Exhibit 4.17


 


NOTE PURCHASE AGREEMENT


 


THIS NOTE PURCHASE AGREEMENT
(the “Purchase Agreement”) is dated as of June 2, 2020, by and among MARPAI HEALTH, Inc., a Delaware
corporation (the “Company”), and those individuals and/or entities listed in Exhibit A attached hereto
(each a “Lender” and together the “Lenders”).


 


WHEREAS, the Company desires
to raise up to one million five hundred thousand dollars ($1,500,000) (the “Loan Amount”) via a convertible note financing
from the Lenders and the Lenders wish to loan the Company the Loan Amount subject to the terms and conditions of this Purchase Agreement
and the convertible promissory note attached hereto as Exhibit B (each a “Note” and together the “Notes”);


 


NOW, THEREFORE, in consideration
of the premises and the mutual covenants herein contained, and other good and valuable consideration the receipt and sufficiency of which
is hereby acknowledged, the undersigned parties hereby agree as follows:


 


1.            Amount
and Terms of the Notes. The Lenders undertake to lend to the Company the Loan Amount, in the proportions as set forth opposite each
Lender’s name in Exhibit A, against the issuance of the Notes. The Loan Amount shall bear a cumulative annual interest
as specified in the Note and shall have such maturity date set forth therein.


 


2.            Closing.


 


(a)            Initial
Closing. Subject to the terms and conditions of this Purchase Agreement, the initial closing of the sale and purchase of the Notes
hereunder shall take place remotely via the exchange of documents and signatures on such date and time as determined by the Company (the
 “Initial Closing”). At the Initial Closing, the Company shall deliver a Note to each Lender participating therein in
the original principal amount set forth opposite each Lender’s name in Exhibit A and each Lender shall immediately pay
its respective portion of the Loan Amount as set forth opposite each Lender’s Name in Exhibit A by way of check or wire
transfer pursuant to the instructions provided by the Company to the Lenders prior to the Initial Closing.


 


(b)            Additional
Closings. Following the Initial Closing, at any time and from time to time during and up to one hundred eighty (180) days following
the Initial Closing (the “Additional Closing Period”), the Company may, at one or more additional closings as determined
by the Company (each an “Additional Closing” and together with the Initial Closing, a “Closing”),
without obtaining the signature, consent or permission of any of the Lenders in the Initial Closing or any prior Additional Closing, issue
additional Notes to other investors (the “New Lenders”) up to the portion of the Loan Amount remaining after the Initial
Closing on the same terms and conditions as set forth herein. The New Lenders may include persons or entities who are already Lenders
under this Purchase Agreement and each New Lender shall execute and deliver a signature page to this Purchase Agreement and the Note
to the Company, becoming a party to, and bound by, this Agreement to the same extent as if the New Lender had been a Lender at the Initial
Closing and each such New Lender shall be deemed to be a Lender for purposes under this Agreement as of the date of the applicable Additional
Closing. The Company, in its sole discretion, may shorten the Additional Closing Period.


 


3.            Representations
and Warranties of the Company. The Company represents and warrants to the Lenders as follows:


 


(a)            The
Company is duly organized and existing in good standing under the laws of State of Delaware, and has the power to own its properties and
to carry on its business as now conducted.


 






    


     


    

 


(b)            The
Company has full power, authority and legal right to enter into this Purchase Agreement and each Note and to perform all of its obligations
thereunder. The Company has duly executed and delivered this Purchase Agreement and each Note. This Purchase Agreement and the Note constitute
the legal, valid, and binding obligation of the Company enforceable in accordance with their respective terms.


 


(c)            All
of the shares of the Company to be issued to the Lender upon the conversion of each Note (if converted) shall be, when issued, duly authorized,
validly issued, fully paid, non-assessable free and clear of all liens, pledges, security interests, charges and encumbrances and registered
in the name of the Lender on the stock ledger of the Company.


 


4.            Representations
and Warranties of the Lender. Each Lender represents and warrants to the Company that:


 


(a)            The
Lender has sufficient knowledge and experience in investing in companies similar to the Company in terms of the Company’s stage
of development so as to be able to evaluate the risks and merits of its investment in the Company and it is able financially to bear the
risks thereof;


 


(b)            The
Lender is entering into this Purchase Agreement and acquiring the Note for the Lender’s own account for the purpose of investment
and not with a view to or for sale in connection with any distribution thereof other than in compliance with the Securities Act and applicable
state securities laws; and


 


5.            Each
Lender understands that (i) each Note has not been registered under the Securities Act by reason of its issuance in a transaction
exempt from the registration requirements of the Securities Act pursuant to Section 4(2) thereof or Rule 504, 505 or 506
promulgated under the Securities Act, (ii) each Note must be held indefinitely unless a subsequent disposition thereof is registered
under the Securities Act or is exempt from such registration, and (iii) each Note will bear a legend substantially to such effect.


 


6.            Conversion.
The Notes shall be convertible pursuant to the terms contained therein.


 


7.            Miscellaneous.


 


7.1            Entire
Purchase Agreement. This Purchase Agreement constitutes the entire understanding of the parties hereto with respect to the subject
matter hereof and supersedes all prior written and oral understandings of such parties with regard thereto. This Purchase Agreement and
the attached Note may be modified, amended, or any term hereof waived with the written consent of the Company and a majority in interest
of the Lenders. Any amendment effected in accordance with this Section 7.1 shall be binding upon all parties of this Purchase Agreement
and their respective successors and assignees.


 


7.2            Governing
Law; Jurisdiction. This Purchase Agreement shall be governed by and construed according to the laws of the State of New York without
regard to the conflict of laws provisions thereof. Any dispute arising under or in relation to this Purchase Agreement shall be resolved
in the competent courts of the State of New York, and each of the parties hereby submits irrevocably to the jurisdiction of such court.


 


7.3            Notices.
All notices or other communications hereunder shall be in writing and shall be given in person, by registered mail (registered air mail
if mailed internationally), by an overnight courier service which obtains a receipt to evidence delivery, or by facsimile transmission
(provided that written confirmation of receipt is provided), addressed as set forth below:


 


		If to the Company:	 MARPAI HEALTH, Inc.



1185 Avenue of the Americas, Suite 301


New York, NY 10036


Attn: Edmundo Gonzalez, Secretary


 






    


     


    

 


With a copy to:


Pearl Cohen Zedek Latzer LLP


50 Congress Street, Suite 1040


Boston, MA 02109


Fax: (617) 228-5720


Attn: Oded Kadosh, Esq.


 


		If to the Lender:	 to the address as set forth in Exhibit A



 


or such other address as any
party may designate to the other in accordance with the aforesaid procedure. All notices and other communications delivered in person
or by courier service shall be deemed to have been given as of one business day after sending thereof, those given by facsimile transmission
with confirmed answer back (provided that such date is a business day in the country of receipt and if not, the next business day) and
all notices and other communications sent by registered mail shall be deemed given ten (10) days after posting.


 


7.4            Assignment.
This Purchase Agreement may not be assigned by any Lender without the prior written consent of the Company. The Company may assign this
Purchase Agreement without the prior written consent of the Lenders. Notwithstanding the foregoing, this Purchase Agreement shall be binding
upon the successors, assigns and representatives of each party.


 


7.5            No
Waiver. No delay or omission to exercise any right, power, or remedy accruing to any party upon any breach or default under this Purchase
Agreement, shall be deemed a waiver of any other breach or default theretofore or thereafter occurring. All remedies, either under this
Purchase Agreement or by law or otherwise afforded to any of the parties, shall be cumulative and not alternative.


 


7.6            Severability.
If any provision of this Purchase Agreement is held by a court of competent jurisdiction to be unenforceable under applicable law, then
such provision shall be excluded from this Purchase Agreement and the remainder of this Purchase Agreement shall be interpreted as if
such provision were so excluded and shall be enforceable in accordance with its terms; provided, however, that in such event this Purchase
Agreement shall be interpreted so as to give effect, to the greatest extent consistent with and permitted by applicable law, to the meaning
and intention of the excluded provision as determined by such court of competent jurisdiction.


 


7.7            Counterparts.
This Purchase Agreement may be executed in any number of counterparts, each of which shall be deemed an original but all of which together
shall constitute one and the same instrument.


 


7.8            Further
Assurances. Each of the parties hereto shall perform such further acts and execute such further documents as may reasonably be necessary
to carry out and give full effect to the provisions of this Purchase Agreement and the intentions of the parties as reflected thereby.


 


7.9            Headings.
All article and section headings herein are inserted for convenience only and shall not modify or affect the construction or interpretation
of any provision of this Purchase Agreement.


 


7.10            Expenses.
Each Lender will bear its own fees and expenses incurred in the transactions contemplated herein.


 









    


     


    

 


IN WITNESS WHEREOF, the parties have executed this
Note Purchase Agreement as of the date first above written.


 


	THE COMPANY:	 
	 	 
	MARPAI HEALTH, INC.	 
	 	 
	By:	/s/ Edmundo Gonzalez 	 
	 	 
	Name: 	Edmundo Gonzalez	 
	 	 
	Title: 	President & Secretary	 



 


[Company signature page to the Purchase
Agreement of MARPAI HEALTH, Inc.]


 






    


     


    

 


IN WITNESS WHEREOF, the parties have executed this
Note Purchase Agreement as of the date first above written.


 



	THE LENDER:	 
	 	 
	EM SIDEWATER ASSOCIATES II	 
	 	 
	By:	/s/ Steven Sidewater 	 
	 	 
	Name:	Steven Sidewater	 
	 	 
	Title:	General Partner	 



 


[Lender signature page to the Purchase
Agreement of MARPAI HEALTH, Inc.]


 






    


     


    

 


Exhibit A


 


Lenders (As of June 1, 2020)


 


	Name	 	Address	 	Loan Amount	 
	HILLCOUR INVESTMENT FUND, LLC	 	One Urban Centre, Suite, 100 
4830 W. Kennedy Blvd., Tampa, Fl. 33609	 	$	500,000.00	 
	EM Sidewater Associates II	 	c/o Sidewater Group 
308 E. Lancaster Avenue, Suite 235; Wynnewood, PA 19096	 	$	100,000.00	 
	Sidewater Associates I	 	2600 NW 64th Blvd.; Boca Raton, FL 33496	 	$	100,000.00	 
	Winston J. Churchill	 	 	 	$	100,000.00	 
	Grays West Ventures LLC	 	Edmundo Gonzalez
 60 West 23rd Street, Apt 1610
 New York, NY 10010
	 	$	200,000.00	 
	Pishinano Holdings Co. Limited	 	 	 	$	100,000.00	 
	TOTAL:	 	 	 	$	1,100,000.00	 



 






    


     


    

 


Exhibit B


 


THIS NOTE AND THE SECURITIES ISSUABLE UPON THE
CONVERSION HEREOF HAVE NOT BEEN REGISTERED, INCLUDING UNDER THE SECURITIES ACT OF 1933. THEY MAY NOT BE SOLD, OFFERED FOR SALE,
PLEDGED, HYPOTHECATED, OR OTHERWISE TRANSFERRED EXCEPT (1) PURSUANT TO AN EFFECTIVE REGISTRATION STATEMENT UNDER THE SECURITIES ACT
OF 1933, OR AN OPINION OF COUNSEL SATISFACTORY TO THE COMPANY THAT REGISTRATION IS NOT REQUIRED UNDER SUCH ACT, AND (2) SUBJECT TO
THE PROVISIONS OF ANY OTHER APPLICABLE LAW AND OF THE THEN CURRENT BY-LAWS AND CERTIFICATE OF INCORPORATION OF THE COMPANY.


 


CONVERTIBLE PROMISSORY NOTE


 


	$100,000.00 (the “Loan Amount”)	June 2, 2020
	8% Annual Interest	(the
 “Note Date”)



 


THIS NOTE is issued pursuant
to the terms of that certain Note Purchase Agreement by and among MARPAI HEALTH, Inc. (the “Company”) and EM
SIDEWATER ASSOCIATES II (the “Lender”) and dated June 2, 2020 (the “Purchase Agreement”).
Capitalized terms not elsewhere defined herein shall have the meanings set forth in the Purchase Agreement.


 


FOR VALUE RECEIVED, the Company
hereby promises to pay to the order of the Lender, the principal sum of the Loan Amount, together with interest thereon. This Note shall
bear a simple interest rate of eight percent (8%) per annum based on a 365 day year. The obligation to pay interest on this Note shall
be cumulative.


 


1.            Maturity
Date. If not otherwise converted pursuant to Section 3, the outstanding principal balance and unpaid accrued interest on this
Note shall be due two (2) years from the Note Date (the “Maturity Date”) or prior thereto upon the Lender’s
first written request following an Event of Default of the Company. The Maturity Date may be extended upon mutual consent of the Company
and the Lender.


 


2.            Note
Repayment. All repayments shall be made in lawful money of the United States of America by wire transfer to a bank account to be designated
by the Lender. All Notes outstanding under the Purchase Agreement, and any other Note Purchase Agreement outstanding by the Company as
of the date hereof, shall rank equally without preference or priority of any kind with respect to one another, and all payments with respect
to any of the Notes that have not been converted shall be applied ratably in proportion to the Loan Amounts represented thereby. The Company
shall be entitled to repay all or any portion of the principal or accrued interest outstanding under the Notes upon prior written notice
to the Lender.


 


3.            Conversion.


 


3.1            Automatic
Conversion upon Qualified Financing. Notwithstanding the foregoing, at the closing of the Qualified Financing (as hereinafter defined),
the outstanding principal balance and unpaid accrued interest on this Note shall be automatically converted into the most senior class
of shares of the Company issued in such Qualified Financing (the “Shares”) at a price per share equal to the lower
of: (i) 80% of the original price per unit of such Shares or (ii) a maximum company pre-money valuation of sixteen million dollars
(US$16,000,000) on a fully diluted basis (in each case, the “Conversion Price”). The exact number of Shares to be issued
to Lender upon conversion will be equal to the aggregate outstanding principal and unpaid accrued interest due on this Note, divided by
the Conversion Price. The issuance of such shares upon conversion of this Note shall be contingent upon execution and delivery by the
Lender of the agreements executed and delivered by investors in the Qualified Financing. The Lender shall thereupon receive all of the
rights, preferences and privileges granted to other investors in the Qualified Financing, including but not limited to any registration
and piggyback rights. “Qualified Financing” shall mean the next transaction or series of related transactions following
the date of the Purchase Agreement in which the Company issues and sells Shares to investors, which may be existing stockholders of the
Company, with gross proceeds to the Company of at least two million dollars (US$2,000,000), excluding the conversion of Notes.


 






    


     


    

 


3.2            Discretionary
Conversion. Unless otherwise automatically converted in a Qualified Financing, at any time prior to the Maturity Date (or any time
after the Maturity Date with the consent of the Company and including prior to a Change of Control that occurs before a Qualified Financing)
the Lender shall be entitled, by written notice to the Company, to convert the outstanding principal balance and unpaid accrued interest
on this Note, in whole or in part, into the most senior class of stock of the Company then outstanding, at a conversion price based upon
a maximum company pre-money valuation of sixteen million dollars (US$16,000,000) on a fully diluted basis. The shares issued upon said
conversion shall have all preferential and associated rights with said class and given to the investors in the applicable round of financing,
and shall be identical in all terms except for said price. Any election to convert the Note pursuant to this Section 3.2 will be
made in writing and delivered to the Company.


 


3.3            Repayment
Upon Change of Control. In the event the Company consummates a Change of Control (as defined below) prior to the Maturity Date and
prior to the conversion or repayment of this Note, then this Note shall become due and payable upon the date of consummation of such Change
of Control (and following the Company’s receipt of proceeds from a Change of Control) in an amount equal to the greater of: (i) one
and one half times (1.5x) the Loan Amount, plus any accrued and unpaid interest; or (ii) the net proceeds to be received by Lender
if Lender had converted this Note based on a price per share based on a pre-money valuation of the Company equal to $16,000,000, as calculated
on a fully diluted basis, immediately prior to the Change of Control. The Company will notify Lender in writing of a Change of Control
at least five (5) days before the anticipated closing of such Change of Control. A “Change of Control” means the
sale, conveyance, exclusive license outside of the ordinary course of business, or other disposition of all or substantially all of the
Company’s property or business, the Company’s merger with or into or consolidation with any other corporation, limited liability
company or other entity (other than a wholly owned subsidiary of the Company) if the holders of the voting securities of the Company that
are outstanding immediately prior to the consummation of such consolidation or merger do not, immediately after the consummation of such
consolidation or merger, hold voting securities that collectively possess at least a majority of the voting power of all the outstanding
securities of the surviving entity of such consolidation or merger or such surviving entity’s parent entity or the sale or disposition
of a majority of the voting securities of the Company; provided that the term “Change of Control” shall not include (a) a
merger or reorganization of the Company effected exclusively for the purpose of changing the domicile of the Company or tax-free reorganization,
or (b) an equity financing in which the Company is the surviving corporation.


 


4.            Unsecured
Obligation. The Lender hereby acknowledges and agrees that the obligations of the Company hereunder (including, without limitation,
in respect of repayment of the Loan Amount and the accrued but unpaid interest thereon) shall be an unsecured obligation of the Company
in all respects.


 


5.            Governing
Law; Venue. This Note and all acts and transactions pursuant hereto and the rights and obligations of the parties hereto shall be
governed, construed and interpreted in accordance with the laws of the State of New York without regard to the conflict of law provisions.
The competent courts of the State of New York shall have exclusive jurisdiction to resolve all disputes arising from or in connection
with this Note or the Purchase Agreement.


 






    


     


    

 


6.            Transfer;
Successors and Assigns. The Lender may not sell, assign, pledge, dispose of or otherwise transfer (collectively, “Transfer”)
this Note, unless the Lender obtains the Company’s prior written approval (such approval to be provided in the Company’s sole
and absolute discretion).


 


7.            Notices.
The notice provision of the Purchase Agreement shall apply to this Note.


 


8.            Amendments,
Modifications. Any amendment or modification of this Note shall require the prior written consent of the Company and the Lender.


 


9.            Miscellaneous.
The Company hereby expressly waives presentment, demand for payment, dishonor, notice of dishonor, protest, notice of protest and any
other formality.


 


10.          Stock
Reclassifications; Stock Splits, Combinations and Dividends. If the Shares issuable upon the conversion of this Note shall be changed
into the same or different number of Shares of any class or classes of stock, whether by reclassification, stock split, stock dividend,
or similar event, then and in each such event, the Lender, shall have the right thereafter to convert all or any portion of this Note
into the kind and amount of Shares and property receivable upon such capital reorganization, reclassification or other change which the
Lender would have received had this Note been converted immediately prior to such capital reorganization, reclassification or other change.


 


11.          Adjustments.
The Company will make an appropriate adjustment to the number of Shares issuable upon conversion and/or the Conversion Price thereof upon
any stock split, combination, dividend, distribution, recapitalization, reorganization, or similar event affecting the Company’s
capital stock other than cash dividends paid or payable from retained earnings (collectively, a "Stock Event"), so that
the Lender will receive, upon conversion, all Shares, dividends, rights and benefits to which the Lender would have been entitled had
Lender converted this Note prior to such Stock Event. The form of this Note need not be changed by reason of any such adjustment. Any
successor entity to the Company will execute and deliver to the Lender a supplement hereto acknowledging such entity's obligations under
this Note. The Company will make adjustments as soon as practicable following any Stock Event, and immediately thereafter give notice
to the Lender of all facts and calculations associated with such adjustment. Stock Event adjustments may be waived by the Lender, in its
sole and absolute discretion.


 


12.          Default.
If there shall be any Event of Default (as defined below) hereunder, at the option and upon the declaration of the Lender of this Note
and upon written notice to the Company (which election and notice shall not be required in the case of an Event of Default under Section 12(b) or
12(c)), this Note shall accelerate and all Loan Amount and unpaid accrued interest shall become due, payable and collectible. The occurrence
of any one or more of the following shall constitute an “Event of Default” hereunder:


 


(a)            The
Company fails to pay timely any of the Loan Amount due under this Note on the date the same becomes due and payable or any accrued interest
or other amounts due under this Note on the date the same becomes due and payable or within five (5) business days thereafter;


 


(b)            The
Company files any petition or action for relief under any bankruptcy, reorganization, insolvency or moratorium law or any other law for
the relief of, or relating to, debtors, now or hereafter in effect, or makes any assignment for the benefit of creditors or takes any
corporate action in furtherance of any of the foregoing; or


 


(c)            An
involuntary petition is filed against the Company (unless such petition is dismissed or discharged within sixty (60) days) under any bankruptcy
statute now or hereafter in effect, or a custodian, receiver, trustee, assignee for the benefit of creditors (or other similar official)
is appointed to take possession, custody or control of any property of the Company and is not removed within sixty (60) days from the
date of such appointment.


 






    


     


    

 


(d)            If
the Company shall admit in writing to its inability to pay its debts as they mature and Lender has elected to not convert this Note.


 


(e)            If
a judgment creditor shall file or commence any levy of attachment, execution or other similar process against the assets of the Company
valued in excess of $100,000 which potential loss is not covered by insurance or which proceeding is not being contested in good faith
by the Company, provided however, that such event shall not be an Event of Default if the Company cures such event within sixty (60) days
after receiving notice of the Event of Default contemplated under this subsection.


 


(f)            If
the Company commits fraud at any time in connection with this Note.


 


		13.	Default Remedies.



 


(a)            If
an Event of Default (other than an insolvency Event of Default) has occurred and is continuing, the Lender, by notice to the Company,
may declare the Loan Amount of this Note and all accrued interest thereon to be immediately due and payable, and upon any such declaration,
such Loan Amount and accrued interest shall thereupon become due and payable immediately within five (5) business days from the Lender’s
written request. In the event the Company fails to pay all outstanding Amounts within this five (5) business day period, the interest
rate on the unpaid and outstanding Loan Amount of this Note shall be increased to, and this Note shall bear interest at, a monthly rate
equal to one and a half percent (1.5%) or to the maximum rate permitted by law (the "Default Rate") from the expiration
of the five (5) business day period until such unpaid and outstanding Loan Amount of this Note is repaid in full. If an insolvency
Event of Default has occurred, the Loan Amount of this Note and accrued Interest thereon will become immediately due and payable without
any declaration or any act on the part of any Lender. Such declaration of acceleration may be rescinded and past defaults may be waived
by the Lender.


 


(b)            No
course of dealing or delay or failure on the part of the Lender to exercise any right under this Section shall operate as a waiver
of such right or otherwise prejudice the Lender’s rights, powers and remedies. The Company will pay or reimburse the Lender, to
the extent permitted by law, for all reasonable costs and expenses, including but not limited to reasonable attorneys’ fees, incurred
by the Lender in collecting any sums due on this Note or in otherwise enforcing any of the Lender's rights hereunder.


 


(c)            No
right or remedy herein conferred upon the Lender is intended to be exclusive of any other right or remedy contained herein or existing
at law, in equity, by statute or otherwise, and every such right or remedy shall be cumulative and shall be in addition to every other
such right or remedy contained herein and therein or now or hereafter existing at law, in equity, by statute or otherwise.


 


14.          Indemnity.
The Company agrees to indemnify and hold the Lender harmless from and against any and all suits, actions, proceedings, claims, damages,
losses, liabilities and expenses of any kind and nature whatsoever (including attorneys' fees and disbursements and other costs of investigation
or defense) that may be instituted or asserted against or incurred by the Lender as the result of credit having been extended, suspended
or terminated under this Note or with respect to the execution, delivery, enforcement, performance and administration of, or in any other
way arising out of or relating to, this Note or the transactions referred to herein and any actions or omissions with respect to any of
the foregoing, except to the extent that the Lender is finally determined by a court of competent jurisdiction to have resulted solely
from the gross negligence or willful misconduct of the Lender.


 






    


     


    

 


15.          Replacement
of Note. If the Lender of record loses this Note, the Company shall issue an identical replacement Note to the Lender upon the Lender’s
delivery to the Company of an executed lost note affidavit stating the facts surrounding such loss of this Note and an executed indemnity
agreement indemnifying and holding harmless the Company against any losses incurred or liabilities suffered by the Company or claims against
the Company by any other holders or transferees of this Note related to or from the issuance of the replacement Note by the Company, which
lost note affidavit and indemnity agreement shall be in a form reasonably satisfactory to the Company.


 


16.          Reinstatement.
This Note shall continue to be effective, or be reinstated, as applicable, if at any time payment of all or any part hereof is rescinded
or must otherwise be returned or restored by the Lender upon the insolvency, bankruptcy, dissolution, liquidation or reorganization of
the Company, as though such payments had not been made.


 


17.          Additional
Covenants. Until this Note is paid in full, the Company shall not without the prior written consent of the Lender (such consent which
shall not be unreasonably delayed, withheld, or conditioned): (i) issue any securities other than strictly pursuant to a Qualified
Financing or pursuant to a duly adopted Stock Incentive Plan; (ii) incur or agree to incur any indebtedness that is senior to this
Note (except for the SQN Note as hereinafter defined) ; (iii) make any loans to, or assume or guarantee any debt or other obligations
of another person or entity in excess of $10,000; ; (iv) enter into or modify any affiliated party transaction or pay current officers
and directors in excess of that which has previously been disclosed in writing to the Lender; (v) place any liens or encumbrances
on, or cause any liens or encumbrances to be placed on, or transfer, convey, assign, pledge or grant any security interests in, the capital
stock or assets or properties of the Company other than those liens that may be granted to SQN under the SQN Note; or (vi) declare
or pay any dividends or distributions on its capital stock until this Note is paid in full.


 


18.          Financial
Statements. So long as this Note is outstanding, the Company shall furnish to the Lender:


 


(a)            Monthly
Reports. Within thirty (30) days following the end of each fiscal month of the Company, a copy of the consolidated and consolidating
balance sheet, income statement and statement of cash flow (the "Financial Statements") of the Company and its subsidiaries,
internally prepared for such fiscal month in accordance with generally accepted accounting principles in the United States, consistently
applied, setting forth in comparative form the corresponding figures for that date and period, accompanied by a certificate executed by
the Chief Executive Officer or Chief Financial Offer of the Company certifying that (i) such Financial Statements are complete, true
and correct and (ii) to his or her actual knowledge, the Company is not in default of any of its covenants made hereunder.


 


(b)            Annual
Reports. Within ninety (90) days following the close of each fiscal year of the Company, the Financial Statements for such fiscal
year certified by an officer of the Company without qualification in reasonable detail, setting forth in comparative form the corresponding
figures for the corresponding date and period in the preceding fiscal year, and accompanied by other detailed reports from such accountants
to the Company (including, without limitation, any management letters) in connection with each annual or interim audit or review of the
books of the Company by such accountants. In the event the Board of Directors of the Company approves the annual Financial Statements
to be audited, the Lender shall be provided with Financial Statements audited by an independent certified public accounting firm reasonably
acceptable to the Lender.


 






    


     


    

 


19.          Seniority.
The Lender hereby confirms and acknowledges that this Note shall rank pari passu in seniority with any other Note issued under the Purchase
Agreement or any other Note Purchase Agreements outstanding by the Company as of the date hereof. The Lender further confirms and acknowledges
that this Note shall rank junior in all respects (including in respect of payment) to that certain promissory note that may be issued
by the Company to SQN Venture Income Fund, L.P., or an affiliate thereof (“SQN”) in the aggregate amount of up to $3,000,000
(the “SQN Note”) in respect of the Company purchasing certain assets of SQN (the “SQN Transaction”).
Nothing herein shall obligate the Company to consummate the SQN Transaction or issue the SQN Note but in the event the SQN Transaction
is consummated, and the SQN Note is issued by the Company in connection therewith, the SQN Note, and any lien granted to SQN thereunder,
shall be deemed senior and first ranking in all respects to this Note. The Lender hereby consents to the SQN Transaction and the senior
SQN Note and undertakes to execute any document, or take any action, reasonably requested by the Company or SQN to subordinate this Note
to the SQN Note.


 


[Remainder of Page Intentionally Left Blank]


 






    


     


    

 


IN WITNESS WHEREOF, the Company has executed this
Note as of the date first above written.


 


	 	THE COMPANY:
	 	 
	 	MARPAI HEALTH, INC.
	 	 
	 	 
	 	By:	/s/ Edmundo Gonzalez
	 	Name:	Edmundo Gonzalez
	 	Title:	President & Secretary



 


	 	 
	Approved and Agreed:	 
	 	 
	THE LENDER:	 
	 	 
	EM SIDEWATER ASSOCIATES II	 
	 	 
	 	 
	By:	/s/ Steven Sidewater	 
	Name:	Steven Sidewater	 
	Title:	General Partner	 



 


[SIGNATURE PAGE TO CONVERTIBLE PROMISSORY NOTE]