Document:

Exhibit
10.6

 

																			
	Form:
 Licence:

                                                                                                                   

Licensee:

Firm
name:
	  	07L

01-05-028

LEAP
Legal Software Pty Limited

 Simpson Freed	  	LEASE

                                              

New
South Wales
 Real
                                            Property Act 1900
	  	Leave
this space clear. Affix additional pages to the top left-hand corner.

  

PRIVACY NOTE: Section
318 of the Real Property Act 1900 (RP Act) authorises the Registrar General to collect the information required by this form for the
establishment and maintenance of the Real Property Act Register. Section 968 RP Act requires that the Register is made available to any
person for search upon payment of a fee, if any.

 

	STAMP DUTY	 	
      Office of State Revenue use only

     

     

	 	 	 
	(A) TORRENS
    TITLE	 	
      Property leased

      Folio Identifier 14 / 1036920 23 - 25 Mangrove Lane, Taren Point NSW 2229

     

     

     

     

	 	 	 
	(B) LODGED BY	 	
      Document Collection   Box
	
       Name, Address or DX, Telephone, and    Customer    Account Number if any

     

     

     
	   CODE
	 	 	   Reference: 	   L
	 	 	 
	(C) LESSOR	 	
      Adrian Julius See and Li See ABN 48 699 542 410

     

     

     

	 	 
	 	 	  The lessor leases to the lessee the property referred to above.
	 	 
	(D)	 	  Encumbrances (if applicable):

                                                                                 

	(E) LESSEE	 	
      See Trading Co Pty Ltd ABN 82 115 411 704

     

     

      TENANCY: 

 

	(G)	 	1.	 	TERM:	 	5 Years
	 	 	2.	 	COMMENCING DATE:	 	15 July 2018
	 	 	3.	 	TERMINATING DATE:	 	14 July 2023
	 	 	4.	 	With an OPTION TO RENEW for a period of3 Years set out in Item 12 of Annexure “A”
	 	 	5.	 	With an OPTION
    TO PURCHASE set out in clause NIA of N/A
	 	 	6.	 	Together with and reserving the RIGHTS set out in clause      of
	 	 	7.	 	Incorporates the provisions or additional material set out in ANNEXURE (S) “A”     hereto
	 	 	8.	 	Incorporates the provisions set out in registered LEASE No. N/A
	 	 	9.	 	The RENT is set out in item No 13 of Annexure “A”

 

    	Page 1 of 5

     

    

 

DATE:

 

	(H)	  	I
certify that l am an eligible witness and that the lessor signed this dealing in my presence. [See note ** below]	  	Certified
                                            correct for the purposes of the Real Property Act 1900 by the lessor.

			
		  	Signature
of witness:	  	Signature
                                            of lessor:

			
		  	Name
of witness:	  	 
		  	Address
of witness:	  	
	 	 	 	 	 
	 	 	Certified
correct for the purposes of the Real Property Act 1900 and executed on behalf of the corporation named below by the authorised person(s)
whose signature(s) appears(s) below pursuant to the authority specified.	 	 
	 	 	 	 	 
	 	 	Corporation:
                                               See Trading Co Pty Ltd
	 	 
	 	 	Authority:
                                                 section 127 of the Corporations Act 2001 Signature of authorised
                                            person:

	 	Signature
of authorised person: 
	 	 	 	 	 
	 	 	Name
of authorised person:	 	Name
of authorised person:
	 	 	Office
held:       Director	 	Office
held:         Director

  

	(I)	STATUTORY DECLARATION *	 
	 	 	 	 
	 	I	             	 
	 	 	 	 
	 	solemnly and sincerely declare that -	 
	 	 	 	 
	 	1. 	The time for the exercise of option to renew in expired lease No.          has ended;
	 	 	 	 
	 	2.	The lessee under that lease has not exercised the option.
	 	 	 	 
	 	I make this solemn declaration conscientiously believing the same to be true and by virtue of the provisions of the Oaths Act 1900.
	 	 	 	 
	 	Made and subscribed at                                       in the State of New South Wales on
	 	 	 	 
	 	in the presence                                                       of
	 	 	 	 
	 	☐ Justice of the Peace     ☐ Practising Solicitor     ☐ Other qualified witness [specify] 
	 	 	 	 
	 	#  who certifies the following matters concerning the making of this statutory declaration by the person who made it:
	 	 	 	 
	 	1.	I saw the face of the person OR I did not see the face of the person because the person was wearing a face covering, but I am satisfied that the person had special justification for not removing the covering; and
	 	 	 	 
	 	2.	I have known the person for at least 12 months OR I have not known the person for at least 12 months, but I have confirmed the person’s identity using the identification document and the document I relied on was

 

	Signature
  of witness:	Signature
                                            of;

 

	*	As
the services of a qualified witness cannot be provided at lodgment, the declaration should be signed and witnessed prior to
lodgement. # If made outside NSW, cross out the witness certification. If made in NSW, cross out the text which does not a 1
..
	**	s117
RP Act requires that you must have known the signatory for more than 12 months or have sighted identifying documentation.

  

    	Page 2 of 5

     

    

 

ANNEXURE
A

 

	ANNEXURE A	SEE A SOLICITOR ABOUT THIS LEASE

 

	Lessor:	Adrian Julius See and Li See
	 	 
	Lessee:	See Trading Co. Pty Ltd ACN 115 411 704

 

This
annexure consists of 2 pages.

 

NOTE:
Any alterations and additions to Lease Covenants in Annexure B must be made by additional clauses in Annexure A. The printed
clauses in Annexure Bare to remain in their copyright form without alteration.

 

	 	SCHEDULE OF ITEMS (continued)

 

	Item
                                            10

    (cls
    2.3, 13.1)

    (cl
    13.7)
	A.
                                                                     The guarantor:

                                                                      

    B.
    Limit of guarantor’s liability:
	of
    N/A
	 	 	 
	Item
    11	Additional
    leased property:	NIL
	(cl
    3)	 	 
	 	 	 
	Item
    12	Option
    to renew	 
	(cl
    4)	 	 

 

		A.	One
                                            3 year option

 

		B.	Further
                                            period of 3 years from 15 July 2023 to 14 July 2026

 

		C.	Maximum
                                            period of tenancy under this lease and permitted renewals: 8 years

 

		D.	First day option for renewal can be exercised:	6 months from expiry

 

		E.	Last day option for renewal can be exercised:	3 months from expiry

 

	Item
13 (cl 5)	A.	Rent

 

	 	For the lease period:	 	 
	 	From the commencement date to the first rent review date:	 	$300,000.00 plus GST a year by monthly instalments of $25,000.00 plus GST per month.
	 	 	 	 
	 	Afterwards:	 	At the new yearly rent beginning on each review date by monthly instalments of one twelfth of the new yearly rent.
	 	 
	 	For the further period
in item 12A: 	 	 
	 	From the commencement date to the first rent review date: (for example: Current market rent) Afterwards:
	 	Not applicable At the new yearly rent beginning on each review date by monthly instalments of one twelfth of the new yearly rent.

 

	 	 	 
	 	 	 
	 	 	 

 

    	Page 3 of 5

     

    

 

ANNEXURE
A

 

	 	For
the further period in item 12B:
    	 	 
	 	From the commencement date to the first
rent review date:

                                                                           (for example: Current market
rent)
	 	Not applicable

	 	 	 	 
	 	Afterwards:	 	At
the new yearly rent beginning on each review date by monthly instalments of one twelfth of the new yearly rent. 

 

	Item
13 

(cl 15)	B.	GST

 

	 	Clause 15 provides for payment by the lessee of GST unless otherwise here indicated:

 

	Item 14 

    (cl 5)	Outgoings

 

		A.	Share of outgoings:	100%
		B.	Outgoings
                                            -

 

		(a)	local
                                            council rates and charges;
		(b)	water
                                            sewerage and drainage charges;
		(c)	Land
                                            Tax
		(d)	Building
                                            Insurance
	 	 	 
	 	for the land or the building of which the property is part, fairly apportioned to the period of this lease.

 

	Item 15 

(cl 5.1.5)	Interest rate:	Ten Per Cent (10%) per annum

 

	Item 16 

(cl 5.4)	Rent review	 

 

	 	Rent
    review date	Method
    of rent review	If
    Method 1 applies, increase by (the
    increase should show percentage or
    amount)
	 	 	 	 
	 	15
    July 2019	1	3%
	 	15
    July 2020	 	3%
	 	15
    July 2021	1	3%
	 	15
    July 2022	 	3%
	 	15
    July 2023	3	Market
    Review
	 	15
    July 2024	 	3%
	 	15
    July 2025	 	3%

 

	 	Method 1 is a fixed amount or percentage.
	 	Method 2 is Consumer Price Index.
	 	Method 3 is current market rent.
	 	 
	 	Method 2 applies unless another method is stated.

 

	Item 17

                           (cl 6.1)
	Permitted use:	Gym Equipment warehousing and wholesale sales

 

	 	 	 
	 	 	 
	 	 	 

 

    	Page 4 of 5

     

    

 

ANNEXURE
A

 

	Item
    18	Amount
    of required public liability insurance: $10 Million
	(cl
    8.1.1)	 
	 	 
	Item
    19	Bank
    Guarantee
	(cl
    16)	 
	 	Not
    Applicable.
	 	 
	Item
    20	Security
    Deposit
	(cl
    17)	 
	 	2
    months base rent and the lessee’s proportion of outgoings increased by the rate of GST (expressed as a percentage) applicable
    from time to time.

 

	15.	Consent
    to Transfer of Lease
	 	 
	 	The
    following new sub-clause 10.2.4 is added to clause 10:

 

	 	“10.2.4	
    The assignee is a corporation and the directors of that corporation will not provide personal guarantees for the assignee’s
    obligations under the lease.”

 

	16.	Obligations
    of Guarantor Following Assignment
	 	 
	 	The
    provisions of clause 13.2 do not apply to extensions and renewals of this lease if the lease has been transferred during the term
    in compliance with the provisions of clause 10.

 

	17.	Effect
    011 Landlord’s Insurance
	 	 
	 	The
    tenant must not do anything which may:

 

	 	17.1	Make
    the Landlord’s insurance invalid or capable of cancellation; or
	 	 	 
	 	17.2	Increase
    the Landlord’s insurance premium, unless the Landlord agrees and the Tenant pays the increase.

 

	18.	Amendment
    re Rent payable 011 Exercise of Option to Renew
	 	 
	 	The
    following sentence shall be added at the end of Clause 4.6:
	 	 
	 	“Any
    rent payable after a tenant renews this lease pursuant to this clause shall not be less than the rent payable immediately before
    the renewal, regardless of the method of calculating the new rent.”

 

	19.	Goods
    & Services Tax
	 	 
	 	The
    amounts payable by the lessee to the lessor under this Lease do not include any goods and services tax (“GST”). If any
    GST is or becomes chargeable with respect to the payment by the lessee to the lessor of rent or any other amounts under this Lease,
    the lessee must pay the GST or reimburse the lessor for any GST paid or payable by the lessor with respect to any amounts payable
    by the lessee under this Lease
	 	 
	20.	The
    Landlord and Tenant agree that there will be a one month rent free period from 15 July 2018 until 14 August 2018. No rent free period
    will be available for any option period or holding over period.

 

	 	 	 
	 	 	 
	 	 	 

 

    	Page 5 of 5

     

    

 

ANNEXURE
B

Page
1 of 13 pages

SEE
A SOLICITOR ABOUT THIS LEASE

 

ANNEXURE
B

 

	Lessor:	Adrian
    See and Li See
	 	 
	Lessee:	See
    Trading Co. Pty Ltd ACN 115 411 704

 

This
annexure consists of 13 pages.

 

©2006
COPYRIGHT of the Law Society of New South Wales which has approved this annexure as printed to clause 18. WARNING: Unauthorised reproduction
in whole or in part is an infringement of copyright.

 

	NOTE:	 	Any
    alterations and additions to Lease Covenants in Annexure B must be made by additional clauses in Annexure A. The printed clauses
    in Annexure B are to remain in their copyright form without alteration.

 

CONTENTS

 

	CLAUSE	 	SUBJECT	 	PAGE	 	CLAUSE	 	SUBJECT	 	PAGE
	 	 	 	 	 	 	 	 	 	 	 
	1	 	Form
    of this Lease	 	2	 	11	 	Lessor’s
    other Obligations	 	9
	2	 	Parties	 	2	 	12	 	Forfeiture
    and End of Lease	 	9
	3	 	The
    Property	 	2	 	13	 	Guarantee	 	10
	4	 	Lease
    Period	 	2	 	14	 	Exclusions,
    Notices and	 	 
	5	 	Money	 	3	 	 	 	Special
    Clauses	 	10
	6	 	Use	 	5	 	15	 	Goods
    and Services Tax	 	11
	7	 	Condition
    and Repairs	 	6	 	16	 	Bank
    Guarantee	 	11
	8	 	Insurance
    and Damage	 	7	 	17	 	Security
    Deposit	 	11
	9	 	Access	 	7	 	18	 	Strata
    Conversion	 	11
	10	 	Transfer
    and Sublease	 	8	 	 	 	 	 	 

 

RETAIL
LEASE CERTIFICATE

 

If
section 16 of the Retail Leases Act 1994 applies to this lease, and the term plus any further terms are less than 5 years (subject
to section 16(4)), the term will be extended unless a section 16 certificate is given. Sections 16(1) and (2) provide -

 

	16(1)	The
    term for which a retail shop lease is entered into, together with any further term or terms provided for by any agreement or option
    for the acquisition by the lessee of a further term as an extension or renewal of the lease, must not be less than 5 years. An agreement
    or option is not taken into account if it was entered into or conferred after the lease was entered into.
	16(2)	If
    a lease is entered into in contravention of this section, the validity of the lease is not thereby affected but the term of the lease
    is extended by such period as may be necessary to prevent the lease contravening this section.

 

I
certify that I am a solicitor not acting for the lessor and that at the request of the lessee I explained to the lessee before (or within
6 months after) the lessee entered into this lease -

 

	 	■	the
    effect of sections 16(1) and (2); and
	 	■	that
    the giving of this certificate would result in section 16 not applying to this lease.

 

	 	 	 
	Date	 	Signature
	 	 	 
	 	 	 
	 	 	NAME
    (BLOCK LETTERS)
	 	 	 
	 	 	 
	 	 	 
	 	 	 

 

    	 

     

    

 

ANNEXURE
B

PAGE
2 OF 13 PAGES

 

	CLAUSE
    1	 	FORM
    OF THIS LEASE
	 	 	 
	 	 	What
    are the parts to this lease?

 

	 	1.1	 	There
    are three parts to this lease - a lease form, Annexure A and this annexure. 
	 	1.2	 	This
    lease is a deed even if it is not registered.
	 	1.3	 	A
    reference in this deed to the schedule is to the schedule of items commencing at item 1 on the lease form and ending with item 20
    in Annexure A.

 

	CLAUSE
    2	 	PARTIES
	 	 	 
	 	 	Who
    are the parties to this lease? 

 

	 	2.1	 	The
    lessor is named on page 1 of this lease. 
	 	2.2	 	The
    lessee is named on page 1 of this lease.
	 	2.3	 	The
    guarantor is named in item 10 in the schedule, if there is a guarantor.
	 	2.4	 	If
    a party consists of two or more persons, obligations of that party can be enforced against any one or more of them.

 

	CLAUSE
    3	 	THE
    PROPERTY
	 	 	 
	 	 	What
    property is leased?

 

	 	3.1	 	The
    property leased is described on page 1 of this lease.
	 	3.2	 	The
    lessor’s fixtures are included in the property leased.
	 	3.3	 	If
    anything else is leased (such as furniture belonging to the lessor) and is described in item 11 in the schedule it is included in
    the property.
	 	3.4	 	If
    the property has facilities and services shared in common with other persons in the same building as the property, clause 11.3.2
    applies to those common facilities. The lessee shares the common facilities with the lessor, and with other lessees of the lessor.
    The lessor can set reasonable rules for sharing these common facilities.

 

	CLAUSE
    4	 	LEASE
    PERIOD
	 	 	 
	 	 	How
    long is this lease for?

 

	 	4.1	 	This
    lease is for the period stated in item 1 in the schedule, commences on the date stated in item 2 in the schedule and ends on the
    date stated in item 3 in the schedule.
	 	4.2	 	If
    a further period, commencing when this lease ends, is stated in item 12A in the schedule then the lessee has the option to renew
    this lease for that period.
	 	4.3	 	The
    lessee can renew this lease more than once if that is stated in item 12B in the schedule. However the period of tenancy under this
    lease and under any renewal(s) is, in total, not longer than the maximum period stated in item 12C in the schedule.
	 	4.4	 	The
    lessee can exercise the option only if –

 

	 	4.4.l	the
    lessee serves on the lessor a notice of exercise of option not earlier than the first day stated in item 12D in the schedule and
    not later than the last day stated in item 12E in the schedule;
	 	4.4.2	there
    is at the time of service no rent or outgoing that is overdue for payment; and
	 	4.4.3	at
    the time of service all the other obligations of the lessee have been complied with or fully remedied in accordance with the terms
    of any notice to remedy given by the lessor.

 

	 	 	 	If
    this lease is extended by legislation, items 12D and 12E in the schedule are adjusted accordingly.
	 	 	 	 
	 	4.5	 	After
    exercising the option the lessee must continue to pay all rents and outgoings on time and continue to comply with all of the lessee’s
    obligations under this lease. If the lessee does not do so, the lessor may treat any breach as being a breach of the new lease as
    well as of this lease.

 

    	 

     

    

 

ANNEXURE
B

PAGE
3 OF 13 PAGES

 

	 	4.6	A
    new lease will be the same as this lease except for –

 

	 	4.6.1	the
    new rent;
	 	4.6.2	the
    commencement date and the termination date;
	 	4.6.3	the
    omission of clauses 4.2, 4.3, 4.4, 4.5 and 4.6 and items 12A and 12B in the schedule in the last lease allowed in item 12 in the
    schedule;
	 	4.6.4	item
    12B becoming item 12A;
	 	4.6.5	adjustment
    of item 12C in the schedule; and
	 	4.6.6	adjustment
    of items 12D and 12E in the schedule. The number of days between the dates stated in items 12D and 12E in the schedule of the new
    lease and the termination date of the new lease and the number of days between each date stated in items 12D and 12E in the schedule
    of this lease and the termination date of this lease are to correspond.

 

If
the new rent is to be current market rent it will be decided in the same way that current market rent is to be decided under Method 3
stated in clause 5 assuming that this lease and the new lease were one continuous lease and the commencement date of the new lease was
a rent review date.

 

	CLAUSE
    5	 	MONEY

 

What
money must the lessee pay?

 

	 	5.1	The
    lessee must pay to the lessor or as the lessor directs –

 

	 	5.1.1	the
    rent stated in item 13A in the schedule;
	 	5.1.2	the
    share stated in item 14A in the schedule of those outgoings stated in item 14B in the schedule;
	 	5.1.3	the
    reasonable cost to the lessor remedying a default by the lessee;
	 	5.1.4	the
    reasonable cost to the lessor of dealing with any application by the lessee for the lessor’s consent under this lease (whether
    or not it is given);
	 	5.1.5	interest
    on these moneys at the rate stated in item 15 in the schedule when payment is more than 14 days overdue, calculated from the due
    date to the date of payment;
	 	5.1.6	registration
    fee for registration of this lease at Land and Property Information NSW (payable on delivery to the lessor’s solicitor of the
    executed lease);
	 	5.1.7	stamp
    duty on this lease (payable on delivery to the lessor’s solicitor of the executed lease) if not previously paid by the lessee
    to the Office of State Revenue;
	 	5.1.8	if
    the lessee defaults, the lessor’s reasonable legal costs relating to the default;
	 	5.1.9	the
    lessor’s reasonable costs and expenses in connection with the preparation of this lease but only that part of those costs and
    expenses which are permitted to be recovered by a lessor under section 14 and section 45 of the Retail Leases Act, 1994; and
	 	5.1.10	GST
    as provided for in clause 15.

 

		5.2	The
                                            first month’s instalment of rent is to be paid by the c01runencement date. Each later
                                            month’s instalment of rent is to be paid in advance.
	 	 	 
		5.3	A
                                            payment under clause 5.1.2 must be paid on the next rent day after a request for payment
                                            is made by the lessor.

 

A
request for payment can be made –

 

	 	5.3.1	after
    the lessor has paid an outgoing; or
	 	5.3.2	after
    the lessor has received an assessment or account for payment of an outgoing.

 

If
item 14B in the schedule refers to land tax –

 

	 	■	if
    the property is a strata lot, the relevant land tax is land tax on that lot;
	 	■	if
    the property is not a strata lot but is part of a building, the relevant land tax is land tax on the land on which the building is
    situated, plus any land of the lessor used or available for use by or for the benefit of lessees conducting business in the building
    or in connection with trading in the building; and
	 	■	in
    either case, the land tax must be calculated as if the land was the only land owned by the lessor and there was no special trust
    or non-concessional company involved.

 

    	 

     

    

 

ANNEXURE
B

PAGE
4 OF 13 PAGES

 

When
and how is the rent to be reviewed?

 

	 	5.4	The
    rent is to be reviewed on the rent review dates stated in item 16 in the schedule.
	 	 	 
	 	 	If
    this lease is extended by legislation, the rent review dates include each anniversary of the latest rent review date stated in item
    16 in the schedule (or if none is stated each anniversary of the commencement date) which falls during the extension.
	 	 	 
	 	5.5	The
    lessee must continue to pay rent at the old rate until the new rate is known. After that, the lessee is to pay the new rent from
    the next rent day. By that rent day the lessee is also to pay any shortfall between the old and new rate for the period since the
    rent review date. Alternatively, the lessor is to refund to the lessee any overpayment of rent.
	 	 	 
	 	5.6	There
    are three different methods described here for fixing the new rent on a rent review date. The method agreed by the lessor and the
    lessee is stated at item 16 in the schedule. The lessee is entitled to a reduction if the method produces a rent lower than the rent
    current just before the review date.

 

Method
1. By a fixed amount or percentage.

 

	 	5.7	In
    this case the rent beginning on each review date will be increased by the percentage or amount stated in item 16 in the schedule.
	 	 	 
	 	 	Method
    2. By reference to Consumer Price Index.
	 	 	 
	 	5.8	In
    this case –

 

	 	■	take
    the yearly rent as of the last review date or if none, the rent at the commencement date ($X),
	 	■	divide
    that rent by the Consumer Price Index Number for Sydney (All Groups) for the quarter ended just before that date (CPI 1),
	 	■	multiply
    the result by the Consumer Price Index Number for Sydney (All Groups) for the quarter ended just before the review date (CPI 2).

 

The
product is the new rent for the year beginning on the review date ($Y), written as a formula –

 

	 	$X	x	CPI
    2	=	$Y 
	 	CPI 1	 	 	 	 

 

	 	5.9	The
    lessor must calculate the new rent after each review date and give the lessee written notice of the new rent.
	 	 	 
	 	5.10	If
    the Australian Bureau of Statistics makes a change in the reference base of the index and there is a published co-relation between
    the old and new base then the published co-relation is to be applied to convert the CPI l figure to the new reference base. If there
    is none then the lessor and the lessee agree to accept the calculations of the lessor’s solicitor who must be retained to determine
    a fair co-relation between the old and the new series of numbers.
	 	 	 
	 	5.11	If
    the index used to calculate the new rent is discontinued the lessor may substitute another index that, as nearly as practicable,
    serves the same purpose and, if there is no such index, then the rent will be fixed by Method 3.

 

Method
3. By reference to current market rent.

 

	 	5.12	In
    this case the rent is to be the current market rent. This can be higher or lower than the rent payable at the rent review date and
    is the rent that would reasonably be expected to be paid for the property, determined on an effective rent basis, having regard to
    the following matters –

 

	 	5.12.1	the
    provisions of this lease;
	 	5.12.2	the
    rent that would reasonably be expected to be paid for the property if it were unoccupied and offered for renting for the same or
    a substantially similar use to which the property may be put under this lease;
	 	5.12.3	the
    gross rent, less the lessor’s outgoings payable by the lessee;
	 	5.12.4	where
    the property is a retail shop, rent concessions and other benefits that are frequently or generally offered to prospective lessees
    of unoccupied retail shops; and
	 	5.12.5	the
    value of goodwill created by the lessee’s occupation and the value of lessee’s fixtures and fittings are to be ignored.

 

    	 

     

    

 

ANNEXURE
B

PAGE
 5 OF 13 PAGES

 

	 	5.13	The
    lessor or the lessee can inform the other in writing at least 60 days before the rent review date of the rent that the lessor or
    lessee thinks will be the current market rent at the review date.
	 	 	 
	 	5.14	If
    the lessor and the lessee agree on a new rent then that rent will be the new rent beginning on the rent review date and the lessor
    and the lessee must sign a statement saying so.
	 	 	 
	 	5.15	If
    the lessor and the lessee do not agree on the amount of the new rent 30 days before the rent review date, the current market rent
    will be decided by a valuer appointed under clause 5.16.
	 	 	 
	 	5.16	 

 

	 	5.16.1	Unless
    5.16.2 applies the lessor and the lessee can either agree upon a valuer or can ask the President of the Law Society of New South
    Wales to nominate a person who is a licensed valuer to decide the current market rent.
	 	5.16.2	Where
    the property is a retail shop, the valuer appointed must be a specialist retail valuer.

 

	 	5.17	The
    valuer will act as an expert not an arbitrator. The lessor and the lessee can each make submissions in writing to the valuer within
    14 days after they receive notice of the valuer’s appointment but not later unless the valuer agrees.
	 	 	 
	 	5.18	The
    valuer’s decision is final and binding. The valuer must state how the decision was reached.
	 	 	 
	 	5.19	If
    the valuer –

 

	 	5.19.1	does
    not accept the nomination to act; or
	 	5.19.2	does
    not decide the current market rent within 1 month after accepting the nomination; or
	 	5.19.3	becomes
    incapacitated or dies; or
	 	5.19.4	resigns,

 

then
another valuer is to be appointed in the same way.

 

	 	5.20	The
    lessor and lessee must each pay half the valuer’s costs.
	 	 	 
	 	5.21	If
    the lessor and lessee do not agree upon a valuer and neither asks for a valuer to be nominated before –

 

	 	5.21.1	the
    next rent review date passes; or
	 	5.21.2	this
    lease ends without the lessee renewing it; or
	 	5.21.3	this
    lease is transferred after the rent review date with the lessor’s consent; or
	 	5.21.4	the
    property is transferred after the rent review date

 

then
the rent will not change on that rent review date.

 

	CLAUSE
    6	 	USE

 

How
must the property be used?

 

	 	6.1	The
    lessee must –

 

	 	6.1.1	use
    the property for the purpose stated in item 17 in the schedule and not for any other purpose;
	 	6.1.2	open
    for business at times usual for a business of the kind conducted by the lessee;
	 	6.1.3	keep
    the property clean and dispose of waste properly; and
	 	6.1.4	comply
    with all laws relating to strata schemes and all other laws regulating how the property is used, obtain any consents or licences
    needed, comply with any conditions of consent, and keep current any licences or registrations needed for the use of the property
    or for the conduct of the lessee’s business there.
	 	6.1.7	where
    the property is a lot in a strata scheme:

 

	 	6.1.7.1	use
    the lessor’s common property only in connection with the use of the property;
	 	6.1.7.2	co-operate
    with all other permitted users of the common property;
	 	6.1.7.3	comply
    with so many of the provisions of the Strata Schemes Management Act 1996 and the Strata Schemes (Freehold Development)
    Act 1973 and the by-laws and all lawful orders, motions and directives under these Acts as may be applicable to the exercise
    of the lessee’s rights and obligations under this lease.

 

    	 

     

    

 

ANNEXURE
B

PAGE
 6 OF 13 PAGES

 

	 	6.2	 	The
    lessor can consent to a change of use and cannot withhold consent unreasonably.
	 	 	 	 
	 	6.3	 	The
    lessee must not –

 

	 	6.3.1	do
    anything that might invalidate any insurance policy covering the property or that might increase the premium unless the lessor consents
    in which case the lessee must pay the increased premium; or
	 	6.3.2	use
    the property as a residence or for any activity that is dangerous, offensive, noxious, illegal or immoral or that is or may become
    a nuisance or annoyance to the lessor or to the owner or occupier of any neighbouring property; or
	 	6.3.3	hold
    any auction, bankrupt or fire sale in the property; or
	 	6.3.4	display
    signs or adve1tisements on the outside of the property, or that can be seen from the outside, unless the lessor consents (but the
    lessor cannot withhold consent unreasonably); or
	 	6.3.5	overload
    the floors or walls of the property; or
	 	6.3.6	without
    the prior written consent of the lessor and/or the owners corporation, use the common property for any purpose other than for access
    to and egress from the property.

 

	CLAUSE
    7	 	CONDITION
    AND REPAIRS

 

Who
is to repair the property?

 

	 	7.1	 	The
    lessor must -

 

	 	7.1.1	maintain
    in a state of good condition and serviceable repair the roof, the ceiling, the external walls and external doors and associated door
    jambs, and the floors of the property and must fix structural defects;
	 	7.1.2	maintain
    the property in a structurally sound condition; and
	 	7.1.3	maintain
    essential services.

 

	 	7.2	 	The
    lessee must otherwise maintain the prope1ty in its condition at the commencement date and promptly do repairs needed to keep it in
    that condition but the lessee does not have to -

 

	 	7.2.1	alter
    or improve the property; or
	 	7.2.2	fix
    structural defects; or
	 	7.2.3	repair
    fair wear and tear.

 

	 	7.3	 	The
    lessee must also -

 

	 	7.3.1	reimburse
    the lessor for the cost of fixing structural damage caused by the lessee, apart from fair wear and tear;
	 	7.3.2	maintain
    and decorate the shop front if the property has one;
	 	7.3.3	decorate
    the inside of the property in the last 3 months of the lease period (however it ends) - ‘decorate’ here means restoring
    the surfaces of the property in a style and to a standard of finish originally used e.g. by repainting;
	 	7.3.4	where
    the property is a lot in a strata scheme:

 

	 	7.3.4.1	meet
    the cost of all damage to the common property occasioned by the lessee or any invitee or licensee of the lessee; and
	 	7.3.4.2	permit
    the owners corporation, temporarily, to close any part of the common property for the purpose of making and effecting repairs to
    it.

 

	 	7.4	 	If
    an authority requires work to be done on the property and it is structural work or work needed to make the property safe to use then
    the lessor must do the work unless it is required only because of the way the lessee uses the property. But if it is any other work
    or is required only because of the way the lessee uses the property then the lessee must do the work.
	 	 	 	 
	 	7.5	 	If
    the lessee fails to do any work that the lessee must do the lessor can give the lessee a notice in writing stating what the lessee
    has failed to do. After the notice is given the lessee must -

 

	 	7.5.1	do
    the work immediately if there is an emergency; and
	 	7.5.2	do
    the work promptly and diligently in any other case.

 

If
the lessee does not do the work, the lessor can do it and the lessee must reimburse the lessor for the cost of the work.

 

    	 

     

    

 

ANNEXURE
B

PAGE
 7 OF 13 PAGES

 

	 	7.6	 	The
    lessee must not make any structural alterations to the property. Any other alterations require the lessor’s consent in writing
    (but the lessor cannot withhold consent unreasonably).

 

	CLAUSE
    8	 	INSURANCE
    AND DAMAGE

 

What
insurances must the lessee take out?

 

	 	8.1	 	The
    lessee must keep current an insurance policy covering -

 

	 	8.1.1	liability
    to the public in an amount not less than the amount stated in item 18 in the schedule (for each accident or event); and
	 	8.1.2	damage
    or destruction from any cause to all plate glass in the windows and other portions of the property

 

and
must produce to the lessor, upon request, the policy and the receipt for the last premium.

 

What
happens if the property is damaged?

 

	 	8.2	 	If
    the property or the building of which it is part is damaged (a term which includes destroyed)-

 

	 	8.2.1	the
    lessee is not liable to pay rent, or any amount payable to the lessor in respect of outgoings and other charges, that is attributable
    to any period during which the property cannot be used under this lease or is inaccessible due to that damage;
	 	8.2.2	if
    the property is still useable under this lease but its useability is diminished due to the damage, the lessee’s liability for
    rent and any amount in respect of outgoings attributable to any period during which useability is diminished is reduced in proportion
    to the reduction in useability caused by the damage;
	 	8.2.3	if
    the lessor notifies the lessee in writing that the lessor considers that the damage is such as to make its repair impracticable or
    undesirable, the lessor or the lessee can terminate this lease by giving not less than 7 days notice in writing of termination to
    the other and no compensation is payable in respect of that termination;
	 	8.2.4	if
    the lessor fails to repair the damage within a reasonable time after the lessee requests the lessor to do so the lessee can terminate
    this lease by giving not less than 7 days notice in writing of termination to the lessor; and
	 	8.2.5	nothing
    in clause 8.2 affects any right of the lessor to recover damages from the lessee in respect of any damage or destruction to which
    the clause applies.

 

	CLAUSE
    9	 	ACCESS

 

What
are the lessor’s rights of access to the property?

 

	 	9.1	 	The
    lessee must give the lessor (or anyone authorised in writing by the lessor) access to the property at any reasonable time for the
    purpose of -

 

	 	9.1.1	inspecting
    the condition of the property, or how it is being used; or
	 	9.1.2	doing
    anything that the lessor can or must do under this lease or must do by law; or
	 	9.1.3	viewing
    the property as a valuer, prospective buyer or mortgagee; or
	 	9.1.4	fixing
    a notice in a reasonable position on the outside of the property saying that it is for sale; or
	 	9.1.5	viewing
    the property as a prospective lessee not earlier than 6 months before the lease period ends; or
	 	9.1.6	fixing
    a notice not earlier than 6 months before the lease period ends in a reasonable position on the outside of the property saying that
    it is to let; or
	 	9.1.7	inspecting,
    cleaning or repairing another property or any services to another property.

 

	 	9.2	 	The
    lessor must give the lessee at least 2 days written notice for access (except in an emergency). The day of the giving of the notice
    and any Saturday, Sunday or public holiday on which the property is not open for business are not counted.
	 	9.3	 	The
    lessor must promptly make good any damage caused to the property and to any of the lessee’s belongings which results from exercising
    these rights.
	 	9.4	 	The
    lessee must give to the lessor a copy of any notice relating to the property or relating to any neighbouring property immediately
    after receiving the notice.

 

    	 

     

    

 

ANNEXURE
B

PAGE
 8 OF 13 PAGES

 

	CLAUSE
    10	 	TRANSFER
    AND SUB-LEASE

 

Can
this lease be transferred or the property shared or sub-let?

 

	 	10.1	 	The
    lessee must not transfer this lease without consent.
	 	 	 	 
	 	10.2	 	The
    lessor can withhold consent only if -

 

	 	10.2.1	the
    proposed transferee proposes to change the use to which the property is put; or
	 	10.2.2	where
    the property is a retail shop, the proposed transferee has financial resources or retailing skills inferior to those of the proposed
    transferor and otherwise the proposed transferee has financial resources or business experience inferior to those of the proposed
    transferor; or
	 	10.2.3	the
    lessee has not complied with clause 10.3 and, where the property is a retail shop, clause 10.4.

 

	 	10.3	 	A
    request for the lessor’s consent to a transfer of lease must be made in writing and the lessee must provide the lessor with
    such information as the lessor may reasonably require concerning the financial standing and business experience of the proposed transferee.
	 	 	 	 
	 	10.4	 	Where
    the property is a retail shop, before requesting the consent of the lessor to a proposed transfer of this lease, the lessee must
    furnish the proposed transferee with a copy of any disclosure statement given to the lessee in respect of this lease, together with
    details of any changes that have occurred in respect of the information contained in the disclosure statement (being changes of which
    the lessee was aware or could reasonably be expected to be aware). For the purpose of enabling the lessee to comply with this obligation,
    the lessee can request the lessor to provide the lessee with a copy of the disclosure statement concerned and, if the lessor is unable
    or unwilling to comply with such a request within 14 days after it is made, this clause 10.4 does not apply.
	 	 	 	 
	 	10.5	 	Where
    the lessee has complied with clause 10.3 and where required to do so clause 10.4, and the lessor has not within 42 days or where
    the Retail Leases Act 1994 applies 28 days after the request was made or the lessee has complied with paragraphs 41(a) and
    41(b) of that Act, whichever is the later, given notice in writing to the lessee either consenting or withholding consent the lessor
    is taken to have consented.
	 	 	 	 
	 	10.6	 	The
    lessee has to pay in connection with any consent the lessor’s reasonable legal costs, the reasonable costs of obtaining any
    mortgagee’s consent, the stamp duty and the registration fee for the transfer.
	 	 	 	 
	 	10.7	 	Where
    the property is a retail shop, the lessee can sublet, grant a license or concession, share or part with the possession of the whole
    or any part of the property or mortgage or otherwise charge or encumber the lessee’s estate or interest in this lease only
    with the written consent of the lessor which can be refused in the lessor’s absolute discretion. Otherwise, the lessee cannot
    do any of these things.

 

	CLAUSE
    11	 	LESSOR’S
    OTHER OBLIGATIONS

 

What
are the lessor’s other obligations?

 

	 	11.1	 	So
    long as the lessee does all the things that must be done by the lessee under this lease the lessor must allow the lessee to possess
    and use the property in any way permitted under this lease without interference from the lessor, or any person claiming under the
    lessor or having superior title to the title of the lessor.
	 	 	 	 
	 	11.2	 	The
    lessor must pay all outgoings for the land or the building of which the property is part when they fall due.
	 	 	 	 
	 	11.3	 	If
    the property is part of a building owned or controlled by the lessor –

 

	 	11.3.
    l	the
    lessor must maintain in reasonable structural condition all parts of the building that the lessee can use under this lease; and
	 	11.3.2	if
    the property has facilities and service connections shared in common with other persons the lessor must-

 

	 	11.3.2.1	allow
    reasonable use of the facilities and service connections including -

	 	■	the
    right for the lessee and other persons to come and go to and from the property over the areas provided for access;
	 	■	access
    by the lessee to service connections; and
	 	■	the
    right for the lessee’s customers to park vehicles in any area set aside for customer parking, subject to any reasonable rules
    made by the lessor.

	 	11.3.2.2	maintain
    the facilities and service connections in reasonable condition.

 

	 	11.4	 	Where
    registration is necessary for the validity of this lease, the lessor must ensure that this lease is registered.
	 	 	 	 
	 	11.5	 	If
    a consent is needed for this lease, from someone such as a mortgagee or head lessor of the property, then the lessor must get the
    consent.

 

    	 

     

    

 

ANNEXURE
B

PAGE
 9 OF 13 PAGES

 

	CLAUSE
    12	 	FORFEITURE
    AND END OF LEASE

 

When
does this lease end?

 

	 	12.1	 	This
    lease ends -

 

	 	12.1.1	on
    the date stated in item 3 in the schedule; or
	 	12.1.2	if
    the lessor lawfully enters and takes possession of any part of the property; or
	 	12.1.3	if
    the lessor lawfully demands possession of the property.

 

	 	12.2	 	The
    lessor can enter and take possession of the property or demand possession of the property if-

 

	 	12.2.1	the
    lessee has repudiated this lease; or
	 	12.2.2	rent
    or any other money due under this lease is 14 days overdue for payment; or
	 	12.2.3	the
    lessee has failed to comply with a lessor’s notice under section 129 of the Conveyancing Act 1919; or
	 	12.2.4	the
    lessee has not complied with any term of this lease where a lessor’s notice is not required under section 129 of the Conveyancing
    Act 1919 and the lessor has given at least 14 days written notice of the lessor’s intention to end this lease.

 

	 	12.3	 	When
    this lease ends, unless the lessee becomes a lessee of the property under a new lease the lessee must-

 

	 	12.3.1	return
    the property to the lessor in the state and condition that this lease requires the lessee to keep it in; and
	 	12.3.2	have
    removed any goods and anything that the lessee fixed to the property and have made good any damage caused by the removal.

 

Anything
not removed becomes the property of the lessor who can keep it or remove and dispose of it and charge to the lessee the cost of
removal making good and disposal.

 

	 	12.4	 	If
    the lessor allows the lessee to continue to occupy the property after the end of the lease period (other than under a new lease)
    then -

 

	 	12.4.1	the
    lessee becomes a monthly lessee and must go on paying the same rent and other money in the same way that the lessee had to do under
    this lease just before the lease period ended (apportioned and payable monthly);
	 	12.4.2	the
    monthly tenancy will be on the same terms as this lease, except for -

	 	■	clause
    4;
	 	■	clauses
    5.4 to 5.21 inclusive; and
	 	■	clause
    6.2 unless consent has previously been given;

	 	12.4.3	either
    the lessor or the lessee can end the monthly tenancy by giving, at any time, one month’s written notice to the other expiring
    on any date; and
	 	12.4.4	anything
    that the lessee must do by the end of this lease must be done by the end of the monthly tenancy.

 

	 	12.5	 	Essential
    terms of this lease include -

 

	 	12.5.1	the
    obligation to pay rent not later than 14 days after the due date for payment of each periodic instalment (and this obligation stays
    essential even if the lessor, from time to time, accepted late payment);
	 	12.5.2	the
    obligations of the lessee in clause 5.1.2 (dealing with outgoings);
	 	12.5.3	the
    obligations of the lessee in clause 6.1 (dealing with use);
	 	12.5.4	the
    obligations of the lessee in clause 7 (dealing with repairs);
	 	12.5.5	the
    obligations of the lessee in clause 10 (dealing with transfer and sub-lease); and
	 	12.5.6	the
    obligations of the lessee in clause 15 (dealing with GST).

 

    	 

     

    

 

ANNEXURE
B

PAGE
 10 OF 13 PAGES

 

	 	12.6	 	If
    there is a breach of an essential term the lessor can recover damages for losses over the entire period of this lease but must do
    every reasonable thing to mitigate those losses and try to lease the property to another lessee on reasonable terms.
	 	 	 	 
	 	12.7	 	The
    lessor can recover damages even if-

 

	 	12.7.1	the
    lessor accepts the lessee’s repudiation of this lease; or
	 	12.7.2	the
    lessor ends this lease by entering and taking possession of any part of the property or by demanding possession of the property;
    or
	 	12.7.3	the
    lessee abandons possession of the property; or
	 	12.7.4	a
    surrender of this lease occurs.

 

	CLAUSE
    13	 	GUARANTEE

 

What
are the obligations of a guarantor?

 

	 	13.1	 	This
    clause applies if a guarantor of the lessee is named in item 10A in the schedule and has signed or executed this lease or, if this
    lease is a renewal of an earlier lease, the earlier lease.
	 	 	 	 
	 	13.2	 	The
    guarantor guarantees to the lessor the performance by the lessee of all the lessee’s obligations (including any obligation
    to pay rent, outgoings or damages) under this lease, under every extension of it or under any renewal of it or under any tenancy
    and including obligations that are later changed or created.
	 	 	 	 
	 	13.3	 	If
    the lessee does not pay any money due under this lease, under any extension of it or under any renewal of it or under any tenancy
    the guarantor must pay that money to the lessor on demand even if the lessor has not tried to recover payment from the
    lessee.
	 	 	 	 
	 	13.4	 	If
    the lessee does not perform any of the lessee’s obligations under this lease, under any extension of it or under any renewal
    of it or under any tenancy the guarantor must compensate the lessor even if the lessor has not tried to recover compensation from
    the lessee.
	 	 	 	 
	 	13.5	 	If
    the lessee is insolvent and this lease or any extension or renewal of it is disclaimed the guarantor is liable to the lessor for
    any damage suffered by the lessor because of the disclaimer. The lessor can recover damages for losses over the entire period of
    this lease or any extension or renewal but must do every reasonable thing to mitigate those losses and try to lease the property
    to another lessee on reasonable terms.
	 	 	 	 
	 	13.6	 	Even
    if the lessor gives the lessee extra time to comply with an obligation under this lease, under any extension of it or under any renewal
    of it or under any tenancy, or does not insist on strict compliance with the terms of this lease or any extension of it or renewal
    of it or of any tenancy, the guarantor’s obligations are not affected.
	 	 	 	 
	 	13.7	 	If
    an amount is stated in item 10B in the schedule the guarantor’s liability under this clause is limited to that amount.
	 	 	 	 
	 	13.8	 	The
    terms of this guarantee apply even if this lease is not registered, even if any obligation of the lessee is only an equitable one,
    and even if this lease is extended by legislation.

 

	CLAUSE
    14	 	EXCLUSIONS,
    NOTICES AND SPECIAL CLAUSES

 

	 	14.1	 	No
    covenant or power is implied in this lease by section 84 or 85 of the Conveyancing Act 1919.
	 	 	 	 
	 	14.2	 	A
    document under or relating to this lease is -

 

	 	14.2.1	served
    if it is served in any manner provided in section 170 of the Conveyancing Act 1919; and
	 	14.2.2	served
    on the lessee if it is left at the property.

 

	 	14.3	 	This
    lease is subject to any legislation that cannot be excluded.
	 	 	 	 
	 	14.4	 	In
    this lease, ‘retail shop’ means premises to which the Retail Leases Act 1994 applies.
	 	 	 	 
	 	14.5	 	In
    this lease ‘Director General’ has the same meaning as in the Retail Leases Act 1994.

 

    	 

     

    

 

Annexure B

PAGE 11 of
13 pages

 

	

CLAUSE
15

	 	GOODS
  AND SERVICES TAX

 

	 	 	Unless
    item 13B in the schedule has been completed in a way that indicates that this clause is not to apply:

 

	15.1		As
                                            consideration in whole or in part for a taxable supply the person receiving the supply must
                                            pay to the party making the supply an additional amount equal to the amount of GST payable
                                            on the supply.
	 	 	 
	15.2		To
                                            the extent that the lessee is required to reimburse the lessor in whole or in part for outgoings
                                            incurred by the lessor, for the purposes of this lease the amount of the outgoings must be
                                            reduced by the amount of any credit or refund of GST to which the lessor is entitled as a
                                            result of incurring outgoings.
	 	 	 
	15.3		Outgoings in item 14B in the schedule are to be calculated after deducting any input tax credit to which the lessor is
                                                                                                                                                                                                                                                 entitled.
	 	 	 
	15.4		For
                                            the purposes of this lease GST means a tax in the nature of a supply of goods and services
                                            tax levied or imposed by the Commonwealth of Australia.
	 	 	 
	CLAUSE
16	 	BANK
                                            GUARANTEE
	 	 	 
	16.1	 	If
                                            a number of months appears in item 19 in the schedule, clauses 16.2 to 16.5 apply.
	 	 	 
	16.2	 	On
                                            or before the commencement date of this lease the lessee will deliver to the lessor a guarantee
                                            by a bank trading in the State of New South Wales in the form of an unconditional and irrevocable
                                            undertaking to pay drawn in favour of the lessor (unlimited as to time) in a form acceptable
                                            to the lessor and for an amount equivalent to the number of months referred to in item 19
                                            in the schedule.

	 	 	 
	16.3	 	

The
lessor is entitled to claim under the guarantee an amount equal to any moneys due but unpaid by the lessee to the lessor under this lease.

	 	 	 
	16.4	 	The
                                            lessee agrees to vary the amount of the guarantee immediately upon each rent review so that
                                            the amount at all times represents the equivalent of the number of months referred to in
                                            the schedule.
	 	 	 
	16.5
	 	The
                                            lessor will deliver the guarantee (or so much of it as is then held by the lessor) to the
                                            lessee on the last of:

 

	 	 	16.5.1	 	the
  terminating date of this lease;
	 	 	16.5.2	 	 the
  expiry date of any holding over under this lease; and
	 	 	16.5.3	 	the
  date that the lessee has no further obligations under this lease or at law.

 

	CLAUSE
    17	 	SECURITY
    DEPOSIT
	 	 	 
	17.1	 	If
    an amount or a number of months appears in item 20 in the schedule, clauses 17.2 to 17.6 apply.
	 	 	 
	17.2	 	

On
or before the commencement date of this lease the lessee will deliver the security deposit to the lessor.

	 	 	 
	17.3	 	The
    lessor is entitled to deduct from the security deposit an amount equal to any monies due but unpaid by the lessee to the lessor under
    this lease.
	 	 	 
	17.4	 	

Where
the property is a retail shop, the security deposit will be held in accordance with Section 16C of the Retail Leases Act 1994.
The lessee will not make an application to the Director General seeking the return of the security deposit (or so much of it as is then
held by the Director General) until the later of:

 

	 	 	17.4.1	 	the
    terminating date of this lease;
	 	 	17.4.2	 	the
    expiry date of any holding over under this lease; and
	 	 	17.4.3	 	the
    date that the lessee has no further obligations under this lease or at law.

 

	17.5	 	Where
                                            the property is other than a retail shop the security deposit (or so much of it as is then
                                            held by the lessor) will be returned to the lessee on the later of the dates as specified
                                            in clause 17.4.
	 	 	 
	17.6	 	The
                                            lessee agrees to vary the amount of the security deposit immediately upon each rent review
                                            so that it represents the equivalent of the number of months referred to in the schedule.
	 	 	 
	CLAUSE
18	 	STRATA
                                            CONVERSION
	 	 	 
	18.1		“Owners
                                            corporation”, “owner”, “strata scheme”, “lot” and “parcel”
                                            where used in this lease have the meanings given under the Strata Schemes Management Act
                                            1996 and the Strata Schemes (Freehold Development) Act 1973.

 

    	 

     

    

 

Annexure B

PAGE 12 of
13 pages

 

	18.2	 	“Strata
    Acts” means the Strata Schemes Management Act 1996 and the Strata Schemes (Freehold Development) Act 1973, and
    includes any amending Acts, rules, regulations, ordinances, by-laws, statutory instruments, orders or notices now or hereafter made
    under those Acts.
	 	 	 
	18.3	 	“Strata
    conversion” means a subdivision of the property under the Strata Schemes (Freehold Development) Act 1973 or the Community
    Land Development Act 1989 or the Community Land Management Act 1989 or other legislation permitting such subdivision.
	 	 	 
	18.4	 	Strata
    Titles

 

	 	18.4.1	Lessee
    consents to registration of strata plan

 

	 	18.4.1.1	By
    its entry into this lease the lessee acknowledges that the lessor can register a strata plan, a strata schemes plan, a strata plan
    of subdivision, a strata plan of consolidation or a building alteration plan insofar as any of these may relate to the property,
    the Building or the land. The lessor will provide the lessee with copies of the proposed strata plan and associated documentation
    for the lessee’s approval, which will not be unreasonably withheld.
	 	 	 
	 	18.4.1.2	Provided
    the lessee consents to the strata conversion as per clause 18.4.1.1 then within 7 days of written request by the lessor the lessee
    will sign and return to the lessor any consents or other documents necessary to enable the lessor to carry out the strata conversion
    and will make no objection or claim for compensation in relation to the strata conversion.

 

	 	18.4.2	Compliance
    with the Strata Acts and by-laws:

 

	 	18.4.2.1	(Covenant):
    The lessee and any and all persons acting by, through or under it or with its authority express or implied shall comply with
    so many of the provisions of the Strata Acts and the by-laws and all lawful orders, motions and directives under the Strata Acts
    as may be applicable to the exercise of the lessee’s rights and obligations under the provisions elsewhere contained in this
    lease.
	 	 	 
	 	18.4.2.2	Not
    to prejudice interests of owners corporation. Without the prior written consent of the owners corporation, the lessee shall not
    do any act, matter or thing under the exercise of its rights and obligations elsewhere contained in this lease or permit or allow
    any act, matter or thing to be done which shall or may:

 

	 	■	increase
    the rate of premium payable by the owners corporation under any policy of insurance taken out by the owners corporation; or
	 	 	 
	 	■	invalidate,
    avoid or suspend the operation of any such policy of insurance or otherwise prejudice the owners corporation rights under any such
    policy.

 

	 	18.4.2.3	Upon
    the occurrence of any of the matters previously referred to the lessee shall:

 

	 	■	pay
    to the lessor or such other person responsible for payment any amounts payable to the owners corporation as a consequence of any
    such matters;
	 	 	 
	 	■	pay
    to the lessor for and on behalf of the owners corporation any amounts payable by the owners corporation as a consequence of any such
    matters and not the subject of clause 18.4.2.2; and
	 	 	 
	 	■	pay
    to the lessor for and on behalf of the owners corporation the amount of any and all losses and damages arising from the occurrence
    of any such matters.

 

	 	18.4.2.4	(Indemnity):
    The lessee shall indemnify the lessor for any loss or damage suffered by the lessor if the lessee or the lessee’s employees
    fail to comply with the obligations as to conduct imposed upon the lessee or the lessee’s employees by this lease or by reason
    of the Strata Acts.

 

	 	18.4.3	If
    the strata conversion occurs:

 

	 	18.4.3.1	any
    reference in this lease will be deemed to be a reference to the buildings comprised in the registered plan or plans of which the
    property forms part;
	 	 	 
	 	18.4.3.2	any
    levies or other monies payable to the owners corporation will be payable by the lessee with the exception of any contribution to
    a sinking fund or special levy; and
	 	 	 
	 	18.4.3.3	this
    lease will be deemed to be amended in any respect that is necessary to ensure that this lease reflects that the strata conversion
    has been carried out.

 

    	 

     

    

 

Annexure B

PAGE 13 of
13 pages

 

IMPORTANT
NOTES

 

The
following notes are for guidance and do not form part of this lease.

 

If
you are a lessor, a solicitor will prepare this lease for you.

 

If
you are a lessee, a solicitor can advise you about it.

 

	1.	This document creates legal rights and legal obligations.
	 	 
	2.	Failure to register a lease can have serious consequences.
	 	 
	3.	If an option for renewal is not exercised at the right
    time it will be lost.
	 	 
	4.	The lessee can exercise an
    option for renewal even if there has been a breach of this lease in a case where section 133E of the Conveyancing Act 1919 applies.
    The lessor must give a prescribed notice within 14 days after the option is exercised if the lessor wants to rely on the breach to
    prevent the exercise of the option.
	 	 
	5.	The
    Law Society of New South Wales is not to be responsible for any loss resulting from the use of this lease as printed whether
    authorised or not.

 

	 	 	 
	 	 	 
	` 	 	 
	 	 	 
	I certify that this and the preceding twelve pages are in exactly the same wording as Annexure B of the copyright Law Society Lease.	 

 

	 	 
	 	Solicitor for
    the lessorExhibit 4.1

 

PRE-FUNDED COMMON STOCK PURCHASE WARRANT

 

InVivo
Therapeutics Holdings Corp.

 

	Warrant Shares: _______	Issue Date:______,
    2022
	 	 
	 	Initial Exercise Date: _______, 2022

 

THIS PRE-FUNDED COMMON STOCK
PURCHASE WARRANT (the “Warrant”) certifies that, for value received, _____________ or its assigns (the “Holder”)
is entitled, upon the terms and subject to the limitations on exercise and the conditions hereinafter set forth, at any time on or after
the date set forth above (the “Initial Exercise Date”) and until this Warrant is exercised in full (the “Termination
Date”) but not thereafter, to subscribe for and purchase from InVivo Therapeutics Holdings Corp., a Nevada corporation (the
 “Company”), up to ______ shares (as subject to adjustment hereunder, the “Warrant Shares”) of Common
Stock. The purchase price of one share of Common Stock under this Warrant shall be equal to the Exercise Price, as defined in Section 2(b).

 

Section 1.               Definitions.
Capitalized terms used and not otherwise defined herein shall have the meanings set forth in that certain Securities Purchase Agreement
(the “Purchase Agreement”), dated October 7, 2022, among the Company and the purchasers signatory thereto.

 

Section 2.               Exercise.

 

a)             Exercise
of Warrant. Exercise of the purchase rights represented by this Warrant may be made, in whole or in part, at any time or times on
or after the Initial Exercise Date and on or before the Termination Date by delivery to the Company of a duly executed PDF copy submitted
by e-mail (or e-mail attachment) of the Notice of Exercise in the form annexed hereto, and delivered in accordance with the notice requirements
set forth in Section 5(h) (the “Notice of Exercise”). Within the earlier of (i) two (2) Trading
Days and (ii) the number of Trading Days comprising the Standard Settlement Period (as defined in Section 2(d)(i) herein)
following the date of exercise as aforesaid, the Holder shall deliver the aggregate Exercise Price for the Warrant Shares specified in
the applicable Notice of Exercise by wire transfer or cashier’s check drawn on a United States bank unless the cashless exercise
procedure specified in Section 2(c) below is specified in the applicable Notice of Exercise. No ink-original Notice of Exercise
shall be required, nor shall any medallion guarantee (or other type of guarantee or notarization) of any Notice of Exercise be required.
Notwithstanding anything herein to the contrary, the Holder shall not be required to physically surrender this Warrant to the Company
until the Holder has purchased all of the Warrant Shares available hereunder and the Warrant has been exercised in full, in which case,
the Holder shall surrender this Warrant to the Company for cancellation within three (3) Trading Days of the date on which the final
Notice of Exercise is delivered to the Company. Partial exercises of this Warrant resulting in purchases of a portion of the total number
of Warrant Shares available hereunder shall have the effect of lowering the outstanding number of Warrant Shares purchasable hereunder
in an amount equal to the applicable number of Warrant Shares purchased. The Holder and the Company shall maintain records showing the
number of Warrant Shares purchased and the date of such purchases. The Company shall deliver any objection to any Notice of Exercise
within one (1) Trading Day of receipt of such notice. The Holder and any assignee, by acceptance of this Warrant, acknowledge
and agree that, by reason of the provisions of this paragraph, following the purchase of a portion of the Warrant Shares hereunder, the
number of Warrant Shares available for purchase hereunder at any given time may be less than the amount stated on the face hereof.

 

    1

     

    

 

b)             Exercise
Price. The aggregate exercise price of this Warrant, except for a nominal exercise price of $0.0001 per Warrant Share, was pre-funded
to the Company on or prior to the Initial Exercise Date and, consequently, no additional consideration (other than the nominal exercise
price of $0.0001 per Warrant Share) shall be required to be paid by the Holder to any Person to effect any exercise of this Warrant.
The Holder shall not be entitled to the return or refund of all, or any portion, of such pre-paid aggregate exercise price under any
circumstance or for any reason whatsoever, including in the event this Warrant shall not have been exercised prior to the Termination
Date. The remaining unpaid exercise price per share of Common Stock under this Warrant shall be $0.0001, subject to adjustment hereunder
(the “Exercise Price”).

 

c)             Cashless
Exercise. This Warrant may also be exercised, in whole or in part, at such time by means of a “cashless exercise” in
which the Holder shall be entitled to receive a number of Warrant Shares equal to the quotient obtained by dividing [(A-B) (X)] by (A),
where:

 

		(A)	=	as applicable: (i) the
                                            VWAP on the Trading Day immediately preceding the date of the applicable Notice of Exercise
                                            if such Notice of Exercise is (1) both executed and delivered pursuant to Section 2(a) hereof
                                            on a day that is not a Trading Day or (2) both executed and delivered pursuant to Section 2(a) hereof
                                            on a Trading Day prior to the opening of “regular trading hours” (as defined
                                            in Rule 600(b) of Regulation NMS promulgated under the federal securities laws)
                                            on such Trading Day, (ii) at the option of the Holder, either (y) the VWAP on the
                                            Trading Day immediately preceding the date of the applicable Notice of Exercise or (z) the
                                            Bid Price of the Common Stock on the principal Trading Market as reported by Bloomberg L.P.
                                            (“Bloomberg”) as of the time of the Holder’s execution of the applicable
                                            Notice of Exercise if such Notice of Exercise is executed during “regular trading hours”
                                            on a Trading Day and is delivered within two (2) hours thereafter (including until two
                                            (2) hours after the close of “regular trading hours” on a Trading Day) pursuant
                                            to Section 2(a) hereof or (iii) the VWAP on the date of the applicable Notice
                                            of Exercise if the date of such Notice of Exercise is a Trading Day and such Notice of Exercise
                                            is both executed and delivered pursuant to Section 2(a) hereof after the close
                                            of “regular trading hours” on such Trading Day;
	 	 	 	 
	 	(B)	=	the Exercise Price of
                                            this Warrant, as adjusted hereunder; and

 

    2

     

    

 

	 	(X)	=	the number of Warrant
                                            Shares that would be issuable upon exercise of this Warrant in accordance with the terms
                                            of this Warrant if such exercise were by means of a cash exercise rather than a cashless
                                            exercise.

 

“Bid
Price” means, for any date, the price determined by the first of the following clauses that applies: (a) if the
Common Stock is then listed or quoted on a Trading Market, the bid price of the Common Stock for the time in question (or the nearest
preceding date) on the Trading Market on which the Common Stock is then listed or quoted as reported by Bloomberg (based on a Trading
Day from 9:30 a.m. (New York City time) to 4:02 p.m. (New York City time)), (b)  if OTCQB or OTCQX is not a Trading Market,
the volume weighted average price of the Common Stock for such date (or the nearest preceding date) on OTCQB or OTCQX as applicable,
(c) if the Common Stock is not then listed or quoted for trading on OTCQB or OTCQX and if prices for the Common Stock are then reported
on The Pink Open Market (or a similar organization or agency succeeding to its functions of reporting prices), the most recent bid price
per share of the Common Stock so reported, or (d) in all other cases, the fair market value of a share of Common Stock as determined
by an independent appraiser selected in good faith by the Purchasers of a majority in interest of the Securities then outstanding and
reasonably acceptable to the Company, the fees and expenses of which shall be paid by the Company.

 

“VWAP”
means, for any date, the price determined by the first of the following clauses that applies: (a) if the Common Stock is
then listed or quoted on a Trading Market, the daily volume weighted average price of the Common Stock for such date (or the nearest
preceding date) on the Trading Market on which the Common Stock is then listed or quoted as reported by Bloomberg (based on a Trading
Day from 9:30 a.m. (New York City time) to 4:02 p.m. (New York City time)), (b)  if OTCQB or OTCQX is not a Trading Market,
the volume weighted average price of the Common Stock for such date (or the nearest preceding date) on OTCQB or OTCQX as applicable,
(c) if the Common Stock is not then listed or quoted for trading on OTCQB or OTCQX and if prices for the Common Stock are then reported
on The Pink Open Market (or a similar organization or agency succeeding to its functions of reporting prices), the most recent bid price
per share of the Common Stock so reported, or (d) in all other cases, the fair market value of a share of Common Stock as determined
by an independent appraiser selected in good faith by the Purchasers of a majority in interest of the Securities then outstanding and
reasonably acceptable to the Company, the fees and expenses of which shall be paid by the Company.

 

If Warrant Shares
are issued in such a cashless exercise, the parties acknowledge and agree that in accordance with Section 3(a)(9) of the Securities
Act, the Warrant Shares shall take on the registered characteristics of the Warrants being exercised.  The Company agrees not
to take any position contrary to this Section 2(c), except to the extent required by applicable law, rule or regulation.

 

    3

     

    

 

d)             Mechanics
of Exercise.

 

i.            Delivery
of Warrant Shares Upon Exercise. The Company shall cause the Warrant Shares purchased hereunder to be transmitted by the Transfer
Agent to the Holder by crediting the account of the Holder’s or its designee’s balance account with The Depository Trust
Company through its Deposit or Withdrawal at Custodian system (“DWAC”) if the Company is then a participant in such
system and either (A) there is an effective registration statement permitting the issuance of the Warrant Shares to or resale of
the Warrant Shares by the Holder or (B) this Warrant is being exercised via cashless exercise, and otherwise by physical delivery
of a certificate, registered in the Company’s share register in the name of the Holder or its designee, for the number of Warrant
Shares to which the Holder is entitled pursuant to such exercise to the address specified by the Holder in the Notice of Exercise by
the date that is the earliest of (i) two (2) Trading Days after the delivery to the Company of the Notice of Exercise, (ii) one
(1) Trading Day after delivery of the aggregate Exercise Price to the Company and (iii) the number of Trading Days comprising
the Standard Settlement Period after the delivery to the Company of the Notice of Exercise (such date, the “Warrant Share Delivery
Date”). Upon delivery of the Notice of Exercise, the Holder shall be deemed for all corporate purposes to have become the holder
of record of the Warrant Shares with respect to which this Warrant has been exercised, irrespective of the date of delivery of the Warrant
Shares, provided that payment of the aggregate Exercise Price (other than in the case of a cashless exercise) is received by the Warrant
Share Delivery Date. If the Company fails for any reason to deliver to the Holder the Warrant Shares subject to a Notice of Exercise
by the Warrant Share Delivery Date, the Company shall pay to the Holder, in cash, as liquidated damages and not as a penalty, for each
$1,000 of Warrant Shares subject to such exercise (based on the VWAP of the Common Stock on the date of the applicable Notice of Exercise),
$10 per Trading Day (increasing to $20 per Trading Day on the fifth Trading Day after the Warrant Share Delivery Date) for each Trading
Day after such Warrant Share Delivery Date until such Warrant Shares are delivered or Holder rescinds such exercise. The Company agrees
to maintain a transfer agent that is a participant in the FAST program so long as this Warrant remains outstanding and exercisable. As
used herein, “Standard Settlement Period” means the standard settlement period, expressed in a number of Trading Days,
on the Company’s primary Trading Market with respect to the Common Stock as in effect on the date of delivery of the Notice of
Exercise. Notwithstanding the foregoing, with respect to any Notice(s) of Exercise delivered on or prior to 12:00 p.m. (New
York City time) on the Initial Exercise Date, which may be delivered at any time after the time of execution of the Purchase Agreement,
the Company agrees to deliver the Warrant Shares subject to such notice(s) by 4:00 p.m. (New York City time) on the Initial
Exercise Date and the Initial Exercise Date shall be the Warrant Share Delivery Date for purposes hereunder, provided that payment of
the aggregate Exercise Price (other than in the case of a cashless exercise) is received by such Warrant Share Delivery Date.

 

    4

     

    

 

ii.           Delivery
of New Warrants Upon Exercise. If this Warrant shall have been exercised in part, the Company shall, at the request of a Holder and
upon surrender of this Warrant, at the time of delivery of the Warrant Shares, deliver to the Holder a new Warrant evidencing the rights
of the Holder to purchase the unpurchased Warrant Shares called for by this Warrant, which new Warrant shall in all other respects be
identical with this Warrant.

 

iii.          Rescission
Rights. If the Company fails to cause the Transfer Agent to transmit to the Holder the Warrant Shares pursuant to Section 2(d)(i) by
the Warrant Share Delivery Date, then the Holder will have the right to rescind such exercise.

 

iv.          Compensation
for Buy-In on Failure to Timely Deliver Warrant Shares Upon Exercise. In addition to any other rights available to the Holder, if
the Company fails to cause the Transfer Agent to transmit to the Holder the Warrant Shares in accordance with the provisions of Section 2(d)(i) above
pursuant to an exercise on or before the Warrant Share Delivery Date (other than a failure solely caused by incorrect or incomplete information
provided by the Holder to the Company), and if after such date the Holder is required by its broker to purchase (in an open market transaction
or otherwise) or the Holder’s brokerage firm otherwise purchases, shares of Common Stock to deliver in satisfaction of a sale by
the Holder of the Warrant Shares which the Holder anticipated receiving upon such exercise (a “Buy-In”), then the
Company shall (A) pay in cash to the Holder the amount, if any, by which (x) the Holder’s total purchase price (including
brokerage commissions, if any) for the shares of Common Stock so purchased exceeds (y) the amount obtained by multiplying (1) the
number of Warrant Shares that the Company was required to deliver to the Holder in connection with the exercise at issue times (2) the
price at which the sell order giving rise to such purchase obligation was executed, and (B) at the option of the Holder, either
reinstate the portion of the Warrant and equivalent number of Warrant Shares for which such exercise was not honored (in which case such
exercise shall be deemed rescinded) or deliver to the Holder the number of shares of Common Stock that would have been issued had the
Company timely complied with its exercise and delivery obligations hereunder. For example, if the Holder purchases Common Stock having
a total purchase price of $11,000 to cover a Buy-In with respect to an attempted exercise of shares of Common Stock with an aggregate
sale price giving rise to such purchase obligation of $10,000, under clause (A) of the immediately preceding sentence the Company
shall be required to pay the Holder $1,000. The Holder shall provide the Company written notice within two (2) days after the occurrence
of a Buy-In indicating the amounts payable to the Holder in respect of the Buy-In and, upon request of the Company, evidence of the amount
of such loss. Nothing herein shall limit a Holder’s right to pursue any other remedies available to it hereunder, at law or in
equity including, without limitation, a decree of specific performance and/or injunctive relief with respect to the Company’s failure
to timely deliver shares of Common Stock upon exercise of the Warrant as required pursuant to the terms hereof.

 

    5

     

    

 

v.           No
Fractional Shares or Scrip. No fractional shares or scrip representing fractional shares shall be issued upon the exercise of this
Warrant. As to any fraction of a share which the Holder would otherwise be entitled to purchase upon such exercise, the Company shall,
at its election, either pay a cash adjustment in respect of such final fraction in an amount equal to such fraction multiplied by the
Exercise Price or round up to the next whole share.

 

vi.          Charges,
Taxes and Expenses. Issuance of Warrant Shares shall be made without charge to the Holder for any issue or transfer tax or other
incidental expense in respect of the issuance of such Warrant Shares, all of which taxes and expenses shall be paid by the Company, and
such Warrant Shares shall be issued in the name of the Holder or in such name or names as may be directed by the Holder; provided,
however, that in the event that Warrant Shares are to be issued in a name other than the name of the Holder, this Warrant when
surrendered for exercise shall be accompanied by the Assignment Form attached hereto duly executed by the Holder and the Company
may require, as a condition thereto, the payment of a sum sufficient to reimburse it for any transfer tax incidental thereto. The Company
shall pay all Transfer Agent fees required for same-day processing of any Notice of Exercise and all fees to the Depository Trust Company
(or another established clearing corporation performing similar functions) required for same-day electronic delivery of the Warrant Shares.

 

vii.         Closing
of Books. The Company will not close its stockholder books or records in any manner which prevents the timely exercise of this Warrant,
pursuant to the terms hereof.

 

    6

     

    

 

e)             Holder’s
Exercise Limitations. The Company shall not effect any exercise of this Warrant, and a Holder shall not have the right to exercise
any portion of this Warrant, pursuant to Section 2 or otherwise, to the extent that after giving effect to such issuance after exercise
as set forth on the applicable Notice of Exercise, the Holder (together with the Holder’s Affiliates, and any other Persons acting
as a group together with the Holder or any of the Holder’s Affiliates (such Persons, “Attribution Parties”)),
would beneficially own in excess of the Beneficial Ownership Limitation (as defined below).  For purposes of the foregoing sentence,
the number of shares of Common Stock beneficially owned by the Holder and its Affiliates and Attribution Parties shall include the number
of shares of Common Stock issuable upon exercise of this Warrant with respect to which such determination is being made, but shall exclude
the number of shares of Common Stock which would be issuable upon (i) exercise of the remaining, nonexercised portion of this Warrant
beneficially owned by the Holder or any of its Affiliates or Attribution Parties and (ii) exercise or conversion of the unexercised
or nonconverted portion of any other securities of the Company (including, without limitation, any other Common Stock Equivalents) subject
to a limitation on conversion or exercise analogous to the limitation contained herein beneficially owned by the Holder or any of its
Affiliates or Attribution Parties.  Except as set forth in the preceding sentence, for purposes of this Section 2(e), beneficial
ownership shall be calculated in accordance with Section 13(d) of the Exchange Act and the rules and regulations promulgated
thereunder, it being acknowledged by the Holder that the Company is not representing to the Holder that such calculation is in compliance
with Section 13(d) of the Exchange Act and the Holder is solely responsible for any schedules required to be filed in accordance
therewith. To the extent that the limitation contained in this Section 2(e) applies, the determination of whether this Warrant
is exercisable (in relation to other securities owned by the Holder together with any Affiliates and Attribution Parties) and of which
portion of this Warrant is exercisable shall be in the sole discretion of the Holder, and the submission of a Notice of Exercise shall
be deemed to be the Holder’s determination of whether this Warrant is exercisable (in relation to other securities owned by the
Holder together with any Affiliates and Attribution Parties) and of which portion of this Warrant is exercisable, in each case subject
to the Beneficial Ownership Limitation, and the Company shall have no obligation to verify or confirm the accuracy of such determination.
In addition, a determination as to any group status as contemplated above shall be determined in accordance with Section 13(d) of
the Exchange Act and the rules and regulations promulgated thereunder. For purposes of this Section 2(e), in determining the
number of outstanding shares of Common Stock, a Holder may rely on the number of outstanding shares of Common Stock as reflected in (A) the
Company’s most recent periodic or annual report filed with the Commission, as the case may be, (B) a more recent public announcement
by the Company or (C) a more recent written notice by the Company or the Transfer Agent setting forth the number of shares of Common
Stock outstanding.  Upon the written or oral request of a Holder, the Company shall within one (1) Trading Day confirm orally
and in writing to the Holder the number of shares of Common Stock then outstanding.  In any case, the number of outstanding shares
of Common Stock shall be determined after giving effect to the conversion or exercise of securities of the Company, including this Warrant,
by the Holder or its Affiliates or Attribution Parties since the date as of which such number of outstanding shares of Common Stock was
reported. The “Beneficial Ownership Limitation” shall be [4.99% or, upon election by a Holder prior to the issuance
of any Warrants, 9.99%] of the number of shares of the Common Stock outstanding immediately after giving effect to the issuance of shares
of Common Stock issuable upon exercise of this Warrant. The Holder, upon notice to the Company, may increase or decrease the Beneficial
Ownership Limitation provisions of this Section 2(e), provided that the Beneficial Ownership Limitation in no event exceeds 9.99%
of the number of shares of the Common Stock outstanding immediately after giving effect to the issuance of shares of Common Stock upon
exercise of this Warrant held by the Holder and the provisions of this Section 2(e) shall continue to apply. Any increase in
the Beneficial Ownership Limitation will not be effective until the 61st day after such notice is delivered to the Company.
The provisions of this paragraph shall be construed and implemented in a manner otherwise than in strict conformity with the terms of
this Section 2(e) to correct this paragraph (or any portion hereof) which may be defective or inconsistent with the intended
Beneficial Ownership Limitation herein contained or to make changes or supplements necessary or desirable to properly give effect to
such limitation. The limitations contained in this paragraph shall apply to a successor holder of this Warrant.

 

    7

     

    

 

Section 3.               Certain
Adjustments.

 

a)             Stock
Dividends and Splits. If the Company, at any time while this Warrant is outstanding: (i) pays a stock dividend or otherwise
makes a distribution or distributions on shares of its Common Stock or any other equity or equity equivalent securities payable in shares
of Common Stock (which, for avoidance of doubt, shall not include any shares of Common Stock issued by the Company upon exercise of this
Warrant), (ii) subdivides outstanding shares of Common Stock into a larger number of shares, (iii) combines (including by way
of reverse stock split) outstanding shares of Common Stock into a smaller number of shares, or (iv) issues by reclassification of
shares of the Common Stock any shares of capital stock of the Company, then in each case the Exercise Price shall be multiplied by a
fraction of which the numerator shall be the number of shares of Common Stock (excluding treasury shares, if any) outstanding immediately
before such event and of which the denominator shall be the number of shares of Common Stock outstanding immediately after such event,
and the number of shares issuable upon exercise of this Warrant shall be proportionately adjusted such that the aggregate Exercise Price
of this Warrant shall remain unchanged. Any adjustment made pursuant to this Section 3(a) shall become effective immediately
after the record date for the determination of stockholders entitled to receive such dividend or distribution and shall become effective
immediately after the effective date in the case of a subdivision, combination or re-classification.

 

b)             Subsequent
Rights Offerings. In addition to any adjustments pursuant to Section 3(a) above, if at any time the Company grants, issues
or sells any Common Stock Equivalents or rights to purchase stock, warrants, securities or other property pro rata to the record holders
of any class of shares of Common Stock (the “Purchase Rights”), then the Holder will be entitled to acquire, upon
the terms applicable to such Purchase Rights, the aggregate Purchase Rights which the Holder could have acquired if the Holder had held
the number of shares of Common Stock acquirable upon complete exercise of this Warrant (without regard to any limitations on exercise
hereof, including without limitation, the Beneficial Ownership Limitation) immediately before the date on which a record is taken for
the grant, issuance or sale of such Purchase Rights, or, if no such record is taken, the date as of which the record holders of shares
of Common Stock are to be determined for the grant, issue or sale of such Purchase Rights (provided, however, that to the
extent that the Holder’s right to participate in any such Purchase Right would result in the Holder exceeding the Beneficial Ownership
Limitation, then the Holder shall not be entitled to participate in such Purchase Right to such extent (or beneficial ownership of such
shares of Common Stock as a result of such Purchase Right to such extent) and such Purchase Right to such extent shall be held in abeyance
for the Holder until such time, if ever, as its right thereto would not result in the Holder exceeding the Beneficial Ownership Limitation).

 

    8

     

    

 

c)             Pro
Rata Distributions. During such time as this Warrant is outstanding, if the Company shall declare or make any dividend or other distribution
of its assets (or rights to acquire its assets) to holders of shares of Common Stock, by way of return of capital or otherwise (including,
without limitation, any distribution of cash, stock or other securities, property or options by way of a dividend, spin off, reclassification,
corporate rearrangement, scheme of arrangement or other similar transaction) (a “Distribution”), at any time after
the issuance of this Warrant, then, in each such case, the Holder shall be entitled to participate in such Distribution to the same extent
that the Holder would have participated therein if the Holder had held the number of shares of Common Stock acquirable upon complete
exercise of this Warrant (without regard to any limitations on exercise hereof, including without limitation, the Beneficial Ownership
Limitation) immediately before the date of which a record is taken for such Distribution, or, if no such record is taken, the date as
of which the record holders of shares of Common Stock are to be determined for the participation in such Distribution (provided,
however, that to the extent that the Holder's right to participate in any such Distribution would result in the Holder exceeding
the Beneficial Ownership Limitation, then the Holder shall not be entitled to participate in such Distribution to such extent (or in
the beneficial ownership of any shares of Common Stock as a result of such Distribution to such extent) and the portion of such Distribution
shall be held in abeyance for the benefit of the Holder until such time, if ever, as its right thereto would not result in the Holder
exceeding the Beneficial Ownership Limitation).

 

    9

     

    

 

d)             Fundamental
Transaction. If, at any time while this Warrant is outstanding, (i) the Company, directly or indirectly, in one or more related
transactions effects any merger or consolidation of the Company with or into another Person, (ii) the Company (and all of its Subsidiaries,
taken as a whole), directly or indirectly, effects any sale, lease, license, assignment, transfer, conveyance or other disposition of
all or substantially all of its assets in one or a series of related transactions, (iii) any, direct or indirect, purchase offer,
tender offer or exchange offer (whether by the Company or another Person) is completed pursuant to which holders of Common Stock are
permitted to sell, tender or exchange their shares for other securities, cash or property and has been accepted by the holders of 50%
or more of the outstanding Common Stock or 50% or more of the voting power of the common equity of the Company, (iv) the Company,
directly or indirectly, in one or more related transactions effects any reclassification, reorganization or recapitalization of the Common
Stock or any compulsory share exchange pursuant to which the Common Stock is effectively converted into or exchanged for other securities,
cash or property, or (v) the Company, directly or indirectly, in one or more related transactions consummates a stock or share purchase
agreement or other business combination (including, without limitation, a reorganization, recapitalization, spin-off, merger or scheme
of arrangement) with another Person or group of Persons whereby such other Person or group acquires 50% or more of the outstanding shares
of Common Stock or 50% or more of the voting power of the common equity of the Company (each a “Fundamental Transaction”),
then, upon any subsequent exercise of this Warrant, the Holder shall have the right to receive, for each Warrant Share that would have
been issuable upon such exercise immediately prior to the occurrence of such Fundamental Transaction, at the option of the Holder (without
regard to any limitation in Section 2(e) on the exercise of this Warrant), the number of shares of Common Stock of the successor
or acquiring corporation or of the Company, if it is the surviving corporation, and any additional consideration (the “Alternate
Consideration”) receivable as a result of such Fundamental Transaction by a holder of the number of shares of Common Stock
for which this Warrant is exercisable immediately prior to such Fundamental Transaction (without regard to any limitation in Section 2(e) on
the exercise of this Warrant). For purposes of any such exercise, the determination of the Exercise Price shall be appropriately adjusted
to apply to such Alternate Consideration based on the amount of Alternate Consideration issuable in respect of one share of Common Stock
in such Fundamental Transaction, and the Company shall apportion the Exercise Price among the Alternate Consideration in a reasonable
manner reflecting the relative value of any different components of the Alternate Consideration. If holders of Common Stock are given
any choice as to the securities, cash or property to be received in a Fundamental Transaction, then the Holder shall be given the same
choice as to the Alternate Consideration it receives upon any exercise of this Warrant following such Fundamental Transaction. The Company
shall cause any successor entity in a Fundamental Transaction in which the Company is not the survivor (the “Successor Entity”)
to assume in writing all of the obligations of the Company under this Warrant and the other Transaction Documents in accordance with
the provisions of this Section 3(d) pursuant to written agreements in form and substance reasonably satisfactory to the Holder
and approved by the Holder (without unreasonable delay) prior to such Fundamental Transaction and shall, at the option of the Holder,
deliver to the Holder in exchange for this Warrant a security of the Successor Entity evidenced by a written instrument substantially
similar in form and substance to this Warrant which is exercisable for a corresponding number of shares of capital stock of such Successor
Entity (or its parent entity) equivalent to the shares of Common Stock acquirable and receivable upon exercise of this Warrant (without
regard to any limitations on the exercise of this Warrant) prior to such Fundamental Transaction, and with an exercise price which applies
the exercise price hereunder to such shares of capital stock (but taking into account the relative value of the shares of Common Stock
pursuant to such Fundamental Transaction and the value of such shares of capital stock, such number of shares of capital stock and such
exercise price being for the purpose of protecting the economic value of this Warrant immediately prior to the consummation of such Fundamental
Transaction), and which is reasonably satisfactory in form and substance to the Holder. Upon the occurrence of any such Fundamental Transaction,
the Successor Entity shall be added to the term “Company” under this Warrant (so that from and after the occurrence or consummation
of such Fundamental Transaction, each and every provision of this Warrant and the other Transaction Documents referring to the “Company”
shall refer instead to each of the Company and the Successor Entity or Successor Entities, jointly and severally), and the Successor
Entity or Successor Entities, jointly and severally with the Company, may exercise every right and power of the Company prior thereto
and the Successor Entity or Successor Entities shall assume all of the obligations of the Company prior thereto under this Warrant and
the other Transaction Documents with the same effect as if the Company and such Successor Entity or Successor Entities, jointly and severally,
had been named as the Company herein.

 

e)             Calculations.
All calculations under this Section 3 shall be made to the nearest cent or the nearest 1/100th of a share, as the case may be. For
purposes of this Section 3, the number of shares of Common Stock deemed to be issued and outstanding as of a given date shall be
the sum of the number of shares of Common Stock (excluding treasury shares, if any) issued and outstanding.

 

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f)              Notice
to Holder.

 

i.            Adjustment
to Exercise Price. Whenever the Exercise Price is adjusted pursuant to any provision of this Section 3, the Company shall promptly
deliver to the Holder by email a notice setting forth the Exercise Price after such adjustment and any resulting adjustment to the number
of Warrant Shares and setting forth a brief statement of the facts requiring such adjustment.

 

ii.           Notice
to Allow Exercise by Holder. If (A) the Company shall declare a dividend (or any other distribution in whatever form) on the
Common Stock, (B) the Company shall declare a special nonrecurring cash dividend on or a redemption of the Common Stock, (C) the
Company shall authorize the granting to all holders of the Common Stock rights or warrants to subscribe for or purchase any shares of
capital stock of any class or of any rights, (D) the approval of any stockholders of the Company shall be required in connection
with any reclassification of the Common Stock, any consolidation or merger to which the Company and all of its Subsidiaries, taken as
a whole, is a party, any sale or transfer of all or substantially all of its assets, or any compulsory share exchange whereby the Common
Stock is converted into other securities, cash or property, or (E) the Company shall authorize the voluntary or involuntary dissolution,
liquidation or winding up of the affairs of the Company, then, in each case, the Company shall cause to be delivered by email to the
Holder at its last email address as it shall appear upon the Warrant Register of the Company, at least 20 calendar days prior to the
applicable record or effective date hereinafter specified, a notice stating (x) the date on which a record is to be taken for the
purpose of such dividend, distribution, redemption, rights or warrants, or if a record is not to be taken, the date as of which the holders
of the Common Stock of record to be entitled to such dividend, distributions, redemption, rights or warrants are to be determined or
(y) the date on which such reclassification, consolidation, merger, sale, transfer or share exchange is expected to become effective
or close, and the date as of which it is expected that holders of the Common Stock of record shall be entitled to exchange their shares
of the Common Stock for securities, cash or other property deliverable upon such reclassification, consolidation, merger, sale, transfer
or share exchange; provided that the failure to deliver such notice or any defect therein or in the delivery thereof shall not affect
the validity of the corporate action required to be specified in such notice. To the extent that any notice provided in this Warrant
constitutes, or contains, material, non-public information regarding the Company or any of the Subsidiaries, the Company shall simultaneously
file such notice with the Commission pursuant to a Current Report on Form 8-K. The Holder shall remain entitled to exercise this
Warrant during the period commencing on the date of such notice to the effective date of the event triggering such notice except as may
otherwise be expressly set forth herein.

 

    11

     

    

 

Section 4.               Transfer
of Warrant.

 

a)             Transferability.
This Warrant and all rights hereunder (including, without limitation, any registration rights) are transferable, in whole or in part,
upon surrender of this Warrant at the principal office of the Company or its designated agent, together with a written assignment of
this Warrant substantially in the form attached hereto duly executed by the Holder or its agent or attorney and funds sufficient to pay
any transfer taxes payable upon the making of such transfer. Upon such surrender and, if required, such payment, the Company shall execute
and deliver a new Warrant or Warrants in the name of the assignee or assignees, as applicable, and in the denomination or denominations
specified in such instrument of assignment, and shall issue to the assignor a new Warrant evidencing the portion of this Warrant not
so assigned, and this Warrant shall promptly be cancelled. Notwithstanding anything herein to the contrary, the Holder shall not be required
to physically surrender this Warrant to the Company unless the Holder has assigned this Warrant in full, in which case, the Holder shall
surrender this Warrant to the Company within three (3) Trading Days of the date on which the Holder delivers an assignment form
to the Company assigning this Warrant in full. The Warrant, if properly assigned in accordance herewith, may be exercised by a new holder
for the purchase of Warrant Shares without having a new Warrant issued.

 

b)             New
Warrants. This Warrant may be divided or combined with other Warrants upon presentation hereof at the aforesaid office of the Company,
together with a written notice specifying the names and denominations in which new Warrants are to be issued, signed by the Holder or
its agent or attorney. Subject to compliance with Section 4(a), as to any transfer which may be involved in such division or combination,
the Company shall execute and deliver a new Warrant or Warrants in exchange for the Warrant or Warrants to be divided or combined in
accordance with such notice. All Warrants issued on transfers or exchanges shall be dated the Issue Date of this Warrant and shall be
identical with this Warrant except as to the number of Warrant Shares issuable pursuant thereto.

 

c)             Warrant
Register. The Company shall register this Warrant, upon records to be maintained by the Company for that purpose (the “Warrant
Register”), in the name of the record Holder hereof from time to time. The Company may deem and treat the registered Holder
of this Warrant as the absolute owner hereof for the purpose of any exercise hereof or any distribution to the Holder, and for all other
purposes, absent actual notice to the contrary.

 

Section 5.               Miscellaneous.

 

a)             No
Rights as Stockholder Until Exercise; No Settlement in Cash. This Warrant does not entitle the Holder to any voting rights, dividends
or other rights as a stockholder of the Company prior to the exercise hereof as set forth in Section 2(d)(i), except as expressly
set forth in Section 3. Without limiting any rights of a Holder to receive Warrant Shares on a “cashless exercise” pursuant
to Section 2(c) or to receive cash payments pursuant to Section 2(d)(i) and Section 2(d)(iv) herein, in
no event shall the Company be required to net cash settle an exercise of this Warrant.

 

    12

     

    

 

b)             Loss,
Theft, Destruction or Mutilation of Warrant. The Company covenants that upon receipt by the Company of evidence reasonably satisfactory
to it of the loss, theft, destruction or mutilation of this Warrant or any stock certificate relating to the Warrant Shares, and in case
of loss, theft or destruction, of indemnity or security reasonably satisfactory to it (which, in the case of the Warrant, shall not include
the posting of any bond), and upon surrender and cancellation of such Warrant or stock certificate, if mutilated, the Company will make
and deliver a new Warrant or stock certificate of like tenor and dated as of such cancellation, in lieu of such Warrant or stock certificate.

 

c)             Saturdays,
Sundays, Holidays, etc. If the last or appointed day for the taking of any action or the expiration of any right required or
granted herein shall not be a Business Day, then such action may be taken or such right may be exercised on the next succeeding Business
Day.

 

d)             Authorized
Shares. The Company covenants that, during the period the Warrant is outstanding, it will reserve from its authorized and unissued
Common Stock a sufficient number of shares to provide for the issuance of the Warrant Shares upon the exercise of any purchase rights
under this Warrant. The Company further covenants that its issuance of this Warrant shall constitute full authority to its officers who
are charged with the duty of issuing the necessary Warrant Shares upon the exercise of the purchase rights under this Warrant. The Company
will take all such reasonable action as may be necessary to assure that such Warrant Shares may be issued as provided herein without
violation of any applicable law or regulation, or of any requirements of the Trading Market upon which the Common Stock may be listed.
The Company covenants that all Warrant Shares which may be issued upon the exercise of the purchase rights represented by this Warrant
will, upon exercise of the purchase rights represented by this Warrant and payment for such Warrant Shares in accordance herewith, be
duly authorized, validly issued, fully paid and nonassessable and free from all taxes, liens and charges created by the Company in respect
of the issue thereof (other than taxes in respect of any transfer occurring contemporaneously with such issue).

 

Except and to the
extent as waived or consented to by the Holder, the Company shall not by any action, including, without limitation, amending its certificate
of incorporation or through any reorganization, transfer of assets, consolidation, merger, dissolution, issue or sale of securities or
any other voluntary action, avoid or seek to avoid the observance or performance of any of the terms of this Warrant, but will at all
times in good faith assist in the carrying out of all such terms and in the taking of all such actions as may be necessary or appropriate
to protect the rights of Holder as set forth in this Warrant against impairment. Without limiting the generality of the foregoing, the
Company will (i) not increase the par value of any Warrant Shares above the amount payable therefor upon such exercise immediately
prior to such increase in par value, (ii) take all such action as may be necessary or appropriate in order that the Company may
validly and legally issue fully paid and nonassessable Warrant Shares upon the exercise of this Warrant and (iii) use commercially
reasonable efforts to obtain all such authorizations, exemptions or consents from any public regulatory body having jurisdiction thereof,
as may be, necessary to enable the Company to perform its obligations under this Warrant.

 

    13

     

    

 

Before taking any
action which would result in an adjustment in the number of Warrant Shares for which this Warrant is exercisable or in the Exercise Price,
the Company shall obtain all such authorizations or exemptions thereof, or consents thereto, as may be necessary from any public regulatory
body or bodies having jurisdiction thereof.

 

e)             Governing
Law; Jurisdiction. All questions concerning the construction, validity, enforcement and interpretation of this Warrant shall be governed
by and construed and enforced in accordance with the internal laws of the State of New York, without regard to the principles of conflicts
of law thereof. Each party agrees that all legal proceedings concerning the interpretations, enforcement and defense of the transactions
contemplated by this Warrant shall be commenced exclusively in the state and federal courts sitting in the City of New York. Each party
hereby irrevocably submits to the exclusive jurisdiction of the state and federal courts sitting in the City of New York, Borough of
Manhattan for the adjudication of any dispute hereunder or in connection herewith or with any transaction contemplated hereby or discussed
herein, 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 improper or is an inconvenient venue for such
proceeding. Each party hereby irrevocably waives personal service of process and consents to process being served in any such suit, action
or proceeding by mailing a copy thereof via registered or certified mail or overnight delivery (with evidence of delivery) to such party
at the address in effect for notices to it under this Warrant and agrees that such service shall constitute good and sufficient service
of process and notice thereof. Nothing contained herein shall be deemed to limit in any way any right to serve process in any other manner
permitted by law. If either party shall commence an action, suit or proceeding to enforce any provisions of this Warrant, the prevailing
party in such action, suit or proceeding shall be reimbursed by the other party for their reasonable attorneys’ fees and other
costs and expenses incurred with the investigation, preparation and prosecution of such action or proceeding.

 

f)              Restrictions.
The Holder acknowledges that the Warrant Shares acquired upon the exercise of this Warrant, if not registered, and the Holder does not
utilize cashless exercise, will have restrictions upon resale imposed by state and federal securities laws.

 

g)             Nonwaiver
and Expenses. No course of dealing or any delay or failure to exercise any right hereunder on the part of Holder shall operate as
a waiver of such right or otherwise prejudice the Holder’s rights, powers or remedies. Without limiting any other provision of
this Warrant or the Purchase Agreement, if the Company willfully and knowingly fails to comply with any provision of this Warrant, which
results in any material damages to the Holder, the Company shall pay to the Holder such amounts as shall be sufficient to cover any costs
and expenses including, but not limited to, reasonable attorneys’ fees, including those of appellate proceedings, incurred by the
Holder in collecting any amounts due pursuant hereto or in otherwise enforcing any of its rights, powers or remedies hereunder.

 

    14

     

    

 

h)             Notices.
Any and all notices or other communications or deliveries to be provided by the Holders hereunder including, without limitation, any
Notice of Exercise, shall be in writing and delivered personally or by e-mail, or sent by a nationally recognized overnight courier service,
addressed to the Company, at [____], Attention: ___________, email address: ___________, or such other email address or address as the
Company may specify for such purposes by notice to the Holders. Any and all notices or other communications or deliveries to be provided
by the Company hereunder shall be in writing and delivered personally or by e-mail, or sent by a nationally recognized overnight courier
service addressed to each Holder at the e-mail address or address of such Holder appearing on the books of the Company. Any and all notices
or other communications or deliveries required or permitted to be provided hereunder shall be in writing and shall be deemed given and
effective on the earliest of: (a) the time of transmission, if such notice or communication is delivered via email attachment at
or prior to 5:30 p.m. (New York City time) on a Trading Day, (b) the next Trading Day after the time of transmission, if such
notice or communication is delivered via email attachment on a day that is not a Trading Day or later than 5:30 p.m. (New York City
time) on any Trading Day, (c) the second (2nd) Trading Day following the date of mailing, if sent by U.S. nationally recognized
overnight courier service or (d) upon actual receipt by the party to whom such notice is required to be given.

 

i)              Limitation
of Liability. No provision hereof, in the absence of any affirmative action by the Holder to exercise this Warrant to purchase Warrant
Shares, and no enumeration herein of the rights or privileges of the Holder, shall give rise to any liability of the Holder for the purchase
price of any Common Stock or as a stockholder of the Company, whether such liability is asserted by the Company or by creditors of the
Company.

 

j)              Remedies.
The Holder, in addition to being entitled to exercise all rights granted by law, including recovery of damages, will be entitled to specific
performance of its rights under this Warrant. The Company agrees that monetary damages would not be adequate compensation for any loss
incurred by reason of a breach by it of the provisions of this Warrant and hereby agrees to waive and not to assert the defense in any
action for specific performance that a remedy at law would be adequate.

 

k)             Successors
and Assigns. Subject to applicable securities laws, this Warrant and the rights and obligations evidenced hereby shall inure to the
benefit of and be binding upon the successors and permitted assigns of the Company and the successors and permitted assigns of Holder.
The provisions of this Warrant are intended to be for the benefit of any Holder from time to time of this Warrant and shall be enforceable
by the Holder or holder of Warrant Shares.

 

l)              Amendment.
This Warrant may be modified or amended or the provisions hereof waived with the written consent of the Company, on the one hand, and
the Holder of this Warrant, on the other hand.

 

m)            Severability.
Wherever possible, each provision of this Warrant shall be interpreted in such manner as to be effective and valid under applicable law,
but if any provision of this Warrant shall be prohibited by or invalid under applicable law, such provision shall be ineffective to the
extent of such prohibition or invalidity, without invalidating the remainder of such provisions or the remaining provisions of this Warrant.

 

    15

     

    

 

n)             Headings.
The headings used in this Warrant are for the convenience of reference only and shall not, for any purpose, be deemed a part of this
Warrant.

 

********************

 

(Signature Page Follows)

 

    16

     

    

 

IN WITNESS WHEREOF, the Company
has caused this Warrant to be executed by its officer thereunto duly authorized as of the date first above indicated.

 

	 
	InVivo
                           Therapeutics Holdings Corp.

 

	 	By:	 
	 	 	Name:
	 	 	Title:

 

    17

     

    

 

NOTICE OF EXERCISE

 

To:          InVivo
Therapeutics Holdings Corp.

 

(1)     The
undersigned hereby elects to purchase ________ Warrant Shares of the Company pursuant to the terms of the attached Warrant (only if exercised
in full), and tenders herewith payment of the exercise price in full, together with all applicable transfer taxes, if any.

 

(2)     Payment
shall take the form of (check applicable box):

 

 ̈
in lawful money of the United States; or

 

 ̈
if permitted the cancellation of such number of Warrant Shares as is necessary, in accordance with the formula set forth in subsection
2(c), to exercise this Warrant with respect to the maximum number of Warrant Shares purchasable pursuant to the cashless exercise procedure
set forth in subsection 2(c).

 

(3)     Please
issue said Warrant Shares in the name of the undersigned or in such other name as is specified below:

 

_______________________________

 

The Warrant Shares shall be delivered to the
following DWAC Account Number:

 

_______________________________

 

_______________________________

 

_______________________________

 

[SIGNATURE OF HOLDER]

 

	Name of Investing Entity:	

	Signature of Authorized Signatory of Investing
    Entity:	

	Name of Authorized Signatory:	

	Title of Authorized Signatory:	

	Date:	

 

    

     

    

 

EXHIBIT B

 

ASSIGNMENT FORM

 

(To assign the foregoing
Warrant, execute this form and supply required information. Do not use this form to exercise the Warrant to purchase shares.)

 

FOR VALUE RECEIVED, the foregoing Warrant and
all rights evidenced thereby are hereby assigned to

 

	Name:	 	
	 	 	(Please
    Print)
	 	 	 
	Address:	 	
		 	(Please Print)
	 	 	 
	Phone Number:	 	 
	 	 	 
	Email Address:	 	 
	 	 	 
	Dated:
    _______________ __, ______	 	 
	 	 	 
	Holder’s
    Signature:_______________________________	 	 
	 	 	 
	Holder’s
    Address:________________________________

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