Document ID: 13602

Text:
[Date] in TEST Corporation 804 Eastgate Drive, Suite 200 Mount Laurel, NJ 08054 Attention: Hugh T. Regan, Jr. Re:Undertaking to Repay Advancement of expenses Ladies and Gentlemen: This undertaking is being provided pursuant to that certain Indemnification Agreement, dated _______, by and between in TEST Corporation , a Delaware corporation (the "Company"), and the undersigned as Indemnitee (the "Indemnification Agreement"). Terms used herein and not otherwise defined shall have the meanings ascribed to them in the Indemnification Agreement. Pursuant to the Indemnification Agreement, among other things, I am entitled to the advancement of Expenses paid or incurred in connection with Claims relating to Indemnifiable Events. I have become subject to [DESCRIPTION OF PROCEEDING] (the "Proceeding") based on [my status as an officer/a director of the Company] or [alleged actions or failures to act in my capacity as an officer/a director of the Company]. [This undertaking also constitutes notice to the Company of the Proceeding pursuant to Section 8 of the Indemnification Agreement. The following is a brief description of the facts, nature and current status of the Proceeding: [DESCRIPTION OF PROCEEDING]] Pursuant to Section 5 of the Indemnification Agreement, I hereby request an Expense Advance in connection with the Proceeding. The Expenses for which advances are requested are as follows: [DESCRIPTION OF EXPENSES] In connection with this request for Expense Advances, I hereby undertake to repay any amounts paid, advanced or reimbursed by the Company for such Expense Advances to the extent that it is ultimately determined that I am not entitled to indemnification under the Indemnification Agreement. This undertaking shall be governed by and construed in accordance with the laws of the State of Delaware, without regard to the principles of conflicts of laws thereof.

Named Entities:
4
5
Parties
6
15
Address
19
25
PII_Ref
47
48
Title
330
332
Court

Tokenized Text:
[
Date
]
in
TEST
Corporation
804
Eastgate
Drive
,
Suite
200
Mount
Laurel
,
NJ
08054
Attention
:
Hugh
T
.
Regan
,
Jr
.
Re
:
Undertaking
to
Repay
Advancement
of
expenses
Ladies
and
Gentlemen
:
This
undertaking
is
being
provided
pursuant
to
that
certain
Indemnification
Agreement
,
dated
_______
,
by
and
between
in
TEST
Corporation
,
a
Delaware
corporation
(
the
"
Company
"
)
,
and
the
undersigned
as
Indemnitee
(
the
"
Indemnification
Agreement
"
)
.
Terms
used
herein
and
not
otherwise
defined
shall
have
the
meanings
ascribed
to
them
in
the
Indemnification
Agreement
.
Pursuant
to
the
Indemnification
Agreement
,
among
other
things
,
I
am
entitled
to
the
advancement
of
Expenses
paid
or
incurred
in
connection
with
Claims
relating
to
Indemnifiable
Events
.
I
have
become
subject
to
[
DESCRIPTION
OF
PROCEEDING
]
(
the
"
Proceeding
"
)
based
on
[
my
status
as
an
officer
/
a
director
of
the
Company
]
or
[
alleged
actions
or
failures
to
act
in
my
capacity
as
an
officer
/
a
director
of
the
Company
]
.
[
This
undertaking
also
constitutes
notice
to
the
Company
of
the
Proceeding
pursuant
to
Section
8
of
the
Indemnification
Agreement
.
The
following
is
a
brief
description
of
the
facts
,
nature
and
current
status
of
the
Proceeding
:
[
DESCRIPTION
OF
PROCEEDING
]
]
Pursuant
to
Section
5
of
the
Indemnification
Agreement
,
I
hereby
request
an
Expense
Advance
in
connection
with
the
Proceeding
.
The
Expenses
for
which
advances
are
requested
are
as
follows
:
[
DESCRIPTION
OF
EXPENSES
]
In
connection
with
this
request
for
Expense
Advances
,
I
hereby
undertake
to
repay
any
amounts
paid
,
advanced
or
reimbursed
by
the
Company
for
such
Expense
Advances
to
the
extent
that
it
is
ultimately
determined
that
I
am
not
entitled
to
indemnification
under
the
Indemnification
Agreement
.
This
undertaking
shall
be
governed
by
and
construed
in
accordance
with
the
laws
of
the
State
of
Delaware
,
without
regard
to
the
principles
of
conflicts
of
laws
thereof
.