Exhibit 10.1


 


Final Form


Exhibit B 


FORM OF VOTING AND SUPPORT AGREEMENT



 


VOTING AND SUPPORT
AGREEMENT (this “Agreement”), dated as of [●], 2017 by and among Bearing Resources Ltd., a corporation
organized under the laws of British Columbia, Canada (“Bearing”), LI Acquisition Corporation, a Nevada corporation
(“Sub”), Li3 Energy Inc., a Nevada corporation (the “Company”), and the undersigned stockholder
of the Company (“Stockholder”).


 


WHEREAS, on January
27, 2017, the Company, Bearing and Sub entered into an Agreement and Plan of Merger (the “Merger Agreement”);


 


WHEREAS, capitalized
terms used but not defined in this Agreement have the respective meanings ascribed thereto in the Merger Agreement; and


 


WHEREAS, as of the
date hereof, Stockholder is the beneficial owner of the number of shares of common stock, $0.001 par value, of the Company (the
“Company Common Stock”) set forth under such Stockholders name on the signature page hereto (such shares, together
with any other shares of Company Common Stock acquired by Stockholder after the date hereof, being collectively referred to herein
as the “Stockholder Shares”).


 


NOW, THEREFORE, in
consideration of the foregoing and the mutual covenants and agreements contained herein, the parties hereto, intending to be legally
bound hereby, agree as follows:


 


1. Agreements of
Stockholder.


 


(a) Voting. From
the date hereof until any termination of this Agreement in accordance with its terms, at any meeting of the stockholders of the
Company however called (or any action by written consent in lieu of a meeting) or any adjournment thereof, Stockholder, to the
extent submitted to the holders of Company Common Stock for their approval as required by applicable Law and/or the Organizational
Documents of the Company, shall vote all Stockholder Shares (or cause them to be voted) or (as appropriate) execute written consents
in respect thereof, (i) in favor of and for the adoption of the Merger Agreement, the Articles of Merger, the Merger and the other
transactions contemplated by the Merger Agreement, (ii) against any alternative transaction relating to any merger, business combination
or acquisition regarding the Company (including a sale of a majority of the outstanding equity interests of the Company or a sale
of all or substantially all of the assets of the Company and its Subsidiaries, taken as a whole) and not involving Bearing or its
Affiliate, and (iii) against any agreement (including any amendment of any agreement), amendment of the Organizational Documents
of the Company or other action that is intended or would reasonably be expected to prevent, impede, materially interfere with or
materially delay, the consummation of the Merger. Any such vote shall be cast (or consent shall be given) by Stockholder in accordance
with such procedures relating thereto so as to ensure that it is duly counted, including for purposes of determining that a quorum
is present and for purposes of recording the results of such vote (or consent).


 


 (b) Irrevocable
Proxy. Stockholder hereby appoints Bearing and any designee of Bearing, and each of them individually, its proxies and attorneys-in-fact,
with full power of substitution and re-substitution, to vote or act by written consent during the term of this Agreement with respect
to the Stockholder Shares in accordance with Section 1(a). This proxy and power of attorney is given to secure the performance
of the duties of Stockholder under this Agreement. Stockholder shall take such further reasonable action or execute such other
reasonable instruments as may be necessary to effectuate the intent of this irrevocable proxy contained in this Section 1(b). This
irrevocable proxy and power of attorney granted by Stockholder shall be irrevocable during the term of this Agreement, shall be
deemed to be coupled with an interest sufficient in law to support an irrevocable proxy and shall revoke any and all prior proxies
granted by Stockholder with respect to the Stockholder Shares. The power of attorney granted by Stockholder herein is a durable
power of attorney and shall survive the dissolution, bankruptcy, death or incapacity of Stockholder. The proxy and power of attorney
granted hereunder shall terminate upon the termination of this Agreement.


 


(c) Voting. Stockholder
shall retain at all times the right to vote all Stockholder Shares in its sole discretion and without any other limitation on those
matters other than those set forth in Section 1(a) that are at any time or from time to time presented for consideration to the
Company’s stockholders generally.


 




     


     


    

 


(d) Appraisal Rights.
Stockholder hereby waives, and agrees not to exercise or assert, any appraisal or similar rights under Sections 78.3793, 92A.300
– 92A.500 (inclusive) of the Nevada Revised Statutes, or other applicable Law in connection with the transactions contemplated
under the Merger Agreement, including the Merger.


 


(e) Restriction on
Transfer; Proxies; Non-Interference; etc. From the date hereof until the termination of this Agreement in accordance with its
terms, Stockholder shall not directly or indirectly (i) sell, transfer (including by operation of law), give, pledge, encumber,
assign or otherwise dispose of, or enter into any contract, option or other arrangement or understanding with respect to the sale,
transfer, gift, pledge, encumbrance, assignment, constructive disposition or other disposition of, any Stockholder Shares (or any
right, title or interest thereto or therein), (ii) deposit any Stockholder Shares into a voting trust or grant any proxies or enter
into a voting agreement, power of attorney or voting trust with respect to any Stockholder Shares, (iii) take any action that would
make any representation or warranty of Stockholder set forth in this Agreement untrue or incorrect in any material respect or have
the effect of preventing, disabling or delaying Stockholder from performing any of its obligations under this Agreement or (iv)
agree (whether or not in writing) to take any of the actions referred to in the foregoing clauses (i), (ii) or (iii) of this Section
1(e). Notwithstanding anything to the contrary contained in this Section 1(e), Stockholder may transfer all or any portion of the
Stockholder Shares prior to the termination of this Agreement to a recipient who agrees it writing with Bearing, Sub and the Company
to be bound by the terms of this Agreement applicable to the Stockholder.


 


 (f) Publication.
Stockholder consents to Bearing, Sub and the Company publishing and disclosing in the Proxy Statement/Prospectus and Registration
Statement on in any other required SEC Document or TSX-V Document Stockholder’s identity and ownership of Company Common
Stock and the nature of Stockholder’s commitments, arrangements and understandings under this Agreement. Bearing or the Company,
as the applicable disclosing party, agrees to provide Stockholder with a reasonable advance opportunity to review and comment on
such disclosure. Stockholder shall not issue any press release or make any other public statement with respect to this Agreement,
the Merger Agreement or any of the transactions contemplated herein and therein without the prior written consent of Bearing and
the Company, except for filings required under the Exchange Act with respect to Stockholder’s beneficial ownership of Stockholder
Shares and except as required by applicable Law.


 


2. Representations
and Warranties of Bearing and Sub. Bearing and Sub each hereby jointly and severally represents and warrants to Stockholder
as follows:


 


(a) Organization;
Authority. Each of Bearing and Sub is a corporation duly organized, validly existing and in good standing under the Laws of
the jurisdiction in which it is incorporated. Each of Bearing and Sub has all necessary corporate power and authority to execute
and deliver this Agreement, and to perform its obligations under this Agreement. The execution, delivery and performance by Bearing
and Sub of this Agreement have been duly authorized and approved by their respective boards of directors (and prior to the Effective
Time will be adopted by Bearing as the sole stockholder of Sub), and no other corporate action on the part of Bearing and Sub is
necessary to authorize the execution, delivery and performance by Bearing and Sub of this Agreement. This Agreement has been duly
executed and delivered by Bearing and Sub and, assuming due authorization, execution and delivery hereof by the Stockholder, constitutes
a legal, valid and binding obligation of each of Bearing and Sub, enforceable against each of them in accordance with its terms,
subject to the qualification that such enforceability may be limited by bankruptcy, insolvency, reorganization or other laws of
general application relating to or affecting rights of creditors and that equitable remedies, including specific performance, are
discretionary and may not be ordered.


 


3. Representations
and Warranties of Stockholder. Stockholder hereby represents and warrants to Bearing, Sub and the Company as follows:


 


(a) Organization;
Authority. Stockholder, if an entity, is duly organized, validly existing under the Laws of its jurisdiction of organization.
Stockholder has all necessary power and authority to execute and deliver this Agreement and to perform its obligations under this
Agreement. The execution, delivery and performance by Stockholder of this Agreement and the transactions contemplated hereby have
been duly authorized and approved by all necessary action on the part of Stockholder, and no further action on the part of Stockholder
is necessary to authorize the execution, delivery and performance by Stockholder of this Agreement. This Agreement has been duly
executed and delivered by Stockholder and, assuming the due and valid authorization, execution and delivery hereof by Bearing,
Sub and the Company, constitutes a valid and binding obligation of Stockholder, enforceable against Stockholder in accordance with
its terms, subject to the qualification that such enforceability may be limited by bankruptcy, insolvency, reorganization or other
laws of general application relating to or affecting rights of creditors and that equitable remedies, including specific performance,
are discretionary and may not be ordered.


 




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(b) Consents and Approvals;
No Violations. No consents or approvals of, or filings, declarations or registrations with, any Governmental Entity or third
party are necessary for the performance by Stockholder of its obligations under this Agreement, other than such other consents,
approvals, filings, declarations or registrations that, if not obtained, made or given, would not, individually or in the aggregate,
reasonably be expected to prevent or materially delay the performance by Stockholder of any of its material obligations under this
Agreement and except for filings required under the Exchange Act with respect to Stockholder’s beneficial ownership of Stockholder
Shares. Neither the execution and delivery of this Agreement by Stockholder, nor the performance by Stockholder with its obligations
under this Agreement, will (A) conflict with or violate any provision of the organizational documents of Stockholder or (B) (x)
violate any Law or Order applicable to Stockholder or any of its Affiliates or any of their respective properties or assets, or
(y) violate, conflict with, result in the loss of any material benefit under, constitute a default (or an event which, with notice
or lapse of time, or both, would constitute a default) under, result in the termination of or a right of termination or cancellation
under, accelerate the performance required by, or result in the creation of any Lien upon any of the respective properties or assets
of, Stockholder or any of its Affiliates under, any of the terms, conditions or provisions of any note, bond, mortgage, indenture,
deed of trust, license, permit, lease, agreement or other instrument or obligation to which Stockholder or any of its Affiliates
is a party, or by which they or any of their respective properties or assets may be bound or affected, except for such violations,
conflicts, losses, defaults, terminations, cancellations, accelerations or Liens as would not, individually or in the aggregate,
reasonably be expected to prevent or materially delay the performance by Stockholder of any of its material obligations under this
Agreement.


 


(c) Ownership of Shares.
As of the date of this Agreement, Stockholder owns, beneficially or of record, all of the Stockholder Shares. Stockholder owns
all of the Stockholder Shares free and clear of any proxy, voting restriction, adverse claim or other Lien (other than proxies
and restrictions in favor of Bearing and Sub pursuant to this Agreement and except for such transfer restrictions of general applicability
as may be provided under the Securities Act and the “blue sky” laws of the various states of the United States). Without
limiting the foregoing, except for proxies and restrictions in favor of Bearing and Sub pursuant to this Agreement, except as described
in a Schedule 13D or Schedule 13G filed with the SEC prior to the date hereof and except for such transfer restrictions of general
applicability as may be provided under the Securities Act and the “blue sky” laws of the various States of the United
States, Stockholder has sole voting power and sole power of disposition with respect to all Stockholder Shares, with no restrictions
on Stockholder’s rights of voting or disposition pertaining thereto, and no Person other than Stockholder has any right to
direct or approve the voting or disposition of any Stockholder Shares. As of the date hereof, Stockholder does not own, beneficially
or of record, any securities of the Company other than the Stockholder Shares.


  


(d) Brokers. No
broker, investment banker, financial advisor or other Person is entitled to any broker’s, finder’s, financial advisor’s
or other similar fee or commission that is payable by the Company, Bearing, Sub or any of their respective subsidiaries in connection
with the transactions contemplated herein based upon arrangements made by or on behalf of Stockholder.


 


4. Termination.
This Agreement shall terminate automatically without any further action of the parties on the first to occur of (a) the termination
of the Merger Agreement in accordance with its terms and (b) the Effective Time or, if earlier, on the mutual written consent of
the parties hereto. Additionally, Stockholder shall have the right to terminate this Agreement immediately following (i) any decrease
in consideration payable to Company shareholders in the Merger, (ii) any change to the form of consideration payable in the Merger
to include a non-publicly-traded security and (iii) December 31, 2017. Notwithstanding the foregoing, (A) nothing herein shall
relieve any party from liability for breach of this Agreement prior to termination and (B) the provisions of this Section 4 and
Section 5 of this Agreement shall survive any termination of this Agreement.


 




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5. Miscellaneous.


 


(a) Action in Stockholder
Capacity Only. The parties acknowledge that this Agreement is entered into by Stockholder solely in its capacity as owner of
the Stockholder Shares and that nothing in this Agreement is intended to or shall in any way restrict or limit any director, officer
or employee of the Company from taking any action in his or her capacity as a director, officer or employee of the Company that
is necessary for him or her to comply with his or her duties as a director, officer or employee of the Company, including participating
in his or her capacity as a director of the Company in any discussions or negotiations in accordance with, and making any determinations
or recommendations in his or her capacity as a director with respect the Merger Agreement, and no action taken by any individual
in his or her capacity as a director, officer or employee of the Company shall give rise to or be deemed a breach of this Agreement.


 


(b) Expenses.
All costs and expenses incurred in connection with the transactions contemplated by this Agreement shall be paid by the party incurring
such costs and expenses.


 


(c) Additional Shares.
Until any termination of this Agreement in accordance with its terms, Stockholder shall promptly notify Bearing and the Company
of the number of shares of Company Common Stock, if any, as to which Stockholder acquires record or beneficial ownership after
the date hereof. Any such shares of Company Common Stock as to which Stockholder acquires record or beneficial ownership after
the date hereof and prior to termination of this Agreement shall be Stockholder Shares for purposes of this Agreement. Without
limiting the foregoing, in the event of any stock split, stock dividend or other change in the capital structure of the Company
affecting the Company Common Stock, the number of shares constituting Stockholder Shares shall be adjusted appropriately, and this
Agreement and the obligations hereunder shall attach to any additional shares of Company Common Stock or other voting securities
of the Company issued to Stockholder in connection therewith.


  


(d) Definition of
“Beneficial Ownership”. For purposes of this Agreement, “beneficial ownership” with respect to (or
to “own beneficially”) any securities shall mean having “beneficial ownership” of such securities (as determined
pursuant to Rule 13d-3 under the Exchange Act), including pursuant to any agreement, arrangement or understanding, whether or not
in writing.


 


(e) Further Assurances.
From time to time, at the reasonable request of Bearing and without further consideration, prior to the termination of this Agreement,
Stockholder shall execute and deliver such reasonable additional documents and take all such further reasonable action as may be
reasonably required to consummate and make effective, in the most expeditious manner practicable, the transactions contemplated
by this Agreement.


 


(f) Entire Agreement;
No Third Party Beneficiaries. This Agreement constitutes the entire agreement, and supersedes all prior agreements and understandings,
both written and oral, among the parties, or any of them, with respect to the subject matter hereof. This Agreement is not intended
to and shall not confer upon any Person other than the parties hereto any rights hereunder.


 


(g) Assignment; Binding
Effect. Neither this Agreement nor any of the rights, interests or obligations hereunder shall be assigned by any of the parties
hereto (whether by operation of law or otherwise) without the prior written consent of the other parties, except that Sub may assign
its rights and interests hereunder to Bearing or to any wholly-owned subsidiary of Bearing if such assignment would not impair,
prevent or cause a delay in the consummation of any of the transactions contemplated by the Merger Agreement; provided that
no such assignment shall relieve Sub of its obligations hereunder if such assignee does not perform such obligations. Subject to
the preceding sentence, this Agreement shall be binding upon and shall inure to the benefit of the parties hereto and their respective
successors and permitted assigns. Any purported assignment not permitted under this Section 5(g) shall be null and void.


 




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(h) Amendments; Waiver.
This Agreement may not be amended or supplemented, except by a written agreement executed by the parties hereto. Any party to this
Agreement may (A) waive any inaccuracies in the representations and warranties of any other party hereto or extend the time for
the performance of any of the obligations or acts of any other party hereto or (B) waive compliance by the other party with any
of the agreements contained herein (provided, that any waiver of Stockholder’s breach or non-compliance shall require the
written consent of Bearing, Sub and the Company). Notwithstanding the foregoing, no failure or delay by Bearing, Sub or the Company
in exercising any right hereunder shall operate as a waiver thereof nor shall any single or partial exercise thereof preclude any
other or further exercise thereof or the exercise of any other right hereunder. Any agreement on the part of a party hereto to
any such extension or waiver shall be valid only if set forth in an instrument in writing signed on behalf of such party.


 


(i) Severability.
If any term or other provision of this Agreement is determined by a court of competent jurisdiction to be invalid, illegal or incapable
of being enforced by any rule of Law or public policy, all other terms, provisions and conditions of this Agreement shall nevertheless
remain in full force and effect. Upon such determination that any term or other provision is invalid, illegal or incapable of being
enforced, the parties hereto shall negotiate in good faith to modify this Agreement so as to effect the original intent of the
parties as closely as possible to the fullest extent permitted by applicable Law and public policy in an acceptable manner to the
end that the transactions contemplated hereby are fulfilled to the extent possible.


  


(j) Counterparts;
Electronic Signatures. This Agreement may be executed in separate counterparts, each of which shall be deemed to be an original
but all of which taken together shall constitute one and the same agreement. This Agreement shall become effective when each party
hereto shall have received counterparts hereof signed by the other parties hereto. Facsimile or other electronically scanned and
transmitted signatures, including by email attachment, shall be deemed originals for all purposes of this Agreement.


 


(k) Interpretation.
Headings of Sections and subsections of this Agreement are for convenience of the parties only and shall be given no substantive
or interpretive effect whatsoever. In this Agreement, unless the context otherwise requires: (i) any pronoun used in this Agreement
shall include the corresponding masculine, feminine or neuter forms, and the singular form of nouns, pronouns and verbs shall include
the plural and vice versa; (ii) “including” (and with correlative meaning “include”) means including without
limiting the generality of any description preceding or succeeding such term and shall be deemed in each case to be followed by
the words “without limitation”; and (iii) the words “herein,” “hereto,” and “hereby”
and other words of similar import in this Agreement shall be deemed in each case to refer to this Agreement as a whole and not
to any particular section or other subdivision of this Agreement.


 


(l) Notices. All
notices, requests, demands and other communications in connection with this Agreement shall be in writing and shall be deemed given
if (A) delivered personally, on the date of such delivery, (B) upon non-automated confirmation of receipt when transmitted via
facsimile or electronic mail (but only if followed by transmittal by nationally recognized overnight courier or by hand for delivery
on the next Business Day), or (C) on receipt (or refusal to accept delivery) after dispatch by registered or certified mail (return
receipt requested), postage prepaid, or by a nationally recognized overnight courier (with confirmation), addressed, in each case,
as follows:


 


	 	If to Bearing or Sub:	 	Bearing Resources Ltd./LI Acquisition Corporation
	 	 	 	c/o Suite 409-221 West Esplanade
	 	 	 	North Vancouver, BC V7M 3J3
	 	 	 	Attention: Jeremy Poirier
	 	 	 	Facsimile: 604.973.0280
	 	 	 	Email: Jpoirier@bearingresource.ca


 


	 	with a copy to (which shall not constitute notice):	 	MACDONALD TUSKEY

409 - 221 W. Esplanade,

North Vancouver, BC  V7M 3J3

Attention: William MacDonald, Esq.

Facsimile: 604.973.0280

Email: wmacdonald@wlmlaw.ca


 


	 	If to the Company:	 	Li3 Energy, Inc. 
	 	 	 	Avda. Americo Vespucio 80, 11th Floor
	 	 	 	Santiago, Chile
	 	 	 	Attention:  Luis Saenz
	 	 	 	Email: luis.saenz@li3energy.com


 




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	 	with a copy to (which shall not constitute notice):	 	 Ellenoff
Grossman & Schole LLP
 1345 Avenue of
the Americas, 11th Floor

New   York, New York  10105

Attn:   Richard Anslow, Esq.

           Matthew
Gray, Esq.

Facsimile No.:  (212) 370-7889

Telephone No.:  (212) 370-1300

Email: ranslow@egsllp.com

           mgray@egsllp.com

	 	 	 	 
	 	If to the Stockholder:	 	To the address set forth under the Stockholder’s name on the signature page hereto, with a copy (which will not constitute notice) to the Company (and its copy for notices hereunder).


 


or such other address or facsimile number
as such party may hereafter specify for the purpose by notice to the other parties hereto.


 


(m) Governing Law;
Enforcement; Jurisdiction; Waiver of Jury Trial.


 


(i) This Agreement
shall be governed by, and construed in accordance with, the internal procedural and substantive laws of the State of Nevada, without
regard to the choice of law rules thereof.


 


(ii) Each of the parties
hereto hereby irrevocably and unconditionally submits, for itself and its property, to the exclusive jurisdiction of the courts
of the State of Nevada and any United States District Court for the State of Nevada and any appellate courts thereof, in any action
or proceeding arising out of or relating to this Agreement or the agreements delivered in connection herewith or the transactions
contemplated hereby or thereby or for recognition or enforcement of any judgment relating thereto, and each of the parties hereby
irrevocably and unconditionally (A) agrees not to commence any such action except in such courts, (B) agrees that any claim in
respect of any such action or proceeding may be heard and determined in such courts, (C) waives, to the fullest extent it may legally
and effectively do so, any objection which it may now or hereafter have to venue of any such action or proceeding in any such courts,
and (D) waives, to the fullest extent permitted by Law, the defense of any inconvenient forum to the maintenance of such action
or proceeding in any such courts. Each of the parties hereto agrees that a final judgment in any such action or proceeding shall
be conclusive and may be enforced in other jurisdictions by suit on the judgment or in any other manner provided by Law. Each of
the parties irrevocably consents to service of process in any such action or proceeding in the manner provided for notices in Section
5(l) of this Agreement; provided, that nothing in this Agreement shall affect the right of any party to this Agreement
to serve process in any other manner permitted by applicable Law.


 


(iii) EACH OF THE PARTIES
HEREBY WAIVES TRIAL BY JURY IN ANY JUDICIAL PROCEEDING INVOLVING, DIRECTLY, IN ANY MATTERS (WHETHER SOUNDING IN TORT, CONTRACT
OR OTHERWISE) IN ANY WAY ARISING OUT OF, RELATED TO, OR CONNECTED WITH THIS AGREEMENT OR THE TRANSACTIONS CONTEMPLATED HEREBY.


 


(iv) The parties agree
that irreparable damage would occur for which monetary damages would not be an adequate remedy in the event that the parties do
not perform their obligations under the provisions of this Agreement in accordance with their specific terms or otherwise breach
such obligations. Accordingly, the parties agree that, if for any reason any of the Stockholder, Bearing, Sub or the Company shall
have failed to perform its obligations under this Agreement or otherwise breached this Agreement, then the party seeking to enforce
this Agreement against such nonperforming party shall be entitled to seek specific performance and the issuance of immediate injunctive
and other equitable relief to prevent breaches of this Agreement and to enforce specifically the terms and provisions hereof, without
the necessity of proving the inadequacy of money damages as a remedy, and the parties further agree to waive any requirement for
the securing or posting of any bond in connection with the obtaining of any such injunctive or other equitable relief, this being
in addition to and not in limitation of any other remedy to which they are entitled at Law or in equity.


 




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(n) No Partnership,
Agency or Joint Venture. This Agreement is intended to create a contractual relationship among Stockholder, the Company, Bearing
and Sub, and is not intended to create, and does not create, any agency, partnership, joint venture or any like relationship among
the parties hereto or among any other Company shareholders entering into voting and support agreements with Bearing or Sub. Stockholder
has acted independently regarding its decision to enter into this Agreement and not as a group with other Company shareholders
entering into a voting and support agreement with Bearing or Sub in connection with the Merger Agreement (other than those that
are Affiliates of Stockholder). Nothing contained in this Agreement shall be deemed to vest in Bearing or Sub any direct or indirect
ownership or incidence of ownership of or with respect to any Stockholder Shares.


 


[signature page follows]


 




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IN WITNESS WHEREOF,
the parties have caused this Agreement to be duly executed and delivered as of the date first above written.


 


	 	Bearing:
	 	 
	 	BEARING RESOURCES LTD.


 


	 	By:	 
	 	Name:	Jeremy Poirier
	 	Title:	Chief Executive
Officer


 


	 	Sub:
	 	 
	 	LI ACQUISITION CORPORATION


 


	 	By:	 
	 	Name:	 Jeremy Poirier
	 	Title:	 President and Chief Executive Officer


 


	 	Company:
	 	 
	 	LI3 ENERGY, INC.


 


	 	By:	 
	 	Name:	 Luis Saenz
	 	Title:	 President and Chief Executive Officer


 






	 	Stockholder:




 


	 	Name:	 


 


	 	By:	 
	 	Name:	 
	 	Title:	 


 


	 	Address for Notice for Stockholder:
	 	 
	 	 
	 	 


 





	 	Facsimile:	 




 


	 	Email:	 


 


	 	Number of shares of Company Common Stock beneficially owned by Stockholder:
	 	 


 


{Signature Page to Voting and Support Agreement}