EXHIBIT
10.11


 


NEITHER
THE ISSUANCE AND SALE OF THE SECURITIES REPRESENTED BY THIS CERTIFICATE NOR THE SECURITIES INTO WHICH THESE SECURITIES ARE CONVERTIBLE
HAVE BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED, OR APPLICABLE STATE SECURITIES LAWS. THE SECURITIES MAY NOT
BE OFFERED FOR SALE, SOLD, TRANSFERRED OR ASSIGNED (I) IN THE ABSENCE OF (A) AN EFFECTIVE REGISTRATION STATEMENT FOR THE SECURITIES
UNDER THE SECURITIES ACT OF 1933, AS AMENDED, OR (B) AN OPINION OF COUNSEL TO THE HOLDER OR THE COMPANY THAT REGISTRATION IS NOT
REQUIRED UNDER SAID ACT OR (II) UNLESS SOLD PURSUANT TO RULE 144 UNDER SAID ACT.


 


ISSUE
DATE: ________


PRINCIPAL
AMOUNT: $___________


 


OWC
PHARMACEUTICAL RESEARCH CORP.


 


FORM
OF CONVERTIBLE PROMISSORY NOTE DUE JUNE 16, 2016


 


FOR
VALUE RECEIVED, OWC PHARMACEUTICAL RESEARCH CORP., a Delaware corporation (the “Company”) promises to pay to KODIAK
CAPITAL GROUP, LLC or its registered assigns (the “Holder”), or shall have paid pursuant to the terms hereunder, the
principal sum of $_____________ on June 16, 2016 (the “Maturity Date”) or such earlier date as this Note is required
or permitted to be repaid as provided hereunder. This Note is issued in connection with that certain Equity Purchase Agreement
(the “Purchase Agreement”) entered into by and between the Company and the Holder on the Execution Date (as defined
in the Purchase Agreement). Certain capitalized terms used herein are defined in Section 12.


 


This
Note is subject to the following additional provisions:


 


1. The
Note is exchangeable for an equal aggregate principal amount of Note of different authorized denominations, as requested by the
Holder surrendering the same. No service charge will be made for such registration or transfer or exchange.


 


2. The
Holder of this Note is entitled, subject to the following provisions, to convert all or a portion of the principal amount of this
Note into shares (the “Shares”) of the Company’s common stock, par value $0.00001 per share (the “Common
Stock”) at a conversion price for each share of Common Stock equal to the Current Market Price multiplied by fifty percent
(50%) (the “Conversion Price”); provided however, that the Note may not be converted until the earlier of (i) six
months from the Issue Date or (ii) the effective registration of the Shares for resale on a registration statement on Form S-1
or S-3, as applicable. “Current Market Price” means the lowest daily volume weighted average price for the Common
Stock as reported by Bloomberg, LP for the thirty (30) trading days ending on the trading day immediately before the relevant
Conversion Date (as defined below). The amount of Shares issuable pursuant to a conversion shall equal the principal amount (or
portion thereof) of the Note to be converted, divided by the Conversion Price.


 


Conversion
shall be effectuated by surrendering the Note to the Company, accompanied by or preceded by email or other delivery to the Company
of a conversion notice substantially in the form attached hereto as Exhibit A (the “Conversion Notice”), executed
by the Holder evidencing such Holder’s intention to convert a specified portion hereof on such date set forth in the Conversion
Notice (the “Conversion Date”). No fractional shares of Common Stock or scrip representing fractions of shares will
be issued on conversion, but the number of shares issuable shall be rounded to the nearest whole share. Certificates representing
Common Stock upon conversion will be delivered within three (3) Business Days from the Conversion Date (“Delivery Date”).


 






    	 	 	 



    	 	 	 



    

 


The
Company shall pay any payments incurred under this Section in immediately available funds upon demand as the Holder’s remedy
for such delay. Furthermore, in addition to any other remedies which may be available to the Holder, in the event that the Company
fails for any reason to effect delivery of the Shares by close of business on the Delivery Date, unless such failure is due to
causes beyond the Company’s reasonable control or that of its transfer agent, the Holder will be entitled to revoke the
relevant Notice of Conversion by delivering a notice to such effect to the Company, whereupon the Company and the Holder shall
each be restored to their respective positions immediately prior to delivery of such Notice of Conversion; provided, however,
that an amount equal to any payments contemplated by this Section which have accrued through the date of such revocation notice
shall remain due and owing to the Converting Holder notwithstanding such revocation.


 


If,
by the relevant Delivery Date (A) there is an effective registration statement registering for resale the Shares by the Holder
or (B) the Shares are eligible for resale by the Holder without volume or manner-of-sale limitations pursuant to Rule 144 promulgated
under the Securities Act of 1933, as amended, and, in either case, the Company fails, unless such failure is due to causes beyond
the Company’s reasonable control or that of its transfer agent, for any reason to deliver the Shares and after such Delivery
Date, the Holder of the Note being converted (a “Converting Holder”) purchases, in an arm’s-length open market
transaction or otherwise, shares of Common Stock (the “Covering Shares”) in order to make delivery in satisfaction
of a sale of Common Stock by the Converting Holder (the “Sold Shares”), which delivery such Converting Holder anticipated
to make using the Shares to be issued upon such conversion (a “Buy-In”), the Converting Holder shall have the right,
to require the Company to pay to the Converting Holder, in addition to and not in lieu of the amounts due hereunder (but in addition
to all other amounts contemplated in other provisions of the Transaction Agreements, and not in lieu of any such other amounts),
the Buy-In Adjustment Amount (as defined below). The “Buy-In Adjustment Amount” is the amount equal to the excess,
if any, of (x) the Converting Holder’s total purchase price (including brokerage commissions, if any) for the Covering Shares
over (y) the net proceeds (after brokerage commissions, if any) received by the Converting Holder from the sale of the Sold Shares.
The Company shall pay the Buy-In Adjustment Amount to the Company in immediately available funds immediately upon demand by the
Converting Holder. By way of illustration and not in limitation of the foregoing, if the Converting Holder purchases shares of
Common Stock having a total purchase price (including brokerage commissions) of $11,000 to cover a Buy-In with respect to shares
of Common Stock it sold for net proceeds of $10,000, the Buy-In Adjustment Amount which Company will be required to pay to the
Converting Holder will be $1,000.


 


In
lieu of delivering physical certificates representing the Shares issuable upon conversion, if (A) there is an effective registration
statement registering for resale the Shares by the Holder or (B) the Shares are eligible for resale by the Holder without volume
or manner-of-sale limitations pursuant to Rule 144 and, in either case, provided the Company’s transfer agent is participating
in the Depository Trust Company (“DTC”) Fast Automated Securities Transfer program, upon request of the Holder and
its compliance with the provisions contained in this paragraph, so long as the certificates therefore do not bear a legend and
the Holder thereof is not obligated to return such certificate for the placement of a legend thereon, the Company shall use its
best efforts to cause its transfer agent to electronically transmit the Common Stock issuable upon conversion to the Holder by
crediting the account of Holder’s Prime Broker with DTC through its Deposit Withdrawal Agent Commission system.


 






    	 	 	 



    	 	 	 



    

 


The
Holder of the Note shall be entitled to exercise its conversion privilege with respect to the Note notwithstanding the commencement
of any case under 11 U.S.C. §101 et seq. (the “Bankruptcy Code”). In the event the Company is a debtor under
the Bankruptcy Code, the Company hereby waives, to the fullest extent permitted, any rights to relief it may have under 11 U.S.C.
§362 in respect of such holder’s conversion privilege. The Company hereby waives, to the fullest extent permitted,
any rights to relief it may have under 11 U.S.C. §362 in respect of the conversion of the Note. This Note has been issued
subject to investment representations of the original purchaser hereof and may be transferred or exchanged only in compliance
with the Securities Act of 1933, as amended (the “Act”), and other applicable state and foreign securities laws. In
the event of any proposed transfer of this Note, the Company may require, prior to issuance of a new Note in the name of such
other Person, that it receive reasonable transfer documentation including legal opinions that the issuance of the Note in such
other name does not and will not cause a violation of the Act or any applicable state or foreign securities laws. Prior to due
presentment for transfer of this Note, the Company and any agent of the Company may treat the Person in whose name this Note is
duly registered on the Company’s Note Register as the owner hereof for the purpose of receiving payment as herein provided
and for all other purposes, whether or not this Note be overdue, and neither the Company nor any such agent shall be affected
by notice to the contrary.


 


4. No
provision of this Note shall alter or impair the obligation of the Company, which is absolute and unconditional, to pay the principal
of this Note at the time, place, and rate, and in the coin or currency, herein prescribed. This Note is a direct obligation of
the Company.


 


5.
The Holder of the Note, by acceptance hereof, agrees that this Note is being acquired for investment and that such Holder will
not offer, sell or otherwise dispose of this Note or the shares of Common Stock issuable upon conversion thereof except under
circumstances which will not result in a violation of the Act or any applicable state Blue Sky or foreign laws or similar laws
relating to the sale of securities.


 


6. This
Note and all acts and transactions pursuant hereto and the rights and obligations of the Company and the Holder shall be governed,
construed and interpreted in accordance with the laws of the State of New York, without giving effect to principles of conflicts
of law. Each of the Company and Holder hereby submit to the exclusive jurisdiction of the United States Federal and state courts
located in New York, New York with respect to the adjudication of any dispute hereunder or in connection herewith or with any
transaction contemplated hereby or discussed herein. Each of the parties hereby waives the right to a trial by jury in connection
with any dispute arising under this Note.


 


7. The
Company may prepay this Note in whole or in part at any time following at least fifteen (15) and no more than sixty (60) days’
advance written notice to the Holder, provided that the Holder shall retain all rights of conversion until the date of repayment,
notwithstanding the pendency of any prepayment notice.


 






    	 	 	 



    	 	 	 



    

 


8. The
following shall constitute an “Event of Default”:


 


(a) The
Company shall default in the payment of principal on this Note and same shall continue for a period of five (5) days provided,
however, that an Event of Default shall not occur on account of a failure to pay due solely to an administrative or operational
error of any depositary institution that is crediting by ACH or wiring such payment if Company had the funds to make the payment
when due and makes the payment within two (2) Business Days following Company’s knowledge of such failure to pay; or


 


(b) Any
of the representations or warranties made by the Company herein, in any certificate or financial or other written statements heretofore
or hereafter furnished by the Company in connection with the execution and delivery of this Note shall be false or misleading
in any material respect at the time made; or


 


(c) The
Company shall fail to perform or observe, in any material respect, any other covenant, term, provision, condition, agreement or
obligation of any Note and such failure shall continue uncured for a period of fifteen (15) days after written notice from the
Holder of such failure; or


 


(d) The
Company fails to authorize or to cause its transfer agent to issue the Shares upon exercise by the Holder through a Notice of
Conversion in accordance with the terms of this Note, fails to transfer or to cause its transfer agent to transfer any certificate
for Shares issued to the Holder upon conversion of this Note and when required by this Note, and such transfer is otherwise lawful,
or fails to remove any restrictive legend on any certificate or fails to cause its transfer agent to remove such restricted legend,
in each case where such removal is lawful, as and when required by this Note, and any such failure shall continue uncured for
five (5) Business Days; or


 


(e) The
Company shall (1) make an assignment for the benefit of creditors or commence proceedings for its dissolution; or (2) apply for
or consent to the appointment of a trustee, liquidator or receiver for its or for a substantial part of its property or business;
or


 


(f) A
trustee, liquidator or receiver shall be appointed for the Company or for a substantial part of its property or business without
its consent and shall not be discharged within sixty (60) days after such appointment; or


 


(f) Any
governmental agency or any court of competent jurisdiction at the instance of any governmental agency shall assume custody or
control of the whole or any substantial portion of the properties or assets of the Company and shall not be dismissed within sixty
(60) days thereafter; or


 


(g) Any
money judgment, writ or warrant of attachment, or similar process in excess of One Hundred Thousand ($300,000) Dollars in the
aggregate shall be entered or filed against the Company or any of its properties or other assets and shall remain unpaid, unvacated,
unbonded or unstayed for a period of thirty (30) days or in any event later than five (5) days prior to the date of any proposed
sale thereunder; or


 


(h) Bankruptcy,
reorganization, insolvency or liquidation proceedings or other proceedings for relief under any bankruptcy law or any law for
the relief of debtors shall be instituted by or against the Company and, if instituted against the Company, shall not be dismissed
within sixty (60) days after such institution or the Company shall by any action or answer approve of, consent to, or acquiesce
in any such proceedings or admit the material allegations of, or default in answering a petition filed in any such proceeding;
or


 


(i) Shares
of Common Stock shall cease to be quoted on the OTCQB for any reason and are not thereafter re-listed, re-traded or re-quoted
on another Principal Market within fifteen (15) trading days.


 






    	 	 	 



    	 	 	 



    

 


j. The
Company fails to file a registration statement with the Securities and Exchange Commission for the underlying common stock of
the Note by January 31, 2016.


 


Then,
or at any time thereafter, and in each and every such case, unless such Event of Default shall have been waived in writing by
the Holder (which waiver shall not be deemed to be a waiver of any subsequent default) at the option of the Holder and in the
Holder’s sole discretion, the Holder may consider all obligations under this Note immediately due and payable within five
(5) days of notice, without presentment, demand, protest or notice of any kinds, all of which are hereby expressly waived, anything
herein or in any note or other instruments contained to the contrary notwithstanding, and the Holder may immediately enforce any
and all of the Holder’s rights and remedies provided herein or any other rights or remedies afforded by law. Upon an Event
of Default, the Conversion Price will become the Current Market Price multiplied by twenty five percent (25%) (“Default
Conversion Price”).


 


9. The
Company shall not effect any conversion of this Note, and a Holder shall not have the right to convert any portion of this Note,
pursuant to Section 2 or otherwise, to the extent that after giving effect to such issuance after exercise as set forth on the
applicable Notice of Conversion, the Holder (together with the Holder’s Affiliates, and any other Persons acting as a group
together with the Holder or any of the Holder’s Affiliates), would beneficially own in excess of the Beneficial Ownership
Limitation (as defined below). For purposes of the foregoing sentence, the number of shares of Common Stock beneficially owned
by the Holder and its Affiliates shall include the number of shares of Common Stock issuable upon conversion of this Note with
respect to which such determination is being made, but shall exclude the number of shares of Common Stock which would be issuable
upon (i) conversion of the remaining, nonconverted portion of this Note beneficially owned by the Holder or any of its Affiliates
and (ii) exercise or conversion of the unexercised or nonconverted portion of any other securities of the Company (including,
without limitation, securities convertible into Common Stock) subject to a limitation on conversion or exercise analogous to the
limitation contained herein beneficially owned by the Holder or any of its Affiliates. Except as set forth in the preceding sentence,
for purposes of this Section 9, beneficial ownership shall be calculated in accordance with Section 13(d) of the Exchange Act
and the rules and regulations promulgated thereunder, it being acknowledged by the Holder that the Company is not representing
to the Holder that such calculation is in compliance with Section 13(d) of the Exchange Act and the Holder is solely responsible
for any schedules required to be filed in accordance therewith. To the extent that the limitation contained in this Section 9
applies, the determination of whether this Note is convertible (in relation to other securities owned by the Holder together with
any Affiliates) and of which portion of this Note is convertible shall be in the sole discretion of the Holder, and the submission
of a Notice of Conversion shall be deemed to be the Holder’s determination of whether this Note is convertible (in relation
to other securities owned by the Holder together with any Affiliates) and of which portion of this Note is convertible, in each
case subject to the Beneficial Ownership Limitation, and the Company shall have no obligation to verify or confirm the accuracy
of such determination. In addition, a determination as to any group status as contemplated above shall be determined in accordance
with Section 13(d) of the Exchange Act and the rules and regulations promulgated thereunder. For purposes of this Section 9, in
determining the number of outstanding shares of Common Stock, a Holder may rely on the number of outstanding shares of Common
Stock as reflected in (A) the Company’s most recent periodic or annual report filed with the SEC, as the case may be, (B)
a more recent public announcement by the Company or (C) a more recent written notice by the Company or Company’s transfer
agent setting forth the number of shares of Common Stock outstanding. Upon the written or oral request of a Holder, the Company
shall within two trading days confirm orally and in writing to the Holder the number of shares of Common Stock then outstanding.
In any case, the number of outstanding shares of Common Stock shall be determined after giving effect to the conversion or exercise
of securities of the Company, including this Note, by the Holder or its Affiliates since the date as of which such number of outstanding
shares of Common Stock was reported. The “Beneficial Ownership Limitation” shall be 9.99% of the number of shares
of the Common Stock outstanding immediately after giving effect to the issuance of shares of Common Stock issuable upon conversion
of this Note. The provisions of this paragraph shall be construed and implemented in a manner otherwise than in strict conformity
with the terms of this Section 9 to correct this paragraph (or any portion hereof) which may be defective or inconsistent with
the intended Beneficial Ownership Limitation herein contained or to make changes or supplements necessary or desirable to properly
give effect to such limitation. The limitations contained in this paragraph shall apply to a successor holder of this Note.


 






    	 	 	 



    	 	 	 



    

 


10. Nothing
contained in this Note shall be construed as conferring upon the Holder the right to vote or to receive dividends or to consent
or receive notice as a shareholder in respect of any meeting of shareholders or any rights whatsoever as a shareholder of the
Company, unless and to the extent converted in accordance with the terms hereof.


 


11.
The terms and conditions of this Note shall inure to the benefit of and be binding upon the respective successors and assigns
of the Company and the Holder.


 


12.
Certain Definitions. For purposes of this Note, the following terms shall have the following meanings:


 


(a) “Affiliate”
shall mean as applied to any Person, means any other Person directly or indirectly controlling, controlled by, or under common
control with, that Person. For the purposes of this definition, “control” (including, with correlative meanings, the
terms “controlling”, “controlled by” and “under common control with”), as applied to any Person,
means the possession, directly or indirectly, of the power to direct or cause the direction of the management and policies of
that Person, whether through the ownership of voting securities or by contract or otherwise. For purposes of this definition,
a Person shall be deemed to be “controlled by” a Person if such latter Person possesses, directly or indirectly, power
to vote 10% or more of the securities having ordinary voting power for the election of directors of such former Person.


 


(b)
“Bloomberg” means Bloomberg Financial Markets.


 


(c)
“Business Day” means any day other than Saturday, Sunday or other day on which commercial banks in The City of New
York are authorized or required by law to remain closed.


 


(c)
“Person” means an individual, a limited liability company, a partnership, a joint venture, a corporation, a trust,
an unincorporated organization, any other entity and a government or any department or agency thereof.


 


(d)
“Principal Market” means OTCQB or the principal securities exchange or securities market on which the Common Stock
is then quoted or traded.


 


[signature
page follows immediately]


 






    	 	 	 



    	 	 	 



    

 


IN
WITNESS WHEREOF, the Company has caused this instrument to be duly executed by an officer thereunto duly authorized.


 


Dated:
________________


 


OWC PHARMACEUTICAL RESEARCH CORP.  


 


	By:	 	 
	Name:	 	 
	Title: