Document:

Exhibit

FIRST AMENDMENT TO 
ICU MEDICAL, INC. EXECUTIVE SEVERANCE PLAN

THIS FIRST AMENDMENT TO THE ICU MEDICAL, INC. EXECUTIVE SEVERANCE PLAN (this “First Amendment”), dated as of December 31, 2019, is made and adopted by the Compensation Committee (the “Committee”) of the Board of Directors of ICU Medical, Inc., a Delaware corporation (the “Corporation”).  Capitalized terms used but not otherwise defined herein shall have the respective meanings ascribed to them in the Plan (as defined below).

RECITALS

WHEREAS, the Corporation maintains the ICU Medical, Inc. Executive Severance Plan (the “Plan”);

WHEREAS, pursuant to Section 3 of the Plan, the Committee has the authority to amend the Plan; and

WHEREAS, the Corporation desires to amend the Plan to extend the term of the Plan from December 31, 2019 to December 31, 2022. 

NOW, THEREFORE, BE IT RESOLVED, that the Plan is hereby amended as set forth herein.

AMENDMENT

		
	1.
	The second and third sentences of Section 2 of the Plan are hereby amended and restated in their entirety as follows:

“In the event that a Change in Control does not occur on or prior to December 31, 2022, the Plan shall thereupon automatically terminate and have no force or effect. In the event that a Change in Control occurs on or prior to December 31, 2022, then the Plan shall automatically terminate on the later of December 31, 2022 and the date on which all Participants who are eligible to receive Severance Benefits pursuant to the Plan have received each such payments and/or benefits in accordance with the Plan.”
		
	2.
	This First Amendment shall be and is hereby incorporated in and forms a part of the Plan.

		
	3.
	Except as expressly provided herein, all terms and provisions of the Plan shall remain in full force and effect.

[Signature Page Follows]
    
    

I hereby certify that the foregoing Plan was duly adopted by the Committee of the Board of Directors of the Corporation on December 31, 2019.

Executed on this 31st day of December, 2019.

 Signature:  /s/ Scott Lamb
 Name:  Scott Lamb
Title:  Chief Financial Officer and TreasurerEXHIBIT 10.1

  

   

  

   

  

   

  

  
    

    PROMISSORY NOTE

    FIXED RATE - TERM NOTE

     

    

     

      

    $7,275,000.00                                                                                                                  December 30, 2019

    New York, New York

    

    

    FOR VALUE RECEIVED, the undersigned, STRATA SKIN SCIENCES, INC., (the “Borrower”)
      with an address at 5 Walnut Grove Drive, Suite 140, Horsham, Pennsylvania 19044, HEREBY PROMISES TO PAY to the order of ISRAEL DISCOUNT BANK OF NEW YORK, its successors and assigns (hereinafter the “Bank”),
      the principal amount of SEVEN MILLION TWO HUNDRED SEVENTY FIVE THOUSAND DOLLARS ($7,275,000.00), in lawful money of the United States (the “Loan”), or the aggregate unpaid principal amount of this Note owing as set forth on Bank’s computer system on the Loan Enquiry Page(s) (the “Loan Enquiry Page(s)”), in the manner and at the rate of interest specified herein.

    

    

    1.            Defined Terms. As used in this Note the following terms
        shall have the following meanings:

    

    

    The term “Additional Costs” shall have the
      meaning as defined in Section 16.

    

    

    The term “Assignment and Pledge”
      shall have the meaning as defined in “Time Deposit Account” below.

    

    

    The term “Bank”
        shall have the meaning as defined in the introductory paragraph.

        

    

    The term “Bankruptcy Code”
      shall mean Title 11 of the United States Code, as amended.

    

    

    The term “Borrower” shall
      have the meaning as defined in the introductory paragraph.

    

    

    The term “Business Day”
      shall mean any day other than a Saturday, Sunday, or other day on which commercial banks in New York are authorized or required to close under the laws of the State of New York.

    

    

    The term “Default Interest Rate”
      shall have the meaning as defined in Section 4.

    

    

    The term “Event of Default”
      shall mean any of the events or conditions specified in Section 12 hereof.

    

    

    The term “Guarantor” means
      each endorser, guarantor and surety of this Note or the Obligations evidenced hereby and any person who is primarily or secondarily liable, in whole or in part, for the repayment of the Obligations or any portion thereof (including without limitation
      each Guarantor), and any person who has granted security for the

     

    

    
      
        

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    repayment of the Obligations, together with such person’s heirs, personal representatives, successors and assigns.

    

    

    The term “Indebtedness”
      shall mean all items of indebtedness, obligation or liability, whether matured or unmatured, liquidated or unliquidated, funded or unfunded, direct or contingent, joint or several, which would properly be included in the liability section of a
      balance sheet or in a footnote to a financial statement in accordance with generally accepted accounting principles, and shall also include (a) all indebtedness guaranteed, directly or indirectly in any manner, or endorsed (other than for collection
      or deposit in the ordinary course of business) or sold with recourse, (b) all indebtedness in effect guaranteed, directly or indirectly, through agreements, contingent or otherwise, and (c) all indebtedness secured by (or for which the holder of such
      indebtedness has a right, contingent or otherwise, to be secured by) any mortgage, deed of trust, pledge, assignment, lien, security interest or other charge or encumbrance upon property owned or acquired subject thereto, whether or not the
      liabilities secured thereby have been assumed or guaranteed.

    

    

    The terms “Indemnified Party”
      or “Indemnified Parties” shall have the meanings as defined in Section 25.

    

    

    The term “Interest” means
      the annual rate of interest payable on the outstanding principal balance of the Loan in accordance with Sections 3 and 4.

    

    

    The term “Late Charge”
      shall have the meaning as defined in Section 10.

    

    

    The term “Loan” shall have
      the meaning as defined in the introductory paragraph.

    

    

    The term “Loan Documents”
      shall mean this Note and any other document, instrument or agreement and any amendments thereto, evidencing or securing the Obligations, or now or at any time hereafter executed, delivered or recorded in connection with the Obligations, any other
      note, any loan commitment, requisition, letter agreement, line of credit agreement, commercial financing agreement, security agreement, guaranty of payment, mortgage, deed of trust, pledge agreement, loan agreement, loan and security agreement,
      hypothecation agreement, indemnity agreement, letter of credit application and agreement, and assignment, all as amended, restated, extended, renewed, supplemented, modified or replaced from time to time.

    

    

    The term “Loan Enquiry Page(s)”
      shall have the meaning as defined in the introductory paragraph.

    

    

    The term “Maturity Date”
        shall mean shall mean December 30, 2020.

        

    

    The term “Note” shall mean
      this Term Note.

    

    

    The term “Obligations”
      shall mean all existing and future debts, liabilities and obligations of every kind or nature at any time owing by Borrower to Bank, whether under this Note or under any other existing or future instrument, document or agreement, between Borrower and
      Bank, whether joint or several, related or unrelated, primary or

    
      
        

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    secondary, matured or contingent, due or to become due, including, without limitation, the debts, liabilities and obligations in respect
      of this Note and any extensions, modifications, substitutions, increases and renewals thereof. Without limiting the generality of the foregoing, Obligations shall include any other loan, advance or extension of credit, under any existing or future
      loan agreement, promissory note, or other instrument, document or agreement either arising directly between Borrower and Bank or acquired out-right, conditionally or as collateral security from another person or entity by Bank.

    

    

    The term “Obligor” shall
      mean individually and collectively Borrower, each endorser and surety of this Note, any person who is primarily or secondarily liable for the repayment of this Note or any portion thereof (including without limitation each Guarantor), any person who
      has granted security for the repayment of the Note, together with such person’s heirs, personal representatives, successors and assigns.

    

    

    The term “Time Deposit Account”
      shall mean that “Time Deposit” as defined in that certain Assignment and Pledge of Time Deposit by and between Borrower to Bank, dated as of the date hereof, as such may be amended, restated, amended and restated or otherwise modified from time to
      time (the “Assignment and Pledge”).

    

    

    2.            Purpose of Loan. The loan proceeds will be used
        refinance certain of Borrower’s existing debt.

    

    

    3.            Principal and Interest.

    

    

    (a)          Interest.

    

    

    
      	
              (i)

            	
              Interest shall be payable on the outstanding daily unpaid principal amount of the Loan from the date hereof until payment in full is made and
                shall accrue and be payable at the rates set forth and provided herein, before and after default, before and after the Maturity Date, before and after judgment and before and after the commencement of any proceeding under the Bankruptcy
                Code, with interest on overdue interest to bear interest and to be compounded at the applicable rate, in each case, to the fullest extent permitted by applicable laws.

            

    

    

    

    
      	
              (ii)

            	
              Interest accruing on the outstanding principal balance of the Loan shall be due and payable in arrears on the first Business Day following the
                end of each calendar quarter commencing with April 1, 2020. Except as otherwise provided in Section 4, the unpaid principal amount of the Loan shall bear interest at a rate per annum equal to the interest rate on the Time Deposit Account
                plus 100 basis points (1.00%). The Bank shall deduct the interest payments from the interest reserve established pursuant to Section 27 hereof.

            

    

    

    

    (b)          All Amounts Due at Maturity. All amounts due and owing hereunder shall be paid in full on the Maturity Date,
        whether occurring by lapse of time or the occurrence and continuation of an Event of Default.

    
      
        

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    4.           Default Rate. At the option of the Bank, upon the occurrence and during the continuance of any Event of Default, and in any event if any installment of principal or interest or any fee or cost or other amount payable under this
        Note, or any other Loan Document, is not paid within five (5) Business Days of when due, the Obligations shall thereafter bear interest at a fluctuating interest rate per annum at all times equal to the rate otherwise applicable thereto plus five
        (5%) percent per annum (the “Default Interest Rate”), to the fullest extent permitted by applicable law. Accrued and unpaid interest on past due
        amounts (including interest on past due interest) shall be compounded monthly, on the last day of each calendar month, to the fullest extent permitted by applicable law.

    

    

    5.            Computation of Interest and Fees.

    

    

    (a)          Computation
        of interest on the Loan and all fees under this Note shall be calculated on the basis of a year of 360 days and the actual number of days elapsed. Borrower acknowledges that such latter calculation method will result in a higher yield to the Bank
        than a method based on a year of 365 or 366 days.

     

    (b)          Under no
        circumstances or event whatsoever shall the aggregate of all amounts deemed interest hereunder and charged or collected pursuant to the terms of this Note exceed the highest rate permissible under any law which a court of competent jurisdiction
        shall, in a final determination, deem applicable hereto. In the event that such court determines Bank has charged or received interest hereunder in excess of the highest applicable rate, Bank shall apply, in its sole discretion, and set off such
        excess interest received by Bank against the interest payments due or to become due and such rate shall automatically be reduced to the maximum rate permitted by such law.

     

    6.            Manner and Treatment of Payments.

    

    

    (a)          Each
        payment due on this Note, or under any other Loan Document, shall be made to Bank, at Bank’s office located at 511 Fifth Avenue, New York, NY 10017, for the account of Bank, in immediately available funds not later than 3:00 p.m., New York local
        time, on the day of payment (which must be a Business Day). All payments received after these deadlines shall be deemed received on the next succeeding Business Day. All payments shall be made in lawful money of the United States of America.

     

    (b)          Bank
        shall have the unconditional right and discretion (and Borrower hereby authorizes Bank) to charge Borrower’s interest reserve account and/or deposit account(s) for all of Borrower’s principal and interest payments as they become due from time to
        time under this Note.

     

    (c)          Any
        payment due under this Note which is paid by check or draft shall be subject to the condition that any receipt issued therefore shall be ineffective unless and until the amount due is actually received by Bank. Each payment received by Bank shall
        be applied as follows: first, to the payment of any and all costs, fees and expenses incurred by or payable to Bank in connection with the
        collection or enforcement of this Note; second, to the payment of all unpaid Late Charges (if any); third, to the payment of all accrued and unpaid interest hereunder; and fourth, to the
        payment of the unpaid principal balance of this Note, or in any other manner which Bank may, in its sole discretion, elect from time to time.

     

    
      
        

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    7.          [Intentionally
          deleted]

    

    

    8.           Right of Set-Off. To secure payment of this Note and all other Obligations of Borrower to Bank, Borrower and any Obligor of this Note hereby grant Bank a continuing lien and/or right of set-off upon any and all deposit and/or operating
        accounts (excluding any trust, agency or retirement plan accounts) now or hereafter maintained with Bank, any and all securities and other property of Borrower and any Obligor and the proceeds thereof now or hereafter coming into the possession or
        control of Bank, hereby authorizing Bank, at any time, without prior notice, to appropriate and apply such deposits or the proceeds of the sale of such securities or other property to any principal and interest payments due and not paid under this
        Note and to any other Obligations which have been liquidated by written agreement of Borrower and Bank or final court order not subject to further rights of appeal, it being understood that Bank shall be under no obligation to effect any such
        appropriation and application.

    

    

    9.            Repayment Extension. If any payment of principal or interest shall be due on a Saturday, Sunday or any other day on which banking institutions in the State of New York are required or permitted to be closed,
        such payment shall be made on the next succeeding Business Day, and such extension of time shall in such case be included in the computation of the payment of interest.

    

    

    10.         Late Charge. Borrower shall unconditionally pay to Bank a late charge (the “Late Charge”) equal to the
        greater of (a) five (5%) percent of the payment then due or (b) $200.00, if any such payment in whole or in part is not received by Bank within ten (10) days after its due date. The Late Charge is in addition to the Default Interest Rate, if
        applicable, and shall be payable together with the next payment due hereunder or, at Bank’s option, upon demand by Bank, provided, however, that if any such late charge is not recognized as liquidated damages for such delinquency, and if deemed to be interest in excess of the amount
        permitted by applicable law, Bank shall be entitled to collect a late charge only at the highest rate permitted by law, and any payment actually collected by Bank in excess of such lawful amount shall be deemed a payment in reduction of the
        principal sum then outstanding, and shall be so applied.

    

    

    11.          Representations and Warranties. Borrower represents and warrants to Bank that:

    

    

              Financial
            Statements - The financial statements of Borrower previously furnished to Bank are complete and correct in all material respects and fairly represent the financial condition of Borrower through to the date for such fiscal period, and
        the result of Borrower’s operations as of the end of the most recent fiscal quarter reflect no material adverse change in the financial condition of Borrower;

    

    

               No Default
        - No event has occurred and no event is continuing which with the giving of notice or the lapse of time or both would constitute an Event of Default;

    

    

              Representations
            and Warranties - Prior to the making the Loan all representations and warranties contained herein, or the other Loan Documents, shall be true and correct and of the same force and effect as though such representations and warranties
        had been made as of the date of the making of the Loan.

    
      
        

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               Regulations T,
            U and X; Investment Company Act - No part of the proceeds of the Loan will be used to purchase or carry, or to extend credit to others for the purpose of purchasing or carrying, any margin stock within the meaning of Regulations T, U
        or X of the Board of Governors of the Federal Reserve System. Borrower is not or is not required to be registered as an “investment company” under the Investment Company Act of 1940; and

    

    

               Patriot Act
            Compliance - Borrower is not involved in any activity, directly or indirectly, which would constitute a violation of applicable laws concerning money laundering, the funding of terrorism or similar activities. No part of the proceeds
        of the Loan will be used to fund activities which would constitute a violation of the United States Bank Secrecy Act, the United States Money Laundering Control Act of 1986, the United States International Money Laundering Abatement and
        Anti-terrorist Financing Act of 2001.

    

    

    12.          Events of Default. The occurrence of any one or more of the following events shall constitute an “Event of Default” under this Note:

    

    

               Payments
        – if Borrower, or any other Obligor, fails to make any payment of principal or interest under the Obligations within five (5) Business Days after such payment is due and payable; or

    

    

              Other Charges
        - if Borrower, or any other Obligor, fails to pay any other charges,  fees,  expenses or other monetary obligations owing to Bank arising out of or incurred in connection with this Note within five (5) Business Days after the date such payment is
        due and payable; or

    

    

               Particular Covenant Defaults - if
        Borrower fails to perform, comply with or observe any covenant or undertaking contained in any Loan Document and such failure continues for ten (10) Business Days after the occurrence thereof; or

    

    

               Financial
            Information – if (i) any statement, report, financial statement, or certificate made or delivered by Borrower, or any other Obligor, to Bank is not true and correct in all material respects when made or delivered or (ii) the
        Borrower’s financial statements issued for the reported fiscal year materially deviate from the projected profit and loss statement provided by the Borrower to the Bank for such period.

    

    

             Warranties
            or Representations - if any warranty, representation or other statement by or on behalf of Borrower contained in or pursuant to this Note,  the other Loan Documents or in any document, agreement or instrument furnished in compliance
        with, relating to, or in reference to this Note, is false, erroneous, or misleading in any material respect when made; or

    

    

               Agreements
            with Others ‐ (i) if Borrower shall default beyond any grace period in the payment of principal or interest of any material Indebtedness of Borrower; or (ii) if Borrower otherwise defaults under the terms of any such Indebtedness if
        the effect of such default is to enable the holder of such Indebtedness to accelerate the payment of Borrower’s obligations, which are the subject thereof, prior to the maturity date or prior to the regularly scheduled date of payment; or

    
      
        

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              Other
            Agreements with Bank ‐ if Borrower breaches or violates the terms of, or if a default occurs under, any other existing or future agreement (related or unrelated) (including, without limitation, the other Loan Documents) between
        Borrower and Bank; or

    

    

               Judgments
        ‐ if any final judgment exceeding $250,000 for the payment of money (i) which is not fully and unconditionally covered by insurance or (ii) for which Borrower has not established a cash or cash equivalent reserve in the full amount of such
        judgment, shall be rendered by a court of record against Borrower and such judgment shall continue unsatisfied and in effect for a period of thirty (30) consecutive days without being vacated, discharged, satisfied or bonded pending appeal; or

    

    

               Assignment for
            Benefit of Creditors, etc. ‐ if Borrower makes or proposes in writing, an assignment for the benefit of creditors generally, offers a composition or extension to creditors, or makes or sends notice of an intended bulk sale of any
        business or assets now or hereafter owned or conducted by Borrower; or

    

    

               Bankruptcy,
            Dissolution, etc. ‐ upon the commencement of any action for the dissolution or liquidation of Borrower, or the commencement of any proceeding to avoid any transaction entered into by Borrower, or the commencement of any case or
        proceeding for reorganization or liquidation of Borrower’s debts under the Bankruptcy Code or any other state or federal law, now or hereafter enacted for the relief of debtors, whether instituted by or against Borrower; provided however, that Borrower shall have twenty (20) Business Days to
        obtain the dismissal or discharge of involuntary proceedings filed against it, it being understood that during such twenty (20) Business Day period, Bank may seek adequate protection in any bankruptcy proceeding; or

    

    

                Receiver
        ‐ upon the appointment of a receiver, liquidator, custodian, trustee or similar official or fiduciary for Borrower or for Borrower’s property; or

    

    

                Execution
            Process, etc. ‐ the issuance of any execution or distraint process against any material property of Borrower; or

    

    

                Termination
            of Business ‐ if Borrower ceases any material portion of its business operations as presently conducted; or

    

    

                Investigations
        - an action has been commenced which would be reasonably likely to result in the forfeiture of any material property of Borrower to any governmental entity, federal, state or local; or

    

    

                Liens
        - if any lien in favor of Bank shall cease to be valid, enforceable and perfected and prior to all other liens other than permitted liens; or

    

    

              Concealment/Removal
            of Property - if Borrower,  or any other Obligor, conceals, removes or permits to be concealed or removed any part of Borrower’s property with intent to hinder, delay, or defraud any of its creditors; or

    
      
        

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                Fraudulent
            Conveyance - the making or suffering by Borrower, or any other Obligor, of a transfer of any property, which is fraudulent under the law of any applicable jurisdiction; or

    

    

               Material
            Adverse Effect – if there is any change in Borrower’s financial condition which, in Bank’s reasonable opinion, has or would be reasonably likely to have a material adverse effect with respect to (a) the assets, properties, financial
        condition, credit worthiness, business prospects, material agreements or results of business operations of Borrower, or (b) Borrower’s ability to pay the Obligations in accordance with the terms hereof, or (c) the validity or enforceability of this
        Note or any of the other Loan Documents or the rights and remedies of Bank hereunder or thereunder.

    

    

    13.          Rights and Remedies upon Default. Upon and after the occurrence of an Event of Default hereunder, Bank, in Bank’s sole discretion and without notice or demand to Borrower or any other Obligor, may: (a) declare
        the entire outstanding principal balance of this Note, together with all accrued interest and all other sums due under this Note to be immediately due and payable, and the same shall thereupon become immediately due and payable without presentment,
        demand or notice, which are hereby expressly waived (b) exercise its right of set-off against any money, funds, credits or other property of any nature whatsoever of Borrower or any other Obligor now or at any time hereafter in the possession of,
        in transit to or from, under the control or custody of, or on deposit with, Bank or any affiliate of Bank in any capacity whatsoever, including without limitation, any balance of any deposit account (excluding any trust, agency or retirement plan
        account) and any credits with Bank or any affiliate of Bank; (c) terminate any outstanding commitments of Bank to Borrower or any Obligor; and (d) exercise any or all rights, powers, and remedies provided for in the Loan Documents or now or
        hereafter existing at law, in equity, by statute or otherwise.

    

    

    14.          Remedies Cumulative. Each right, power and remedy of Bank hereunder, under the other Loan Documents or now or hereafter existing at law, in equity, by statute or otherwise shall be cumulative and concurrent,
        and the exercise or the beginning of the exercise of any one or more of them shall not preclude the simultaneous or later exercise by Bank of any or all such other rights, powers or remedies. No failure or delay by Bank to insist upon the strict
        performance of any one or more provisions of this Note or of the Loan Documents or to exercise any right, power or remedy consequent upon a breach thereof or a default hereunder shall constitute a waiver thereof, or preclude Bank from exercising
        any such other rights, powers or remedy. By accepting full or partial payment after the due date of any amount of principal or interest on this Note, or other amounts payable on demand, Bank shall not be deemed to have waived the right either to
        require prompt payment when due and payable of all other amounts of principal or interest on this Note or other amounts payable on demand, or to exercise any rights and remedies available to is in order to collect all such other amounts due and
        payable under this Note.

    

    

    15.          Prepayment.  Borrower may prepay this Note in full or in part at any time without premium or penalty.

    

    

    16.          Additional Costs. If, as a result of any change in applicable law, regulation, guideline or order, or in the interpretation or application thereof by any governmental authority charged with the administration
        thereof, there shall be imposed upon or made applicable to Bank any reserve requirement against this Note or any other costs or assessments (hereinafter

    
      
        

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    “Additional Costs”), Borrower shall pay to Bank, on demand (which demand shall be in writing and which will set forth a calculation of such Additional
      Costs), an amount sufficient to compensate Bank for such Additional Cost. Bank’s calculation of the amount of such Additional Costs shall be presumed correct absent manifest error.

    

    

    17.          Taxes. Any and all payments by or on account of any Obligations hereunder shall be made free and clear of and without deduction for any taxes; provided that  if the Borrower shall be required to deduct any taxes from such payments, then
        (i) the sum payable shall be increased as necessary so that after making all required deductions (including deductions applicable to additional sums payable under this paragraph) the Bank (as the case may be) receives an amount equal to the sum it
        would have received had no such deductions been made, (ii) the Borrower shall make such deductions and (iii) the Borrower shall pay the full amount deducted to the relevant governmental authority in accordance with applicable law.

    

    

    18.          Collection Expenses. If this Note is placed in the hands of an attorney for collection following the occurrence of an Event of Default hereunder, Borrower agrees to pay to Bank upon demand costs and expenses, including all attorney’s fees
        and court costs, paid or incurred by Bank in connection with the enforcement or collection of this Note (whether or not any action has been commenced by Bank to enforce or collect this Note) or in successfully defending any counterclaim or other
        legal proceeding brought by Borrower contesting Bank’s right collect the outstanding principal balance of this Note. The obligation of Borrower to pay all such costs and expenses shall not be merged into any judgment by confession against Borrower.
        All of such costs and expenses shall bear interest at the higher of the rate of interest provided herein or Default Interest Rate provided herein, from the date of payment by Bank until repaid in full.

    

    

    19.          Interest Rate after Judgment. If judgment is entered against Borrower on this Note, the amount of the judgment entered (which may include principal, interest, fees and costs) shall bear interest at the
        higher of (i) the legal rate of interest then applicable to judgments in the jurisdiction in which judgment was entered or, (ii) if otherwise permitted by applicable law, the Default Interest Rate provided herein.

    

    

    20.          Certain Waivers by Borrower. Borrower waives demand, presentment, protest and notice of demand, of non-payment, of dishonor, and of protest of this Note. Bank, without notice to or further consent of
        Borrower or any other Obligor and without in any respect compromising, impairing, releasing, lessening or affecting the obligations of Borrower hereunder or under of the Loan Documents, may: (a) release, surrender, waive, add, substitute, settle,
        exchange, compromises, modify, extend or grant indulgences with respect to (i) this Note, (ii) any of the Loan Documents, and/or (iii) all or any part of any collateral or security for this Note; and/or (iv) any Obligor; and (b) grant any extension
        or other postponements of the time of payment hereof.

    

    

    21.          Choice of Law: Forum Selection: Consent to Jurisdiction. This Note shall be governed by, construed and interpreted in accordance with the laws of the State of New York (excluding the choice of law rules thereof). Borrower hereby
        irrevocably submits to the jurisdiction of any New York court or federal court sitting in the State of New York in any action or proceeding arising out of or relating to this Note, and hereby irrevocably waives any objection to the laying of venue
        of any such action or proceeding in any such court and any claim that any such action or proceeding has been brought in an inconvenient forum. A final judgment in any

    
      
        

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    such action or proceeding shall be conclusive and may be enforced in any other jurisdiction by suit on the judgment or in any other manner provided by law.

    

    

    22.          Invalidity of Any Part. If any provision or part of any provision of this Note shall for any reason be held invalid, illegal or unenforceable in any respect, such invalidity, illegality or unenforceability shall not
        affect any other provision (or any remaining part of any provision) of this Note, and this Note shall be construed as if such invalid, illegal or unenforceable provision (or part thereof) had never been contained in this Note, but only to the
        extent of its invalidity, illegality, or unenforceability. In any event, if any such provision pertains to the repayment of the Obligations evidenced by this Note, then and in such event, at Bank’s option, the outstanding principal balance of this
        Note, together with all accrued and unpaid interest thereon, shall become immediately due and payable.

    

    

    23.          WAIVER OF JURY TRIAL. BORROWER HEREBY (i) COVENANTS AND AGREES NOT TO ELECT A TRIAL BY JURY OF ANY ISSUE TRIABLE OF RIGHT
        BY A JURY, AND (ii) WAIVES TRIAL BY JURY IN ANY ACTION OR PROCEEDING TO WHICH BANK AND BORROWER MAY BE PARTIES ARISING OUT OF, IN CONNECTION WITH OR IN ANY WAY PERTAINING TO THIS NOTE, ANY OF THE LOAN DOCUMENTS AND/OR ANY TRANSACTIONS, OCCURRENCES,
        COMMUNICATIONS, OR UNDERSTANDINGS (OR THE LACK OF ANY OF THE FOREGOING) RELATING IN ANY WAY TO BORROWER-BANK RELATIONSHIP BETWEEN THE PARTIES. IT IS UNDERSTOOD AND AGREED THAT THIS WAIVER CONSTITUTES A WAIVER OF TRIAL BY JURY OF ALL CLAIMS AGAINST
        ALL PARTIES TO SUCH ACTIONS OR PROCEEDINGS, INCLUDING CLAIMS AGAINST PARTIES WHO ARE NOT PARTIES TO THIS NOTE. THIS WAIVER OF JURY TRIAL IS SEPARATELY GIVEN, KNOWINGLY, WILLINGLY AND VOLUNTARILY MADE BY BORROWER AND BORROWER HEREBY AGREES THAT NO
        REPRESENTATIONS OF FACT OR OPINION HAVE BEEN MADE BY ANY INDIVIDUAL TO INDUCE THIS WAIVER OF TRIAL BY JURY OR TO IN ANY WAY MODIFY OR NULLIFY ITS EFFECT. BANK IS HEREBY AUTHORIZED TO SUBMIT THIS NOTE TO ANY COURT HAVING JURISDICTION OVER THE
        SUBJECT MATTER AND BORROWER SO AS TO SERVE AS CONCLUSIVE EVIDENCE OF SUCH WAIVER OF RIGHT TO TRIAL BY JURY. BORROWER REPRESENTS AND WARRANTS THAT IT HAS BEEN REPRESENTED IN THE SIGNING OF THIS NOTE AND IN THE MAKING OF THIS WAIVER BY INDEPENDENT
        LEGAL COUNSEL, SELECTED OF ITS OWN FREE WILL, AND/OR THAT IT HAS HAD THE OPPORTUNITY TO DISCUSS THIS WAIVER WITH COUNSEL.

    

    

    24.          Waiver of Defenses, Counterclaims, etc. Borrower hereby waives, in any litigation (whether or not arising out of or related to this note or any other obligation or liabilities to Bank) in which Borrower and Bank shall be adverse
        parties, the right to interpose any defense, set-off or counterclaim of any nature or description except compulsory counterclaims which Borrower does not waive.

    

    

    25.          Indemnification. The Borrower agrees: (i) to pay and reimburse Bank for all
        of its reasonable and documented out-of-pocket costs and expenses incurred in connection with the preparation and execution of, and any amendment, supplement or modification to, this Note and the other Loan Documents, and the consummation and
        administration of the transactions contemplated hereby and thereby, including the reasonable fees, disbursements and other charges

    
      
        

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    of internal and external counsel, (ii) to pay and reimburse Bank for reasonable and documented out-of-pocket costs and expenses incurred in connection with
      the enforcement or preservation of any rights under this Note, Loan Documents and any such other documents, including the reasonable fees, disbursements and other charges of its counsel, whether internal or external, (iii) to pay, indemnify and hold
      harmless the Bank and its directors, officers and agents (each, an “Indemnified Party” and collectively, “Indemnified Parties”) from and against any and all other liabilities, obligations, losses, damages, penalties, actions, judgments, suits, costs, expenses or disbursements of any kind or nature whatsoever,
      including reasonable and documented fees, disbursements and other charges of internal or external counsel for all Indemnified Parties in connection with the execution, delivery, enforcement, performance and administration of this Note or the Loan
      Documents and any such other documents or the use of the proceeds thereof, including any of the foregoing relating to the violation of, noncompliance with or liability applicable to the operations of the Borrower, any of its subsidiaries; provided
      that the Borrower shall have no obligation hereunder to any Indemnified Party with respect to damages caused directly by the gross negligence or willful misconduct of Bank or any other Indemnified Party as determined by a non-appealable final
      judgment.

    

    

    26.          Miscellaneous. Time is of the essence under this Note. The paragraph headings of this Note are for convenience only, and shall not limit or otherwise affect any of the terms hereof. This Note and the other
        Loan Documents, if any, constitute the entire agreement between the parties with respect to their subject matter and supersede all prior letters, representations, or agreements, oral or written, with respect thereto. No modification, release, or
        waiver of this Note shall be deemed to be made by Bank unless in writing signed by Bank, and each such waiver, if any, shall apply only with respect to the specific instance involved. No course of dealing or conduct shall be effective to modify,
        release or waive any provisions of this Note or any of the other Loan Documents. Borrower acknowledges that this Note is an instrument for the payment of money only within the meaning of Section 3213 of the New York Civil Practice Law & Rules.
        This Note shall inure to the benefit of and be enforceable by Bank and Bank’s successors and assigns and any other person to whom Bank may grant an interest in the obligations evidenced by this Note and shall be binding upon and enforceable against
        Borrower and Borrower’s successors and assigns, it being understood that Borrower may not assign this Note without the prior written consent of Bank. Borrower agrees that Bank may at any time sell, assign, transfer, hypothecate or pledge one or
        more interests or participations in all or any part of its rights and obligations in this Note. Whenever used herein, the singular number shall include the plural, the plural the singular, and the use of the masculine, feminine, or neuter gender
        shall include all genders.

    

    

    27.          Conditions. The effectiveness of this Note is subject to the satisfaction
        of all the following conditions precedent:

    

    

    
      	
               

            	
              (a) Bank shall have received a duly executed copy of the Assignment and Pledge.

               

            

    

    
      	
               

            	
              (b) Borrower shall have established and funded the Time Deposit Account in the amount of $7,275,000.00.

               

            

    

           

    

       

    

    
      
        

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              (c) Borrower shall have established an
                  interest reserve account with Bank which shall be funded at all times with an amount equal to the interest payments on the Loan through the Maturity Date. The Bank shall use the interest reserve account to pay the interest due
                hereunder. In the event Borrower prepays a portion of the Loan, the interest reserve account shall be decreased to equal the amount of the remaining interest payments due on the outstanding balance of the Loan. 

               

            

    

    

    

     

    

    

    BORROWER:

    

    

    STRATA SKIN SCIENCES, INC.

    

    

    

    

    By: _/s/ Matthew C. Hill                         

    

        Name:   Matthew C. Hill

        Title:     CFO

    

    

    

    

  

  
    

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