Exhibit
10.10


 


THE
OFFER AND SALE OF THIS SECOND AMENDED AND RESTATED PROMISSORY NOTE (THIS “NOTE”) HAS NOT BEEN REGISTERED UNDER THE
SECURITIES ACT OF 1933, AS AMENDED (THE “SECURITIES ACT”). THIS NOTE HAS BEEN ACQUIRED FOR INVESTMENT ONLY AND MAY
NOT BE SOLD, TRANSFERRED OR ASSIGNED IN THE ABSENCE OF REGISTRATION OF THE RESALE THEREOF UNDER THE SECURITIES ACT OR AN OPINION OF COUNSEL
REASONABLY SATISFACTORY IN FORM, SCOPE AND SUBSTANCE TO THE COMPANY THAT SUCH REGISTRATION IS NOT REQUIRED.  


 


SECOND AMENDED AND
RESTATED PROMISSORY NOTE


 


	Principal Amount:  Up to $300,000	
    Dated as of December 13, 2021

    Shaker Heights, Ohio



 


Gardiner
Healthcare Acquisitions Corp., a Delaware corporation and blank check company (the “Maker”), promises to pay to
the order of Gardiner Healthcare Holdings, LLC, a Delaware limited liability company or its registered assigns or successors in interest
(together, the “Payee”), the principal sum of up to Three Hundred Thousand Dollars ($300,000) (the “Maximum
Amount”) in lawful money of the United States of America, on the terms and conditions described below. All payments on this
Note shall be made by check or wire transfer of immediately available funds, or as otherwise determined by Maker, to such account as Payee
may from time to time designate by Notice (as defined in Section 9) to Maker in accordance with the provisions of this Note.


 


This
Note amends, restates, replaces and supersedes that certain Amended and Restated Promissory Note dated July 30 (the “Existing
Note”), in the original principal amount of $300,000 executed by Maker in favor of Payee. From and after the execution and delivery
of this Note, (i) the indebtedness heretofore evidenced by the Existing Note shall instead be evidenced by this Note, and (ii) the Existing
Note shall thereupon be deemed cancelled.


 


1.            
 Principal. The principal balance of this Note shall be payable by Maker on the earlier of: (i) March 31, 2022 (the “Maturity
Date”) or (ii) the date on which Maker consummates an initial public offering of its securities (the “IPO”).
The principal balance may be prepaid at any time. Under no circumstances shall any individual, including but not limited to any officer,
director, employee or shareholder of Maker, be obligated personally for any obligations or liabilities of Maker hereunder.


 


2.            
Interest. No interest shall accrue on the unpaid principal balance of this Note.


 


3.             Drawdown
Requests. Maker and Payee agree that Maker may request from the Payee or its affiliates up to the Maximum Amount for costs
reasonably related to Maker’s initial public offering of its securities (which amount shall include any amounts funded to date
by the Payee or its affiliates). The principal of this Note may be drawn down from time to time prior to the earlier of: (i)
December 31, 2021; or (ii) the date on which Maker consummates an initial public offering of its securities, upon written request
from Maker to Payee (each, a “Drawdown Request”). Each Drawdown Request must state the amount to be drawn down,
and must not be an amount less than Ten Thousand Dollars ($10,000), unless agreed upon by Maker and Payee. Payee shall fund each
Drawdown Request no later than five business days after receipt of a Drawdown Request; provided, however, that the maximum
amount of drawdowns collectively under this Note shall not exceed the Maximum Amount. Once an amount is drawn down under this Note,
such amount shall not be available for future Drawdown Requests, even if such amount is prepaid. No fees, payments or other amounts
shall be due to Payee in connection with, or as a result of, any Drawdown Request by Maker. Notwithstanding the foregoing, all
payments shall be applied, first, to payment in full of any costs incurred in the collection of any sum due under this Note,
including (without limitation) reasonable attorneys’ fees, and second, to the reduction of the unpaid principal balance
of this Note.


 






     


     


    

 


4.            
Application of Payments. All payments shall be applied, first, to payment in full of any costs incurred in the collection
of any sum due under this Note, including (without limitation) reasonable attorney’s fees, second, to the payment in full
of any late charges, and third, to the reduction of the unpaid principal balance of this Note.


 


5.            
Events of Default. The following events shall constitute an event of default (“Event of Default”):


 


5.1              
Failure to Make Required Payments. The failure by Maker to pay the principal amount due pursuant to this Note within
five business days of the Maturity Date.


 


5.2              
Voluntary Bankruptcy, Etc. The: (a) commencement by Maker of a voluntary case under any applicable bankruptcy, insolvency,
reorganization, rehabilitation or other similar law; (b) consent by Maker to the appointment of or taking possession by a receiver, liquidator,
assignee, trustee, custodian, sequestrator (or other similar official) of Maker for any substantial part of its property, (c) making by
Maker of any assignment for the benefit of creditors; (d) the failure of Maker generally to pay its debts as such debts become due; or
(e) taking of any corporate action by Maker in furtherance of any of the foregoing events described in Section 5.2(a) – Section
5.2(d).


 


5.3              
Involuntary Bankruptcy, Etc. The: (a)(i) entry of a decree or order for relief by a court having jurisdiction in
the premises in respect of Maker in an involuntary case under any applicable bankruptcy, insolvency or other similar law, (ii) appointment
of a receiver, liquidator, assignee, custodian, trustee, sequestrator (or similar official) of Maker or for any substantial part of its
property, or (iii) the ordering of the winding-up or liquidation of Maker’s affairs; and (b) continuance of any such decree, appointment,
or order unstayed and in effect for a period of 60 consecutive days.


 


6.            
Remedies.


 


6.1              
Upon the occurrence of an Event of Default specified in Section 5.1, Payee may, by Notice to Maker, declare this
Note to be due immediately and payable by Maker, whereupon the unpaid principal amount of this Note, and all other amounts payable hereunder,
shall become immediately due and payable without presentment, demand, protest or other notice of any kind, all of which are hereby expressly
waived, notwithstanding anything contained herein or in the documents evidencing the same to the contrary.


 


6.2              
Upon the occurrence of an Event of Default specified in Section 5.2 and Section 5.3, the unpaid principal
balance of this Note, and all other sums payable with regard to this Note, shall automatically and immediately become due and payable
by Maker, in all cases without any action on the part of Payee.


 


7.           
Waivers. Maker and all endorsers and guarantors of, and sureties for, this Note waive: (a) presentment for payment, demand,
notice of dishonor, protest, and notice of protest with regard to the Note; (b) all errors, defects and imperfections in any proceedings
instituted by Payee under the terms of this Note; and (c) all benefits that might accrue to Maker by virtue of any present or future laws
(i) exempting any property, real or personal, or any part of the proceeds arising from any sale of any such real or personal property,
from attachment, levy or sale under execution, or (ii) providing for any stay of execution, exemption from civil process, or extension
of time for payment. Maker agrees that any real estate that may be levied upon pursuant to a judgment obtained by virtue hereof or any
writ of execution issued hereon, may be sold upon any such writ in whole or in part in any order desired by Payee.


 






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8.             
 Unconditional Liability. Maker hereby waives all notices in connection with the delivery, acceptance, performance, default,
or enforcement of the payment of this Note, and agrees that Maker’s liability shall be unconditional, without regard to the liability
of any other party, and shall not be affected in any manner by any indulgence, extension of time, renewal, waiver or modification granted
or consented to by Payee. Maker consents to any and all extensions of time, renewals, waivers, or modifications that may be granted by
Payee with respect to the payment or other provisions of this Note. Maker agrees that additional makers, endorsers, guarantors, or sureties
may become parties hereto without either any Notice to Maker or any bearing on Maker’s liability hereunder.


 


9.             
Notices. All notices, requests, consents, claims, demands, waivers, and other communications hereunder (each, a “Notice”)
shall be in writing and addressed to the parties at the addresses set forth on the first page of this Agreement (or to such other address
that may be designated by the receiving party from time to time in accordance with this Section 9). A Notice shall be deemed to
have been given (a) when delivered by hand (with written confirmation of receipt); (b) when received by the addressee if sent by a nationally
recognized overnight courier (receipt requested); (c) on the date sent by facsimile or email (with confirmation of transmission) if sent
during normal business hours of the recipient, and on the next business day if sent after normal business hours of the recipient; or (d)
on the third day after the date mailed, by certified or registered mail (in each case, return receipt requested, postage pre-paid). .


 


10.          
Construction. THIS NOTE SHALL BE CONSTRUED AND ENFORCED IN ACCORDANCE WITH THE LAWS OF NEW YORK, WITHOUT REGARD TO CONFLICT
OF LAW PROVISIONS THEREOF.


 


11.          
Severability. Any provision contained in this Note which is prohibited or unenforceable in any jurisdiction shall, as to such
jurisdiction, be ineffective to the extent of such prohibition or unenforceability without invalidating the remaining provisions hereof,
and any such prohibition or unenforceability in any jurisdiction shall not invalidate or render unenforceable such provision in any other
jurisdiction.


 


12.          
Trust Waiver. Notwithstanding anything herein to the contrary, Payee hereby waives any and all right, title, interest or claim
of any kind (each, a “Claim”) in or to any distribution of or from the trust account to be established (the “Trust
Account”), in which the proceeds of both the (a) IPO (including the deferred underwriters discounts and commissions) and (b)
sale of the warrants to be issued in a private placement to occur at the closing of the IPO are to be deposited, as described in greater
detail in the Registration Statement on Form S-1 and prospectus to be filed with the Securities and Exchange Commission in connection
with the IPO. Payee hereby agrees not to seek recourse, reimbursement, payment or satisfaction for any Claim against the Trust Account
for any reason whatsoever.


 


13.          
Amendment; Waiver. Any amendment hereto or waiver of any provision hereof may be made with, and only with, the written consent
of both Maker and Payee.


 


14.          
Assignment. No assignment or transfer of this Note or any rights or obligations hereunder may be made by any party hereto (by
operation of law or otherwise) without the prior written consent of the other party hereto. Any attempted assignment without the required
consent shall be void.


 


[Signature page follows]


 






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IN WITNESS WHEREOF,
Maker, intending to be legally bound hereby, has caused this Note to be duly executed by the undersigned as of the day and year first
above written.


 


	 	Gardiner
    Healthcare Acquisitions Corp.
	 	 
	 	 
	 	By: 	/s/ Marc F. Pelletier
	 	 	Name:   	Marc F. Pelletier
	 	 	Title: 	Chairman and Chief Executive Officer




 


[Signature Page to Second Amended & Restated
Promissory Note]