has read and understands this
Agreement, and the representations made by the undersigned in this Agreement are
true and accurate, and agrees to be bound by its terms.
Balance Labs, Inc.
By: /s/ Michael D. Farkas
Name: Michael D. Farkas
Title: CEO
NEWEL TRADING GROUP, LLC
By: /s/ Newel Trading
Group, LLC
Name:
Title:
[SIGNATURE PAGE OF INVESTMENT AGREEMENT]
LIST OF EXHIBITS
EXHIBIT A Registration Rights Agreement
EXHIBIT B Form of Drawdown Notice
EXHIBIT C Investor Questionnaire
EXHIBIT D Drawdown Settlement Sheet
EXHIBIT E Warrant to Purchase Common Stock
EXHIBIT A
REGISTRATION RIGHTS AGREEMENT
See attached.
EXHIBIT B
FORM OF DRAWDOWN NOTICE
Date:
RE: Drawdown Notice Number __
Dear _____________,
This is to inform you that as of today, Balance Labs, Inc., a Delaware
corporation (the "Company"), hereby elects to exercise its right pursuant to the
Investment Agreement to require NEWEL TRADING GROUP, LLC to purchase shares of
its common stock. The Company hereby certifies that:
The amount of this Drawdown is $__________.
The Pricing Period runs from _______________ until _______________.
The Purchase Price is: $_______________
The number of Drawdown Shares Due:___________________.
The current number of shares of common stock issued and outstanding is:
_________________.
The number of shares currently available for issuance on the Registration
Statement on Form S-1 is: ________________________.
Regards,
BALANCE LABS, INC.
By:
Name:
Title:
EXHIBIT C
Form of Investor Questionnaire
EXHIBIT D
DRAWDOWN SETTLEMENT SHEET
Date: ________________
Dear _____________,
Pursuant to the Drawdown given by Balance Labs, Inc. (the "Company") to NEWEL
TRADING GROUP, LLC (the "Investor") on _________________ 201_, we are now
submitting the amount of common shares for you to issue to the Investor.
Please have a certificate bearing no restrictive legend totaling __________
shares issued to Investor immediately and send via its Deposit Withdrawal Agent
Commission ("DWAC") system to the following account:
[INSERT]
If not DWAC eligible, please send FedEx Priority Overnight to:
[INSERT ADDRESS]
Once these shares are received by us, we will have the funds wired to the
Company.
Regards,
NEWEL TRADING GROUP, LLC
By:
Name:
Title:
EXHIBIT E
WARRANT TO PURCHASE COMMON STOCK
See attached.