Document:

Service Agreement

 Exhibit 10.6 
  
 SERVICE AGREEMENT 
  
 This service agreement (“Agreement”) is effective as of July 1, 2003 by and among the WORLD MONITOR TRUST—SERIES A, B AND C, WORLD MONITOR TRUST
II—SERIES D, E, AND F, DIVERSIFIED FUTURES TRUST I, DIVERSIFIED FUTURES TRUST II and PRUDENTIAL SECURITIES STRATEGIC TRUST (each a “Trust” and collectively, the “Trusts”), PRUDENTIAL SECURITIES FUTURES
MANAGEMENT INC., as the managing owner of each of the Trusts (the “Managing Owner”) and WACHOVIA SECURITIES, LLC (the “Service Provider”). 
  
 WHEREAS, each of the Trusts is a Delaware business trust organized to trade futures contracts and other investments;

  
 WHEREAS, the Managing Owner is a Delaware corporation registered
with the Commodity Futures Trading Commission (“CFTC”) as a Commodity Pool Operator (“CPO”) and Commodity Trading Advisor (“CTA”); 
  

WHEREAS, Service Provider is registered with the CFTC and the National Futures Association (“NFA”) as a futures commission merchant
(“FCM”) and is also registered as a broker-dealer with the Securities and Exchange Commission (“SEC”) and is a member of the National Association of Securities Dealers, Inc. (“NASD”); 
  
 WHEREAS, each of the Trusts has sold interests to the public (the
“Interests”) pursuant to the terms of a prospectus (each, a “Prospectus”); and 
  
 WHEREAS, the Managing Owner wishes to engage the Service Provider as a service provider for the Trusts and the Service Provider wishes to act as a service
provider for the Trusts. 
  
 NOW, THEREFORE, in consideration of
their mutual covenants and undertakings and other good and valuable consideration, receipt of which is hereby acknowledged, the parties hereto agree as follows: 
  

1.  Services to be Provided 
  
 The Service Provider agrees to perform the following services for limited owners of the Trusts that have accounts with the Service Provider (“Limited
Owners”): (a) inquiring of the Managing Owner from time to time, at the request of a Limited Owner, as to the Net Asset Value per Interest; (b) inquiring of the Managing Owner from time to time, at the request of a Limited Owner, regarding the
commodity interest markets or any Trust; (c) assisting, at the request of the Managing Owner, in the redemption, exchange and transfer of Interests; and (d) providing such other services to the Limited Owners as the Managing Owner may, from time to
time, reasonably request. To the extent that the Service Provider utilizes the services of its employees to assist it in performing the services described above, each such employee will be registered with the CFTC and will have passed either the
Series 3 National Commodity Futures Examination or the Series 31 Futures Managed Funds Examination. 
  
 In connection with the foregoing services, the Service Provider shall not give any written material other than such written material as has been approved in advance
by each of the Trusts or the Managing Owner. The Service Provider shall make no oral representation to any Limited Owner unless such representation is specifically set forth in the applicable Prospectus or properly approved written material.

  
 2.  Undertakings 
  
 The Managing Owner and the Trusts agree to cooperate with the Service Provider in the
performance of the Service Provider’s services hereunder, and to provide the Service Provider with any and all information and documentation that the Service Provider reasonably requires in order to perform the services contemplated by this
Agreement. Without limiting the generality of the foregoing, the Managing Owner agrees to provide the Service Provider with copies of (i) each Prospectus and any amendments or supplements thereto; (ii) any and all monthly and annual reports of any
Trust; and (iii) all correspondence sent by any Trust and/or the Managing Owner to the Limited Owners. 

 3.  Representations and Warranties of the Managing Owner 
  
 The Managing Owner represents and warrants to the Service Provider that: 

 

	 	A.	Each of the Managing Owner and the Trusts has obtained and possesses all required governmental, regulatory and commodity exchange approvals and licenses and that each has effected all filings
and registrations required in order to enter into and perform this Agreement, to conduct its business generally and to perform its obligations described hereunder and as described in the Prospectus. 

  

	 	B.	Each of the Managing Owner and the Trusts will maintain such approvals, licenses, filings and registrations throughout the term of this Agreement and shall notify the Service Provider
immediately of any material change in such approvals, licenses, filings or registrations. 

  

	 	C.	Each of the Managing Owner and the Trusts has complied with all laws, rules and regulations applicable to its business, including rules and regulations promulgated by the CFTC and NFA, the
violation of which would materially and adversely affect their respective business, financial condition or earnings. 

  

	 	D.	There are no actions, suits or proceedings pending or, to the best of the Managing Owner’s knowledge, threatened against the Managing Owner or any Trust at law or in equity or before or
by any Federal, state, municipal or other governmental or regulatory department, commission, board, bureau, agency or instrumentality, or by any commodity or security exchange worldwide in which an adverse decision would materially and adversely
affect the ability of the Managing Owner or any Trust to comply with and perform their respective obligations under this Agreement or any Prospectus. 

  

	 	E.	This Agreement has been duly and validly authorized, executed and delivered and is a valid and binding agreement, enforceable against the Managing Owner and each Trust in accordance with its
terms, except as enforceability may be limited by applicable bankruptcy, moratorium, insolvency or other laws now or hereafter enacted affecting the enforcement of creditors’ rights generally and by legal and equitable restrictions on the
availability of equitable remedies, including specific performance. 

  

	 	F.	Neither the Managing Owner nor any Trust will use the Service Provider’s name in any documents or correspondence in connection with any Trust without the express written consent of the
Service Provider, which consent shall not be unreasonably withheld. 

  
 The representations and warranties contained in this Section 3 shall continue during the term of this Agreement, and, if at any time any event has occurred which would make or tend to make any of the foregoing not true, the Managing Owner
will promptly notify the Service Provider in writing of such event. 
  
 4.  Representations and Warranties of the Service Provider 
  
 The Service Provider hereby represents and warrants to the Trusts and to the Managing Owner that: 
  

	 	A.	It is duly registered Futures Commission Merchant as that term is defined under Section 4d of the Commodity Exchange Act as amended and the regulations thereunder and is a registered member
of NFA. 

  

	 	B.	It is registered with the SEC as a broker-dealer and is a registered member of the NASD. 

  

	 	C.	It will maintain the foregoing registration status throughout the time it performs any services under this Agreement. 

  

	 	D.	It has complied with all laws, rules and regulations having application to its business, including rules and regulations promulgated by the CFTC and NFA, the violation of which would
materially and adversely affect the business, financial condition or earnings of the Service Provider. 

  

	 	E.	 There are no actions, suits or proceedings pending or, to the best knowledge of the Service Provider, threatened at law or in equity or before or by any Federal, state,
municipal or other governmental or regulatory department, commission, board, bureau, agency or instrumentality, or 

  

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by any commodity or security exchange worldwide in which an adverse decision would materially and adversely affect the ability of the Service Provider to comply with
and perform it obligations under this Agreement, except as set forth in Exhibit A attached hereto. 

  

	 	F.	This Agreement has been duly and validly authorized, executed and delivered and is a valid and binding agreement, enforceable against it, in accordance with its terms, except as
enforceability may be limited by applicable bankruptcy, moratorium, insolvency or other laws now or hereafter enacted affecting the enforcement of creditors’ rights generally and by legal and equitable restrictions on the availability of
equitable remedies, including specific performance. 

  

	 	G.	The Service Provider will not use the name of the Managing Owner or any Trust in any documents or correspondence, other than those necessary for the Service Provider to perform the services
enumerated in Section 1 hereof, without the express written consent of such Trust and the Managing Owner, which consent shall not be unreasonably withheld. 

  
 The representations and warranties contained in this Section 4 shall continue during the term of this Agreement, and, if at any time
any event has occurred which would make or tend to make any of the foregoing not true, the Service Provider will notify the Managing Owner and each Trust in writing of such event. 
  
 5.  Indemnification 
  

	 	A.	The Managing Owner and the Trust shall indemnify and hold harmless the Service Provider, and its officers, directors, employees and affiliates, from any claims, suits, controversies,
judgments, losses, awards or settlements (including, without limitation, reasonable attorneys’ fees and expenses) caused by, or related to, (i) the Managing Owner’s or the Trust’s material breach of any applicable provision of this
Agreement; or (ii) the Managing Owner’s or the Trust’s negligence, intentional misconduct or violation of applicable law in performing any of the activities contemplated under this Agreement. Notwithstanding the preceding sentence, the
Managing Owner and the Trust shall be entitled to an appropriate offset for any indemnification obligations that are caused, in part or in whole, by Service Provider’s breach of any provision of this Agreement or Service Provider’s
negligence, intentional misconduct or violation of applicable law in performing any of the activities contemplated under this Agreement. 

  

	 	B.	The Service Provider shall indemnify and hold harmless the Managing Owner and the Trust, and their respective officers, directors, employees and affiliates, from any claims, suits,
controversies, judgments, losses, awards or settlements (including, without limitation, reasonable attorneys’ fees and expenses) caused by, or related to, (i) the Service Provider’s material breach of any applicable provision of this
Agreement; or (ii) the Service Provider’s negligence, intentional misconduct or violation of applicable law in performing any of the activities contemplated under this Agreement. Notwithstanding the preceding sentence, the Service Provider
shall be entitled to an appropriate offset for any indemnification obligations that are caused, in part or in whole, by the Managing Owner’s or the Trust’s breach of any provision of this Agreement or Service Provider’s negligence,
intentional misconduct or violation of applicable law in performing any of the activities contemplated under this Agreement. 

  
 6.  Limitation of the Service Provider’s Liability 
  
 The Service Provider shall incur no liability to any of the Trusts, the Managing Owner, any Limited Owner or any other party except to the extent caused by the
Service Provider’s negligence or willful misconduct in performing its obligations under this Agreement, or its material breach of any representation, warranty, covenant or term of this Agreement. 
  
 7.  Compensation 
  
 In consideration of the Service Provider’s services provided as specified herein, the Managing Owner will pay or cause to be paid
to the Service Provider a monthly service fee, which on an annual basis will equal 

  

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4% of the Net Asset Value of such Interests beneficially owned by Limited Owners of each Trust as of the applicable date of determination who hold such Interests
through accounts maintained with the Service Provider, provided that, as set out in Section 1, the Service Provider remains registered with the CFTC as a FCM and remains a member in good standing of the NFA in such capacity, and the registered
representatives of the Service Provider responsible for the servicing of each Interest which is the subject of the compensation paid to the Service Provider hereunder are registered with the CFTC and have passed either the Series 3 National
Commodity Futures Examination or the Series 31 Futures Managed Funds Examination. These payments should be made within a reasonable time following each month, but in no event later than 15 days following the end of each month. From the date of this
Agreement, and until further written notice from the Managing Owner, the Service Provider shall be paid such fees out of the brokerage and services fee that Prudential Equity Group, Inc., f/k/a Prudential Securities Incorporated (“PEG”)
receives from each Trust. 
  
 8.  Miscellaneous 
  

	 	A.	This Agreement shall be binding upon and inure to the benefit of the parties’ respective successors and permitted assigns; provided that such successors and assigns shall be deemed to
make the same representations and warranties contained in this Agreement as their predecessors. 

  

	 	B.	This Agreement shall be governed by and construed in accordance with the laws of the State of New York without giving effect to conflict of law principles. 

  

	 	C.	This Agreement constitutes the entire agreement among the parties hereto with respect to the matters referred to herein and supersedes any prior agreements, whether verbal or written, among
them. 

  

	 	D.	This Agreement may not be amended except by the express written consent of the parties hereto. No waiver of any provision of this Agreement may be implied from any course of dealing among the
parties or from any failure by any party to assert its rights under this Agreement on any occasion or series of occasions. 

  

	 	E.	If any provision of this Agreement, or the application of any such provision to any person or circumstance, shall be held to be inconsistent with any present or future law, ruling, or
regulation of any court or regulatory body, exchange, or board of trade having jurisdiction over the subject matter of this Agreement, such provision shall be deemed to be rescinded or modified in accordance with such law, ruling, rule or
regulation, and the remainder of this Agreement, or the application of such provisions to persons or circumstances other than those as to which it is held inconsistent, shall not be effected thereby. 

  

	 	F.	Any and all disputes arising out of or relating to this Agreement shall be settled by arbitration pursuant to the rules of the NFA in force at the time arbitration is demanded. Any award
rendered thereon by the arbitrators shall be final and binding on each and all the parties thereto and judgment may be entered in any court having jurisdiction thereof. 

  

	 	G.	This Agreement may not be assigned by any party without the prior written consent of the other parties; provided, however, each Trust and the Service Provider agree that the Managing Owner
may assign this Agreement in connection with the sale of, and to the acquiror of, all or substantially all of the business or assets of the Managing Owner, provided such acquiror expressly assumes and agrees in writing to perform this Agreement in
the same manner and to the same extent that the Managing Owner would be required to perform if no such transaction had taken place. For the avoidance of doubt, it shall not be considered an assignment of this Agreement by the Managing Owner if the
ownership of the Managing Owner is transferred to an affiliate of PEG, including, but not limited to, Prudential Financial Derivatives, LLC. 

  

	 	H.	This Agreement may be executed and delivered in counterparts, each of which will be deemed an original. 

  

	 	I.	Headings used in this Agreement are for convenience of reference only and are not to affect the construction of or to be taken into consideration in interpreting this Agreement.

  

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 9.  Termination 
  
 This Agreement may be terminated by any party hereto upon 30 days’ prior written notice to the other parties. Such notice shall have no effect on any
outstanding rights, obligations or liabilities of the parties prior to the receipt of such notice and the effective date of termination of this Agreement. 
  
 10.  Notices 
  
 Any notice required to be delivered pursuant to this Agreement shall be in writing and shall be delivered by courier service, telex, facsimile transmission, or
other similar means and shall be effective upon receipt by the party to whom such notice shall be directed. 
  

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 IN WITNESS WHEREOF, this Agreement has been executed for and on behalf of the undersigned with effect as of
the date written above. 
  

			
	 WORLD MONITOR TRUST—SERIES A, B AND C
BY:
PRUDENTIAL SECURITIES FUTURES MANAGEMENT INC.

		
	By:	  	/s/    BRIAN MARTIN        
	 	 	

	 	  	 Name: Brian Martin
 Title: President

  

			
	 WORLD MONITOR TRUST II—SERIES D, E AND
F
BY: PRUDENTIAL SECURITIES FUTURES MANAGEMENT INC.

		
	By:	  	/s/    BRIAN MARTIN        
	 	 	

	 	  	 Name: Brian Martin
 Title: President

  

			
	 DIVERSIFIED FUTURES TRUST
BY: PRUDENTIAL
SECURITIES FUTURES MANAGEMENT INC.

		
	By:	  	/s/    BRIAN MARTIN        
	 	 	

	 	  	 Name: Brian Martin
 Title: President

  

			
	 DIVERSIFIED FUTURES TRUST II
BY: PRUDENTIAL
SECURITIES FUTURES MANAGEMENT INC.

		
	By:	  	/s/    BRIAN MARTIN        
	 	 	

	 	  	 Name: Brian Martin
 Title: President

  

			
	 PRUDENTIAL SECURITIES STRATEGIC TRUST
BY:
PRUDENTIAL SECURITIES FUTURES MANAGEMENT INC.

		
	By:	  	/s/    BRIAN MARTIN        
	 	 	

	 	  	 Name: Brian Martin
 Title: President

  

			
	 PRUDENTIAL SECURITIES FUTURES MANAGEMENT
INC.
  

		
	By:	  	/s/    BRIAN MARTIN        
	 	 	

	 	  	 Name: Brian Martin
 Title: President

  

			
	 WACHOVIA SECURITIES LLC
  

		
	By:	  	/s/    LEAH WEHINGER        
	 	 	

	 	  	 Name: Leah Wehinger
 Title: Managing Director

  

 6Form of Warrant

 EXHIBIT 4.2 
  

WARRANT 
  
 THIS WARRANT HAS BEEN ISSUED AND THE SHARES OF COMMON STOCK WHICH MAY BE PURCHASED PURSUANT TO THE EXERCISE OF THE RIGHTS UNDER THIS WARRANT HAVE BEEN ACQUIRED FOR
INVESTMENT AND NOT FOR DISTRIBUTION, AND HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED. SUCH SECURITIES MAY NOT BE SOLD, OFFERED FOR SALE, PLEDGED, HYPOTHECATED OR OTHERWISE TRANSFERRED IN THE ABSENCE OF A REGISTRATION
STATEMENT IN EFFECT WITH RESPECT THERETO UNDER SUCH ACT UNLESS SOLD PURSUANT TO RULE 144 OF SUCH ACT OR UNLESS SUCH SALE, OFFER, PLEDGE, HYPOTHECATION OR TRANSFER IS OTHERWISE EXEMPT FROM REGISTRATION. 
  
 WARRANT TO PURCHASE SHARES OF COMMON STOCK 
 OF 
 HEALTHETECH, INC. 

 
 Dated as of
                               
  

			
	No. CS-    	 	Warrant to Purchase
	 	 	               Shares of
	 	 	Common Stock of the Company
	 	 	(subject to adjustment)

  
 THIS CERTIFIES THAT,
for value received,
                                        
           (the “Holder”) is entitled, subject to the terms and conditions set forth below, to purchase from HealtheTech, Inc., a Delaware corporation (the
“Company”), up to                       
                 (              ) shares of the Company’s Common Stock, $0.001
par value per share (the “Shares”), in the amounts and at the price per share set forth in Section 1 below, subject to the provisions and upon the terms and conditions set forth herein. The term “Warrant” as used
herein shall include this Warrant and any warrants delivered in substitution or exchange therefore as provided herein.  
  
 1. Number, Price and Expiration of the Shares. 
  
 (a) The Holder shall have the right to purchase up to a total of
                                        
(              ) of the Shares (as may be adjusted pursuant hereto), at an exercise price of $         per share, which right
shall terminate, to the extent not exercised, at 5:00 p.m., Mountain Time, on
                              . 
  
 2. Exercise of Warrant. 
  
 (a) Exercise. The purchase rights represented by this Warrant may be
exercised at the election of the Holder, in whole or in part, in accordance with Section 1 and prior to the expiration of this Warrant, by (i) the tender to the Company at its principal office (or such other office or agency of the Company as it may
designate by notice in writing to the Holder at 
  

 1. 

 
the address of the Holder appearing on the books of the Company) of a notice of exercise in the form attached hereto as Exhibit A (the
“Notice of Exercise”), duly completed and executed on behalf of the Holder, together with the surrender of this Warrant, and (ii) the payment to the Company of an amount equal to the applicable exercise price(s) multiplied by the
number of Shares being purchased by wire transfer or certified, cashier’s or other check acceptable to the Company and payable to the order of the Company. 
  
 (b) Stock Certificates. The rights under this Warrant shall be deemed to have been exercised and the Shares shall be
deemed to have been issued immediately prior to the close of business on the date of its tender for exercise as provided above, and the person entitled to receive the Shares issuable upon such exercise shall be treated for all purposes as the holder
of record of such Shares as of the close of business on such date. As promptly as reasonably practicable on or after such date, the Company shall direct the Company’s transfer agent to issue and deliver to the person or persons entitled to
receive the same a certificate or certificates for that number of shares issuable upon such exercise. In the event that the rights under this Warrant are exercised in part and have not expired, the Company shall execute and deliver a new Warrant
with the same terms and conditions for the number of Shares that remain subject to this Warrant. 
  
 (c) Taxes. In no event shall the Company be required to pay any tax which may be payable in respect of any transfer involved in the issue and
delivery of any certificate in a name other than that of the Holder, and the Company shall not be required to direct the Company’s transfer agent to issue or deliver any such certificate unless and until the person or persons requesting the
issue thereof shall have paid to the Company the amount of such tax or shall have established to the satisfaction of the Company that such tax has been paid. 
  
 3. No Fractional Shares or Scrip. No fractional shares or scrip representing fractional shares shall be issued upon the exercise of the rights
under this Warrant. In lieu of such fractional share to which the Holder would otherwise be entitled, the Company shall make a cash payment equal to the applicable exercise price(s) multiplied by such fraction. 
  
 4. Replacement of Warrant. On receipt of evidence reasonably
satisfactory to the Company of the loss, theft, destruction or mutilation of this Warrant and, in the case of loss, theft or destruction, on delivery of an indemnity agreement reasonably satisfactory in form and substance to the Company or, in the
case of mutilation, on surrender and cancellation of this Warrant, the Company at the expense of the Holder shall execute and deliver, in lieu of this Warrant, a new warrant of like tenor and amount. 
  
 5. Representations and Warranties of the Holder. 
  
 (a) Investment Intent. The Holder is acquiring the Securities Warrant
and the Shares issuable upon exercise of the Warrant, for investment for his own account, not as a nominee or agent, and not with the view to, or for resale in connection with, any distribution thereof. 
  
 (b) Investment Experience. The Holder has substantial experience in
evaluating and investing in private placement transactions of securities in companies similar to the Company so that he is capable of evaluating the merits and risks of his investment in the Company and has the capacity to protect his own interests.

  

 2. 

 (c) Speculative Nature of Investment. The Holder acknowledges that his investment in the Company
is highly speculative and entails a substantial degree of risk and the Holder is in a position to lose the entire amount of such investment. 
  
 (d) Access to Data. The Holder has had an opportunity to discuss the Company’s business, management and financial affairs with the
Company’s management. The Holder has also had an opportunity to ask questions of officers of the Company, which questions were answered to his satisfaction. The Holder understands that such discussions, as well as any information issued by the
Company, were intended to describe certain aspects of the Company’s business and prospects, but were not necessarily a thorough or exhaustive description. The Holder acknowledges that any business plans prepared by the Company have been, and
continue to be, subject to change and that any projections included in such business plans or otherwise are necessarily speculative in nature, and it can be expected that some or all of the assumptions underlying the projections will not materialize
or will vary significantly from actual results. 
  
 (e)
Accredited Investor. The Holder is an “accredited investor” within the meaning of Regulation D, Rule 501(a), promulgated by the Securities and Exchange Commission under the Securities Act of 1933, as amended (the “Securities
Act”). 
  
 (f) Residency. The residency of the
Holder is correctly set forth on the signature page hereto. 
  
 (g) Restriction on Resales. The Holder acknowledges that the Warrant and the Shares issuable upon exercise of the Warrant must be held indefinitely unless subsequently registered under the Securities Act or unless an exemption from
such registration is available. The Holder further understands that there is no assurance that any exemption from registration under the Securities Act will be available or, if available, that such exemption will allow the Holder to dispose of or
otherwise transfer any or all of the Securities under the circumstances, in the amounts or at the times the Holder might propose. 
  
 (h) Rule 144. The Holder is aware of the provisions of Rule 144 promulgated under the Securities Act which permit limited resale of shares
purchased in a private placement subject to the satisfaction of certain conditions, including among other things, the existence of a public market for the shares, the availability of certain current public information about the Company, the resale
occurring not less than one year after a party has purchased and paid for the security to be sold, the sale being effected through a “broker’s transaction” or in transactions directly with a “market maker” and the number of
shares being sold during any three-month period not exceeding specified limitations. The Holder acknowledges that, in the event all of the requirements of Rule 144 are not met, registration under the Securities Act or an exemption from registration
will be required for any disposition of the Securities. The Holder understands that, although Rule 144 is not exclusive, the Securities and Exchange Commission has expressed its opinion that persons proposing to sell restricted securities received
in a private offering other than in a registered offering or pursuant to Rule 144 will have a substantial burden of proof in establishing that an exemption from registration is available for such offers or sales and that such persons and the brokers
who participate in the transactions do so at their own risk. 
  
 (i) Authorization. 
  
 (i) The Holder has all
requisite power and authority to execute and deliver this Warrant, to purchase the Shares issuable upon exercise of the rights under this Warrant and to carry out and perform his obligations under the terms and conditions of this 

  

 3. 

 
Warrant. All action on the part of the Holder necessary for the authorization, execution, delivery and performance of this Warrant, and the performance of
all of the Holder’s obligations under this Warrant, has been taken or will be taken prior to the purchase of this Warrant. 
  
 (ii) This Warrant, when executed and delivered by the Holder, will constitute a valid and legally binding obligation of the Holder, enforceable in
accordance with its terms except: (i) as limited by applicable bankruptcy, insolvency, reorganization, moratorium and other laws of general application affecting enforcement of creditors’ rights generally, and (ii) as limited by laws relating
to the availability of specific performance, injunctive relief or other equitable remedies or by general principles of equity. 
  
 (iii) No consent, approval, authorization, order, filing, registration or qualification of or with any court, governmental authority or third person is
required to be obtained by the Holder in connection with the execution and delivery of this Warrant or the performance of the Holder’s obligations hereunder. 
  
 (j) Brokers and Finders. The Holder has not engaged any brokers, finders or agents in connection with this Warrant,
and the Company has not incurred and will not incur, directly or indirectly, as a result of any action taken by the Holder, any liability for brokerage or finders’ fees or agents’ commissions or any similar charges in connection with this
Warrant. 
  
 (k) Investor Counsel. The Holder acknowledges
that he has had the opportunity to review this Warrant and the exhibits attached hereto and the transactions contemplated by this Warrant with his own legal counsel. The Holder is relying solely on such counsel and not on any statements or
representations of the Company or its agents for legal advice with respect to this investment or the transactions contemplated by this Warrant. 
  
 (l) Tax Advisors. The Holder has reviewed with his own tax advisors the U.S. federal, state, local and foreign tax consequences of this investment
and the transactions contemplated by this Warrant. With respect to such matters, the Holder relies solely on such advisors and not on any statements or representations of the Company or any of its agents, written or oral. The Holder understands that
he (and not the Company) shall be responsible for his own tax liability that may arise as a result of this investment or the transactions contemplated by this Warrant. 
  
 6. Transfer of Warrants; Restrictions on Transfer. 
  
 (a) Warrant Register. The Company shall maintain a register (the “Warrant Register”) containing the
name and address of the Holder or Holders. Any Holder of this Warrant or any portion thereof may change its address as shown on the Warrant Register by written notice to the Company requesting such change. Any written notice or written communication
required or permitted to be given to the Holder may be delivered or given by any method provided in Section 11(d) hereof. Until this Warrant is transferred on the Warrant Register, the Company may treat the Holder as shown on the Warrant Register as
the absolute owner of this Warrant for all purposes, notwithstanding any notice to the contrary. 
  
 (b) Warrant Agent. The Company may, by notice to the Holder, appoint an agent for the purpose of maintaining the Warrant Register referred to in
Section 6(a) above, issuing the Shares or other securities then issuable upon the exercise of the rights under this Warrant, exchanging this Warrant, replacing this Warrant or any or all of the foregoing. Thereafter, any such registration, issuance,
exchange or replacement, as the case may be, shall be made at the office of such agent. 
  

 4. 

 (c) Transferability and Non-negotiability of Warrant. This Warrant may not be transferred or
assigned in whole or in part without compliance with all applicable federal and state securities laws by the transferor and the transferee. Subject to the provisions of this Warrant with respect to compliance with the Securities Act and limitations
on assignments and transfers, including without limitation compliance with the restrictions on transfer set forth in Section 6(e) hereof, title to this Warrant may be transferred by endorsement (by the transferor and the transferee executing the
assignment form (the “Assignment Form”) attached hereto as Exhibit B) and delivery in the same manner as a negotiable instrument transferable by endorsement and delivery. 
  
 (d) Exchange of Warrant upon a Transfer. On surrender of this Warrant
for exchange and a properly endorsed Assignment Form, and subject to the provisions of this Warrant with respect to compliance with the Securities Act and limitations on assignments and transfers, the Company shall issue to or on the order of the
Holder a new warrant or warrants with the same terms and conditions, in the name of the Holder or such other individual or entity as the Holder (on payment by the Holder of any applicable transfer taxes) may direct, for the number of shares Shares
issuable upon exercise of the rights hereunder and the Company shall register any such transfer upon the Warrant Register. This Warrant and the Shares issuable upon exercise of the rights under this Warrant must be surrendered to the Company or its
warrant or transfer agent, as applicable, as a condition precedent to the sale, pledge, hypothecation or any other transfer of any interest in any of the securities represented hereby. Upon the transfer of this Warrant pursuant to the terms of this
Section 6, the transferee shall be a “Holder” under the terms hereof. 
  
 (e) Restrictions on Transfer of Warrants and Shares; Compliance with Securities Laws. 
  
 (i) The Holder agrees not to make any disposition of all or any portion of
the Shares or this Warrant unless and until, and it shall be a condition to the transfer of all or any portion of the Shares or this Warrant that: (1) 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 (2) (A) the Holder 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, (B) the transferee shall have agreed in writing to be bound by and subject to the terms, conditions, restrictions, obligations and other limitations set forth in this Warrant to the same extent as
if such transferee were the original Holder hereunder, (C) the transferee shall have confirmed to the satisfaction of the Company in writing, substantially in the form attached hereto as Exhibit C, that the Shares or the Warrant
purchased are being acquired solely for the transferee’s own account and not as a nominee for any other party, for investment and not with a view toward distribution or resale and that the transferee shall have confirmed such other matters
related thereto as may be reasonably requested by the Company, and (D) if requested by the Company, the Holder shall have furnished the Company with an opinion of counsel, reasonably satisfactory to the Company, that such disposition will not
require registration of the Warrant or such Shares under the Securities Act. This Warrant or any portion hereof and any Shares issuable pursuant to the exercise of the rights under this Warrant that are transferred to a transferee shall be subject
to the terms, conditions, restrictions, obligations and other limitations set forth herein. 
  

 5. 

 (ii) Unless the rights under this Warrant are exercised pursuant to an effective registration statement
under the Securities Act that includes the Shares with respect to which the Warrant was exercised, it shall be a condition to any exercise of the rights under this Warrant that the Holder shall have confirmed to the satisfaction of the Company in
writing, substantially in the form attached hereto as Exhibit C, that the Shares so purchased are being acquired solely for the Holder’s own account and not as a nominee for any other party, for investment and not with a view
toward distribution or resale and that the Holder shall have confirmed such other matters related thereto as may be reasonably requested by the Company. 
  
 (iii) This Warrant and all Shares issued upon exercise hereof shall be stamped or imprinted with a legend in substantially the following form (in
addition to any legend required by state securities laws): 
  
 “THESE SECURITIES HAVE BEEN ACQUIRED FOR INVESTMENT AND NOT FOR DISTRIBUTION, AND HAVE NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED. SUCH SECURITIES MAY NOT BE SOLD, OFFERED FOR SALE, PLEDGED,
HYPOTHECATED OR OTHERWISE TRANSFERRED IN THE ABSENCE OF A REGISTRATION STATEMENT IN EFFECT WITH RESPECT THERETO UNDER SUCH ACT UNLESS SOLD PURSUANT TO RULE 144 OF SUCH ACT OR UNLESS SUCH SALE, OFFER, PLEDGE, HYPOTHECATION OR TRANSFER IS OTHERWISE
EXEMPT FROM REGISTRATION.” 
  
 (f) This Warrant may not be
transferred in part unless such transfer is to a transferee who, pursuant to such transfer, receives the right to purchase at least five thousand (5,000) Shares hereunder (as adjusted from time to time in accordance with Section 9 hereof).

  
 7. Reservation of Stock. The Company agrees during the
term the rights under this Warrant are exercisable to reserve from its authorized and unissued Common Stock a sufficient number of shares to provide for the issuance of the Shares upon the exercise of the rights under this Warrant and, from time to
time, to use its best efforts to amend its Certificate of Incorporation to provide sufficient reserves of shares of Common Stock issuable upon exercise of the rights under the Warrant. 
  
 8. Expiration; Early Termination. This Warrant shall expire on
                              , and shall be void thereafter. Notwithstanding the foregoing,
this Warrant shall terminate immediately prior to the voluntary liquidation, dissolution or winding up of the Company. 
  
 9. Adjustment Rights. The number and kind of shares purchasable hereunder and the applicable exercise price(s) therefore are subject to adjustment
from time to time, as follows: 
  
 (a) Merger. If at any
time after the date hereof there shall be any reorganization, recapitalization, merger or consolidation involving the Company in which shares of the Company’s stock (other than a reorganization, recapitalization, merger or consolidation or a
related combination, reclassification, exchange, capital reorganization, subdivision of securities or other transaction otherwise provided for herein) are converted into or exchanged for securities, cash or other property, other than as would cause
the expiration of this Warrant, then, as a part of such reorganization, recapitalization, merger or consolidation, lawful provision shall be made so that the Holder shall thereafter be entitled to receive upon exercise of his rights to purchase the
Shares hereunder, the kind and amount of securities, cash or other property of the successor corporation resulting from such reorganization, recapitalization, merger or consolidation, 

  

 6. 

 
equivalent in value to that which a holder of the Common Stock deliverable upon exercise of such rights to purchase the Shares hereunder would have been
entitled in such reorganization, recapitalization, merger or consolidation if such rights to purchase the Shares hereunder had been exercised immediately prior to such reorganization, recapitalization, merger or consolidation. In any such case,
appropriate adjustment (as determined in good faith by the Company’s Board of Directors) shall be made in the application of the provisions of this Warrant with respect to the rights and interests of the Holder after such reorganization,
recapitalization, merger or consolidation to the end that the provisions of this Warrant (including adjustments of the applicable exercise price(s) and number of shares of Common Stock purchasable pursuant to the terms and conditions of this
Warrant) shall be applicable after the event, as near as reasonably may be, in relation to any shares or other securities deliverable after that event upon the exercise of the Holder’s rights to purchase the Shares pursuant to this Warrant.

  
 (b) Reclassification of Shares. If the Company at any
time after the date hereof shall, by combination, reclassification, exchange, capital reorganization or subdivision of securities or otherwise (other than a combination, reclassification, exchange, capital reorganization or subdivision of securities
or a related reorganization, recapitalization, merger, consolidation or other transaction otherwise provided for herein), change any of the securities as to which purchase rights under this Warrant exist into the same or a different number of
securities of any other class or classes, this Warrant shall thereafter provide for the right or rights to acquire such number and kind of securities as would have been issuable as the result of such change with respect to the securities which were
subject to the purchase rights under this Warrant immediately prior to such combination, reclassification, exchange, capital reorganization, subdivision or other change. In any such case, appropriate adjustment (as determined in good faith by the
Company’s Board of Directors) shall be made in the application of the provisions of this Warrant with respect to the rights and interests of the Holder after such combination, reclassification, capital reorganization, exchange, subdivision or
change to the end that the provisions of this Warrant (including adjustments of the applicable exercise price(s) and number of shares of Common Stock purchasable pursuant to the terms and conditions of this Warrant) shall be applicable after the
event, as near as reasonably may be, in relation to any shares or other securities deliverable after that event upon the exercise of the Holder’s rights to purchase the Shares pursuant to this Warrant. 
  
 (c) Subdivisions and Combinations. In the event that the Company
shall at any time subdivide (by stock split, by payment of a stock dividend or otherwise) the outstanding shares of Common Stock, the number of Shares issuable upon exercise of the rights under this Warrant immediately prior to such subdivision
shall, concurrently with the effectiveness of such subdivision, be proportionately increased, and the applicable exercise price(s) shall be proportionately decreased, and in the event that the Company shall at any time combine (by reclassification
or otherwise) the outstanding shares of Common Stock into a lesser number of shares of Common Stock, the number of Shares issuable upon exercise of the rights under this Warrant immediately prior to such combination shall, concurrently with the
effectiveness of such combination, be proportionately decreased, and the applicable exercise price(s) shall be proportionately increased. 
  
 (d) Notice of Adjustments. Upon any adjustment of any of the exercise prices or any increase or decrease in the number of Shares purchasable upon
the exercise of the rights under this Warrant in accordance with this Section 9, then, and in each such case, the Company, within thirty (30) days thereafter, shall promptly give notice thereof, to the Holder at the address of such Holder as shown
on the Warrant Register of the Company, delivered by any method provided in Section 11(d) hereof, which notice shall state the event giving rise to the 

  

 7. 

 
adjustment, the exercise price(s) as adjusted and, if applicable, the increased or decreased number of Shares purchasable upon the exercise of the rights
under this Warrant, setting forth in reasonable detail the method of calculation of each. 
  
 (e) Other Notices. In the event that the Company shall authorize: (1) the issuance of any dividend or other distribution on the Common Stock (other than: (i) repurchases of Common Stock issued to or held by
employees, officers, directors or consultants of the Company or its subsidiaries upon termination of their employment or services pursuant to agreements providing for the right of said repurchase; (ii) repurchases of Common Stock issued to or held
by employees, officers, directors or consultants of the Company or its subsidiaries pursuant to rights of first refusal contained in agreements providing for such right; or (iii) repurchases of capital stock of the Company in connection with the
settlement of disputes with any stockholder), whether in cash, property, stock or other securities; (2) the voluntary liquidation, dissolution or winding up of the Company; or (3) any transaction resulting in the expiration of this Warrant; then, in
each such case, the Company shall give written notice thereof to the Holder at the address of such Holder as shown on the Warrant Register of the Company, delivered by any method provided in Section 11(d) hereof, at least five (5) days prior to the
effective date of such event. The notice provisions set forth in this section may be shortened or waived prospectively or retrospectively by the vote or written consent of the holders of a majority of the Shares issuable upon exercise of the rights
under this Warrant. 
  
 10. No Rights as Stockholder.
Nothing contained herein shall entitle the Holder to any rights as a stockholder of the Company or to be deemed the holder of Common Stock or any other securities that may at any time be issuable on the exercise of the rights hereunder for any
purpose nor shall anything contained herein be construed to confer upon the Holder, as such, any right to vote for the election of directors or upon any matter submitted to stockholders at any meeting thereof, or to give or withhold consent to any
corporate action (whether upon any recapitalization, issuance of stock, reclassification of stock, change of par value or change of stock to no par value, consolidation, merger, conveyance or otherwise) or to receive notice of meetings, or to
receive dividends or subscription rights or otherwise or any other rights of a stockholder of the Company until the rights under the Warrant shall have been exercised and the Shares purchasable upon exercise of the rights hereunder shall have become
deliverable as provided herein. 
  
 11. Miscellaneous.

  
 (a) Effective Date. The provisions of this Warrant
shall be construed and shall be given effect in all respects as if it had been executed and delivered by the Company on the date hereof. 
  
 (b) Waiver and Amendment. Any provision of this Warrant may be amended, waived or modified only upon the written consent of the Company and the
Holder. 
  
 (c) Successors and Assigns. Except as provided
in Section 6, this Warrant, and any and all rights, duties and obligations hereunder, shall not be assigned, transferred, delegated or sublicensed by any party hereto without the prior written consent of the other party. Any attempt by a party
without such permission to assign, transfer, delegate or sublicense any rights, duties or obligations that arise under this Warrant shall be void. Subject to the foregoing and except as otherwise provided herein, the provisions of this Warrant shall
inure to the benefit of, and be binding upon, the successors and assigns of the parties. 
  

 8. 

 (d) Notices. All notices and other communications provided for hereunder shall be in writing and
delivered, mailed or telecopied. Notices and other communications to the Holder shall be directed to the Holder at his address as shown on the Warrant Register maintained by the Company; and notices and other communications to the Company shall be
directed to the Company at its address as shown on the signature page hereto (any notice or other communication sent to the Company should be directed to the attention of the President or Chief Financial Officer of the Company); or, as to each
party, at such other address as shall be designated by such party in a written notice to the other party pursuant hereto. Any such notice or other communication shall be deemed to have been duly given (i) when sent by Federal Express or other
overnight delivery service of recognized standing, on the business day following deposit with such service; (ii) when mailed by registered or certified mail, first class postage prepaid and addressed as aforesaid through the United States Postal
Service, upon receipt; (iii) when delivered by hand, upon delivery; and (iv) when telecopied, upon confirmation of receipt. Any party hereto may by notice so given change its address for future notice hereunder. 
  
 (e) Governing Law. This Warrant and all actions arising out of or in
connection with this Warrant shall be governed by and construed in accordance with the laws of the State of Delaware, without regard to the conflicts of law provisions of the State of Delaware, or of any other state. 
  
 (f) Further Assurances. Each party hereto agrees to execute and
deliver, by the proper exercise of its corporate, limited liability company, partnership or other powers, all such other and additional instruments and documents and do all such other acts and things as may be reasonably necessary to more fully
effectuate this Warrant. 
  
 (g) Entire Agreement. Except
as expressly set forth herein, this Warrant (including the exhibits attached hereto) constitutes the entire agreement and understanding of the parties hereto with respect to the subject matter hereof and supersedes all prior agreements and
understandings relating to such subject matter. 
  
 (h) WAIVER
OF JURY TRIAL. EACH OF THE PARTIES HERETO HEREBY IRREVOCABLY WAIVES ALL RIGHT TO TRIAL BY JURY AND ANY ACTION, PROCEEDING OR COUNTERCLAIM (WHETHER BASED ON CONTRACT, TORT OR OTHERWISE) ARISING OUT OF OR RELATING TO THIS WARRANT OR THE ACTIONS OF
ANY PARTY HERETO IN NEGOTIATION, ADMINISTRATION, PERFORMANCE OR ENFORCEMENT HEREOF. 
  
 (i) Counterparts. This Warrant may be executed in one or more counterparts, all of which shall be considered one and the same agreement and shall become effective when one or more counterparts have been signed
by each of the parties and delivered to the other party, it being understood that all parties need not sign the same counterpart. 
  
 (j) Titles and Subtitles. The titles and subtitles used in this Warrant are used for convenience only and are not to be considered in construing or
interpreting this Warrant. All references in this Warrant to sections, paragraphs and exhibits shall, unless otherwise provided, refer to sections and paragraphs hereof and exhibits attached hereto. 
  

 9. 

 IN WITNESS WHEREOF, the Company has caused this Warrant to be executed as of the date first above
written. 
  

					
	HEALTHETECH, INC.
		
	 By:
	 	  

	 	 	 [Name]

	 	 	 [Title]

			
	 	 	 Address:
	 	     523 Park Point Drive, 3rd Floor

	 	 	 	 	     Golden, Colorado 80401

  
 In connection with the execution
of this Warrant, the undersigned Holder acknowledges and agrees to the Representations and Warranties of the Holder contained in Section 5 hereof: 
  

					
	 By:
	 	  

	 	 	 Name:
	 	 
	 	 	 Title:
	 	 
		
	 	 	 Address:

  
 (Signature
Page to Warrant to Purchase Shares of Common Stock of HealtheTech, Inc.) 

 EXHIBIT A 
  
 NOTICE OF EXERCISE 
  
 TO:             HEALTHETECH, INC. 
  
 ATTN:       PRESIDENT 
  
 (1) The undersigned Holder hereby elects to purchase
             shares of the Common Stock of HEALTHETECH, INC., pursuant to the terms of the attached Warrant to Purchase Shares of Common Stock, dated as of
                               (the “Warrant”), between HEALTHETECH, INC.
and the Holder, and tenders herewith payment of the purchase price for such shares in full, together with all applicable transfer taxes, if any. 
  
 (2) Please issue a certificate or certificates representing said shares of Common Stock in the name of the undersigned or in such other name as is
specified below: 
  

	
	  

	 Name

	  

	 Address

  
 (3) Please issue
a new Warrant for the unexercised portion of the attached Warrant in the name of the undersigned or in such other name as is specified below: 
  

	
	  

	 Name

	  

	 Address

  
 (4) The
undersigned hereby represents and warrants that the aforesaid shares of Common Stock are being acquired for investment, solely for the account of the undersigned and not as a nominee for any other person and not with a view to, or for resale in
connection with, the distribution thereof, and that the undersigned has no present intention of distributing or reselling such shares except under circumstances that will not result in a violation of the Securities Act of 1933, as amended, or any
applicable state securities laws, and all representations and warranties of the undersigned set forth in Section 5 and Section 6(e) of the attached Warrant are true and correct as of the date hereof. In support thereof, the undersigned
agrees to execute an Investment Representation Statement in a form substantially similar to the form attached to the Warrant as Exhibit C. 
  

			
	  

	  	  

	 Date
	  	 Signature

	 	  	  

	 	  	 Name

	 	  	  

	 	  	Title and Name of Entity (if signing on
behalf of an entity)

 EXHIBIT B 
  
 ASSIGNMENT FORM 
  

	ASSIGNOR:	                                     
    

	COMPANY:	HEALTHETECH, INC. 

	WARRANT:	THE WARRANT (THE “WARRANT”) TO PURCHASE SHARES OF COMMON STOCK ISSUED ON
                         (THE “WARRANT”) 

	DATE:	                ,
             

  
 FOR VALUE RECEIVED, the undersigned registered Holder of the Warrant (“Assignor”) hereby sells, assigns and transfers unto the Assignee named below all of the rights of the undersigned under the
within Warrant, with respect to the number of shares of Common Stock set forth below: 
  

							
	 Name of Assignee

	  	 Address

	  	 Number of Shares

	  	 Exercise Period

	 	  	 	  	 	  	 
	 	  	 	  	 	  	 

  
 and does irrevocably constitute and
appoint                      as attorney to make such transfer on the books of HEALTHETECH, INC., maintained for the purpose, with full power
of substitution in the premises. 
  
 Each of the Assignor and
Assignee also represent and warrant that, by assignment hereof, the Assignee acknowledges that the Warrant and the shares of stock to be issued upon exercise of the rights thereunder are being acquired for investment and that the Assignee will not
offer, sell or otherwise dispose of the Warrant or any shares of stock to be issued upon exercise of the rights thereunder except under circumstances which will not result in a violation of the Securities Act of 1933, as amended, or any state
securities laws. Further, the Assignee has acknowledged that upon exercise of any rights under the Warrant, the Assignee shall, if requested by the Company, confirm in writing, in a form satisfactory to the Company, that the shares of stock so
purchased are being acquired for investment and not with a view toward distribution or resale. In support thereof, the undersigned Assignee agrees to execute an Investment Representation Statement in a form substantially similar to the form attached
to the Warrant as Exhibit C in connection with this assignment and any exercise of the rights under the Warrant. 
  

											
	ASSIGNOR:	 	 	 	ASSIGNEE:	 	 
				
	 By:
	 	  

	 	 By:
	 	  

	 	 	 Name:
	 	 	 	 Name:

	 	 	 Title:
	 	 	 	 Title:

						
	 	 	 Address:
	 	  

	 	 	 	 Address:
	 	  

	 	 	  

	 	 	 	  

 EXHIBIT C 
  
 INVESTMENT REPRESENTATION STATEMENT 
  

	HOLDER:	                                      
   

	COMPANY:	HEALTHETECH, INC. 

	SECURITIES:	THE WARRANT (THE “WARRANT”) TO PURCHASE SHARES OF COMMON STOCK ISSUED ON
                                     AND THE COMMON STOCK
ISSUED OR ISSUABLE UPON EXERCISE THEREOF 

  

	AMOUNT:	                     SHARES 

  

	DATE:	                ,              

  
 In connection with the purchase of the above-listed Securities, the
undersigned Holder represents and warrants to, and agrees with, the Company as follows: 
  
 1. Investment Intent. The Holder is acquiring the Securities for investment for his own account, not as a nominee or agent, and not with the view to, or for resale in connection with, any distribution thereof.

  
 2. Investment Experience. The Holder has substantial
experience in evaluating and investing in private placement transactions of securities in companies similar to the Company so that he is capable of evaluating the merits and risks of his investment in the Company and has the capacity to protect his
own interests. 
  
 3. Speculative Nature of Investment. The
Holder acknowledges that his investment in the Company is highly speculative and entails a substantial degree of risk and the Holder is in a position to lose the entire amount of such investment. 
  
 4. Access to Data. The Holder has had an opportunity to discuss the
Company’s business, management and financial affairs with the Company’s management. The Holder has also had an opportunity to ask questions of officers of the Company, which questions were answered to its satisfaction. The Holder
understands that such discussions, as well as any information issued by the Company, were intended to describe certain aspects of the Company’s business and prospects, but were not necessarily a thorough or exhaustive description. The Holder
acknowledges that any business plans prepared by the Company have been, and continue to be, subject to change and that any projections included in such business plans or otherwise are necessarily speculative in nature, and he can be expected that
some or all of the assumptions underlying the projections will not materialize or will vary significantly from actual results. 
  
 5. Accredited Investor. The Holder is an “accredited investor” within the meaning of Regulation D, Rule 501(a), promulgated by the
Securities and Exchange Commission under the Securities Act of 1933, as amended (the “Securities Act”). 
  
 6. Residency. The residency of the Holder (or, in the case of a partnership or corporation, such entity’s principal place of business) is
correctly set forth on the signature page hereto. 
  

 Exhibit C – Page 1. 

 7. Restriction on Resales. The Holder acknowledges that the Securities must be held indefinitely
unless subsequently registered under the Securities Act or unless an exemption from such registration is available. The Holder further understands that there is no assurance that any exemption from registration under the Securities Act will be
available or, if available, that such exemption will allow the Holder to dispose of or otherwise transfer any or all of the Securities under the circumstances, in the amounts or at the times the Holder might propose. 
  
 8. Rule 144. The Holder is aware of the provisions of Rule 144
promulgated under the Securities Act which permit limited resale of shares purchased in a private placement subject to the satisfaction of certain conditions, including among other things, the existence of a public market for the shares, the
availability of certain current public information about the Company, the resale occurring not less than one year after a party has purchased and paid for the security to be sold, the sale being effected through a “broker’s
transaction” or in transactions directly with a “market maker” and the number of shares being sold during any three-month period not exceeding specified limitations. The Holder acknowledges that, in the event all of the requirements
of Rule 144 are not met, registration under the Securities Act or an exemption from registration will be required for any disposition of the Securities. The Holder understands that, although Rule 144 is not exclusive, the Securities and Exchange
Commission has expressed its opinion that persons proposing to sell restricted securities received in a private offering other than in a registered offering or pursuant to Rule 144 will have a substantial burden of proof in establishing that an
exemption from registration is available for such offers or sales and that such persons and the brokers who participate in the transactions do so at their own risk. 
  
 9. Authorization. The Holder has all requisite power and authority to execute and deliver the Warrant, to purchase
the Securities and to carry out and perform its obligations under the terms of the Warrant. All action on the part of the Holder necessary for the authorization, execution, delivery and performance of the Warrant, and the performance of all of the
Holder’s obligations under the Warrant, has been taken or will be taken prior to the purchase of the Warrant. 
  
 (b) The Warrant, when executed and delivered by the Holder, will constitute a valid and legally binding obligation of the Holder, enforceable in
accordance with its terms except: (i) as limited by applicable bankruptcy, insolvency, reorganization, moratorium and other laws of general application affecting enforcement of creditors’ rights generally, and (ii) as limited by laws relating
to the availability of specific performance, injunctive relief or other equitable remedies or by general principles of equity. 
  
 (c) No consent, approval, authorization, order, filing, registration or qualification of or with any court, governmental authority or third person is
required to be obtained by the Holder in connection with the execution and delivery of the Warrant or the performance of the Holder’s obligations hereunder. 
  
 10. Brokers or Finders. The Holder has not engaged any brokers, finders or agents, and the Company has not incurred
and will not incur, directly or indirectly, as a result of any action taken by the Holder, any liability for brokerage or finders’ fees or agents’ commissions or any similar charges in connection with the Warrant. 
  
 11. Investor Counsel. The Holder acknowledges that he has had the
opportunity to review the Warrant and the exhibits attached thereto and the transactions contemplated by the Warrant with his own legal counsel. The Holder is relying solely on such counsel and not on any statements or representations of the Company
or its agents for legal advice with respect to this investment or the transactions contemplated by the Warrant. 
  

 Exhibit C – Page 2. 

 12. Tax Advisors. The Holder has reviewed with his own tax advisors the U.S. federal, state, local
and foreign tax consequences of this investment and the transactions contemplated by the Warrant. With respect to such matters, the Holder relies solely on such advisors and not on any statements or representations of the Company or any of its
agents, written or oral. The Holder understands that it (and not the Company) shall be responsible for his own tax liability that may arise as a result of this investment or the transactions contemplated by the Warrant. 
  
 13. Further Limitations on Disposition. Without in any way limiting
the representations and warranties set forth above, the Holder agrees not to make any disposition of all or any portion of the Securities unless and until, and it shall be a condition to the transfer of all or any portion of the Securities that: (1)
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 (2) (A) the Holder 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, (B) the transferee shall have agreed in writing to be bound by and subject to the terms, conditions,
restrictions, obligations and other limitations set forth in the Warrant to the same extent as if such transferee were the original Holder thereunder, (C) the transferee shall have confirmed to the satisfaction of the Company in writing,
substantially in the form attached to the Warrant as Exhibit C, that the Securities are being acquired solely for the transferee’s own account and not as a nominee for any other party, for investment and not with a view toward
distribution or resale and that the transferee shall have confirmed such other matters related thereto as may be reasonably requested by the Company, and (D) if requested by the Company, the Holder shall have furnished the Company with an opinion of
counsel, reasonably satisfactory to the Company, that such disposition will not require registration of the Securities under the Securities Act. The Securities that are transferred to a transferee shall be subject to the terms, conditions,
restrictions, obligations and other limitations set forth herein and therein. 
  
 (The remainder of this page is intentionally left blank.) 
  

 Exhibit C – Page 3. 

 IN WITNESS WHEREOF, the Holder has caused this Investment Representation Statement to be duly executed
and delivered by its proper and duly authorized officers as of the date and year first written above. 
  

			
	HOLDER:	 	 
		
	 By:
	 	  

	 Name:
	 	  

	 Title:
	 	  

	 Address:
	 	 
	  

	  

	  

  
 (Signature
page to the Investment Representation Statement)

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