Document:

Exhibit 10.77

 

SELECT MEDICAL HOLDINGS CORPORATION

RESTRICTED STOCK AWARD AGREEMENT

UNDER THE 2016 EQUITY INCENTIVE PLAN

 

This Restricted Stock Award Agreement (this “Agreement”) is made as of [Insert Grant Date] (the “Grant Date”), between SELECT MEDICAL HOLDINGS CORPORATION, a Delaware corporation (the “Company”), and [NAME OF GRANTEE], an individual (the “Participant”).

 

WHEREAS, the Company has adopted the 2016 Equity Incentive Plan (the “Plan”), all of the terms and provisions of which are incorporated herein by reference and made a part hereof;

 

WHEREAS, the Company or a Subsidiary thereof has retained the Participant to provide valuable services to the Company or its Subsidiaries;

 

WHEREAS, in order to provide an incentive to the Participant in respect of the Participant’s employment with the Company or its Subsidiaries, the Company has approved and authorized the issuance of certain shares of the Common Stock of the Company, par value $.001 per share (the “Stock”), to the Participant, subject to the terms of the Plan and this Agreement; and

 

WHEREAS, all capitalized terms used but not defined herein shall have the meanings set forth in the Plan.

 

NOW, THEREFORE, in consideration of the services to be rendered by the Participant, and other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the Company and the Participant agree to the terms and conditions set forth herein.

 

1.                                      Award of Restricted Stock.  The Company hereby awards and issues to the Participant, effective as of the Grant Date, [Insert Number Granted] shares of Stock (the “Restricted Stock”).

 

2.                                      Vesting. Subject to Section 4 below and the other provisions of this Agreement, all of the shares of Restricted Stock shall vest on [Insert Vesting Date], the [fourth] anniversary of the Grant Date (the “Vesting Date”).  The period beginning on the date hereof through and including the Vesting Date shall be referred to herein as the “Restricted Period”.

 

3.                                      Transferability.  Shares of Restricted Stock which have not vested may not be sold, assigned, transferred, pledged, or otherwise disposed of under any circumstances during the Restricted Period, except that such shares may be transferred to a Permitted Transferee who agrees in writing (in a form satisfactory to the Company and its counsel) to be bound by this Agreement to the same extent as the Participant.  The Restricted Stock shall not be subject to execution, attachment or similar process during the Restricted Period.  Upon any attempt to transfer, assign, pledge, or otherwise dispose of the Restricted Stock during the Restricted Period contrary to the provisions of the Plan or this Agreement, or upon the levy of any attachment or

 

 

similar process upon the Restricted Stock during the Restricted Period, the Restricted Stock shall immediately be forfeited to the Company and cease to be outstanding.

 

4.                                      Forfeiture of Restricted Stock.  The Restricted Stock shall immediately be forfeited to the Company and cease to be outstanding upon the termination of the Participant’s full-time employment with the Company or its Subsidiaries prior to the Vesting Date for any reason other than an Exception Event (as hereinafter defined).  For purposes hereof, an “Exception Event” shall arise if the Participant dies, becomes Disabled (as defined in the Plan) or is terminated following the occurrence of a Change of Control (as defined in the Plan).  If an Exception Event occurs prior to the Vesting Date, a pro rata share of the Restricted Stock (based on the date of the Exception Event) will vest.  For example, if the Participant dies on the [second] anniversary of the Grant Date, then [one half] of the Restricted Stock will vest in favor of the Participant’s estate and the other one half of the Restricted Stock will be forfeited to the Company and cease to be outstanding.  The Participant acknowledges that neither the Participant nor the Participant’s estate will have any claim whatsoever against the Company or any Subsidiary related to any forfeiture of the Restricted Stock.

 

5.                                      Certain Tax Matters.  The Participant expressly acknowledges that vesting of the Restricted Stock, and the future payment of dividends with respect to the Restricted Stock, may give rise to “wages” subject to withholding.  The Participant expressly acknowledges and agrees that the Participant’s rights hereunder are subject to the Participant’s promptly paying to the Company in cash, or by the delivery of shares of the Restricted Stock acquired hereunder, all taxes required to be withheld in connection with such vesting or payment.  If vesting occurs as the result of an Exception Event, then the Company may, without the consent of the Participant or the Participant’s estate, use some of the Participant’s shares acquired hereunder to satisfy the Participant’s tax withholding obligations.

 

6.                                      Plan Governing.  The Participant hereby acknowledges receipt of a copy of the Plan and accepts and agrees to be bound by all of the terms and conditions of the Plan as if set out verbatim in this Agreement.  In the event of a conflict between the terms of the Plan and the terms of this Agreement, the terms of the Plan shall control.

 

7.                                      Miscellaneous.  This Agreement may be amended only by written agreement of the Participant and the Company and may be amended without the consent of any other person.  The provisions of this Agreement shall be binding upon and inure to the benefit of the parties hereto and their respective successors, representatives, heirs, descendants, distributees and permitted assigns.  This Agreement may be executed in any number of counterparts, each of which shall be an original, with the same effect as if the signatures thereto and hereto were upon the same instrument.

 

8.                                      Recoupment.  Further to Section 20 under the Plan, the Participant acknowledges and agrees that the Company will be entitled to recoup compensation of whatever kind paid by the Company hereunder in accordance with the compensation recoupment policies set forth in the Company’s Corporate Governance Guidelines, the terms of which are available on the Company’s website.

 

9.                                      Holding Period.  Further to Section 20 under the Plan, the Participant acknowledges and agrees that the Restricted Stock shall be subject to the holding periods set

 

2

 

forth in the Company’s Stock Ownership Guidelines, the terms of which are available on the Company’s website.

 

IN WITNESS WHEREOF, the parties have executed this Agreement effective as of the Grant Date.

 

	
SELECT MEDICAL HOLDINGS
   CORPORATION 
    	
The Participant:
    
	
 
    	
 
    
	
 
    	
 
    
	
By:
    	
 
    	
 
    	
 
    
	
 
    	
   Robert   A. Ortenzio,
      Executive Chairman & Co-Founder 
    	
 
    	
[Name of Grantee]
    

 

3EXHIBIT
10.1

 

EVERYTHINGAMPED,
INC.

 

COMMON
STOCK SUBSCRIPTION AGREEMENT

 

This
COMMON Stock Subscription Agreement (this
“Agreement”) is made as of the 16th day of February,
2017, by and between EVERYTHINGAMPED, INC., a Delaware corporation (the “Company”),
and ___________________ (“Purchaser”).

 

Recitals

 

Whereas,
the Company has authorized the sale and issuance of up to an aggregate of 500,000 shares of its Common Stock (the “Common
Stock”);

 

Whereas,
Purchaser desires to purchase shares of Common
Stock on the terms set forth in this Agreement;

 

Whereas,
the Company desires to issue and sell such shares of Common Stock to Purchaser in accordance with the terms hereof; and

 

Whereas,
this Agreement is entered into as part of a series of similar agreements (collectively with this Agreement, the
“Subscription Agreements”) pursuant to which
the Company will sell and issue the Common to the persons listed on the signature pages of such Subscription Agreements
(collectively with Purchaser, the “Common Investors”).

 

Agreement

 

Now,
Therefore, in consideration of the foregoing
recitals and the mutual promises, representations, warranties, and covenants hereinafter set forth and for other good and valuable
consideration, the receipt and sufficiency of which are hereby acknowledged, the parties hereto agree as follows:

 

1.
Purchase and Sale; Closing.

 

(a)
Subject to the terms and conditions hereof, Purchaser hereby agrees to purchase from the Company and the Company hereby agrees
to issue and sell to Purchaser ______ shares of Common (the “Shares”) at a purchase price of $0.45 per share for total
consideration of $______ (the “Purchase Price”).

 

(b)
The issuance of up to 500,000 shares of Common to the Common Investors, including (subject to the proviso below) issuance
of the Shares, shall take place promptly after the Company has received subscriptions for Common representing at least $200,000
(the date on which such shares of Common are issued shall be referred to herein as the “Initial Closing Date”); provided
that if Purchaser is purchasing the Shares subsequent to the Initial Closing Date, the issuance of the Shares shall occur upon
payment of the Purchase Price by Purchaser and acceptance of Purchaser’s Subscription Agreement by the Company. The date
on which the Shares are issued, whether on the Initial Closing Date or thereafter, shall be referred to herein as the “Closing
Date.”

 

    
	 	 	 

    	 		 

    

 

(c)
Promptly following the Closing Date, the Company shall deliver to Purchaser a certificate registered in Purchaser’s
name representing the Shares.

 

2.
Representations and Warranties of Purchaser. Purchaser hereby represents and warrants to the Company as follows:

 

(a)
Purchaser has all necessary power and authority to execute and deliver this Agreement and to carry out its provisions. All
action on Purchaser’s part required for the lawful execution and delivery of this Agreement has been taken. Upon its execution
and delivery, this Agreement will be a valid and binding obligation of Purchaser, enforceable in accordance with its terms, except
(a) as limited by applicable bankruptcy, insolvency, reorganization, moratorium or other laws of general application affecting
enforcement of creditors’ rights, and (b) as limited by general principles of equity that restrict the availability of equitable
remedies.

 

(b)
Purchaser is aware that the Shares have not been registered under the Securities Act of 1933, as amended (the “Securities
Act”), and that the Shares are deemed to constitute “restricted securities” under Rule 144 promulgated under
the Securities Act (“Rule 144”). Purchaser also understands that the Shares are being offered and sold pursuant to
an exemption from registration contained in the Securities Act based in part upon Purchaser’s representations contained
in this Agreement.

 

(c)
Purchaser is obtaining the Shares for Purchaser’s own account and Purchaser has no present intention of distributing
or selling the Shares or the Conversion Shares except as permitted under the Securities Act and applicable state securities laws.

 

(d)
Purchaser has sufficient knowledge and experience in business and financial matters to evaluate the Company, its proposed
activities and the risks and merits of this investment. Purchaser has the ability to accept the high risk and lack of liquidity
inherent in this type of investment.

 

(e)
Purchaser had an opportunity to discuss the Company’s business, management and financial affairs with directors, officers
and management of the Company. Purchaser has also had the opportunity to ask questions of and receive answers from the Company
and its management regarding the terms and conditions of this investment. Purchaser understands the significant risks of this
investment.

 

(f)
Purchaser has the capacity to protect its own interests in connection with the purchase of the Shares by virtue of its business
or financial expertise.

 

(g)
Purchaser understands that the Shares and, if issued, the Conversion Shares must be held indefinitely unless they are subsequently
registered under the Securities Act or an exemption from such registration is available. Purchaser has been advised or is aware
of the provisions of Rule 144, as in effect from time to time, which permit limited resale of shares purchased in a private placement
subject to the satisfaction of certain conditions, including, among other things, the availability of certain current public information
about the Company, the resale occurring following the required holding period under Rule 144, and the number of shares being sold
during any three month period not exceeding specified limitations.

 

    
	 	 	 

    	 		 

    

 

(h)
Purchaser acknowledges and agrees that the Shares are subject to restrictions on transfer set forth in Section 5 hereof.

 

(i)
If Purchaser is not a United States person (as defined by Section 7701(a)(30) of the Internal Revenue Code of 1986, as amended
(the “Code”)), Purchaser hereby represents that Purchaser has satisfied itself as to the full observance of the laws
of its jurisdiction in connection with any invitation to subscribe for the Shares or any use of this Agreement, including (i)
the legal requirements within its jurisdiction for the purchase of the Shares, (ii) any foreign exchange restrictions applicable
to such purchase, (iii) any government or other consents that may need to be obtained in connection with such purchase, and (iv)
the income tax and other tax consequences, if any, that may be relevant to the purchase, holding, redemption, sale or transfer
of the Shares. The Company’s offer and sale and Purchaser’s subscription and payment for and continued beneficial
ownership of the Shares will not violate any applicable securities or other laws of Purchaser’s jurisdiction.

 

(j)
Purchaser has reviewed this Agreement in its entirety, has had an opportunity to obtain the advice of counsel prior to executing
this Agreement and fully understands all provisions of this Agreement.

 

(k)
If Purchaser is an individual, then Purchaser resides in the state or province identified in the address of Purchaser set
forth on the signature page hereto; if Purchaser is a partnership, corporation, limited liability company or other entity, then
the office or offices of Purchaser in which its investment decision was made is located at the address or addresses of Purchaser
set forth on the signature page hereto.

 

(l)
Purchaser makes one or more of the following representations regarding its status as an “accredited investor”
and certain related matters, and has checked the applicable representation:

 

	 	[  ]	(i)	If
    Purchaser is an individual, a self-directed individual retirement account (“IRA”) or a living trust, Purchaser
    represents that it (A) has an individual net worth, or a joint net worth with such individual’s spouse, in excess of
    $1,000,000, or (B) has had an individual income in excess of $200,000 in each of the two most recent years, or a joint income
    with one’s spouse in excess of $300,000 in each of those years, and has a reasonable expectation of reaching the same
    income level in the current year, or (C) is a director or executive officer of the Company.

 

    
	 	 	 

    	 		 

    

 

	 	[  ]	(ii)	Purchaser
    is a bank, insurance partnership, investment partnership registered under the Investment Partnership Act of 1940, a broker
    or dealer registered pursuant to Section 15 of the Securities Exchange Act of 1934, as amended, a business development partnership,
    a small business investment partnership licensed by the U.S. Small Business Administration, a plan with total assets in excess
    of $5,000,000 established and maintained by a state for the benefit of its employees, or a private business development partnership
    as defined in Section 202(a)(22) of the Investment Advisers Act of 1940.
	 	 	 	 
	 	[  ]	(iii)	Purchaser
    is an employee benefit plan and either all investment decisions are made by a bank, savings and loan association, insurance
    partnership, or registered investment advisor, or the undersigned has total assets in excess of $5,000,000 or, if such plan
    is a self-directed plan, investment decisions are made solely by persons who are accredited investors.
	 	 	 	 
	 	[  ]	(iv)	Purchaser
    is (i) an organization described in section 501(c)(3) of the Code, or (ii) a corporation, partnership, or business trust,
    in either case with total assets in excess of $5,000,000.
	 	 	 	 
	 	[  ]	(v)	If
    Purchaser is not an entity described in paragraphs “i” through “iv”, Purchaser represents that each
    of its equity owners is either (i) an entity described in paragraphs “2” through “4”; or (ii) an individual
    who (A) has an individual net worth, or a joint net worth with such individual’s spouse, in excess of $1,000,000, or
    (B) has had an individual income in excess of $200,000 in each of the two most recent years, or a joint income with one’s
    spouse in excess of $300,000 in each of those years, and has a reasonable expectation of reaching the same income level in
    the current year, or (C) is a director or executive officer of the Company.
	 	[  ]	(vi)	Purchaser
    is a trust with total assets in excess of $5,000,000 whose purchase hereunder is directed by a person with such knowledge
    and experience in financial and business matters that he is capable of evaluating the merits and risks of the prospective
    investment.
	 	 	 	 
	 	[  ]	(vii)	The
    undersigned cannot make any of the representations set forth in paragraphs “i” through “vi” above.

 

3.
Representations and Warranties of the Company. The Company hereby represents and warrants to and agrees with Purchaser that
each of the following statements is true and correct on the date hereof and, if this subscription is accepted by the Company in
whole or in part, will be true and correct on the Closing Date:

 

(a)
Organization, Good Standing and Qualification. The Company is a corporation duly organized, validly existing and in good standing
under the laws of the State of Delaware. The Company has all requisite corporate power and authority to own and operate its properties
and assets, to execute and deliver this Agreement, to issue and sell the Shares and to carry out the provisions of this Agreement
and the Charter.

 

    
	 	 	 

    	 		 

    

 

(b)
Authorization; Binding Obligations. All corporate action on the part of the Company, its officers, directors and stockholders
necessary for the authorization of this Agreement and the Charter, the performance of all obligations of the Company hereunder
and thereunder at the Closing and the authorization, sale, issuance and delivery of the Shares pursuant hereto and pursuant to
the Charter has been taken or will be taken prior to the Closing Date. This Agreement, when executed and delivered, will be valid
and binding obligation of the Company enforceable in accordance with its terms, except (a) as limited by applicable bankruptcy,
insolvency, reorganization, moratorium or other laws of general application affecting enforcement of creditors’ rights,
and (b) general principles of equity that restrict the availability of equitable remedies. The sale of the Shares hereunder and
the subsequent conversion of the Shares into the Conversion Shares are not and will not be subject to any preemptive rights or
rights of first refusal that have not been properly waived or complied with as of the date of such sale or conversion.

 

(c)
Compliance with Laws. To its knowledge, the Company is not in violation of any applicable statute, rule, regulation, order
or restriction of any domestic or foreign government or any instrumentality or agency thereof in respect of the conduct of its
business or the ownership of its properties, which violation would materially and adversely affect the business, assets, liabilities,
financial condition, operations or prospects of the Company.

 

(d)
Offering Valid. Assuming the accuracy of Purchaser’s representations and warranties contained herein, the offer, sale
and issuance of the Shares will be exempt from the registration requirements of the Securities Act, and will have been registered
or qualified (or will be exempt from registration and qualification) under the registration, permit or qualification requirements
of all applicable state securities laws. Neither the Company nor any agent on its behalf has solicited or will solicit any offers
to sell or has offered to sell or will offer to sell all or any part of the Shares to any person or persons so as to bring the
sale of the Shares by the Company within the registration provisions of the Securities Act or any state securities laws.

 

4.
Covenants of the Company.

 

(a)
Basic Financial Information and Reporting.

 

(i)
The Company will maintain true books and records of account in which full and correct entries will be made of all its business
transactions pursuant to a system of accounting established and administered in accordance with United States generally accepted
accounting principles consistently applied (except as noted therein), and will set aside on its books all such proper accruals
and reserves as shall be required under United States generally accepted accounting principles consistently applied.

 

    
	 	 	 

    	 		 

    

 

(ii)
To the extent requested by a Common Investor, as soon as practicable after the end of each fiscal year of the Company (and
in any event within 120 days thereafter), the Company will furnish such Common Investor a balance sheet of the Company, as at
the end of such fiscal year, and a statement of income and a statement of cash flows of the Company, for such fiscal year, all
prepared in accordance with United States generally accepted accounting principles consistently applied (except as noted therein)
and setting forth in each case in comparative form the figures for the previous fiscal year, all in reasonable detail.

 

(b)
Registration Rights. The Company agrees to use its reasonable best efforts to both file a resale registration statement on
Form S-1 for all of the Shares to be issued to the Common Investors and to have that registration statement effective within 90
days from the date of filing. The Company shall bear all costs of the registration statement.

 

5.
Restrictions on Transfer.

 

(a)
Purchaser hereby agrees not to make any disposition of all or any portion of the Shares or the Conversion Shares unless and
until:

 

(i)
There is then in effect a registration statement under the Securities Act covering such proposed disposition and such disposition
is made in accordance with such registration statement; or

 

(ii)
(A) The transferee has agreed in writing to be bound by the terms of Section 5 of this Agreement, (B) Purchaser shall have
notified the Company of the proposed disposition and shall have furnished the Company with a detailed statement of the circumstances
surrounding the proposed disposition, (C) such disposition is made in accordance with the provisions of the Company’s Bylaws,
and (D) if reasonably requested by the Company, Purchaser shall have furnished the Company with an opinion of counsel, reasonably
satisfactory to the Company, that such disposition will not require registration of such shares under the Securities Act. It
is agreed that the Company will not require opinions of counsel for transactions made pursuant to Rule 144 except in unusual circumstances.

 

(b)
The Company shall not be required (i) to transfer on its books any of the Shares or the Conversion Shares which shall have
been sold or transferred in violation of any of the provisions set forth in this Agreement or set forth in the Company’s
Bylaws or (ii) to treat as the owner of such Shares or Conversion Shares or to accord the right to vote or to pay dividends to
any transferee to whom such Shares or Conversion Shares shall have been so transferred.

 

6.
Restrictive Legends.

 

All
certificates representing the Shares shall have endorsed thereon the following legends:

 

(a)
“THE SHARES REPRESENTED BY THIS CERTIFICATE HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED. THEY
MAY NOT BE SOLD, OFFERED FOR SALE, PLEDGED OR HYPOTHECATED IN THE ABSENCE OF AN EFFECTIVE REGISTRATION STATEMENT AS TO THE SECURITIES
UNDER SAID ACT OR OPINION OF COUNSEL SATISFACTORY TO THE COMPANY THAT SUCH REGISTRATION IS NOT REQUIRED.”

 

    
	 	 	 

    	 		 

    

 

(b)
Any legend required under applicable state securities laws.

 

7.
Miscellaneous.

 

(a)
Further Assurances. The parties agree to execute such further instruments and to take all such further action as may reasonably
be necessary to carry out the intent of this Agreement.

 

(b)
Notices. Any notice required or permitted hereunder shall be given in writing and shall be deemed effectively given upon personal
delivery or delivery by facsimile, electronic mail or express courier, or upon deposit in the United States Post Office, by registered
or certified mail with postage and fees prepaid, addressed to the other party hereto at its address, electronic mail address,
or facsimile number hereinafter shown below its signature or at such other address as such party may designate by ten (10) days’
advance written notice to the other party hereto.

 

(c)
Governing Law. This Agreement shall be governed by and construed in accordance with the laws of the State of Delaware.

 

(d)
Successors and Assigns. This Agreement shall inure to the benefit of the successors and assigns of the Company and, subject
to the restrictions on transfer herein set forth, shall be binding upon Purchaser, his or her heirs, executors, administrators,
successors and assigns.

 

(e)
Entire Agreement. This Agreement constitutes the entire agreement between the parties with respect to the subject matter hereof
and supersedes and merges all prior agreements or understandings, whether written or oral.

 

(f)
Severability. If one or more provisions of this Agreement are held to be unenforceable under applicable law, portions of such
provisions, or such provisions in their entirety, to the extent necessary, shall be severed from this Agreement, and the balance
of this Agreement shall be interpreted as if such provisions were so excluded and shall be enforceable in accordance with its
terms.

 

(g)
Counterparts. This Agreement may be executed in two or more counterparts, each of which shall be deemed an original, but all
of which together shall constitute one and the same instrument. Either or all parties may execute this Agreement by facsimile
signature or scanned signature in PDF format, and any such facsimile signature or scanned signature, if identified, legible and
complete, shall be deemed an original signature and each of the parties is hereby authorized to rely thereon.

 

    
	 	 	 

    	 		 

    

 

(h)
Amendment and Waiver. This Agreement may be amended or modified, and the obligations of the Company and the rights of the
Common Investors under the Subscription Agreements (including the rights of Purchaser under this Agreement) may be waived or terminated,
only upon the written consent of the Company and holders of a majority of the shares of Common purchased or agreed to be purchased
pursuant to the Subscription Agreements (the “Required Common Investors”). Purchaser acknowledges that because this
Agreement may be amended or terminated with the consent of the Required Common Investors, Purchaser’s rights hereunder,
including Purchaser’s preemptive rights, may be amended, terminated or waived without Purchaser’s individual consent.
Upon the effectuation of such termination, waiver or amendment in conformance with this Section 7(h), the Company shall promptly
give written notice thereof to the record holders of the Common who have not previously consented thereto in writing.

 

(i)
Expenses. Subject to Section 7(k) hereof, each party shall pay all costs and expenses that it incurs with respect to the negotiation,
execution, delivery and performance of this Agreement.

 

(j)
Delays or Omissions. It is agreed that no delay or omission to exercise any right, power or remedy accruing to any party,
upon any breach, default or noncompliance by another party under this Agreement, the Subscription Agreements or the Charter, shall
impair any such right, power or remedy, nor shall it be construed to be a waiver of any such breach, default or noncompliance,
or any acquiescence therein, or of or in any similar breach, default or noncompliance thereafter occurring. It is further agreed
that any waiver, permit, consent or approval of any kind or character on any party’s part of any breach, default or noncompliance
under this Agreement, the Subscription Agreements or the Charter or any waiver on such party’s part of any provisions or
conditions of this Agreement, the Subscription Agreements, or the Charter must be in writing and shall be effective only to the
extent specifically set forth in such writing. All remedies, either under this Agreement, the Subscription Agreements, the Charter,
law, or otherwise afforded to any party, shall be cumulative and not alternative.

 

(k)
Attorneys’ Fees. In the event that any suit or action is instituted under or in relation to this Agreement, including
without limitation to enforce any provision in this Agreement, the prevailing party in such dispute shall be entitled to recover
from the losing party all fees, costs and expenses of enforcing any right of such prevailing party under or with respect to this
Agreement, including without limitation, such reasonable fees and expenses of attorneys and accountants, which shall include,
without limitation, all fees, costs and expenses of appeals.

 

(l)
Titles and Subtitles. The titles of the sections and subsections of this Agreement are for convenience of reference only and
are not to be considered in construing this Agreement.

 

(m)
Broker’s Fees. Each party hereto represents and warrants that no agent, broker, investment banker, person or firm acting
on behalf of or under the authority of such party hereto is or will be entitled to any broker’s or finder’s fee or
any other commission directly or indirectly in connection with the transactions contemplated herein. Each party hereto further
agrees to indemnify each other party for any claims, losses or expenses incurred by such other party as a result of the representation
made by the indemnifying party in this Section 7(m) being untrue.

 

(n)
Pronouns. All pronouns contained herein, and any variations thereof, shall be deemed to refer to the masculine, feminine or
neutral, singular or plural, as to the identity of the parties hereto may require.

 

    
	 	 	 

    	 		 

    

 

In
Witness Whereof, the parties hereto have executed
this Agreement as of the day and year first above written.

 

	 	PURCHASER:
	 	 	 
	 	By:	
	 	Name:	
	 	Title:	
	 	 	 
	 	Address:	
	 	 
	 	 
	 	 
	 	Telephone	     
	 	Fax:	      
	 	Email:	      
	 	 	 
	 	ACCEPTED:
	 	 	 
	 	EVERYTHINGAMPED,
    INC.
	 	 	 
	 	By:	      
	 	Name:	[President/CEO
Name]
	 	Title:	President
	 	 	 
	 	Address:	[Address]
	 	 	 
	 	Telephone:	[Telephone]
	 	Fax:
	[Fax]
	 	Email:	[Email]

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