Document:

Form of senior debt secuirty - medium-term note

 Exhibit 4.03 
 LEHMAN BROTHERS HOLDINGS INC. 
 Buffered Annual Review Notes Linked to an Index Due August 31, 2010 
  

			
	Number R-1	 	$1,590,000
	ISIN US52517P5F49	 	CUSIP 52517P5F4

 See Reverse for Certain Definitions 
 THIS SECURITY (THIS “SECURITY”) IS A GLOBAL SECURITY WITHIN THE MEANING OF THE INDENTURE HEREINAFTER REFERRED TO AND IS REGISTERED IN
THE NAME OF A DEPOSITORY OR A NOMINEE THEREOF. UNLESS AND UNTIL IT IS EXCHANGED IN WHOLE OR IN PART FOR SECURITIES IN CERTIFICATED FORM, THIS SECURITY MAY NOT BE TRANSFERRED EXCEPT AS A WHOLE BY THE DEPOSITORY TO A NOMINEE OF THE DEPOSITORY OR BY A
NOMINEE OF THE DEPOSITORY TO SUCH DEPOSITORY OR ANOTHER NOMINEE OF THE DEPOSITORY OR BY THE DEPOSITORY OR ANY SUCH NOMINEE TO A SUCCESSOR DEPOSITORY OR A NOMINEE OF SUCH SUCCESSOR DEPOSITORY. UNLESS THIS SECURITY IS PRESENTED BY AN AUTHORIZED
REPRESENTATIVE OF THE DEPOSITORY TO LEHMAN BROTHERS HOLDINGS INC. OR ITS AGENT FOR REGISTRATION OF TRANSFER, EXCHANGE OR PAYMENT, AND ANY SECURITY ISSUED IS REGISTERED IN THE NAME OF CEDE & CO. OR IN SUCH OTHER NAME AS REQUESTED BY AN
AUTHORIZED REPRESENTATIVE OF THE DEPOSITORY (AND ANY PAYMENT IS MADE TO CEDE & CO. OR TO SUCH OTHER ENTITY AS IS REQUESTED BY AN AUTHORIZED REPRESENTATIVE OF THE DEPOSITORY), ANY TRANSFER, PLEDGE OR OTHER USE HEREOF FOR VALUE OR OTHERWISE
BY OR TO ANY PERSON IS WRONGFUL INASMUCH AS THE REGISTERED OWNER HEREOF, CEDE & CO., HAS AN INTEREST HEREIN. 
 LEHMAN BROTHERS
HOLDINGS INC., a corporation duly organized and existing under the laws of the State of Delaware (hereinafter called the “Company”), for value received, hereby promises to pay to CEDE & CO. or registered assigns, at the
office or agency of the Company in the Borough of Manhattan, The City of New York, on the Maturity Date, in such coin or currency of the United States of America at the time of payment shall be legal tender for the payment of public and private
debts, for each $1,000 principal amount of the Securities represented hereby, an amount equal to the Payment at Maturity or amount due upon an Automatic Call, if applicable. THE SECURITIES REPRESENTED HEREBY SHALL NOT BEAR ANY INTEREST. 

Any amount payable on the Maturity Date or upon an Automatic Call, if applicable, hereon will be paid only upon presentation and surrender of this
Security. 
 REFERENCE IS HEREBY MADE TO THE FURTHER PROVISIONS OF THIS SECURITY SET FORTH ON THE REVERSE HEREOF WHICH FURTHER PROVISIONS
SHALL FOR ALL PURPOSES HAVE THE SAME EFFECT AS IF SET FORTH AT THIS PLACE. 

 “Dow Jones EURO STOXX 50®” and
“STOXX®” are trademarks of STOXX Limited and have been licensed for certain purposes by the Company. The Securities, linked to the performance of the Dow Jones EURO STOXX 50®, are not sponsored, endorsed, sold or promoted by STOXX Limited and STOXX Limited makes no representation regarding the advisability of investing in the Securities. This Security shall not be
valid or become obligatory for any purpose until the certificate of authentication hereon shall have been signed by the Trustee under the Indenture referred to on the reverse hereof. 

 IN WITNESS WHEREOF, Lehman Brothers Holdings Inc. has caused this instrument to be signed by its
Chairman of the Board, its President, its Vice Chairman, its Chief Financial Officer, one of its Vice Presidents or its Treasurer, by manual or facsimile signature under its corporate seal, attested by its Secretary or one of its Assistant
Secretaries by manual or facsimile signature. 
 Dated: August 31, 2007 
  

							
	[SEAL]	 	LEHMAN BROTHERS HOLDINGS INC.	 	
				
		 	By:	 	  
	 	
		 		 	Vice President	 	
		 	Attest:	 	  
	 	
		 		 	Assistant Secretary	 	

  
 TRUSTEE’S CERTIFICATE OF
AUTHENTICATION 
 This is one of the Securities of the series designated therein referred to in the within-mentioned Indenture. 
  

			
	CITIBANK, N.A.
	as Trustee
		
	By:	 	  

		 	    Authorized Officer

 Reverse of Security 
 This Security is one of a duly authorized series of Securities of the Company designated as Buffered Annual Review Notes Linked to an Index Due August 31, 2010 (herein called the “Securities”).
The Company may, without the consent of the holders of the Securities, create and issue additional securities ranking equally with the Securities and otherwise similar in all respects so that such additional securities shall be consolidated and form
a single series with the Securities; provided that no additional securities can be issued if an Event of Default has occurred with respect to the Securities. This series of Securities is one of an indefinite number of series of debt securities of
the Company, issued and to be issued under an indenture, dated as of September 1, 1987, as amended (herein called the “Indenture”), duly executed and delivered by the Company and Citibank, N.A., as trustee (herein called the
“Trustee”, which term includes any successor trustee under the Indenture), to which Indenture and all indentures supplemental thereto reference is hereby made for a description of the rights, limitations of rights, obligations,
duties and immunities thereunder of the Company, the Trustee and the Holders of the Securities. 
 The Payment at Maturity or amount due
upon an Automatic Call, if applicable, at the request of the Trustee, shall be determined by the Calculation Agent pursuant to the Calculation Agency Agreement. The Trustee shall fully rely on the determination by the Calculation Agent of the
Payment at Maturity or amount due upon an Automatic Call, if applicable, and shall have no duty to make any such determination. The Calculation Agent will provide written notice to the Trustee at its New York office, on which notice the Trustee may
conclusively rely, of the Payment at Maturity or amount due upon an Automatic Call, if applicable, on or prior to 11:00 a.m. on the Business Day preceding the Maturity Date or applicable Redemption Date. 
 All calculations with respect to the Initial Index Level, the Ending Index Level, the Index Return or any Index Closing Level will be rounded to the
nearest one hundred-thousandth, with five one-millionths rounded upward (e.g., .876545 would be rounded to .87655); all dollar amounts related to determination of the payment per $1,000 principal amount Security on the Maturity Date or
Redemption Date, if any, will be rounded to the nearest ten-thousandth, with five one hundred-thousandths rounded upward (e.g., .76545 would be rounded up to .7655); and all dollar amounts paid on the aggregate principal amount of Securities
per Holder will be rounded to the nearest cent, with one-half cent rounded upward. 
 This Security is not subject to any sinking fund.

 If an Event of Default with respect to the Securities shall occur and be continuing, the amounts payable on all of the Securities may be
declared due and payable in the manner and with the effect provided in the Indenture. The amount payable to the Holder hereof upon any acceleration permitted under the Indenture will be equal to the Payment at Maturity calculated as though the date
of acceleration were the Final Review Date. If the maturity of the Securities is accelerated because of an Event of Default, the Company shall, or shall cause the Calculation Agent to, provide written notice to the Trustee at its New York office, on
which notice the Trustee may conclusively rely, and to The Depository Trust Company of the cash amount due with respect to the Securities as promptly as possible and in no event later than two Business Days after the date of acceleration.

  

 The Indenture contains provisions permitting the Company and the Trustee, with the consent of the
holders of not less than 66 2/3% in aggregate principal amount of each series of Securities at the time
Outstanding to be affected (each series voting as a class), evidenced as in the Indenture provided, to execute supplemental indentures adding any provisions to, or changing in any manner or eliminating any of the provisions of the Indenture or of
any supplemental indenture or modifying in any manner the rights of the holders of the Securities of all such series; provided, however, that no such supplemental indenture shall, among other things, (i) change the fixed maturity
of any Security, or reduce the principal amount thereof, or reduce the rate or extend the time of payment of interest thereon, if any, or reduce any premium payable on redemption, or make the principal thereof, or premium, if any, or interest
thereon, if any, payable in any coin or currency other than that hereinabove provided, without the consent of the holder of each Security so affected, or (ii) change the place of payment on any Security, or impair the right to institute suit
for payment on any Security, or reduce the aforesaid percentage of Securities, the holders of which are required to consent to any such supplemental indenture, without the consent of the holders of each Security so affected. It is also provided in
the Indenture that, prior to any declaration accelerating the maturity of any series of Securities, the holders of a majority in aggregate principal amount of the Securities of such series Outstanding may on behalf of the holders of all the
Securities of such series waive any past default or Event of Default under the Indenture with respect to such series and its consequences, except a default in the payment of interest, if any, or the principal of, or premium, if any, on any of the
Securities of such series, or in the payment of any sinking fund installment or analogous obligation with respect to Securities of such series. Any such consent or waiver by the Holder of this Security shall be conclusive and binding upon such
Holder and upon all future holders and owners of this Security and any Securities which may be issued in exchange or substitution hereof, irrespective of whether or not any notation thereof is made upon this Security or such other Securities.

 No reference herein to the Indenture and no provision of this Security or of the Indenture shall alter or impair the obligation of
the Company, which is absolute and unconditional, to pay the Payment at Maturity or amount due upon an Automatic Call, if applicable, with respect to this Security. 
 The Securities are issuable in denominations of $1,000 and any whole multiples of $1,000. 
 The Company,
the Trustee, and any agent of the Company or of the Trustee may deem and treat the registered holder (the “Holder”) hereof as the absolute owner of this Security (whether or not this Security shall be overdue and notwithstanding any
notation of ownership or other writing hereon), for the purpose of receiving payment hereof, or on account hereof, and for all other purposes and neither the Company nor the Trustee nor any agent of the Company or of the Trustee shall be affected by
any notice to the contrary. All such payments made to or upon the order of such registered holder shall, to the extent of the sum or sums paid, effectually satisfy and discharge liability for moneys payable on this Security. 
 No recourse for the payment of the principal of, premium, if any, or interest on this Security, or for any claim based hereon or otherwise in respect
hereof, and no recourse under or upon any obligation, covenant or agreement of the Company in the Indenture or any indenture supplemental thereto or in any Security, or because of the creation of any indebtedness 

 
represented thereby, shall be had against any incorporator, stockholder, officer or director, as such, past, present or future, of the Company or of any
successor corporation, either directly or through the Company or any successor corporation, whether by virtue of any constitution, statute or rule of law or by the enforcement of any assessment or penalty or otherwise, all such liability being, by
the acceptance hereof and as part of the consideration for the issue hereof, expressly waived and released. 
 As provided in the Indenture
and subject to certain limitations therein set forth, the transfer of this Security is registrable in the Security Register, upon surrender of this Security for registration of transfer at the Corporate Trust Office or agency in a Place of Payment
for this Security, duly endorsed by, or accompanied by a written instrument of transfer in form satisfactory to the Company and the Security Registrar duly executed by, the Holder hereof or such Holder’s attorney duly authorized in writing, and
thereupon one or more new Securities of this series or of like tenor and of authorized denominations and for the same aggregate principal amount, will be issued to the designated transferee or transferees. 
 The Company intends to treat, and by purchasing this Security, the Holder agrees to treat, for all tax purposes, this Security as a cash-settled
financial contract, rather than as a debt instrument. 
 THE INDENTURE AND THIS SECURITY SHALL BE GOVERNED BY AND CONSTRUED IN ACCORDANCE
WITH THE LAWS OF THE STATE OF NEW YORK. 
 Definitions 
 Set forth below are definitions of the terms used in this Security. 
 An “Automatic Call”
occurs if the Index Closing Level on any Review Date is above or equal to the Call Level. Upon the occurrence of an Automatic Call, the Securities will be automatically called for a cash payment, per $1,000 principal amount Security, that will equal
$1,000 plus the applicable Call Premium. 
 If the Securities are subject to an Automatic Call on a Review Date other than the Final Review
Date, the Holders will receive a cash payment of $1,000 plus the applicable Call Premium on the Redemption Date. If the Securities are subject to an Automatic Call on the Final Review Date, the Holders will receive a cash payment of $1,000 plus the
applicable Call Premium on the Maturity Date. 
 “Buffer Amount” shall equal 10%. 
 “Business Day”, notwithstanding any provision in the Indenture, shall mean any day that is not a Saturday or Sunday and that is not a
day on which banking institutions in the City of New York are authorized or obligated by law to close. 
 “Calculation Agency
Agreement” shall mean the Calculation Agency Agreement, dated as of December 21, 2006 between the Company and the Calculation Agent, as amended from time to time, or any successor calculation agency agreement. 
  

 “Calculation Agent” shall mean the person that has entered into an agreement with the
Company providing for, among other things, the determination of the Payment at Maturity, which term shall, unless the context otherwise requires, include its successors and assigns. The initial Calculation Agent shall be Lehman Brothers Inc.

 “Call Level” shall equal 4,170.68. 
 “Call Premium”, as calculated by the Calculation Agent, per $1,000 principal amount Security paid upon an Automatic Call shall equal: 
 (1)    13.90% × $1,000 if called on the First Review Date; 
 (2)    27.80% × $1,000 if called on the Second Review Date; or 
 (3)    41.70% × $1,000 if called on the Final Review Date. 
 “Closing Price” of a security, on any particular day, means the last reported sales price for that security on the Relevant Exchange at
the scheduled weekday closing time of the regular trading session of the Relevant Exchange. If, however, the security is not listed or traded on a bulletin board, then the Closing Price of the security will be determined using the average execution
price per share that an affiliate of the Company pays or receives upon the purchase or sale of the security used to hedge the Company’s obligations under the Securities. 
 “Company” shall have the meaning set forth on the face of this Security. 
 “Ending Index Level” shall equal the Index Closing Level on the Final Review Date. 
 “Final Review Date” shall mean August 26, 2010. 
 “First Review Date” shall mean August 29, 2008. 
 “Holder” shall
have the meaning set forth on the reverse of this Security. 
 “Indenture” shall have the meaning set forth on the reverse
of this Security. 
 “Index” shall mean the Dow Jones Euro Stoxx 50®
 Index, as calculated, published and disseminated by STOXX Limited. 
 “Index Closing Level”, as determined by the
Calculation Agent, shall mean, with respect to any Trading Day, the closing level of the Index or the Successor Index, as the case may be, at the regular official weekday close of the principal trading session of the Relevant Exchange or market for
the Index or the Successor Index, as the case may be, on such day, or as determined by the Calculation Agent pursuant to the Calculation Agency Agreement as described below under “Discontinuation of the Index; Alteration of Method of
Calculation.” 
 “Index Return”, as calculated by the Calculation Agent, is calculated as follows: 

					
		  	 Ending Index Level –Initial Index Level
 Initial Index Level
	 	

 “Initial Index Level” shall equal 4,170.68. 
 “Leverage Factor” shall equal 1.11111. 
 “Market Disruption Event”, with respect to the Index or any Successor Index shall mean any of the following events has occurred on any day as determined by the Calculation Agent: 
 (1)    a suspension, absence or material limitation of trading of stocks then constituting 20% or more of the level of the Index (or
the relevant Successor Index) on the Relevant Exchanges for such securities at any time during the one hour period preceding the close of the principal trading session on such Relevant Exchange; 
 (2)    a breakdown or failure in the price and trade reporting systems of any Relevant Exchange as a result of which the reported
trading prices for stocks then constituting 20% or more of the level of the Index (or the relevant Successor Index) at any time during the one hour period preceding the close of the principal trading session on such Relevant Exchange are materially
inaccurate; 
 (3)    a suspension, absence or material limitation of trading on any major securities exchange for
trading in futures or options contracts or exchange traded funds related to the Index (or the relevant Successor Index) at any time during the one hour period preceding the close of the principal trading session on such exchange; or 
 (4)    a decision to permanently discontinue trading in the relevant futures or options contracts or exchange traded funds.

 For the purpose of determining whether a Market Disruption Event exists at any time, if trading in a security included in the Index is
materially suspended or materially limited at that time, then the relevant percentage contribution of that security to the level of the Index shall be based on a comparison of: 
 (1)    the portion of the level of the Index attributable to that security relative to 
 (2)    the overall level of the Index, 
 in each case immediately before that suspension or limitation. 
 For purposes of determining whether a Market Disruption Event has
occurred: 
 (1)    a limitation on the hours or number of days of trading will not constitute a Market Disruption Event
if it results from an announced change in the regular business hours of the Relevant Exchange or market; 

 (2)    limitations pursuant to the rules of any Relevant Exchange similar to NYSE
Rule 80B (or any applicable rule or regulation enacted or promulgated by any other self-regulatory organization or any government agency of scope similar to NYSE Rule 80B as determined by the Calculation Agent in its sole discretion) on trading
during significant market fluctuations will constitute a suspension, absence or material limitation of trading; 
 (3)    a suspension of trading in futures or options contracts on the Index by the primary securities market trading in such contracts by reason of (i) a price change exceeding limits set by such exchange or market,
(ii) an imbalance of orders relating to such contracts, or (iii) a disparity in bid and ask quotes relating to such contracts, will, in each such case, constitute a suspension, absence or material limitation of trading in futures or
options contracts related to the Index; and 
 (4)    a suspension, absence or material limitation of trading on any
Relevant Exchange or on the primary market on which futures or options contracts related to the Index are traded will not include any time when such market is itself closed for trading under ordinary circumstances. 
 “Maturity Date” shall mean August 31, 2010, unless that day is not a Business Day, in which case the amount equal to the Payment
at Maturity will be made on the next succeeding Business Day following August 31, 2010; provided, that if due to a non-Trading Day or a Market Disruption Event, the Final Review Date is postponed so that it falls less than three Business
Days prior to the scheduled Maturity Date, the Maturity Date will be the third Business Day following the Final Review Date, as postponed. 
 “NYSE” shall mean The New York Stock Exchange, Inc. 
 “Payment at Maturity”, as calculated by
the Calculation Agent and if the Securities are not called, pursuant to an Automatic Call, for each $1,000 principal amount Security shall equal: 
 (1)    If the Index has declined from the Initial Index Level to the Ending Index Level by a percentage equal to or less than the Buffer Amount, $1,000.00; or 
 (2)    If the Index has declined from the Initial Index Level to the Ending Index Level by a percentage greater than the Buffer
Amount, $1,000 + [($1,000 × (Index Return + Buffer Amount) × Leverage Factor)] 
 “Place of Payment” shall mean
the place or places where the Payment at Maturity or amount due upon an Automatic Call, if applicable, on the Securities is payable. 
 “Redemption Date” shall mean, with respect to the First Review Date and the Second Review Date, the third Business Day after the applicable Review Date. 
 “Pricing Date” shall mean August 28, 2007. 

 “Relevant Exchange” shall mean, for any security (or any combination thereof) then
included in the Index or any Successor Index, the primary exchange, quotation system (which includes bulletin board services) or other market of trading for such security. 
 “Review Date” shall mean any of the First Review Date, the Second Review Date and the Final Review Date. 
 If a Review Date is not a Trading Day or if there is a Market Disruption Event on such day, the applicable Review Date will be the immediately
succeeding Trading Day during which no Market Disruption Event shall have occurred or is continuing; provided that the Index Closing Level will not be determined on a date later than the eighth scheduled Trading Day after the scheduled Review
Date, and if such day is not a Trading Day, or if there is a Market Disruption Event on such date, the Calculation Agent will determine the Index Closing Level on such date in accordance with the formula for and method of calculating the Index
Closing Level last in effect prior to commencement of the Market Disruption Event (or prior to the non-Trading Day), using the Closing Price (or, if trading in the relevant securities has been materially suspended or materially limited, its good
faith estimate of the Closing Price that would have prevailed but for such suspension or limitation or non-Trading Day) on such eighth scheduled Trading Day of each security most recently constituting the Index. 
 “Second Review Date” shall mean August 28, 2009. 
 “Securities” shall have the meaning set forth on the reverse of this Security. 
 “Successor Index” shall have the meaning specified under “Discontinuation of the Index; Alteration of Method of Calculation.” 
 “Trading Day” means a day, as determined by the Calculation Agent, on which trading is generally conducted on (i) the Relevant Exchanges for securities underlying the Index and (ii) the
exchanges on which futures or options contracts related to the Index are traded, other than a day on which trading on such Relevant Exchange or exchange on which such securities, futures or options contracts are traded is scheduled to close prior to
its scheduled weekday closing time. 
 “Trustee” shall have the meaning set forth on the reverse of this Security.

 All terms used but not defined in this Security are used herein as defined in the Calculation Agency Agreement or the Indenture.

 Calculation Agent 
 The Calculation
Agent will determine, among other things, the Initial Index Level, the Index Closing Level on each Review Date, whether the Automatic Call feature has triggered a mandatory redemption, the Ending Index Level, the Index Return if the Securities are
not automatically called, the Call Premium and the Payment at Maturity, if any. In addition, the Calculation Agent will determine whether there has been a Market Disruption Event or a 

 
discontinuation of the Index, and whether there has been a material change in the method of calculation of the Index. All calculations, determinations or
adjustments made by the Calculation Agent will be at the sole discretion of the Calculation Agent and will, in the absence of manifest error, be conclusive for all purposes and binding on Holders and on the Company. The Company may appoint a
different Calculation Agent from time to time after the date of the original issue of the Securities without the Holders’ consent and without notifying Holders. 
 Discontinuation of the Index; Alteration of Method of Calculation 
 If STOXX Limited discontinues
publication of the Index and Dow Jones or another entity publishes a successor or substitute index that the Calculation Agent determines, in its sole discretion, to be comparable to the discontinued Index (the “Dow Jones EURO STOXX 50® Index Successor Index”), then any Index Closing Level will be determined by reference to the level of such Dow Jones EURO STOXX 50®
 Index Successor Index at the close of trading on the Relevant Exchange or market for the Dow Jones EURO STOXX 50® Index Successor Index on each Review Date. Upon any selection by
the Calculation Agent of Dow Jones EURO STOXX 50® Index Successor Index, the Calculation Agent will cause written notice thereof to be promptly furnished to the Trustee, to the Company and
to the Holders. 
 If STOXX Limited discontinues publication of the Index prior to, and such discontinuation is continuing on, a Review
Date, and the Calculation Agent determines, in its sole discretion, that no Dow Jones EURO STOXX 50® Index Successor Index is
available at such time, or the Calculation Agent has previously selected the Dow Jones EURO STOXX 50® Index Successor Index and
publication of such Successor Index is discontinued prior to, and such discontinuation is continuing on, such Review Date, or if STOXX Limited (or the publisher of any Dow Jones EURO STOXX 50® Index Successor Index) fails to calculate and publish an Index Closing Level for the Index (or any Dow Jones EURO STOXX 50® Index Successor Index) on any date when it would ordinarily do so in accordance with its customary practice, then the Calculation Agent will determine the
Index Closing Level for such date. The Index Closing Level will be computed by the Calculation Agent in accordance with the formula for and method of calculating the Index or Dow Jones EURO STOXX 50® Index Successor Index, as applicable, last in effect prior to such discontinuation or failure to calculate or publish an Index Closing Level for the Index
or Dow Jones EURO STOXX 50® Index Successor Index, as applicable, using the Closing Price (or, if trading in the relevant
securities has been materially suspended or materially limited, its good faith estimate of the Closing Price that would have prevailed but for such suspension or limitation) at the close of the principal trading session on such date of each security
most recently composing the Index or Dow Jones EURO STOXX 50® Index Successor Index, as applicable. 

 If at any time the method of calculating the Index or an Dow Jones EURO STOXX 50® Index Successor Index, or the level thereof, is changed in a material respect, or if the Index or the Dow Jones EURO STOXX 50® Index Successor Index is in any other way modified so that the Index or such Dow Jones EURO STOXX 50® Index Successor Index does not, in the opinion of the Calculation Agent, fairly represent the level of the Index or such Dow Jones EURO STOXX 50® Index Successor Index had such changes or modifications not been made, then the Calculation Agent will, at the close of business in
New York City on each date on which the Index Closing Level is to be determined, make such calculations and adjustments as, 

 
in the good faith judgment of the Calculation Agent, may be necessary in order to arrive at a level of a stock index comparable to the Index or such Dow
Jones EURO STOXX 50® Index Successor Index, as the case may be, as if such changes or modifications had not been made, and the
Calculation Agent will calculate the Index Closing Level with reference to the Index or such Dow Jones EURO STOXX 50® Index
Successor Index, as adjusted. Accordingly, if the method of calculating the Index or the Dow Jones EURO STOXX 50® Index Successor
Index is modified so that the level of the Index or such Dow Jones EURO STOXX 50® Index Successor Index is a fraction of what it
would have been if there had been no such modification (e.g., due to a split in the Index), then the Calculation Agent will adjust its calculation of the Index or such Dow Jones EURO STOXX 50® Index Successor Index in order to arrive at a level of the Index or such Dow Jones EURO STOXX 50® Index Successor Index as if there had been no such modification (e.g., as if such split had not occurred). 

 The following abbreviations, when used in the inscription on the face of the within Security, shall be
construed as though they were written out in full according to applicable laws or regulations: 
  

							
	TEN COM -	    	as tenants in common	    	UNIF GIFT MIN ACT - _________ Custodian  _________
		    		    	                          (Cust)             
     (Minor)

	TEN ENT -	    	as tenants by the entireties	    	under Uniform Gifts to Minors
	JT TEN -	    	as joint tenants with right of	    	Act	  	  

		    	Survivorship and not as tenants in common	    		  	(State)

 Additional abbreviations may also be used though not in the above list. 
                                       
                   
 FOR VALUE RECEIVED, the
undersigned hereby sells, assigns and transfers unto 
 PLEASE INSERT SOCIAL SECURITY OR OTHER 
 IDENTIFYING NUMBER OF ASSIGNEE 
  

			
	 	 	
	 	 	
	 	 	

  
  
  

	
	 

 (Name and Address of Assignee, including zip code, must be printed or typewritten.) 
  
  

	
	 

 the within Security, and all rights thereunder, hereby irrevocably constituting and appointing 
  
  

	
	 

 to transfer the said Security on the books of the Company, with full power of substitution in the premises.

 Dated: 
 __________________________________________ 
 NOTICE: The signature to this assignment must correspond with the name as it appears
upon the face of the within Security in every particular, without alteration or enlargement or any change whatever. 
 Signature(s) Guaranteed: 

__________________________ 
 THE SIGNATURE(S) SHOULD BE GUARANTEED BY AN
ELIGIBLE GUARANTOR INSTITUTION (BANKS, STOCKBROKERS, SAVINGS AND LOAN ASSOCIATIONS AND CREDIT UNIONS WITH MEMBERSHIP IN AN APPROVED MEDALLION SIGNATURE GUARANTEE PROGRAM), PURSUANT TO S.E.C. RULE 17Ad-15.Form of senior debt secuirty - medium-term note

 Exhibit 4.04 
 LEHMAN BROTHERS HOLDINGS INC. 
 Performance Securities with Contingent Protection Linked to the S&P 500® Index Due August 31, 2012 
  

			
	Number R-1	 	$7,232,050
	ISIN US52522L1290	 	CUSIP 52522L129

 See Reverse for Certain Definitions 
 THIS SECURITY (THIS “SECURITY”) IS A GLOBAL SECURITY WITHIN THE MEANING OF THE INDENTURE HEREINAFTER REFERRED TO AND IS REGISTERED IN
THE NAME OF A DEPOSITORY OR A NOMINEE THEREOF. UNLESS AND UNTIL IT IS EXCHANGED IN WHOLE OR IN PART FOR SECURITIES IN CERTIFICATED FORM, THIS SECURITY MAY NOT BE TRANSFERRED EXCEPT AS A WHOLE BY THE DEPOSITORY TO A NOMINEE OF THE DEPOSITORY OR BY A
NOMINEE OF THE DEPOSITORY TO SUCH DEPOSITORY OR ANOTHER NOMINEE OF THE DEPOSITORY OR BY THE DEPOSITORY OR ANY SUCH NOMINEE TO A SUCCESSOR DEPOSITORY OR A NOMINEE OF SUCH SUCCESSOR DEPOSITORY. UNLESS THIS SECURITY IS PRESENTED BY AN AUTHORIZED
REPRESENTATIVE OF THE DEPOSITORY TO LEHMAN BROTHERS HOLDINGS INC. OR ITS AGENT FOR REGISTRATION OF TRANSFER, EXCHANGE OR PAYMENT, AND ANY SECURITY ISSUED IS REGISTERED IN THE NAME OF CEDE & CO. OR IN SUCH OTHER NAME AS REQUESTED BY AN
AUTHORIZED REPRESENTATIVE OF THE DEPOSITORY (AND ANY PAYMENT IS MADE TO CEDE & CO. OR TO SUCH OTHER ENTITY AS IS REQUESTED BY AN AUTHORIZED REPRESENTATIVE OF THE DEPOSITORY), ANY TRANSFER, PLEDGE OR OTHER USE HEREOF FOR VALUE OR OTHERWISE
BY OR TO ANY PERSON IS WRONGFUL INASMUCH AS THE REGISTERED OWNER HEREOF, CEDE & CO., HAS AN INTEREST HEREIN. 
 LEHMAN BROTHERS
HOLDINGS INC., a corporation duly organized and existing under the laws of the State of Delaware (hereinafter called the “Company”), for value received, hereby promises to pay to CEDE & CO. or registered assigns, at the
office or agency of the Company in the Borough of Manhattan, The City of New York, on the Maturity Date, in such coin or currency of the United States of America at the time of payment shall be legal tender for the payment of public and private
debts, for each $10 principal amount of the Securities represented hereby, an amount equal to the Payment at Maturity. THE SECURITIES REPRESENTED HEREBY SHALL NOT BEAR ANY INTEREST. 
 Any amount payable hereon on the Maturity Date will be paid only upon presentation and surrender of this Security. 
 REFERENCE IS HEREBY MADE TO THE FURTHER PROVISIONS OF THIS SECURITY SET FORTH ON THE REVERSE HEREOF WHICH FURTHER PROVISIONS SHALL FOR ALL PURPOSES HAVE
THE SAME EFFECT AS IF SET FORTH AT THIS PLACE. 

 “Standard & Poor’s” “S&P” “S&P 500” and
“Standard & Poor’s 500” are trademarks of The McGraw-Hill Companies, Inc. and have been licensed for use by Lehman Brothers Inc. and sub-licensed for use by the Company. The Securities, which are linked to the performance of
the S&P 500® Index, are not sponsored, endorsed, sold or promoted by Standard & Poor’s, and Standard & Poor’s makes no representation regarding the
advisability of investing in the Securities. This Security shall not be valid or become obligatory for any purpose until the certificate of authentication hereon shall have been signed by the Trustee under the Indenture referred to on the reverse
hereof. 

 IN WITNESS WHEREOF, Lehman Brothers Holdings Inc. has caused this instrument to be signed by its
Chairman of the Board, its President, its Vice Chairman, its Chief Financial Officer, one of its Vice Presidents or its Treasurer, by manual or facsimile signature under its corporate seal, attested by its Secretary or one of its Assistant
Secretaries by manual or facsimile signature. 
  

							
	Dated: August 31, 2007	 		 	
			
	[SEAL]	 	LEHMAN BROTHERS HOLDINGS INC.	 	
				
		 	By:	 	  
	 	
		 		 	Vice President	 	
				
		 	Attest:	 	  
	 	
		 		 	Assistant Secretary	 	

  
 TRUSTEE’S CERTIFICATE OF
AUTHENTICATION 
 This is one of the Securities of the series designated therein referred to in the within-mentioned Indenture. 
  

			
	CITIBANK, N.A.
	as Trustee
		
	By:	 	  

		 	    Authorized Officer

 Reverse of Security 
 This Security is one of a duly authorized series of Securities of the Company designated as Performance Securities with Contingent Protection Linked to the S&P 500® Index Due August 31, 2012 (the “Securities”). The Company may, without the consent of the holders of the Securities, create and issue additional securities ranking equally with the Securities
and otherwise similar in all respects so that such additional securities shall be consolidated and form a single series with the Securities; provided, however, that no additional securities can be issued if an Event of Default has occurred with
respect to the Securities. This series of Securities is one of an indefinite number of series of debt securities of the Company, issued and to be issued under an indenture, dated as of September 1, 1987, as amended (herein called the
“Indenture”), duly executed and delivered by the Company and Citibank, N.A., as trustee (herein called the “Trustee”, which term includes any successor trustee under the Indenture), to which Indenture and all
indentures supplemental thereto reference is hereby made for a description of the rights, limitations of rights, obligations, duties and immunities thereunder of the Company, the Trustee and the Holders of the Securities. 
 The Payment at Maturity, at the request of the Trustee, shall be determined by the Calculation Agent pursuant to the Calculation Agency Agreement. The
Trustee shall fully rely on the determination by the Calculation Agent of the Payment at Maturity and shall have no duty to make any such determination. The Calculation Agent will provide written notice to the Trustee at its New York office, on
which notice the Trustee may conclusively rely, of the Payment at Maturity on or prior to 11:00 a.m. on the Business Day preceding the Maturity Date. 
 All calculations with respect to the Index Starting Level, the Index Ending Level, the Index Return or any Index Closing Level will be rounded to the nearest one hundred-thousandth, with five one-millionths rounded
upward (e.g., .876545 would be rounded to .87655); all dollar amounts related to determination of the payment per $10 principal amount Security on the Maturity Date, if any, will be rounded to the nearest ten-thousandth, with five one
hundred-thousandths rounded upward (e.g., .76545 would be rounded up to .7655); and all dollar amounts paid on the aggregate principal amount of Securities per Holder will be rounded to the nearest cent, with one-half cent rounded upward.

 This Security is not subject to any sinking fund. 
 If an Event of Default with respect to the Securities shall occur and be continuing, the amounts payable on all of the Securities may be declared due and payable in the manner and with the effect provided in the
Indenture. The amount payable to the Holder hereof upon any acceleration permitted under the Indenture will be equal to the Payment at Maturity calculated as though the date of acceleration were the Maturity Date and the third Business Day
immediately preceding the date of acceleration were the Final Valuation Date. If the maturity of the Securities is accelerated because of an Event of Default, the Company shall, or shall cause the Calculation Agent to, provide written notice to the
Trustee at its New York office, on which notice the Trustee may conclusively rely, and to The Depository Trust Company of the cash amount due with respect to the Securities as promptly as possible and in no event later than two Business Days after
the date of acceleration. 

 The Indenture contains provisions permitting the Company and the Trustee, with the consent of the
holders of not less than 66 2/3% in aggregate principal amount of each series of Securities at the time
Outstanding to be affected (each series voting as a class), evidenced as provided in the Indenture, to execute supplemental indentures adding any provisions to, or changing in any manner or eliminating any of the provisions of the Indenture or of
any supplemental indenture or modifying in any manner the rights of the holders of the Securities of all such series; provided, however, that no such supplemental indenture shall, among other things, (i) change the fixed maturity
of any Security, or reduce the principal amount thereof, or reduce the rate or extend the time of payment of interest thereon, if any, or reduce any premium payable on redemption, or make the principal thereof, or premium, if any, or interest
thereon, if any, payable in any coin or currency other than that hereinabove provided, without the consent of the holder of each Security so affected, or (ii) change the place of payment on any Security, or impair the right to institute suit
for payment on any Security, or reduce the aforesaid percentage of Securities, the holders of which are required to consent to any such supplemental indenture, without the consent of the holders of each Security so affected. It is also provided in
the Indenture that, prior to any declaration accelerating the maturity of any series of Securities, the holders of a majority in aggregate principal amount of the Outstanding Securities of such series may on behalf of the holders of all the
Securities of such series waive any past default or Event of Default under the Indenture with respect to such series and its consequences, except a default in the payment of interest, if any, or the principal of, or premium, if any, on any of the
Securities of such series, or in the payment of any sinking fund installment or analogous obligation with respect to Securities of such series. Any such consent or waiver by the Holder of this Security shall be conclusive and binding upon such
Holder and upon all future holders and owners of this Security and any Securities which may be issued in exchange or substitution hereof, irrespective of whether or not any notation thereof is made upon this Security or such other Securities.

 No reference herein to the Indenture and no provision of this Security or of the Indenture shall alter or impair the obligation of
the Company, which is absolute and unconditional, to pay the Payment at Maturity with respect to this Security. 
 The Securities are
issuable in denominations of $10 and any whole multiples of $10. 
 The Company, the Trustee, and any agent of the Company or of the Trustee
may deem and treat the registered holder (the “Holder”) hereof as the absolute owner of this Security (whether or not this Security shall be overdue and notwithstanding any notation of ownership or other writing hereon), for the
purpose of receiving payment hereof, or on account hereof, and for all other purposes and neither the Company nor the Trustee nor any agent of the Company or of the Trustee shall be affected by any notice to the contrary. All such payments made to
or upon the order of such registered holder shall, to the extent of the sum or sums paid, effectually satisfy and discharge liability for moneys payable on this Security. 
 No recourse for the payment of the principal of, premium, if any, or interest on this Security, or for any claim based hereon or otherwise in respect
hereof, and no recourse under or upon any obligation, covenant or agreement of the Company in the Indenture or any indenture supplemental thereto or in any Security, or because of the creation of any indebtedness represented thereby, shall be had
against any incorporator, stockholder, officer or director, as 

 
such, past, present or future, of the Company or of any successor corporation, either directly or through the Company or any successor corporation, whether
by virtue of any constitution, statute or rule of law or by the enforcement of any assessment or penalty or otherwise, all such liability being, by the acceptance hereof and as part of the consideration for the issue hereof, expressly waived and
released. 
 As provided in the Indenture and subject to certain limitations therein set forth, the transfer of this Security is registrable
in the Security Register, upon surrender of this Security for registration of transfer at the Corporate Trust Office or agency in a Place of Payment for this Security, duly endorsed by, or accompanied by a written instrument of transfer in form
satisfactory to the Company and the Security Registrar duly executed by, the Holder hereof or such Holder’s attorney duly authorized in writing, and thereupon one or more new Securities of this series or of like tenor and of authorized
denominations and for the same aggregate principal amount, will be issued to the designated transferee or transferees. 
 The Company
intends to treat, and by purchasing this Security, the Holder agrees to treat, for all tax purposes, this Security as a cash-settled financial contract, rather than as a debt instrument. 
 THE INDENTURE AND THIS SECURITY SHALL BE GOVERNED BY AND CONSTRUED IN ACCORDANCE WITH THE LAWS OF THE STATE OF NEW YORK. 
 Definitions 
 Set forth below are definitions of the
terms used in this Security. 
 “Adjustment Amount”, as calculated by the Calculation Agent, for each $10 principal amount
Security paid at maturity shall equal: 
 (i)     if the Index Return is positive or zero, $10 × the Participation
Rate × the Index Return; or 
 (ii)    if the Index Return is negative, $10 × the Index Return.

 “Business Day”, notwithstanding any provision in the Indenture, shall mean any day that is not a Saturday or Sunday and
that is not a day on which banking institutions in the City of New York are authorized or obligated by law to close. 
 “Calculation
Agency Agreement” shall mean the Calculation Agency Agreement, dated as of December 21, 2006 between the Company and the Calculation Agent, as amended from time to time, or any successor calculation agency agreement. 
 “Calculation Agent” shall mean the person that has entered into an agreement with the Company providing for, among other things, the
determination of the Payment at Maturity, which term shall, unless the context otherwise requires, include its successors and assigns. The initial Calculation Agent shall be Lehman Brothers Inc. 

 “Closing Price” of a security, on any particular day, means the last reported sales
price for that security on the Relevant Exchange at the scheduled weekday closing time of the regular trading session of the Relevant Exchange. If, however, the security is not listed or traded on a bulletin board, then the Closing Price of the
security will be determined using the average execution price per share that an affiliate of the Company pays or receives upon the purchase or sale of the security used to hedge the Company’s obligations under the Securities. 
 “Company” shall have the meaning set forth on the face of this Security. 
 “Final Valuation Date” shall mean August 28, 2012. 
 “Holder” shall have the meaning set forth on the reverse of this Security. 
 “Indenture” shall have the meaning set forth on the reverse of this Security. 
 “Index” shall
mean the S&P 500® Index, as calculated, published and disseminated by S&P. 
 “Index Closing Level”, as determined by the Calculation Agent, shall mean, with respect to any Trading Day, the closing level of the Index or the Successor Index, as the case may be, at the regular official weekday close of
the principal trading session of the Relevant Exchange or market for the Index or the Successor Index, as the case may be, on such day, or as determined by the Calculation Agent pursuant to the Calculation Agency Agreement as described below under
“Discontinuation of the Index; Alteration of Method of Calculation.” 
 “Index Ending Level” shall equal the
Index Closing Level on the Final Valuation Date. 
 “Index Return”, as calculated by the Calculation Agent, is calculated
as follows: 
  

					
		  	 Index Ending Level –Index Starting Level
 Index Starting Level
	 	

 “Index Starting Level” equals 1,432.36, the Index Closing Level on
August 28, 2007. 
 “Market Disruption Event”, with respect to the Index or any Successor Index shall mean any of the
following events has occurred on any day, as determined by the Calculation Agent: 
 (1)    a suspension, absence or
material limitation of trading of stocks then constituting 20% or more of the level of the Index (or the relevant Successor Index) on the Relevant Exchanges for such securities at any time during the one hour period preceding the close of the
principal trading session on such Relevant Exchange; 
 (2)    a breakdown or failure in the price and trade reporting
systems of any Relevant Exchange as a result of which the reported trading prices for stocks then constituting 20% or more of the level of the Index (or the relevant Successor Index) at any time during the one hour period preceding the close of the
principal trading session on such Relevant Exchange are materially inaccurate; 

 (3)    a suspension, absence or material limitation of trading on any major
securities exchange for trading in futures or options contracts or exchange traded funds related to the Index (or the relevant Successor Index) at any time during the one hour period preceding the close of the principal trading session on such
exchange; or 
 (4)    a decision to permanently discontinue trading in the relevant futures or options contracts or
exchange traded funds. 
 For the purpose of determining whether a Market Disruption Event exists at any time, if trading in a security
included in the Index is materially suspended or materially limited at that time, then the relevant percentage contribution of that security to the level of the Index shall be based on a comparison of: 
 (1)    the portion of the level of the Index attributable to that security relative to 
 (2)    the overall level of the Index, 
 in each case immediately before that suspension or limitation. 
 For purposes of determining whether a Market Disruption Event has
occurred: 
 (1)    a limitation on the hours or number of days of trading will not constitute a Market Disruption Event
if it results from an announced change in the regular business hours of the Relevant Exchange or market; 
 (2)    limitations pursuant to the rules of any Relevant Exchange similar to NYSE Rule 80B (or any applicable rule or regulation enacted or promulgated by any other self-regulatory organization or any government agency
of scope similar to NYSE Rule 80B as determined by the Calculation Agent in its sole discretion) on trading during significant market fluctuations will constitute a suspension, absence or material limitation of trading; 
 (3)    a suspension of trading in futures or options contracts on the Index by the primary securities market trading in such
contracts by reason of (i) a price change exceeding limits set by such exchange or market, (ii) an imbalance of orders relating to such contracts, or (iii) a disparity in bid and ask quotes relating to such contracts, will, in each
such case, constitute a suspension, absence or material limitation of trading in futures or options contracts related to the Index; and 
 (4)    a suspension, absence or material limitation of trading on any Relevant Exchange or on the primary market on which futures or options contracts related to the Index are traded will not include any time when such
market is itself closed for trading under ordinary circumstances. 

 “Maturity Date” shall mean August 31, 2012, unless that day is not a Business Day,
in which case the amount equal to the Payment at Maturity will be made on the next succeeding Business Day following August 31, 2012; provided, that if due to a non-Trading Day or a Market Disruption Event, the Final Valuation Date is
postponed so that it falls fewer than three Business Days prior to the scheduled Maturity Date, the Maturity Date will be the third Business Day following the Final Valuation Date, as postponed. 
 “NYSE” shall mean The New York Stock Exchange, Inc. 
 “Observation Period” shall mean the period from, but excluding, the Trade Date to, and including, the Final Valuation Date. 
 “Participation Rate” equals 115.10%. 
 “Payment at Maturity”, as calculated by the Calculation Agent, for each $10 principal amount Security shall equal: 
 You will receive, for each $10 principal amount Security, a cash payment equal to the following: 
 (i) if
no Trigger Event has occurred and the Index Return is negative, $10; or 
 (ii) if either (A) a Trigger Event has occurred
or (B) the Index Return is positive or zero, $10 plus the Adjustment Amount. 
 “Place of Payment” shall mean
the place or places where the Payment at Maturity on the Securities is payable. 
 “Relevant Exchange” shall mean, for any
security (or any combination thereof) then included in the Index or any Successor Index, the primary exchange, quotation system (which includes bulletin board services) or other market of trading for such security. 
 “S&P” shall mean Standard & Poor’s, a division of The McGraw-Hill Companies, Inc. 
 “Securities” shall have the meaning set forth on the reverse of this Security. 
 “Successor Index” shall have the meaning specified under “Discontinuation of the Index; Alteration of Method of Calculation.”

 “Trade Date” shall mean August 28, 2007. 
 “Trading Day” means a day, as determined by the Calculation Agent, on which trading is generally conducted on (i) the Relevant
Exchanges for securities underlying the Index and (ii) the exchanges on which futures or options contracts related to the Index are traded, other than a day on which trading on such Relevant Exchange or exchange on which such securities,
futures or options contracts are traded is scheduled to close prior to its scheduled weekday closing time. 

 “Trigger Event” means the occurrence, on any Trading Day during the Observation Period,
of the Index Closing Level falling below the Trigger Level. 
 “Trigger Level” shall mean a dollar amount that represents
50% of the Index Starting Level, or 716.18. 
 “Trustee” shall have the meaning set forth on the reverse of this Security.

 All terms used but not defined in this Security are used herein as defined in the Calculation Agency Agreement or the Indenture.

 Calculation Agent 
 The Calculation
Agent will determine, among other things, the Index Starting Level, the Index Closing Level on each Trading Day, the Index Ending Level, the Index Return, the Payment at Maturity, if any, and whether a Trigger Event has occurred. In addition, the
Calculation Agent will determine whether there has been a Market Disruption Event or a discontinuation of the Index, and whether there has been a material change in the method of calculation of the Index. All calculations, determinations or
adjustments made by the Calculation Agent will be at the sole discretion of the Calculation Agent and will, in the absence of manifest error, be conclusive for all purposes and binding on Holders and on the Company. The Company may appoint a
different Calculation Agent from time to time after the date of the original issue of the Securities without the Holders’ consent and without notifying Holders. 
 Discontinuation of the Index; Alteration of Method of Calculation 
 If S&P discontinues
publication of the Index and S&P or another entity publishes a successor or substitute index that the Calculation Agent determines, in its sole discretion, to be comparable to the discontinued Index (an “S&P 500® Index Successor Index”), then any Index Closing Level will be determined by reference to the level of such S&P 500® Index
Successor Index at the close of trading on the Relevant Exchange or market for the Successor Index on any Trading Day. Upon any selection by the Calculation Agent of an S&P 500® Index
Successor Index, the Calculation Agent will cause written notice thereof to be promptly furnished to the Trustee, to the Company and to the Holders. 
 If S&P discontinues publication of the Index prior to, and such discontinuation is continuing on, any Trading Day, and the Calculation Agent determines, in its sole discretion, that no S&P 500® Index Successor Index is available at such time, or the Calculation Agent has previously selected an S&P 500® Index Successor Index and publication of such Successor Index is discontinued prior to, and such discontinuation is continuing on,
such Trading Day, or if S&P (or the publisher of any S&P 500® Index Successor Index) fails to calculate and publish an
Index Closing Level for the Index (or any S&P 500® Successor Index) on any date when it would ordinarily do so in accordance
with its customary practice, then the Calculation Agent will determine the Index Closing Level for such date. The Index Closing Level will be computed by the Calculation Agent in accordance with the formula for and method of calculating the Index or
S&P 500® Index Successor Index, as applicable, last in effect prior to such discontinuation or failure to calculate or
publish an Index Closing Level for the Index or S&P 500® Index Successor Index, as applicable, using the Closing Price (or,
if trading in the 

 
relevant securities has been materially suspended or materially limited, its good faith estimate of the Closing Price that would have prevailed but for such
suspension or limitation) at the close of the principal trading session on such date of each security most recently included in the Index or S&P 500® Index Successor Index, as applicable. 
 If at any time the method of calculating the Index or an
S&P 500® Index Successor Index, or the level thereof, is changed in a material respect, or if the Index or an S&P
500® Index Successor Index is in any other way modified so that the Index or such S&P 500® Index Successor Index does not, in the opinion of the Calculation Agent, fairly represent the level of the Index or such S&P 500® Index Successor Index had such changes or modifications not been made, then the Calculation Agent will, at the close of business in
New York City on each date on which the Index Closing Level is to be determined, make such calculations and adjustments as, in the good faith judgment of the Calculation Agent, may be necessary in order to arrive at a level of a stock index
comparable to the Index or such S&P 500® Index Successor Index, as the case may be, as if such changes or modifications had
not been made, and the Calculation Agent will calculate the Index Closing Level with reference to the Index or such S&P 500® Index Successor Index, as adjusted. Accordingly, if the method of calculating the Index or an S&P 500® Index
Successor Index is modified so that the level of the Index or such S&P 500® Index Successor Index is a fraction of what it
would have been if there had been no such modification (e.g., due to a split in the Index), then the Calculation Agent will adjust its calculation of the Index or such S&P 500® Index Successor Index in order to arrive at a level of the Index or such S&P 500®
Index Successor Index as if there had been no such modification (e.g., as if such split had not occurred). 

 The following abbreviations, when used in the inscription on the face of the within Security, shall be
construed as though they were written out in full according to applicable laws or regulations: 
  

							
	TEN COM -	    	as tenants in common	    	UNIF GIFT MIN ACT - _________ Custodian  _________
		    		    	                      (Cust)                 
         (Minor)

	TEN ENT -	    	as tenants by the entireties	    	under Uniform Gifts to Minors
	JT TEN -	    	as joint tenants with right of	    	Act	  	  

		    	Survivorship and not as tenants in common	    		  	(State)

 Additional abbreviations may also be used though not in the above list. 
                                       
                   
 FOR VALUE RECEIVED, the
undersigned hereby sells, assigns and transfers unto 
 PLEASE INSERT SOCIAL SECURITY OR OTHER 
 IDENTIFYING NUMBER OF ASSIGNEE 
  

			
	 	 	
	 	 	
	 	 	

  
  
  

	
	 

 (Name and Address of Assignee, including zip code, must be printed or typewritten.) 
  
  

	
	 

 the within Security, and all rights thereunder, hereby irrevocably constituting and appointing 
  
  

	
	 

 to transfer the said Security on the books of the Company, with full power of substitution in the premises.

 Dated: 
 __________________________________________ 
 NOTICE: The signature to this assignment must correspond with the name as it appears
upon the face of the within Security in every particular, without alteration or enlargement or any change whatever. 
 Signature(s) Guaranteed: 

 

	
	  

 THE SIGNATURE(S) SHOULD BE GUARANTEED BY AN ELIGIBLE GUARANTOR INSTITUTION (BANKS, STOCKBROKERS, SAVINGS AND LOAN
ASSOCIATIONS AND CREDIT UNIONS WITH MEMBERSHIP IN AN APPROVED MEDALLION SIGNATURE GUARANTEE PROGRAM), PURSUANT TO S.E.C. RULE 17Ad-15.

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