consolidation,
merger, dissolution, issue or sale of securities or any other voluntary action,
avoid or seek to avoid the observance or performance of any of the terms of this
Note, but will at all times in good faith assist in the carrying out of all such
terms and in the taking of all such action as may be necessary or appropriate in
order to protect the rights of Holder of this Note against impairment.

 

9. Waivers. The Company hereby waives presentment, demand for performance,
notice of non-performance, protest, notice of protest and notice of dishonor. No
delay on the part of Holder in exercising any right hereunder shall operate as a
waiver of such right or any other right. This Note is being delivered in and
shall be construed in accordance with the laws of the State of New York, without
regard to the conflicts of laws provisions thereof.

 

10. No Stockholder Rights. Nothing contained in this Note shall be construed as
conferring upon Holder or any other person the right to vote or to consent or to
receive notice as a stockholder of the Company.

 

11. Amendment. This Note may only be amended with the written consent of Holder,
in his, her or its sole discretion.

 

12. Notices. Any notice, other communication or payment required or permitted
hereunder shall be in writing and shall be deemed to have been given upon
delivery to the address of Holder provided pursuant to the Subscription
Agreement (or such other address as Holder shall provide to the Company in
writing pursuant thereto). The Company shall follow all notification
requirements set forth in this Note, including, without limitation, Section 2.2
hereof.

 

13. Attorneys’ Fees. If the indebtedness represented by this Note or any part
thereof is collected in bankruptcy, receivership or other judicial proceedings
or if this Note is placed in the hands of attorneys for collection after
default, the Company agrees to pay, in addition to the principal and interest
payable hereunder, reasonable attorneys’ fees and costs incurred by Holder.

 

14. Representations, Warranties and Covenants of the Company. The Company hereby
represents, warrants and covenants to Holder that:

 

6

 

 

(a) Organization, Good Standing and Qualification. The Company is a corporation
duly organized, validly existing and in good standing under the laws of the
State of Minnesota and has full corporate power and authority to conduct its
business as currently conducted. The Company is duly qualified as a foreign
corporation to do business and is in good standing in every jurisdiction in
which the property owned or leased by it or the nature of the business conducted
by it makes such qualification necessary, except to the extent that the failure
to be so qualified or in good standing would not reasonably be expected to have,
individually or in the aggregate, a material adverse effect on the business,
operations, conditions (financial or otherwise), properties, assets or results
of operations of the Company.

 

(b) Subordination.

 

(i) This Note shall rank, to the extent permitted by applicable law, senior to
all outstanding debt of the Company, except any outstanding secured debt as
described in the Memorandum.

 

(ii) So long as any of the Notes remain outstanding, the Company agrees not to
(x) issue or incur any indebtedness for borrowed money (“New Debt”) if such New
Debt is senior in right of payment to the Notes, without the prior written
consent of the holders of at least a majority of the aggregate principal amount
of the Notes then outstanding or (y) repay any existing indebtedness due or
owing to Josh Kornberg or any of his Affiliates, including any principal or
interest, for borrowed money , without the prior written consent of the holders
of at least a majority of the aggregate principal amount of the Notes then
outstanding. As used herein, “Affiliates” means a person or entity that,
directly or indirectly, through one or more intermediaries, controls or is
controlled by, or is under common control with, the person or entity specified.

 

(iii) The Company has taken, and shall take, such corporate actions and other
contractual actions, including, but not limited to, entering into subordination
agreements with third parties, as the Company in good faith believes to be
reasonably required in order to comply with this Section 14(b) from the date
first above written until such time as all Principal Amount and interest accrued
thereon under this Note has been paid in full to Holder or this Note is
converted in the manner set forth above.

 

ISSUED as of the date first above written.

 

  BIODRAIN MEDICAL, INC.           By:     Name: Josh Kornberg   Title:
President and Chief Executive Officer

 

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