095331-0002-10033-NY02.2693487.5 

UNITED STATES DEPARTMENT OF THE TREASURY

1500 PENNSYLVANIA AVENUE, NW 

WASHINGTON, D.C. 20220 

Dear Ladies and Gentlemen: 

The company set forth on the signature page hereto (the “Company”) intends to issue in a 

private placement the number of shares of a series of its preferred stock set forth on Schedule A 

hereto (the “Preferred Shares”) and a warrant to purchase the number of shares of a series of its 

preferred stock set forth on Schedule A hereto (the “Warrant” and, together with the Preferred 

Shares, the “Purchased Securities”) and the United States Department of the Treasury (the 

“Investor”) intends to purchase from the Company the Purchased Securities. 

The purpose of this letter agreement is to confirm the terms and conditions of the 

purchase by the Investor of the Purchased Securities. Except to the extent supplemented or 

superseded by the terms set forth herein or in the Schedules hereto, the provisions contained in 

the Securities Purchase Agreement – Standard Terms attached hereto as Exhibit A (the 

“Securities Purchase Agreement”) are incorporated by reference herein. Terms that are defined 

in the Securities Purchase Agreement are used in this letter agreement as so defined. In the event 

of any inconsistency between this letter agreement and the Securities Purchase Agreement, the 

terms of this letter agreement shall govern. 

Each of the Company and the Investor hereby confirms its agreement with the other party 

with respect to the issuance by the Company of the Purchased Securities and the purchase by the 

Investor of the Purchased Securities pursuant to this letter agreement and the Securities Purchase 

Agreement on the terms specified on Schedule A hereto. 

This letter agreement (including the Schedules hereto), the Securities Purchase 

Agreement (including the Annexes thereto), the Disclosure Schedules and the Warrant constitute 

the entire agreement, and supersede all other prior agreements, understandings, representations 

and warranties, both written and oral, between the parties, with respect to the subject matter 

hereof. This letter agreement constitutes the “Letter Agreement” referred to in the Securities 

Purchase Agreement. 

This letter agreement may be executed in any number of separate counterparts, each such 

counterpart being deemed to be an original instrument, and all such counterparts will together 

constitute the same agreement. Executed signature pages to this letter agreement may be 

delivered by facsimile and such facsimiles will be deemed as sufficient as if actual signature 

pages had been delivered. 

* * * 
 In witness whereof, this letter agreement has been duly executed and delivered by the 

duly authorized representatives of the parties hereto as of the date written below. 

UNITED STATES DEPARTMENT OF THE 

TREASURY 

By: 

 Name: 

 Title: 

COMPANY: _________________________ 

By: 

 Name: 

 Title: 

Date: _________________________ 
095331-0002-10033-NY02.2693487.5 

EXHIBIT A 

SECURITIES PURCHASE AGREEMENT
SCHEDULE A 

ADDITIONAL TERMS AND CONDITIONS

Company Information:

Name of the Company: 

Corporate or other organizational form: 

Jurisdiction of Organization: 

Appropriate Federal Banking Agency: 

Notice Information: 

Terms of the Purchase:

Series of Preferred Stock Purchased: 

Per Share Liquidation Preference of Preferred Stock: 

Number of Shares of Preferred Stock Purchased: 

Dividend Payment Dates on the Preferred Stock: 

Series of Warrant Preferred Stock: 

Number of Warrant Shares: 

Number of Net Warrant Shares (after net settlement): 

Exercise Price of the Warrant: 

Purchase Price: 

Closing: 

Location of Closing: 

Time of Closing: 

Date of Closing: 
Wire Information for Closing: ABA Number: 

Bank: 

Account Name: 

Account Number: 

Beneficiary: 

Contact for Confirmation of Wire Information: 
095331-0002-10033-NY02.2693487.5 

SCHEDULE B 

CAPITALIZATION

Capitalization Date: 

 

Common Stock

Par value: 

Total Authorized: 

Outstanding: 

Subject to warrants, options, convertible 

securities, etc.: 

Reserved for benefit plans and other issuances: 

Remaining authorized but unissued: 

Shares issued after Capitalization Date (other 

than pursuant to warrants, options, 

convertible securities, etc. as set forth 

above): 

Preferred Stock

Par value: 

Total Authorized: 

Outstanding (by series): 

Reserved for issuance: 

Remaining authorized but unissued: 

 

Holders of 5% or more of any class of capital stock Primary Address

 
095331-0002-10033-NY02.2693487.5 

SCHEDULE C 

LITIGATION

List any exceptions to the representation and warranty in Section 2.2(l) of the Securities 

Purchase Agreement – Standard Terms. 

If none, please so indicate by checking the box: .
SCHEDULE D 

COMPLIANCE WITH LAWS

List any exceptions to the representation and warranty in the second sentence of Section 2.2(m) 

of the Securities Purchase Agreement – Standard Terms. 

If none, please so indicate by checking the box: .

List any exceptions to the representation and warranty in the last sentence of Section 2.2(m) of 

the Securities Purchase Agreement – Standard Terms. 

If none, please so indicate by checking the box: .
SCHEDULE E 

REGULATORY AGREEMENTS

List any exceptions to the representation and warranty in Section 2.2(s) of the Securities 

Purchase Agreement – Standard Terms. 

If none, please so indicate by checking the box: .