Document:

Exhibit
10.9

 

INDEMNIFICATION
AGREEMENT

 

This
Agreement, made and entered into effective as of ________ (“Agreement”), by and between Lucid Diagnostics Inc., a Delaware
corporation (“Company”), and the undersigned indemnitee (“Indemnitee”).

 

WHEREAS,
the Board of Directors of the Company (“Board”) has determined that the ability to attract and retain qualified officers
and directors is in the best interests of the Company’s stockholders; and

 

WHEREAS,
it is reasonable, prudent and necessary for the Company to obligate itself contractually to indemnify such persons to the fullest extent
permitted by applicable law so that such persons will serve or continue to serve the Company free from undue concern that they will not
be adequately indemnified; and

 

WHEREAS,
this Agreement is a supplement to and in furtherance of Article VII of the Bylaws of the Company, and Article Eighth of the Amended and
Restated Certificate of Incorporation of the Company and any resolutions adopted pursuant thereto and shall neither be deemed to be a
substitute therefor nor to diminish or abrogate any rights of Indemnitee thereunder; and

 

WHEREAS,
Indemnitee is willing to serve on behalf of the Company on the condition that he be indemnified according to the terms of this Agreement;

 

NOW,
THEREFORE, in consideration of the premises and the covenants contained herein, the Company and Indemnitee do hereby covenant and agree
as follows:

 

1.
Definitions. For purposes of this Agreement:

 

1.1
“Change in Control” means a change in control of the Company occurring after the date hereof of a nature that would be required
to be reported in response to Item 6(e) of Schedule 14A of Regulation 14A (or in response to any similar item on any similar schedule
or form) promulgated under the Securities Exchange Act of 1934, as amended (“Exchange Act”), whether or not the Company is
then subject to such reporting requirement provided, however, that, without limitation, such a Change in Control shall be deemed to have
occurred if after the date hereof (i) any “person” (as such term is used in Sections 13(d) and 14(d) of the Exchange Act),
other than a person who is an officer or director of the Company on the date hereof (and any of such person’s affiliates), is or
becomes “beneficial owner” (as defined in Rule 13d-3 under the Exchange Act), directly or indirectly, of securities of the
Company representing 50% or more of the combined voting power of the then outstanding securities of the Company without the prior approval
of at least two-thirds of the members of the Board in office immediately prior to such person attaining such percentage interest; (ii)
the Company is a party to a merger, consolidation, sale of assets or other reorganization, or a proxy contest, as a consequence of which
(A) members of the Board in office immediately prior to such transaction or event constitute less than a majority of the Board thereafter
or (B) the voting securities of the Company outstanding immediately prior to such transaction do not continue to represent (either by
remaining outstanding or by being converted into voting securities of the surviving entity) more than 50% of the combined voting power
of the voting securities of the surviving entity outstanding immediately after such transaction with the power to elect at least a majority
of the board of directors or other governing body of such surviving entity; or (iii) during any period of two consecutive years, individuals
who at the beginning of such period constituted the Board (including for this purpose any new director whose election or nomination for
election by the Company’s stockholders was approved by a vote of at least two-thirds of the directors then still in office who
were directors at the beginning of such period or whose election or nomination for election was previously so approved) cease for any
reason to constitute at least a majority of the Board.

 

    	 

     

    

 

1.2
“Corporate Status” means the status of a person who is or was a director, officer, employee, agent or fiduciary of the Company
or of any other corporation, partnership, joint venture, trust, employee benefit plan or other enterprise which such person is or was
serving at the request of the Company. In addition, service at the actual request of the Company, for purposes of this Agreement, Indemnitee
shall be deemed to be serving or to have served at the request of the Company as a director, officer, employee, agent or fiduciary of
any other enterprise (excluding any parent of the Company or any subsidiary of such parent other than the Company and is subsidiaries)
if Indemnitee is or was serving as a director, officer, employee, agent or fiduciary of such enterprise and (A) such enterprise is or
at the time of such service was an affiliate of the Company, (B) such enterprise is or at the time of such service was an employee benefit
plan (or related trust) sponsored or maintained by the Company or an affiliate of the Company or (C) the Company or an affiliate of the
Company directly or indirectly caused Indemnitee to be nominated, elected, appointed, designated, employed, engaged or selected to serve
in such capacity.

 

1.3
“Disinterested Director” means a director of the Company who is not and was not a party to the Proceeding in respect of which
indemnification is sought by Indemnitee.

 

1.4
“Expenses” means all reasonable attorneys’ fees, retainers, court costs (including trial and appeals), transcript costs,
fees of experts, witness fees, travel expenses, duplicating costs, printing and binding costs, telephone charges, postage, delivery service
fees, federal, state, local, or foreign taxes imposed as a result of the actual or deemed receipt of any payments under this Agreement,
and all other disbursements or expenses of the types customarily incurred in connection with prosecuting, defending, preparing to prosecute
or defend, appealing, preparing to appeal (including without limitation the premium, security for, and other costs relating to any costs
bond, supersedes bond, or other appeal bond or its equivalent), investigating, or being or preparing to be a witness in a Proceeding.

 

1.5
“Independent Counsel” means a law firm, or a member of a law firm, that is experienced in matters of corporation law and
neither presently is, nor in the past five years has been, retained to represent: (i) the Company or Indemnitee in any other matter material
to either such party, or (ii) any other party to the Proceeding giving rise to a claim for indemnification hereunder. Notwithstanding
the foregoing, the term “Independent Counsel” does not include any person who, under the applicable standards of professional
conduct then prevailing, would have a conflict of interest in representing either the Company or Indemnitee in an action to determine
Indemnitee’s rights under this Agreement. Except as provided in the first sentence of Section 9.3 hereof, Independent Counsel shall
be selected by (a) the Disinterested Directors or (b) a committee of the Board consisting of two or more Disinterested Directors or if
(a) and (b) above are not possible, then by a majority of the full Board.

 

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1.6
“Proceeding” means any action, suit, arbitration, alternate dispute resolution mechanism, investigation, administrative hearing
or any other proceeding, whether conducted by or on behalf of the Company or any other party, whether civil, criminal, administrative
or investigative, and whether formal or informal, except one initiated by an Indemnitee pursuant to Section 11 of this Agreement to enforce
his rights under this Agreement.

 

2.
Services by Indemnitee.

 

Indemnitee
agrees to serve as a director, officer or employee of the Company. Indemnitee may at any time and for any reason resign from such position
(subject to any other contractual obligation or any obligation imposed by operation of law).

 

3.
Indemnification - General.

 

Except
with respect to actions finally adjudicated, by a court of competent jurisdiction and subject to no further appeal, to be a result of
actual fraud or intentional misconduct of the Indemnitee, the Company shall indemnify, and, subject to Section 26 hereof, advance Expenses
to, Indemnitee as provided in this Agreement to the fullest extent permitted by applicable law in effect on the date hereof and to such
greater extent as any amendment to or interpretation of applicable law may thereafter from time to time permit. The rights of Indemnitee
provided under the preceding sentence shall include, but shall not be limited to, the rights set forth in the other Sections of this
Agreement.

 

4.
Proceedings Other Than Proceedings by or in the Right of the Company.

 

Indemnitee
shall be entitled to the rights of indemnification provided in this Agreement if, by reason of his Corporate Status, he is, was or is
threatened to be made, a party to any threatened, pending or completed Proceeding, other than a Proceeding by or in the right of the
Company. Pursuant to this Agreement, subject to Section 26 hereof, Indemnitee shall be indemnified against Expenses, judgments, penalties,
fines and amounts paid in settlement actually and reasonably incurred by him or on his behalf in connection with any such Proceeding
or any claim, issue or matter therein, if he acted in good faith and in a manner he reasonably believed to be in or not opposed to the
best interests of the Company, and, with respect to any criminal Proceeding, had no reasonable cause to believe his conduct was unlawful.

 

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5.
Proceedings by or in the Right of the Company.

 

Indemnitee
shall be entitled to the rights of indemnification provided in this Agreement if, by reason of his Corporate Status, he was or is threatened
to be made, a party to any threatened, pending or completed Proceeding brought by or in the right of the Company to procure a judgment
in its favor. Pursuant to this Agreement, subject to Section 26 hereof, Indemnitee shall be indemnified against amounts paid in settlement
and Expenses actually and reasonably incurred by him or on his behalf in connection with the defense or settlement of any such Proceeding
if he acted in good faith and in a manner he reasonably believed to be in or not opposed to the best interests of the Company. Notwithstanding
the foregoing, no indemnification under this paragraph shall be made in respect of (1) a threatened or pending Proceeding which is settled
or otherwise disposed of, or (2) any claim, issue or matter as to which such person shall have been adjudged to be liable to the Company,
by a court of competent jurisdiction and subject to no further appeal, unless and only to the extent that the court in which such Proceeding
shall have been brought, was brought or is pending, shall determine, upon application, that Indemnitee is fairly and reasonably entitled
to indemnity for such portion of the settlement amount and Expenses as the court deems proper.

 

6.
Indemnification for Expenses of Party Who is Wholly or Partly Successful.

 

Notwithstanding
any other provision of this Agreement except for Section 26 hereof, to the extent that Indemnitee is, by reason of his Corporate Status,
a party to and is successful, on the merits, procedurally or otherwise, in any Proceeding, he shall be indemnified against all Expenses
(and, when eligible hereunder, amounts paid in settlement) actually and reasonably incurred by him or on his behalf in connection therewith.
If Indemnitee is not wholly successful in such Proceeding but is successful, on the merits, procedurally or otherwise, as to one or more
but less than all claims, issues or matters in such Proceeding, the Company shall indemnify Indemnitee against all Expenses (and, when
eligible hereunder, amount paid in settlement) actually and reasonably incurred by him or on his behalf in connection with each successfully
resolved claim, issue or matter. For purposes of this Agreement, the term “successful, on the merits or otherwise,” includes,
but is not limited to, (i) any termination, withdrawal, or dismissal (with or without prejudice) of any Proceeding against the Indemnitee
without any express finding of liability or guilt against him, including a settlement (with or without court approval), a motion for
summary judgment, or a plea of nolo contendere or its equivalent, and (ii) the expiration of 90 days after the making of any claim
or threat of a Proceeding without the institution of the same and without any promise or payment made to induce a settlement.

 

7.
Indemnification for Expenses as a Witness.

 

Notwithstanding
any other provision of this Agreement except for Section 26 hereof, to the extent that Indemnitee is, by reason of his Corporate Status,
a witness in any Proceeding, he shall be indemnified against all Expenses actually and reasonably incurred by him or on his behalf in
connection therewith.

 

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8.
Advancement of Expenses and Other Amounts.

 

Subject
to Section 26 hereof, the Company shall advance all Expenses, judgments, penalties, fines and, when eligible hereunder, amounts paid
in settlement, incurred by or on behalf of Indemnitee in connection with any Proceeding within thirty (30) days after the receipt by
the Company of a statement or statements from Indemnitee requesting such advance or advances from time to time, whether prior to or after
final disposition of such Proceeding. Such statement or statements shall reasonably evidence the Expenses, judgments, penalties, fines
and amounts paid in settlement, incurred by Indemnitee In connection with any request for advancement of Expenses, judgments, penalties,
fines and amounts paid in settlement, Indemnitee shall not be required to provide any documentation or information to the extent that
the provision thereof would undermine or otherwise jeopardize attorney-client privilege. The Indemnitee shall qualify for advances upon
the execution and delivery to the Company of this Agreement, which shall constitute an undertaking providing that the Indemnitee undertakes
to the fullest extent permitted by law to repay the advance (without interest) if and to the extent that it is ultimately determined
by a court of competent jurisdiction in a final judgment, not subject to further appeal, that Indemnitee is not entitled to be indemnified
by the Company. No other form of undertaking shall be required other than the execution of this Agreement. The Company’s obligation
in respect of the advancement of Expenses, judgments, penalties, fines and amounts paid in settlement in connection with a criminal Proceeding
in which Indemnitee is a defendant shall terminate at such time as Indemnitee pleads guilty or is convicted after trial and such conviction
becomes final and no longer subject to appeal. Advances shall be unsecured and interest free. Advances shall be made without regard to
Indemnitee’s ability to repay such amounts and without regard to Indemnitee’s ultimate entitlement to indemnification under
the other provisions of this Agreement. Without limiting the generality or effect of the foregoing, within thirty days after any request
by Indemnitee, the Company shall, in accordance with such request (but without duplication), (a) pay such Expenses on behalf of Indemnitee,
(b) advance to Indemnitee funds in an amount sufficient to pay such Expenses, or (c) reimburse Indemnitee for such Expenses. The Company
shall not seek from a court, or agree to, a “bar order” which would have the effect of prohibiting or limiting the Indemnitee’s
rights to receive advancement of expenses under this Agreement.

 

9.
Procedure for Determination of Entitlement to Indemnification.

 

9.1
To obtain indemnification under this Agreement in connection with any Proceeding, and for the duration thereof, Indemnitee shall submit
to the Company a written request, including therein or therewith such documentation and information as is reasonably available to Indemnitee
and is reasonably necessary to determine whether and to what extent Indemnitee is entitled to indemnification. The Secretary of the Company
shall, promptly upon receipt of any such request for indemnification, advise the Board in writing that Indemnitee has requested indemnification.

 

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9.2
Upon written request by Indemnitee for indemnification pursuant to Section 9.1 hereof, a determination, if required by applicable law,
with respect to Indemnitee’s entitlement thereto shall be made in such case: (i) if a Change in Control shall have occurred, by
Independent Counsel (unless Indemnitee shall request that such determination be made by the Board or the stockholders, in which case
in the manner provided for in clauses (ii) or (iii) of this Section 9.2) in a written opinion to the Board, a copy of which shall be
delivered to Indemnitee; (ii) if a Change of Control shall not have occurred, at the election of the Company, (A) by the Board by a majority
vote of a quorum consisting of Disinterested Directors, or (B) if a quorum of the Board consisting of Disinterested Directors is not
obtainable, by a majority of a committee of the Board consisting of two or more Disinterested Directors, or (C) by Independent Counsel
in a written opinion to the Board, a copy of which shall be delivered to Indemnitee, or (D) by the stockholders of the Company, by a
majority vote of a quorum consisting of stockholders who are not parties to the proceeding, or if no such quorum is obtainable, by a
majority vote of stockholders who are not parties to such proceeding; or (iii) as provided in Section 10.2 of this Agreement. If it is
so determined that Indemnitee is entitled to indemnification, payment to Indemnitee shall be made within ten (10) days after such determination.
Indemnitee shall cooperate with the person, persons or entity making such determination with respect to Indemnitee’s entitlement
to indemnification, including providing to such person, persons or entity upon reasonable advance request any documentation or information
which is not privileged or otherwise protected from disclosure and which is reasonably available to Indemnitee and reasonably necessary
to such determination. Any costs or expenses (including attorneys’ fees and disbursements) incurred by Indemnitee in so cooperating
with the person, persons or entity making such determination shall be borne by the Company (irrespective of the determination as to Indemnitee’s
entitlement to indemnification) and the Company hereby indemnifies and agrees to hold Indemnitee harmless therefrom.

 

9.3
If a Change of Control shall have occurred, Independent Counsel shall be selected by Indemnitee (unless Indemnitee shall request that
such selection be made by the Board), and Indemnitee (or the Board, as the case may be) shall give written notice to the other party
advising it of the identity of Independent Counsel so selected. In either event, Indemnitee or the Company, as the case may be, may,
within seven days after such written notice of selection shall have been given, deliver to the Company or to Indemnitee, as the case
may be, a written objection to such selection. Such objection may be asserted only on the ground that Independent Counsel so selected
does not meet the requirements of “Independent Counsel” as defined in Section 1 of this Agreement, and the objection shall
set forth with particularity the factual basis of such assertion. If such written objection is made, Independent Counsel so selected
may not serve as Independent Counsel unless and until a court has determined that such objection is without merit. If, within 20 days
after submission by Indemnitee of a written request for indemnification pursuant to Section 9.1 hereof, no Independent Counsel shall
have been selected and not objected to, either the Company or Indemnitee may petition a court of competent jurisdiction, for resolution
of any objection which shall have been made by the Company or Indemnitee to the other’s selection of Independent Counsel and/or
for the appointment as Independent Counsel of a person selected by such court or by such other person as such court shall designate,
and the person with respect to whom an objection is so resolved or the person so appointed shall act as Independent Counsel under Section
9.2 hereof. The Company shall pay any and all reasonable fees and expenses of Independent Counsel incurred by such Independent Counsel
in connection with its actions pursuant to this Agreement, and the Company shall pay all reasonable fees and expenses incident to the
procedures of this Section 9.3, regardless of the manner in which such Independent Counsel was selected or appointed. Upon the due commencement
date of any judicial proceeding pursuant to Section 11.1(iii) of this Agreement, Independent Counsel shall be discharged and relieved
of any further responsibility in such capacity (subject to the applicable standards of professional conduct then prevailing).

 

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10.
Presumptions and Effects of Certain Proceedings.

 

10.1
In making a determination with respect to entitlement to indemnification hereunder, the person or persons or entity making such determination
shall presume that Indemnitee is entitled to indemnification under this Agreement if Indemnitee has submitted a request for indemnification
in accordance with Section 9.1 of this Agreement, and the Company shall have the burden of proof to overcome that presumption by clear
and convincing evidence in connection with the making by any person, persons or entity of any determination contrary to that presumption.

 

10.2
If the person, persons or entity empowered or selected under Section 9 of this Agreement to determine whether Indemnitee is entitled
to indemnification shall not have made a determination within sixty (60) days after receipt by the Company of the request therefor, the
requisite determination of entitlement to indemnification shall be deemed to have been made and Indemnitee shall be entitled to such
indemnification, absent (i) a misstatement by Indemnitee of a material fact, or an omission of a material fact necessary to make Indemnitee’s
statement not materially misleading, in connection with the request for indemnification, or (ii) prohibition of such indemnification
under applicable law, as determined by a court of competent jurisdiction in a final judgment, not subject to further appeal; provided,
however, that such 60-day period may be extended for a reasonable time, not to exceed an additional thirty (30) days, if the person,
persons or entity making the determination with respect to entitlement to indemnification in good faith require(s) such additional time
for the obtaining or evaluating of documentation and/or information relating thereto; and provided, further, however, that the foregoing
provisions of this Section 10.2 shall not apply (i) if the determination of entitlement to indemnification is to be made by the stockholders
pursuant to Section 9.2 of this Agreement and if (A) within 15 days after receipt by the Company of the request for such determination
the Board has resolved to submit such determination to the stockholders for their consideration at an annual meeting thereof to be held
within 75 days after such receipt and such determination is made thereat, or (B) a special meeting of stockholders is called within 15
days after such receipt for the purpose of making such determination, such meeting is held for such purpose within 60 days after having
been so called and such determination is made thereat, or (ii) if the determination of entitlement to indemnification is to be made by
Independent Counsel pursuant to Section 9.2 of this Agreement. In connection with each meeting at which a stockholder determination will
be made, the Company shall solicit proxies that expressly include a proposal to indemnify or reimburse the Indemnitee. The Company shall
afford the Indemnitee ample opportunity to present evidence of the facts upon which the Indemnitee relies for indemnification in any
Company proxy statement relating to such stockholder determination. Subject to the fiduciary duties of its members under applicable law,
the Board will not recommend against indemnification or reimbursement in any proxy statement relating to the proposal to indemnify or
reimburse the Indemnitee.

 

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10.3
The termination of any Proceeding or of any claim, issue or matter therein, by judgment, order, settlement or conviction, or upon a plea
of nolo contendere or its equivalent, shall not (except as otherwise expressly provided in this Agreement) of itself adversely affect
the right of Indemnitee to indemnification or create a presumption that Indemnitee did not act in good faith and in a manner which he
reasonably believed to be in or not opposed to the best interests of the Company or, with respect to any criminal Proceeding, that Indemnitee
had reasonable cause to believe that his conduct was unlawful.

 

10.4
Reliance as Safe Harbor.

 

For
purposes of this Agreement, the Indemnitee shall be deemed to have acted in good faith and in a manner he reasonably believed to be in
or not opposed to the best interests of the Company, or, with respect to any criminal Proceeding, to have had no reasonable cause to
believe his conduct was unlawful, if his action is based on (i) the records or books of account of the Company, or another enterprise,
including financial statements, (ii) information supplied to him by the officers of the Company or another enterprise in the course of
their duties, (iii) the advice of legal counsel for the Company or another enterprise, or of an independent certified public accountant
or an appraiser or other expert selected with reasonable care by the Company or another enterprise. The term “another enterprise”
as used in this Section shall mean any other corporation or any partnership, joint venture, trust, employee benefit plan or other enterprise
of which the Indemnitee is or was serving at the request of the Company as a director, officer, partner, trustee, employee or agent.
The provisions of this Section shall not be deemed to be exclusive or to limit in any way the other circumstances in which the Indemnitee
may be deemed to have met the applicable standard of conduct set forth herein. Whether or not the foregoing provisions of this Section
10.4 are satisfied, it shall in any event be presumed that Indemnitee has at all times acted in good faith and in a manner he reasonably
believed to be in or not opposed to the best interests of the Company, or, with respect to any criminal Proceeding, to have had no reasonable
cause to believe Indemnitee’s conduct was unlawful. Anyone seeking to overcome this presumption shall have the burden of proof
and the burden of persuasion by clear and convincing evidence.

 

11.
Remedies of Indemnitee.

 

11.1
In the event that (i) a determination is made pursuant to Section 9 of this Agreement that Indemnitee is not entitled to indemnification
under this Agreement, (ii) advancement of Expenses is not timely made pursuant to Section 8 of this Agreement, (iii) the determination
of indemnification is to be made by Independent Counsel pursuant to Section 9.2 of this Agreement and such determination shall not have
been made and delivered in a written opinion within sixty (60) days after receipt by the Company of the request for indemnification,
(iv) payment of indemnification is not made pursuant to Section 7 of this Agreement within thirty (30) days after receipt by the Company
of a written request therefor, or (v) payment of indemnification is not made within thirty (30) days after a determination has been made
that Indemnitee is entitled to indemnification or such determination is deemed to have been made pursuant to Section 9 or 10 of this
Agreement, Indemnitee shall be entitled to an adjudication in an appropriate court of the State of Delaware, or in any other court of
competent jurisdiction, of his entitlement to such indemnification or advancement of Expenses, judgments, penalties, fines or, when eligible
hereunder, amounts paid in settlement. The Company shall not oppose Indemnitee’s right to seek any such adjudication.

 

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11.2
In the event that a determination shall have been made pursuant to Section 9 of this Agreement that Indemnitee is not entitled to indemnification,
any judicial proceeding commenced pursuant to this Section shall be conducted in all respects as a de novo trial on the merits and Indemnitee
shall not be prejudiced by reason of that adverse determination.

 

11.3
If a determination shall have been made or deemed to have been made pursuant to Section 9 or 10 of this Agreement that Indemnitee is
entitled to indemnification, the Company shall be bound by such determination in any judicial proceeding commenced pursuant to this Section,
absent (i) a misstatement by Indemnitee of a material fact, or an omission of a material fact necessary to make Indemnitee’s statement
not materially misleading, in connection with the request for indemnification, or (ii) prohibition of such indemnification under applicable
law.

 

11.4
The Company shall be precluded from asserting in any judicial proceeding commenced pursuant to this Section that the procedures and presumptions
of this Agreement are not valid, binding and enforceable and shall stipulate in any such court that the Company is bound by all the provisions
of this Agreement.

 

11.5
In the event that Indemnitee, pursuant to this Section, seeks a judicial adjudication of his rights under, or to recover damages for
breach of, this Agreement or any other agreement, including any other indemnification, contribution or advancement agreement, or any
provision of the certificate of incorporation or by-laws of the Company now or hereafter in effect, or for recovery under directors’
and officers’ liability insurance policies maintained by the Company, Indemnitee shall be entitled to recover from the Company,
and shall be indemnified by the Company against, any and all expenses (of the kinds described in the definition of Expenses) actually
and reasonably incurred by him in such judicial adjudication, but only if he prevails therein. If it shall be determined in such judicial
adjudication that Indemnitee is entitled to receive less than all of the indemnification or advancement of expenses sought, the expenses
incurred by Indemnitee in connection with such judicial adjudication shall be appropriately prorated. In addition, the Company shall,
if so requested by Indemnitee, advance the foregoing expenses to Indemnitee, subject to and in accordance with Section 8.

 

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12.
Procedure Regarding Indemnification.

 

With
respect to any Proceedings, the Indemnitee, prior to taking any action with respect to such Proceeding, shall consult with the Company
as to the procedure to be followed in defending, settling, or compromising the Proceeding and may not consent to any settlement or compromise
of the Proceeding without the written consent of the Company (which consent may not be unreasonably withheld or delayed). The Company
shall be entitled to participate in defending, settling or compromising any Proceeding and to assume the defense of such Proceeding with
counsel of its choice and shall assume such defense if requested by the Indemnitee. Notwithstanding the election by, or obligation of,
the Company to assume the defense of a Proceeding, the Indemnitee shall have the right to participate in the defense of such Proceeding
and to employ counsel of Indemnitee’s choice, but the fees and expenses of such counsel shall be at the expense of the Indemnitee
unless (i) the employment of such counsel has been authorized in writing by the Company, (ii) Indemnitee shall have reasonably determined
that there is a conflict of interest between the Company and Indemnitee in the conduct of the defense of the Proceeding, (iii) the Indemnitee
has reasonably concluded that there may be defenses available to him which are different from or additional to those available to the
Company (in which latter case the Company shall not have the right to direct the defense of such Proceeding on behalf of the Indemnitee),
(iv) after a Change in Control, the employment of counsel by Indemnitee has been approved by the Independent Counsel, (v) the Company
shall not in fact have employed counsel to assume the defense of such Proceeding, or (vi) the fees and expenses are non-duplicative and
reasonably incurred in connection with Indemnitee’s role in the Proceedings, despite the Company’s assumption of the defense,
in each of which cases all Expenses of the Proceeding shall be borne by the Company. The Company shall not be entitled to assume the
defense of any Proceeding brought by or on behalf of the Company, or as to which Indemnitee shall have made the determination provided
for in (ii) above or under the circumstances provided for in (iii) and (iv) above. Indemnitee agrees that any such separate counsel retained
by Indemnitee will be not more than one additional firm of attorneys, and such firm shall be a member of any approved list of panel counsel
under the Company’s applicable directors’ and officers’ liability insurance policy, should the applicable policy provide
for a panel of approved counsel and should such approved panel list comprise law firms with well-established reputations in the type
of litigation at issue. (For clarity, the fact of a firm’s being part of a panel shall not be evidence of a firm’s having
a well-established national reputation for the type of litigation at issue.) If the Company assumes the defense of a Proceeding, then
counsel for the Company and Indemnitee shall keep Indemnitee reasonably informed of the status of the Proceeding and promptly send to
Indemnitee copies of all documents filed or produced in the Proceeding, and the Company shall not compromise or settle any such Proceeding
without the written consent of the Indemnitee (which consent may not be unreasonably withheld or delayed) if the relief provided shall
be other than monetary damages and shall promptly notify the Indemnitee of any settlement and the amount thereof.

 

13.
Non-Exclusivity; Survival of Rights; Insurance; Subrogation; Contribution.

 

13.1
The rights of indemnification and to receive advancement of Expenses as provided by this Agreement shall not be deemed exclusive of any
other rights to which Indemnitee may at any time be entitled under applicable law, the certificate of incorporation or by-laws of the
Company, any agreement, a vote of stockholders or a resolution of directors, or otherwise. No amendment, alteration or repeal of this
Agreement or any provision hereof shall be effective as to any Indemnitee with respect to any action taken or omitted by such Indemnitee
in his Corporate Status prior to such amendment, alteration or repeal.

 

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13.2
For the duration of Indemnitee’s service as a director and/or officer of the Company, and thereafter for so long as Indemnitee
shall be subject to any Proceeding, the Company shall use commercially reasonable efforts (taking into account the scope and amount of
coverage available relative to the cost thereof) to cause to be maintained in effect policies of directors’ and officers’
liability insurance providing coverage for directors and/or officers of the Company that comparable to what similarly situated company’s
would maintain. In all policies of directors’ and officers’ liability insurance obtained by the Company, Indemnitee shall
be an insured in such a manner as to provide Indemnitee the same rights and benefits, subject to the same limitations, as are accorded
to the Company’s directors and officers most favorably insured by such policy. Company shall promptly notify Indemnitee of any
good faith determination not to provide such coverage or of any lapse or termination in any such policy. In the event of a Change in
Control or the Company’s becoming insolvent, the Company shall maintain in force any and all directors’ and officers’
liability insurance in respect of the individual directors and officers of the Company, for a fixed period of six years thereafter (a
“Tail Policy”). Such coverage shall be non-cancellable and shall be placed and serviced for the duration of its term by the
Company’s incumbent insurance broker. Such broker shall place the Tail policy with the incumbent insurance carriers using the policies
that were in place at the time of the change of control event (unless the incumbent carriers will not offer such policies, in which case
the Tail Policy placed by the Company’s insurance broker shall be substantially comparable in scope and amount as the expiring
policies, and the insurance carriers for the Tail Policy shall have an AM Best rating that is the same or better than the AM Best ratings
of the expiring policies.

 

13.3
In the event of any payment under this Agreement, subject to Section 13.4, the Company shall be subrogated to the extent of such payment
to all of the rights of recovery of Indemnitee, who shall execute all papers required and take all action necessary to secure such rights,
including execution of such documents as are reasonably necessary to enable the Company to bring suit to enforce such rights.

 

13.4
The Company hereby acknowledges that Indemnitee may have rights to indemnification for Losses provided by any parent of the Company (“Other
Indemnitor”). The Company agrees with Indemnitee that the Company is the indemnitor of first resort of Indemnitee with respect
to matters for which indemnification is provided under this Agreement and that the Company will be obligated to make all payments due
to or for the benefit of Indemnitee under this Agreement without regard to any rights that Indemnitee may have against the Other Indemnitor.
The Company hereby waives any equitable rights to contribution or indemnification from the Other Indemnitor in respect of any amounts
paid to Indemnitee hereunder. The Company further agrees that no payment by the Other Indemnitor to or for the benefit of Indemnitee
with respect to matters for which indemnification or advancement of expenses is provided under this Agreement shall affect the obligations
of the Company hereunder, and that the Company shall be obligated to repay the Other Indemnitor for all amounts so paid or reimbursed
to the extent that the Company has an obligation to indemnify or advance expenses to Indemnitee hereunder. Subject to the foregoing,
the Company shall not be liable under this Agreement to make any payment of amounts otherwise indemnifiable hereunder if and to the extent
that Indemnitee has otherwise actually received such payment under any insurance policy, contract, agreement or otherwise; provided,
however, that payment made to Indemnitee pursuant to an insurance policy purchased and maintained by Indemnitee at his or her own expense
of any amounts otherwise indemnifiable or obligated to be made pursuant to this Agreement shall not reduce the Company’s obligations
to Indemnitee pursuant to this Agreement.

 

    	11

     

    

 

13.5
If a determination is made that Indemnitee is not entitled to indemnification, after Indemnitee submits a written request therefor, under
this Agreement, then in respect of any threatened, pending or completed Proceeding in which the Company is jointly liability with the
Indemnitee (or would be if joined in such Proceeding), the Company shall contribute to the amount of Expenses, judgments, fines and amounts
paid in settlement by the Indemnitee in such proportion as is appropriate to reflect (i) the relative benefits received by the Company
on the one hand and the Indemnitee on the other hand from the transaction from which Proceeding arose, and (ii) the relative fault of
the Company on the one hand and of the Indemnitee on the other hand in connection with the events that resulted in such Expenses, judgments,
fines or amounts paid in settlement, as well as any other relevant equitable considerations. The relative fault of the Company on the
one hand and of the Indemnitee on the other hand shall be determined by reference to, among other things, the parties’ relative
intent, knowledge, access to information and opportunity to correct or prevent the circumstances resulting in such Expenses, judgments,
fines or amounts paid in settlement. The Company agrees that it would not be just and equitable if contribution pursuant to this Section
were determined by pro rata allocation or any other method of allocation that does not take into account the foregoing equitable considerations.
The determination as to the amount of the contribution, if any, shall be made by: (i) a court of competent jurisdiction upon the application
of both the Indemnitee and the Company (if the Proceeding had been brought in, and final determination had been rendered by such court);
(ii) the Board by a majority vote of a quorum consisting of Disinterested Directors; or (iii) Independent Counsel, if a quorum is not
obtainable for purpose of (ii) above, or, even if obtainable, a quorum of Disinterested Directors so directs.

 

14.
Duration of Agreement.

 

This
Agreement shall continue so long as Indemnitee may be subject to any possible Proceeding in respect of which Indemnitee is granted rights
of indemnification or advancement of Expenses hereunder, and until one (1) year after the final termination of any such Proceeding then
pending (including any rights of appeal thereto) and of any proceeding commenced by Indemnitee pursuant to Section 11 of this Agreement
relating thereto (including any rights of appeal thereto). This Agreement shall be binding upon the Company and its successors and assigns
and shall inure to the benefit of Indemnitee and his spouse, heirs, executors, personal representatives and administrators. The Company
shall require and cause any successor (whether direct or indirect by purchase, merger, consolidation, or otherwise) to all, substantially
all, or a substantial part, of the business and/or assets of the Company, by written agreement in form and substance satisfactory to
Indemnitee, expressly to assume and agree to perform this Agreement in the same manner and to the same extent that the Company would
be required to perform to the fullest extent permitted by law.

 

    	12

     

    

 

15.
Severability.

 

If
any provision or provisions of this Agreement shall be held to be invalid, illegal or unenforceable for any reason whatsoever: (a) the
validity, legality and enforceability of the remaining provisions of this Agreement (including, without limitation, each portion of any
Section of this Agreement containing any such provision held to be invalid, illegal or unenforceable, that is not itself invalid, illegal
or unenforceable) shall not in any way be affected or impaired thereby; and (b) to the fullest extent possible, the provisions of this
Agreement (including, without limitation, each portion of any Section of this Agreement containing any such provision held to be invalid,
illegal or unenforceable, that is not itself invalid, illegal or unenforceable) shall be construed so as to give effect to the intent
manifested by the provision held invalid, illegal or unenforceable.

 

16.
Entire Agreement.

 

This
Agreement constitutes the entire agreement between the Company and the Indemnitee with respect to the subject matter hereof and supersedes
all prior agreements, understanding, negotiations and discussion, both written and oral, between the parties hereto with respect to such
subject matter (the “Prior Agreements”); provided, however, that if this Agreement shall ever be held void or unenforceable
for any reasons whatsoever, and is not reformed pursuant to Section 15 hereof, then (i) this Agreement shall not be deemed to have superseded
any Prior Agreements; (ii) all of such Prior Agreements shall be deemed to be in full force and effect notwithstanding the execution
of this Agreement; and (iii) the Indemnitee shall be entitled to maximum indemnification benefits provided under any Prior Agreements,
as well as those provided under applicable law, the certificate of incorporation or by-laws of the Company, a vote of stockholders or
resolution of directors.

 

17.
Exception to Right of Indemnification or Advancement of Expenses.

 

17.1
Except as provided in Section 11.5, Indemnitee shall not be entitled to indemnification or advancement of Expenses, judgments, penalties,
fines and amounts paid in settlement under this Agreement with respect to any Proceeding, or any claim therein, brought or made by him
against the Company.

 

17.2
Indemnitee shall not be entitled to indemnification under this Agreement with respect to any Proceeding, or any claim therein, arising
from the purchase and sale by Indemnitee of securities in violation of Section 16(b) of the Exchange Act or Company similar successor
statute.

 

18.
Covenant Not to Sue; Limitation of Actions; Release of Claims.

 

No
legal action shall be brought and no cause of action shall be asserted by or on behalf of the Company (or any of its subsidiaries) against
the Indemnitee, his spouse, heirs, executors, personal representatives or administrators after the expiration of two (2) years from the
date of accrual of such cause of action and any claim or cause of action of the Company (or any of its subsidiaries) shall be extinguished
and deemed released unless asserted by the filing of a legal action within such two (2) year period; provided, however, that if any shorter
period of limitation is otherwise applicable to any such cause of action, such shorter period shall govern.

 

    	13

     

    

 

19.
Identical Counterparts.

 

This
Agreement may be executed in one or more counterparts, each of which shall for all purposes be deemed to be an original but all of which
together shall constitute one and the same Agreement.

 

20.
Headings.

 

The
headings of the paragraphs of this Agreement are inserted for convenience only and shall not be deemed to constitute part of this Agreement
or to affect the construction thereof.

 

21.
Modification and Waiver.

 

No
supplement, modification or amendment of this Agreement shall be binding unless executed in writing by both of the parties hereto. No
waiver of any of the provisions of this Agreement shall be deemed or shall constitute a waiver of any other provisions hereof (whether
or not similar) nor shall such waiver constitute a continuing waiver.

 

22.
Notice by Indemnitee.

 

Indemnitee
agrees promptly to notify the Company in writing upon being served with any summons, citation, subpoena, complaint, indictment, information
or other document relating any Proceeding or matter which may be subject to indemnification or advancement of Expenses, judgments, penalties,
fines or amounts paid in settlement covered hereunder. The failure to notify the Company on a timely basis shall not constitute a waiver
of Indemnitee’s rights under this Agreement, except to the extent that such failure or delay (i) causes the amounts paid or to
be paid by the Company to be greater than they otherwise would have been, (ii) adversely affects the Company’s ability to obtain
for itself or Indemnitee coverage or proceeds under any insurance policy available to the Company or Indemnitee, or (iii) otherwise results
in prejudice to the Company.

 

23.
Notices.

 

All
notices, requests, demands and other communications hereunder shall be in writing and shall be deemed to have been duly given if (i)
delivered by hand and receipted for by the party to whom such notice or other communication shall have been directed, or (ii) mailed
by certified or registered mail with postage prepaid, on the third business day after the date on which it is so mailed:

 

If
to Indemnitee, to the address set forth in the signature page hereto

 

If
to the Company, to:

 

Lucid
Diagnostics Inc.

One
Grand Central Place, Suite 4600

New
York, New York 10165

Attention:
Chief Executive Officer

 

or
to such other address or such other person as Indemnitee or the Company shall designate in writing in accordance with this Section, except
that notices regarding changes in notices shall be effective only upon receipt.

 

    	14

     

    

 

24.
Governing Law.

 

This
Agreement and the legal relations among the parties shall be governed by, and construed and enforced in accordance with, the laws of
the State of Delaware, without regard to its conflict of laws rules. The Company and Indemnitee hereby irrevocably and unconditionally
(i) agree that any action or proceeding arising out of or in connection with this Agreement shall be brought only in the Chancery Court
of the State of Delaware (the “Delaware Court”), and not in any other state or federal court in the United States of America
or any court in any other country, (ii) consent to submit to the exclusive jurisdiction of the Delaware Court for purposes of any action
or proceeding arising out of or in connection with this Agreement, (iii) waive any objection to the laying of venue of any such action
or proceeding in the Delaware Court, and (iv) waive, and agree not to plead or to make, any claim that any such action or proceeding
brought in the Delaware Court has been brought in an improper or inconvenient forum.

 

25.
Monetary Damages Insufficient; Specific Performance.

 

The
Company and Indemnitee agree that a monetary remedy for breach of this Agreement may be inadequate, impracticable and difficult of proof,
and further agree that such breach may cause Indemnitee irreparable harm. Accordingly, the parties hereto agree that Indemnitee may enforce
this Agreement by seeking injunctive relief and/or specific performance hereof, without any necessity of showing actual damage or irreparable
harm (having agreed that actual and irreparable harm will result in not forcing the Company to specifically perform its obligations pursuant
to this Agreement) and that by seeking injunctive relief and/or specific performance, Indemnitee shall not be precluded from seeking
or obtaining any other relief to which he may be entitled. The Company and Indemnitee further agree that Indemnitee shall be entitled
to such specific performance and injunctive relief, including temporary restraining orders, preliminary injunctions and permanent injunctions,
without the necessity of posting bonds or other undertaking in connection therewith. The Company acknowledges that in the absence of
a waiver, a bond or undertaking may be required of Indemnitee by the Court, and the Company hereby waives any such requirement of a bond
or undertaking. If Indemnitee seeks mandatory injunctive relief, it shall not be a defense to enforcement of the Company’s obligations
set forth in this Agreement that Indemnitee has an adequate remedy at law for damages.

 

26.
Notice by Company.

 

If
the Indemnitee is the subject of, or is, to the knowledge of the Company, implicated in any way during an investigation, whether formal
or informal, that is related to Indemnitee’s Corporate Status and that reasonably could lead to a Proceeding for which indemnification
can be provided under this Agreement, the Company shall notify the Indemnitee of such investigation and shall share (to the extent legally
permissible) with Indemnitee any information it has provided to any third parties concerning the investigation (“Shared Information”).
By executing this Agreement, Indemnitee agrees that such Shared Information is material non-public information that Indemnitee is obligated
to hold in confidence and may not disclose publicly; provided, however, that Indemnitee may use the Shared Information and disclose such
Shared Information to Indemnitee’s legal counsel and third parties, in each case solely in connection with defending Indemnitee
from legal liability.

 

27.
Miscellaneous.

 

Use
of the masculine pronoun shall be deemed to include usage of the feminine pronoun where appropriate.

 

[Signature
Page Follows]

 

    	15

     

    

 

IN
WITNESS WHEREOF, the parties hereto have executed this Agreement on the day and year first above written.

 

	 	LUCID
    DIAGNOSTICS INC.
	 	 	 
	 	By:	          
	 	Name:	 
	 	Title:	 
	 	 	 
	 	INDEMNITEE
	 	 	 
	 	 	 
	 	Name:	
	 	Address:	
	 	 	 
	 	

 

[Signature Page to Indemnification Agreement]Exhibit
10.12

 

RESTRICTED
STOCK AWARD AGREEMENT

 

THIS
RESTRICTED STOCK AWARD AGREEMENT (this “Agreement”) is made as of the DAY of MONTH YEAR (the “Grant Date”)
by and between Lucid Diagnostics Inc., a Delaware corporation (the “Company”), and __________ (“Grantee”).

 

WHEREAS,
pursuant to the terms and conditions of the Company’s 2018 Long-Term Incentive Equity Plan, as amended (the “Plan”),
the Board of Directors [(each, a “Director”)]1 of the Company
(the “Board”) has[, as ratified by the Compensation Committee of PAVmed Inc., a Delaware corporation and the parent
company of Lucid Diagnostics Inc. (“Parent”),]2 authorized the
grant to the Grantee of an award of Restricted Stock (as defined in the Plan) in the amount of __________ shares of the authorized but
unissued common stock of the Company, $.001 par value (“Common Stock”), conditioned upon the Grantee’s acceptance
thereof upon the terms and conditions set forth in this Agreement and subject to the terms of the Plan (capitalized terms used herein
and not otherwise defined have the meanings set forth in the Plan); and

 

WHEREAS,
the Grantee desires to acquire the Restricted Stock on the terms and conditions set forth in this Agreement and subject to the terms
of the Plan;

 

IT
IS AGREED:

 

1.
Grant of Restricted Stock. The Company hereby grants to the Grantee an award of Restricted Stock in the amount of _______________
shares of the Common Stock (the “Restricted Shares”) on the terms and conditions set forth herein and subject to the
provisions of the Plan.

 

2.
Consideration. The grant of the award of Restricted Stock is made in consideration of the services to be rendered by the Grantee
to the Company.

 

3.
Vesting. Subject to the terms and conditions of the Plan and this Agreement, [and provided that the Grantee remains employed by
Parent or its Affiliate through the applicable vesting date,]3 the Restriction Period
(as defined in the Plan) shall expire as to one hundred percent (100%) of the Restricted Shares on the two (2) year anniversary of the
Grant Date, which, for the avoidance of doubt, is _________, ____. For purposes of this Agreement, the term “Affiliate” shall
mean any entity, individual, firm, or corporation, directly or indirectly, through one or more intermediaries, controlling, controlled
by, or under common control with the Company.

 

 

1
Included for grants to directors only.

2
Included for grants to employees only.

3
Included for grants to employees only.

 

    	 

     

    

 

4.
Effect of [Termination of Employment;]4 Change of Control; Death and Disability[;
Other Termination]5.

 

4.1.
Change of Control. Upon a Change of Control (as defined in the Plan), the Restriction Period shall immediately expire as to all
of the Restricted Shares and all of the Restricted Shares shall immediately vest.

 

4.2.
[Going Public Transaction. In the event that (x) the Company consummates a transaction or a series of related transactions (whether
by merger, consolidation, or transfer or issuance of equity interests or otherwise) whereby any class of securities of the Company or
of its successor is publicly traded or listed on a securities exchange, securities market or quotation system (including a direct listing
or a transaction with a public special purpose acquisition company (“SPAC”)) (any such transaction, a “Going Public
Transaction”), and (y) the Grantee’s service as Director of the Company is terminated by the Company without Cause (as defined
in the Plan) within twelve (12) months after such Going Public Transaction, then the Restriction Period shall immediately expire as to
all of the Restricted Shares and all of the Restricted Shares shall immediately vest.]6

 

4.3.
Death or Disability[; Termination Without Cause]7. Notwithstanding the other
provisions of this Section 4, in the event [of the Grantee’s death or if the Grantee’s employment with Parent or its Affiliate
is terminated by the Company or an Affiliate for Disability]8[of the Grantee’s
death or if the Grantee’s consulting arrangement with the Company is terminated by the Company for Disability]9[(x)
of the Grantee’s death, (y) the Grantee’s service as Director of the Company is terminated by the Company for Disability
or (z) the Grantee’s service as Director of the Company is terminated by the Company without cause]10,
100% of the unvested Restricted Shares shall vest as of the date of such termination.

 

 

4
Included for grants to employees only.

5
Included for grants to consultants only.

6
Included for grants to employees and directors
only.

7
Included for grants to directors only.

8
Included for grants to employees only.

9
Included for grants to consultants only.

10
Included for grants to directors only.

 

    	2

     

    

 

4.4.
Other Termination. If Grantee’s [employment with Parent or its Affiliate is terminated for any reason other than Grantee’s
death or Disability]11[consulting arrangement with the Company is terminated for any
reason other than a Change of Control or because of Grantee’s death or Disability]12 [service
as Director of the Company is terminated by the COmpany with Cause or is terminated voluntarily by the Grantee]13
during the Restriction Period applicable to any of the Restricted Shares, such Restricted Shares shall not vest and shall
be forfeited upon such termination in accordance with Section 5, and neither the Company[, Parent]14
nor any Affiliate shall have any further obligations to the Grantee under this Agreement with respect to such Restricted
Shares.

 

5.
Vesting; Forfeiture. Upon the expiration of the Restriction Period with respect to any of the Restricted Shares, such Restricted
Shares shall become vested and any Retained Distributions (as defined below) with respect to such Restricted Shares shall become vested
to the extent that the Restricted Shares related thereto shall have become vested. Any Restricted Shares and Retained Distributions with
respect thereto that do not vest shall be forfeited to the Company and Grantee shall not thereafter have any rights with respect to such
Restricted Shares and Retained Distributions that shall have been so forfeited.

 

6.
Restrictions. Subject to any exceptions set forth in this Agreement or the Plan, none of the Restricted Shares nor the rights
relating thereto (including any Retained Distributions with respect to such Restricted Shares) may be assigned, alienated, pledged, attached,
sold, or otherwise transferred or encumbered by the Grantee during the Restriction Period applicable to such Restricted Shares. Any attempt
to assign, alienate, pledge, attach, sell, or otherwise transfer or encumber any Restricted Shares or the rights relating thereto during
the applicable Restriction Period shall be wholly ineffective.

 

 

11
Included for grants to employees only.

12
Included for grants to consultants only.

13
Included for grants to directors only.

14
Included for grants to employees only.

 

    	3

     

    

 

7.
Rights and Obligations as Stockholder.

 

7.1.
The Restricted Shares shall constitute issued and outstanding shares of Common Stock for all corporate purposes. Grantee will have the
right to vote such Restricted Shares and to exercise all other rights, powers and privileges of a holder of Common Stock with respect
to such Restricted Shares, with the exceptions that (i) Grantee will not be entitled to delivery of the stock certificate or certificates
representing any Restricted Shares until the applicable Restriction Period shall have expired; (ii) the Company will retain custody of
the stock certificate or certificates representing the Restricted Shares during the applicable Restriction Period; (iii) the Company
will retain custody of all dividends and distributions (“Retained Distributions”) made, paid or declared with respect
to the Restricted Shares (and such Retained Distributions will be subject to the same restrictions, terms and conditions as are applicable
to the Restricted Shares) until such time, if ever, as the Restricted Shares with respect to which such Retained Distributions shall
have been made, paid or declared shall have become vested and with respect to which the applicable Restriction Period shall have expired;
and (iv) a breach of any of the restrictions, terms or conditions contained in the Plan or this Agreement or otherwise established by
the Board with respect to any Restricted Shares or Retained Distributions will cause a forfeiture of such Restricted Shares and any Retained
Distributions with respect thereto.

 

7.2.
The Grantee hereby agrees to be bound by the Shareholders Agreement of the Company, dated as of May 12, 2018 (as amended from time to
time, the “Shareholders Agreement”), with respect to the Restricted Shares as if Grantee were an original signatory
thereto as a “Shareholder.” [Without limiting the generality of the foregoing, the Grantee agrees that the provisions of
Section 15 of the Shareholders Agreement shall apply, mutatis mutandis, to any Going Public Transaction.]15

 

 

15
Included for grants to employees and directors
only.

 

    	4

     

    

 

8.
Certificates. The Restricted Shares, when issued, will be represented by a stock certificate or certificates registered in the
name of Grantee. During the Restriction Period, certificates representing the Restricted Shares and any securities constituting Retained
Distributions shall bear a legend to the effect that ownership of the Restricted Shares (and such Retained Distributions) and the enjoyment
of all rights appurtenant thereto are subject to the restrictions, terms and conditions provided in the Plan and this Agreement. Such
certificates shall be deposited by Grantee with the Company, together with stock powers or other instruments of assignment, each endorsed
in blank, which will permit transfer to the Company of all or any portion of the Restricted Shares and any securities constituting Retained
Distributions that shall be forfeited or that shall not become vested in accordance with the Plan and this Agreement.

 

9.
Withholding Tax.

 

9.1.
Not later than the date as of which an amount first becomes includible in the gross income of the Grantee for Federal income tax purposes
with respect to the Restricted Shares, the Grantee shall pay to the Company, or make arrangements satisfactory to the Board regarding
the payment of, any Federal, state and local taxes of any kind required by law to be withheld or paid with respect to such amount (“Withholding
Tax”). The obligations of the Company under the Plan and pursuant to this Agreement shall be conditional upon such payment
or arrangements with the Company and the Company shall, to the extent permitted by law, have the right to deduct any Withholding Taxes
from any payment of any kind otherwise due to the Grantee from the Company.

 

9.2.
Any required Withholding Tax may be paid:

 

9.2.1.
in cash by wire transfer, certified or bank check or personal check, in each case payable to the order of the Company; or

 

9.2.2.
provided that prior approval of the Board has been obtained, in shares of Common Stock of the Company owned by Grantee, including vested
Restricted Shares, by delivery of stock certificates in negotiable form or with stock powers or other instruments of assignment, each
endorsed in blank, which are effective to transfer good and valid title thereto to the Company, free of any liens or encumbrances. Shares
of Common Stock used for this purpose shall be valued at the Fair Market Value.

 

    	5

     

    

 

Notwithstanding
the foregoing, the Company shall have the right to reject payment in the form of Common Stock if in the opinion of counsel for the Company,
(i) it could result in an event of “recapture” under Section 16(b) of the Securities Exchange Act of 1934; (ii) such shares
of Common Stock may not be sold or transferred to the Company; or (iii) such transfer could create legal difficulties for the Company.

 

9.3.
Notwithstanding any action the Company takes with respect to any or all income tax, social insurance, payroll tax, or other tax-related
withholding (“Tax-Related Items”), the ultimate liability for all Tax-Related Items is and remains the Grantee’s
responsibility and the Company (a) makes no representation or undertakings regarding the treatment of any Tax-Related Items in connection
with the grant or vesting of the Restricted Shares or the subsequent sale of any Restricted Shares; and (b) does not commit to structure
the Restricted Shares to reduce or eliminate the Grantee’s liability for Tax-Related Items.

 

9.4.
The Grantee may make an election under Section 83(b) of the Code (a “Section 83(b) Election”) with respect to the
Restricted Shares. Any such election must be made within thirty (30) days after the Grant Date. If the Grantee elects to make a Section
83(b) Election, the Grantee shall provide the Company with a copy of an executed version and satisfactory evidence of the filing of the
executed Section 83(b) Election with the U.S. Internal Revenue Service. The Grantee agrees to assume full responsibility for ensuring
that the Section 83(b) Election is actually and timely filed with the US Internal Revenue Service and for all tax consequences resulting
from the Section 83(b) Election.

 

10.
Company Representations. The Company hereby represents and warrants to the Grantee that:

 

10.1.
the Company, by appropriate and all required action, is duly authorized to enter into this Agreement and consummate all of the transactions
contemplated hereunder; and

 

    	6

     

    

 

10.2.
the Restricted Shares, when issued and delivered by the Company to the Grantee in accordance with the terms and conditions hereof, will
be duly and validly issued and fully paid and non-assessable.

 

11.
Grantee Representations. The Grantee hereby represents and warrants to the Company that:

 

11.1.
he is acquiring the Restricted Shares for his own account and not with a view towards the distribution thereof;

 

11.2.
he has received a copy of the Plan and the Shareholders Agreement as in effect as of the date of this Agreement;

 

11.3.
he understands that he must bear the economic risk of the investment in the Restricted Shares, which cannot be sold by him unless they
are registered under the Securities Act of 1933 (“1933 Act”) or an exemption therefrom is available thereunder and
that the Company is under no obligation to register the Restricted Shares for sale under the 1933 Act;

 

11.4.
in his position with the Company, he has had both the opportunity to ask questions and receive answers from the officers and directors
of the Company and all persons acting on its behalf concerning the terms and conditions of the offer made hereunder and to obtain any
additional information to the extent the Company possesses or may possess such information or can acquire it without unreasonable effort
or expense necessary to verify the accuracy of the information obtained pursuant to Section 11.3 above;

 

11.5.
he is aware that the Company shall place stop transfer orders with its transfer agent against the transfer of the Restricted Shares in
the absence of registration under the 1933 Act or an exemption therefrom as provided herein, and for so long as the Restricted Shares
are unvested;

 

11.6.
he is aware that the certificates evidencing the Restricted Shares shall bear the following legend:

 

    	7

     

    

 

“THE
SHARES REPRESENTED BY THIS CERTIFICATE HAVE BEEN ACQUIRED FOR INVESTMENT AND HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933.
THE SHARES MAY NOT BE SOLD OR TRANSFERRED IN THE ABSENCE OF SUCH REGISTRATION OR AN EXEMPTION THEREFROM UNDER SAID ACT.”

 

;
and

 

11.7.
he is aware that, for so long as the Restricted Shares remain unvested, the certificates evidencing the Restricted Shares shall bear
the following legend:

 

“THE
SHARES REPRESENTED BY THIS CERTIFICATE HAVE BEEN ACQUIRED PURSUANT TO A RESTRICTED STOCK AGREEMENT DATED AS OF ______, ____, A COPY OF
WHICH IS ON FILE WITH THE COMPANY, AND MAY NOT BE TRANSFERRED, PLEDGED OR DISPOSED OF EXCEPT IN ACCORDANCE WITH THE TERMS AND CONDITIONS
THEREOF.”

 

12.
Restriction on Transfer of Restricted Shares. Anything in this Agreement to the contrary notwithstanding, the Grantee hereby agrees
that he shall not sell, transfer by any means or otherwise dispose of the Restricted Shares acquired by Grantee unless (i) the Restricted
Shares are registered under the 1933 Act, or in the event that they are not so registered, an exemption from the 1933 Act registration
requirements is available thereunder and the Grantee has furnished the Company with notice of such proposed transfer and the Company’s
legal counsel, in its reasonable opinion, shall deem such proposed transfer to be so exempt, and (ii) such transfer is in compliance
with any applicable policy of the Company, as in effect at such time.

 

13.
Adjustments. If any change is made to the outstanding Common Stock or the capital structure of the Company, if required, the shares
of Common Stock shall be adjusted or terminated in any manner as contemplated by Section 3.2 of the Plan.

 

    	8

     

    

 

14.
Miscellaneous.

 

14.1.
Notices. All notices, requests, deliveries, payments, demands and other communications which are required or permitted to be given
under this Agreement shall be in writing and shall be either delivered personally or sent by registered or certified mail, or by private
courier to the parties at their respective addresses set forth herein, or to such other address as either party shall have specified
by notice in writing to the other. Notice shall be deemed duly given hereunder when delivered or mailed as provided herein.

 

14.2.
Conflicts with the Plan. This Agreement is subject to the Plan as approved by the Company’s stockholders. The terms and
provisions of the Plan as it may be amended from time to time are hereby incorporated herein by reference. In the event of a conflict
between the provisions of the Plan and the provisions of this Agreement, the provisions of this Agreement shall in all respects be controlling.

 

14.3.
Grantee Rights. Nothing contained in this Agreement shall be deemed to confer upon Grantee any right to [continued employment
with Parent or its Affiliate]16[a continued consulting arrangement with the Company]17[continue
his service as a Director of the Company]18 or any Affiliate thereof, nor shall it
interfere in any way with the right of [Parent or its Affiliate to terminate Grantee in accordance with the provisions regarding such
termination set forth in the Employment Agreement]19[the Company or any Affiliate to
terminate its consulting arrangement with Grantee in accordance with the provisions regarding such termination set forth in the applicable
service agreement]20[the Company or any Affiliate to terminate his service as Director
of with Grantee in accordance with the provisions regarding such termination set forth in the applicable service agreement]21.

 

14.4.
Amendment. The Committee has the right
to amend, alter, suspend, discontinue or cancel the Restricted Shares, prospectively or retroactively; provided, that, no such amendment
shall adversely affect the Grantee’s material rights under this Agreement without the Grantee’s consent.

 

 

16
Included in grants to employees only.

17
Included in grants to consultants only.

18
Included in grants to directors only.

19
Included in grants to employees only.

20
Included in grants to consultants only.

21
Included in grants to directors only.

 

    	9

     

    

 

14.5.
Waiver. The waiver by any party hereto of a breach of any provision of this Agreement shall not operate or be construed as a waiver
of any other or subsequent breach.

 

14.6.
Entire Agreement. This Agreement, together with the Plan and the Shareholders Agreement, constitutes the entire agreement between
the parties with respect to the subject matter hereof. This Agreement may not be amended except by writing executed by the Grantee and
the Company.

 

14.7.
Binding Effect; Successors. The Company may assign any of its rights under this Agreement. This Agreement shall inure to the benefit
of and be binding upon the parties hereto and, to the extent not prohibited herein, their respective heirs, successors, assigns and representatives.
Nothing in this Agreement, expressed or implied, is intended to confer on any person other than the parties hereto and as provided above,
their respective heirs, successors, assigns and representatives any rights, remedies, obligations or liabilities.

 

14.8.
Governing Law. This Agreement shall be governed by and construed in accordance with the laws of the State of Delaware (without
regard to choice of law provisions).

 

14.9.
Severability. The invalidity or unenforceability
of any provision of the Plan or this Agreement shall not affect the validity or enforceability of any other provision of the Plan or
this Agreement, and each provision of the Plan and this Agreement shall be severable and enforceable to the extent permitted by law.

 

14.10.
Discretionary Nature of Plan. The Plan is discretionary and may be amended, cancelled or terminated by the Company at any time,
in its discretion. The grant of the Restricted Shares in this Agreement does not create any contractual right or other right to receive
any Restricted Shares or other awards in the future. Future awards, if any, will be at the sole discretion of the Company. Any amendment,
modification, or termination of the Plan shall not constitute a change or impairment of the terms and conditions of the Grantee’s
[employment with Parent or its Affiliate]22[consulting arrangement with the Company]23[service
as Director of the Company]24.

 

 

22
Included in grants to employees only.

23
Included in grants to consultants only.

24
Included in grants to directors only.

 

    	10

     

    

 

14.11.
Headings. The headings contained herein are for the sole purpose of convenience of reference, and shall not in any way limit or
affect the meaning or interpretation of any of the terms or provisions of this Agreement.

 

14.12.
[No Impact on Other Benefits. The value of the Grantee’s Restricted Shares is not part of his or her normal or expected
compensation for purposes of calculating any severance, retirement, welfare, insurance or similar employee benefit.]25

 

14.13.
Counterparts. This Agreement may be executed in counterparts, each of which shall be deemed an original but all of which together will
constitute one and the same instrument. Counterpart signature pages to this Agreement transmitted by facsimile transmission, by electronic
mail in portable document format (.pdf), or by any other electronic means, will have the same effect as physical delivery of the paper
document bearing an original signature.

 

14.14.
Acceptance. The Grantee hereby acknowledges receipt of a copy of the Plan and this Agreement. The Grantee has read and understands the
terms and provisions thereof, and accepts the Restricted Shares subject to all of the terms and conditions of the Plan and this Agreement.
The Grantee acknowledges that there may be adverse tax consequences upon the grant or vesting of the Restricted Shares or disposition
of the underlying shares and that the Grantee has been advised to consult a tax advisor prior to such grant, vesting or disposition.

 

[Signature
Page Follows]

 

 

25
Included in grants to employees only.

 

    	11

     

    

 

IN
WITNESS WHEREOF, the parties hereto have signed this Agreement as of the day and year first above:

 

	 	LUCID DIAGNOSTICS INC. 
	 	 	 
	 	By:	 
	 	Name:	Lishan Aklog, M.D.
	 	Title:	Executive Chairman 
	 	 	 
	 	GRANTEE:
	 	 	 
	 	 	 
	 	NAME	  

 

[Signature
Page to Restricted Stock Agreement]

 

    	12

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