Document:

Exhibit 10.6

 

VOTING AND LOCKUP AGREEMENT

 

This VOTING AND LOCKUP AGREEMENT, dated
as of June [  ], 2018 (this “Agreement”), by and between Helios and Matheson Analytics Inc., a Delaware corporation
with offices located at Empire State Building, 350 5th Avenue, New York, New York 10118 (the “Company”), and Helios
& Matheson Information Technology, Ltd, an Indian corporation, and its wholly-owned subsidiary, Helios & Matheson Inc.,
a Delaware corporation (collectively, the “Stockholder”).

 

WHEREAS, the Company and certain buyers
(each, a “Buyer”, and collectively, the “Buyers”) have entered into a Securities Purchase Agreement, dated
as of June [ ], 2018 (the “Securities Purchase Agreement”), pursuant to which, among other things, the Company has
agreed to issue and sell to the Buyers and the Buyers have, severally but not jointly, agreed to purchase: (i) shares of Series
A Preferred Stock of the Company (the “Preferred Stock”); and (ii) senior secured convertible notes of the Company
(the “Notes”), which will be convertible into shares of the Company’s common stock, $0.01 par value per share
(the “Common Stock”), in accordance with the terms of the Notes;

 

WHEREAS, as of the date hereof, the Stockholder
owns shares of Common Stock (the “Stockholder Shares”), which represent (i) approximately 0.71% of the total issued
and outstanding Common Stock of the Company, and (ii) approximately 0.71% of the total voting power of the Company; and

 

WHEREAS, as a condition to the willingness
of the Buyers to enter into the Securities Purchase Agreement and to consummate the transactions contemplated thereby (collectively,
the “Transaction”), the Buyers have required that the Stockholder agree, and in order to induce the Buyers to enter
into the Securities Purchase Agreement, the Stockholder has agreed, to enter into this Agreement with respect to all the Stockholder
Shares now owned and which may hereafter be acquired by the Stockholder and any other securities of the Company (the “Other
Securities”, and together with the Stockholder Shares, the “Stockholder Securities”), if any, which Stockholder
is currently entitled to vote, or after the date hereof becomes entitled to vote, at any meeting of the stockholders of the Company.

 

NOW, THEREFORE, in consideration of the
foregoing and the mutual covenants and agreements contained herein, and intending to be legally bound hereby, the parties hereto
hereby agree as follows:

 

ARTICLE I

 

VOTING AGREEMENT OF THE STOCKHOLDER

 

SECTION 1.01. Voting Agreement. Subject
to the last sentence of this Section 1.01, the Stockholder hereby agrees that at any meeting of the stockholders of the Company,
however called, and in any action by written consent of the Company’s stockholders, the Stockholder shall vote the Stockholder
Securities, which Stockholder is currently entitled to vote, or after the date hereof becomes entitled to vote, at any meeting
of the stockholders of the Company: (a) in favor of the Stockholder Approval (as defined in the Securities Purchase Agreement)
and the Stockholder Resolutions (as defined in the Securities Purchase Agreement), in each case, as described in Section 4(x) of
the Securities Purchase Agreement; and (b) against any proposal or any other corporate action or agreement that would result in
a breach of any covenant, representation or warranty or any other obligation or agreement of the Company under the Transaction
Documents (as defined in the Securities Purchase Agreement) or which could result in any of the conditions to the Company’s
obligations under the Transaction Documents not being fulfilled. The Stockholder acknowledges receipt and review of a copy of the
Securities Purchase Agreement and the other Transaction Documents. The obligations of the Stockholder under this Section 1.01 shall
terminate immediately following the occurrence of the Stockholder Approval.

 

    	 	1 	 

     

    

 

ARTICLE II

 

REPRESENTATIONS AND WARRANTIES OF THE STOCKHOLDER

 

The Stockholder hereby represents and warrants
to the Company and each of the Buyers as follows:

 

SECTION 2.01. Authority Relative to this
Agreement. The Stockholder has all requisite power and authority to execute and deliver this Agreement, to perform its obligations
hereunder and to consummate the transactions contemplated hereby. This Agreement has been duly executed and delivered by the Stockholder
and constitutes a legal, valid and binding obligation of the Stockholder, enforceable against the Stockholder in accordance with
its terms, except (a) as such enforceability may be limited by applicable bankruptcy, insolvency, reorganization, fraudulent conveyance,
moratorium or similar laws now or hereafter in effect relating to, or affecting generally, the enforcement of creditors’
and other obligees’ rights and (b) where the remedy of specific performance or other forms of equitable relief may be subject
to certain equitable defenses and principles and to the discretion of the court before which the proceeding may be brought.

 

SECTION 2.02. No Conflict. (a) The
execution and delivery of this Agreement by the Stockholder does not, and the performance of this Agreement by the Stockholder
shall not, (i) conflict with or violate any federal, state or local law, statute, ordinance, rule, regulation, order, judgment
or decree applicable to the Stockholder or by which the Stockholder Securities owned by the Stockholder are bound or affected or
(ii) result in any breach of or constitute a default (or an event that with notice or lapse of time or both would become a default)
under, or give to others any rights of termination, amendment, acceleration or cancellation of, or result in the creation of a
lien or encumbrance on any of the Stockholder Securities owned by the Stockholder pursuant to, any note, bond, mortgage, indenture,
contract, agreement, lease, license, permit, franchise or other instrument or obligation to which the Stockholder is a party or
by which the Stockholder or the Stockholder Securities owned by the Stockholder is bound.

 

(b) The execution and delivery of this Agreement
by the Stockholder does not, and the performance of this Agreement by the Stockholder shall not, require any consent, approval,
authorization or permit of, or filing with or notification to, any governmental entity by the Stockholder.

 

SECTION 2.03. Title to the Stock.
As of the date hereof, the Stockholder is the owner of 1,573,040 shares of Common Stock, entitled to vote, without restriction,
on all matters brought before holders of capital stock of the Company, which shares of Common Stock represent on the date hereof
approximately 6.55% of the outstanding stock and approximately 6.55% of the voting power of the Company. Such shares of Common
Stock are all the securities of the Company owned, either of record or beneficially, by the Stockholder. Such Common Stock is owned
free and clear of all Encumbrances (as defined below). The Stockholder has not appointed or granted any proxy, which appointment
or grant is still effective, with respect to the Common Stock or Other Securities owned by the Stockholder.

  

ARTICLE III

 

COVENANTS

 

SECTION 3.01. Lockup of Stockholder Securities.
The Stockholder hereby covenants and agrees that, during the period commencing on the date hereof and ending on the initial date
when all of the Principal outstanding under the Notes consists of Restricted Principal thereunder (the “Lockup Termination
Date”), the Stockholder shall not (i) sell, offer to sell, contract or agree to sell, hypothecate, pledge, grant any option
to purchase, make any short sale or otherwise dispose of or agree to dispose of, directly or indirectly, any securities of the
Company, or establish or increase a put equivalent position or liquidate or decrease a call equivalent position within the meaning
of Section 16 of the Securities and Exchange Act of 1934, as amended and the rules and regulations of the Securities and Exchange
Commission promulgated thereunder with respect to any securities of the Company owned directly by the Stockholder (including holding
as a custodian) or with respect to which the Stockholder has beneficial ownership within the rules and regulations of the Securities
and Exchange Commission or (ii) enter into any swap or other arrangement that transfers to another, in whole or in part, any of
the economic consequences of ownership of any securities of the Company, owned directly by the Stockholder (including holding as
a custodian) or with respect to which the Stockholder has beneficial ownership within the rules and regulations of the Securities
and Exchange Commission, whether any such transaction is to be settled by delivery of such securities, in cash or otherwise, (iii)
permit to exist any security interest, lien, claim, pledge, option, right of first refusal, agreement, limitation on the Stockholder’s
voting rights, charge or other encumbrance of any nature whatsoever (“Encumbrance”) with respect to any of the Stockholder
Securities, except with respect that certain Voting Agreement, dated as of November 7, 2017, by and among the Company and the Stockholder,
and that certain Voting and Lockup Agreement, dated January 23, 2018, by and among the Company and the Stockholder, (iv) engage
in any hedging or other transaction which is designed to or which reasonably could be expected to lead to or result in a sale or
disposition of the Stockholder Securities even if the Stockholder Securities would be disposed of by someone other than the Stockholder
(including, without limitation, any short sale or any purchase, sale or grant of any right (including, without limitation, any
put or call option) with respect to any of the Stockholder Securities or with respect to any security that includes, relates to,
or derives any significant part of its value from the Stockholder Securities) or (v) directly or indirectly, or initiate, solicit
or encourage any person to take actions which could reasonably be expected to lead to the occurrence of any of the foregoing.

 

    	 	2 	 

     

    

 

SECTION 3.02. Company Cooperation.
The Company hereby covenants and agrees that it will not, and the Stockholder irrevocably and unconditionally acknowledges and
agrees that the Company will not (and waives any rights against the Company in relation thereto), recognize any Encumbrance or
agreement (other than this Agreement) on any of the Stockholder Securities subject to this Agreement.

 

ARTICLE IV

 

MISCELLANEOUS

 

SECTION 4.01. Further Assurances.
The Stockholder shall execute and deliver such further documents and instruments and take all further action as may be reasonably
necessary in order to consummate the transactions contemplated hereby.

 

SECTION 4.02. Specific Performance.
The parties hereto agree that irreparable damage would occur in the event any provision of this Agreement was not performed in
accordance with the terms hereof and that any Buyer (without being joined by any other Buyer) shall be entitled to specific performance
of the terms hereof, in addition to any other remedy at law or in equity. Any Buyer shall be entitled to its reasonable attorneys'
fees in any action brought to enforce this Agreement in which it is the prevailing party.

 

SECTION 4.03. Entire Agreement. This
Agreement constitutes the entire agreement between the Company and the Stockholder (other than the Securities Purchase Agreement
and the other Transaction Documents) with respect to the subject matter hereof and supersedes all prior agreements and understandings,
both written and oral, among the Company and the Stockholder with respect to the subject matter hereof.

 

SECTION 4.04. Amendment. This Agreement
may not be amended except by an instrument in writing signed by the parties hereto.

 

SECTION 4.05. Severability. If any
term or other provision of this Agreement is invalid, illegal or incapable of being enforced by any rule of law, or public policy,
all other conditions and provisions of this Agreement shall nevertheless remain in full force and effect so long as the economic
or legal substance of this Agreement is not affected in any manner materially adverse to any party. Upon such determination that
any term or other provision is invalid, illegal or incapable of being enforced, the parties hereto shall negotiate in good faith
to modify this Agreement so as to effect the original intent of the parties as closely as possible in a mutually acceptable manner
in order that the terms of this Agreement remain as originally contemplated to the fullest extent possible.

  

SECTION 4.06. Governing Law. All
questions concerning the construction, validity, enforcement and interpretation of this Agreement shall be governed by the internal
laws of the State of Delaware, without giving effect to any choice of law or conflict of law provision or rule (whether of the
State of Delaware or any other jurisdictions) that would cause the application of the laws of any jurisdictions other than the
State of Delaware. The Company hereby irrevocably submits to the exclusive jurisdiction of the state and federal courts sitting
in the Borough of Manhattan in the City of New York, New York, for the adjudication of any dispute hereunder or in connection herewith
or under any of the other Transaction Documents or with any transaction contemplated hereby or thereby, and hereby irrevocably
waives, and agrees not to assert in any suit, action or proceeding, any claim that it is not personally subject to the jurisdiction
of any such court, that such suit, action or proceeding is brought in an inconvenient forum or that the venue of such suit, action
or proceeding is improper. The parties consent to the jurisdiction and venue of the foregoing courts and consent that any process
or notice of motion or other application to any of said courts or a judge thereof may be served inside or outside the State of
New York by registered mail, return receipt requested, directed to the party being served at its address set forth on the signature
ages to this Agreement (and service so made shall be deemed complete three (3) days after the same has been posted as aforesaid)
or by personal service or in such other manner as may be permissible under the rules of said courts. Each of the Company and the
Stockholder irrevocably waives, to the fullest extent permitted by law, any objection which it may now or hereafter have to the
laying of the venue of any such suit, action, or proceeding brought in such a court and any claim that suit, action, or proceeding
has been brought in an inconvenient forum. EACH PARTY HEREBY IRREVOCABLY WAIVES ANY RIGHT IT MAY HAVE, AND AGREES NOT TO REQUEST,
A JURY TRIAL FOR THE ADJUDICATION OF ANY DISPUTE HEREUNDER OR IN CONNECTION WITH OR ARISING OUT OF THIS AGREEMENT OR ANY TRANSACTION
CONTEMPLATED HEREBY.

 

SECTION 4.07. Termination. This Agreement
shall automatically terminate immediately following the Lockup Termination Date.

 

[The remainder of the page is intentionally
left blank]

 

    	 	3 	 

     

    

 

IN WITNESS WHEREOF, the Stockholder and
the Company have duly executed this Voting and Lockup Agreement as of the date first written above.

 

	THE COMPANY:	 	STOCKHOLDER:
	 	 	 
	HELIOS AND MATHESON ANALYTICS INC.	 	HELIOS AND MATHESON INFORMATION TECHNOLOGY, LTD
	 	 	 	 	 
	By:	 	 	By:	 
	Name:	Theodore Farnsworth	 	Name:	Murali Gadiyaram 
	Title:	Chief Executive Officer	 	Title:	CEO and Managing Director
	 	 	 	 	 
	Address:  	Empire State Building	 	Address: 	 
	 	350 5th Avenue	 	 	 
	 	New York, NY 10118	 	 	 
	 	 	 	 	 
	 	 	 	HELIOS AND MATHESON INC. 
	 	 	 	 
	 	 	 	By:	 
	 	 	 	 	Name: Murali Gadiyaram
	 	 	 	 	Title:  Director
	 	 	 	 	 
	 	 	 	Address: 	

 

[Signature Page to HMNY and HMIT Voting
and Lockup Agreement]Exhibit 10.8

 

VOTING AGREEMENT

 

VOTING AGREEMENT, dated
as of June __, 2018 (this “Agreement”), by and between Helios and Matheson Analytics Inc., a Delaware corporation
with offices located at Empire State Building, 350 5th Avenue, New York, New York 10118 (the “Company”) and
the stockholder signatory hereto (the “Investor”).

 

WHEREAS, the Company
and certain investors (including the Investor) (each, a “Buyer”, and collectively, the “Buyers”)
have entered into a Securities Purchase Agreement, dated as of June __, 2018 (the “Securities Purchase Agreement”),
pursuant to which, among other things, the Company has agreed to issue and sell to the Buyers and the Buyers have, severally but
not jointly, agreed to purchase (i) the Notes (as defined in the Securities Purchase Agreement) which will be convertible into
Conversion Shares (as defined in the Securities Purchase Agreement) in accordance with the terms of the Notes and (ii) the Preferred
Shares (as defined in the Securities Purchase Agreement);

 

WHEREAS, on January 11,
2018, the Company and certain investors (including one or more Buyers) (the “January Buyers”) entered into a
securities purchase agreement, as amended (the “January Securities Purchase Agreement”), pursuant to which such
January Buyers purchased certain January Notes (as defined in the Notes);

 

WHEREAS, as of the Closing
Date (as defined in the Securities Purchase Agreement), the Investor will own such aggregate number of Preferred Shares as set
forth on the Schedule of Buyers attached to the Securities Purchase Agreement (the “Investor Shares”); and

 

WHEREAS, the Company
desires, as a condition to the Company entering into the Securities Purchase Agreement and to consummate the transactions contemplated
thereby (collectively, the “Transaction”), that the Investor agree, and in order to induce the Company to enter
into the Securities Purchase Agreement, the Investor has agreed, to enter into this Agreement with respect to the Investor Shares
and any other shares of Common Stock (as defined in the Securities Purchase Agreement) now owned and which may hereafter be acquired
by the Investor and any other securities of the Company (the “Other Securities”, and together with the Investor
Shares, the “Investor Securities”), if any, which Investor is currently entitled to vote, or after the date
hereof becomes entitled to vote, at any meeting of the shareholders of the Company.

 

NOW, THEREFORE, in consideration
of the foregoing and the mutual covenants and agreements contained herein, and intending to be legally bound hereby, the parties
hereto hereby agree as follows:

 

     

     

    

 

ARTICLE I

VOTING AGREEMENT OF THE STOCKHOLDER

 

SECTION 1.01. Voting
Agreement. Subject to the last sentence of this Section 1.01, the Investor hereby agrees that at any meeting of the shareholders
of the Company, however called, and in any action by written consent of the Company’s shareholders, the Investor shall vote
the Investor Securities, which Investor is currently entitled to vote, or after the date hereof becomes entitled to vote, at any
meeting of the shareholders of the Company: (a) in favor of (i) the Shareholder Approval (as defined in the January Securities
Purchase Agreement), (ii) the Stockholder Resolutions (as defined in the January Securities Purchase Agreement), (iii) an increase
in the authorized shares of the Company from 500,000,000 to 2,000,000,000 and (iv) a reverse stock split of the Common Stock of
the Company in the range of 1 share-for-2 up to a ratio of 1 share-for-250 shares; and (b) against any proposal or any other corporate
action or agreement that would result in a breach of any covenant, representation or warranty or any other obligation or agreement
of the Company under the Transaction Documents (as defined in the Securities Purchase Agreement) or the Transaction Documents (as
defined in the January Securities Purchase Agreement) or which could result in any of the conditions to the Company's obligations
under the Transaction Documents (as defined in the Securities Purchase Agreement) or the Transaction Documents (as defined in the
January Securities Purchase Agreement), as applicable, not being fulfilled. The Investor acknowledges receipt and review of a copy
of the Securities Purchase Agreement, the January Securities Purchase Agreement, the Transaction Documents (as defined in the Securities
Purchase Agreement) and the Transaction Documents (as defined in the January Securities Purchase Agreement). The obligations of
the Investor under this Section 1.01 shall terminate immediately following the occurrence of the Stockholder Approval (as defined
in the January Securities Purchase Agreement).

 

ARTICLE II

REPRESENTATIONS AND WARRANTIES OF THE STOCKHOLDER

 

The Investor hereby represents
and warrants to the Company as follows:

 

SECTION 2.01. Authority
Relative to this Agreement. The Investor has all requisite power and authority to execute and deliver this Agreement, to perform
its obligations hereunder and to consummate the transactions contemplated hereby. This Agreement has been duly executed and delivered
by the Investor and constitutes a legal, valid and binding obligation of the Investor, enforceable against the Investor in accordance
with its terms, except (a) as such enforceability may be limited by applicable bankruptcy, insolvency, reorganization, fraudulent
conveyance, moratorium or similar laws now or hereafter in effect relating to, or affecting generally, the enforcement of creditors’
and other obligees’ rights and (b) where the remedy of specific performance or other forms of equitable relief may be subject
to certain equitable defenses and principles and to the discretion of the court before which the proceeding may be brought.

 

SECTION 2.02. No Conflict.
(a) The execution and delivery of this Agreement by the Investor does not, and the performance of this Agreement by the Investor
shall not, (i) conflict with or violate any federal, state or local law, statute, ordinance, rule, regulation, order, judgment
or decree applicable to the Investor or by which the Investor Securities owned by the Investor are bound or affected or (ii) result
in any breach of or constitute a default (or an event that with notice or lapse of time or both would become a default) under,
or give to others any rights of termination, amendment, acceleration or cancellation of, or result in the creation of a lien or
encumbrance on any of the Investor Securities owned by the Investor pursuant to, any note, bond, mortgage, indenture, contract,
agreement, lease, license, permit, franchise or other instrument or obligation to which the Investor is a party or by which the
Investor or the Investor Securities owned by the Investor is bound.

 

(b) The execution and
delivery of this Agreement by the Investor does not, and the performance of this Agreement by the Investor shall not, require any
consent, approval, authorization or permit of, or filing with or notification to, any governmental entity by the Investor.

 

    	 	-2-	 

     

    

 

SECTION 2.03. No Proxy.
The Investor has not appointed or granted any proxy, which appointment or grant is still effective, with respect to the Investor
Securities owned by the Investor.

 

ARTICLE III

COVENANTS

 

SECTION 3.01. No Disposition
or Encumbrance of Stock prior to Record Date. At any time on or prior to the record date for the Stockholder Meeting (as defined
in the January Securities Purchase Agreement), the Investor hereby covenants and agrees that the Investor shall not offer or agree
to sell, transfer, tender, assign, hypothecate or otherwise dispose of, grant a proxy or power of attorney with respect to, or
create or permit to exist any security interest, lien, claim, pledge, option, right of first refusal, agreement, limitation on
the Investor’s voting rights, charge or other encumbrance of any nature whatsoever (“Encumbrance”) with
respect to the Investor Shares, directly or indirectly, or initiate, solicit or encourage any person to take actions which could
reasonably be expected to lead to the occurrence of any of the foregoing.

 

SECTION 3.02. Company
Cooperation. The Company hereby covenants and agrees that it will not, and the Investor irrevocably and unconditionally acknowledges
and agrees that the Company will not (and waives any rights against the Company in relation thereto), recognize any Encumbrance
or agreement (other than this Agreement) on any of the Investor Shares subject to this
Agreement.

 

ARTICLE IV

MISCELLANEOUS

 

SECTION 4.01. Further
Assurances. The Investor shall execute and deliver such further documents and instruments and take all further action as may
be reasonably necessary in order to consummate the transactions contemplated hereby.

 

SECTION 4.02. Entire
Agreement. This Agreement constitutes the entire agreement between the Company and the Investor (other than the Securities
Purchase Agreement and the other Transaction Documents) with respect to the subject matter hereof and supersedes all prior agreements
and understandings, both written and oral, among the Company and the Investor with respect to the subject matter hereof.

 

SECTION 4.03. Amendment.
This Agreement may not be amended except by an instrument in writing signed by the parties hereto.

 

SECTION 4.04. Severability.
If any term or other provision of this Agreement is invalid, illegal or incapable of being enforced by any rule of law, or public
policy, all other conditions and provisions of this Agreement shall nevertheless remain in full force and effect so long as the
economic or legal substance of this Agreement is not affected in any manner materially adverse to any party. Upon such determination
that any term or other provision is invalid, illegal or incapable of being enforced, the parties hereto shall negotiate in good
faith to modify this Agreement so as to effect the original intent of the parties as closely as possible in a mutually acceptable
manner in order that the terms of this Agreement remain as originally contemplated to the fullest extent possible.

 

    	 	-3-	 

     

    

 

SECTION 4.05. Governing
Law. All questions concerning the construction, validity, enforcement and interpretation of this Agreement shall be governed
by the internal laws of the State of Delaware, without giving effect to any choice of law or conflict of law provision or rule
(whether of the State of Delaware or any other jurisdictions) that would cause the application of the laws of any jurisdictions
other than the State of Delaware. The Company hereby irrevocably submits to the exclusive jurisdiction of the state and federal
courts sitting in the Borough of Manhattan in the City of New York, New York, for the adjudication of any dispute hereunder or
in connection herewith or under any of the other Transaction Documents or with any transaction contemplated hereby or thereby,
and hereby irrevocably waives, and agrees not to assert in any suit, action or proceeding, any claim that it is not personally
subject to the jurisdiction of any such court, that such suit, action or proceeding is brought in an inconvenient forum or that
the venue of such suit, action or proceeding is improper. The parties consent to the jurisdiction and venue of the foregoing courts
and consent that any process or notice of motion or other application to any of said courts or a judge thereof may be served inside
or outside the State of New York or the Southern District of New York by registered mail, return receipt requested, directed to
the party being served at its address set forth in the Securities Purchase Agreement (and service so made shall be deemed complete
three (3) days after the same has been posted as aforesaid) or by personal service or in such other manner as may be permissible
under the rules of said courts. Each of the Company and the Investor irrevocably waives, to the fullest extent permitted by law,
any objection which it may now or hereafter have to the laying of the venue of any such suit, action, or proceeding brought in
such a court and any claim that suit, action, or proceeding has been brought in an inconvenient forum. EACH PARTY HEREBY IRREVOCABLY
WAIVES ANY RIGHT IT MAY HAVE, AND AGREES NOT TO REQUEST, A JURY TRIAL FOR THE ADJUDICATION OF ANY DISPUTE HEREUNDER OR IN CONNECTION
WITH OR ARISING OUT OF THIS AGREEMENT OR ANY TRANSACTION CONTEMPLATED HEREBY.

 

SECTION 4.06. Termination.
This Agreement shall automatically terminate immediately following the occurrence of the Shareholder Approval (as defined in the
January Securities Purchase Agreement).

 

[The remainder of the page is intentionally
left blank]

 

    	 	-4-	 

     

    

 

IN WITNESS WHEREOF, the
Investor and the Company have duly executed this Voting Agreement as of the date first written above.

 

	 	HELIOS AND MATHESON ANALYTICS INC.
	 	 
	 	By:	 
	 	 	Name:
	 	 	Title:
	 	 
	 	INVESTOR:
	 	 
	 	 
	 	 
	 	By:  	 
	 	 	Name:  
	 	 	Title:

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